McMichael, C.; Gifford, S. M.; Correa-Velez, I.
Refugee adolescents resettling in a new country face many challenges, and being part of a supportive family is a critical factor in assisting them to achieve wellbeing and create positive futures. This longitudinal study documents experiences of family life in the resettlement context of 120 young people with refugee backgrounds living in…
Schweitzer, Robert; Melville, Fritha; Steel, Zachary; Lacherez, Philippe
This paper explores the impact of pre-migration trauma, post-migration living difficulties and social support on the current mental health of 63 resettled Sudanese refugees. A semistructured interview including questionnaires assessing sociodemographic information, pre-migration trauma, anxiety, depression and posttraumatic stress, post-migration living difficulties and perceived social support were administered assisted by a bilingual community worker. Resettled refugees from Sudan evidenced a history of trauma. Less than 5% met criteria for posttraumatic stress but 25% reported clinically high levels of psychological distress. The results indicate that social support--particularly perceived social support from the migrant's ethnic community--play a significant role in predicting mental health outcomes. Pre-migration trauma, family status and gender were also associated with mental health outcomes. Refugees in Australia may constitute a particularly vulnerable group in terms of mental health outcomes. Culturally specific sequelae in terms of social isolation and acculturation may be particularly problematic for these migrants.
Akinsulure-Smith, Adeyinka M; Espinosa, Adriana; Chu, Tracy; Hallock, Ryan
To promote a better understanding of the impact of refugee resettlement work on refugee resettlement workers, this study examined the prevalence rates of deleterious mental health and occupational outcomes, such as secondary traumatic stress and burnout, among a sample of 210 refugee resettlement workers at six refugee resettlement agencies in the United States. The study also explored coping mechanisms used by service providers to manage work-related stress and the influence of such strategies and emotional intelligence on secondary traumatic stress and burnout. Our findings show that certain coping strategies, including self-distraction, humor, venting, substance use, behavioral disengagement, and self-blame, were strongly related to deleterious outcomes, βs = .18 to .38, ps = .023 to < .001. Emotional intelligence was a negative correlate for all outcomes, βs = -.25 to -.30, ps < .001, above and beyond the effects of trauma, coping styles, job, and demographic characteristics. These findings have potential implications for clinical training and organizational policy regarding refugee mental health. Copyright © 2018 International Society for Traumatic Stress Studies.
Davenport, Lisa A
Though the United States has become a place of increasing resettlement for refugees, particularly Iraqi refugees who have been forced to flee their homeland due to violence, persecution and civil unrest, little is known about Iraqi refugee resettlement in the United States, or the way in which resettlement impacts health and adjustment. A grounded theory study was conducted to develop a substantive theory of Iraqi refugee resettlement. Participants in the qualitative study included 29 Iraqi refugees and 2 community partners who participated in face-to face interviews. Data analysis and interpretation revealed fundamental concepts related to Iraqi refugee resettlement. Results of analysis showed that for Iraqis choosing to resettle here, the outcome is dichotomous: satisfaction or regret. The outcome is influenced by contextual factors as well as facilitating and hindering intervening conditions during the basic social process of resettlement transition. Each refugee's story is unique, yet all share common threads. This study allowed Iraqi refugees the opportunity to voice their personal experiences of resettling in America, and revealed life stories that inspire and illuminate a process that can guide health care delivery as they cope with the stresses of their journey. As a result, an in-depth storyline was established to explain the process of resettlement for Iraqi refugees. The development of this resettlement theory, grounded in Iraqi refugee experience, has the potential to guide nursing education, enhance the efficacy of practice, inform policy development and form the basis for research.
Lamkaddem, M.; Essink-Bot, M.-L.; Devillé, W.; Gerritsen, A.; Stronks, K.
Introduction: Worldwide, refugees show a poorer mental and physical health than the populations among which they resettle. Little is known about the factors influencing health after resettlement. We examined the development of mental and physical health of refugees. As experienced living
He, L.; Aitchison, J. C.; Hussey, K.
Population resettlement has been a customary strategy to protect people's lives following natural disasters. While there is plenty research evaluating the consequences of population resettlement programs, evidence of its long-term effects on post-disaster recovery is lacking. Using data from 60 in-depth household interviews, two focus group discussions and field observations, this research examines the recovery among resettled rural households in the 2008 Sichuan earthquake-impacted areas. Results suggest that most households considered themselves worse-off after being resettled, and a large proportion of the resettled population is struggling to meet their basic needs as their living expenses are barely covered by income. This research highlights two original findings: First, the resettled rural households have not recovered from impacts of the earthquake in spite of living in a secure place. Second, the unachieved restoration of familiar living mode amongst the resettled largely contributes to this perception, which is further attributed to the lagging restitution of agricultural assets and the absence of off-job opportunities at the resettled communities. Completing mature recovery is subject to the availability of these resources. Resettlement and reconstruction practice should not be isolated from the consideration of restoring previous livelihood assets and replenishing new income-generating activities. This enables restoration of a familiar living mode for the relocated population in which they are able to recover and develop with their own ability in post-disaster life. Findings in this research can be translated to recovery practice involving rural circumstances in disaster-prone areas. Future work will include the post-earthquake population resettlement programs in Nepal and New Zealand for a comparative study on the effects of these practices in different countries.
Melonee Douglas; Rachel Levitan; Lucy W Kiama
With global resettlement needs growing and more refugees living outside camps, NGOs are uniquely positioned to identify and interview vulnerable refugees and to play a larger role in refugee resettlement.
Full Text Available Resettlement programmes for Syrian refugees severely restrict access to resettlement for single Syrian men, despite the conditions of vulnerability, insecurity and danger in which they live.
Lamkaddem, Majda; Essink-Bot, Marie-Louise; Devillé, Walter; Gerritsen, Annette; Stronks, Karien
Worldwide, refugees show a poorer mental and physical health than the populations among which they resettle. Little is known about the factors influencing health after resettlement. We examined the development of mental and physical health of refugees. As experienced living difficulties might decrease with obtaining a residence permit, we expected this to play a central role in health improvement after resettlement. A two-wave study conducted in the Netherlands among a cohort of 172 recent (n = 68) and longstanding (n = 104) permit holders from Afghanistan, Iran and Somalia between 2003 and 2011. Multivariate mediation analyses were conducted for the effect of changes in living difficulties on the association between change in status and changes in health. Health outcomes were self-reported general health, number of chronic conditions, PTSD and anxiety/depression. Recent permit holders had larger decreases in PTSD score (-0.402, CI -0.612; -0.192) and anxiety/depression score (-0.298, CI -0.464; -0.132), and larger improvements in self-rated general health between T1 and T2 (0.566, CI 0.183; 0.949) than longstanding permit holders. This association was not significant for changes in number of chronic conditions. Mediation analyses showed that the effect of getting a residence permit on health improvements transited through an improvement in living conditions, in particular employment and the presence of family/social support. These results suggest that change in residence permit is beneficial for health mainly because of the change in living difficulties. These results add up to the evidence on the role of social circumstances for refugees upon resettlement, and point at labour participation and social support as key mechanisms for health improvements. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
McBrien, J. Lynn
Parental involvement in schools is regarded as critical to student success in Australia, Canada, and the USA, the world's top refugee resettlement countries. Refugees can be disadvantaged when they are unfamiliar with the practices and when their own cultural beliefs conflict with expectations in their new communities, or when they are consumed by…
The Ryerson University Refugee Resettlement Project (RRP), a decade-long study of 1348 Southeast Asian refugees who came to Canada between 1979 and 1981, is one of the largest, most comprehensive and longest-lived investigations of refugee resettlement ever carried out. Knowledge gleaned from the RRP about research methodology, about the resettlement experience, about the social costs of resettling refugees, about factors that promote or hinder integration, about risk and protective factors for refugee mental health, and about the refugees' consumption of mental health and social services is summarized in the form of 18 "Lessons." The lessons are offered in order to encourage and stimulate further research, as well to suggest policy and practice innovations that could help make resettlement easier, less costly, more effective, and more humane.
