Caribbean Tertiary Institutions and the Impact of the COVID-19 Pandemic

2021 ◽  
Author(s):  
Keyword(s):  
West Indies ◽  
Colleges And Universities ◽  
Lessons Learned ◽  
Tertiary Institutions ◽  
Payment Schemes ◽  
The Caribbean ◽  
The University ◽  
The Impact

The COVID-19 pandemic forced the closure of schools across the Caribbean, including tertiary institutions. Colleges and universities turned to digital solutions and modified their pedagogy in order to sustain continuity of learning. Other adaptations like flexible payment schemes were made to allow students to stay enrolled. The University of West Indies CCEP and CLRI and the IDB co-hosted a conversation titled “Caribbean Tertiary Institutions and the Impact of the COVID-19 Pandemic,” which sought to explore how tertiary institutions were coping with the impact of the COVID-19 pandemic. The conversation focused on the most prominent challenges and what measures the institutions had taken to deal with them, what they felt they had done well in adapting, and how sustainable they deemed those measures in supporting their operations in the medium to long term. A follow-up meeting was held with several students from UWI to further explore how they had been impacted. This publication shares the responses to these questions, offers lessons learned and outlines next steps for the Caribbean Tertiary Institutions and the IDB.

scholarly journals The legacy of George L. Beckford’s plantation economy thesis in Jamaica

1995 ◽  
Vol 69 (1-2) ◽  
pp. 111-119 ◽  
Author(s):  
Jean Besson
Keyword(s):  
Land Reform ◽  
West Indies ◽  
World Economy ◽  
The West ◽  
Late Professor ◽  
Plantation Economy ◽  
The Caribbean ◽  
Persistent Poverty ◽  
The University ◽  
The Impact

[First paragraph]Plantation Economy, Land Reform and the Peasantry in a Historical Perspective: Jamaica 1838-1980. CLAUS STOLBERG & SWITHIN WILMOT(eds.)- Kingston: Friedrich Ebert Stiftung, 1992. 145 pp. (Paper n.p.)This interdisciplinary collection focuses on the integration of Jamaica's classical plantation economy with the world economy, and the impact of the plantation economy on the peasantry, land reform, and agrarian modemization in Jamaica from emancipation in 1838 up to 1980. The eight papers comprising the volume were, as a one-page editorial "Introduction" outlines, presented at a symposium at the University of the West Indies, Mona, and are dedicated to the late Professor George Beckford whose work on persistent poverty in plantation economies championed the Jamaican peasantry. As such, the book is a welcome addition to the literature on the Caribbean plantation-peasant interface. However, the chapters are uneven in quality, with some reflecting analytical weaknesses and a lack of historical depth. Typographical errors, grammatical mistakes, and poor documentation are also noticeable. In addition, contrasting perspectives emerge among the contributors and this is not addressed by the editors.

scholarly journals ORCHESTRA project in Romania - a prospective occupational cohort to study the impact of COVID-19 pandemic on healthcare workers

2021 ◽  
Vol 72 (1) ◽  
pp. 54-58
Author(s):  
Dana Mateș ◽  
Violeta Claudia Calotă ◽  
Cătălin Alexandru Staicu ◽  
Lavinia Călugărenu ◽  
Mădălina Ipate ◽  
...  
Keyword(s):  
Horizon 2020 ◽  
Research And Innovation ◽  
Care Workers ◽  
Vaccination Acceptance ◽  
Occupational Cohort ◽  
The University ◽  
The Impact ◽  
International Research Project

Abstract ORCHESTRA is a three-year international research project funded by the European Union’s Horizon 2020 research and innovation programme, led by the University of Verona and involving 26 partners (extending to a wider network of 37 partners) from 15 countries. Romania is partner in ORCHESTRA project and is represented by The National Institute of Public Health. The challenge for the Romanian team is to enroll a prospective cohort of more than 1 000 health care workers and to follow-up, for at least 12 months, the impact of the pandemic at three main levels: mental health, long term consequences of COVID-19 and variation of the immune response in vaccinated. Secondary objectives are: the variation of risk perception during the pandemic, the preventive measures at workplace and how these evolved during the pandemic, vaccination acceptance and reasons of refusal. This paper aims to present a brief overview of the study design in Romania and the cohort description at baseline.

