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Introduction: Antimicrobial resistance (AMR) has emerged as one of the leading threats to public health. AMR possesses a multidimensional challenge that has social, economic, and environmental dimensions that encompass the food production system, influencing human and animal health. The One Health approach highlights the inextricable linkage and interdependence between the health of people, animals, agriculture, and the environment. Antibiotic use in any of these One Health areas can potentially impact the health of other areas. There is a dearth of evidence on AMR from the natural environment, such as the plant-based agriculture sector. Antibiotics, antibiotic-resistant bacteria (ARB), and related AMR genes (ARGs) are assumed to present in the natural environment and disseminate resistance to fresh produce/vegetables and thus to human health upon consumption. Therefore, this study aims to investigate the role of vegetables in the spread of AMR through an agroecosystem exploration from a One Health perspective in Ahmedabad, India.
Protocol: The present study will be executed in Ahmedabad, located in Gujarat state in the Western part of India, by adopting a mixed-method approach. First, a systematic review will be conducted to document the prevalence of ARB and ARGs on fresh produce in South Asia. Second, agriculture farmland surveys will be used to collect the general farming practices and the data on common vegetables consumed raw by the households in Ahmedabad. Third, vegetable and soil samples will be collected from the selected agriculture farms and analyzed for the presence or absence of ARB and ARGs using standard microbiological and molecular methods.
Discussion: The analysis will help to understand the spread of ARB/ARGs through the agroecosystem. This is anticipated to provide an insight into the current state of ARB/ARGs contamination of fresh produce/vegetables and will assist in identifying the relevant strategies for effectively controlling and preventing the spread of AMR.
RELA haploinsufficiency is a recently described autoinflammatory condition presenting with intermittent fevers and mucocutaneous ulcerations. The RELA gene encodes the p65 protein, one of five NF-κB family transcription factors. As RELA is an essential regulator of mucosal homeostasis, haploinsufficiency leads to decreased NF-κB signaling which promotes TNF-driven mucosal apoptosis with impaired epithelial recovery. Thus far, only eight cases have been reported in the literature. Here, we report four families with three novel and one previously described pathogenic variant in RELA. These four families included 23 affected individuals for which genetic testing was available in 16. Almost half of these patients had been previously diagnosed with more common rheumatologic entities (such as Behcet's Disease; BD) prior to the discovery of their pathogenic RELA variants. The most common clinical features were orogenital ulcers, rash, joint inflammation, and fever. The least common were conjunctivitis and recurrent infections. Clinical variability was remarkable even among familial cases, and incomplete penetrance was observed. Patients in our series were treated with a variety of medications, and benefit was observed with glucocorticoids, colchicine, and TNF inhibitors. Altogether, our work adds to the current literature and doubles the number of reported cases with RELA-Associated Inflammatory Disease (RAID). It reaffirms the central importance of the NF-κB pathway in immunity and inflammation, as well as the important regulatory role of RELA in mucosal homeostasis. RELA associated inflammatory disease should be considered in all patients with BD, particularly those with early onset and/or with a strong family history.
The paper investigates the nature of Kenya's entrepreneurship education ecosystem (EEE) through a comparative analysis of three entrepreneurship education programs and an examination of how the institutions foster a favourable entrepreneurial environment. This study looks at the entrepreneurship education ecosystem through the lens of universities, NGO's and private institutes in Kenya.
A systemic analysis of EEE is provided by utilizing the Actiotope Model as a conceptual framework. The exploratory research adopts a pragmatic mixed-method methodological approach best suited to understand the research problem.
The results reveal that entrepreneurship education at higher education institutions was primarily theoretical and relied on traditional forms of entrepreneurship education. Recurring rigid patterns show minimal personalization of content and learning styles within the University, with more personalization reported in the Mully Model of education and the more specialized entrepreneurship program of the Identity Projects.
The adaptation of the Actiotope Model provided a new and unique approach to analyzing entrepreneurship ecosystems. The person-centred approach of the model provides valuable insights to learners and to entrepreneurship education institutions and researchers.
Enhanced collaboration between the different entrepreneurial education stakeholders could be a more effective short to medium-term solution to addressing the gaps in entrepreneurial education at tertiary institutions.