Vromans, L; Schweitzer, R D; Farrell, L; Correa-Velez, I; Brough, M; Murray, K; Lenette, C
Refugee women entering resettlement countries on woman-at-risk visas represent a particularly vulnerable population. While their specific gender-based resettlement will likely differ from the general refugee population, little is known about their experiences of early resettlement, with which to inform resettlement policy and practice. This research aimed to explore lived experiences of recently resettled refugee women at risk in Australia. Qualitative research used focus groups and a framework approach to identify and explicate common themes in participants' experience. Two focus groups with a purposive sample of African and Afghan refugee women at risk (N = 10), aged 22-53 years, were conducted in South East Queensland, Australia (October 2016), recruited with the assistance of a local resettlement service. Discussions were audiotaped, transcribed, and themes explicated. Six superordinate themes emerged: (1) sentiment of gratitude; (2) sense of loneliness and disconnection; (3) feeling incapable; (4) experiencing distress and help-seeking; (5) experiencing financial hardship; and (6) anticipating the future. Findings indicate that resettlement policy, programs, and practice that explicitly target the needs of women-at-risk refugees are warranted, including a longer period of active service provision with specific attention to strategies that address the women's social connection, self-efficacy, emotional well-being, and financial hardships. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
The Relationship between Resettlement and Birth Rates: The Case of ... statistical software. SAS is used. RESULTS: In a univariate analysis of Gambella's ..... World Bank Conference on Land And. Poverty. Washington DC, World Bank, April.
Fields, Noelle LeCrone; Koenig, Terry; Dabelko-Schoeny, Holly
This study explored key aspects of resident transitions to assisted living (AL), including the frequency and importance of preadmission resident education and the potential role of social workers in this setting. To examine the factors that may help or hinder resident transitions to AL, a written survey was administered to a statewide,…
Lamkaddem, M.; Essink-Bot, M.; Gerritsen, A.A.M.; Devillé, W.; Stronks, K.
Introduction: Refugees and asylum seekers are an important group of new immigrants in today’s Europe. Despite recent research efforts information on changes in health upon resettlement is scarce. We analyzed the mechanisms underlying changes in mental and physical health after arrival in The
Fields, Noelle LeCrone; Koenig, Terry; Dabelko-Schoeny, Holly
This study explored key aspects of resident transitions to assisted living (AL), including the frequency and importance of preadmission resident education and the potential role of social workers in this setting. To examine the factors that may help or hinder resident transitions to AL, a written survey was administered to a statewide, geographically representative purposive sample of Medicaid Assisted Living Waiver providers (N = 28). Findings suggest a positive relationship between the availability of a social worker and the frequency and importance of resident preadmission education in several areas. Results also suggest a gap between what AL providers believe is important for resident transitions and what is actually happening in their facilities. Social workers may play a significant role in providing preadmission education and are well positioned to address the unmet psychosocial needs of residents and family members during the transition to AL. Future studies should specifically examine the contributing role of social workers during the period of adjustment to AL and the effect of social work services on the well-being of AL residents and families in AL settings.
Morris, Meghan D; Popper, Steve T; Rodwell, Timothy C; Brodine, Stephanie K; Brouwer, Kimberly C
The majority of refugees spend the greater part of their lives in refugee camps before repatriation or resettlement to a host country. Limited resources and stress during residence in refugee camps can lead to a variety of acute and chronic diseases which often persist upon resettlement. However, for most resettled refugees little is known about their health needs beyond a health assessment completed upon entry. We conducted a qualitative pilot-study in San Diego County, the third largest area in California, USA for resettling refugees, to explore health care access issues of refugees after governmental assistance has ended. A total of 40 guided in-depth interviews were conducted with a targeted sample of informants (health care practitioners, employees of refugee serving organizations, and recent refugee arrivals) familiar with the health needs of refugees. Interviews revealed that the majority of refugees do not regularly access health services. Beyond individual issues, emerging themes indicated that language and communication affect all stages of health care access--from making an appointment to filling out a prescription. Acculturation presented increased stress, isolation, and new responsibilities. Additionally, cultural beliefs about health care directly affected refugees' expectation of care. These barriers contribute to delayed care and may directly influence refugee short- and long-term health. Our findings suggest the need for additional research into contextual factors surrounding health care access barriers, and the best avenues to reduce such barriers and facilitate access to existing services.
Full Text Available Although its gold mining project has been locked in public debates and permit reviews for over a decade, a Canadian-Romanian company privately negotiated with the inhabitants of Roşia Montană commune, Romania, to buy their households and lands, and resettle them in a specially built neighbourhood in the city of Alba Iulia. This paper suggests that while the paternalistic character of resettlement has allowed resettlers to partially keep their group identity, and partially to reconstruct it in relation with the host community, it was also based on a misunderstanding of the relationship between resettlers and the organiser of resettlement. Drawing on field research, the resettlement was studied as a “continuous process” spanning three years (2010-12, during which this paper identifies (1 the changes in lifestyle, (2 the mechanisms of community regeneration, and (3 post-resettlement initiatives of resettlers. Although greater living costs (utility bills, real estate taxes, transportation and unemployment seem to be balanced by better living conditions and greater educational opportunities for their children, the ambivalent paternalistic aspect of the resettlement has negatively influenced the development of the new community. While at first community issues were unsuccessfully addressed to the company, recent public improvement initiatives by resettlers have caused tensions between the two sides.
collective facilities were put in place by the government for use by re-settlers but the majority .... In l984 the government announced its intention to resettle l.5 million people from the ..... They said public transportation is occasional and irregular.
William Lacy Swing
Full Text Available There are certain essential elements of resettlement programming benefit both refugees and the states undertaking to receive them. IOM believes that this holds true regardless of the type of resettlement scheme, the destination country or the profile of the refugees being assisted.
Shinan-Altman, Shiri; Ayalon, Liat
To examine perceived control among live-in and live-out home care workers and to identify factors that contribute to perceived control among both types of caregiving. 338 migrant live-in home care workers and 185 local live-out home care workers were asked to report their perceived control. Burnout, satisfaction with the relationship with the care recipient and the care recipient's family, and satisfaction with social relationship were also gathered. Both types of caregivers reported high levels of perceived control, although live-in home care workers expressed more perceived control. Higher age, higher levels of satisfaction with the relationship with the care recipient and the care recipient's family and lower levels of burnout, predicted perceived control. Satisfaction with social relationship was a stronger predictor of one's perceived control among live-in home care workers. Promoting social relationships outside the home care context by allowing migrant live-in home care workers to take part in social gatherings is recommended as this can strengthen their sense of perceived control.
Full Text Available The issue of migrant live-in homecare workers has been barely addressed in the gerontological literature, in spite of the increase of older persons being cared for by such persons in many Western countries. The purposes of the study are to examine the extent to which migrant live-in homecare workers substitute family caregivers or complement the care that is provided by primary caregivers, and to examine if there are differences in primary caregivers’ involvement in providing help with activities of daily living (ADL and instrumental activities of daily living (IADL before and after hiring a migrant live-in homecare worker, by caregivers’ employment status and gender. The data were drawn from a study that included 335 triads (care recipients, their primary caregivers, and their Filipina live-in homecare workers. The findings show that for the most part primary caregivers continue to play a significant role in providing care, in particular with regard to IADL tasks, even when there is a migrant live-in homecare worker. Several patterns of division of labor between the formal and informal caregivers were identified; that is, in some cases they complement each other while in other cases the migrant live-in homecare workers substitute for the care previously provided by the primary caregivers. Significant differences between male and female caregivers and between working and nonworking caregivers were found with regard to involvement in providing care before and after employment of a migrant homecare worker.
