22 results
Search Results
2. Boron- A Critical Element for Fruit Nutrition.
- Author
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Thakur, Shivani, Sinha, Agnibha, and Ghosh Bag, Animesh
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PLANT cell walls , *ESSENTIAL amino acids , *PLANT development , *NUTRITION , *PLANT growth - Abstract
Out of all the essential eight trace elements, boron is an indispensable nutrient required for the growth and development of plants. The importance of boron as an essential micronutrient in agriculture cannot be overstated because both its deficiency and toxicity in soils can have a negative impact on plant growth and development. Boron deficiency is the second most widespread nutrient deficiency and gained economic importance in horticultural crops. Boron plays a significant role in cell wall formation; its functioning and strength as the majority amount of boron (>90%) is found in the cell wall of plants. India ranks second in fruit production after China. Fruits are considered a vital source of carbohydrates, protein, fiber, essential amino acids, minerals, vitamins etc. The immobile nature of boron increases its unavailability in plants and hence produces a wide range of deficiency symptoms in younger parts of fruit crops. Imbalanced boron uptake disrupts the pollination process which consequently reduces flowering, fruit set, yield, and henceforth deteriorates fruit quality by increasing fruit acidity. Application of boron fertilizers at different rate has shown a significant influence on the yield and quality of fruits. So, the main objective of this paper is to focus on the critical role and significance of boron in managing higher fruit crop yield as well as their quality. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
3. Quad 2.0 in flux, how possible? A study of India's changing 'significant other'.
- Author
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Chan, Lai-Ha and Lee, Pak K.
- Subjects
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SIGNIFICANT others , *HINDUTVA , *SUMMIT meetings , *NATIONAL character , *COLLECTIVE action - Abstract
When the Quadrilateral Security Dialogue (Quad) was resuscitated in November 2017, it was framed as a minilateral grouping of liberal democratic countries to build a free and open Indo-Pacific in the shadow of China's growing assertiveness. However, this Quad 2.0 had not taken collective action until 2021. The four states neither held leaders' summit meetings nor issued joint statements after lower-level meetings. They took no joint quadrilateral actions to deter China either. From a constructivist perspective, this paper addresses this puzzle by critically revisiting the alleged common identity of the four states. It argues that India's national identity has not been built on the ontological difference between liberal democracy and autocracy but on a complex amalgamation of non-alignment, post-imperial ideology, Hindu nationalism and Indian exceptionalism. India, having held a vision of establishing an India–China partnership in Asia, did not regard China as its significant Other until the deadly border clashes between them in June 2020. China's expansionism has challenged India's identity as the pre-eminent power in South Asia and its vision of an equal China–India partnership. Despite India's increased cooperation with its Quad partners since then, the Quad is built more on geopolitical pragmatism than on shared liberal norms and values. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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4. New champions of preferential trade? Two-level games in China's and India's shifting commercial strategies.
- Author
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Serrano Oswald, Omar Ramon and Eckhardt, Jappe
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COMMERCIAL policy , *COMMERCIAL treaties , *EXPERIENTIAL learning , *EMERGING markets , *EDUCATIONAL games , *GAMES , *TWENTY-first century - Abstract
Following decades of relative isolation, China and India have become the world's largest new traders. In this paper, we focus on their Preferential Trade Agreements (PTAs). While the two economies initially followed similar paths, with a growing number of PTAs signed in the first decade of the 21st Century, since 2011 India has taken a U-turn and stopped completing them. China, on the other hand, has widened and deepened its trade agreements. We present a novel theoretical framework to analyze international economic negotiations by emerging economies and use it to study the puzzling divergence of the trade policies of China and India. By adapting the two-level game framework to emerging economies, we argue that there are key differences in the political economies of countries like China and India (compared to Western industrialized ones), which requires a more specific focus on the domestic side of the two-level game. We show that accounting for non-legislative domestic ratification processes and for iterative games and experiential learning by domestic actors are crucial in understanding the trade strategies of emerging economies. While much of the literature explains large emerging economies by looking at external systemic factors, we instead suggest that their domestic politics trumps international politics. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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5. Missing Women in China and India over Seven Decades: An Analysis of Birth and Mortality Data from 1950 to 2020.
