48 research outputs found
ΠΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡ ΠΈΡΠ»Π°Π½Π΄ΡΠΊΠΈΡ Π³ΠΎΡΠΎΠ΄ΠΎΠ² ΠΊ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠΈΠΌ ΡΠΏΠ°Π΄Π°ΠΌ ΠΈ ΡΠΎΠ»Ρ ΡΠ°ΡΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ Π³ΠΎΡΠΎΠ΄ΡΠΊΠΎΠ³ΠΎ ΠΈ ΡΠ΅Π»ΡΡΠΊΠΎΠ³ΠΎ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ
Received July 31, 2020; accepted September 14, 2020.ΠΠ°ΡΠ° ΠΏΠΎΡΡΡΠΏΠ»Π΅Π½ΠΈΡ 31 ΠΈΡΠ»Ρ 2020 Π³.; Π΄Π°ΡΠ° ΠΏΡΠΈΠ½ΡΡΠΈΡ ΠΊ ΠΏΠ΅ΡΠ°ΡΠΈ 14 ΡΠ΅Π½ΡΡΠ±ΡΡ 2020 Π³.Relevance. Much research was undertaken on regional economic resilience after the financial crisis of 2008. The current crisis caused by Covid19 provides an opportunity to understand further the nature of regional economic resilience. It also provides an opportunity to analyse the urban-rural divide of economic resilience for two recessions. Research objective. There are two main objectives of this study Firstly, to understand if resilience to one recession provides a good indication of resilience to a subsequent recession. The second aim is to understand the urban-rural differences in regional economic resilience in Ireland. Data and methods. This is a quantitative study which uses data from the Irish Central Statistics Office regarding unemployment and population distribution. To understand economic resilience a sensitivity index is used and to check for correlation the Pearson coefficient is used. Results. Results show that there is no correlation between resilience to the financial crisis and resilience to the Covid19 crisis. Population distribution was not a determinant of resilience to the financial crisis. However, population distribution was a determinant of resilience to the Covid19 crisis. Counties with high population in βindependent urban townsβ or βrural areas with moderate urban influenceβ were more resilient while counties with high population in βsatellite urban townsβ or βrural areas with high urban influenceβ were more vulnerable. Conclusions. Economic resilience to one recession is not a good indication of resilience to future recessions. Counties with population in urban centres or more reliant on urban areas were less resilient to the Covid19 crisis.ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΡΡΡ. ΠΠΎΡΠ»Π΅ ΡΠΈΠ½Π°Π½ΡΠΎΠ²ΠΎΠ³ΠΎ ΠΊΡΠΈΠ·ΠΈΡΠ° 2008 Π³ΠΎΠ΄Π° Π±ΡΠ»ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΌΠ½ΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΡΠ΅Π³ΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΉ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΠΊΠΈ. ΠΡΠ½Π΅ΡΠ½ΠΈΠΉ ΠΊΡΠΈΠ·ΠΈΡ, Π²ΡΠ·Π²Π°Π½Π½ΡΠΉ Covid19, Π΄Π°Π΅Ρ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ Π»ΡΡΡΠ΅ ΠΏΠΎΠ½ΡΡΡ ΠΏΡΠΈΡΠΎΠ΄Ρ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΠΊΠΈ ΡΠ΅Π³ΠΈΠΎΠ½Π°. ΠΡΠΎ ΡΠ°ΠΊΠΆΠ΅ Π΄Π°Π΅Ρ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΏΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°ΡΡ ΡΠ°Π·ΡΡΠ² ΠΌΠ΅ΠΆΠ΄Ρ Π³ΠΎΡΠΎΠ΄ΠΎΠΌ ΠΈ Π΄Π΅ΡΠ΅Π²Π½Π΅ΠΉ Π² ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΠΊΠΈ ΠΊ Π΄Π²ΡΠΌ ΡΠ΅ΡΠ΅ΡΡΠΈΡΠΌ. Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΡΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠ΅ΡΠ»Π΅Π΄ΡΠ΅Ρ Π΄Π²Π΅ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ ΡΠ΅Π»ΠΈ. ΠΠΎ-ΠΏΠ΅ΡΠ²ΡΡ
, ΠΏΠΎΠ½ΡΡΡ, ΡΠ²Π»ΡΠ΅ΡΡΡ Π»ΠΈ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡ ΠΊ ΠΎΠ΄Π½ΠΎΠΉ ΡΠ΅ΡΠ΅ΡΡΠΈΠΈ Ρ