Evaluating and Motivating Activation in Long Term Care: Lessons From a Pilot Study

2021 ◽  
Vol 10 (1) ◽  
pp. 42-46
Author(s):  
J. Jbilou ◽  
A. El Bouazaoui ◽  
B. Zhang ◽  
J.L. Henry ◽  
L McDonald ◽  
...  
Keyword(s):  
Long Term Care ◽  
Driving Simulator ◽  
Care Home ◽  
Lessons Learned ◽  
Term Care ◽  
Care Facilities ◽  
Technological Intervention ◽  
The Impact ◽  
Research Recommendations

Older adults living in long-term care facilities typically receive insufficient exercise and have long periods of the day when they are not doing anything other than sitting or lying down, watching television, or ruminating (Wilkinson et al., 2017). We developed an intervention called the Experiential Centivizer, which provides residents with opportunities to use a driving simulator, watch world travel videos, and engage in exercise. We assessed the impact of the intervention on residents of a long-term care home in Fredericton, NB, Canada. In this paper, we report on the results observed and highlight the lessons learned from implementing a technological intervention within a long-term care setting. Practical and research recommendations are also discussed to facilitate future intervention implementation in long-term care.

scholarly journals Impact of Frailty on Medical and Long-Term Care Expenditures for the Elderly Age 75 or Over in Japan

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 176-176
Author(s):  
Hiroto Yoshida ◽  
Yuriko Kihara
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Elderly Age ◽  
Term Care ◽  
Intentional Weight Loss ◽  
Long Term Care Insurance ◽  
And Gender ◽  
The Impact

Abstract This study examined the impact of frailty on medical and long-term care expenditures in an older Japanese population. The subjects were those aged 75 years and over who responded to the survey (March 2018) in Bibai, Hokkaido, Japan (n=1,203) and have never received certification of long-term care insurance at the survey. We followed up 867 individuals (72.1%) until the end of December 2018 (10 month-period). We defined frailty as a state in performing 4 items and over of 15 items which were composed of un-intentional weight loss, history of falls, etc. Among 867 subjects, 233 subjects (26.9%) were judged to be frailty group, and 634 subjects (73.1%) non-frailty group. We compared period to the new certification of long-term care insurance (LTCI), accumulated medical and long-term care expenditures adjusted for age and gender between the two groups during the follow-up period. Cox proportional hazard models were used to examine the association between baseline frailty and the new certification of LTCI. The relative hazard ratio (HR) was higher in frailty group than non-frailty group (HR=3.51, 95% CI：1.30-9.45, P=.013). The adjusted mean accumulated medical and long-term care expenditures per capita during the follow-up were significantly (P=.002) larger for those in the frailty group (629,699 yen), while those in the non-frailty group were 450,995 yen. We confirmed strong economic impact of frailty in the elderly aged 75 or over in Japan.

scholarly journals P181 Long-term improvement in axial spondyloarthritis clinical outcomes following 2-weeks of intensive education and rehabilitation: results from the Bath residential rehabilitation programme

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Rosie Barnett ◽  
Anita McGrogan ◽  
Matthew Young ◽  
Charlotte Cavill ◽  
Mandy Freeth ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Disease Activity ◽  
Axial Spondyloarthritis ◽  
Rehabilitation Programme ◽  
Spinal Mobility ◽  
The Impact