- Author
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Datt, Gaurav, Liu, Cun, and Smyth, Russell
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INDIAN women (Asians) , *MISSING children , *AGE groups , *MORTALITY , *GIRLS , *SEX discrimination - Abstract
This paper constructs long-run estimates of total missing women (including missing girls at birth and excess female deaths) in China and India over seven decades from 1950 to 2020. We find that the number of missing women in India has been higher than in China throughout the seven decades. Over time, missing girls at birth grew faster in China than in India, but China has made more rapid progress in reducing excess female deaths after birth. While the share of missing girls at birth in total missing women has risen since the 1980s, there has also been a shift in excess female mortality from younger to older age groups. Our estimated trends are consistent with key economic, social, demographic and technological events and developments in the two countries. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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6. Decoding China's ambitions in the Indian Ocean: analysis and implications for India.
- Author
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Bukhari, Syed Sabreena
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POST-Cold War Period , *OCEAN , *AMBITION - Abstract
Investigating a country's navy provides a means of assessing the country's strategic, political, economic as well as international perspectives. Being overwhelmingly strategic in orientation, Indian Ocean occupies an important position among the strategic calculations of all major powers, and as a result has become the centre of gravity due to its increasing economic, military and diplomatic activities in the post-cold war period. Since 1990s China's policies in the region have also changed, primarily due to its high stakes in the region. Its spectacular and constant economic growth has made it an attractive player for markets and its growing activities are an important imperative that shape the strategic environment of the Indian Ocean Region today. Since both India and China are rising simultaneously and have large stakes in this region, both are turning their policies to expand their Maritime sector. The increasing encroachments by China in the Indian Ocean has caused significant amount of friction in their bilateral ties and has led to overlapping spheres of influence with India. The paper establishes that China is expanding its Maritime power in all dimensions creating a security imbalance in South Asia. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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7. Curcumin and neurological diseases.
- Author
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Adami, Raffaella and Bottai, Daniele
- Subjects
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NEUROLOGICAL disorders , *ALZHEIMER'S disease , *SPINAL muscular atrophy , *AMYOTROPHIC lateral sclerosis , *MULTIPLE sclerosis , *BIOAVAILABILITY , *NATALIZUMAB - Abstract
Objectives: The beneficial effects of many substances have been discovered because of regular dietary consumption. This is also the case with curcumin, whose effects have been known for more than 4,000 years in Eastern countries such as China and India. A curcumin-rich diet has been known to counteract many human diseases, including cancer and diabetes, and has been shown to reduce inflammation. The effect of a curcumin treatment for neurological diseases, such as spinal muscular atrophy; Alzheimer's disease; Parkinson's disease; amyotrophic lateral sclerosis; multiple sclerosis; and others, has only recently been brought to the attention of researchers and the wider population. Methods: In this paper, we summarise the studies on this natural product, from its isolation two centuries ago to its characterisation a century later. Results: We describe its role in the treatment of neurological diseases, including its cellular and common molecular mechanisms, and we report on the clinical trials of curcumin with healthy people and patients. Discussion: Commenting on the different approaches adopted by the efforts made to increase its bioavailability. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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8. Tobacco growing and tobacco use.
- Author
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Martins-da-Silva, Anderson Sousa, Torales, Julio, Becker, Ruth Francyelle Vieira, Moura, Helena F., Waisman Campos, Marcela, Fidalgo, Thiago M., Ventriglio, Antonio, and Castaldelli-Maia, João Mauricio
- Subjects
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SUBSTANCE abuse , *AGRICULTURE , *INDUSTRIES , *MEDICAL protocols , *GOVERNMENT policy , *SMOKING , *TOBACCO , *AGRICULTURAL laborers - Abstract
Tobacco use is associated with an annual global economic cost of two trillion dollars and mortality of half of its regular users. Tobacco leaf cultivation is the starting point of the tobacco cycle. Tobacco farming employs millions of small-scale tobacco farmers around the globe, most of whom are out growers who rely on the tobacco industry. This paper aims to map the regions of greatest tobacco production globally (i.e., the US, Brazil, China, Indonesia, India, and Zambia) and tobacco use rates in these locations. Smoking rates were higher in those areas, except for India, where important population subgroups reported an upward trend for tobacco smoking. In general, there was a relationship between tobacco farming and tobacco smoking. Tobacco farming may lead to a higher risk of tobacco use and lower adherence to tobacco control policies. Therefore, promoting viable alternative livelihoods for tobacco farmers must have dual benefits. Additionally, specific health prevention policies might be necessary for those populations reporting higher tobacco use and lower perception of tobacco-related health risks. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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9. South–South Cooperation 3.0? Managing the consequences of success in the decade ahead.