ΠΎΡΠΎΡΠΈΠΌ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΌ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΠΊ ΠΏΠΎΡΠ»Π΅Π΄ΡΡΡΠ΅ΠΉ ΡΠ΅ΡΠ΅ΡΡΠΈΠΈ. ΠΡΠΎΡΠ°Ρ ΡΠ΅Π»Ρ β ΠΏΠΎΠ½ΡΡΡ ΡΠ°Π·Π»ΠΈΡΠΈΡ ΠΌΠ΅ΠΆΠ΄Ρ Π³ΠΎΡΠΎΠ΄ΠΎΠΌ ΠΈ Π΄Π΅ΡΠ΅Π²Π½Π΅ΠΉ Π² ΡΠ΅Π³ΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΉ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΠΡΠ»Π°Π½Π΄ΠΈΠΈ. ΠΠ°Π½Π½ΡΠ΅ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅, Π² ΠΊΠΎΡΠΎΡΠΎΠΌ ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡΡΡΡ Π΄Π°Π½Π½ΡΠ΅ Π¦Π΅Π½ΡΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ ΠΡΠ»Π°Π½Π΄ΠΈΠΈ ΠΎ Π±Π΅Π·ΡΠ°Π±ΠΎΡΠΈΡΠ΅ ΠΈ ΡΠ°ΡΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠΈ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ. ΠΠ»Ρ ΠΏΠΎΠ½ΠΈΠΌΠ°Π½ΠΈΡ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΠ΅ΡΡΡ ΠΈΠ½Π΄Π΅ΠΊΡ ΡΡΠ²ΡΡΠ²ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ, Π° Π΄Π»Ρ ΠΏΡΠΎΠ²Π΅ΡΠΊΠΈ ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΈ β ΠΊΠΎΡΡΡΠΈΡΠΈΠ΅Π½Ρ ΠΠΈΡΡΠΎΠ½Π°. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΏΠΎΠΊΠ°Π·ΡΠ²Π°ΡΡ, ΡΡΠΎ Π½Π΅Ρ Π½ΠΈΠΊΠ°ΠΊΠΎΠΉ ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΠΈ ΠΌΠ΅ΠΆΠ΄Ρ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡΡ ΠΊ ΡΠΈΠ½Π°Π½ΡΠΎΠ²ΠΎΠΌΡ ΠΊΡΠΈΠ·ΠΈΡΡ ΠΈ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡΡ ΠΊ ΠΊΡΠΈΠ·ΠΈΡΡ Covid19. Π Π°ΡΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ Π½Π΅ Π±ΡΠ»ΠΎ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΡΡΠΈΠΌ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΠΊ ΡΠΈΠ½Π°Π½ΡΠΎΠ²ΠΎΠΌΡ ΠΊΡΠΈΠ·ΠΈΡΡ. ΠΠ΄Π½Π°ΠΊΠΎ ΡΠ°ΡΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ Π½Π° ΡΠ΅Π»Π΅Π½ΠΈΡ Π±ΡΠ»ΠΎ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΡΡΠΈΠΌ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΠΊ ΠΊΡΠΈΠ·ΠΈΡΡ Covid19. ΠΠΊΡΡΠ³Π° Ρ Π²ΡΡΠΎΠΊΠΎΠΉ ΡΠΈΡΠ»Π΅Π½Π½ΠΎΡΡΡΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ Π² Β«Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΡΡ
Π³ΠΎΡΠΎΠ΄ΡΠΊΠΈΡ
Π³ΠΎΡΠΎΠ΄Π°Ρ
Β» ΠΈΠ»ΠΈ Β«ΡΠ΅Π»ΡΡΠΊΠΈΡ
ΡΠ°ΠΉΠΎΠ½Π°Ρ
Ρ ΡΠΌΠ΅ΡΠ΅Π½Π½ΡΠΌ Π³ΠΎΡΠΎΠ΄ΡΠΊΠΈΠΌ Π²Π»ΠΈΡΠ½ΠΈΠ΅ΠΌΒ» Π±ΡΠ»ΠΈ Π±ΠΎΠ»Π΅Π΅ ΡΡΡΠΎΠΉΡΠΈΠ²ΡΠΌΠΈ, ΡΠΎΠ³Π΄Π° ΠΊΠ°ΠΊ Π³ΡΠ°ΡΡΡΠ²Π° Ρ Π²ΡΡΠΎΠΊΠΎΠΉ ΡΠΈΡΠ»Π΅Π½Π½ΠΎΡΡΡΡ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ Π² Β«Π³ΠΎΡΠΎΠ΄Π°Ρ
-ΡΠΏΡΡΠ½ΠΈΠΊΠ°Ρ
Β» ΠΈΠ»ΠΈ Β«ΡΠ΅Π»ΡΡΠΊΠΈΡ
ΡΠ°ΠΉΠΎΠ½Π°Ρ
Ρ ΡΠΈΠ»ΡΠ½ΡΠΌ Π³ΠΎΡΠΎΠ΄ΡΠΊΠΈΠΌ Π²Π»ΠΈΡΠ½ΠΈΠ΅ΠΌΒ» Π±ΡΠ»ΠΈ Π±ΠΎΠ»Π΅Π΅ ΡΡΠ·Π²ΠΈΠΌΡΠΌΠΈ. ΠΡΠ²ΠΎΠ΄Ρ. Π£ΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΠΊΠΈ ΠΊ ΠΎΠ΄Π½ΠΎΠΉ ΡΠ΅ΡΠ΅ΡΡΠΈΠΈ β Π½Π΅ Π»ΡΡΡΠΈΠΉ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΠΊ Π±ΡΠ΄ΡΡΠΈΠΌ ΡΠ΅ΡΠ΅ΡΡΠΈΡΠΌ. ΠΠΊΡΡΠ³Π° Ρ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΠ΅ΠΌ Π² Π³ΠΎΡΠΎΠ΄ΡΠΊΠΈΡ
ΡΠ΅Π½ΡΡΠ°Ρ
ΠΈΠ»ΠΈ Π±ΠΎΠ»Π΅Π΅ Π·Π°Π²ΠΈΡΠΈΠΌΡΠΌΠΈ ΠΎΡ Π³ΠΎΡΠΎΠ΄ΡΠΊΠΈΡ
ΡΠ°ΠΉΠΎΠ½ΠΎΠ² ΠΎΠΊΠ°Π·Π°Π»ΠΈΡΡ ΠΌΠ΅Π½Π΅Π΅ ΡΡΡΠΎΠΉΡΠΈΠ²ΡΠΌΠΈ ΠΊ ΠΊΡΠΈΠ·ΠΈΡΡ Covid19.This research has received funding from the European Unionβs Horizon 2020 research and innovation program under the Marie SkΕodowska Curie grant agreement number 721999.ΠΡΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΠΎΠ»ΡΡΠΈΠ»ΠΎ ΡΠΈΠ½Π°Π½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Π² ΡΠ°ΠΌΠΊΠ°Ρ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΡΠΊΠΎΠΉ ΠΈ ΠΈΠ½Π½ΠΎΠ²Π°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΡ ΠΠ²ΡΠΎΠΏΠ΅ΠΉΡΠΊΠΎΠ³ΠΎ Π‘ΠΎΡΠ·Π° Horizon 2020 Π² ΡΠ°ΠΌΠΊΠ°Ρ
Π³ΡΠ°Π½ΡΠΎΠ²ΠΎΠ³ΠΎ ΡΠΎΠ³Π»Π°ΡΠ΅Π½ΠΈΡ ΠΠ°ΡΠΈΠΈ Π‘ΠΊΠ»ΠΎΠ΄ΠΎΠ²ΡΠΊΠΎΠΉ ΠΡΡΠΈ β 721999
Issue 19: Up/Rooted: Gender, Sexuality and Refuge in Canada
Issues of gender and sexuality affect refugee experiences of flight, resettlement and integration, yet often remain unacknowledged and unaddressed in policy and programming to support those seeking refuge in Canada. There exists a power dimension between those being served (refugees) and those providing services and policymakers. This Policy Points presents core issues at the intersection of gender, sexuality and seeking refuge discussed during the Up/Rooted: Gender, Sexuality and Refuge in Canada workshop held at the Balsillie School of International Affairs, Waterloo, Ontario. Participants from a range of community organizations working with refugees, community members, persons with refugee backgrounds, researchers, and students came together to explore the challenges and opportunities for people arriving from refugee experiences in the Kitchener-Waterloo and Cambridge region. This Policy Points contributes to the broader discourse on refugee resettlement and integration in Canada by unpacking findings in four key thematic areas: (1) health and wellness; (2) families; (3) social protection and economic security; and (4) communities and identities