Abstract Background/Aims  Axial spondyloarthritis (axSpA) is a chronic rheumatic condition, characterised by inflammatory back pain - often associated with impaired function and mobility, sleep disturbance, fatigue, and reduced quality of life. Despite the vast advances in pharmacological treatments for axSpA over the last few decades, physical activity and rehabilitation remain vital for effective disease management. At the Royal National Hospital for Rheumatic Diseases in Bath (RNHRD), the 2-week inpatient axSpA rehabilitation programme has been integral to axSpA care since the 1970’s. Prior research has demonstrated significant short-term improvements in spinal mobility (BASMI), function (BASFI) and disease activity (BASDAI) following course attendance. However, the long-term outcomes are yet to be evaluated in this unique cohort. Methods  Since the early 1990’s, clinical measures of spinal mobility, function and disease activity have been routinely collected at the RNHRD at all clinical appointments through administration of the BASMI, BASFI and BASDAI, respectively. Dates of attending the axSpA course and standard clinical and treatment follow-up data were also collected. Multiple linear regression models were used to investigate the impact of course attendance on final reported BASMI, BASDAI and BASFI scores (final score=most recent). Length of follow-up was defined as time between first and last recorded BASMI. Results  Of the 203 patients within the Bath SPARC200 cohort, 77.8% (158/203) had attended at least one rehabilitation course throughout follow-up. 70.0% (140/203) of patients were male. The mean duration of follow-up was 13.5 years (range 0-35 years); 28.1% (57/203) of individuals with 20+ years of follow-up. Course attendance (yes versus no) significantly reduced final BASMI score by 0.84 (p = 0.001, 95%CI -1.31 to -0.37) and final BASDAI score by 0.74 (p = 0.018, 95%CI -1.34 to -0.13). Although course attendance reduced final BASFI by 0.45 (95%CI -1.17 to 0.28), this relationship did not reach significance (p = 0.225). Whilst minimally clinically important difference (MCID) is, to our knowledge, yet to be defined for BASMI, MCIDs were achieved long-term for both BASDAI and BASFI - defined by van der Heijde and colleagues in 2016 as 0.7 and 0.4 for BASDAI and BASFI, respectively. Conclusion  These results provide novel evidence to support the integral role of education, physical activity and rehabilitation in the management of axSpA. Future work should investigate additional outcomes of critical importance to patients and clinicians, such as fatigue, quality of life and work productivity. Furthermore, a greater understanding of the factors that confound these outcomes may provide insights into those patients who may most benefit from attending a 2-week rehabilitation course. In addition to facilitating identification of those patients who may require additional clinical support. Disclosure  R. Barnett: None. A. McGrogan: None. M. Young: None. C. Cavill: None. M. Freeth: None. R. Sengupta: Honoraria; Biogen, Celgene, AbbVie, Novartis, MSD. Grants/research support; Novartis, UCB.

scholarly journals Follow-up services for delirium after COVID-19—where now?

2021 ◽  
Author(s):  
Shibley Rahman ◽  
Kit Byatt
Keyword(s):  
Service Utilisation ◽  
Sustainable Business ◽  
Community Based ◽  
Care And Support ◽  
Early Supported Discharge ◽  
Business Cases ◽  
Older Inpatients ◽  
The Impact

Abstract Delirium is a common presentation in older inpatients with coronavirus disease 2019 (COVID-19), and a risk factor for cognitive decline at discharge. The glaring gaps in the service provision in delirium care, regardless of aetiology, after a hospital admission pre-existed the pandemic, but the pandemic arguably offers an opportunity now to address them. Whilst a delirium episode in itself is not a long-term condition, the context of it may well be, and therefore patients might benefit from personalised care and support planning. There is no reason to believe that the delirium following COVID-19 is fundamentally different from any other delirium. We propose that the needs of older patients who have experienced delirium including from COVID-19 could be addressed through a new model of post-acute delirium care that combines early supported discharge, including discharge-to-assess, with community-based follow-up to assess for persistent delirium and early new long-term cognitive impairment. Such a drive could be structurally integrated with existing memory clinic services. To succeed, such an ambition has to be flexible, adaptable and person-centred. To understand the impact on resource and service utilisation, techniques of quality improvement should be implemented, and appropriate metrics reflecting both process and outcome will be essential to underpin robust and sustainable business cases to support implementation of delirium care as a long-term solution.