Liang, Ying; Li, Shuqin
Urbanization has accelerated in China, and a large amount of arable land has been transformed into urban land. Moreover, the number of landless peasants has continually increased. Peasants lose not only their land, but also a series of rights and interests related with land. The problems of landless peasants have been long-standing; however, only a few studies have examined their health or quality of life (QOL). This paper assesses the QOL of landless peasants in the Yangtze River Delta (YRD) region, analyzes gender differences, and explores health inequity. Data are derived from household samples in six resettlement residential areas of three cities (Nanjing, Hangzhou, and Yangzhou) in the YRD region (N = 1,500; the effective rate = 82.4%). This study uses the short version of World Health Organization Quality of Life questionnaire (WHOQOL-BREF) scale to measure the QOL of landless peasants, and performs confirmatory factor analysis (CFA) and analyze gender differences in QOL on the basis of CFA. First, we use Analysis of Variance and Non-parametric Tests to test if the differences of mean value of testing generals have statistical significances. Results shows significant differences occur between the impacts of different genders on the four domains of QOL (physical health, psychological health, social relationships, and environment). The internal reliability of the WHOQOL-BREF scale is good (Cronbach's alpha > 0.8), and the four domains of QOL are connected with each other. Second, scores in each QOL domain are commonly low, whereas the scores of females are much lower, indicating a poorer QOL than that of males. Third, results of the CFA of the QOL domains and their related observed variables indicate a good model fit. Fourth, results imply that the order of importance of the four domains (psychological health (males = 26.74%, females = 27.17%); social relationships (males = 26.23%, females = 25.35%); environment (males = 25
This article examines what urban displacement and resettlement can reveal about the nature of, and co-constitutive relationships among, property, authority, and citizenship. It focuses on an unusual case in Bulawayo, Zimbabwe, where long-term illegal squatters living under constant threat...... of violent displacement by various local and national authorities were formally resettled by the Bulawayo City Council on peri-urban plots with houses. What surfaces are some of the paradoxes of propertied citizenship and of attaining seemingly “proper” lives in conditions of sustained marginality, a result...... that is not entirely unexpected when impoverished squatters are resettled far outside the frame of the city and its possibilities....
Jiang, Chilong; Zou, Dehua; Long, Chenhai; Yang, Miao; Zhang, Zhanlong; Mei, Daojun
Live-line working is an essential part in the operations in an electric power system. Live-line workers are required to wear shielding clothing. Shielding clothing, however, acts as a closed environment for the human body. Working in a closed environment for a long time can change the physiological responses of the body and even endanger personal safety. According to the typical conditions of live-line working, this study synthesizes environmental factors related to shielding clothing and the physiological factors of the body to establish the heart rate variability index RMSSD and the comprehensive security warning index SWI. On the basis of both indices, this paper proposes a security warning method and system for the safety live-line workers. The system can monitor the real-time status of workers during live-line working to provide security warning and facilitate the effective safety supervision by the live operation center during actual live-line working.
will change the lives of current and future residents of a ... community's fiscal balance sheet or local natural ... resettlement scheme deserves environmental impact assessment ..... work and others (especially the returnees) could not even.
Dharod, Jigna M
This study was conducted with the Montagnard refugee women (n = 42) to understand their pre-resettlement living conditions and estimate pre- and post-resettlement differences in their intake of major food groups. In-depth interviews were conducted with the participants in their homes by multilingual Montagnard women fluent in English and their tribal languages. Most of the participants did not receive education and 39% reported household incomes of $500 or less per month. Participants had a very limited or no experience in weekly food shopping and budgeting before moving to the United States. In comparison of food habits, intake of different types of meat increased upon resettlement (P experience and receiving ≥ $500 in SNAP increased the odds of high meat intake. Due to a significant shift in food choices and environment, refugees are at a higher risk of experiencing poor health after moving to the United States.
Sypek, Scott; Clugston, Gregory; Phillips, Christine
To explore the reported impact of regional resettlement of refugees on rural health services, and identify critical health infrastructure for refugee resettlement. Comparative case study, using interviews and situational analysis. Four rural communities in New South Wales, which had been the focus of regional resettlement of refugees since 1999. Refugees, general practitioners, practice managers and volunteer support workers in each town (n = 24). The capacity of health care workers to provide comprehensive care is threatened by low numbers of practitioners, and high levels of turnover of health care staff, which results in attrition of specialised knowledge among health care workers treating refugees. Critical health infrastructure includes general practices with interest and surge capacity, subsidised dental services, mental health support services; clinical support services for rural practitioners; care coordination in the early settlement period; and a supported volunteer network. The need for intensive medical support is greatest in the early resettlement period for 'catch-up' primary health care. The difficulties experienced by rural Australia in securing equitable access to health services are amplified for refugees. While there are economic arguments about resettlement of refugees in regional Australia, the fragility of health services in regional Australia should also be factored into considerations about which towns are best suited to regional resettlement.
NGOs have a rich history of involvement in case identification and referral for resettlement, and have helped to increase numbers, improve processes and make resettlement more equitable, and accountable, for refugees.
Marquita R. Walker
This qualitative paper explores the lived experiences of one group of workers dislocated because of globalized trade policies who completed a hybrid Advanced Manufacturing Training Program (AMTP) by taking advantage of Trade Adjustment Assistance (TAA), a federally-funded program for retraining workers dislocated because of trade policies. The research questions focus on how satisfied these workers are with the services and programs provided by TAA. Focus groups and survey instrument results ...
Pelders, Jodi L
Full Text Available interviews with labour representatives, 14 focus groups with mine workers, and 875 questionnaires completed by mine workers. The use of single-sex hostels and hostel room occupancy rates has reduced, while the use of living-out allowances (LOAs) has increased...
The stages of resettlement and need to integrate past cultural experience into their new life are similar for all immigrants. Describes stages of resettlement and basic elements needed to manage the resettlement process. Three specific groups of clients are identified, and case management methods are presented for dealing with issues raised by…
Harris, Jimmy D. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
Radiological worker training is the basic building block for any additional radiological training you may receive. Upon completing radiological worker training, you will have the basic knowledge needed to work safely, using proper radiological practices, in areas where radiological hazards exist. You will also have a better understanding of the hazards and responsibilities associated with radiological work to help prevent the carelessness that can occur when working continually with or around radioactive material. This course does not qualify you for any specific radiological work. You may be required to take additional training at individual facilities to address facility- and job-specific hazards and procedures.
Ethiopia is experiencing an unprecedented increase in population size as a .... from origin to resettlement site, the arrival, the social interactions with the host community, etc. .... It was said that extensive awareness raising activities were .... agencies to brand the operation voluntary—hence less a matter of concern—.