In the long term, the study recommends adopting practical-based and goal-oriented entrepreneurship teaching models.
Social businesses have a great positive impact on communities and are a sustainable way to do business today and in the future. This impact can be amplified through the means of digitalization. In the past, traditional for-profit business models have been used to understand the structures of business operations. However, the underlying business model of digital social businesses has not yet been explored. This study presents a building block analysis of business models and a subsequent typology. Digital and social business models are identified via a literature review. The building block analysis encompasses an assessment of the individual business activities contained in the business models. The typology is developed from existing literature utilizing a matrix for the evaluation of digital social businesses. Additionally, five semi-structured expert interviews are conducted to inform, extend, or content the findings of this study. To this end, an inductive coding procedure is applied to the transcribed interviews for the detection of themes within the text. This study contributes to social business model research by providing a first insight into the unique building blocks of digital social business models. It also creates a typology tool based on two parameters, which enables the comparison of digital social businesses.
Mobile technologies have evolved into the means of gaining access to information for learning. Its application in higher education is still a novel concept, particularly in underdeveloped countries. This study is aimed at exploring the views of doctoral students regarding their learning experiences with mobile technologies. Student focus group interviews of 24 doctoral students from 3 different academic institutions were interviewed. The participants’ responses were recorded, transcribed, and analyzed to make conclusions. According to the findings of this study, mobile devices play an important part in the learning experiences of doctoral students. The participating students engaged in collaborative learning using mobile technologies. Given the benefits of adopting mobile technologies for learning activities, academic institutions should focus on teaching faculty members to use this to involve students in their learning process. The implications of this study call for the continued advancement of mobile technologies to facilitate effective learning experience for the multitude of mobile learners in developing countries. Another implication is that academic institutions with collaboration with libraries should see the need to develop user friendly mobile app that is linked to the library management system. Such an application would allow the students to optimally use their smartphones and tablets to search the library’s resources from their mobile devices. Training should be offered to the teaching faculty members to come to terms with the benefits of mobile technologies for learning activities.
Tourism in Rwanda is challenging. Since the country is small and hilly, it is difficult to tap the potential. As the country is blessed with diverse nature, the Rwandan government decided to combine ecotourism with high-end tourism, to exploit the full potential. This study aims to assess the extent to which these two types of tourism fit together, as well as if sustainability is a decisive argument in this upscale segment. In this context, ecotourism is characterized by its 3 core criteria: education, nature and sustainability. To evaluate the main question: to what extent can ecotourism projects help to promote the perception of Rwanda as a high-end tourist destination on the German market? As well as if sustainability is a decisive argument, interviews with stakeholder from the Rwandan tourism industry as well as German tour operators were conducted, to gain an understanding of both sites and then evaluate them according to the 3 ecotourism core criteria and the demands of high-end tourists. The results showed that there is a difference in the perception of the needs of high-end tourists. While the 3 core criteria seem to be too relevant while they are in booking decision with the tour operator. The high-end lodges in Rwanda state an interest in these three criteria. It is evident from the results that there is a limited active demand for sustainable tourist products, while nature and education are more relevant, but not yet fully exploited. However, all interviewees indicated that ecotourism, and in particular sustainability, is experiencing an increase in demand and will continue to grow in importance in the future. Accordingly, the results suggest the driving markets approach is relevant to further drive demand in that segment.
As a developing economy, Rwanda has been exploring transitioning to being a technologically driven and sustainable economy. Moreover, research on economic growth have focused on the need to improve human capacity potential within increasing demands of climate change activists but there remains a theoretic and practical lacuna in including renewable energy resources in economic growth and expansion of electricity access. Therefore, it is necessary to study the impact of competent skill acquisition and graduate employment market on the interaction mix between economic growth and the expansion of energy access in Rwanda, particularly finding out the problems advancing the non-inclusiveness of engineering graduates, which result to high rate of unemployment and diversions, especially for the graduates specializing in energy fields. As a result, the following open questions were raised with variations 1; how did employees penetrate energy-sector labour market opportunity in Rwanda? 2; what influenced employee’s decision in pursuing a career in Rwanda’s labour market, 3; what were the specific employee competent skills that enabled smooth transition in energy-sector employment after graduation and the ones required to maintain their current positions? 4; what specific competent skills are required for inclusivity of today's engineering graduates in energy sector employment market? The study is qualitative and it uses the exploratory research design. It is based on the growth pole theory employing snowball/chain purposeful sampling technique, whereby key informants in Rwanda energy sector were located. Data was specifically collected from these primary sources through semi-structured interviews and documentary method. Interview data and text from documents were inductively analysed. The study generally recommended institution or program for connecting learning institutions, industry and employment market in the distributed and renewable energy resources to promote competent skills acquisition, competition and improve graduates’ inclusiveness in the expansion of electricity access, thereby leading to economic growth in Rwanda.
