Overseas remittances support universal health coverage and quality of healthcare

Prof Dr Mirjam van Reisen, Dr. Mia Stokmans, Wenqing Yin, Tilburg [email protected]@uvt.nl                                             [email protected] Title: Overseas Remittances supportUniversal Health Coverage and Quality of Healthcare Background: Overseas remittances are animportant resource for financing of healthcare services in low-incomecommunities. Financial support by extended family affect interactions athealthcare facilities. They are crucial for the attainment of SustainableDevelopment Goal 3. Literature review suggests that remittance-flows havepositive impact on the quality of health care; clients are part of socialnetworks and remitters are active influencers in such networks. Remittersengage in the situation the patient is facing.Methods: We test a remitter-inclusiveapproach to information-sharing in healthcare. We investigate how this sharing increasesthe decisions on healthcare services. We hypothesize that sharing ofinformation contributes to a more positive Western-oriented health orientation,also in Africa.Results: Healthcare is rarely an individualaffair. Langen[1]described a paradigm clash of Western healthcare with traditional Africanapproaches. Hence, bridging of health care paradigms is important. Remitters,living overseas, are immersed in the context of Western-based health care. Theyrefer to their understanding, experience and knowledge of such care. Remittersthat contribute directly to the patient’s challenge are influential. They are trustedsources of information. Their knowledge augments local information sources. Inthe process of sending remittances for health, relatives in the diaspora discusshealth-issues within social groupings. Experiences, expectations, and health-relatedinformation are exchanged. These exchanges shift attributed values and communalattitudes towards the health-services and the local knowledge base of thehealth-challenges at hand.  Conclusions and Recommendations: Involvementof overseas remitters in information exchange on options of patients canimprove the quality of the decision-making and their remittances can contributeto expand health-coverage and quality of healthcare. Keywords: training,HR4H, eHealth  [1] Langen, Eveline. 2010. Diverging Worldviews, Diverging Worlds?Wageningen University.Computer Systems, Imagery and Medi

Towards the tipping point of FAIR implementation

This article explores the global implementation of the FAIR Guiding Principles for scientific management and data stewardship, which provide that data should be findable, accessible, interoperable and reusable. The implementation of these principles is designed to lead to the stewardship of data as FAIR digital objects and the establishment of the Internet of FAIR Data and Services (IFDS). If implementation reaches a tipping point, IFDS has the potential to revolutionize how data is managed by making machine and human readable data discoverable for reuse. Accordingly, this article examines the expansion of the implementation of FAIR Guiding Principles, especially how and in which geographies (locations) and areas (topic domains) implementation is taking place. A literature review of academic articles published between 2016 and 2019 on the use of FAIR Guiding Principles is presented. The investigation also includes an analysis of the domains in the IFDS Implementation Networks (INs). Its uptake has been mainly in the Western hemisphere. The investigation found that implementation of FAIR Guiding Principles has taken firm hold in the domain of bio and natural sciences. To achieve a tipping point for FAIR implementation, is now time to ensure the inclusion of non-European ascendants and of other scientific domains. Apart from equal opportunity and genuine global partnership issues, a permanent European bias poses challenges with regard to the representativeness and validity of data and could limit the potential of IFDS to reach across continental boundaries. The article concludes that, despite efforts to be inclusive, acceptance of the FAIR Guiding Principles and IFDS in different scientific communities is limited and there is a need to act now to prevent dampening of the momentum in the development and implementation of the IFDS. It is further concluded that policy entrepreneurs and the GO FAIR INs may contribute to making the FAIR Guiding Principles more flexible in including different research epistemologies, especially through its GO CHANGE pillar. LIACS-Managemen

A comparison of complications between open abdominal sacrocolpopexy and laparoscopic sacrocolpopexy for the treatment of vault prolapse

Introduction. Sacrocolpopexy is a generally applied treatment for vault prolapse which can be performed laparoscopically or by open laparotomy. Methods. Between October 2007 and December 2012, we performed a multicenter prospective cohort study in 2 university and 4 teaching hospitals in the Netherlands. We included patients with symptomatic posthysterectomy vaginal vault prolapse requiring surgical treatment, who either had abdominal or laparoscopic sacrocolpopexy. We studied surgery related morbidity, which was divided in pre-, peri-, and postoperative characteristics. Results. We studied 85 patients, of whom 42 had open abdominal and 43 laparoscopic sacrocolpopexy. In the laparoscopic sacrocolpopexy group, estimated blood loss was significantly less compared to the abdominal group: 192 mL (±126) versus 77 mL (±182), respectively (P ≤ .001). Furthermore, hospital stay was significantly shorter in the laparoscopic group (4.2 days) as compared to the abdominal group (2.4 days) (P ≤ .001). The overall complication rate was not significantly different (P = .121). However there was a significant difference in favor of the laparoscopic group in peri- and postoperative complications requiring complementary (conservative) treatment and/or extended admittance (RR 0.24 (95%-CI 0.07-0.80), P = .009). Conclusion. Laparoscopic sacrocolpopexy reduces blood loss and hospital stay as compared to abdominal sacrocolpopexy and generates less procedure related morbidity.Anne-Lotte W. M. Coolen, Anique M. J. van Oudheusden, Hugo W. F. van Eijndhoven, Tim P. F. M. van der Heijden, Rutger A. Stokmans, Ben Willem J. Mol, and Marlies Y. Bonger

Design of a FAIR digital data health infrastructure in Africa for COVID-19 reporting and research

The limited volume of COVID-19 data from Africa raises concerns for global genome research, which requires a diversity of genotypes for accurate disease prediction, including on the provenance of the new SARS-CoV-2 mutations. The Virus Outbreak Data Network (VODAN)-Africa studied the possibility of increasing the production of clinical data, finding concerns about data ownership, and the limited use of health data for quality treatment at point of care. To address this, VODAN Africa developed an architecture to record clinical health data and research data collected on the incidence of COVID-19, producing these as human- and machine-readable data objects in a distributed architecture of locally governed, linked, human- and machine-readable data. This architecture supports analytics at the point of care and-through data visiting, across facilities-for generic analytics. An algorithm was run across FAIR Data Points to visit the distributed data and produce aggregate findings. The FAIR data architecture is deployed in Uganda, Ethiopia, Liberia, Nigeria, Kenya, Somalia, Tanzania, Zimbabwe, and Tunisia.Computer Systems, Imagery and Medi

General public is unfamiliar with nouveau cirque :A survey amongst the esteemed and valued audience

Hoe denkt het hooggeëerd publiek over het circus? Kan je eigenlijk wel spreken van hét publiek en hét circus? Spreekt nouveau cirque een andere doelgroep aan dan klassiek circus? Is het beeld van het klassieke circus de afgelopen tijd veranderd en wat betekent dit voor de bereidheid de wereld van zand en zaagsel te bezoeken? Een publieksonderzoek onder 300 volwassenen

General public is unfamiliar with nouveau cirque :A survey amongst the esteemed and valued audience

Hoe denkt het hooggeëerd publiek over het circus? Kan je eigenlijk wel spreken van hét publiek en hét circus? Spreekt nouveau cirque een andere doelgroep aan dan klassiek circus? Is het beeld van het klassieke circus de afgelopen tijd veranderd en wat betekent dit voor de bereidheid de wereld van zand en zaagsel te bezoeken? Een publieksonderzoek onder 300 volwassenen