As successive reports have predicted tens or even hundreds of millions of people displaced by climate change in the coming decades, the politics of climate migration has moved to the forefront of ...contemporary public discourse. In particular, those least able to adapt and most vulnerable to exploitation have garnered media and policy attention. Nevertheless, analysis of this phenomenon is inhibited by the large scale, predominantly unidirectional nature of the phenomenon's social scientific analysis, leaving the power laden nature of resource and infrastructure persistently underplayed. In particular, how the geography of natural resources produces different patterns of (im)mobility in response to environmental change, even within the same community, remains poorly understood.
Drawing on data gleaned from a multi-sited study of rural and migrant livelihoods in Cambodia, this paper highlights how the small scale, power-laden geography of water resources and irrigation shapes migration in response to the changing climate. Using brick workers as a case study of ‘hyper-precarious’ migrant labour, it uses quantitative, qualitative and spatial data to show how the socio-economically situated geography of water influences both perception of the climate, and mobility in response to it. Viewing this resource landscape as a form of hydrosocial power, the paper overarchingly makes a case for enhanced communication between the climate migration and hydrosocial power literatures, in order to better conceptualise the role of power in articulating the linkages between water geographies and climate mobility.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
As part of an in-depth review of the specialty for the Royal College of Physicians and Surgeons of Canada (RCPSC), the Dermatology Working Group (DWG) was tasked with leading a comprehensive and ...objective analysis of the current state of Dermatology practice and training patterns in Canada. Preliminary research for the report was conducted in 3 areas: a jurisdictional analysis, a literature review, and a landscape overview. The results of this research were published in the spring 2019 edition of the Journal of Cutaneous Medicine and Surgery. Various factors impacting the discipline were explored, including trends in the workforce, population needs, accessibility, and wait times, as well as issues in undergraduate and postgraduate medical education. The DWG, supported by the RCPSC’s Office of Specialty Education, used information gained from the reviews, a national survey, and stakeholder perspectives to develop recommendations that address the current challenges and build upon opportunities for advancement in the specialty.
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NUK, OILJ, SAZU, UKNU, UL, UM, UPUK
Deliberate practice is an important method of skill acquisition and is under-utilized in dermatology training. We delivered a dermatologic morphology training module with immediate feedback for first ...year medical students. Our goal was to determine whether there are differences in accuracy and learning efficiency between self- regulated and algorithm-regulated groups.
First year medical students at the University of Calgary completed a dermatologic morphology module. We randomly assigned them to either a self-regulated arm (students removed cases from the practice pool at their discretion) or an algorithm-regulated arm (an algorithm determined when a case would be removed). We then administered a pre-survey, pre-test, post-test, and post-survey. Data collected included mean diagnostic accuracy of the practice sessions and tests, and the time spent practicing. The surveys assessed demographic data and student satisfaction.
Students in the algorithm-regulated arm completed more cases than the self-regulated arm (52.9 vs. 29.3, p<0.001) and spent twice as much time completing the module than the self-regulated participants (34.3 vs. 17.0 min., p<0.001). Mean scores were equivalent between the algorithm- and self-regulated groups for the pre-test (63% vs. 66%, n = 54) and post-test (90% vs. 86%, n = 10), respectively. Both arms demonstrated statistically significant improvement in the post-test.
Both the self-regulated and algorithm-regulated arms improved at post-test. Students spent significantly less time practicing in the self-directed arm, suggesting it was more efficient.
The specialty of dermatology is constantly changing to meet the medical needs of our society. The discipline is in flux because of a variety of factors such as growing population needs, technological ...advancements, fiscal restraint, and demographic changes. As part of an in-depth review of the specialty, the Dermatology Working Group (DWG) for the Royal College of Physicians and Surgeons of Canada sought to determine whether the current training configuration is suitably preparing graduates to meet the societal health needs of dermatology patients. In this first of a 2-part series, the authors conducted comprehensive literature and historical reviews and a jurisdictional analysis to understand the current state of dermatology practice in Canada. Herein, they explore trends in the dermatology workforce, population needs, accessibility, and wait times, as well as issues in undergraduate and postgraduate medical education. In a subsequent publication, the DWG will utilize information gained from this historical analysis and jurisdictional review, stakeholder perspectives, and a national survey to shape the future of dermatology training in Canada.
