Ethical globalization? Decolonizing theoretical perspectives for internationalization in Canadian medical education

Background: Internationalization is a process being undertaken at institutions of post-secondary education worldwide in response to globalization. The resulting imperatives for medical education include re-thinking Canadian positionality within uneven, problematic Global North-South relations. Members of the medical education community are in need of training and tools to navigate this complex situation.Methods: Using a decolonial theoretical perspective, a literature review was conducted and framed with three ethical questions posed to stimulate collective conversations about internationalization among all members of the health professions education community in Canada.Results: This study identifies analytical gaps in discussions on the role of medical education in the context of colonial, neoliberal, unjust Global North-South relations. The results point to the need for deeper examination of medical curricula for problematic representations and theorization of inequities and racialization. They also suggest that practices for International Medical Electives and the involvement of International Medical Graduates should be evaluated in light of the ethical concerns identified.Conclusion: During this moment of internationalization and globalization in all health professional education, reflexivity and self-awareness are important strategies for engaging with decolonizing theoretical perspectives that are critical of Global North-South relations like neoliberal globalization and colonialism. Increased inclusion of pluralistic ways of approaching both processes are necessary for combatting growing health inequities in Canada and globally

Finding Gendered Inequities in Poor Women’s Experiences of Neoliberal Health Care and Labour: Perspectives from India

Gender equity in health is, in part, a product of women’s experiences of two critically linked sectors: health care and labour. This paper is concerned with observing the trajectory of neoliberalism as the dominant global approach to macroeconomics and its effect on these two market sectors in India. Using a feminist political economy approach and the methods of a narrative literature review, the historical practices of India’s development and health policy are reviewed, namely the adoption of a US-driven Structural Adjustment Program (SAP). The findings show, first, that the SAP resulted in a roll back of the state. As a result, reproductive health services have become the contextual stand in for the provision of health care to poor women. Secondly, there has been a change in labour policies that has pressed many poor women into informal work and further devalued their role in the household. A neoliberal approach to policy making has intensified women’s oppression and exploitation and has confounded existing gendered and classed inequities in health

Branding in social media: A bibliometric Analyssi

To have a clearer insight into how branding has evolved over the past ten years (2012-2022) in social media, a comprehensive bibliographic analysis is conducted on selected papers in the journals included in Web of Science database on branding in social media. We employ the VOSViewer tool to complete our bibliographic analysis. VOSViewer is used for graphical representations of network maps. We will be using this tool to explore the co-occurrence of keywords in the branding area. This work provides a basis for the scope of strategic approaches to branding in social media by investigating the scope of research to find areas of opportunity for scholars. We expound on the existing scholarly research on branding in social media, offer a procedural overview of the VOSViewer tool, provide managerial implications of this work, discuss limitations, and recommend areas for future researc

Understandings of Military Power, Intoxication and Love in Kashmir, India

In her essay, Harkit considers how patients at the Drug De-addiction Centre in the Indian state of Jammu and Kashmir reconfigure their relationship to substance abuse through the performance of alternate narratives that are embedded with understandings of romantic love, Sufi thought and nasha (intoxication) to resist the clinic’s ‘recovery’ techniques linked to the structures of military rule. This paper was written for the Making Sense of a Changing World: Anthropology Today (SAP/ANTH 1120) course and was awarded the 2019 Undergraduate Asia Essay Award

Comparative study between uses of GnRH- agonist versus hCG as an ovulation trigger in patients with polycystic ovary syndrome in antagonist protocol

Background: Polycystic ovary syndrome is one of the major causes of infertility. Almost 75% of ovulatory women have PCOS. Ovarian hyperstimulation syndrome and multiple pregnancies are known complications of PCOS in ART. Many studies are available now, to reduce the incidence and severity of OHSS in these patients, at the same time achieving acceptable pregnancy rate .In our study, we used Antagonist protocol in PCOS patients and compared the results using GnRH-Agonist versus hCG as ovulation trigger.Methods: This is double blinded comparative study between uses of GnRH- Agonist versus hCG as an ovulation trigger in 100 patients with polycystic ovary syndrome in antagonist protocol, done in private ART setting. In the study, 100 patients randomly allotted in two groups (A & B), each 50 patients, given ovulation trigger (When leading three follicles were >18 mm) as group A-GnRH-Agonist (Inj. Triptoreline 0.1 mg, 12 hours apart two doses subcutaneously) and group B  hCG as (Inj. Recombinant hCG, 250 mcg  single dose subcutaneously).Results: In our study, In 50 patients of group A, total 31 patients were pregnant. In group B of 50 cases, 29 patients were pregnant. There was no significant difference between two groups (P>0.05). Incidence of ovarian hyperstimulation syndrome is significantly less in PCOS patients, when GnRH agonist is used as ovulation trigger in Antagonist protocol, as compared to hCG (P 0.05). None patient of two groups developed severe OHSS.Conclusions: Incidence of the ovarian hyperstimulation syndrome is significantly less in patients with Polycystic Ovarian Syndrome when GnRH agonist is used as an ovulation trigger, as compared to hCG, in Antagonist protocol. In our study, there was no significant difference in pregnancy rates between two groups.