scholarly journals Impact of Coronary Artery Disease and Diabetes Mellitus on the Long-Term Follow-Up in Patients after Retrograde Recanalization of the Femoropopliteal Arterial Region

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Joanna Wojtasik-Bakalarz ◽  
Zoltan Ruzsa ◽  
Tomasz Rakowski ◽  
Andreas Nyerges ◽  
Krzysztof Bartuś ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Risk Of Death ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
Artery Disease ◽  
The Impact

The most relevant comorbidities in patients with peripheral artery disease (PAD) are coronary artery disease (CAD) and diabetes mellitus (DM). However, data of long-term follow-up of patients with chronic total occlusion (CTO) are scarce. The aim of the study was to assess the impact of CAD and DM on long-term follow-up patients after superficial femoral artery (SFA) CTO retrograde recanalization. In this study, eighty-six patients with PAD with diagnosed CTO in the femoropopliteal region and at least one unsuccessful attempt of antegrade recanalization were enrolled in 2 clinical centers. Mean time of follow-up in all patients was 47.5 months (±40 months). Patients were divided into two groups depending on the presence of CAD (CAD group: n=45 vs. non-CAD group: n=41) and DM (DM group: n=50 vs. non-DM group: n=36). In long-term follow-up, major adverse peripheral events (MAPE) occurred in 66.6% of patients with CAD vs. 36.5% of patients without CAD and in 50% of patients with DM vs. 55% of non-DM subjects. There were no statistical differences in peripheral endpoints in both groups. However, there was a statistically significant difference in all-cause mortality: in the DM group, there were 6 deaths (12%) (P value = 0.038). To conclude, patients after retrograde recanalization, with coexisting CTO and DM, are at higher risk of death in long-term follow-up.

Surinam Plantations in Dutch Archives

Itinerario ◽  
1982 ◽  
Vol 6 (1) ◽  
pp. 121-126
Author(s):  
Peter Boomgaard
Keyword(s):  
West Indies ◽  
Good News ◽  
University Of Minnesota ◽  
Indian History ◽  
East Indies ◽  
Plantation Economy ◽  
Indonesian Archipelago ◽  
Johns Hopkins University ◽  
The Caribbean ◽  
The University

The 1979 issue of Itinerario, (no. 2) opened with “A note on Suriname Plantation Archives at the University of Minnesota”, in which Richard Price of the Johns Hopkins University reported his discovery of some 2,000 manuscript pages on a number of Surinam plantations in the James Ford Bell Library at the University of Minnesota, Minneapolis. This, of course, is very good news. It is perhaps still better news that the Dutch archives contain vast and almost untapped (resources on a 200-odd plantations! I am, however, certainly not the first tone to make this ‘discovery’: Mrs. M.A.P. Meilink-Roelofsz not only mentioned it in her Ph.D. dissertation “Asian trade and European influence in the Indonesian Archipelago between 1500 and about 1630”, but she even ordered part of the archives herself. It must be the unbridgeable gap between scholars interested in the East Indies /and those who study West Indian history, that her enthusiastic remarks on the availability of plantation material went unheeded. When nine years later Th. Mathews published his article “Los estuadios sobre historia economica del Caribe (1585 - 1910)”2, he mentioned the Dutch West Indies as a blank on the Caribbean map as far as economic (plantation) history is concerned. Since Mathews wrote his article the historiographic situation has improved only slightly, and it is an ironic comment on Surinam historical scholarship that tiny Curaçao's XlXth century plantation economy by now has found its historian, while the Surinam plantations are still in search of an author.

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