Vision 2035 and the Kribi Deep Seaport: An analysis of the Economic Impacts for Cameroon

The purpose of this study was to determine whether the effects of the Kribi Deep Seaport project will be positive for economic development in Cameroon, and how the Port will affect Cameroon’s regional and global role. The study was conducted over a one-month period and was primarily qualitative in nature. The principal method of inquiry was interviews, which were complemented by quantitative secondary source research. Although most informants asserted that the project was a positive step for the country, the information they provided led me to conclude that the project was undertaken prematurely and will not promote sustainable economic development in Cameroon. There were several findings that led me to this conclusion. First, the lack of adequate educational infrastructure in the country, excluding most Cameroonians from taking advantage of the employment opportunities generated. Second, the lack of transparency and the demonstrated inability of the government to effectively utilize revenues, meaning that natural resource wealth would be wasted. The final result that led to my conclusion was the negative implications of the expansion of the relationship with China that the Port entails. Ultimately, the Port is a good project in principle, but the current circumstances will nullify the potential benefits

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes