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SCCM Pod-315 Pharmacological Therapies for Intracranial Hypertension in Children With Severe TBI

Margaret Parker, MD, MCCM, speaks with Steven L. Shein, MD, about the article, Effectiveness of Pharmacological Therapies for Intracranial Hypertension in Children With Severe Traumatic Brain Injury.




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SCCM Pod-329 A Bedside Model for Mortality Risk in Pediatric Patients with ARDS

Margaret Parker, MD, MCCM, speaks with Aaron C. Spicer, MD, MAS. Dr. Spicer completed a pediatric residency and critical care fellowship and now is a resident in the Department of Anesthesia, Critical Care, and Pain Medicine at the Massachusetts General Hospital in Boston, Massachusetts.




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SCCM Pod-349 Implementation of an ICU Bundle in the PICU

Margaret Parker, MD, MCCM, speaks with Shari Simone, DNP, about the article, Implementation of an ICU Bundle: An Interprofessional Quality Improvement Project to Enhance Delirium Management and Monitor Delirium Prevalence in a Single PICU, published in the June 2017 issue of Pediatric Critical Care Medicine.




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SCCM Pod-367 Variability in Antibiotic Use Across PICUs

Margaret Parker, MD, MCCM, speaks with Thomas V. Brogan, MD, about the article Variability in Antibiotic Use Across PICUs, published in the June 2018 issue of Pediatric Critical Care Medicine. Dr.




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SCCM Pod-384 Updated Pediatric Severe Traumatic Brain Injury Guidelines

Margaret M. Parker, MD, MCCM, and Patrick M. Kochanek, MD, MCCM, discuss the updated pediatric severe traumatic brain injury guidelines




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SCCM Pod-404 Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children

Margaret M. Parker, MD, MCCM, speaks with Rashid Alobaidi, MD, on his article titled Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children published in the January 2020 issue of Pediatric Critical Care Medicine.




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Poke Me: The Budget ignores urban India, where two-third of India's GDP is generated

As per the new Budget, the profit-linked income tax exemption for promoters of affordable housing with a 30 sq m limit will apply only to the four metropolitan cities.




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POKE ME: Government, get out of skilling. Motivate the bureaucracy to create the right ecosystem instead

What we need before Skill India is perhaps a Skill Government mission. And what’s more, in this Budget season, a visionary leader can do this without much fund allocation.




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POKE ME: H-1B issue in US provides the right push – and opportunity – for India

Trumpnomics will probably kick-start the decline of the US as we know it. Getting back our best brains, trained in the best institutes, will be the biggest capital we can have to climb to the pinnacle.




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Poke Me: H-1B issue in US provides the right push – and opportunity – for India (Reader's React)

This week's "Poke Me" invited your comments on "H-1B issue in US provides the right push – and opportunity – for India".




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Poke Me: Does Indian cricket need a behemoth like the BCCI to run the show? No.

In trying to answer this question, the first thing that needs to be done is to define what the BCCI does. What are its primary tasks and objectives?




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POKE ME: SEBI needs to loosen up and keep its eye on investor interest using economics

Many of the securities laws are spread over circulars, which are vague and ever-changing. It is not clear how ordinary companies can keep track with daily changes and excessive complexity of regulations.




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Poke Me: SEBI needs to loosen up and keep its eye on investor interest using economics (Reader's React)

Sebi must ensure that no one is hanged without a fair hearing, levy of penalty on Reliance speaks about the regulator’s firmness, a reader said.




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Poke Me: The Supreme Court should have taken a more streetwise look before ordering a 'highway prohibition'

For those of us who’ve lived in Dehradun for decades, the Supreme Court order banning sale of liquor on highways, is the cruellest joke you could play on a small town.




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Poke Me: An unreasonable ratio between a company's lowest and highest salary can cause problems

Murthy’s long missive about the pay culture in Infosys echoes the pay reforms debate in advanced economies.




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Poke Me: It may be a mantra, but India’s demographic dividend can become a burden if unattended

India is currently in a sweet spot, with its working-age population expected to grow by a third over the next three decades, at a time when China and Russia will see a fall of over 20% .




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POKE ME: Rallying to protect our rivers is great. But let’s get the science right

Drying trends have been reported in Krishna and Kaveri and the pollution problem in the Ganga is well recognised. The future of our rivers appears bleak.




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How different sectors of the economy are bearing the brunt of the coronavirus outbreak

A report by the UN Conference on Trade and Development has forecast that the global economy may see an impact of $1-2 trillion in 2020. How far will the virus impact the Indian economy. Here's a brief overview.




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View: Step back, strategise, build, Covid-19 may be the black swan of 2020s.