The application of digital twin technology in operations and supply chain management: a bibliometric review

Purpose The application of digital twins to optimise operations and supply chain management functions is a bourgeoning practice. Scholars have attempted to keep pace with this development initiating a fast-evolving research agenda. The purpose of this paper is to take stock of the emerging research stream identifying trends and capture the value potential of digital twins to the field of operations and supply chain management. Design/methodology/approach In this work we employ a bibliometric literature review supported by bibliographic coupling and keyword co-occurrence network analysis to examine current trends in the research field regarding the value-added potential of digital twin in operations and supply chain management. Findings The main findings of this work are the identification of four value clusters and one enabler cluster. Value clusters are comprised of articles that describe how the application of digital twin can enhance supply chain activities at the level of business processes as well as the level of supply chain capabilities. Value clusters of production flow management and product development operate at the business processes level and are maturing communities. The supply chain resilience and risk management value cluster operates at the capability level, it is just emerging, and is positioned at the periphery of the main network. Originality/value This is the first study that attempts to conceptualise digital twin as a dynamic capability and employs bibliometric and network analysis on the research stream of digital twin in operations and supply chain management to capture evolutionary trends, literature communities and value-creation dynamics in a digital-twin-enabled supply chain

Migrant human and political capitals value in entrepreneur enterprise performance. A comparative study of four emerging markets

This paper investigates the impact of human and political capitals of entrepreneurs on enterprise performance in four emerging nations.The rent generation potential of these capitals is a well established fact, however, much less is known concerning the contingent nature of their value creation prowess. In this work, we draw on institutional theory and dynamic managerial capabilities perspective to examine the interactive effect of country of origin economic developement level and the international experience of entrepreurs, on the capitals, with respect to a set of financial indicators. Employing a quantitative methodology, our findings reveal that the relationship between the capitals and enterprise performance are indeeed contingent with the capitals of home-grown entrepreneurs, rather than those of returnee migrant entrepreneurs, exhibiting a greater propensity to influence enterprise performance. We conclude with implications for theory and practice

Effectiveness of the internet-based Unified Protocol transdiagnostic intervention for the treatment of depression, anxiety and related disorders in a primary care setting: a randomized controlled trial

Background Research has shown that internet-based cognitive behavioural therapy (iCBT) can be a very promising solution to increase access to and the dissemination of evidence-based treatments to all of the population in need. However, iCBT is still underutilized in clinical contexts, such as primary care. In order to achieve the effective implementation of these protocols, more studies in ecological settings are needed. The Unified Protocol (UP) is a transdiagnostic CBT protocol for the treatment of emotional disorders, which includes depression, anxiety and related disorders, that has shown its efficacy across different contexts and populations. An internet-based UP (iUP) programme has recently been developed as an emerging internet-based treatment for emotional disorders. However, the internet-delivered version of the UP (iUP) has not yet been examined empirically. The current project seeks to analyse the effectiveness of the iUP as a treatment for depression, anxiety and related emotional disorders in a primary care public health setting. Methods The current study will employ a parallel-group, randomized controlled trial design. Participants will be randomly assigned to (a) the internet-based Unified Protocol (iUP), or (b) enhanced waiting list control (eWLC). Randomization will follow a 2:1 allocation ratio, with sample size calculations suggesting a required sample of 120 (iUP=80; eWLC=40). The Mini-International Neuropsychiatric Interview (M.I.N.I.) will be used for assessing potential participants. The Overall Anxiety Severity and Impairment Scale (OASIS) and the Overall Depression Severity and Impairment Scale (ODSIS) as well as other standardized questionnaires will be used for assessments at baseline, 4 weeks, 8 weeks and 12 weeks from baseline and for the iUP condition during the follow-up. Discussion Combining the advantages of a transdiagnostic treatment with an online delivery format may have the potential to significantly lower the burden of emotional disorders in public health primary care setting. Anxiety and depression, often comorbid, are the most prevalent psychological disorders in primary care. Because the iUP allows for the treatment of different disorders and comorbidity, this treatment could represent an adequate choice for patients that demand mental health care in a primary care setting