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High-quality perovskite thin films are typically produced via solvent engineering, which results in efficient perovskite solar cells (PSCs). Nevertheless, the use of hazardous solvents like precursor solvents (N-Methyl-2-pyrrolidone (NMP), dimethyl sulfoxide (DMSO), dimethylformamide (DMF), gamma-butyrolactone (GBL)) and antisolvents (chlorobenzene (CB), dibutyl ether (DEE), diethyl ether (Et 2 O), etc.) is crucial to the preparation of perovskite solutions and the control of perovskite thin film crystallization. The consumption of hazardous solvents poses an imminent threat to both the health of manufacturers and the environment. Consequently, before PSCs are commercialized, the current concerns about the toxicity of solvents must be addressed. In this study, we fabricated highly efficient planar PSCs using a novel, environmentally friendly method. Initially, we employed a greener solvent engineering approach that substituted the hazardous precursor solvents with an environmentally friendly solvent called triethyl phosphate (TEP). In the following stage, we fabricated perovskite thin films without the use of an antisolvent by employing a two-step procedure. Of all the greener techniques used to fabricate PSCs, the FTO/SnO 2 /MAFAPbI 3 /spiro-OMeTAD planar device configuration yielded the highest PCE of 20.98%. Therefore, this work addresses the toxicity of the solvents used in the perovskite film fabrication procedure and provides a promising universal method for producing PSCs with high efficiency. The aforementioned environmentally friendly approach might allow for PSC fabrication on an industrial scale in the future under sustainable conditions.

The practice of returning straw to agricultural fields is a globally employed technique. Such agricultural fields also receive a significant amount of nitrogen (N) and phosphorus (P) fertilizers, because these two macronutrients are essential for plant growth and development. However, the consequences of such macronutrients input on straw decomposition, soil dissolved organic matter (DOM), key microbes, and lignocellulolytic enzymes are still unclear. In a similar aim, we designed a long-term straw returning study without and with different N and P nutrient supplementation: CK (N 0 P 0 ), T1 (N 120 P 0 ), T2 (N 120 P 60 ), T3 (N 120 P 90 ), T4 (N 120 P 120 ), T5 (N 0 P 90 ), T6 (N 60 P 90 ), and T7 (N 180 P 90 ), and evaluated their impact on rice and oilseed rape yield, soil DOM, enzymes, lignocellulose content, microbial diversity, and composition. We found straw returning improved overall yield in all treatments and T7 showed the highest yield for oilseed rape (30.31-38.87 g/plant) and rice (9.14-9.91 t/ha) during five-years of study. The fertilizer application showed a significant impact on soil physicochemical properties, such as water holding capacity and soil porosity decreased, and bulk density increased in fertilized treatments, as compared to CK. Similarly, significantly low OM, cellulose, hemicellulose, and lignin content were found in T7, T4, T3, and T2, while high values were found in CK and T5, respectively. The fluorescence excitation-emission matrix spectra of DOM of different treatments revealed that T3, T7, T4, and T6 showed high peak M (microbial by-products), peak A and peak C (humic acid-like) as compared to others. The microbial composition was also distinctive in each treatment and a high relative abundance of Chloroflexi, Actinobacteriota, Ascomycota, and Basidiomycota were found in T2 and T3 treatments, respectively. These findings indicate that the decomposition of straw in the agricultural field was dependent on nutrients input, which facilitated key microbial growth and impacted positively on lignocellulolytic enzymes, which further aided the breakdown of all components of straw in the field efficiently. On the other hand, high input of chemical based fertilizers to soil can lead to several environmental issues, such as nutrient imbalance, nutrient runoff, soil pH change and changes in microbial activities. Keeping that in consideration, we recommend moderate fertilizer dosage (N 120 P 90 ) in such fields to achieve higher decomposition of crop straw with a small yield compromise., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Ltd.)