DePasquale, Nicole; Hill-Briggs, Felicia; Darrell, Linda; Boyer, LaPricia Lewis; Ephraim, Patti; Boulware, L. Ebony
Live kidney transplantation (LKT) is underused by patients with end-stage renal disease. Easily implementable and effective interventions to improve patients' early consideration of LKT are needed. The Talking About Live Kidney Donation (TALK) social worker intervention (SWI) improved consideration and pursuit of LKT among patients with…
Burgess, Elisabeth O; Barmon, Christina; Moorhead, James R; Perkins, Molly M; Bender, Alexis A
In assisted living (AL) facilities, workers are intimately involved in the lives of residents. Existing research on AL demonstrates the imbalance of this environment, which is a personal home for the residents and a workplace for staff. Using observational and interview data collected from six AL facilities, this grounded theory project analyzes how AL staff define, understand, and negotiate sexual comments, joking, and physical touch. We developed a conceptual model to describe how such harassment was perceived, experienced by AL workers, and how they responded. Sexualized behavior or harassment was experienced by workers of every status. We found that words and actions were contextualized based on resident and worker characteristics and the behavior. Staff members refused to engage residents, redirected them, or reframed the words and gestures to get the job done. Reporting the incidents was less common. We conclude by discussing implications for policy and research.
Objectives: The researcher explored the lived experiences of HIV community workers participating in two CEPs in Ladysmith, KwaZulu-Natal in order to develop recommendations for CEPs. Method: Data were explored using a qualitative hermeneutic phenomenological approach. Ten participants who had been involved in HIV CEPs for more than six months were identified and individual interviews were held. Results: Three themes emerged, namely, giving of yourself, maintaining sustainability and assisting the CEPs and community workers. Each of these themes also contained a number of subthemes. Exploring the lived experience of the community workers revealed that there are a number of ways in which to promote the sustainability of CEPs. Conclusion: The community should be involved in all aspects of the CEP and community workers must respect the community and their knowledge, experience and value systems.
Deng Chung-Yeh; Tai Chen-Jei; Daly Maria; Chien Li-Yin
Abstract Background Traditional Chinese medicine (TCM) has remained an integral part of Chinese culture and society for thousands of years. In Taiwan TCM is a recognized element of its National Health Insurance Scheme. However, there is no knowledge about how TCM is accessed by foreign workers from a non-Asian cultural background. The objectives of this study were to investigate the prevalence and patterns of TCM use among non-Asian white-collar workers living in Taiwan, and examine factors l...
Gichunge, Catherine; Somerset, Shawn; Harris, Neil
A cross-sectional sequential explanatory mixed methods study was conducted among household food preparers to examine the association between home availability and consumption of traditional vegetables among resettled African refugees living in Queensland, Australia. Home availability of traditional African vegetables was associated with age, having a vegetable garden, employment status, and having a supermarket in the local neighborhood. Food preparers from homes with low vegetable availability were less likely to consume the recommended number of vegetable servings. Barriers faced in the food environment included language, lack of availability of traditional vegetables and lack of transport. All of these aspects contributed to the study findings that both individual and food environment characteristics may play a role in access to and availability of food and vegetable consumption of resettled refugees. Consumption of traditional foods among the resettled refugees continues post resettlement.
Lee, Ahyoung Anna; Lee, Sharon Narae; Armour, Marilyn
In response to the growing attention to integrated health care and the cultural change movement in nursing homes, this study examines the lived experiences of nursing home social workers to better understand their role perceptions, job satisfaction, and relationship with other staff members. Hermeneutic phenomenology was used in order to understand the lived experience of being a nursing home social worker. Ten nursing home social workers were recruited from a southern state and individual interviews were conducted. From the interviews, four themes emerged: challenge, coping, mattering, and rewarding. Guided by identity negotiation theory and social identity theory, these findings are discussed. Also, implications for social work education, nursing home administration, and policy is discussed.
Describes and analyzes an intervention program with social workers living and working in a situation of uncertainty created by political violence, such as war and terrorism. Uses a social constructionist perspective as a theoretical framework, emphasizing the effect of the social and political context in constructing the experience and a…
Marquita R. Walker
Full Text Available This qualitative paper explores the lived experiences of one group of workers dislocated because of globalized trade policies who completed a hybrid Advanced Manufacturing Training Program (AMTP by taking advantage of Trade Adjustment Assistance (TAA, a federally-funded program for retraining workers dislocated because of trade policies. The research questions focus on how satisfied these workers are with the services and programs provided by TAA. Focus groups and survey instrument results indicate these workers found TAA services and processes cumbersome and time- consuming and actually had the effect of discouraging their education, training, and self- employment. The consequences of their dislocation as it relates to TAA experiences are increased frustration and dissatisfaction with the TAA program. Serious consideration for TAA policy changes should be deemed of utmost importance.
Gangamma, Rashmi; Shipman, Daran
In this article, we discuss incorporating the transnational intersectionality framework in family therapy with resettled refugees. Transnational intersectionality is an extension of the framework of intersectionality which helps to better understand complexities of power and oppression across national contexts and their influence on refugees' lives. Adopting this framework alerts family therapists to: (a) develop critical awareness of refugee's transnational contexts; (b) understand differences in experiences of social identities across contexts; (c) acknowledge postmigration factors of oppression affecting resettlement; and (d) critically reflect upon therapist-interpreter-client intersectionalities. This shifts our conceptualization of therapy with refugees to actively consider transnational contexts which refugees uniquely occupy. We describe the framework and provide two case illustrations to highlight its usefulness. © 2017 American Association for Marriage and Family Therapy.
Corbin, Joanne N
This exploratory qualitative study considers the subjective resettlement experiences of children forced into armed conflict in Northern Uganda from the perspectives of 11 former child combatants and 11 adult community members. A thematic analysis was performed on the narrative data. The bioecological model was used to provide a conceptual framework for key themes. Major findings included the overarching impact of ongoing armed conflict on returnees' lives, the important role of the family in supporting children's resettlement, the harassment of former child soldiers by community members, and the community's inability to support systematically the returning children in tangible ways. This study recommends that humanitarian services at all levels strengthen the capacity of families to care for the material and psychoemotional needs of former child soldiers within their communities.
Thais Silva Menezes
Full Text Available Brazil’s resettlement programmes have been praised for demonstrating the country’s commitment to refugee protection but the number resettled remains small compared with international need. Brazil needs to address the financing of such programmes if it is to ensure their sustainability and growth.
Cláudia Regina Brandão Sampaio
Full Text Available Changes in methods of agricultural production have impacted on the lives of those involved in this sector. New social relations, technologies, values and landscapes have been introduced as well as potential risks to health. Female workers have a specific experience that requires a closer analysis to understand their situation. The research addresses the interrelationship of health, work, and the environment of women agriculturalists in a rural Amazonian community. This focus allows the identification and understanding of relations between the women and the actors with whom they share daily activities and the implications for health, work, and self-image. Using qualitative methods the experiences of 47 women were captured through collective interviews, which were analysed by Nucleus of Meaning Analysis (NMA, adapted from Categorical Content Analysis. Work is central to the lives of the women workers but is attributed with different meanings depending on the context and the relationship. It was found that the relationship with employers increases the risk of workplace exploitation; with male partners work is characterised as ‘helping’. Work with female co-workers increases a sense of identity, strengthens social bonds and an ability to solve problems. In conclusion, in addition to issues related to production methods, the subjective relational universe of these workers is marked by a complexity that impacts on their lives and health. The authors suggest that research on the impact of daily life and workplace on health considers the different and complex relations and subjective demands, especially in contexts endowed with uniqueness.
