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Journal of Industrial Relations ; : 00221856211003597, 2021.
Article in English | Sage | ID: covidwho-1166724


The sudden and dramatic lockdowns in Australia resulting from the COVID-19 pandemic brought great uncertainty and much change during 2020. This review concentrates on the impacts of these contextual changes on Australian unions and collective bargaining. Union efforts to cooperate with governments in policy-making and with employers at a workplace level were greeted with applause. But other arenas, as the crisis moderated, saw more traditional adversarialism. In particular, the failure of the parties to agree on legislative change meant that the government?s ?omnibus? bill, presented to parliament in December, would prove controversial and strongly contested in the new year. The structure and process of collective bargaining seemed to change remarkably little in 2020. A closer examination of the practice and outcomes of collective bargaining, however, suggests continued difficult times for workers and unions.

European Journal of Education ; n/a(n/a), 2020.
Article | WHO COVID | ID: covidwho-684752


Abstract This paper reviews research on private supplementary tutoring, widely known as shadow education, during the initial decades of the present century. It takes as its starting point the first global study of the phenomenon, published in 1999, though notes some scattered national and subnational literature prior to that date. During the initial two decades, great expansion of the research on shadow education brought more depth and stronger awareness of commonalities and differences in different cultures. From initial mapping and identification of factors shaping demand came work on ecosystems with deeper sociological and economic analyses, together with greater attention to research methods. The agenda ahead will need to keep up with changing times, e.g., through the impact of technology, and develop stronger interdisciplinarity to explore additional domains. It will also need continued attention to definitions and methods.

Lancet ; 396(10248): 381-389, 2020 08 08.
Article in English | MEDLINE | ID: covidwho-642223


BACKGROUND: Several countries affected by the COVID-19 pandemic have reported a substantial drop in the number of patients attending the emergency department with acute coronary syndromes and a reduced number of cardiac procedures. We aimed to understand the scale, nature, and duration of changes to admissions for different types of acute coronary syndrome in England and to evaluate whether in-hospital management of patients has been affected as a result of the COVID-19 pandemic. METHODS: We analysed data on hospital admissions in England for types of acute coronary syndrome from Jan 1, 2019, to May 24, 2020, that were recorded in the Secondary Uses Service Admitted Patient Care database. Admissions were classified as ST-elevation myocardial infarction (STEMI), non-STEMI (NSTEMI), myocardial infarction of unknown type, or other acute coronary syndromes (including unstable angina). We identified revascularisation procedures undertaken during these admissions (ie, coronary angiography without percutaneous coronary intervention [PCI], PCI, and coronary artery bypass graft surgery). We calculated the numbers of weekly admissions and procedures undertaken; percentage reductions in weekly admissions and across subgroups were also calculated, with 95% CIs. FINDINGS: Hospital admissions for acute coronary syndrome declined from mid-February, 2020, falling from a 2019 baseline rate of 3017 admissions per week to 1813 per week by the end of March, 2020, a reduction of 40% (95% CI 37-43). This decline was partly reversed during April and May, 2020, such that by the last week of May, 2020, there were 2522 admissions, representing a 16% (95% CI 13-20) reduction from baseline. During the period of declining admissions, there were reductions in the numbers of admissions for all types of acute coronary syndrome, including both STEMI and NSTEMI, but relative and absolute reductions were larger for NSTEMI, with 1267 admissions per week in 2019 and 733 per week by the end of March, 2020, a percent reduction of 42% (95% CI 38-46). In parallel, reductions were recorded in the number of PCI procedures for patients with both STEMI (438 PCI procedures per week in 2019 vs 346 by the end of March, 2020; percent reduction 21%, 95% CI 12-29) and NSTEMI (383 PCI procedures per week in 2019 vs 240 by the end of March, 2020; percent reduction 37%, 29-45). The median length of stay among patients with acute coronary syndrome fell from 4 days (IQR 2-9) in 2019 to 3 days (1-5) by the end of March, 2020. INTERPRETATION: Compared with the weekly average in 2019, there was a substantial reduction in the weekly numbers of patients with acute coronary syndrome who were admitted to hospital in England by the end of March, 2020, which had been partly reversed by the end of May, 2020. The reduced number of admissions during this period is likely to have resulted in increases in out-of-hospital deaths and long-term complications of myocardial infarction and missed opportunities to offer secondary prevention treatment for patients with coronary heart disease. The full extent of the effect of COVID-19 on the management of patients with acute coronary syndrome will continue to be assessed by updating these analyses. FUNDING: UK Medical Research Council, British Heart Foundation, Public Health England, Health Data Research UK, and the National Institute for Health Research Oxford Biomedical Research Centre.

Acute Coronary Syndrome/therapy , Coronavirus Infections/epidemiology , Hospitalization/statistics & numerical data , Pandemics , Pneumonia, Viral/epidemiology , Aged , Aged, 80 and over , Angina, Unstable/therapy , Betacoronavirus , COVID-19 , England/epidemiology , Facilities and Services Utilization , Female , Humans , Male , Middle Aged , Myocardial Revascularization , Non-ST Elevated Myocardial Infarction/therapy , SARS-CoV-2 , ST Elevation Myocardial Infarction/therapy