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NUK, OILJ, SAZU, UKNU, UL, UM, UPUK
Drug-induced subacute cutaneous lupus erythematosus is an uncommon disorder associated with the use of pharmacological agents including systemic chemotherapy.
We report a case of docetaxel-induced ...subacute cutaneous lupus erythematosus in a 60-year-old Caucasian female with Sjögren's syndrome diagnosed 2 months after receiving docetaxel as part of the adjuvant FEC-D (5-fluorouracil, epirubicin, cyclophosphamide, docetaxel) chemotherapy protocol for early stage breast cancer. Although the exact mechanisms behind the autoimmune response elicited by docetaxel are unclear, the involvement of anti-SSA/Ro antibodies has been implicated.
This case highlights the symptom severity and clinical course of docetaxel-induced subacute cutaneous lupus erythematosus, and highlights the importance of recognizing this uncommon but potentially severe chemotherapy-associated cutaneous reaction.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
This article discusses the relationship between climate change and migration in the context of the UK. After a brief overview of climate migration scholarship, it examines the framing of climate ...migration as a crisis in UK policy discourse, highlighting the disjuncture between policy and academic scholarship in this respect. Subsequently, it examines the reasons for this schism, exploring both the framing of climate migration within the UK media landscape and the securitisation of the topic within UK government policy. Finally, the article explores how the UK s political landscape undergirds the political logic of climate finance, emphasising the role of British domestic politics in shaping the boundaries and direction of climate change as it manifests in governance. The article closes by exploring potential new directions in UK climate migration policy.
This paper explores de facto statelessness amongst ethnically Vietnamese communities in Cambodia. It demonstrates that the inaccessibility of citizenship rights is not rooted directly in what ...documents an individual possesses, but in collective mobilities driven by a combination or past and present and potential risks. Specifically, the reluctance of officials to replace documents for those they perceive not to be ethnically Khmer means that even ethnically Vietnamese Cambodians possessing a full set of documents – and who have never crossed a border – are encouraged to pursue similar mobilities to those who have none, including first generation immigrants. The higher level of environmental risk associated with these ethnically mediated, informal livelihoods further reduces these households’ stocks of physical documentation, inducing a reliance on social networks that are vulnerable to evictions and harassment. On this basis, this paper proposes the category of liminal statelessness, in order to better conceptualize a situation in which people with different legal statuses and abilities to prove them share livelihoods characterized by the non-exercise of citizenship rights.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
In this article, we combine a number of related elements – YouTube films, autobiographical methods, diaries, letters, and walking – to explore the sociological value of the films of Nelson Sullivan ...(1948–1989). Sullivan was a film maker who documented New York, and elsewhere, in the mid-late 1980s; however, the films are ‘vlogger style’ and offer richly detailed, relational, and dialogical accounts of the ever-changing figurations between Nelson and a cast of other characters. Here we aim to walk sociologically with Nelson. We explain of how we analysed Nelson’s films before considering the implications of repositioning ‘vlogs’ as something of a hybrid between letters and diaries. We then explore walking as an autobiographical act a little further. Finally, we conclude by considering the implications of Nelson’s work for past, present, and future sociological practice which uses YouTube videos and vlogs, by emphasising the importance of the ‘dialogic exchange’.
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This paper explores the participation of elder members of Cambodian households in translocal livelihoods. Based on linked, rural–urban fieldwork rooted in a Phnom Penh garment worker enclave, it ...highlights three aspects of elder translocality in Cambodia. First, it shows that the logistics of older people’s migrations are not predicated directly on physical mobility or lifecycle, as often assumed in the literature, but that these are merely two amongst a variety of factors that instigate nested, longer and shorter term cycles. Secondly, it explores how older members of migrant households engage agentively in ‘supportive’ migrant roles such as childcare, as opposed to passively complying with the needs of their families. Finally, the paper demonstrates how elder members of translocal households – recognising their changing economic and ecological environment – utilise the performance of these duties as a means of retaining status in a marketising context.
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