Rael, Christine T; Davis, Alissa
Little is known about the mental health of female sex workers and women living with HIV/AIDS in the Dominican Republic, which impedes HIV prevention, testing, and treatment. This project estimates the prevalence of depression and identifies key contributing factors to this outcome in female sex workers, women living with HIV/AIDS, and a comparison group. Participants were female sex workers (N = 349), women living with HIV/AIDS (N = 213), and a comparison group of HIV-negative women who were not sex workers (N = 314) from the Dominican Republic. Participants completed questionnaires assessing demographic characteristics and depression. Female sex workers and women living with HIV/AIDS completed additional questionnaires ascertaining HIV or sex work-related internalized stigma. Depression was prevalent among female sex workers (70.2%), women living with HIV/AIDS (81.1%), and the comparison group (52.2%). Adjusted logistic regressions showed that internalized stigma was associated with depression for female sex workers (OR = 2.73; 95% CI = 1.95-3.84) and women living with HIV/AIDS (OR = 3.06; 95% CI = 1.86-5.05). Permanent income was associated with this outcome for female sex workers (OR = 0.08; 95% CI = 0.01-0.80) and the comparison group (OR = 0.04; 95% CI = 0.00-0.45).
Daly, Maria; Tai, Chen-Jei; Deng, Chung-Yeh; Chien, Li-Yin
Background Traditional Chinese medicine (TCM) has remained an integral part of Chinese culture and society for thousands of years. In Taiwan TCM is a recognized element of its National Health Insurance Scheme. However, there is no knowledge about how TCM is accessed by foreign workers from a non-Asian cultural background. The objectives of this study were to investigate the prevalence and patterns of TCM use among non-Asian white-collar workers living in Taiwan, and examine factors likely to influence their use of TCM. Methods This study applied a cross-sectional survey design. A total of 207 white-collar foreign workers of a non-Asian background currently holding National Health Insurance cards who had lived in Taiwan for 4 months or more participated in this study. Results The prevalence of TCM use was 45%. The most frequently used therapies were traditional Chinese herbs/medicine and acupuncture. Factors indicating the likelihood of TCM usage were age 31–40 years, visit to an allopathic medical doctor in the last year, ability to read Chinese, having a friend or family member available to assist in the use of TCM, and access to information about TCM services available in Taiwan. Conclusion Utilization of TCM by people of a non-Asian background living in Taiwan appears to be most influenced by enabling factors including language ability, access to information, and informal reference persons. PMID:19144152
Daly, Maria; Tai, Chen-Jei; Deng, Chung-Yeh; Chien, Li-Yin
Traditional Chinese medicine (TCM) has remained an integral part of Chinese culture and society for thousands of years. In Taiwan TCM is a recognized element of its National Health Insurance Scheme. However, there is no knowledge about how TCM is accessed by foreign workers from a non-Asian cultural background. The objectives of this study were to investigate the prevalence and patterns of TCM use among non-Asian white-collar workers living in Taiwan, and examine factors likely to influence their use of TCM. This study applied a cross-sectional survey design. A total of 207 white-collar foreign workers of a non-Asian background currently holding National Health Insurance cards who had lived in Taiwan for 4 months or more participated in this study. The prevalence of TCM use was 45%. The most frequently used therapies were traditional Chinese herbs/medicine and acupuncture. Factors indicating the likelihood of TCM usage were age 31-40 years, visit to an allopathic medical doctor in the last year, ability to read Chinese, having a friend or family member available to assist in the use of TCM, and access to information about TCM services available in Taiwan. Utilization of TCM by people of a non-Asian background living in Taiwan appears to be most influenced by enabling factors including language ability, access to information, and informal reference persons.
Full Text Available Abstract Background Traditional Chinese medicine (TCM has remained an integral part of Chinese culture and society for thousands of years. In Taiwan TCM is a recognized element of its National Health Insurance Scheme. However, there is no knowledge about how TCM is accessed by foreign workers from a non-Asian cultural background. The objectives of this study were to investigate the prevalence and patterns of TCM use among non-Asian white-collar workers living in Taiwan, and examine factors likely to influence their use of TCM. Methods This study applied a cross-sectional survey design. A total of 207 white-collar foreign workers of a non-Asian background currently holding National Health Insurance cards who had lived in Taiwan for 4 months or more participated in this study. Results The prevalence of TCM use was 45%. The most frequently used therapies were traditional Chinese herbs/medicine and acupuncture. Factors indicating the likelihood of TCM usage were age 31–40 years, visit to an allopathic medical doctor in the last year, ability to read Chinese, having a friend or family member available to assist in the use of TCM, and access to information about TCM services available in Taiwan. Conclusion Utilization of TCM by people of a non-Asian background living in Taiwan appears to be most influenced by enabling factors including language ability, access to information, and informal reference persons.
Zimbabwean villagers of distinct background have resettled in government-organized land reforms for more than three decades. Against this backdrop, I assess the level of social cohesion in some of the newly established communities by estimating the average preferences for fairness in a structural model of bounded rationality. The estimations are based on behavioral data from an ultimatum game field experiment played by 234 randomly selected households in 6 traditional and 14 resettled villages almost two decades after resettlement. Equal or higher degrees of fairness are estimated in all resettlement schemes. In one, or arguably two, out of three distinct resettlement schemes studied, the resettled villagers exhibit significantly higher degrees of fairness (p ≤ 0.11) and rationality (p ≤ 0.04) than those who live in traditional villages. Overall, villagers appear similarly rational, but the attitude toward fairness is significantly stronger in resettled communities (p ≤ 0.01). These findings are consistent with the idea of an increased need for cooperation required in recommencement.
Nagamine, Masanori; Harada, Nahoko; Shigemura, Jun; Dobashi, Kosuke; Yoshiga, Makiko; Esaki, Naoki; Tanaka, Miyuki; Tanichi, Masaaki; Yoshino, Aihide; Shimizu, Kunio
Defense Force workers engaged in disaster relief activities might suffer from strong psychological stress due to the tasks that they had been involved. We evaluated how living environments, work environments, and individual factors psychologically affect those who engaged in disaster relief activities. Data generated with 1506 personnel engaged in the Great East Japan Earthquake relief activity were analyzed. Those who scored ≥25 points on the Impact of Events Scale-Revised and the Kessler Psychological Distress Scale (K10) were allocated into the high post-traumatic stress response (high-PTSR) group, and the high general psychological distress (high-GPD) group, respectively. The multiple logistic regression analysis extracted living environment (camping within the shelter sites) as the significant risk factor for both high-PTSR (OR = 3.39, 95 % CI 2.04-5.64, p living environment in which they can keep an appropriate distance from the victims.
Alvarado-Esquivel, Cosme; Campillo-Ruiz, Federico; Liesenfeld, Oliver
Migrant agricultural workers are a group of people living in poverty with poor housing, sanitary conditions and hygiene practices. Little is known about the epidemiology of infection with Toxoplasma gondii in migrant agricultural workers. We investigated the presence of anti-Toxoplasma IgG and IgM antibodies in 173 migrant workers hired for seasonal agricultural work in Durango State in northern Mexico using enzyme-linked immunoassays. Of the 173 migrant workers (mean age 34.82 ± 14.01 years), 50 (28.9%) had anti-Toxoplasma IgG antibodies and 36 (20.8%) had anti-Toxoplasma IgM antibodies. Seroprevalence was not influenced by gender, age, birth place, or educational level. In contrast, seroprevalence was significantly higher in workers residing in rural areas than those in urban or suburban areas. Migrant workers suffering from memory impairment, dizziness, or syncope had significantly higher seroprevalence of anti-T. gondii IgG antibodies than those without such clinical features. Logistic regression analysis showed that T. gondii exposure was positively associated with consumption of unwashed raw vegetables (OR = 2.39; 95% CI: 1.06-5.35; P = 0.03) and low frequency of eating out of home (OR = 3.87; 95% CI: 1.43-10.42; P = 0.007), and negatively associated with national trips (OR = 0.30; 95% CI: 0.13-0.65; P = 0.003) and consumption of raw milk (OR = 0.40; 95% CI: 0.18-0.87; P = 0.02). Other behavioral characteristics including consumption of meat or untreated water were not associated with T. gondii infection. This is the first report of T. gondii infection in internal migrant agricultural workers living in poverty. Results deserve further investigation of causal relations between clinical symptoms and infection, and may be useful for optimal planning of preventive measures.
