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The Role of Time Zone Differences on Bilateral Service Flows from Kenya

ABSTRACT This study investigates the effect of time zone differences on service exports (total and nine categories—travel, transport, computer and information, construction, financial, insurance, government, other business services, and personal, cultural, and recreational services) from Kenya. Estimates from the Poisson Pseudo-Maximum Likelihood (PPML) estimator of the gravity model on bilateral service exports data from Kenya to 176 countries, for the period 2005–2019, show that the effects of time zone differences between Kenya and partner countries is positive and statistically significant in technology-sensitive service exports (computer and information) while negative for construction and government service exports. Further analysis shows that these results are robust when an alternative model is employed and overlapping workday hours are used. The authors also find that the effect of time zone differences on services is nonlinear and sensitive to regulations and physical infrastructure (particularly mobile subscriptions). Attracting investment in technology-sensitive sectors should be encouraged through appropriate policy, given the positive impact of time zone differences on their exports. Traders in these sectors can also create networks with foreign firms. Deregulating and developing information and communication infrastructure, to expand mobile subscriptions, should also be encouraged.

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Procuring for Pandemics through Joint Procurement Association in the European Union: Lessons for the Southern African Development Community and the East African Community

ABSTRACT Procuring for the COVID-19 pandemic in Africa has been devastating. The virus resulted in an unprecedented surge in demand for medicines, medical equipment, and relevant technologies, making individual country orders for health supplies impossible and requiring creating the need for an interstate pooled strategy. This article examines the working of Joint Procurement Association (JPA), an interstate pooled sourcing strategy in the European Union (EU) and to draw lessons for regional blocs like the Southern African Development Community (SADC) and the East African Community (EAC). This article indicates that while the EU has implemented and enjoyed JPA, regional blocs like the SADC and EAC have not and could be missing on the benefits provided by JPAs. The article concludes that while JPAs have not been adopted in sub-Saharan Africa (SSA), they possess the potential to improve access to medical drugs equipment and technologies in pandemic times. To implement JPAs, political will, legal and regulatory frameworks, and governance structures are required. The outcome of the article is important to SADC and EAC Secretariats since the understanding and implementation of JPAs can enable member states whose budgets are stressed to derive economies of scale.

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Association of Omega-3 Polyunsaturated Fatty Acids with Sarcopenia in Liver Cirrhosis Patients with Hepatocellular Carcinoma.

Sarcopenia is associated with the prognosis of patients with liver cirrhosis and hepatocellular carcinoma (HCC). Given their diverse physiological activities, we hypothesized that plasma fatty acids might influence the progression of sarcopenia. This study aimed to clarify the association between fatty acids and sarcopenia in cirrhotic patients with HCC. In this single-center retrospective study, we registered 516 cases and analyzed 414 cases of liver cirrhosis and HCC. The skeletal muscle mass index was measured using a transverse computed tomography scan image at the third lumbar vertebra. The cutoff value for sarcopenia followed the criteria set by the Japan Society of Hepatology. Fatty acid concentrations were measured by gas chromatography. Fatty acid levels, particularly omega-3 (n-3) polyunsaturated fatty acid (PUFA), were lower in patients with poor liver function (Child-Pugh grade B/C) and were negatively correlated with the albumin-bilirubin score (p<0.0001). The prognosis of HCC patients with low PUFA levels was significantly worse. Among the different fatty acid fractions, only n-3 PUFAs significantly correlated with skeletal muscle mass index (p=0.0026). In the multivariate analysis, the n-3 PUFA level was an independent variable associated with sarcopenia (p=0.0006). A low level of n-3 PUFAs was associated with sarcopenia in patients with liver cirrhosis and HCC.

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