- Author
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Mawdsley, Emma
- Subjects
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ECONOMICS , *INTERNATIONAL competition , *COOPERATION , *SUCCESS - Abstract
This paper examines the consequences of the hugely successful expansion of South-South Cooperation since the new millennium. For all the achievements, variations and change over the 1950s-late 1990s, 'SSC 1.0' was characterised by relative neglect within the 'international' development community, and by many orthodox and critical scholars. In the chronological schema of the paper, 'SSC 2.0' refers to the period of remarkable expansion from the early 2000s to the present. The emergence of 'SSC 3.0', I suggest, is currently revealed by a discernible set of shifts driven in large part by the expansionary successes of SSC 2.0, as well as other turns in the global political economy. Three contemporary trends are identified: cooperation narratives that are increasingly 'muscular', nationalistic and pragmatic; difficulties sustaining claims to 'non-interference' in partner countries; and the further erosion of ideational and operational distinctiveness. [ABSTRACT FROM AUTHOR]
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- 2019
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10. International Higher Education and the Formation of Business Diasporas.
- Author
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Rizvi, Fazal
- Subjects
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EDUCATION & globalization , *DIASPORA , *BUSINESS education , *CHINESE students in foreign countries , *HIGHER education - Abstract
A contemporary definition of diaspora points to communities that are transnationally dispersed but remain connected to their place of origin. Accordingly, diaspora do not have an objective existence but are forged through a variety of means, involving multiple agencies and sites of formation. One of these sites is higher education. Based on interviews conducted with Indian and Chinese students in Australia, this paper suggests that recent policies and practices of internationalisation of higher education, shaped by market rationality, have steered international students in Business Studies towards particular forms of diaspora, aligned to a range of beliefs about the importance of their participation within the global economy and in particular their role in facilitating transnational regimes of business activities. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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11. Examining the pollution haven, and environmental kuznets hypothesis for ecological footprints: an econometric analysis of China, India, and Pakistan.
- Author
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Khan, Anwar, Chenggang, Yang, Xue Yi, Wang, Hussain, Jamal, Sicen, Liu, and Bano, Sadia
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ECOLOGICAL impact , *FOREIGN investments , *ELECTRIC power consumption , *POLLUTION , *TIME series analysis - Abstract
This paper estimates the short and long-run impact of foreign direct investment, electricity consumption, and real GDP on ecological footprints in the context of environmental Kuznets and Pollution haven hypothesis for China, India, and Pakistan over 1970–2016. Panel and time series models have been adopted in this research. Results of the cointegration test revealed the long-run association among the considered variables. Furthermore, Fully-Modified and Dynamic Ordinary Least Square validated the pollution haven and environmental Kuznets hypothesis for the study area. On the other hand, the linkages between income and ecological footprints have identified U-shaped EKC in the case of China and India. The empirical results of the Dumitrescu and Hurlin panel causality test indicated a unidirectional causality from income to ecological footprints. In contrast, bidirectional causality found between ecological footprints and foreign direct investment and between ecological footprints and electricity consumption. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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12. India, China and the US: strategic convergence in the Indo-Pacific.
- Author
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Singh, Antara Ghosal
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GEOPOLITICS - Abstract
This paper examines the evolving geopolitical developments in the Indo-Pacific region, especially through the lens of an India–US–China trilateral/tripolar framework. At a time when ‘strategic unease’ has become a defining characteristic of the region and ‘security alignments and strategic hedging’ a prevalent diplomatic tendency, this paper captures an evolving trend of convergence in the strategic visions of the three key Indo-Pacific players – India, China and the US, and rising bilateral strategic/defence cooperation between them. Using a constructivist approach, this paper explores the feasibility of a trilateral cooperative framework among the three countries in near future. [ABSTRACT FROM PUBLISHER]
- Published
- 2016
- Full Text
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13. China and India's insertion in the intellectual property rights regime: sustaining or disrupting the rules?