Rapid and sustained innovation in developed markets triggers the generation of innovative start-ups, some with disruptive innovations. However, when their offering faces a saturated market with satisfactory and widely available established traditional solutions, many innovative start-ups from these markets may fail. The literature on some start-ups that successfully brought their innovation to emerging markets shows how using leapfrogging traditional solutions to innovative solutions can offer survival and growth opportunities to these start-ups. However, a wide exploitation of leapfrogging processes in emerging markets for survival or business growth of innovative start-ups from developed markets is not yet theorized. To contribute to closing this gap, we propose a conceptual framework to assess the readiness of an emerging market to leapfrog to innovative solutions.
The design of the conceptual framework uses a scenario-planning like approach with two key factors, namely Context Readiness and Value Network Integration. To test and refine the proposed framework and show its relevance for coming to an informed expansion decision making, we used PAR (Participatory Action Research). For the illustration of the application of the proposed conceptual framework, the case of telehealth in Morocco is used.
While 14 % of the world's working-age population currently lives in sub-Saharan Africa (SSA), this figure will predictably be higher than the rest of the world combined by 2036. If this demographic group finds meaningful employment, Africa experiences an economic and social upswing. To tap this potential, the paper intends to answer the research question, "What are the prerequisites and how are they defined for the successful implementation of sustainable business model ideas in SSA?", by developing a top ten ranking consisting of previously identified sustainable business model ideas best suited for productive use. This achieves a novel approach to implementing future-oriented business models and contributes to current research on sustainable models. Since the geographical scope of SSA is pervasive, this paper focuses on Namibia, Rwanda, Senegal, and Uganda. An extensive literature review on these countries was conducted to gain a broader understanding of the situation in SSA. Additionally, research was carried out on the agricultural, energy, and information and communications technology (ICT) sectors to identify the most promising ideas. To contribute to current knowledge, experts were interviewed, and panel discussions were analyzed. Furthermore, the Business Model Canvas (BMC) was combined with the circular economy concept, which served as a framework for the business model ideas. Experts evaluated these ideas, which were subsequently ranked using fuzzy logic with artificial intelligence, based on the system for exploring country risks (CRISK-Explorer). The paper shows that skipping individual development processes opens up promising opportunities, such as the ICT-based business model e-crowd logistics or the renewable energy-based model e-Boda-Boda. Seven prerequisites for the successful implementation of these ideas were identified and defined: value delivery, promising customers, sufficient capital, presence of key resources, possibility to perform the key activities, sustainability, and profitability. The paper concludes by identifying limitations and suggesting avenues for future research.
Channels of distribution are important factors in the connection between goods and services produced for the final consumer and, therefore, determine the effectiveness with which they are delivered and ultimately availed to the final consumers. Globally, studies show that channels of distribution and sales play an essential role in building bonds between manufacturers, retailers, wholesalers and their consumers. The main purpose of this study is to examine the influence of distribution channels and networks on customer choice of fast-moving consumer goods (FCMG) in the Upper East Region of Ghana. The study adopted a quantitative approach and questionnaires were used to collect primary data from 110 customers of Unilever Ghana Limited in the Upper East Region of Ghana. The findings reveal that product-related factors, such as the price of products, perishability of products, size and weight of products, promote the effective distribution of Unilever goods and services, whilst consumer-related factors, such as the number of customers and increased consumer base, promote effective distribution channels. The study also established a positive influence of factors, such as incentives, receiving feedback and sales performance, on customer choice of fast-moving consumer goods (FMCG). Managers and producers in the FMCGs industry should implement reward and incentive programmes and policies to boost the sale and distribution of fast-moving consumer goods and services in the retail industry in Ghana.