Effects of COVID-19 pandemic restrictions on an Australian neonatal and paediatric retrieval service
First published: 28 February 2022Aim: The COVID-19 pandemic and associated travel and social distancing restrictions have reduced paediatric intensive care unit admissions for respiratory illnesses. The effects on retrieval (transport) services remain unquantified. Our study examined the utility of statistical process control in assessing the impact of the COVID-19 pandemic on the number of neonatal and paediatric transfers in an Australian retrieval service. Methods: Data collected prospectively from the SA Ambulance Service MedSTAR Emergency Retrieval database in South Australia were analysed from January 2015 to June 2021. Statistical process control methodology, a combination of a time series analysis and assessment for common and special cause variation, was used to assess the impact of the COVID-19 pandemic on retrieval workload (primary outcome of interest). Results: A total of 5659 neonatal and paediatric transfers occurred during the study period and were included. A significant decrease in paediatric transfers occurred after the initial lockdown measures in March 2020 were announced in South Australia (special cause variation). However, a similar reduction was not observed for neonatal transfers (common cause variation). Conclusion: Our study demonstrates that statistical process control may be effectively used to understand the effects of external events and processes on usual activity patterns in the retrieval setting. We found a reduction in retrieval numbers for paediatric transfers but no effect on neonatal transfer numbers. The decline in paediatric transfers was primarily attributed to reduced respiratory cases.Amy Keir, Jeffrey Dutschke, Bron Hennebry, Kate Kerin and John Crave
The emergence of 'citizenship' in popular discourse:The case of Scotland
The 2014 Scottish Referendum gauged public opinion on the possibility of Scotland leaving the United Kingdom, raising significant questions about the legitimacy of claims to citizenship in the event of independence. Through a mixed methods survey, this study explored the ways in which citizenship emerged in popular discourse in the lead up to the Scottish referendum. Findings point to an emphasis in public discourse on a commitment to and participation in society, instead of the more traditional citizenship markers of ancestry, birthplace or residency. Data indicates a view of citizenship encompassing status and practice, while identity was framed in terms of more static notions of birthplace and ancestry. The salience of social participation was noticeably greater in respondentsβ assessment of othersβ potential Scottish citizenship than their own. Specifically, the study highlights the salience of relational aspects of citizenship in popular discourse, with an emphasis on social citizenship in preference to legal citizenship. The study constitutes a significant contribution to ongoing discussions about βparticipatory citizenshipβ in the field of Citizenship studies, by providing much needed empirical data on social conceptualizations of citizenship
The critical role of logarithmic transformation in Nernstian equilibrium potential calculations