Structural and cost disadvantages have held India back. Absence of local supply chains, high manufacturing and logistics costs, combined with financial and fiscal incentives provided by the likes of Vietnam, puts India at an extra 8-10% disability. To change this, a bespoke production-linked incentive for mobile manufacturing is needed.




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Fitch cuts India growth forecast to 5.1% for FY'21 in wake of coronavirus outbreak

In its Global Economic Outlook 2020, Fitch said the number of people affected by coronavirus will keep rising in the coming weeks but that the outbreak will remain contained. However, there are downside risks to this scenario.




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Before you regulate, streamline

​​Without any protocol for resolving conflicting views between regulators on the same issue, stakeholders such as the parties involved in disputes, as well as consumers, at large suffer. Moreover, the regulatory burden for entities involved to supply information, litigate at multiple fora, etc, adding to the cost and (un)ease of doing business.




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Experts peg India's cost of Covid-19 lockdown at USD 120 bn

Barclays specified the cost of the three-week nationwide lockdown to be alone at USD 90 billion, which is over and above the lockdowns announced by various states like Maharashtra earlier. They also said that the RBI is most likely to go for a 0.65 per cent rate cut in the April review and will slash interest rates further by 1 per cent during the course of the year.




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ASSOCHAM recommends stimulus package of $200 to $300 billion to tide over the COVID-19 challenges

The chamber said that in keeping up with most economies of the world to institute stimulus measures with 10 percent of the Gross Domestic Product (GDP), the Indian economy would need a transfusion of over $200 billion with an ability to go up to $300 billion, over the next 12-18 months.




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Financial Forecasting: Why it is still about being roughly right than precisely wrong

Paradoxically and fatally, just when risk of a downturn is at its highest, optimism also ends up peaking! So be careful with your forecasts; and even more careful with the forecasts of others.




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Embracing technology: Should a small business take a loan to upgrade?

Technology does not come cheap and more often than not; it does call for substantial investment.




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MSME Schemes: Using the Credit Guarantee Scheme to fund your business

MSMEs need easy credit facilities to fulfil the financial requirements of their business. The DCE's Credit Guarantee Scheme provides easy, collateral free credit facilities to MSMEs.




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Doling out ESOPs? Here’s everything about Employee Stock Option Plan for SMEs

ESOPs allow grantees to have a stake in the company which directly results in greater loyalty.




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MSME Schemes: Modernizing your business through Credit Linked Capital Subsidy Scheme for Technology Upgradation

Equipping the business with cutting-edge technology is essential to ensure you stay competitive in today’s industrial environment.




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MSME Schemes: How you can benefit from ISO 9000/ISO 14001 Certification Reimbursement Scheme

Making products meet international standards requires ISO Certifications, but getting it is an expensive affair. To get around this, the government provides reimbursement to SMEs seeking ISO 9000/ISO 14001Certification.




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Should you take a personal loan for your business?

A personal loan is dependant on the credit profile of the individual borrower, if you already have other loans active, you may or may not be able to get a personal loan.




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How SMEs can negotiate well and win business

Preparation is the key to winning. Having adequate information, ability to influence, and the resources can work as the power to turn the negotiation in one's favor.




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How to prepare your business for a future recession

Conserving cash is the basic tenet of financial management.




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How your business structure affects taxes

Relevant business structure attracts a certain tax liability and it is important to consider the tax implications before finalizing the formation.




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Questions for 2020: Loans become cheaper?

Competing with private companies for limited resources could cap the room for RBI to cut interest rates. Even if it does, market rates won’t ease due to higher government debt. Also, with inflation being predicted to ease by the second half of 2020 towards the target of 4%, prospects for sharp rate cuts diminish.




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How CFOs can minimise the impact of Covid-19 and build business resilience in times of disruption

Organizations are struggling to implement an immediate crisis response mechanism while exploring long term sustainability solutions to build resilience against future black swan events.




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Are you really saving your taxes? Know your Tax slabs & review your investment plans now!




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Covid-19 will have unprecedented effect on migrant economy: Dilip Ratha, World Bank

Millions of migrant workers toiling in the Gulf countries are facing a crisis due to Covid-19 and the fall in oil prices.




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You can make digital transactions but cannot transfer money using RBI's newly launched PPI

Unlike the PPIs that are available now, the new instrument can only be used for making retail payments. You cannot use it to transfer funds to other PPIs, make credit card payments and so on.




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ICICI Bank customers can withdraw cash at ATMs sans debit card. Here's how

The offering of ‘Cardless Cash Withdrawal’ from iMobile enables customers to withdraw cash securely and conveniently for everyday usage and purchases, all from the convenience of their mobile phone. Here is a look at how you can use this facility.