Hepatic resection is the mainstay of treatment for hepatoblastoma. However, the presence of adequate future liver remnant (FLR) is essential to prevent postoperative liver failure. Portal vein embolization (PVE) is commonly utilized in adults for promoting hypertrophy of FLR, however, it is sparingly used in children. Secondly, bile leak after liver resections is a well-defined complication. Apart from conservative treatment such as drainage and antibiotic, several management strategies including endoscopic, percutaneous, and surgical approaches have been described for its management. We present an 18-month old child with hepatoblastoma for whom PVE was performed to enhance the FLR so that an extended right hepatectomy could be accomplished. The same patient endured delayed postoperative biliary leak wherein the conservative, and non-operative interventional procedure failed, however, surgery combined with intraoperative interventional radiology procedure was utilized with a favorable outcome.

Inflammation is a multifaceted phenomenon triggered by potentially active mediators acutely released arachidonic acid metabolites partially in lipoxygenase (LOX) pathway which are primarily accountable for causing several diseases in humans. It is widely believed that an inhibitor of the LOX pathway represents a rational approach for designing more potent antiinflammatory leads with druggable super safety profiles. In our continual efforts in search for anti-LOX molecules, the present work was to design a new series of N-alkyl/aralkyl/aryl derivatives (7a-o) of 4-phenyl-5-(1-phenylcarbamoylpiperidine)-4H-1,2,4-triazole-3-thiol which was commenced in seriate formation of phenylcarbamoyl derivative (1), hydrazide (2), semicarbazide (3) and 4-phenyl-5-(1-phenylcarbamoylpiperidine)-4H-1,2,4-triazole-3-thiol (4). The aimed compounds were obtained by reacting 4-phenyl-5-(1-phenylcarbamoylpiperidine)-4H-1,2,4-triazole-3-thiol with assorted N-alkyl/aralkyl/aryl electrophiles. All compounds were characterized by FTIR, 1 H-, 13 C-NMR spectroscopy, EI-MS and HR-EI-MS spectrometry and screened against soybean 15-LOX for their inhibitory potential using chemiluminescence method. All the compounds except 7m and 7h inhibited the said enzyme remarkably. Compounds 7c,7l, 7j and 7a displayed potent inhibitions ranging from IC 50 1.92 ± 0.13 µM to 7.65 ± 0.12 µM. Other analogues 7g, 7o, 7e, 7b, 7d, 7k and 7n revealed excellent inhibitory values ranging from IC 50 12.45 ± 0.38 µM to 24.81 ± 0.47 µM. All these compounds did not reveal DPPH radical scavenging activity. Compounds 7i-o maintained > 90 % human blood mononuclear cells (MNCs) viability at 0.125 mM as assayed by MTT whilst others were found toxic. Pharmacokinetic profiles predicted good oral bioavailability and drug-likeness properties of the active scaffolds. SAR investigations showed that phenyl substituted analogue on amide side decreased inhibitory activity due to inductive and mesomeric effects while the mono-alkyl substituted analogues were more active than disubstituted ones and ortho substituted analogues were more potent than meta substituted ones. MD simulation predicted the stability of the 7c ligand and receptor complex as shown by their relative RMSD (root mean square deviation) values. Molecular docking studies displayed hydrogen bonding between the compounds and the enzyme with Arg378 which was common in 7n, 7g, 7h and baicalein. In 7a and quercetin, hydrogen bonding was established through Asn375. RMSD values exhibited good inhibitory profiles in the order quercetin (0.73 Å) < 7 g < baicalein < 7a < 7n < 7 h (1.81 Å) and the binding free energies followed similar pattern. Density functional theory (DFT) data established good correlation between the active compounds and significant activity was associated with more stabilized LUMO (lowest unoccupied molecular orbitals) orbitals. Nevertheless, the present studies declare active analogues like 7c, 7 l, 7a, 7j as leads. Work is ongoing in derivatizing active molecules to explore more effective leads as 15-LOX inhibitors as antiinflammatory agents., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Inc. All rights reserved.)

