Human governance: A neglected mantra for continuous performance improvement

Every individual should be entrusted with an internal driver to strive their best towards achieving their potential and to manifest their performance through innovative means. This can be reached only under circumstances where the abstract human values and principles are recognized and indoctrinated in the culture. The strategies discussed in this article will serve as input in proposing the areas of focus toward the practice of human governance.     

Metabolic Bone Profile of Healthy Adult North Indian Population from Chandigarh Urban Bone Epidemiological Study (CUBES)

We aimed to estimate metabolic bone profile in a large cohort of healthy, adult Indian population to generate reference standards of serum calcium, phosphate and alkaline phosphatase (ALP), 25 (OH) Vitamin D and iPTH, and also to find out the prevalence of Vitamin D deficiency in healthy population. Apparently healthy people in the age group of 20–80 years, residing in the union territory of Chandigarh were chosen. Fasting samples for serum calcium, phosphate, albumin, alkaline phosphatase (ALP), 25 (OH) D and iPTH were collected and were processed on the same day. We recruited 930 healthy subjects from different subsectors of Chandigarh. Final analysis was done for 915 subjects. Out of this, 530 (58%) were women and 385 (42%) were men. The study participants were divided into two groups, less than and more than 50 years for the men and pre and post-menopausal for the women. The serum calcium, phosphate, ALP and iPTH were significantly higher in the post-menopausal women compared to the pre-menopausal women. The median plasma 25 (OH) D in men and women was 12.5 ng/mL and 14.3 ng/mL, respectively. 25 (OH) D deficiency was seen in 65.4% of individuals. 25 (OH) D levels co-related negatively with iPTH levels (r = − 0.4, p < 0.0001), and showed an increasing trend with age. We have thus presented metabolic bone profile of healthy, adult north Indian population. These reference values can be used for diagnosis and monitoring of various MBDs. Vitamin D deficiency is still rampant in our population in spite of increasing awareness.     

AN URBAN MIDDLE SCHOOL CASE STUDY OF MATHEMATICS ACHIEVEMENT

What does it take to change a school’s mathematics achievement profile from low to one that is proficient and advanced? Is this transformed achievement profile sustainable? Such is the story presented here, in this three-phase case study of a K-8 urban charter school’s mathematics program. The first phase discusses the school’s mathematics program as it existed in 2006. The second phase discusses the contents and interventions implemented which transformed the student achievement scores over a period of 3 years (2006–2009) from low achieving to proficient and advanced. The third phase is a follow-up mixed-methods investigation that was conducted to determine whether the achievement was sustainable and how the program changed. The interventions designed and implemented over the initial 3-year period are discussed, as are the findings of the follow-up study. This is discussed with reference to impacting change in student achievement and its relative significance for future work.     

Brain type natriuretic peptide (BNP)—A marker of new millennium in diagnosis of congestive heart failure

The burden of disease in patients with congestive heart failure is high. The future of BNP looks promising as it may be a better diagnostic tool for the diagnosis of CHF in developing countries in new millennium. Natriuretic peptide hormones, a family of vasoactive peptides with many favourable physiological properties, have emerged as important contenders for development of diagnostic tools and therapeutic agents in cardiovascular disease. Measurement of B-type natriuretic peptide has become as an easy-to-perform bedside test. The clinical and diagnostic significance of the measurement of plasma Nt-proBNP in the diseases of the cardiovascular system with particular emphasis on the assessment of patients with heart failure and their effects on predicting survival rate. The plasma levels of Nt-proBrain Natriuretic peptide responds more vigorously after myocardial infarction than those of other natriuretic peptides. This article is an attempt to give a short overview on the utility of BNP-blood levels for the diagnosis and treatment of heart failure     

The effect of manufacturing strategy on organizational performance

The research reported in this article investigated the effect of manufacturing strategy on organizational performance in the Malaysian electrical and electronic sector. It was revealed that a cost‐based strategy greatly affected the performance of organizations participating in this study. This result implied that a cost‐based strategy is still a dominant concern for manufacturing firms. The information gathered through this study is useful for strategy formulation and for understanding how a strategy can lead to improved organizational performance in general.     