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5 accessories to help you get better mobile photographs

You can take your mobile photography to the next level if you have the right accessories. ET Wealth tells you about five must-have add-ons to get creative with mobile photography. Some of them can be purchased from prices starting as low as Rs 199.




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Cancel flight ticket, or reschedule? The best way to readjust travel plans in times of coronavirus

Now all domestic airlines, including government-owned Air India, have announced a waiver on re-booking charges in case a customer does not want to travel on the designated date. Wadia group-owned private carrier GoAir, which was earlier offering free cancellation, has said it will now allow people to only reschedule their flights for no charge.




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Working from home? Here are the 6 best laptops under Rs 40,000

If you are someone who has been asked to work remotely and are looking for a laptop at a reasonable price, here are six of the best ones under Rs 40,000.




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Tanishq brings Akshaya Tritiya online this year

Once the situation returns to normalcy and services resume, the customers can either opt to go to the store and pick up their jewellery or get it delivered to their doorstep, Tanishq said in a statement.




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Pressure mounts on BS Yediyurappa to rework govt staff pay

Bengaluru: The Union Cabinet’s decision to freeze the DA of its employees till July 2021 and Kerala’s decision to absorb a month’s salary of its employees to the CM’s relief fund to fight Covid-19 has put pressure on chief minister BS Yediyurappa to bite the bullet.The chief minister or the Karnataka Cabinet is yet to take a call on reworking pay and compensation package of its employees in the face of a sharp drop in revenues, and enormous pressure on the finance department to meet the rising demand for funds for Covid-19-related activities and the farm sector.The chief minister had told ET last week that he will take a decision in two weeks after assessing the situation.Karnataka’s salary and pension bill per month comes to about Rs 5,500 crore, and the state has been able to hold on because of the impressive GST collections last month on account of good business climate in February. The commercial tax department does not have any hopes of decent collections over the next two months because of the host of relief announced by the ministry of finance to dealers on GST remittances. The department can hope to have considerable collections only in June. All other major revenue sources for the Karnataka government such as liquor sales, property and vehicles registration are nearly dry.Several IT companies such as TCS, Infosys and Wipro have deferred annual increments.




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Developers may face liquidity crisis on NBFC woes: Fitch

MUMBAI: Liquidity risk is increasing for Indian-based real-estate developers, as non-bank financial institutions (NBFI; including housing finance companies) are shying away from lending to the sector, said Fitch Ratings.Developers that rely on refinancing from NBFIs, particularly those with weak financial profiles, will be affected the most should conditions persist. The availability of unencumbered assets among large developers may be of limited use, as NBFIs are looking to shed their already-high exposure to the sector, especially to large borrowers.NBFIs have disproportionately increased their share of real-estate sector credit in the previous few years, owing to heightened risk aversion by banks; banks have been cutting exposure due to their own funding challenges that began in late 2018, which have become more acute in the previous few months; domestic bank exposures fell to 2.3% of loans in the financial year ending March 2019 from 2.8% in 2015-16.NBFIs are now also shying away from refinancing maturing debt of even large, proven developers to limit concentration risk to the sector. This is pushing developers towards alternative funding channels, such as private equity. The availability of such funding could be more limited than the value of maturing debt and may only be available to established developers with sufficient unpledged assets. It would also come at a higher cost. We believe banks may still consider exposure to quality real estate, but overall exposure continues to decline.Developers that are focused on high-end projects may face higher risk, as sales of such projects have slowed in the last two years. We believe these developers would be wary of taking sharp price corrections on unsold inventory to boost sales, except in extreme circumstances, as this could diminish the value of unsold inventory and weaken collateral cover for existing lenders.In addition, any boost in sales would be temporary. Meanwhile, developers with substantial exposure to affordable housing may still benefit from marginal access to lenders in light of healthy pre-sales growth, supported by India's substantial housing deficit and government incentives for buyers via the credit-linked subsidy scheme as well as for developers, including tax deductions and grant of infrastructure status, which entitles companies to some benefits and concessions.The government has announced measures to improve NBFI-sector liquidity, but their efficacy remains to be seen. For example, we believe the government's July 2019 announcement to provide a first-loss guarantee of 10% on securitised assets issued by NBFIs to banks could ease funding pressure for NBFIs in the short term. However, the provision refers only to financially sound issuers and there is a lack of clarity about the duration of the guarantee and the definition of what comprises a 'financially sound' entity. In addition, most of the actions by the authorities to alleviate the liquidity squeeze will benefit the largest and least risky NBFIs and is unlikely to address the pressure on the more property focused players.Defaults by two NBFIs - Infrastructure Leasing & Financial Services Ltd (IL&FS) in September 2018 and Dewan Housing Finance Corporation Ltd (DHFL) in June 2019 - have contributed to the sector-wide liquidity squeeze, as investors have become more risk averse. Banks' low appetite for lending to real-estate developers is evidenced by the usually high risk weights attached to such loans. These are due to developers' typically low credit ratings amid high leverage, making exposure to the sector an inefficient use of banks' already-limited capital.Substantial bank recapitalisation to increase lending capacity could benefit NBFIs as well as real-estate developers, subject to the banks' risk appetite. Although a structural improvement in NBFI asset books would take time. Nonetheless, even under better conditions we expect NBFI's to tighten credit standards, with developers facing funding pressure until there is a broader improvement in their operations, with better end-user demand and pricing support.




