A Novel Intervention for Management of Behavioral and Psychological Symptoms of Dementia in Nursing Home Communal Areas: Results of a Small-Scale Pilot Trial

Background: Behavioral and psychological symptoms of dementia (BPSD) exhibited by persons with dementia (PwD) in nursing home communal areas are generally managed by segregation and/or pharmacological interventions. Objective: This study trialed MindfulGarden (MG), a novel digital calming device, in a Canadian nursing home. Methods: Participants were 15 PwD (mean age = 87.67; 5m,10f; mean MMSE = 11.64±7.85). Each was observed by a research assistant (RA) for an average of 8–10 hours on two separate days. The RA followed them during time spent in communal areas of the nursing home including their unit’s dining space, lounges, and corridors and spaces shared with other units (e.g., gym and gift shop) and documented any BPSD exhibited. Day-1 provided baseline data; on Day-2, residents were exposed to MG if nursing staff considered their BPSD were sufficiently intense or sustained to warrant intervention. Staff rated the impact as positive, neutral, or negative. Results: On Day-1, 9 participants exhibited both aggressive and non-aggressive behaviors, 4 non-aggressive behaviors only, and 2 no BPSD. On Day-2, 7 exhibiting aggressive behaviors were exposed to MG. Staff reported MG as having distracting/calming effects and gave positive impact ratings to 6/13 exposures; there were no negative ratings. The most common aggressive BPSD on days of observation were pushing/shoving and screaming. Conclusion: MG may have value as a “psychiatric crash cart” in de-escalating agitation and aggression in care home settings.

Land and Agrarian Development in South Africa

Land ownership and control historically underpinned patterns of unequal development in South Africa, with dispossession and the migrant labour economy being the basis for agrarian dualism and economic inequality. Yet land reform – the redistribution of white-owned commercial farms to black smallholders – has been a largely unfulfilled political promise during the first 25 years of democratic rule. South Africa’s negotiated transition produced a constitution that provides certain protections to property rights while simultaneously mandating land reforms through land redistribution, tenure reform and restitution, including via expropriation. Initially conceived as a pro-poor programme, land reform was reinvented over time, reflecting wider economic policy shifts, towards the creation of a small prosperous segment of black commercial farmers, thereby deracializing the dominant sector without restructuring landholdings and the agrarian economy. The shortcomings of land reform not only perpetuate inequalities inherited from colonialism and apartheid, but have also led to the production of new problems. We point to three recent and ongoing dynamics driving new and aggravated forms of land inequality: financialization, with the entry of new financial sector actors into corporate landholding, property portfolios and speculation; land concentration driven both by market forces and elite capture of public resources and corruption in land reforms; and land commodification driven by powerful corporate, political and traditional elites combining to expand large agricultural and mining investments in communal areas.

Land Tenure Reform in Three Former Settler Colonies in Southern Africa

This study explores the challenges of land tenure reform for three former settler colonies in southern Africa–Zimbabwe, Namibia, and South Africa. While land redistribution programmes have been the primary focus of land reform for these countries since independence, land tenure reform for the inhabitants of communal areas is an equally important and complex policy challenge. Before independence, the administration of these areas was more or less in the hands of traditional leaders, whose roles were sanctioned by the colonial and apartheid authorities. Therefore, one of the primary concerns with respect to reforming land tenure systems in communal areas is related to the power and authority of traditional leaders in the post-independence period. This study highlights striking similarities in the nations’ land tenure reform policies. All of them gave statutory recognition to traditional leaders and strengthened their roles in rural land administration. In understanding this ‘resurgence’ or tenacity of traditional leadership, the symbiotic relationship between the ruling parties and traditional leaders cannot be ignored and should be problematised. Nonetheless, this chapter also argues that this obsession with traditional leadership may result in the neglect of other important issues related to land tenure reform in communal areas, such as the role of customary land tenureas social security.

Adoption of Climate Smart Agriculture by Communal Livestock Farmers in South Africa

The importance of adopting modern technology in agriculture, especially in a changing climate, cannot be underestimated in Africa. The aim of this review was to highlight the past and the status quo with regard to the adoption of current farming practices in relation to climate-smart agriculture (CSA) by communal livestock farmers in South Africa. The impact of animal agriculture on climate change was also deliberated. Different internet search engines and databases, like Google Scholar, EBSCO Host, Science Direct, etc., and peer-reviewed articles, books, and government and academic reports were employed to provide information to adequately address the aim. Keywords like “the impact of climate smart agriculture on communal livestock farmers”, “communal livestock in South Africa”, “communal farming and technology adoption”, etc. were used for the search. Various issues pertaining to the impact of animal agriculture on climate change, greenhouse gas (GHG) emissions, and implementing CSA in livestock farming were extensively discussed. The findings indicated that there is limited research on the adoption of CSA by communal livestock farmers in South Africa. The review concluded that strategies to adopt modern technology in communal areas should address the issues to enhance knowledge of farmers and all stakeholders, through increasing awareness, trainings, and skills programs. The government should build local capacity in innovative and affordable water and agricultural solutions, and reliable financial mechanisms should be in place to implement innovative sound technologies in communal areas.