Cobalt-doped zinc ferrite is a contemporary material with significant structural and magnetic characteristics. Our study explores the magnetic properties of cobalt-substituted zinc ferrite (Zn x Co 1- x Fe 2 O 4 ), synthesized via a simple sol-gel method. By varying the cobalt ratio from 0 to 0.5, we found that zinc substitution impacts both the magnetization and lattice parameters. FTIR analysis suggested the presence of functional groups, particularly depicting an M-O stretching band, within octahedral and tetrahedral clusters. X-ray diffraction analysis confirmed the phase purity and cubic structure. The synthesized materials exhibited an average particle size of 24-75 nm. Scanning electron microscopy revealed the morphological properties, confirming the formation of truncated octahedral particles. In order to determine the stability, mass loss (%), and thermal behavior, a thermal analysis (thermogravimetric analysis (TGA)/differential thermal analysis (DTA)) was performed. The magnetic properties of the synthesized ferrites were confirmed via a vibrating sample magnetometer (VSM). Finally, the highest saturated magnetization and lowest coercivity values were observed with higher concentrations of the cobalt dopant substituting zinc. The synthesized nanomaterials have good stability as compared to other such materials and can be used for magnetization in the near future., Competing Interests: The authors declare no competing financial interest., (© 2024 The Authors. Published by American Chemical Society.)

Emergency department (ED) visits for suicidal ideation or behavior have been increasing in all age groups, particularly younger adults. A rapid-acting treatment to reduce suicidal thinking, adapted for ED use, is needed. Previous studies have shown a single dose of ketamine can improve depression and suicidal ideation within hours. However, most studies used 40 min intravenous infusions which can be impractical in a psychiatric ED. The ER-Ketamine study we describe here is a randomized midazolam-controlled clinical trial (RCT; NCT04640636) testing intramuscular (IM) ketamine's feasibility, safety, and effectiveness to rapidly reduce suicidal ideation and depression in a psychiatric ED. A pre-injection phase involves screening, informed consent, eligibility confirmation, and baseline assessment of suicidal ideation, depression, and comorbidities. The randomized double-blind IM injection is administered in the ED under research staff supervision, vital sign monitoring, pharmacokinetic blood sampling, and clinical assessments. The post-injection phase occurs on a psychiatric inpatient unit with follow-up research assessments through four weeks post-discharge. Outcome measures are feasibility, safety, and effects on suicidal ideation and depression at 24 h post-injection, and through follow-up. The target sample is N = 90 adults in a major depressive episode, assessed by ED clinicians as warranting hospitalization for suicide risk. Here we report design, rationale, and preliminary feasibility and safety for this ongoing study. Demographics of the 53 participants (ages 18 to 65 years) randomized to date suggest a diverse sample tending towards younger adults., Competing Interests: Declaration of Competing Interest This work was supported by federal grant R01 MH125155 (PI: Grunebaum). Dr. Mann receives royalties from the Research Foundation for Mental Hygiene for commercial use of the C-SSRS. The other authors report no conflicts of interest.

Present study investigates the impact of chitosan microspheres-based controlled-release nitrogen fertilizer (Cm-CRNFs) on biological characteristics of Brassica rapa ssp. pekinensis (Chinese cabbage) and soil. The study was carried out under various four treatments, urea (0.8033 g), blank chitosan microspheres (without urea), Cm-CRNFs (0.8033 g), and a control group (CK). The results indicated that Cm-CRNFs significantly prolonged the nitrogen release and enhanced the plant shoot length, shoot diameter, number of branches, pods, total amino acids, and vitamin C of Brassica rapa ssp. pekinensis as well as increased the soil nutrient availability. Chao index of bacterial diversity analysis showed a significant reduction of 15.89 % in Cm-CRNFs, but the Shannon index value in Cm-CRNFs was increased by 23.55 % compared to CK. Furthermore, Cm-CRNFs treatment significantly influenced genus richness level of Arthrobacter, Archangium, Bacillus, and Flavihumibacter. Moreover, relative abundance of bacteria significantly enhanced Cm-CRNFs, including Acidobacteriota, Acitinobacteriota, Cloroflexi, Cyanobacteria, and Patescibacteria. Soil enzyme activity such as: urease, acid phosphatase, and catalase enzymes in Cm-CRNFs and urea treatment significantly increased. Besides, other enzymes such as: cellulase and β-glucosidase activity decreased in the Cm-CRNFs treatment. It was concluded that Cm-CRNFs potentially prolonged discharge of micro/macronutrients and improved soil bacterial diversity, which ultimately enhanced the soil fertility and improved the soil enzyme activity., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier B.V. All rights reserved.)