- Author
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Serrano, Omar
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INTELLECTUAL property , *INTELLECTUAL property infringement , *PROPERTY rights , *PATENTS - Abstract
This paper looks at the insertion of China and India in the contested and highly legalised regime of intellectual property rights (IP). In doing so it pays particular attention at two dimensions, the internal adoption of this regime and external endorsement/contestation of international IP norms. Much has been written about whether emerging countries will challenge or support the maintenance of an open rules-based multilateral trade system. In this context, the differentiated integration of these two countries in the IP regime is notable. Domestically, China despite much criticism for widespread IP infringement has followed a maximalist interpretation of TRIPS. India, on the contrary has followed other emerging countries in pursuing a more critical, minimalist understanding. These positions have also been visible at the multilateral arena. This empirical finding runs contrary to the assumption that defiance results from market power. The divergence is the more surprising given a recent explosion of patent filings in both countries. From a political economy perspective, this should translate into support for stricter rules under TRIPS. In explanaining the two countries’ divertent insertion this paper looks beyond economic (market) power and domestic interests and underlines the role of ideational legacies, domestic interests and regulatory capacity. The paper thus stresses the need to look deep into domestic politics and ideational cleavages, as well as at their evolution over time, in order to better understand the international behaviour of emerging countries. [ABSTRACT FROM PUBLISHER]
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- 2016
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14. More educated and more equal? A comparative analysis of female education and employment in Japan, China and India.
- Author
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Sinha Mukherjee, Sucharita
- Subjects
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WOMEN'S education , *EMPLOYMENT , *GENDER inequality , *WOMEN'S employment , *COMPARATIVE studies , *RIGHT to education , *LABOR market , *GOVERNMENT policy -- Social aspects - Abstract
This paper attempts to explore the connections between expanding female education and the participation of women in paid employment in Japan, China and India, three of Asia's largest economies. Analysis based on existing data and literature shows that despite the large expansion in educational access in these countries in the last half century, women have lacked egalitarian labour market opportunities. A combination of social discouragement and individual choice largely explains the withdrawal, non-participation or intermittent female presence in the labour force, notwithstanding increased educational access. In taking stock of these issues and debates across these countries, it is argued that the parallel experiences of women in these countries can be traced back to persistent gender norms which, amongst other things, imply the centrality of marriage and non-market unpaid labour for women. The paper argues that there is a need for gender-sensitive public policy in order for increased education to translate to labour market gains for women, leading to sustainable development outcomes. [ABSTRACT FROM PUBLISHER]
- Published
- 2015
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15. Second Best Governance? Governments and Governance in the Imperfect World of Health Care Delivery in China, India and Thailand in Comparative Perspective.
- Author
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Ramesh, M., Wu, Xun, and Howlett, Michael
- Subjects
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HEALTH care industry , *GOVERNMENT policy , *MEDICAL care - Abstract
The objective of the paper is to assess the usefulness of conceptions of different modes of governance for understanding policy outcomes by studying the experience with hierarchical and non-hierarchical governance modes in the health care sector in China, India, and Thailand. The paper shows their experience with non-hierarchical modes to have been largely disappointing and that all three, but especially Thailand, are in the process of reverting to a more hierarchical mode of service delivery. The conclusion from this study is that non-hierarchical governance is not a substitute for or an improvement upon hierarchical governance in health care due to the many market and government failures that afflict the sector and affect the ability of different governance modes to function effectively. The hierarchical mode of government is also imperfect but less so than the alternatives in delivering health care. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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16. Exploring the influence of culture on hearing help-seeking and hearing-aid uptake.
- Author
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Zhao, Fei, Manchaiah, Vinaya, St. Claire, Lindsay, Danermark, Berth, Jones, Lesley, Brandreth, Marian, Krishna, Rajalakshmi, and Goodwin, Robin
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COMMUNICATION , *HEARING aids , *HEARING disorders , *HELP-seeking behavior , *NOSOLOGY , *MATHEMATICAL models of psychology , *ETHNOLOGY research , *SYSTEMATIC reviews - Abstract
Objective: The purpose of this paper was to highlight the importance of cultural infl uence in understanding hearing-help seeking and hearing-aid uptake. Design: Information on audiological services in different countries and ' theories related to cross-culture ' is presented, followed by a general discussion. Study sample: Twenty-seven relevant literature reviews on hearing impairment, cross-cultural studies, and the health psychology model and others as secondary resources. Results: Despite the adverse consequences of hearing impairment and the significant potential benefits of audiological rehabilitation, only a small number of those with hearing impairment seek professional help and take up appropriate rehabilitation. Therefore, hearing help-seeking and hearing-aid uptake has recently become the hot topic for clinicians and researchers. Previous research has identified many contributing factors for hearing help-seeking with self-reported hearing disability being one of the main factors. Although significant differences in help-seeking and hearing-aid adoption rates have been reported across countries in population studies, limited literature on the infl uence of cross-cultural factors in this area calls for an immediate need for research. Conclusions: This paper highlights the importance of psychological models and cross-cultural research in the area of hearing help-seeking and hearing-aid uptake, and consequently some directions for future research are proposed. [ABSTRACT FROM AUTHOR]
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- 2015
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17. Taking to the skies – China and India's quest for UAVs.