Lee, Hyeonkyeong; Ahn, Hyunmi; Park, Chang Gi; Kim, Sun Jung; Moon, Sun Hye
A rapid increase in the population of migrant workers in Korea has brought new challenges regarding the possible effects of acculturation on health. The purpose of this study was to examine the influence of acculturation- and work-related psychosocial factors on work-related musculoskeletal disorders among migrant female workers living in Korea. A cross-sectional survey design was used. A translated, structured questionnaire was administrated to 156 southeastern Asian female full-time workers living in Korea. About 35% of the participants experienced some type(s) of work-related musculoskeletal disorder(s), which were more prevalent in Vietnamese women than in Thai and Filipino women. Women who preferred to maintain their own heritage and to reject the host country heritage were at risk for work-related musculoskeletal disorders. Acculturation strategy and nationality were found to be significant factors associated with work-related musculoskeletal disorders. Health professionals need to accommodate acculturation contexts into risk assessment and intervention development for work-related musculoskeletal disorders separately for different nationalities.
S. Susela DEVI
Full Text Available This paper introduces action research as a possible new method to reduce the distance between idealism and accounting practice, thus contributing to the accounting literature. The source of this paper is an on-going large research project. The project has three objectives. Firstly, to provide evidence of the utilisation of accounting methods in the Malaya plantation industry from its earliest beginnings through to the introduction of accounting tools such as budgets, leading to the creation of a social and economic underclass in Malaysia. Secondly, to examine the extent to which accounting information provided in the Annual Reports of Malaysian plantation companies is used in determining the wages of plantation workers on the grounds that workers in the plantation industry have been and still are, among the most poorly paid in Malaysia, and perhaps the world. Interestingly, the wages of plantation workers are determined through a negotiation process between the National Union of Plantation Workers and the Malaysian Agricultural Producers Association. This paper draws from this research project and explicates the utilisation of the Action Research methodology in reporting the “lived experiences” of those affected by Management Accounting budgets and demonstrating how the parties to wage negotiation, the employers, union and employees, can better derive value from accounting information provided within the annual reports of Malaysian plantation companies.
Quetulio-Navarra, Melissa; Znidarsic, Anja; Niehof, Anke
The study of social network analysis in Indonesia and the Philippines reveals that after a certain period in a new community and living among involuntarily resettled strangers, household heads and community leaders will eventually replace their disrupted previous networks with new network ties. The
Jaye, Chrystal; Fitzgerald, Ruth
In New Zealand, as in other industrialised nations, rates of work-related gradual onset injuries increased during the 1980s and 1990s. The perspectives and experiences of workers suffering what became known as occupational overuse injuries in New Zealand offer insights into local lived political economies. Here, we explore the dominant metaphor, 'battling', in participants' narratives. On the face of it, battles were fought over diagnoses, over occupational health and safety in the workplace, and over entitlements to therapy and income compensation. However, participants were also battling to maintain their identities as hard workers, while resisting and challenging normalising technologies of self and morally charged negative identities offered them by employers, state-funded accident and injury insurance agencies, and the medical profession. Inherent in their narratives is a critique of the neo-liberal capitalist political economy that allows workers' bodies to be exploited (and sacrificed) for employers' profits. © 2010 The Authors. Sociology of Health & Illness © 2010 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.
Chen, Jidang; Ma, Jun; White, Sarah K; Cao, Zhenpeng; Zhen, Yun; He, Shuyi; Zhu, Wanjun; Ke, Changwen; Zhang, Yongbiao; Su, Shuo; Zhang, Guihong
Guangdong Province is recognized for dense populations of humans, pigs, poultry and pets. In order to evaluate the threat of viral infection faced by those working with animals, a cross-sectional, sero-epidemiological study was conducted in Guangdong between December 2013 and January 2014. Individuals working with swine, at poultry farms, or live poultry markets (LPM), and veterinarians, and controls not exposed to animals were enrolled in this study and 11 (4 human, 3 swine, 3 avian, and 1 canine) influenza A viruses were used in hemagglutination inhibition (HI) assays (7 strains) and the cross-reactivity test (9 strains) in which 5 strains were used in both tests. Univariate analysis was performed to identify which variables were significantly associated with seropositivity. Odds ratios (OR) revealed that swine workers had a significantly higher risk of elevated antibodies against A/swine/Guangdong/L6/2009(H1N1), a classical swine virus, and A/swine/Guangdong/SS1/2012(H1N1), a Eurasian avian-like swine virus than non-exposed controls. Poultry farm workers were at a higher risk of infection with avian influenza H7N9 and H9N2. LPM workers were at a higher risk of infection with 3 subtypes of avian influenza, H5N1, H7N9, and H9N2. Interestingly, the OR also indicated that LPM workers were at risk of H1N1 swine influenza virus infection, perhaps due to the presence of pigs in the LPM. While partial confounding by cross-reactive antibodies against human viruses or vaccines cannot be ruled out, our data suggests that animal exposed people as are more likely to have antibodies against animal influenza viruses. Copyright © 2015 Elsevier B.V. All rights reserved.
... 45 Public Welfare 2 2010-10-01 2010-10-01 false Preparation of local resettlement agencies. 400.63 Section 400.63 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM...
... 45 Public Welfare 2 2010-10-01 2010-10-01 false Notification to local resettlement agency. 400.68 Section 400.68 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM...
Alves, D A; Imperatriz-Fonseca, V L; Francoy, T M; Santos-Filho, P S; Nogueira-Neto, P; Billen, J; Wenseleers, T
Insect societies are well known for their high degree of cooperation, but their colonies can potentially be exploited by reproductive workers who lay unfertilized, male eggs, rather than work for the good of the colony. Recently, it has also been discovered that workers in bumblebees and Asian honeybees can succeed in entering and parasitizing unrelated colonies to produce their own male offspring. The aim of this study was to investigate whether such intraspecific worker parasitism might also occur in stingless bees, another group of highly social bees. Based on a large-scale genetic study of the species Melipona scutellaris, and the genotyping of nearly 600 males from 45 colonies, we show that approximately 20% of all males are workers' sons, but that around 80% of these had genotypes that were incompatible with them being the sons of workers of the resident queen. By tracking colonies over multiple generations, we show that these males were not produced by drifted workers, but rather by workers that were the offspring of a previous, superseded queen. This means that uniquely, workers reproductively parasitize the next-generation workforce. Our results are surprising given that most colonies were sampled many months after the previous queen had died and that workers normally only have a life expectancy of approximately 30 days. It also implies that reproductive workers greatly outlive all other workers. We explain our results in the context of kin selection theory, and the fact that it pays workers more from exploiting the colony if costs are carried by less related individuals.
