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The COVID-19 pandemic has taken a devastating toll on long-term care (LTC) residents, families, and staff. In an effort to keep residents safe from COVID-19, public health measures were implemented early in the pandemic to restrict visitation with residents in many countries, with subsequent adjustments made over the course of the pandemic. It is critical to understand the implementation process and how restrictions on visitations have impacted residents, families, and staff. This research note shares a summary of research interviews conducted with key informants in British Columbia (Canada), England (United Kingdom), and The Netherlands on the implementation of visitation programs in the COVID-19 context. It highlights leading practices and key challenges from these jurisdictions.

We describe the practice profile of Quebec and British Columbia (BC) specialist anesthesiologists. All provincial health-care billings from Quebec and BC were obtained for the period from 1 January 1993 to 31 December 2002. We categorized the specialist anesthesiologists into one of three age categories (<51, 51- 64, and 65+) and assigned a case complexity value (low, moderate, high) to every procedure billed. Anesthesiologists who continued working after age 65 provided anesthesia to fewer patients and for less complex surgery than those in the younger age groups. The end-of-career package introduced in Quebec in 1995 led to an overall reduction in the number of cared-for patients. Predictions of manpower shortages in anesthesia must be province specific and may fail to account for government policies or changes in practice. Consequently they are likely underestimates. [ABSTRACT FROM AUTHOR]

The paper presents the results of laboratory triaxial compression tests to study the stiffness of very loose Fraser River sands. The stiffness has been shown to be very dependent on the time of confinement prior to shearing and the stress ratio at which the sample is aged. Higher stress ratios resulted in very low initial moduli with no ageing, but the moduli increased by several hundred percent during the first 1000 min of ageing. For ageing at a stress ratio of 1.0 (i.e., isotropic ageing), the initial moduli were higher than those for ageing at high stress ratios, but the stiffness increased by only about 60% during the first 1000 min of ageing. The rate of stiffness increase was approximately linear with the logarithm of time up to ageing times of 10 000 min (>1 week). Ageing at any stress ratio resulted in reduced contractive volumetric strain during subsequent shearing, reflecting a change in soil structure during ageing. The dℇ[sub v] /dℇ[sub a] ratio under triaxial compression loading decreased as the ageing stress ratio increased. The results suggest that close attention must be paid to the age of laboratory samples prepared to study the stress–strain response of sands at strains up to about 0.1%, particularly in studies on loose sand.Key words: sands, ageing, creep, modulus.Cet article présente les résultats d'un programme d'essais en laboratoire pour étudier la rigidité de sables très lâches du fleuve Fraser au moyen d'essais de compression triaxiale. On a montré que la rigidité était très dépendante du temps de confinement antérieur au cisaillement et du rapport des contraintes sous lequel l'échantillon a vieilli. Des rapports de contraintes plus élevés ont donné des modules initiaux très faibles sans vieillissement, mais les modules ont augmenté de plusieurs 100 % au cours des mille premières minutes de vieillissement. Sous un vieillissement isotrope, les modules initiaux étaient plus élevés que pour des rapports de contraintes plus élevés mais la rigidité a augmenté de seulement environ 60 % durant les 1000 premières minutes de vieillissement. La vitesse d'augmentation de la rigidité était approximativement linéaire en fonction du logarithme du temps jusqu'à des temps de vieillissement de 10 000 minutes (>1 semaine). Le vieillissement sous n'importe quel rapport de contraintes a donné des déformations volumétriques de contraction réduites durant le cisaillement subséquent, ce qui indiquait un changement dans la structure du sol durant le vieillissement. Le rapport dℇ[sub v] /dℇ[sub a] sous chargement triaxial en compression a diminué lorsque le rapport de contraintes de vieillissement augmentait. Les résultats suggèrent que l'on doit porter un attention particulière à l'âge des échantillons préparés en laboratoire pour étudier la réponse contrainte-déformation des sables jusqu'à des déformations de 0,1 %, particulièrement dans les études sur le sable lâche.Mots clés : sables, vieillissement, fluage, module.[Traduit par la Rédaction] [ABSTRACT FROM AUTHOR]

Subcontracting long-term care (LTC), whereby facilities contracted with third party agencies to provide care to residents, became widespread in British Columbia after 2002. This qualitative study aimed to understand the impact of subcontracting from the perspective of care workers. We interviewed 11 care workers employed in subcontracted facilities to explore their perceptions of caring and working under these conditions. Our overarching finding was one of loss. Care workers lost wages, benefits, security, and voice. Their working conditions worsened, with workload and turnover increasing, resulting in a loss of experienced staff and a loss of time to provide care. These findings call into question the promises of quality and flexibility that legitimated policies permitting subcontracting, while adding to the mounting evidence that subcontracting LTC harms both workers and residents.