- Author
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Malhotra, Aditi and Viswesh, Rammohan
- Subjects
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DRONE aircraft , *DRONE warfare , *RECONNAISSANCE operations , *MILITARY intelligence - Abstract
Unmanned Aerial Vehicles (UAVs), or drones, have undoubtedly attained a prominent position in contemporary and future defence technologies. Likewise, Asian militaries have continued to realise the operational value of such vehicles, whether for Intelligence, Surveillance, and Reconnaissance (ISR) or combat purpose. In the current times, wherein UAVs are proliferating globally, it remains pivotal to understand their relevance, uses and implications, particularly with regard to emerging powers. It is in this context that the paper seeks to explore and compare the cases of the two rising Asian giants, India and China. The paper explores their UAV programmes, possible defence-oriented employments, and current technological capabilities to produce UAVs. The relevance of UAVs is assessed in terms of India and China's present military doctrines, security requirements (current and future) and how the UAVs fit into their security landscape. Finally, the article delves into the strategic implications of the greater proliferation and rampant employment of UAVs in the region. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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18. Re-visioning evidence: Reflections on the recent controversy around gender selective abortion in the UK.
- Author
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Unnithan, Maya and Dubuc, Sylvie
- Subjects
- *
POLICY sciences , *AUTONOMY (Psychology) , *DEBATE , *ETHNIC groups , *HUMAN reproduction , *HUMAN rights , *HEALTH policy , *MEDICAL practice , *SEX distribution , *ABORTION , *ABORTION laws , *PSYCHOLOGY - Abstract
Reports in the British media over the last 4 years have highlighted the schisms and contestations that have accompanied the reports of gender selective abortions amongst British Asian families. The position that sex-selection may be within the terms of the 1967 Abortion Act has particularly sparked controversy amongst abortion campaigners and politicians but equally among medical practitioners and the British Pregnancy Advisory Service who have hitherto tended to stay clear of such debates. In what ways has the controversy around gender-based abortion led to new framings of the entitlement to service provision and new ways of thinking about evidence in the context of reproductive rights? We reflect on these issues drawing on critiques of what constitutes best evidence, contested notions of reproductive rights and reproductive governance, comparative work in India and China as well as our involvement with different groups of campaigners including British South Asian NGOs. The aim of the paper is to situate the medical and legal provision of abortion services in Britain within current discursive practices around gender equality, ethnicity, reproductive autonomy, probable and plausible evidence, and policies of health reform. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
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19. Adoption of BIM by architectural firms in India: technology–organization–environment perspective.
- Author
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Ahuja, Ritu, Jain, Megha, Sawhney, Anil, and Arif, Mohammed
- Subjects
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BUILDING information modeling , *ARCHITECTURAL firms -- Management , *ARCHITECTURE & technology , *INNOVATION adoption , *AGRICULTURE - Abstract
Building information modelling (BIM) is being heralded as a remarkable innovation in the built environment sector with expectations of lofty sector-wide improvements. Some countries have shown remarkable levels of uptake of BIM, along the way documenting some evidence of benefits stemming from BIM. However, countries such as India and China are late entrants in the BIM adoption journey and are seeing a slower adoption rate. This study develops a model using the technology–organization–environment framework to study the factors influencing BIM adoption by architectural firms in India and reasons for this slow adoption. The proposed model of BIM adoption is tested using the partial least square method against responses collected from 184 industry professionals based in India. Findings reveal that the adoption of BIM by Indian architectural firms is at the ‘experimentation’ stage with variables such as expertise, trialability, and management support exhibiting a strong positive influence on BIM adoption. The study also explains the status of BIM adoption in India with the help of a multi-level social construct, which places the level of BIM adoption in India between the micro- and meso-levels of organizational scales. Similarities and dissimilarities with previous findings are discussed in the paper to highlight the findings of this study. [ABSTRACT FROM PUBLISHER]
- Published
- 2016
- Full Text
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20. Oil and state capitalism: government-firm coopetition in China and India.