Entrepreneurship is labelled as the panacea for graduate unemployment in Ghana. In the training process, students are mandatorily required to read a course in entrepreneurship, so as to be able to start their own businesses in the face of job adversities caused by the inadequacy of job opportunities created by government and lack of government drive to diversify the economy for more jobs to be created. This study, therefore aimed at investigating the critical precursors of entrepreneurial intentions among higher education students in Ghana. Using the analytical cross-sectional survey design, 250 respondents were recruited from public universities using probability sampling techniques (stratified-disproportionate and simple random) to participate in the survey. Respondents were required to respond to three constructs (entrepreneurial scaffolding, psychological capital, and entrepreneurial intentions). The data analyses were performed using multivariate regression. The study findings showed that entrepreneurial scaffolding and psychological capital were significant predictors of entrepreneurial intentions. The researchers concluded that students' convictions in succeeding or otherwise and planning to engage in entrepreneurial behaviours depended on proper entrepreneurial guidance and a positive mind-set. Therefore, it was recommended that higher education institutions in Ghana strengthened and included practical guides to entrepreneurial training. This will encourage higher education students to consider entrepreneurship, hence, reducing graduate unemployment in Ghana.
The dawn of the 21st Century has witnessed a tremendous increase in trade pacts among nations, resulting in renewed hopes for sustainable enterprise development in emerging economies worldwide. Ghana and other sub- Saharan African (SSA) countries have signed onto several North-South and South-South free trade agreements with the hope of strengthening their presence in the international trade arena, and to promote economic growth in SSA. For over two decades, however, very little has changed, and many have dashed their high hopes as enterprises continue to struggle in SSA. Not even the African Continental Free Trade Agreement (AfCFTA) could renew the hopes of sceptics. Several studies opined that enterprises in SSA could improve their domestic and international competitiveness by establishing mutually beneficial partnerships with their counterparts from the Global North and South. This study delved into the issues that affect North-South and South-South business collaborations and recommends key success factors that could help promote mutually beneficial cross-border business partnerships. The research includes both literature and empirical information on the key success factors of business partnerships between African enterprises as well as between African enterprises and firms from the Global North. We approached the study qualitatively using a phenomenological research design. Research participants included important stakeholders in Africa and Europe's international trade and sustainable enterprise development ecosystem. The study identified several challenges with the current business collaborations and recommended new ways of making such partnerships more beneficial.
The differentiation of the higher education sector in Ethiopia has created a new sector of Higher Education Institutions: Universities of Applied Sciences (UAS). Its focus is on educating academically trained experts for regional industries. Close cooperation between industries and UAS is set as a key requirement. However, Ethiopian industries in many regions are not developed enough that those could be considered as active partners for UASs and able to accommodate interns or to provide expert teachers to UAS classes. European UAS structures serve as benchmarks for the Ethiopian Ministry of Education (MoE). Therefore, UAS curricula of study programmes in building-construction, electro-engineering and economic/business/tourism from different European countries build a common ground for Ethiopian UASs. But, due to the lack of industries in the regions, Ethiopian UAS are not able to mirror the European counterparts, where study programmes at bachelor level comprise 70 credits out or 210 credits as practical works, internships and bachelor thesis. - The question is, how can Ethiopian UASs in the absence of companies offer practice-oriented education in their study programmes? This paper refers to the ongoing research, on how to integrate UAS (academic and non-academic) departments at UAS campuses to create internship placements for students in the absence of internship placements in the private sector. Kotebe University of Education (KUE) - as one of the newly founded UAS in Ethiopia - has agreed to act as subject of this try-out.
Based on the WEF Travel & Tourism Report data, this study deploys k-means cluster analysis to build a global typology of national destination governance. Previous studies have focused on case studies, while this chapter focuses on classification of different destination types, by deploying indicators a set of following relevant indicators: wastewater treatment, fixed broadband internet subscriptions, ground transport efficiency, quality of roads, quality of railroad infrastructure, reliability of police services, ease of finding skilled employees. The results present a four-cluster solution of national destination governance types, as well as their major characteristics. The chapter than provides and discusses important implication for theory and practice of destination governance.