The membrane potential, arising from uneven distribution of ions across cell membranes containing selectively permeable ion channels, is of fundamental importance to cell signaling. The necessity of maintaining the membrane potential may be appreciated by expressing Ohmβs law as current = voltage/resistance and recognizing that no current flows when voltage = 0, i.e., transmembrane voltage gradients, created by uneven transmembrane ion concentrations, are an absolute requirement for the generation of currents that precipitate the action and synaptic potentials that consume >80% of the brainβs energy budget and underlie the electrical activity that defines brain function. The concept of the equilibrium potential is vital to understanding the origins of the membrane potential. The equilibrium potential defines a potential at which there is no net transmembrane ion flux, where the work created by the concentration gradient is balanced by the transmembrane voltage difference, and derives from a relationship describing the work done by the diffusion of ions down a concentration gradient. The Nernst equation predicts the equilibrium potential and, as such, is fundamental to understanding the interplay between transmembrane ion concentrations and equilibrium potentials. Logarithmic transformation of the ratio of internal and external ion concentrations lies at the heart of the Nernst equation, but most undergraduate neuroscience students have little understanding of the logarithmic function. To compound this, no current undergraduate neuroscience textbooks describe the effect of logarithmic transformation in appreciable detail, leaving the majority of students with little insight into how ion concentrations determine, or how ion perturbations alter, the membrane potential
Temporary migration programmes: the cause or antidote for migrant worker exploitation in UK agriculture
The referendum result in Britain in 2016 and the potential loss of EU labour in the advent of a βhard Brexitβ has raised pressing questions for sectors that rely on EU labour, such as agriculture. Coupled with the closure of the long-standing Seasonal Agricultural Scheme in 2013, policymakers are grappling with how to satisfy one the one hand employer demands for mobility schemes, and on the other public demands for restrictive immigration policies. Labour shortages in agriculture transcend the immigration debate, raising questions for food security, the future of automation and ultimately what labour market the UK hopes to build. Temporary Migration programmes have been heralded as achieving a triple win, yet they are rightly criticized for breeding bonded labour and exploitation. In lieu of a dedicated EU labour force agricultural employers are calling for the establishment of a new seasonal scheme. In this paper we explore whether the absence of a temporary migration programme resolves the potential exploitation of migrant workers. We argue that the absence of a TMP is not an antidote to migrant exploitation, and that a socially just TMP which is built around migrant agency may be the most palpable solution
Opportunities and Challenges in Providing Health Care for International Retirement Migrants: A Qualitative Case Study of Canadians Travelling To Yuma, Arizona
Background
Increasing numbers of older individuals opt to spend extended time abroad each year for lifestyle, health, and financial reasons. This practice is known as international retirement migration, and it is particularly popular among retirees in Global North countries such as Canada. Despite the popularity of international retirement migration, very little is known about how and why health care is accessed while abroad, nor the opportunities and challenges posed for destination hospitals. In this article we focus on addressing the latter knowledge gap.