Sulaiman-Hill, Cheryl Mr; Thompson, Sandra C
As almost half of all refugees currently under United Nations protection are from Afghanistan or Iraq and significant numbers have already been resettled outside the region of origin, it is likely that future research will examine their resettlement needs. A number of methodological challenges confront researchers working with culturally and linguistically diverse groups; however, few detailed articles are available to inform other studies. The aim of this paper is to outline challenges with sampling and recruitment of socially invisible refugee groups, describing the method adopted for a mixed methods exploratory study assessing mental health, subjective wellbeing and resettlement perspectives of Afghan and Kurdish refugees living in New Zealand and Australia. Sampling strategies used in previous studies with similar refugee groups were considered before determining the approach to recruitment A snowball approach was adopted for the study, with multiple entry points into the communities being used to choose as wide a range of people as possible to provide further contacts and reduce selection bias. Census data was used to assess the representativeness of the sample. A sample of 193 former refugee participants was recruited in Christchurch (n = 98) and Perth (n = 95), 47% were of Afghan and 53% Kurdish ethnicity. A good gender balance (males 52%, females 48%) was achieved overall, mainly as a result of the sampling method used. Differences in the demographic composition of groups in each location were observed, especially in relation to the length of time spent in a refugee situation and time since arrival, reflecting variations in national humanitarian quota intakes. Although some measures were problematic, Census data comparison to assess reasonable representativeness of the study sample was generally reassuring. Snowball sampling, with multiple initiation points to reduce selection bias, was necessary to locate and identify participants, provide reassurance and
Thompson Sandra C
Full Text Available Abstract Background As almost half of all refugees currently under United Nations protection are from Afghanistan or Iraq and significant numbers have already been resettled outside the region of origin, it is likely that future research will examine their resettlement needs. A number of methodological challenges confront researchers working with culturally and linguistically diverse groups; however, few detailed articles are available to inform other studies. The aim of this paper is to outline challenges with sampling and recruitment of socially invisible refugee groups, describing the method adopted for a mixed methods exploratory study assessing mental health, subjective wellbeing and resettlement perspectives of Afghan and Kurdish refugees living in New Zealand and Australia. Sampling strategies used in previous studies with similar refugee groups were considered before determining the approach to recruitment Methods A snowball approach was adopted for the study, with multiple entry points into the communities being used to choose as wide a range of people as possible to provide further contacts and reduce selection bias. Census data was used to assess the representativeness of the sample. Results A sample of 193 former refugee participants was recruited in Christchurch (n = 98 and Perth (n = 95, 47% were of Afghan and 53% Kurdish ethnicity. A good gender balance (males 52%, females 48% was achieved overall, mainly as a result of the sampling method used. Differences in the demographic composition of groups in each location were observed, especially in relation to the length of time spent in a refugee situation and time since arrival, reflecting variations in national humanitarian quota intakes. Although some measures were problematic, Census data comparison to assess reasonable representativeness of the study sample was generally reassuring. Conclusions Snowball sampling, with multiple initiation points to reduce selection bias, was
Higgitt, Nancy C.; Horne, Lena
In focus groups the experiences of 12 Kurdish and 13 Vietnamese refugees who resettled in Winnipeg, Manitoba were explored. They lacked employment skills and their education was interrupted. The transition from home ownership to subsidized rent affected their self-perception. (JOW)
The flow rates of Chinese rivers are subject to major seasonal fluctuations, and as a result large reservoirs have to be constructed for flood control, irrigation, and power generation. As most of the river valleys are densely populated, the relocation and resettlement of people from the reservoir areas are major but unavoidable problems to be addressed in building hydro projects in China. (author)
Full Text Available Those working with asylum seekers and refugees in Turkey have noticed that a growing number of Iranian Shi’ite asylum seekers are converting to Christianity during their migratory passage through Turkey. With apostasy punishable by death in Iran, asylum claims and requests for resettlement can be based on or strengthened by such conversion.
Cernigliaro, Dana; Barrington, Clare; Perez, Martha; Donastorg, Yeycy; Kerrigan, Deanna
Female sex workers (FSWs) living with HIV are a vulnerable population for multiple health concerns and have been vastly understudied in public health literature. This study analyzes factors related to pregnancy among 268 FSWs living with HIV in the Dominican Republic. Results indicate that 34 % of participants had been pregnant since HIV diagnosis. Multivariate analysis revealed significant associations between pregnancy after HIV diagnosis and ART interruption (AOR 2.41; 95 % CI 1.19, 4.94), knowledge of mother-to-child transmission (AOR 2.12; 95 % CI 0.99, 4.55), serostatus disclosure to a sex partner (AOR 2.46; 95 % CI 1.31, 4.62), older age (AOR 0.91; 95 % CI 0.87, 0.95) and a more negative perception of their health provider (AOR 0.56; 95 % CI 0.34, 0.93). Results indicate noteworthy associations between having been pregnant and the health provider experience and ART interruption, indicating a significant need for further research on this population to ensure both maternal and child health.
Lee, Eun Jung; Lee, Kyung-Ran; Lee, Seung-Joo
This study analyzed the dietary pattern of Southeast Asian workers (Vietnamese, Thais, Cambodians and Myanmar) living in South Korea in order to recognize the dietary changes after they moved to South Korea. Questionnaires were completed by 251 Southeast Asian workers living in South Korea. Using a self-administered questionnaire, we assessed the diets before and after living in the hometown and in South Korea. Significant changes observed in the Southeast Asian workers were decreased in consumption frequency of fresh fruits, cooked vegetables, rice noodles, green tea and glutinous rice, and increase in consumption of Kimchi, seaweed, milk, coffee and pizza. These changes were attributed to rapid dietary acculturation. The frequencies of eating homemade food were significantly decreased after they came to Korea except for Thais. Thais showed the highest frequencies of eating homemade food daily among others. 28.2% of respondents said their health condition had deteriorated after living in South Korea due to difficulties to adapt Korean food, increased frequencies of eating instant food, and lacking exercises. By providing understanding of the dietary patterns of Southeast Asian workers, these results can be used for preliminary data to develop a program for their Korean food adaptation. Copyright © 2017 Elsevier Ltd. All rights reserved.
Purpose: The study aims to examine job satisfaction of migrant live-in home care workers who provide care to frail older adults and to examine the extent to which quality of relationships between the care provider and care recipient and workplace characteristics is associated with job satisfaction. Design and Methods: A convenience sample that…
Petry, Heidi; Naef, Rahel; Rüesch, Peter; Mahrer-Imhof, Romy; Dreizler, Jutta
Background: Live-in arrangements with migrant care workers have considerably increased over the last years since they allow older frail persons to age-in-place despite functional limitations. However, little is known about the ramifications live-in care arrangements for families. Aim: The aim of the study was to investigate families’ experience with live-in migrant care workers and indicators of quality from their perspective. Method: Constructivist grounded theory study with 22 families who were recruited via care agencies in the German-speaking part of Switzerland and participated in 29 individual or dyadic interviews. Results: Live-in care by migrant care workers has potentially positive ramifications for older persons and their families, but only so if families, first, reach a consensus about the need for the employment of migrant care workers; second, experience them as competent; and third, mutually forge relationships and negotiate daily life. A successful care arrangement occurs when there is a relational fit among those involved, which leaves families feeling cared for, safe and relieved. They experience a renewed stability in their family system, enriching relationships, and assuredness about the quality present in the care situation. Conclusions: A successful care arrangement is the result of relationships that have been actively created and a negotiated shared existence in a family-like network. It has a positive effect on the well-being of those receiving care and their family members. The family-like network needs competent support.