Une vaste majorité des Canadiens âgés ne pratiquent pas suffisamment d'activité physique. Le développement de stratégies originales et innovantes encourageant et appuyant les modes de vie actifs est donc urgent. La vidéo est un outil prometteur pour l'application de connaissances (AC) visant l'engagement de divers publics dans la discussion et l'adoption de comportements favorisant la santé. L'Approche systématique pour les vidéos fondées sur des données probantes (Systematic Approach to Evidence-informed Video, SAEV), qui fournit un cadre pour guider et structurer le développement de vidéos ayant pour objectif l'AC, a été utilisée pour la création et la diffusion d'un documentaire de 19 minutes, I'd Rather Stay (https://vimeo.com/80503957). Quarante-huit participants âgés de 60 ans et plus ont visionné la vidéo, participé à des groupes de discussion et rempli des questionnaires concernant cette vidéo. Les données ont été recueillies après le visionnement et lors d'un suivi organisé six mois plus tard. La vidéo a éduqué, encouragé et mobilisé les personnes âgées sur les questions liées à l'autonomie, à l'activité physique et aux liens sociaux. Nous encourageons les chercheurs à adopter des stratégies d'AC auxquelles les personnes âgées peuvent s'identifier, qui sont accessibles et par lesquelles elles peuvent s'engager à un niveau critique, autant sur le plan émotionnel qu'intellectuel, comme les vidéos basées sur des preuves scientifiques., Most older Canadians do not engage in sufficient physical activity. There is an urgent need for outside-the-box strategies that encourage and sustain active lifestyles. Video is a promising knowledge translation (KT) tool to engage diverse audiences in discussion and action around health promoting behaviours. We adopted a KT framework to inform a structured process of video development we have named systematic approach to evidence-informed video (SAEV). This guided the creation and dissemination of a 19-minute documentary video: I’d Rather Stay (https://vimeo.com/80503957). Following screenings, we collected focus group and questionnaire data from 48 participants aged 60 years and older at baseline and 6-month follow-up. The video educated, encouraged, and activated older people around issues such as independence, physical activity and social connectedness. We encourage researchers to adopt KT strategies – and to use evidence-informed video – that older adults can relate to and critically engage with on an accessible, emotional, and intellectual level.

ABSTRACTCauses of falls in older adults are common, multifactorial, and can lead to significant injury. This before-and-after study evaluated the benefits of a Fall Prevention Mobile Clinic (FPMC) in reducing the risk of falling in older adults in British Columbia, Canada. Four hundred seventy-six participants (average age of 83.6 years) enrolled in the study and were followed for 12 months after attending the FPMC. At 12-month follow-up, the mean percentage uptake of fall prevention recommendations was 48.8 per cent (SD = 25.7%), the Timed Up and Go mobility measure improved from a median of 19.04 seconds to 17.45 seconds and the number of participants falling decreased from 64.8 per cent (in the 12 months before attending the clinic) to 55.6 per cent (in the 12 months after attending the clinic) (p = .012). After attending the FPMC, participants acted on recommendations, improved mobility and decreased their risk of future falls.

ABSTRACTIt is critical to ensure that long-term care (LTC) homes are sensitive to the needs of lesbian, gay, bisexual, and transgender (LGBT) older adults. However, the extent to which the LTC home sector has adopted recommended strategies is unknown. This qualitative study reports findings from two initiatives: Semi-structured telephone interviews with Canadian LTC home administrators on strategies adopted to support LGBT inclusivity (n = 32), and discussions with participants attending a 2-day meeting on supporting LGBT inclusivity in LTC (n = 25). We found that LGBT inclusivity training was the most commonly adopted strategy among the LTC homes surveyed. Study findings further suggested that practices more visible to residents and families, such as LGBT-themed programming, inclusive language and symbols, or joint initiatives with LGBT communities, were less commonly adopted because of anticipated negative resident/family reactions. The importance and benefits of comprehensive strategies that include staff, residents, and family are discussed.