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Leadership and succession in Trinidadian family businesses
Get PDFThis research examines the qualities required for establishing effective leadership succession in private Family Businesses (pFB) in Trinidad, private meaning those still wholly-owned by family members. Trinidad’s pFB are major employers and contributors to economies globally and, yet, prior research shows that only around a quarter to a third survive to a second generation and only one-in-ten to a third. Therefore, identifying and developing the factors that support pFB continuity and transition are important both locally and internationally. This study identifies the key leadership and related elements for successful pFB continuity and succession in the Caribbean nation of Trinidad. The research is based on a qualitative approach, using in-depth, semi-structured, and open-ended interviews with eleven purposively-selected local pFB leaders. Interviewees comprised first- and second-generation leaders with ten existing pFB’s and one now-dormant pFB. The results show that none had established formal succession plans, but achieved success principally through effective face-to-face conversations between the leader, typically the parent, and the successor, typically one of the parents’ children. The research provides a valuable insight into the critical qualities deemed necessary for leaders to achieve continuity in their family business. The eight qualities identified for pFB success emanated from the data gathered (capability; honesty; and integrity), from the conceptual framework developed based on prior literature (vision; and effective communication), and from the discussions held (industry knowledge; a sound knowledge of the pFB organisational structures; and the support of the incumbent leader). These, alongside some measures of financial performance, lead to long-term success, and therefore generational continuity. This research extends current knowledge on how pFB continuity in Trinidad may be achieved, based on identifying the leadership qualities required. Further research is recommended on refining such knowledge across the Caribbean and into different territories, sectors, markets and industries
Evidencing the clinical and economic burden of musculoskeletal disorders in Tanzania: Paving the way for urgent rheumatology service development
Get PDFSince 1990, there has been a dramatic rise in noncommunicable diseases (NCDs) within low-and middleincome countries (LMICs); the burden of NCDs in LMICs rose from accounting for 39% of disability-adjusted life years in 1990 to 66% in 2019 [1]. In response to this growing burden, global, regional and national health institutions have become increasingly active in orchestrating a response to NCDs. The global response to NCDs has prioritized cardiovascular disease, cancer, chronic respiratory disease and diabetes, with the World Health Organization Regional Office in Africa adding region-specific NCD burdens, such as sickle cell disease, to broaden priorities [2]. Amidst this galvanization of efforts to tackle NCDs, musculoskeletal (MSK) conditions have been relatively overlooked and neglected, resulting in an urgent need for service development to respond to MSK conditions in LMICs [1]
Association of latent class analysis-derived multimorbidity clusters with adverse health outcomes in patients with multiple long-term conditions: Comparative results across three UK cohorts
Get PDFBackground
It remains unclear how to meaningfully classify people living with multimorbidity (multiple long-term conditions (MLTCs)), beyond counting the number of conditions. This paper aims to identify clusters of MLTCs in different age groups and associated risks of adverse health outcomes and service use.
Methods
Latent class analysis was used to identify MLTCs clusters in different age groups in three cohorts: Secure Anonymised Information Linkage Databank (SAIL) (n = 1,825,289), UK Biobank (n = 502,363), and the UK Household Longitudinal Study (UKHLS) (n = 49,186). Incidence rate ratios (IRR) for MLTC clusters were computed for: all-cause mortality, hospitalisations, and general practice (GP) use over 10 years, using <2 MLTCs as reference. Information on health outcomes and service use were extracted for a ten year follow up period (between 01st Jan 2010 and 31st Dec 2019 for UK Biobank and UKHLS, and between 01st Jan 2011 and 31st Dec 2020 for SAIL).
Findings
Clustering MLTCs produced largely similar results across different age groups and cohorts. MLTC clusters had distinct associations with health outcomes and service use after accounting for LTC counts, in fully adjusted models. The largest associations with mortality, hospitalisations and GP use in SAIL were observed for the “Pain+” cluster in the age-group 18–36 years (mortality IRR = 4.47, hospitalisation IRR = 1.84; GP use IRR = 2.87) and the “Hypertension, Diabetes & Heart disease” cluster in the age-group 37–54 years (mortality IRR = 4.52, hospitalisation IRR = 1.53, GP use IRR = 2.36). In UK Biobank, the “Cancer, Thyroid disease & Rheumatoid arthritis” cluster in the age group 37–54 years had the largest association with mortality (IRR = 2.47). Cardiometabolic clusters across all age groups, pain/mental health clusters in younger groups, and cancer and pulmonary related clusters in older age groups had higher risk for all outcomes. In UKHLS, MLTC clusters were not significantly associated with higher risk of adverse outcomes, except for the hospitalisation in the age-group 18–36 years.
Interpretation
Personalising care around MLTC clusters that have higher risk of adverse outcomes may have important implications for practice (in relation to secondary prevention), policy (with allocation of health care resources), and research (intervention development and targeting), for people living with MLTCs.
Funding
This study was funded by the National Institute for Health and Care Research (NIHR; Personalised Exercise-Rehabilitation FOR people with Multiple long-term conditions (multimorbidity)—NIHR202020)
A performance in two halves
No full text2 day residency and performance at Sonic Arts Centre (Univ. of Belfast), as part of the Sonorities Festival. Panos Ghikas, Wobbly (Jon Leidecker) and Jennifer Walshe join forces for a performance in two halves. In the first half, the trio explore the outer limits of digital sound, text and time, cybernauts journeying through a landscape scattered with defunct and cutting-edge technology, quotes from inspirational speeches given by tech billionaires and sonic detritus ranging from Machine Learning research to Buntús Cainte recordings.
