Online Research Research Articles

Exploring menopausal symptoms, attitudes, and behaviors among menopausal women in China: an online research perspective.

The number of perimenopausal women in China is rising, but the population's concept of menopausal hormone therapy (MHT) is still relatively outdated. In this study, we used the Knowledge-Attitude-Practice (KAP) theory and collected online questionnaires from 1,100 women aged 40 to 60 years nationwide to find out their menopausal symptom profiles; to learn about their perceptions, attitudes, and behaviors toward menopause and MHT; to explore the factors influencing the acceptance of hormone treatments; and to look for better ways to promote the dissemination of menopausal knowledge. The results revealed that among women aged 40 to 60 years, 82.36% experienced possible menopausal symptoms, with hot flushes/sweating, sleep disorders, mood disorders, and fatigue being the most prevalent; 55.90% reported moderate to severe symptoms, but only 46.99% of them sought healthcare services. Among those who sought medical care, 16.00% had their first visit to climacteric clinics/gynecological endocrinology, and 5.66% accepted MHT. Furthermore, 77.82% of participants never heard of MHT or were unaware of its existence. The healthcare-seeking behavior of menopausal women in response to symptoms and their willingness to accept MHT were found to be closely associated with their level of self-care. The prevalence of menopausal symptoms is higher in China than previous research findings, but due to a lack of relevant knowledge, the rate of seeking treatment from the appropriate medical department and accepting MHT is relatively low. Enhancing physicians' knowledge of the menopausal transition and using Internet tools might help improve Chinese women's knowledge of menopause and help them pass through this period smoothly.

‘And then … ’: new media’s conspiracy theories and counternarratives in Loose Change and The Power of Nightmares

ABSTRACT This paper re-asserts the politically contested status of new media as a site of both conspiracy theories and counterhegemonic narratives through analyses of Dylan Avery’s Loose Change and Adam Curtis’ The Power of Nightmares. I outline how Loose Change’s form reflects its origins in online research, and how the web’s structures influence the film’s conspiracy theory narrative. This is compared to the production and distribution of The Power of Nightmares. The juxtaposition of images and ideas (the ‘and then … ’) provides an example of the web’s formal influence. Exploring Curtis’ use of the BBC archive, barriers to distributing his counternarrative, and the appropriation of his films through online channels, I inform a discussion of the ways new media provides a crucial resistance to hegemonic narratives. Drawing on Jean Baudrillard’s account of September 11th, I argue that both texts must be understood as dialectical responses to the official narratives around 9/11 and the War on Terror.

Polymedia Literacy and Other Ethical Considerations for Online Ethnographic Research on Social Networking Sites.

Drawing on the authors' own ethnographic research, this article discusses the importance of developing polymedia literacy as a key step toward ethical online research on social networking sites (SNS). Polymedia literacy entails the ability to critically analyze the vast landscape of SNS, their affordances, and users' social motivations for choosing specific SNS for their interactions. Internet researchers face several ethical challenges, including issues of informed consent, "public" and "private" online spaces, and data protection. Even when research ethics committees waive the need for a formal ethics approval process, researchers of online spaces need to ensure that their studies are conducted and presented in an ethical and responsible manner. This is particularly important in research contexts that pertain to vulnerable populations in online communities.

How Making Consent Procedures More Interactive can Improve Informed Consent: An Experimental Study and Replication.

Prospective research participants do not always retain information provided during consent procedures. This may be relatively common in online research and is considered particularly problematic when the research carries risks. Clinical psychology studies using the trauma film paradigm, which aims to elicit an emotional response, provide an example. In the two studies presented here, 112-126 participants were informed they would be taking part in an online study using a variant of this paradigm. The information was provided across five digital pages using either a standard or an interactive format. In both studies, compared to the control condition, participants in the interactive condition showed more retention of information. However, this was only found for information about which they had been previously asked via the interactive format. Therefore, the impact of adding interactivity to digital study information was limited. True informed consent for an online study may require additional measures.

