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The construction and development of international transport corridors have become a means of cross-border space governance, promoting the flexibility of international industrial chains and supply chains. Due to the uncertainty of cooperation, the development of international transport corridors entails a long-term and complex system of engineering. Transport corridors can generate wider economic benefits and costs through their effects on a potentially diverse set of development outcomes, such as economic growth, poverty, jobs, equity, environmental quality, and economic resilience. The focus on roads, rails, and waterways is justified, as transport corridors based on these modes have clearer potential for economic spillovers than, for example, airline routes. The current paper describes a multi-method approach involving spatial and non-spatial analysis to investigate spatial disparity along a proposed corridor and examine its integration within the existing settlement structure. The conceptual structure for the review is guided by a simple canonical model describing the policy maker's problem in maximizing the net wider economic benefits of corridors. The meta-analysis confirms that characteristics of individual studies, as well as the placement and design of transport infrastructures, systematically influence the findings of corridor studies. It also shows that, on average, estimated impacts of corridor interventions on economic welfare and equity tend to be beneficial, while they are often detrimental to environmental quality, and possibly also to social inclusion. [ABSTRACT FROM AUTHOR]

Background: The second wave of coronavirus disease (COVID‑19) in 2021 was devastating for low‑ and middle‑income countries (LMICs). This led to increased suicide rates among the young, economically productive age group. We analyzed the cohort of attempted suicidal hangings needing admission to the intensive care unit (ICU) and compared the data from the pre‑COVID‑19 era. Materials and Methods: We conducted a retrospective, observational, cohort study of suicidal hanging cases according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Six‑month data of such cases admitted to the neurological ICU after the lockdown of the second wave of COVID‑19 from July 2021 to January 2022 were collected. Demographic data along with the cause of attempted hanging, severity of sickness from hanging, and its outcome were gathered and compared with similar data acquired during 2003–2015 by the same authors in the same ICU. Results: There was a threefold increase in the incidence of suicidal hangings needing ICU care, from 9 to 27% in the pre‑ and post‑COVID‑19 era. A shift toward older aged males, in the third decade of life, was observed. The common cause of attempted suicide was a familial dispute (P = 0.03). Among the younger age group (18–25 years), increased screen time led to fights in the family. The cohort was also sicker with more severe lung involvement, longer ventilation, and hospital stay (P < 0.001). Conclusion: The increased incidence of hanging among young adults, amid the socioeconomic effects of COVID‑19, needs urgent attention. Suicide prevention measures need novel strategies aimed at de‑addiction from electronic gadgets and reducing screen time. [ABSTRACT FROM AUTHOR]

This article details the politics of scale manifest in Dignity March, a grassroots speak-out movement against sexual violence that occurred at the same time as the #MeToo movement in India but was not part of the mainstream discourse. The spatial concept of scales explains the production of different spaces and their mutually constitutive nature. Building on the concept, scales are used here as an analytical framework to explain the intersectional and spatial nature of sexual oppression and resistance. Based on ethnographic research and in-depth interviews of sexual violence survivors from mainly oppressed-caste communities in rural India, this article demonstrates how speak-out movements help build communities of resistance. These forged communities, imbued with an understanding of intersectional, lived experience from the margins, create spaces of radical openness across multiple scales, be it at the level of the body, community, or regional/national. This article explores the many abolitionist practices of transformative justice__ a mode of justice that addresses the systems that produce impunity and marginalisation__ that become possible in spaces of radical openness. It argues for reimagining transnational solidarities in the fight against sexual violence and rooting it in an understanding of resistance movements in the margins of the geo-political South. [ABSTRACT FROM AUTHOR]

Background: During the pandemic, traditional family meetings were replaced by remote telecommunications. We assessed the families' satisfaction with these communications using a survey-based questionnaire. Methods: The study involved 20-minute telephonic surveys conducted with the family member who was updated during the hospitalization of the patient. A thematic-based questionnaire with responses on a scale of 5 ranging from very dissatisfied to very satisfied was used. The responses were dichotomized into bad and good reports for analysis. Results: A total of 196 patients were eligible. Only 154 patients' family representatives consented to the study. The frequency and content of the telephonic updates were satisfactory. The bad report was assigned to 5% of families only. Among features assessing empathy of communication providers, the satisfaction rate was much higher with 3% of families alone providing a bad report. The response was significantly biased against the final outcome of the patient with poor review often provided by relatives of patients who had succumbed to the illness. The dissatisfaction rate was much higher, above 12% for the trust of communication and ICU visitation. However, the final outcome of the patient did not affect the trust in the information conveyed by the physician. Interpretation: This study highlights several drawbacks in the communication strategy during the second surge of coronavirus disease-2019 (COVID-19). The final outcome of the patient was the key decisive factor for the response to most of the questionnaire. Sustained faith in communication by the physician despite the final outcome of the patient, re-emphasizes the need for emotional connection and training for breaking bad news. [ABSTRACT FROM AUTHOR]

Byline: Ajith. Sivadasan, Mathew. Alexander, Sanjith. Aaron, Vivek. Mathew, Shalini. Nair, Karthik. Muthusamy, A. Prabhakar, Rohit. Benjamin, Atif. Shaikh, Gideon. Rynjah Introduction: There is scarce literature regarding the clinical course, [...]

Background: Gynaecological surgeries refer to surgery on the female reproductive system. Woman may undergo a Gynaecological surgery for different reasons, including; Uterine prolapse, Cancer of the uterus, cervix, or ovaries, Endometriosis, Bleeding, Adenomyosis etc.Gynaecological surgeries includes procedures such as hysterectomy, oopherectomy, salphingectomy, myomectomy, ovarin cystectomy, etc. The Physiotherapy referral is essential in such cases but most of time the patients are not referred for Physiotherapy. Hence the current study was undertaken. Thus the objective is to find out the Effectiveness of Physiotherapy management over quality of life in post-operative Gynaecological patients. Methods: 32 females who underwent Gynecological surgery were taken into the study and divided conveniently into Group A and Group B consisting of 16 females each. Physiotherapy intervention given to Group A includes- Breathing exercises, Coughing techniques, Circulatory exercises, Knee rolling, log rolling, patient made to sit, Abdominal exercises, Pelvic tilting, Getting in and out of the bed, Pelvic floor exercises and mobilization inside the ward, outside the ward and stair climbing where as conventional treatment which includes Breathing exercises and Back care were given to Group B for a period of 5 days. Outcome measures used were VAS (Visual Analog Scale) and ASIS (Abdominal Surgery Impact Scale). Results: There was a significant difference in post test score of VAS (p=0.0001) and ASIS (p=0.0001) in Group A as compared to Group B. Conclusion: This study revealed that physiotherapy intervention performed immediately after Gynecological surgery improves quality of life of the patients and a scheduled exercise program benefits the patient more than conventional Physiotherapy management and it should be emphasized to all the post Gynecological surgery Patients.

Byline: Shalini. Nair, Mathew. Joseph Normal saline has been the commonest intravenous fluid used both for resuscitation and as a maintenance fluid in emergency departments, operating rooms and intensive care [...]

To the Editor: Artemisinin resistance (ART-R) in Plasmodium falciparum phenotypes may have evolved independently in various areas of the Greater Mekong Subregion (1,2), prompting the World Health Organization to change [...]