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Despite self-congratulatory rhetoric, Canada compromised COVID-19 vaccine equity with policies impeding a proposed global waiver of vaccine intellectual property (IP) rules. To learn from Canada’s vaccine nationalism we explore the worldview – a coherent textual picture of the world – in a sample of Government of Canada communications regarding global COVID-19 vaccine sharing. Analysed documents portray risks and disparities as unrelated to the dynamics and power relations of the Canadian and international economies. Against this depoliticised backdrop, economic growth fueled by strict IP rules and free trade is advanced as the solution to inequities. Global vaccine access and distribution are pursued via a charity-focused public-private-partnership approach, with proposals to relax international IP rules dismissed as unhelpful. Rather than a puzzling lapse by a good faith ‘middle power’, Canada’s obstruction of global COVID-19 vaccine equity is a logical and deliberate extension of dominant neoliberal economic policy models. Health sector challenges to such models must prioritise equity in global pandemic governance via politically assertive and less conciliatory stances towards national governments and multilateral organisations. Mobilisation for health equity should transform the overall health-damaging macroeconomic model, complementing efforts based on specific individual health determinants or medical technologies. [ABSTRACT FROM AUTHOR]

Patient photographs published in medical journals have been found on Google Images in two studies, raising concerns about informed consent and patient privacy. It is unlikely that patient informed consent includes consideration of these circumstances, as there are no uniform guidelines for obtaining consent for the publishing of clinical photographs across online medical journals. Health data privacy legislation in the EU, US, and Canada is only concerned with identifiable patient photographs, and their guidelines for deidentification are inconsistent. Patients have limited legal recourse in such cases, as the liability of search engines, publishers, and clinicians is unclear under law. Better informed consent and publication practices, as well as ethical dissemination of sensitive information online by tech companies, are necessary to address these issues. [ABSTRACT FROM AUTHOR]

Objective: To determine the differences between international medical graduates (IMG) and canadian medical graduates (CMG) in the medical learning environment (MLE) as there is progression from matching to residency and beyond. Method: A narrative literature review was done using the search engines pubmed, medline and embase on publications from 2000 to 2021 comparing IMG to CMG and those that compared IMG to non IMG in international publications were also considered. Results: The IMGs are offered less residency program positions compared to CMGs during the CaRMS selection process and specifically less in specialty programs. Amongst the article, 66% of IMGs compared to 90% of CMG were successful in the certification examination of the college of family physicians of Canada. A US article on the other hand found similarities in performance of USMGs and IMGs in a surgical residency program. Conclusion: A lot of IMG face several challenges including perceived systemic and individual discrimination, lack of mentorship and poor ability to navigate after immigration even after they are matched into a Canadian residency program. These are significant issues that should be dealt with to enable increase success and survival of IMGs in the MLE. [ABSTRACT FROM AUTHOR]

Acquired Brain Injury (ABI) is the leading cause of death and disability in children, yet educators report a lack of knowledge about ABI and supporting students with ABI. With no formal learning about ABI, education professionals may turn to the internet for information. To find online resources about supporting students with ABI, in any format, available freely and publicly, aimed toward elementary educators and that could be applied in a Canadian context. We performed an environmental scan using keyword Google searches, key websites, and expert recommendations. The search was performed twice: 2018 and 2021. 96 resources were included after screening. The resources were published by organizations in the United States (n = 57), Canada (n = 19), United Kingdom (n = 16), Australia (n = 3) and New Zealand (n = 1). Traumatic brain injury and concussion were the most commonly addressed type of ABI, and Short Fact/Information sheets were the most common resource format. Between 2018 and 2021, 13 previously included resource links were no longer accessible. This scan suggests that there are many online resources available to educators in a variety of formats, and that information online can be transient. Future studies should evaluate the accuracy and quality of the resources available. [ABSTRACT FROM AUTHOR]

The objective was to conduct an environmental scan of existing Canadian childcare resources targeting nutrition, physical activity, sedentary behaviour, and/or sleep. A comprehensive search plan was conducted that involved four search strategies: (1) grey literature databases, (2) customized Google search engines, (3) targeted websites, and (4) consultation with content experts. A resource (i.e., information, materials) must have been created by government or an organization/agency within Canada, available in English, intended for childcare educators or directors working with children ≤ 5 years of age, and focused on targeting improvements in nutrition, physical activity, sedentary behaviour, and/or sleep. The quality of each included resource was assessed using a modified version of the Authority, Accuracy, Coverage, Objectivity, Date, Significance checklist. A total of 192 eligible resources were included. Most resources targeted only nutrition (n = 101) or physical activity (n = 60), and few resources targeted only sedentary behaviour (n = 2) or sleep (n = 1). The remaining 28 resources targeted more than one health behaviour. The 4 most common topics of resources were menu/meal planning (n = 55), healthy nutrition practices/environment (n = 37), physical activities/games (n = 33), and nutrition/food literacy (n = 20). Only 52 included resources cited evidence. One-third of the included resources (n = 64) were rated as high quality, including 55 that received a point for the significance criterion. Therefore, numerous high quality Canadian childcare resources exist for nutrition and physical activity. Future resource development is needed for sedentary behaviour and sleep. Findings can assist future intervention work and the database of resources can be utilized by relevant stakeholders to support other childcare initiatives. [ABSTRACT FROM AUTHOR]