Coastal and Marine Management – Navigating islands of data

The disciplines of Coastal Management and Marine Spatial Planning (MSP) are predominantly focussed on creating a regulatory and legislative framework within which national and regional planning policies, climate mitigation measures and environmental monitoring requirements can be effectively implemented. These evidence-based processes necessitate the discoverability, accessibility and integration of appropriate ‘trusted’ coastal and marine data together with contiguous terrestrial datasets. This presents significant challenges at national and local levels. While authoritative open data is often available, the data for any management requirement is often dispersed across a wide range of national online portals, statistical and research hubs, ‘scientific’ platforms and occasionally, private companies. This is exemplified in Ireland, where MSP is in its infancy, and consequently, the breadth of MSP foundational thematic marine data requirements required to comply with this Directive has yet to be fully realised by end-users/stakeholders and data providers. This study examines the nexus between mandatory data requirements of the European Community’s Infrastructure for Spatial Information in the European Community (INSPIRE) Directive11INSPIRE Directive (2007/2/EC) is a legal EU initiative to establish an INfrastructure for SPatial InfoRmation in Europe and to make geographical information more accessible and interoperable for the management of the environment and other wide range of purposes towards supporting sustainable development (EC, 2021) (2007/2/EC), (EC, 2007) and the evidence-base needs of its Maritime Spatial Planning (MSP) Directive (2014/89/EU). An extensive inventory of coastal and MSP thematic data features is identified and categorised (into sectoral/thematic clusters) and appropriate and authoritative online sources (where available) are scoped out. Through an in-depth interrogation of national and EU sectoral platforms or portals, (much of whose data was originally captured for a diverse range of applications and management processes), and in view of INSPIRE’s well-established (legally-binding) data specifications, standards and guidance, a methodology is presented to accelerate coastal and marine data discovery, and to collate or ‘group’ these authoritative data sources under broad but succinct MSP thematic headings. The resulting coastal and marine data catalogue is the first step in the creation of an easy data reference and retrieval tool for Irish coastal and marine practitioners, and presents a model for other nations.

Comparative Analysis of the Development of China and US Online Trading Platforms and Research on the Strategies of China Online Trading Platforms

Comparative Analysis of the Development of China and US Online Trading Platforms and Research on the Strategies of China Online Trading Platforms

Investigating the Differentiated Experiences of an Academician in the Transition to Distance Education Through a Documentational Framework

This study examines the documentational genesis of an academician transitioning to distance education during the pandemic. Using qualitative case study design, the research involved an associate professor in engineering at a Turkish state university. Selected via purposeful sampling, the participant was open to sharing experiences and participating in the study. Data were collected through online course video recordings, semi-structured interviews, observations and researcher notes. Content analysis was used for the data analysis, and from the obtained themes, the elements of the participant's schemes in online education, the challenges experienced, and the variations in these schemes were presented from a documentational perspective. As a result of the research, it was found that the participating academician used different types of knowledge, including both content knowledge and pedagogical content knowledge, in online education. Additionally, it was concluded that the academician continued to use some resources from face-to-face education during the transition to and process of online education, modified some resources to create differentiated resources, and completely abandoned some resources. Another finding of the research is that the participating academician faced many challenges during the online education process. These challenges were primarily found to be due to student-related and institutional factors. Moreover, the academician expressed both positive and negative opinions about distance education.

Knowledge arbitrage: what are the risks, and do they matter?

PurposeIt is largely acknowledged that arbitrating the flow of knowledge can help firms strategically leverage tacit and explicit internal knowledge. However, despite the apparent scholarly and managerial acceptance of the criticality of the flow of knowledge between various stakeholders, the academic understanding of knowledge arbitrage remains coarse-grained. There are practically no empirical insights available to unravel the consequences of firms’ knowledge arbitrage choices regarding rewards and risks. This study aims to identify the risks that emerge as firms channel the flow of knowledge from surplus to deficit areas within organizational boundaries. To this end, the authors investigate several subsumed subprocesses in knowledge arbitrage to map the associated risks.Design/methodology/approachThis study used an exploratory qualitative approach to examine the risks that emerge as firms attempt to support knowledge flows within their organizational boundaries. The data were collected through open-ended essays via an online research platform from 45 full-time employees of firms operating in different sectors. The collected data were analyzed inductively through open, axial and selective coding.FindingsThe research findings identified three key subprocesses of knowledge arbitrage: knowledge diffusion, knowledge brokering and knowledge absorption. These subprocesses are susceptible to various risks arising the form of channels, champions, sharers and receivers of knowledge flows. In general, the study showed that a firm’s decision regarding knowledge flows, such as structured or random flows, or the presence or absence of designated coordinators to broker the flow carries specific risks for both sharers and receivers. In particular, while the risks of knowledge hiding, misinformation and disinformation manifest in all three subprocesses, low employee engagement, loss of knowledge and information overload also emerged as key risks in any two of the three subprocesses.Originality/valueThis study offers valuable insights by uncovering the hitherto unexplored risks in intrafirm knowledge arbitrage. Given that knowledge is a crucial organizational tool for driving performance, innovation and competitive advantage, understanding the risks associated with intrafirm arbitrated knowledge flows can help firms anticipate and mitigate the associated adverse consequences. The findings make a novel contribution by offering (a) a comprehensive categorization of the risks associated with knowledge arbitrage rooted in processes, people and structures and (b) a macro overview of knowledge arbitrage risks associated with the processes of knowledge diffusion, knowledge brokering and knowledge absorption.