The zona incerta is a subthalamic nucleus made up mostly of GABAergic neurons. It has wide-ranging inputs and outputs and is believed to have many integrative functions that link sensory stimuli with motor responses to guide behavior. However, its role is not well established perhaps because few studies have measured the activity of zona incerta neurons in behaving animals under different conditions. To record the activity of zona incerta neurons during exploratory and cue-driven goal-directed behaviors, we used electrophysiology in head-fixed mice moving on a spherical treadmill and fiber photometry in freely moving mice. We found two groups of neurons based on their sensitivity to movement, with a minority of neurons responding to whisker stimuli. Furthermore, zona incerta GABAergic neurons robustly code the occurrence of exploratory and goal-directed movements, but not their direction. To understand the function of these activations, we performed genetically targeted lesions and optogenetic manipulations of zona incerta GABAergic neurons during exploratory and goal-directed behaviors. The results showed that the zona incerta has a role in modulating the movement associated with these behaviors, but this has little impact on overall performance. Zona incerta neurons distribute a broad corollary signal of movement occurrence to their diverse projection sites, which regulates behavior., Competing Interests: SH, JZ, DC, SS, NB, MC No competing interests declared, (© 2023, Hormigo et al.)

Nonrhabdmyosarcoma soft tissue sarcomas (NRSTS) include a cluster of different types of soft tissue sarcomas clubbed together due to the rarity of individual subtypes. The diagnostic accuracy is lately reinforced due to the availability of immunohistochemical and molecular markers. Surgery is the central modality of treatment since many of them are insensitive to chemotherapy. With the availability of rational risk stratification system, efforts are in progress to evaluate the role of neoadjuvant chemotherapy and radiotherapy to improve outcomes especially for the locally advanced disease. The survival remains dismal for metastatic disease. This review highlights the current status of NRSTS and also describes the experience from a single centre in treatment of NRSTS.

The field experiment had been conducted in the Lath-house in the college of Agriculture , Anbar University by planting Solanum melongena L. Black beauty during agricultural season of 2010. Seedlings were distributed randomly according to complete randomized design (CRD) . The four concentrations of urea dissolved in distill water . The levels of urea were control (N0) ; 0.5 g/L(N1) ;1 g/L(N2);8 g/L(N3) . After 40 days of transplanting Eggplants were sprayed four times by urea concentrations . Anatomic study of cross-sections of root showed clear reduction in thickness of Epidermis, cortex and xylem tissues of plants treated with the concentration 8 gram urea/L where thickness of these tissues was 26.07 µm, 178.52 µm, 37.60 µm respectively. The phloem showed 224.32 um thickness. It was the highest among other treatments especially the treatment 1g urea/L which showed higher rate of xylem thickness of 373.68 µm. The cross-section of stem also showed clear difference in the epidermis thickness for all treated plants. In addition, 1gram urea/L showed higher cortex thickness of the stem,( 432.93 µm). Increasing urea concentration to 8 gram/L lead to reduce xylem thickness (104.72 µm) and decreasing pith thickness in the same treatment rated 426.67 µm. Plants treated with 1 gram urea/L, show increasing in the phloem and the pith thickness of 98.62 µm, 577.47µm rate respectively.The study showed that stoma distribution in the surface of leaves is of Anomocytic type with clear reduction of the outer epidermis thickness of 1gram urea/L treatment rated 16.05µm. This treatment showed highest rate in palasid tissues 98.40. The N2 treatment shows higher rate in stoma frequency on the upper and lower surfaces, 10 stoma/ml². The N3 treatment shows less number of stoma on the upper and lower surfaces, 6.04 stoma/ml². As for cell length in the two epidermis, the N2 treatment shows clear increase rated 59.08 in comparison with control treatment and othertreatments.

Extramedullary hematopoiesis is production of blood cells outside bone marrow which occurs in a variety of disorders including myelofibrosis. We present a 15 month old child with stage 4 neuroblastoma with secondary myelofibrosis which resulted in intracranial extramedullary hematopoiesis, posing a diagnostic and therapeutic dilemma. This was resolved with a sulfur colloid isotope scan which confirmed extramedullary hematopoiesis and not a progressing metastasis. This helped us continue therapy with curative intent. To the best of our knowledge we did not come across any report of neuroblastoma with myelofibrosis and intracranial extramedullary hematopoiesis mimicking progression of metastasis.