Malabsorption,Orocecal Transit Time and Small Intestinal Bacterial Overgrowth in Type 2 Diabetic Patients: A Connection

Type 2 diabetes mellitus consists of dysfunctions characterized by hyperglycemia and resulting from combination of resistance to insulin action and inadequate insulin secretion. Most of diabetic patients report significant gastrointestinal symptoms. Entire GI tract can be affected by diabetes from oral cavity to large bowel and anorectal region. Proteins, carbohydrates, fats, and most fluids are absorbed in small intestine. Malabsorption may occurs when proper absorption of nutrients does not take place due to bacterial overgrowth or altered gut motility. The present study was planned to measure various malabsorption parameters in type 2 diabetic patients. 175 patients and 175 age and sex matched healthy controls attending Endocrinology Clinic in PGI, Chandigarh were enrolled. Lactose intolerance was measured by using non-invasive lactose hydrogen breath test. Urinary d-xylose and fecal fat were estimated using standard methods. Orocecal transit time and small intestinal bacterial overgrowth were measured using non-invasive lactulose and glucose breath test respectively. Out of 175 diabetic patients enrolled, 87 were males while among 175 healthy subjects 88 were males. SIBO was observed in 14.8 % type 2 diabetic patients and in 2.8 % of controls. There was statistically significant increase (p < 0.002) in OCTT in type 2 diabetic patients compared with controls. OCTT was observed to be more delayed (p < 0.003) in patients who were found to have SIBO than in patients without SIBO. Lactose intolerance was observed in 60 % diabetic patients and 39.4 % in controls. Urinary d-xylose levels were also lower in case of diabetic patients but no significant difference was found in 72 h fecal fat excretion among diabetic patients and controls. Urinary d-xylose and lactose intolerance in SIBO positive type 2 diabetic patients was more severe as compared to SIBO negative diabetic patients. From this study we can conclude that delayed OCTT may have led to SIBO which may have instigated the process of malabsorption among type 2 diabetic patients.     

Impact of census error adjustments on state population projections: the case of Ohio

National undercount adjustment factors from the 1970 and 1980 U.S. censuses are used to prepare population projections for Ohio, which are in turn compared with unadjusted projections. "The findings suggest that decisions concerning adjustment factors have varying effects on short-term, long-term, and strategic forecasting. These effects are particularly salient for selected age-groups and the impact on state government budget decisions typically associated with these age-groups. We recommend that the effects of alternative adjustment possibilities be examined by state demographic centers and budget offices."     

Homi Jehangir Bhabha: remembering a scientist and celebrating his contributions to science, technology, and education in India

The focus of this paper is on the current developments in science education occurring in the posthumously built Homi Bhabha Centre for Science Education in Mumbai and to offer context for various indigenous developments that are shaping science education in India today. In this paper, I describe the story of Homi Bhabha and his rich legacy of India’s atomic energy program. Specifically, I focus on the institutions built by Homi Bhabha, including the Tata Institute of Fundamental Research and the Bhabha Atomic Research Centre (BARC) and I examine how these institutions have enabled Indian scientists to contribute to the advancement of science knowledge in the world.     

Enhancing the government service experience through QR codes on mobile platforms

Digital government is universally gaining acceptance as the public becomes more technologically advanced. It is critical for the government to embrace new technology for minimizing costs and maximizing utility of services to the taxpayers. While administrative services have been easily ported to the digital world, there are still many important citizen-centric services that have not yet been effectively migrated. Quick Response codes (QR codes) provide a means to effectively distribute many different varieties of information to the public. We propose to integrate QR code systems and corresponding smartphone applications into existing government services with the goal of providing a new level of interactivity for the public. We illustrate this through two case studies, examining the National Park Services and the Mobile Environmental Information Services (MENVIS). The focus is on developing a QR code waypoint system for park navigation, as well as incentivizing park use through gamification of site attractions. The system provides increased safety for park goers, disseminates information more effectively and accurately, and improves feedback.