Four questions to assess attitudes toward epilepsy, the caveness questions: Analytical study to verify the usefulness of the Japanese version

ObjectiveThis study sought to translate the Caveness questions (CQs), initially formulated in the United States for assessing attitudes toward people with epilepsy (PWE), into Japanese. Concurrently, the study examined the translated instrument's psychometric properties, specifically the usefulness within Japan's cultural and linguistic context. MethodsWe crafted the Japanese version of CQs-J by drawing upon the original English and German versions. Subsequently, On May 22nd and 23rd, 2023, we administered an online questionnaire survey to the general public registered with the online research survey service (Cross Marketing Group Inc., Tokyo, Japan). Inclusion criteria comprised an age of ≥18 years, processing proficient reading and speaking skills in Japanese, and demonstrating the ability to comprehend the Japanese questionnaires. In addition, we included questions about age, gender, education levels, employment status, and any experiences with epilepsy. ResultsA cohort comprising 400 ordinary people processing prior exposure to information regarding epilepsy participated in the study. Participants provided informed consent before proceeding to complete the study questionnaire. The CQs-J, encompassing following four items.CQ1) Would you object to having any of your children in school or at play associate with persons who sometimes had seizures (fits)?CQ2) Do you think epilepsy is a form of insanity or not?CQ3) Do you think epileptics should or should not be employed in jobs like other people?CQ4) Would you object to having a son or daughter of yours marry a person who sometimes has seizures (fits)?We compared CQs-J groups with negative or positive attitudes towards epilepsy, taking into account age, gender, employment status, education levels, and knowledge and experiences of the condition. Those who responded to the CQ1 question that they would object to their child's occasional association with someone at school or at play who has seizures (fits) were significantly more negative in their experiences with epilepsy: they did not understand what to do during seizures (Ex3, p < 0.01), and they did not believe in the effectiveness of epilepsy treatment (Ex4, p < 0.01). In addition, males were significantly more likely to respond that epilepsy is insanity when asked the CQ2 question (p < 0.001). Additionally, in CQ3, do you think people with epilepsy should have the same access to jobs as other people with epilepsy? Significant differences were found for younger age, a lower overall Epilepsy Knowledge Scale score (p < 0.001), being employed (p = 0.028), Ex3 (p = 0.041), and Ex4 (p < 0.01). Finally, older people were significantly more opposed to marrying someone who has seizures in CQ4 (p < 0.001) or is not working, and others were also significantly more opposed (p = 0.030). SignificanceWe evaluated the utility of the Japanese version of the CQs, demonstrating its effectiveness for assessing treatment strategies in stigma reduction and enabling cross-cultural comparisons of attitudes towards epilepsy. In large-scale social surveys, the CQs-J scale effectively captures broad attitudes toward epilepsy with a limited number of items and offers the advantage of ease of use for longitudinal studies, such as tracking changes in attitudes over time. Furthermore, we expect the CQs-J results to facilitate in-depth cross-cultural comparisons of attitudes toward epilepsy by comparing them across different cultures.

A training protocol compliance of 13% was observed in a research study of clinical research professionals

ObjectiveWe attempted to conduct a randomized controlled trial of three different informed consent training formats to evaluate their effectiveness. We recruited 503 clinical research professionals, who received $50 for participation. Incidental findings showed unexpectedly low rates of compliance with completing the study training protocols, resulting in insufficient statistical power to test our original hypotheses. In this report, we conducted a secondary analysis of the data in which we characterize and evaluate the observed low compliance. This involved using literature on average reading times, speed-reading times, and video play speeds to calculate the timeframes required to complete the three training formats.ResultsOnly 13% of participants completed the training in a reasonable timeframe. Furthermore, only 46% of participants completed the training in the minimum possible timeframe. These findings lead us to ask whether online research training is effective, since no training can be effective if participants do not actually complete the training. Given extensive requirements for educational training among clinical research professionals, we feel the burden of proof is on training programs to demonstrate that they have positive effects.