Background: A large majority of neuroblastoma continue to present with advanced disease with widespread dissemination. However, metastasis to the ovary or testis is infrequent with sparse literature even from the major neuroblastoma study groups. The aim of this study was to determine the group of patients in whom such a rare entity has occurred and evaluate any common factor and clinical implication. Materials and methods: We retrieved records of all patients with abdominal neuroblastoma operated from January 2008 to August 2013. We selected the cases with overt gonadal (ovarian or testicular) metastasis at presentation or relapse and noted the details. Results: Of the 186 cases of neuroblastoma four patients were having metastasis to the gonads (testis = 2, ovary = 2). All the four cases had extensive abdominal disease and received prolonged chemotherapy before the institution of local surgical treatment. Conclusion: Protracted chemotherapy without timely and adequate local treatment may contribute to the metastases seen in unusual sites such as the gonads. However, the therapeutic implication of identifying gonadal metastases is uncertain in patients already having disseminated disease.

Rhabdomyosarcoma (RMS) is a common soft-tissue neoplasm in the pediatric age group. Common locations are head and neck, genitourinary areas, trunk, and extremities. Two pathologic variants of this malignancy are embryonal and alveolar. The involvement of breast is rare. Herein, we report two cases of alveolar RMS of the breast of which one is an isolated breast metastasis from an orbital primary, whereas the other is a primary RMS of the breast. Both the patients were treated with surgery followed by adjuvant chemotherapy and radiotherapy and are currently disease free at six and three year respectively, following completion of treatment.

Clinicoradiological and histopathological differentiation of pancreatoblastoma from hepatoblastoma can often be a challenge in clinical practice owing to their peculiar resemblance. We report a case of a 4-year-old boy with a right hypochondriac region mass, which was diagnosed as hepatoblastoma on the basis of imaging, raised tumor marker, and biopsy; however, pancreatic origin of the mass was ascertained on exploration and pancreatoblastoma was confirmed on histopathology.

Over the past few years, terrestrial free space optical (FSO) communication systems have demonstrated increasing research and commercial interest. However, due the signal’s propagation path, the operation of FSO links depends strongly on atmospheric conditions and related phenomena. One such significant phenomenon is the scintillation caused by atmospheric turbulence effects; in order to address the significant performance degradation that this causes, several statistical models have been proposed. Here, turbulence-induced fading of the received optical signal is investigated through the recently presented mixture Gamma distribution, which accurately describes the irradiance fluctuations at the receiver’s input of the FSO link. Additionally, at the same time, it significantly reduces the mathematical complexity of the expressions used for the description of composite channels with turbulence along with nonzero boresight pointing error-induced fading. In order to counterbalance the performance mitigation due to these effects, serial decode-and-forward relays are employed, and the performance of the system is estimated through derived mathematical expressions.

A study conducted in the Faisalabad district sampled 50 cases across five IBD outbreaks, revealing an alarming 80 % infection rate among poultry. Our research focused on developing an immune complex (Antigen-antibody complex) with potential immunoprophylactic benefits to counter this formidable threat. Our study was based on producing egg yolk-derived polyclonal antibodies (IgY) targeting IBDV. Commercial layer birds were immunized with inactivated IBDV, yielding IgY antibodies extracted from their eggs exhibited substantially higher and more enduring antibody titers, with a geometric mean titer of 104. Further research involved the creation of an immune complex (ICx) where antigen was extracted from infected bursae tissues. The immunogenic response of ICx was assessed in poultry birds after a challenge with a virulent strain of IBD virus and compared to a conventional IBDV vaccine in poultry. Results revealed significantly higher and more enduring antibody titers induced by the ICx, offering enhanced protective immunity against the IBDV challenge, as evidenced by lower Bursa to bodyweight ratios in vaccinated birds., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Author(s).)

