Representation of South Asian countries in five high-impact anesthesia journals

Context: The South Asian region is comprised of eight countries, i.e., Pakistan, India, Bangladesh, Sri Lanka, Afghanistan, Bhutan, Nepal, and Maldives. There is dearth of literature documenting anesthesia research in this region.Aim: The aim of this audit was to look at research productivity in the region by examining the volume and the type of anesthesia publication in five high-index anesthesia journals.Settings and Design: The study design was a survey of literature in the top five high-impact anesthesiology journals carried out at a tertiary care hospital.Materials and Methods: The journal citation report 2016 was accessed to identify the top five anesthesia journals based on their impact factor. We identified articles published in these journals between January 2000 and December 2015.Statistical Analysis: Microsoft Excel 2003 worksheet was used for data collection from extracted articles.Results: The highest number of publications came from India (n = 487) 95.9%; 58.5% of these were correspondence, 21% were original articles, 12.8% were case reports and case series, 1.2% reviews, and 1% editorials. Fourteen articles were published from Pakistan, with 1.2% original articles, 0.8% letter to editor, 0.6% audits, and 0.2% case reports. Nepal and Sri Lanka contributed seven publications. There were no publications in these journals from authors from Bangladesh, Afghanistan, Bhutan, and Maldives in the reviewed journals. The highest number of publications was equally distributed between two journals, i.e., Anesthesia and Analgesia (29.5%) and Anesthesia (28.9%).Conclusion: We found that scientific contributions from the South Asian region in terms of original anesthesiology research in five high index anesthesiology journals was suboptimal and has not shown an increasing trend over the last 16 years

Motivations, Capability Handicaps and Firm Responses in the Early Phase of Internationalization from Emerging Economies: A study in the Indian Pharmaceutical Industry

This paper identifies and analyses the motivations, capability handicaps and responses of a sample of Indian pharmaceutical firms in the early phase of internationalization. It distinguishes between the experiences of two types of internationalisers –initial internationalisers and later internationalisers - in the industry. It argues that the initial internationalisers face several discontinuities vis-a-vis the experience of meeting the needs of domestic market. They need to cultivate new capabilities by leveraging on whatever is available within the firms and the external environment. Their capability to cultivate depends on their internal processes to absorb the new experiences. The later internationalisers do not experience these handicaps. They can benefit from the industry experience and congregate capabilities to move faster. Their capability to congregate depends on the initial endowments of the founders. Based on its findings, the paper outlines scope for further research in capability building for internationalization in the context of emerging economies.

Global SMART update 2017. Fentanyl and its analogues - 50 years on.

The latest SMART update - number 17, under the theme " Fentanyl and its analogues - 50 years on" - includes information on the growing complexity of the opioid market, in particular the fentanyl group, international controls, evolving patterns of use and associated risks, global developments in manufacture and trafficking of fentanyl analogues and their precursors. Fentanyl is considered the strongest opioid available for medical use in humans, with about 100 times the potency of morphine. It is highly valued for its analgesic and sedative effects and widely used in the management of severe pain and anaesthesia. On the other hand, such drugs are liable to abuse and have high dependence producing properties. For instance, a report from a drug consumption room in Sydney, Australia, under medical surveillance, found that the risk of overdose upon injecting fentanyl was two times higher than upon injecting heroin, and eight times higher than upon injecting other prescription opioids. In the 1970s and 1980s, products containing fentanyl and its analogues appeared on the illicit drug market and became notorious for accidental overdoses. The problem seems to have resurfaced, and the clandestine manufacturing of fentanyl has risen to unprecedented levels. The required materials and equipment for manufacture are readily available online, at a low cost. This situation is aggravated by the rapid emergence of novel non-fentanyl analogues which have not been approved for medical use. North America is particularly affected by an opioid overdose crisis. While originally the sharp rise in overdoses was attributed to heroin, the current crisis is mainly attributed to illicitly manufactured fentanyl or fentanyl analogues which have caused several epidemics of overdose deaths since the 1970s. Since fall 2013, fentanyl and its analogues have contributed to more than 5000 overdose deaths. Key research insights also included in the latest update delineate a complex market, whereby the sale of illicit opioids is entwined with the legitimate and underground supply of opioid pharmaceuticals, exposing users to the ruthless criminal practice of counterfeiting prescription medications. The report calls for special attention to the global developments in clandestine opioid manufacturing and trafficking, and associated international concerns

Minor gynecologic surgery: A review of the training experience and skill building opportunities for providers in low and middle income countries

Purpose: Minor gynecologic surgery is the cornerstone of gynecologic evaluation and intervention in countries with a well-established medical infrastructure. Surgical training and exposure to minor procedures are not available in low and middle-income countries due to the complex challenges of patient delay and lack of access to healthcare, physician shortages, and the lack of ancillary services such as pathology and radiology. This paper reviews current training statistics, the international literature on minor gynecologic surgery and training strategies. Methods: PubMed searches using MESH terms cone biopsy, dilation and curettage, and loop electrosurgical excision procedure were performed. Statistics of minor surgical procedures among US Obstetrics and Gynecology Residency programs were tabulated. We then searched for data of training programs and surgical statistics in low resource countries. Results: Dilation and curettage is the most common minor gynecologic procedure in the United States but is performed with significantly lower frequency in low and middle-income countries. The most common procedure for the treatment of preinvasive disease was cryotherapy followed by loop electrosurgical excision procedure. There was no information about minor surgical procedures performed in hospitals in low and middle-income countries. Statistics from four-year American training programs showed an average of 209 minor cervical procedures performed annually. Conclusion: Expertise in minor gynecologic procedures is vital and requires the development of both adequate training programs and local medical infrastructure. Strategies for training in minor surgery for providers in low and middle-income countries include online curriculums, mentored relationships with senior physicians, and simulation models

Beacon Light: November 1960

First addition of the pink slip feature. Which highlighted the activities of female volunteer

Outlook Magazine, Winter 2012

https://digitalcommons.wustl.edu/outlook/1188/thumbnail.jp

Outlook Magazine, Winter 2013

https://digitalcommons.wustl.edu/outlook/1191/thumbnail.jp

Special Libraries, March 1947

Volume 38, Issue 3https://scholarworks.sjsu.edu/sla_sl_1947/1002/thumbnail.jp