Green Packaging and Environmental Safety in Ghana’s Hospitality Industry: A Systematic Review

This study seeks to review on green packaging practices on environmental safety in Ghana’s hospitality industry. The reviewed studies adopted a cross-sectional study design. A systematic review was carried out with the aid of online research journal websites as well as other in-context articles. While conducting this study, the key words in the search query were directed towards the impact of green practices on environmental safety in Ghana. Areas noted in relation to this study was use of green practices in hotels. Therefore, there was linkage of papers pointing out the impact of green practices on environmental safety. The results revealed that, hotels fared well in environmental health but badly in eco-labeling and certification. At 34%, hotels supported sustainability. Results affect MDGs, volunteering, and environment. Hierarchical multiple regression demonstrated that hotel size, class, national hotel trade association engagement, and manager remuneration increased environmental performance. No performance improvement from global chain link. Many Ghanaian hotels provide green enhancements. Most municipal hotels affect the environment. Sustainability demands hotel personnel green management training. Based on observations and interviews, they promote resilience in solid and liquid waste management, renewable energy development, green designs, energy efficiency, water conservation, and green environmental regulatory compliance. Conclusion: The research shows that hotels are important to their communities' economies, but if we neglect their environmental impact, they may damage the ecosystem. There is a need for hotels that invest money into environmental audits or certification programs like eco-labels to get monetary recompense for their environmental efforts.

Kesan Penggunaan Teknologi Realiti Terimbuh Terhadap Pencapaian Akademik Pelajar : Sebuah Kajian Literatur Sistematik

The use of technological elements in education has become one of the elements of learning in the 21st century (21st Century Learning) Incorporated Augmented Reality is one of the branches of technology that is increasingly being applied in education. Augmented Reality is a technology that applies virtual information to the physical world in a three-dimensional form, which produces an interactive and comprehensive experience for the user. The highlighting objective of this systematic study is to identify the use of Augmented Reality applications in education and its impact on student academic achievement. The methodology of this study is based on online research highlighting from databases such as Scopus and Web of Science (WOS). The keywords used in the search are Augmented Reality in education, impact, learning, and academic achievement. This systematic study highlighted the use of augmented reality in a range of primary education level up to tertiary education level in learning fields, such as language studies, science, mathematics, and higher education. The study also found that the application of augmented reality can help improve student visualization skills, student problem-solving skills and help improve students' academic achievement. This aided researchers and educators to use the augmented reality application in education, while also providing future study related to the implementation of augmented reality and appropriate learning strategies for effective use of augmented reality technologies. The study also found that both teachers and also students have positive perception towards the use of augmented reality applications in learning process.

Use Mobile Apps to Link to Google Forms to Conduct Online Surveys.

The study aimed to evaluate changes in anxiety levels in patients with coronary artery disease before and after cardiac catheterization. The mobile applications LINE and GOOGLE were used to collect online data. A total of 188 patients participated in the study conducted at a regional teaching hospital in eastern Taiwan, and 51 of them completed the questionnaire twice, with a response rate of 27.1%. Although the second study noted the problem of incomplete data and low response rates, this study shows that online research methodology can still be improved and that using electronic questionnaires for data collection and statistical analysis reduces the risk of errors in online research and saves time in documentation. It is recommended to provide clear and detailed instructions when conducting online surveys and to review them carefully upon completion to ensure the completeness of the data collected.

Examining the Role of Sports Betting Marketing in Youth Problem Gambling.

Sports betting is becoming increasingly common among young people in the UK and Australia. There is a need to understand how the marketing of sports betting may influence risky and pathological gambling to inform policies aimed at reducing harm. This study examines whether sports betting advertising may predict problem gambling scores among young people, while accounting for non-marketing variables. We recruited 567 participants (53.1% male) aged 18-24 years from an online research panel. Participants were eligible if they had an active betting account and regularly bet on sports. We conducted a hierarchical regression analysis to examine whether four marketing-related measures (exposure to advertising, ad-driven betting decisions, use of betting inducements, and perceived susceptibility to betting inducements) could predict PGSI scores. We controlled for several demographic, psychological, and behavioural variables, including gender, gambling participation, spend per session, participation in in-play betting, normative beliefs about sports betting, and impulsivity. The study revealed that sports betting marketing was positively associated with PGSI scores after controlling for non-marketing variables. Significant marketing predictors included ad-driven betting decisions and perceived influence from betting inducements. Other significant predictors included participation in non-sports betting gambling activities, spend per session, involvement in in-play betting, and the impulsivity trait of negative urgency. Sports betting marketing appears to be implicated in young people's gambling problems. Specifically, young people who have gambling problems may be more likely to bet in response to advertising, and betting incentives may contribute to an intensification of their gambling behaviour. This study supports the implementation of regulations and restrictions on advertising as a measure to protect young problem gamblers.