In the last decade, Sci-Hub has become prevalent among academic information users across the world. Providing thousands of users with millions of uncopyrighted electronic academic resources, this information pirate website has become a significant threat to copyrights in cyberspace. Information scholars have examined the unequal distribution of IP addresses of Sci-Hub users' nationality and emphasized the high proportion taken by users from the developed countries. This study finds new evidence from Google Scholar. Searching "Sci-Hub.tw" in the academic search engine, the author finds 531 results containing the keyword. Considering the result, the author argues that academic users in South American countries may use Sci-Hub more frequently than their counterparts in the rest of the world. Moreover, users in the Global North also rely on Sci-Hub to complete their research as well. The new evidence on Google Scholar proves the universal use of Sci-Hub across the world. [ABSTRACT FROM AUTHOR]

Rural, cold climate communities, such as those in coastal and northern Newfoundland and Labrador, face documented challenges pertaining to financial and infrastructure constraints and changing personnel considerations. Fire service delivery must adapt to these realities. The aim of this paper is to understand the scope of the scholarly and grey literature addressing challenges and solutions for fire service delivery and firefighting in rural and cold climate contexts, particularly as they pertain to Newfoundland and Labrador, Canada. The review was conducted using an academic search engine, topic-specific search engines, grey literature databases, and a review of relevant websites to produce information sources. Peerreviewed articles, professional reports, theses and dissertations, and other article types indicated several challenges and solutions. The challenges identified were represented in scholarly and grey literature. These included challenges related to resources, the environment, firefighting tasks, and community. Likewise, solutions centred around resources, firefighting tasks, and community were represented in both scholarly and grey literature. Specific identification of future research needs was limited in the research reviewed. Further investigation and evaluation of the efficacy of solutions for specific cold climate, rural regions are advised. [ABSTRACT FROM AUTHOR]

Patron privacy, as articulated in the American Library Association (ALA) Code of Ethics, is a longstanding concern for librarians. In online environments, the possibility of tracking by third parties, usage of HTTPS/TLS to provide secure connections, and easy disclosure of a site's privacy policies all have implications for user privacy. This paper presents new empirical evidence about these issues and discusses their ethical implications. Data about the incidence of third-party tracking, usage of HTTPS by default, and easy discoverability of a privacy policy or terms of service (TOS) were collected for public libraries across Canada and the United States. The sample consisted of 178 public libraries; members of the Canadian Urban Libraries Council and Urban Libraries Council. Several common commercial databases (e.g. OverDrive) were also examined using the same criteria. Results show that only 12% of libraries were devoid of third-party tracking, with Google Analytics being the most common third-party tracker. While libraries may support HTTPS under certain circumstances, it was found that a majority of libraries serve neither their websites nor their online catalogs (OPACs) HTTPS by default. Regarding disclosure of possible tracking, it was found that 58% of libraries did not link to a TOS or privacy policy from their homepage. Together with previous research on the usage of privacy-enhancing tools in public libraries, these results suggest that public libraries are accessories to third-party tracking on a large scale. Implications of this fact in light of library professional ethics are discussed. [ABSTRACT FROM AUTHOR]

Background: To limit the risk of transmitting the COVID-19 virus during in person interactions, modes of telemedicine, such as teleoncology, have been on the rise more than ever. This narrative review examines the effectiveness of current Canadian teleoncology services in providing adequate services to the residents of Canadian rural areas. This paper also seeks to analyze current international research and models of teleoncology and how they may be applicable in a Canadian rural context. The paper additionally provides well-supported and appropriate suggestions for future developments of Canadian rural teleoncology and future research directions within the field. Methods: Through a literature search on platforms like Google Scholar, 14 Canadian and international pieces of literature have been selected and reviewed. Common trends of teleoncology strengths and weaknesses have been retrieved, analyzed and summarized. Results: Upon analysis of advantages and disadvantages, it can be stated that teleoncology is a relevant mode of healthcare delivery in the current Canadian context. Despite its limitations, teleoncology can enhance and diversify the quality and types of services delivered to Canadians, especially those in rural areas. Conclusion: Overall, it can be safely deduced that teleoncology has the potential of becoming a prominent aspect of the future of healthcare especially in Canadian rural contexts. The next step towards enhancing the Canadian rural teleoncology system is to gain a better understanding of this system through more recent, standardized research. This can be followed by careful examination of the international status of teleoncology for potential inspirations for change and areas of research. In its analysis, the paper at hand provides a series of suggestions for future areas of research in this topic and potential methodologies for enhancing current Canadian rural teleoncology. [ABSTRACT FROM AUTHOR]

BACKGROUND: Companies often defending their products when there are concerns about their safety and/or effectiveness. OBJECTIVE: This study looks at drugs removed from the Canadian market from 1990 onward and examines how companies responded. METHODS: This descriptive analysis used a previously published article and a hand search of a Government of Canada website to generate a list of drugs withdrawn from Canada from 1990 onwards. For each product the following information was extracted: brand name, generic name, company, date of withdrawal and evidence base for withdrawal. Google and Factiva searches were used to identify sources containing statements from the company about the withdrawal. Statements were independently graded by two people into the following categories: company agrees with the withdrawal; drug could be used safely with certain precautions; company may reintroduce the drug; company disagrees with the withdrawal. Searches were carried out between September 15–20, 2020. RESULTS: There were 22 drugs for which there were company statements. In 10 statements, the companies disagreed with the decision to withdraw the drug and in 7 they agreed with the decision. In the other 5 cases they felt that the drug could have been kept on the market with restrictions (2 cases) or they might reintroduce the drug (3 cases). The level of evidence for the withdrawal did not seem to influence the companies' position. CONCLUSION: In 15 out of 22 cases, the company either disagreed with the decision to withdraw the drug or felt that the drug should continue to be available to Canadian patients. [ABSTRACT FROM AUTHOR]