Methods
This qualitative case study is focused on the only hospital in Yuma, Arizona β a popular destination for Canadian retirement migrants in the United States. We conducted focus groups with workers at this hospital to explore their experiences of treating this transnational patient group. Twenty-seven people participated in three, 90-min focus groups: twelve nurses, six physicians, and nine administrators. Thematic analysis of the focus group transcripts was conducted using a triangulated approach.
Results
Participants identified three care environments: practice, transnational, and community. Each environment presents specific opportunities and challenges pertaining to treating Canadian retirement migrants. Important opportunities include the creation of a strong and diverse seasonal workforce in the hospital, new transnational paths of communication and information sharing for physicians and health administrators, and informal care networks that support formal health care services within and beyond the hospital. These opportunities are balanced out by billing, practical, administrative, and lifestyle-related challenges which add complexity to treating this group of transnational patients.
Conclusion
Canadians represent a significant group of patients treated in Yuma, Arizona. This is contrary to long-standing, existing research that depicts older Canadians as being reluctant to access care while in the United States. Significant overlaps exist between the opportunities and challenges in the practice, transnational and community environments. More research is needed to better understand if these findings are similar to other destinations popular with Canadian international retirement migrants or if they are unique to Yuma, Arizona
Building a community of practice through social media using the hashtag #neoEBM
OBJECTIVES: Social media use is associated with developing communities of practice that promote the rapid exchange of information across traditional institutional and geographical boundaries faster than previously possible. We aimed to describe and share our experience using #neoEBM (Neonatal Evidence Based Medicine) hashtag to organise and build a digital community of neonatal care practice. MATERIALS AND METHODS: Analysis of #neoEBM Twitter data in the Symplur Signals database between 1 May 2018 to 9 January 2021. Data on tweets containing the #neoEBM hashtag were analysed using online analytical tools, including the total number of tweets and user engagement. RESULTS: Since its registration, a total of 3 228 distinct individual Twitter users used the hashtag with 23 939 tweets and 37 259 710 impressions generated. The two days with the greatest number of tweets containing #neoEBM were 8 May 2018 (n = 218) and 28 April 2019 (n = 340), coinciding with the annual Pediatric Academic Societies meeting. The majority of Twitter users made one tweet using #neoEBM (n = 1078), followed by two tweets (n = 411) and more than 10 tweets (n = 347). The number of individual impressions (views) of tweets containing #neoEBM was 37 259 710. Of the 23 939 tweets using #neoEBM, 17 817 (74%) were retweeted (shared), 15 643 (65%) included at least one link and 1 196 (5%) had at least one reply. As #neoEBM users increased over time, so did tweets containing #neoEBM, with each additional user of the hashtag associated with a mean increase in 7.8 (95% CI 7.7-8.0) tweets containing #neoEBM. CONCLUSION: Our findings support the observation that the #neoEBM community possesses many of the characteristics of a community of practice, and it may be an effective tool to disseminate research findings. By sharing our experiences, we hope to encourage others to engage with or build online digital communities of practice to share knowledge and build collaborative networks across disciplines, institutions and countries.Amy Keir, Nicolas Bamat, Bron Hennebry, Brian King, Ravi Patel, Clyde Wright ... et al