The relationship between emotional biases and investment decisions: a meta-analysis

PurposeThe study attempts to investigate the relationship between emotional biases (loss aversion bias, overconfidence bias, and regret aversion bias) and investment decisions through a meta-analysis approach.Design/methodology/approachA meta-correlation analysis was done using sample size and correlation (r) data from several relevant studies that look at how emotional biases (loss aversion bias, regret aversion bias, and overconfidence bias) affect investment decisions. Additionally, beta coefficients (ß) were also converted to correlation coefficients (r) from six studies.FindingsThis study analysed 31 empirical studies and found a significant positive correlation between emotional biases and investment decisions [loss aversion bias (r = 0.492), regret aversion bias (r = 0.401), and overconfidence bias (r = 0.346)]. We set the statistical significance threshold at 0.05.Research limitations/implicationsThe review covered 31 online research publications that showed significant heterogeneity, possibly influenced by various methodological, population, or other factors. Furthermore, the use of correlational data restricts the ability to establish causation.Originality/valueThis is a novel attempt to integrate the results of various studies through meta-analysis on the relation between these emotional biases (loss aversion, overconfidence, and regret aversion) and investment decisions.

Average ages of onset and time to transition between self-injurious thoughts and behaviors: Retrospective evidence from two developmentally distinct samples

BackgroundSuicidal thoughts and behaviors often emerge in a predictable sequence, with suicidal ideation (SI) preceding planning, and planning preceding actions. Few studies, however, have considered the timing and duration of non-suicidal self-injury (NSSI) in these transitions. Accordingly, this study examined: 1) the developmental sequencing of NSSI, SI and suicide attempts, and 2) whether age of onset or duration predict transitions from NSSI to other SITB, and from SI to NSSI. Methods704 first-year students from a mid-sized Canadian university (Sample 1) and 2095 adults from an online research volunteer panel (Sample 2) completed the Self-Injurious Thoughts and Behaviors Interview self-report, which assessed the presence, age of onset, and recency of SITB. ResultsNSSI and SI typically onset before age 15, while suicide planning and attempt usually began at or after age 15. Transition from NSSI to SI was likeliest in the first year after NSSI onset. Transition from NSSI to suicide attempt was likeliest in the second and third year after NSSI onset in Sample 1, and up to four years after NSSI onset in Sample 2. Early (before age 13) and late (after age 16) onsets of NSSI predicted higher odds of transitioning from NSSI to SI or attempt. Transition from SI to NSSI was likeliest in the first two years after SI onset and when SI began before age 13. ConclusionsThe first year after NSSI or SI onset are critical for transitions to other SITB. Targeted prevention and monitoring should be considered for people who recently initiated NSSI.

Ojas and Vyadhikshamatava- Ayurvedic Perspectives of Immunity and its modulation in Clinical Arena

Background: With emerging double burden of infectious and life style disorders across the globe, immune enhancement through Ayurveda approaches is gaining popularity these days to enhance the disease resistance against infection, immune deficiency disorders and auto-immune disorders. Aims and Objectives: To critically explore the classical concept of the Ojas and Vyadhi Kshamatav in its relation with the disease resistance. To find the scope of application of Ojas in clinical perspective. Materials and Methods: Critical review study involving the review of literature from Samhita texts and internet based review of online research databases with keywords of Immunity, Ojas and Vyadhi Kshamatava. 41 articles with abstract were studied 15articles were selected and critically reviewed. Discussion: Immunity is fundamentally an ideal state of Dhatu Samyta (equilbrium) which can be seen as an health asset for resistance towards infection control and inflammation. It is created by a series of health promoting behaviors enlisted in Ayurveda and by employing various rejuvenating modalities (Rasayana). Conclusion: Immunity as per modern medicine thought is specific to only host-pathogen defence but Ayurveda takes integrative immunity in perspective and explore all the factors which affects the well being and hence disease resistance of an individual.

Near-infrared indocyanine green angiography in recognizing bowel ischemia in emergency surgery: game changer or overrated?