The access to electricity and water in rural areas in Côte d’Ivoire as well as in large parts of Africa is limited. According to Ivorian government sources, the national coverage rate of drinkable water and electricity was about 80% in 2020, whereas there are differences between rural and urban regions. The coverages are lower in rural areas that are situated far from the governmental infrastructures. The poor supply of electricity also hinders education, since petroleum lamps are often the only source of light for learning after sunset. Besides, increasing demand for electricity is predicted in Côte d’Ivoire due to economic growth. The economic power is also affected by the poor supply of electricity, so only a limited production of goods is possible. A further big concern in Côte d’Ivoire is the employability of graduate students, as the educational system has a strong theoretic character, not yet taking enough into account practice orientation. Scientific public universities in Côte d'Ivoire often offer only subjects such as mathematics, physics, or chemistry but hardly any engineering.
In recent years, the ability of intelligent systems to be understood by developers and users has received growing attention. This holds in particular for social robots, which are supposed to act autonomously in the vicinity of human users and are known to raise peculiar, often unrealistic attributions and expectations. However, explainable models that, on the one hand, allow a robot to generate lively and autonomous behavior and, on the other, enable it to provide human-compatible explanations for this behavior are missing. In order to develop such a self-explaining autonomous social robot, we have equipped a robot with own needs that autonomously trigger intentions and proactive behavior, and form the basis for understandable self-explanations. Previous research has shown that undesirable robot behavior is rated more positively after receiving an explanation. We thus aim to equip a social robot with the capability to automatically generate verbal explanations of its own behavior, by tracing its internal decision-making routes. The goal is to generate social robot behavior in a way that is generally interpretable, and therefore explainable on a socio-behavioral level increasing users' understanding of the robot's behavior. In this article, we present a social robot interaction architecture, designed to autonomously generate social behavior and self-explanations. We set out requirements for explainable behavior generation architectures and propose a socio-interactive framework for behavior explanations in social human-robot interactions that enables explaining and elaborating according to users' needs for explanation that emerge within an interaction. Consequently, we introduce an interactive explanation dialog flow concept that incorporates empirically validated explanation types. These concepts are realized within the interaction architecture of a social robot, and integrated with its dialog processing modules. We present the components of this interaction architecture and explain their integration to autonomously generate social behaviors as well as verbal self-explanations. Lastly, we report results from a qualitative evaluation of a working prototype in a laboratory setting, showing that (1) the robot is able to autonomously generate naturalistic social behavior, and (2) the robot is able to verbally self-explain its behavior to the user in line with users' requests.
Introduction. The experience of pain is regularly accompanied by facial expressions. The gold standard for analyzing these facial expressions is the Facial Action Coding System (FACS), which provides so-called action units (AUs) as parametrical indicators of facial muscular activity. Particular combinations of AUs have appeared to be pain-indicative. The manual coding of AUs is, however, too time- and labor-intensive in clinical practice. New developments in automatic facial expression analysis have promised to enable automatic detection of AUs, which might be used for pain detection. Objective. Our aim is to compare manual with automatic AU coding of facial expressions of pain. Methods. FaceReader7 was used for automatic AU detection. We compared the performance of FaceReader7 using videos of 40 participants (20 younger with a mean age of 25.7 years and 20 older with a mean age of 52.1 years) undergoing experimentally induced heat pain to manually coded AUs as gold standard labeling. Percentages of correctly and falsely classified AUs were calculated, and we computed as indicators of congruency, "sensitivity/recall," "precision," and "overall agreement (F1)." Results. The automatic coding of AUs only showed poor to moderate outcomes regarding sensitivity/recall, precision, and F1. The congruency was better for younger compared to older faces and was better for pain-indicative AUs compared to other AUs. Conclusion. At the moment, automatic analyses of genuine facial expressions of pain may qualify at best as semiautomatic systems, which require further validation by human observers before they can be used to validly assess facial expressions of pain.