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National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.

A bag of frozen peas (for the swelling) and a sympathetic wife, and you're good to go. Comedy Central's Stephen Colbert, among many, yukked up the idea recently. (\"There's a great new way to make sure you don't miss a game.\") \"I have not seen a mad rush for vasectomies during March,\" said Ajay Nangia, associate professor of urology at the University of Kansas Medical Center, who performs about 120 vasectomies a year. Indeed, the Oregon Urology Institute in Eugene advertised for vasectomies before the basketball tournament. Its \"Snip City 2010\" campaign featured a Dick Vitale voice telling potential patients to \"take care of the equipment and lower your seed for the tourney.\" The free recovery kit included \"a bag of frozen peas for those tender moments.\"

Starbucks, que tiene sede en Seattle, es una de las ultimas incorporaciones al pais, que tiene 1.200 millones de habitantes, en tanto cadenas como [Dunkin]' Brands Group Inc., propietaria de los locales Dunkin' Donuts, y Krispy Kreme Doughnuts Inc. buscan crecer en mercados emergentes. El mayor ingreso disponible y una creciente poblacion joven impulsaran el mercado de comidas rapidas en India a 146.000 millones de rupias (US$ 2.700 millones) en 2014, mientras que fue de 47.000 millones de rupias en 2010, segun estimaciones de la firma de analisis RNCOS E-Services Pvt.

Satyam yesterday announced the appointments of a new country head and a \"principal adviser\" for its Australian business as outsourcer tries to find its feet after being rocked by fraud allegations at its India headquarters. Venki Prathivadi will replace Deepak Nangia and take the reins as country manager for Satyam Australia and New Zealand (ANZ), reporting to Asia-Pacific head TR Anand. \"They've come down a little bit they're more in the 1200-1300 range,\" according to Mr [Prathivadi] who has been with Satyam Australia since 2003.

Last night the company was on the brink of collapse, with insufficient cash to meet this month's payroll. Satyam outsources IT services to a host of big Australian companies, including Telstra, Optus, Qantas, Coles, National Australia Bank, Suncorp and Medibank. The Hyderabad-based business lost 94 per cent of its cash reserves as a result of a fraud admitted to by Mr [Raju] in a five-page confession to Satyam's board of directors earlier this week. BusinessDaily yesterday tracked down Deepak Nangia, Satyam's Australian chief of operations.

\"We're anticipating some of the capex to be dipping in the next couple of quarters,\" Mr [Deepak Nangia] said. Satyam Australia and New Zealand generated $50 million locally in the second quarter of the 2009 financial yearIts contribution to the global business was down slightly between the first and second quarters, dropping from 8 per cent to 6.9 per cent. Globally, Satyam generated $US652.2 million ($927 million) in revenues for the quarter running from July 1 to September 30.

Satyam Australia and New Zealand country manager Deepak Nangia said the company was in the planning phase of opening a new centre in Melbourne. The centre, scheduled to be open in three months, would supplement capacity at Satyam's recently opened 150-seat operation in Sydney. Mr Nangia said Satyam's South Pacific region revenue had grown 87 per cent to $41 million during its first financial quarter to June 30 compared with the same period last year, and 37 per cent sequentially. Worldwide, Satyam has forecast that its revenue will exceed $2.27 billion dollars during the 2008 financial year.

Satyam Australia-New Zealand managing director Deepak Nangia said the company had worked with federal government agencies but none of the work had been done overseas. Indian firms may draw on a pool of cheap onshore talent by bringing in employees, but recruits to the Canberra office would be local, Mr Nangia said. Mr Nangia declined to name agencies Satyam has worked for.

The committee, reintroduced at a two-day meeting between the Bank and CSOs will discuss a work plan, modalities of its implementation as well as an accountability structure. CSOs are our integral partners especially in the promotion of accountability, transparency and good governance. Accountability is key in terms of achieving our objective, and we could certainly do with an external reporting tool especially from CSOs, Rakesh Nangia, Chair of the committee, said as he opened the meeting on January 14 at the Bank s headquarters in Abidjan, Cote d Ivoire.

DEEPAK Nangia has met the customer, and he's an Australian. The 14-year veteran of the software development industry joined outsourcer Satyam's Sydney office after three years with a Swedish web development firm in Singapore. At home:Mr Nangia moved to Australia to be closer to customers of his Indian-based companyPicture: Jeremy Piper; Photo: Photo