- Author
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Meckling, Jonas, Kong, Bo, and Madan, Tanvi
- Subjects
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ENERGY policy , *PETROLEUM , *PUBLIC-private sector cooperation , *TRANSITION economies - Abstract
This paper examines the domestic sources of the internationalization of national oil companies (NOCs) in China and India. It argues that – counter to notions of state-led internationalization – the going abroad of NOCs reflects a pattern of ‘coopetition,’ i.e., the co-existence of cooperation and conflict between increasingly entrepreneurial NOCs and partially supportive and interventionist home governments. In China, the state has predominantly assumed the role ofresource supplier, rarely stepping in as aveto player. In India, the NOC–government relationship has been more adversarial, with the state intervening more often as aveto playerthan its Chinese counterpart and only slowly emerging as aresource supplier. These patterns of internationalization can be explained by how two major trends have been playing out in the two countries: (1) the marketization of NOCs, and (2) the reform of the governance of overseas investments. The findings matter to theory and policy. First, they unpack the relational dynamics of business–government relations in hybrid models of capitalism beyond notions of top-down and bottom-up dynamics. Second, our analysis shows that the state intervenes in the international energy strategies of emerging economies as the occasional veto player rather than actively leveraging NOC internationalization for geopolitical goals. [ABSTRACT FROM PUBLISHER]
- Published
- 2015
- Full Text
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21. Multidimensional Deprivation in China, India and Vietnam: A Comparative Study on Micro Data.
- Author
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Ray, Ranjan and Sinha, Kompal
- Subjects
- *
DATA analysis , *MICROECONOMICS , *COMPARATIVE studies , *ECONOMIC development , *MULTIDIMENSIONAL scaling - Abstract
This study compares living standards in China, India and Vietnam using the recent multidimensional approach. A distinguishing feature of this study is the use of unit record datasets containing household-level information on access to a wide range of dimensions. The study uses the methodology of principal component analysis to measure household wealth. The wealth index is then used to examine the distribution of deprivation and poverty by wealth percentiles. The study distinguishes between multidimensional deprivation and multidimensional poverty and compares the living standards in these countries based on both measures. This paper also presents comparative evidence on the percentage contribution to total deprivation by the various dimensions in each country, and reports several differences between China, India and Vietnam. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
22. Strengthening health technology assessment systems in the global south: a comparative analysis of the HTA journeys of China, India and South Africa.
- Author
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MacQuilkan, Kim, Baker, Peter, Downey, Laura, Ruiz, Francis, Chalkidou, Kalipso, Prinja, Shankar, Zhao, Kun, Wilkinson, Thomas, Glassman, Amanda, and Hofman, Karen
- Subjects
- *
CHRONIC diseases , *COMPARATIVE studies , *DECISION making , *HEALTH care rationing , *INSTITUTIONAL care , *INTERPROFESSIONAL relations , *RESEARCH methodology , *MEDICAL care , *MEDICAL care costs , *HEALTH policy , *MANAGEMENT of medical records , *MEDICAL technology , *QUALITY assurance , *RESEARCH , *RESEARCH funding , *EVIDENCE-based medicine , *JOB performance - Abstract
Background: Resource allocation in health is universally challenging, but especially so in resource-constrained contexts in the Global South. Pursuing a strategy of evidence-based decision-making and using tools such as Health Technology Assessment (HTA), can help address issues relating to both affordability and equity when allocating resources. Three BRICS and Global South countries, China, India and South Africa have committed to strengthening HTA capacity and developing their domestic HTA systems, with the goal of getting evidence translated into policy. Through assessing and comparing the HTA journey of each country it may be possible to identify common problems and shareable insights. Objectives: This collaborative paper aimed to share knowledge on strengthening HTA systems to enable enhanced evidence-based decision-making in the Global South by: Identifying common barriers and enablers in three BRICS countries in the Global South; and Exploring how South-South collaboration can strengthen HTA capacity and utilisation for better healthcare decision-making. Methods: A descriptive and explorative comparative analysis was conducted comprising a Within-Case analysis to produce a narrative of the HTA journey in each country and an Across-Case analysis to explore both knowledge that could be shared and any potential knowledge gaps. Results: Analyses revealed that China, India and South Africa share many barriers to strengthening and developing HTA systems such as: (1) Minimal HTA expertise; (2) Weak health data infrastructure; (3) Rising healthcare costs; (4) Fragmented healthcare systems; and (5) Significant growth in non-communicable diseases. Stakeholder engagement and institutionalisation of HTA were identified as two conducive factors for strengthening HTA systems. Conclusion: China, India and South Africa have all committed to establishing robust HTA systems to inform evidence-based priority setting and have experienced similar challenges. Engagement among countries of the Global South can provide a supportive platform to share knowledge that is more applicable and pragmatic. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
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