WHAT KIND OF AFRICA?
In: New society, Band 75, Heft 33, S. 63-65
ISSN: 0028-6729
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In: New society, Band 75, Heft 33, S. 63-65
ISSN: 0028-6729
In: Africa today, Band 21, Heft 4, S. 5-52
ISSN: 0001-9887
In: Latin American perspectives: a journal on capitalism and socialism, Band 11, Heft 2, S. 15-42
ISSN: 0094-582X
THE LEGACY OF AMILCAR CABRAL (1924-1973) LIVES IN SEVERAL HISDTORICAL ACHIEVEMENTS, EACH OF WHICH HAS MARKED THE TREND AND TEMPER OF OUR TIMES. MOST OBVIOUSLY AND DIRECTLY, THOSE ACHIEVEMENTS ARE TO BE FOUND IN THE CONSEQUENCES OF ANTICOLONIAL LIBERATION IN PORTUGUESE GUINE AND CAPE VERDE THAT FLOWED, AND IN MORE OR LESS LARGE MEASURE CONTINUE TO FLOW, FROM A PRACTICE AND THEORY ASSOCIATED INSEPARABLY WITH CABRAL'S ACTION AND THOUGHT. OTHER ACHIEVEMENTS, LESS DIRECT BUT NO LESS REAL, MAY BE SEEN IN CABRAL'S CONTRIBUTION TO THE DEVELOPMENT OF NATIONALLIBERATION STRATEGY IN A WIDER AND POSSIBLY AN ALL-AFRICAN CONTEXT. AND OTHERS AGAIN, POLITICALLY LESS OPERATIVE BUT STILL WITH A LIVING SIGNIFICANCE, HAVE TAKEN SHAPE IN CABRAL'S INFLUENCE ON THE THINKING OF NON-AFRICANS CONCERNED WITH GENERAL OR SPECIFIC ISSUES OF SOCIOCULTURAL CHANGE REVOLUTIONARY CHANGE-IN THE WORLD WE HAVE NOW.
In: Jobs of a working dog - a Crabtree Branches book
"A service dog is any dog that performs a job or a task that helps a person who has a physical or mental disability. These tasks can be anything from guiding people down a sidewalk to sniffing out changes in blood sugar levels. Find out how these personal support dogs are trained and how they bond deeply with their owners"--
In: Australian economic history review: an Asia-Pacific journal of economic, business & social history, Band 22, Heft 2, S. 127-150
ISSN: 1467-8446
In: Australian quarterly: AQ, Band 37, Heft 3, S. 95
ISSN: 1837-1892
In: Pacific affairs: an international review of Asia and the Pacific, Band 39, Heft 1/2, S. 226
ISSN: 1715-3379
Disability services in Australia are undergoing large-scale, systemic reform. In recent years, to improve outcomes for people with disabilities and the efficiency of services, Commonwealth, State and Territory agencies have developed and trialled a range of market-based funding models within which 'choice' and 'control' are key principles. This report is concerned with the impact of these funding models on disability services workers, with particular focus on their capacity to provide high quality services. The findings suggest service quality and workforce capacity may be best safeguarded where: direct employment and contracting models are carefully managed or avoided; overall levels of government funding and payments to consumers and service provider organisations are sufficient to support decent pay and safe working conditions; workers are supported to upgrade and develop their skills; and there is a properly resourced strategy to build workforce capacity and sustainability. The findings provide food for thought in the context of the design and launch of the National Disability Insurance Scheme.
BASE
Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
BASE
Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long- term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
BASE