Patterns and Drivers of Rodent Abundance across a South African Multi-Use Landscape

South Africa’s decentralized approach to conservation entails that wildlife outside formally protected areas inhabit complex multi-use landscapes, where private wildlife business (ecotourism and/or hunting) co-exist in a human-dominated landscape matrix. Under decentralized conservation, wildlife is perceived to benefit from increased amount of available habitat, however it is crucial to understand how distinct management priorities and associated landscape modifications impact noncharismatic taxa, such as small mammals. We conducted extensive ink-tracking-tunnel surveys to estimate heterogeneity in rodent distribution and investigate the effect of different environmental factors on abundance patterns of two size-based rodent groups (small- and medium-sized species), across three adjacent management contexts in NE KwaZulu-Natal, South Africa: a private ecotourism game reserve, mixed farms and traditional communal areas (consisting of small clusters of houses interspersed with grazing areas and seminatural vegetation). Our hypotheses were formulated regarding the (1) area typology, (2) vegetation structure, (3) ungulate pressure and (4) human disturbance. Using a boosted-regression-tree approach, we found considerable differences between rodent groups’ abundance and distribution, and the underlying environmental factors. The mean relative abundance of medium-sized species did not differ across the three management contexts, but small species mean relative abundance was higher in the game reserves, confirming an influence of the area typology on their abundance. Variation in rodent relative abundance was negatively correlated with human disturbance and ungulate presence. Rodent abundance seems to be influenced by environmental gradients that are directly linked to varying management priorities across land uses, meaning that these communities might not benefit uniformly by the increased amount of habitat promoted by the commercial wildlife industry.

227 Multiple Outbreak Of SARS-COVID-19 In Surgical Wards at The Tertiary Hospital

Background Since the second surge of SARS-COVID-19 on 18th of September, additional several measures were introduced, and pathways created in order to execute safe surgical practices and protect both patients and staff from SARS-COVID-19. Despite these measures, there have been reported cases of outbreaks in various parts of UK amongst patients and clinical staff. Method Three outbreaks in the past 6 weeks (10, September 2020 to 21, October 2020) were reported in our surgical wards and we compiled the timing, initial source, number of affected individuals and immediate management steps taken. Results Following the first outbreak on wards, 28-day surveillance helped us understand responsible variants. Several staff members were found walking out of hospital, in groups once they had removed their PPEs. Communal lunching with inadequate social distancing, attending work with symptoms (albeit atypical for COVID), sharing cars to/from work or not wearing PPE correctly were highlighted in the subsequent investigations. The reduction in number of affected individuals during the last two incidents reflected a degree of efficacy of the implemented preventative measures, which were reviewed again following the subsequent incidents. Conclusions In the present climate, a robust and prompt response to outbreaks is required. Continual iteration with regards to the need for PPE, adequate social distancing and avoiding over-crowding in communal areas is paramount to reduce the probability of ward outbreaks and inter-professional transmission. Asymptomatic staff testing, particularly in high-risk areas could also be considered but would require adequate laboratory capacity and rapid turnaround of test results.

The impact of a refurbishment programme on older people living in sheltered housing

Purpose This paper aims to explore residents' perceptions of a refurbishment programme to sheltered housing schemes and its impact on their well-being. Design/methodology/approach The methodology draws upon a realist evaluation framework. Four participatory appraisals (PAs) and 19 interviews with residents were conducted in the sheltered housing schemes. Ages of participants ranged from 50 to 99 years. Findings Two categories of residents were identified: healthy active older adults and older frail adults (or over 85+). Residents said their social and emotional well-being improved from the provision of indoor and outdoor communal areas. Older frail residents only accessed the new communal spaces when staff took them in their wheelchairs. The physical changes increased opportunities for social connections for residents. Conservatories and sensory gardens were most popular. Residents felt that structured activities in the new spaces and digital training would improve their social activities. Research limitations/implications The participatory methods spanned over an hour, and some residents felt too tired to complete the full session. Practical implications A practical limitation was that some sensory rooms were not fully completed at the time of the evaluation. Originality/value This paper adds the following: Perceptions of residents of a refurbishment programme in sheltered housing and the impact on their well-being. Perceptions of residents about social activities after a refurbishment programme. Perceptions of residents about the impact of physical changes to their sheltered housing schemes and impact on their internal accessibility to the improvements.

Ethnoveterinary Remedies Used in Avian Complementary Medicine in Selected Communal Areas in Zimbabwe

Plant remedies used in avian ethnomedicine are potential candidates for the development of phytogenic feed additives. An ethnoveterinary survey was carried out in 3 districts in Zimbabwe to document plants used in poultry ethnomedicine and identify plants that have the potential to be used for the development of poultry phytogenic feed additives. The survey employed questionnaire-guided oral interviews with 146 smallholder farmers. Key areas of investigation and discussion were poultry production and traditional knowledge in bird health care (ethnotreatments and poultry disease control). The survey documented a total of 36 plant species cited as being useful interventions for the treatment and management of various poultry ailments/health constraints. These medicinal plants belonged to 22 families, with the Fabaceae family the dominant family. The plant species were used to treat 11 disease/health constraint categories, with the highest number of species being used for coccidiosis. Trees (44.44%) were the main reservoir of medicinal plants followed by herbs (36.11%), shrubs (8.33%), climbers (8.33%), and flowers (2.78%). Based on the results of the survey, Bobgunnia madagascariensis, Aloe chabaudii, Adenia gummifera, Erythrina abyssinica, Agave sisalana, Capsicum frutescens, Strychnos cocculoides, Aloe greatheadii, Tridactyle bicaudata, Senna singueana, Sarcostemma viminale, Morus alba, and Moringa oleifera are potential candidates for the development of phytogenic feed additives.