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1. The acrolect in Jamaica : The architecture of phonological variation

Author

Irvine-Sobers, G. Alison

Subjects
Language Arts & Disciplines / Linguistics
Abstract

An ability to speak Jamaican Standard English is the stated requirement for any managerial or frontline position in corporate Jamaica. This research looks at the phonological variation that occurs in the formal speech of this type of employee, and focuses on the specific cohort chosen to represent Jamaica in interactions with local and international clients. The variation that does emerge, shows both the presence of some features traditionally characterized as Creole and a clear avoidance of other features found in basilectal and mesolectal Jamaican. Some phonological items are prerequisites for “good Englishâ€_x009d_ - variables that define the user as someone who speaks English - even if other Creole variants are present. The ideologies of language and language use that Jamaican speakers hold about “good Englishâ€_x009d_ clearly reflect the centuries-old coexistence of English and Creole, and suggest local norms must be our starting point for discussing the acrolect.

Published
2018

2. The acrolect in Jamaica

Author

Irvine-Sobers, G. Alison

Subjects
acrolect, Jamaica, 400 Sprache::410 Linguistik::410 Linguistik, phonological variation
Abstract

An ability to speak Jamaican Standard English is the stated requirement for any managerial or frontline position in corporate Jamaica. This research looks at the phonological variation that occurs in the formal speech of this type of employee, and focuses on the specific cohort chosen to represent Jamaica in interactions with local and international clients. The variation that does emerge, shows both the presence of some features traditionally characterized as Creole and a clear avoidance of other features found in basilectal and mesolectal Jamaican. Some phonological items are prerequisites for “good English” - variables that define the user as someone who speaks English - even if other Creole variants are present. The ideologies of language and language use that Jamaican speakers hold about “good English” clearly reflect the centuries-old coexistence of English and Creole, and suggest local norms must be our starting point for discussing the acrolect.

Published
2018

3. The Acrolect in Jamaica

Author

Irvine-Sobers, G. Alison and Irvine-Sobers, G. Alison

Subjects
English language--Social aspects--Jamaica, English language--Phonology
Abstract

An ability to speak Jamaican Standard English is the stated requirement for any managerial or frontline position in corporate Jamaica. This research looks at the phonological variation that occurs in the formal speech of this type of employee, and focuses on the specific cohort chosen to represent Jamaica in interactions with local and international clients. The variation that does emerge, shows both the presence of some features traditionally characterized as Creole and a clear avoidance of other features found in basilectal and mesolectal Jamaican. Some phonological items are prerequisites for “good English” - variables that define the user as someone who speaks English - even if other Creole variants are present. The ideologies of language and language use that Jamaican speakers hold about “good English” clearly reflect the centuries-old coexistence of English and Creole, and suggest local norms must be our starting point for discussing the acrolect.

Published
2018

4. Improving obstetric and perinatal outcomes with a remote patient monitoring program for hypertension in a large integrated care system.

Author

Forna F, Gibson E, Miles A, Seda P, Lobelo F, Mbanya A, Pimentel B, Sobers G, Leung S, and Koplan K

Subjects
Pregnancy, Female, Humans, Retrospective Studies, Monitoring, Physiologic, Pre-Eclampsia, Hypertension diagnosis, Hypertension drug therapy, Delivery of Health Care, Integrated
Abstract

Objective: To determine the effect of a remote patient monitoring program for hypertension (RPM HTN) in patients diagnosed with hypertensive disorders of pregnancy., Study Design: We used a matched retrospective cohort design to evaluate differences in obstetric and perinatal outcomes using data from electronic medical records. Patients enrolled in RPM HTN between November 1, 2019, and October 31, 2021, who delivered a pregnancy at ≥20 weeks gestation were compared to a cohort of patients matched by age, race, HTN and diabetes status, who delivered in the 48-month period before implementation of RPM HTN., Results: 1030 patients were enrolled in RPM HTN and 937 were matched to historical controls. Five hundred and seventeen (50.2 %) were enrolled in the antepartum period and 513 (49.8 %) were enrolled postpartum. Patients in the RPM HTN cohort were more likely to have a post-hospital discharge blood pressure (BP) measured within the first 20 days after delivery (RR 1.56, 95 % CI: 1.47-1.65: p < 0.01) and were more likely to have that BP be normal (RR 1.43, 95 % CI: 1.31-1.55: p = 0.05). They were also more likely to be taking antihypertensives postpartum (RR 1.27, 95 % CI: 1.15-1.40; p < 0.01) and to be evaluated by an obstetric clinician within 20 days of delivery (RR 1.50, 95 % CI 1.42-1.58; p < 0.01)., Conclusions: A remote HTN monitoring program for 937 obstetric patients was associated with improved BP monitoring, better postpartum BP control, and improved linkages to clinician care after delivery, when compared to historical controls., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.)

Published
2024
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5. Implementation of a Postpartum Hemorrhage Safety Bundle at an Urban Safety-Net Hospital.

Author

Joseph NT, Worrell NH, Collins J, Schmidt M, Sobers G, Hutchins K, Chahine EB, Faya C, Lewis L, Green VL, Castellano PZ, and Lindsay MK

Abstract

Background  Postpartum hemorrhage (PPH) is a leading cause of preventable maternal morbidity and mortality. Standardized response to obstetric hemorrhage is associated with significant improvement in maternal outcomes, yet implementation can be challenging. Objective  The primary objective is to describe the methodology for program implementation of the Alliance for Innovation on Maternal Health Safety Bundle on PPH at an urban safety-net hospital. Methods  Over an 18-month period, interventions geared toward (1) risk assessment and stratification, (2) hemorrhage identification and management, (3) team communication and simulation, and (4) debriefs and case review were implemented. Hemorrhage risk assessment stratification rates were tracked overtime as an early measure of bundle compliance. Results  Hemorrhage risk assessment stratification rates improved to >90% during bundle implementation. Conclusion  Keys to implementation included multidisciplinary stakeholder commitment, stepwise and iterative approach, and parallel systems for monitoring and evaluation Implementation of a PPH safety bundle is feasible in a resource-constrained setting., Competing Interests: Conflict of Interest None declared.

Published
2020
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