Assessing bowel perfusion in emergency intestinal surgery can prove challenging even for experienced surgeons. The necessity of a technological tool assisting clinicians is undisputed. Near-infrared indocyanine green (NIR-ICG) angiography has been increasingly used in elective colorectal surgery to evaluate intestinal perfusion with promising results. This review aims to answer whether a similar outcome can be observed in acute cases of bowel ischemia. We conducted online research of the literature using keywords such as "indocyanine green", "bowel", "emergency" and "ischemia", to identify articles concerning the use of ICG-angiography in evaluating bowel perfusion during emergency operations. PubMed was the primary database. 11 articles were included in this systematic review with a total of 358 patients. Most papers showed a positive effect after using NIR-ICG-angiography, whereas one study indicated the limitations of the method by exhibiting increased reoperation and mortality rates. Moreover, a significant variation in indocyanine green (ICG) dose and fluorescence identification systems was observed. NIR-ICG-angiography has the potential to become a fundamental tool in emergency intestinal operations. Nevertheless, additional research, especially high-quality, randomized studies, as well as quantification techniques are still needed to support these preliminary observations.

Brain drain incidence and health-care infrastructural deficit challenges: the role of capacity development among “JAPA” physicians in Nigeria

PurposeThe brain drain challenge has become a cankerworm confronting not only the public health-care sector in Nigeria but almost all sectors of the national economy. This study aims to explore the push factors responsible for brain drain incidence among the migrated, JAPA, physicians to other global work environments. The study investigates the mediating role of capacity development among migrated, JAPA, physicians between the health-care infrastructural deficit and brain drain syndrome.Design/methodology/approachThis study used a survey cross-sectional research design to examine the 214 migrated physicians in four notable perceived countries (UK, USA, Canada and Australia). The study used a probability sampling strategy to survey a self-administered online research instrument. The study adapted a battery of scales from several authors to measure the relevant constructs of this study. Hierarchical multiple regression was used to examine factors that provoke the incidence of brain drain burden among the JAPA Physicians. While Macro Hayes Process was used to investigate the mediating role of capacity development among migrated physicians.FindingsThe study revealed from the “JAPA” physicians that working conditions are turbulent and utterly poor which led to the incidence of brain drain. The study indicated that poor remuneration and benefits are the predominant reason for JAPA physicians to European countries and USA/UK. The findings of the study demonstrated that restricted opportunities and poor standard of living in the country were additional factors responsible for the brain drain of Nigerian physicians to other international countries. The outcome of the study also illustrated that inadequate infrastructure and facilities are the dominant variables that pushed physicians to foreign nations. It was revealed that there is a toxic mix of several issues that led to a brain drain albatross among the migrated physicians from Nigeria. The last part of the study indicated that physicians’ capacity development was a game changer that would discourage brain drain incidence and establish motivation for working in Nigeria's public health-care sector.Originality/valueThe study has given a direction for providing succinct solutions to the cankerworm of brain drain that has depleted the Nigerian public health-care industry. It has proffered a possible trajectory that will reverse the JAPA syndrome among the professional health-care workforce. This will not only benefit the public health-care personnel but also be significant for all the human capital across all the sectors of the national economy of Nigeria.

Reflections on 50 years of IFOMPT

2024 marks the 50th anniversary of the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT). IFOMPT became the first subgroup of World Physiotherapy. IFOMPT aims and works for global promotion of excellence and unity in clinical and academic standards for manual/musculoskeletal physiotherapists. This dissertation reflects on some of IFOMPT's initiatives and achievements as an international organisation in its first 50 years as well as challenges for next 50 years. IFOMPT has achieved in several initiatives. These include the development of an international educational curriculum in manipulative/musculoskeletal physiotherapy which underpins education standards for membership. Educational standards for membership is a relatively unique requirement of a professional organisation.IFOMPT has achieved in developing several initiatives to disseminate knowledge for best standards of practice for its members and the wider community. The pinnacle is its four yearly international scientific conferences where the latest issues in both research and practice are presented and discussed. IFOMPT has also developed frameworks to guide clinical practice in key areas for safe practice – vascular pathologies of the neck, a clinical reasoning pathway to identify ‘red flags’, and the use of spinal manipulation in paediatrics. Other resources include on-line lectures, podcasts and research reviews.IFOMPT has challenges for the future. These include increasing the number of member countries and further establishing its profile and position of leadership in manual/musculoskeletal physiotherapy in the international context, particularly with decision makers in world health.