Silymarin, extracted from milk thistle ( Silybum marianum ), is esteemed for its antioxidative, anti-inflammatory, and antifibrotic properties, notably within liver-related contexts. Nevertheless, a comprehensive grasp of its effects on liver enzymes remains elusive. This systematic review aims to scrutinize the influence of silymarin supplements on liver enzyme levels, elucidating its potential for hepatoprotection. Following PRISMA 2020 guidelines, we systematically reviewed pertinent studies in PubMed/MEDLINE (Medical Literature Analysis and Retrieval System Online). Our inclusion criteria comprised randomized clinical trials (RCTs) published between 1992 and 2023, accessible in English, with a primary focus on liver enzyme levels. Non-original research, ambiguously defined studies, and those lacking essential data were excluded. Of the 1,707 initially identified articles, 29 RCTs met the inclusion criteria, encompassing 3,846 participants with diverse underlying conditions. Silymarin dosages ranged from 140 mg to 420 mg, administered for various durations. Results revealed that 65.5% of the studies reported reduced liver enzyme levels, 20.7% exhibited no significant change, and 13.8% observed elevated liver enzymes. The systematic review implies a potential advantageous influence of silymarin on liver enzyme levels, indicating its hepatoprotective potential. Nevertheless, outcome disparities may stem from comorbidities, suboptimal doses, and underlying diseases. Notably, silymarin's impact on liver enzymes could be context-dependent, with varying responses among different conditions, with the decrease of liver enzyme levels in patients with non-alcoholic fatty liver disease. Silymarin supplements exhibit potential for hepatoprotection by ameliorating liver enzyme levels across diverse conditions. Further research should ascertain optimal dosages and contexts, accounting for individual patient characteristics and underlying diseases., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Calderon Martinez et al.)

A Gram-stain-negative, aerobic, rod-shaped, nonmotile and yellow-pigmented bacterium designated E7-10 T was isolated from a bleached scleractinian coral Porites lutea . Strain E7-10 T grew with 1.0-8.0 % (w/v) NaCl (optimum, 4.0 %), at 18-41 °C (optimum, 28 °C) and at pH 6.0-10.0 (optimum, pH 8.0). Phylogenetic analysis using 16S rRNA gene sequences revealed that E7-10 T formed a lineage within the genus Hoeflea , but it was distinct from the closest species ' Hoeflea prorocentri ' PM5-8 T , showing 98.01 % sequence similarity. The predominant cellular fatty acids of E7-10 T were summed feature 8 (26.7 %), C 18 : 1  ω 7 c 11-methyl (26.2 %), C 16 : 0 (20.8 %) and C 19 : 0 cyclo ω 8 c (17.9 %). The major respiratory quinone was Q-10. The polar lipids mainly comprised phosphatidylethanolamine, two glycolipids and five phospholipids. The genome size of E7-10 T was 5.58 Mb with G+C content 60.27 mol%. The digital DNA-DNA hybridization and average nucleotide identity values between the genomes of strains E7-10 T and PM5-8 T were 19.50 and 75.95 %, respectively, which were both below the defined cutoff values (70 % and 95-96 %, respectively) for species delimitation. Thus, strain E7-10 T represents a novel species within the genus Hoeflea , for which the name Hoeflea poritis sp. nov. is proposed. The type strain is E7-10 T (=JCM 35852 T =MCCC 1K08229 T ).

In this work, multi input and single output optical wireless communication (OWC) links are analyzed, assuming the channel experiences fading due to atmospheric turbulence. OOK signaling and Alamouti-type space-time coding with intensity modulation and direct detection is assumed for weak to strong turbulence conditions modeled with the gamma–gamma distribution and closed form analytical expressions for their outage probability are derived for the first time, to the best of our knowledge. Finally, the corresponding numerical results are obtained, through the obtained mathematical expressions. Performance of a multi input and single output channel is analyzed for its outage probability as a function of power to noise ratio and normalized threshold. Three different cases for strong, medium, and weak turbulences are investigated. [ABSTRACT FROM AUTHOR]

This article investigates the rapid expansion of private schooling in the Northern Areas of Pakistan during the period 1993-2003. Our observations are mainly based on a survey of about 40% of the total number of private schools in the Northern Areas in which we attested trends that are characteristic of many private schools elsewhere, both nationally and internationally. For instance, most of the parents are by no means wealthy, most think that private schools provide better quality than government schools, English-medium instruction is a key requirement, and all have pragmatic expectations of the benefits for their children both from private schooling and from English-medium education.