The second half features a screening of Caoimhín Breathnach’s AN GLÉACHT, with a live score
An interpretative phenomenological analysis of the psychosexual identity development in adolescent and young adult survivors of testicular cancer
Get PDFBackground Qualitative research has explored how some testicular cancer survivors (TCS) experience the psychological impacts of diagnosis and treatment. More research into the impacts of testicular cancer (TC) on adolescent and young adults (AYA) is needed due to the critical period of identity development. The present study aimed to explore how AYA with TC appraise and make sense of their experience and to develop a greater understanding of psychosexual identity development in AYA TCS. Method Eight AYA TCS were interviewed. The results were analysed using Interpretative Phenomenological Analysis. The questions explored the experiences relating to diagnosis and treatment, how it affected their psychosexual identity development (e.g., sexual relationships and self-image) and the meanings attached to the experiences. Analysis Four Group Experiential Themes were developed from the data; ‘Dealing with the shock’, ‘Fear and weight of responsibility’, ‘those closest to me’ and ‘sense of change’. Discussion The AYA TCS experiences may result in adoption of traditional masculine traits (e.g., stoicism) or abandonment of traditionally masculine traits (E.g. violence and aggression). AYA TCS also described feelings of insecurity when compared to other men. Psychology input could help manage stoicism and feelings of inferiority when compared to men with two testicles
Religiosity, financial risk taking, and reward processing: An experimental study
Get PDFThe present study investigated the extent to which financial risk-taking (FRT) perspectives and religiosity influenced an individual's performance on financial decision-making tasks under risk and/or uncertainty. It further investigated the potential to measure this interaction using electro-encephalogram (EEG) assessments through reward-related event-related potentials (P3 and FRN). EEG data were collected from 37 participants undergoing four decision-making tasks comprising the Balloon Analogue Risk Task (BART), Iowa Gambling Test (IGT), Mixed-Gamble Loss-Aversion Task (MGLAT), and MGLA-Success Task (MGLAST). The present study found that BART performance may be affected by an interaction of FRT perspectives and religiosity. The physiological effects of task feedback were also distinguished between religious and non-religious individuals objectively with EEG data. Overall, while religiosity and FRT may not significantly influence IGT and MGLA performance, and interact with BART in a complex way, physiological reaction towards feedback after BART performance appears to be strongly affected by religiosity and FRT perspectives. [Abstract copyright: © 2024. The Author(s).
Commuter students: does reducing the need to travel enable more inclusive, equitable participation?
Get PDFForty per cent of Higher Education (HE) students in the UK are commuter students. This is a direct consequence of initiatives to widen participation to HE to under-represented groups, many of whom are unable or unwilling to relocate to the site of learning. Commuter students have significantly poorer experience and outcomes than their residential counterparts. It is important to reduce this attainment and experience gap. This paper explores the possibility that reducing the need to travel to higher education institutions (HEIs), by increasing online learning, could achieve this. This paper presents empirical evidence from a series of in-depth interviews with commuter students at an English HEI, who reflect on their experiences of online learning during the COVID-19 pandemic lockdown. Findings confirm that reducing the need to travel, through greater use of online HE, post-pandemic, could have multiple benefits for commuter students, enhancing engagement, experience and outcomes. However, such a move must be accompanied by wider institutional changes to pedagogy, policy and processes, which acknowledge the decline of the residential model of UK HE in the widening participation (WP) era, to minimise potential negative effects
A systematic review of public health interventions to address breast cancer inequalities in low- and middle-income countries
Get PDFBackground
Breast cancer is the most diagnosed cancer in the world, with a worse prognosis documented in low- and middle-income countries. Inequalities pertaining to breast cancer outcomes are observed at within-country level, with demographics and socioeconomic status as major drivers.
Aim
This review aims to aggregate all available evidence from low- and middle-income countries on public health interventions that can be utilized to reduce breast cancer inequalities within the breast cancer continuum.
Methods
The study was a systematic review and narrative synthesis of available literature, with the literature search conducted between September and October 2021. The search was re-run in September 2022 to update the review. PubMed, Scopus, Embase, African Index Medicus and LILACS were searched, based on predetermined criteria. Randomized controlled trials, cohort studies and quasi-experimental studies were included for review, while studies without an intervention and comparator group were excluded. The Joanna Briggs Institute family of checklists was used for quality assessment of the included studies. Data pertaining to study design, quality control and intervention effectiveness was extracted.
Results
A total of 915 studies were identified for screening and 21 studies met the selection criteria. Only one study specifically evaluated the impact of an intervention on breast cancer inequalities. Diverse, multi-level interventions that can be utilized to address breast cancer inequalities through targeted application to disadvantaged subpopulations were identified. Educational interventions were found to be effective in improving screening rates, downstaging through early presentation as well as improving time to diagnosis. Interventions aimed at subsidizing or eliminating screening payments resulted in improved screening rates. Patient navigation was highlighted to be effective in improving outcomes throughout the breast cancer continuum.
Conclusion
Findings from the systematic review underline the importance of early detection in breast cancer management for low- and middle-income countries. This can be achieved through a variety of interventions, including population education, and addressing access barriers to public health services such as screening, particularly among under-served populations. This study provides a comprehensive database of public health interventions relevant to low- and middle-income countries that can be utilized for planning and decision-making purposes. Findings from the review highlight an important research gap in primary studies on interventions aimed at reducing breast cancer inequalities in low- and middle-income countries