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Office realty leasing rises 30%, on track to beat last year high

Mumbai: Robust demand for office spaces has pushed commercial property leasing in the first three quarters of 2019 by 30% from a year ago, taking it closer to entire 2018’s performance and making sure that this year surpasses the peak touched last year.Driven by tech corporates — accounting for about a third of the leasing activity — office space take-up touched 47 million sq ft in the first nine months against entire 2018’s performance of 48.9 million sq ft, showed data from CBRE South Asia. With this, office leasing activity is now expected to touch its highest level ever, estimated to be over 60 million sq ft in 2019.Leasing activity stood at about 15.4 million sq ft during the quarter ended September, rising by nearly 23% on an annual basis. This was dominated by small- to medium-sized transactions. Small-sized transactions of less than 10,000 sq ft accounted for over 40% of the transaction activity in the quarter. 71641558 “With office leasing scaling a historic high in 2019, we expect further strengthening of occupier sentiment in the medium to long term, backed by corporates looking to expand or consolidate their operations. Favourable government initiatives, transparency in the real estate sector and the right reforms will improve investor sentiment greatly in the coming quarters,” said Anshuman Magazine, CEO, India, South-east Asia, Middle East and Africa, CBRE.Like last year, he expects occupiers would put in greater efforts to incorporate flexibility in their portfolios due to changes in the business environment. Occupiers continued to futureproof their portfolios and hedge against future rental escalations by pre-leasing space across various cities.Bengaluru, followed by Hyderabad, dominated large-sized deal closures, while a few large deals were also reported in the NCR and Pune as well. Large-scale deal closures were mostly dominated by tech firms and flexible space operators. Firms belonging to sectors such as research, consulting & analytics, banking, financial services & insurance (BFSI), and engineering & manufacturing also closed large-sized deals.Tech corporates led the office space take-up, followed by research, consulting & analytics companies (19%) and flexible space operators (15%). The rise in the share of flexible space operators (10% in the second quarter of 2019) was primarily a result of their continued expansion across almost all cities.“The share of the tech sector rose from 31% to 40% annually during 2019 year-to-date, which implies that a rise in technology alternatives, insourcing / job preservation in the US and a global slowdown have not had any specific impact on India’s position as a preferred outsourcing destination for both high-skilled and low-skilled tech services, research and development,” said Ram Chandnani, managing director, advisory & transaction services, India, CBRE South Asia.Supply addition rose by more than 80% in 2019 YTD on an annual basis, with about 43.5 million sq. ft. of development completions reported.Four cities — Hyderabad, Bengaluru, NCR and Mumbai — accounted for almost 80% of this supply addition.Compared to the first three quarters in 2018, the share of SEZs in supply dipped from 40% to 27% during 2019 YTD. Supply addition in the quarter also rose by about 6% on a quarterly basis, touching about 15 million sq. ft. More than 70% of this supply was driven by Hyderabad and NCR, followed by Bengaluru.




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Mega PSU bank mergers come into effect from April 1. 5 things a bank customer should know

You would have given your bank account numbers and IFSC codes for various financial transactions. Unless these accounts are seamlessly merged into the financial system of the anchor bank, you would be required to change the details of your bank account.




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ICICI Bank moratorium on debit card EMIs: All questions answered

ICICI Bank, along with issuing details on availing the moratorium on loans and credit card dues, also issued a set of FAQs on moratorium for equated monthly instalments (EMIs) taken on debit cards.




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Kotak Mahindra Bank moratorium on credit card dues: What are the terms and conditions

If you have a credit card from Kotak Mahindra Bank, here are some of the details of its three-month moratorium facility.




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Coronavirus and cybercrimes: Opting for EMI moratorium? Fraudsters are waiting

Banks have been alerting their customers of cyber frauds that can happen while availing EMI moratorium.