Full Text Available Objective: In this research we aimed to determine the status of seasonal agricultural workers located in two housing units in terms of living, working and health conditions. Methods: This is a descriptive study using qualitative methods: in-depth interviews and in situ observations. It took place in provinces of Adana and Mersin located in the Çukurova region and the Şanlıurfa province. A common feature of these provinces is their high density of seasonal agricultural workers. Our field work was performed by going to places where seasonal agricultural workers live and work. The research was conducted during the dates of March 2014 and August 2014. Snowball sampling methods was used in this research. Data were collected by interviews with 26 seasonal agricultural workers who were older than 15. Results: Seasonal agricultural workers were working without social insurance, safe transportation facilities, or guarantee of employment and without any worker’s health and safety precautions being taken by the employees. Accommodation units lacked fundamental structural and safety features. Seasonal agricultural workers were faced with social alienation and could not access the basic health services such as vaccination, antenatal follow-up, reproductive health or outpatient services. Also, their diet was unbalanced and insufficient. Children could not take the benefit sufficiently from education and were employed in agricultural work. In addition to their agricultural work, women also were exploited in their domestic life. Conclusion: Seasonal agricultural workers were in an aggrieved position concerning topics such as transportation, accommodation, wages and social insurance. To eliminate these conditions, the opinion of agricultural middlemen, seasonal agricultural workers and employees should be taken into account with the financial support of local authorities under the scope of the law.
Luksamijarulkul, Pipat; Suknongbung, Siranee; Vatanasomboon, Pisit; Sujirarut, Dusit
A large number of migrants have move to cities in Thailand seeking employment. These people may be at increased risk for environmental health problems. We studied the health status, environmental living conditions and microbial indoor air quality (IAQ) among selected groups of migrant workers and their households in Mueang District, Samut Sakhon, central Thailand. We conducted a cross sectional study of 240 migrant workers and their households randomly selected by multistage sampling. The person responsible for hygiene at each studied household was interviewed using a structured questionnaire. Two indoor air samples were taken from each household (480 indoor air samples) to determine bacterial and fungal counts using a Millipore air tester; 240 outdoor air samples were collected for comparison. Ninety-nine point six percent of study subjects were Myanmar, 74.2% were aged 21-40 years, 91.7% had a primary school level education or lower and 53.7% had stayed in Thailand less than 5 years. Eight point three percent had a history of an underlying disease, 20.8% had a recent history of pulmonary tuberculosis in a family member within the previous year. Forty-three point eight percent had a current illness related to IAQ during a previous month. Twenty-one point three were current cigarette smokers, 15.0% were current alcohol consumers, and 5.0% exercises ≥3 times per week. Forty-nine point two percent never opened the windows of their bedrooms or living rooms for ventilation, 45% never cleaned their window screens, and 38.3% never put their pillows or mattresses in the sunlight. The mean(±SD) air bacterial count was 230(±229) CFU/m3 (outdoor air = 128±82 CFU/ m3), and the mean fungal count was 630(±842) CFU/m3 (outdoor air = 138±94 CFU/ m3). When the bacterial and fungal counts were compared with the guidelines of the American Conference of Governmental Industrial Hygienists, the bacterial counts in 6.5% of houses surveyed and the fungal counts in 28.8% of house
Lindencrona, Fredrik; Ekblad, Solvig; Hauff, Edvard
The pathways to symptoms of common mental disorder and post-traumatic stress symptoms among refugees during resettlement need to be better specified. We aim to identify models of these different mental health outcomes among refugees during resettlement, taking pre-migration, migration and post-migration stress conditions, a person's capacity to handle such stress and socio-demographic variables into consideration. A new questionnaire developed to better cover resettlement stress, as well as pre-resettlement trauma exposures and different measures of a person's capacity to handle stress, was administered to 124 Middle Eastern refugees that had been granted permanent residency in Sweden only a few months before responding. We found four dimensions of resettlement stress: social and economic strain, alienation, discrimination and status loss and violence and threats in Sweden, that account for 62% of the total variance in resettlement stress. Social and economic strain and alienation are important for explaining symptoms of common mental disorder. In the model of core post-traumatic stress symptoms, pre-resettlement trauma exposure seems to have the strongest impact. A person's capacity to handle stress plays significant, direct and mediating roles in both models. The impact of resettlement stressors in the context of the whole migration process for different mental health outcomes is discussed.
Soeker, Shaheed; Bonn, Gerri-Lee; de Vos, Zahraa; Gobhozi, Thobile; Pape, Candice; Ribaudo, Shelly
The South African constitution protects the rights of gays; however in the workplace gays experience discrimination and marginalization. As a result of marginalization they struggle to reach their potential regarding career development and the fulfilment of their worker role. The study explored the experiences and perceptions of gay males with regard to acquiring and maintaining their worker roles. The study is phenomenological and qualitative in design. Eleven of these men participated in two focus groups. One male participated in two in-depth interviews and one interview was conducted with a key informant. Three themes emerged: 1) Being boxed in, 2) The glass ceiling, 3) This is where I can wear my feather boa. The study findings clearly depicted the many barriers experienced by homosexual men and how this negatively impacts on their worker role. Minimal facilitatory factors exist, to assist gay males %in with regard to their worker role. It was found that homo-prejudice still exists in South Africa and its workplaces and has a negative impact not only on gay men's worker role but also their well-being. This significantly highlights the great need for occupational therapy intervention in the lives of these gay men, and their workplaces.
Sulaiman-Hill, Cheryl M R; Thompson, Sandra C
To examine the resettlement experiences and provide data of well being and psychological distress for Afghan and Kurdish refugees settled between eight and 20 years in New Zealand and Australia. Participants completed the Kessler-10 Psychological Distress Scale (K10) and Personal Well Being Index (PWI) for subjective well being. A mixed methods approach was used, with participants also discussing during interview resettlement difficulties, quality of life (QOL) and sources of stress. Data from 81 Muslim participants is reported; all spoke English, were generally well educated with 88% having secondary or tertiary level education, and the majority of those resettled before 2001 lived in Perth. Although psychological distress levels were mostly within the low-moderate risk range, significant differences were observed by gender and employment status. Participants identified a range of ongoing stressors with unemployment of particular concern. Social isolation and a sense that they would never really 'fit in' was also reported by some. Participants particularly valued the safety and improved quality of life in their host communities. Despite their appreciation of the overall resettlement experience, too much time to introspect, separation from family, status dissonance and still occasionally feeling overwhelmed by resettlement challenges is a long-term ongoing reality for some former refugees. Former refugees continue to struggle with unemployment, possible discrimination and loss of status long-term. © 2012 The Authors. ANZJPH © 2012 Public Health Association of Australia.
This article describes and analyzes an intervention program with social workers living and working in a situation of uncertainty created by political violence such as war and terrorism. The author used a social constructionist perspective as a theoretical framework, emphasizing the effect of the social and political context in constructing the experience and a recognition of the personal and professional knowledge acquired in the daily experience. The author used qualitative methods to evaluate the process and outcome. The narrative-holistic analysis focused on reconstructing meaning and adapting it to the new situation, the main thrust of the program. From the thematic analysis four main themes emerged: (1) loss as a result of political violence; (2) meaning of strength and weakness in situations of political violence; (3) preparation for terrorist attacks; and (4) definition of a safe place. The outcome evaluation describes the meaning of this kind of training program to the participants. The specific context of the training program is discussed as well as possibilities of using it in different contexts.
Full Text Available Social capital is often seen as a substitute for lack of other types of capital amongpoor people. Because of the recognized applicability of the social capital conceptand its correlation with the different dimensions of poverty, it has been used inevaluating the adaptation and integration of involuntarily displaced individualsinto their new environment. This paper presents insights based on a review of thefindings of studies that looked into the role of social capital in conflict- anddevelopment-induced displacement contexts. Althoughboth types of displace-ments are involuntary or forced in nature, they differ in terms of the role of socialcapital regarding its main sources, the formation pattern and its determinants.Social capital studies in forced resettlement appear to be relatively small innumber and are heavily concentrated on first worldcountries and conflict- anddevelopment-induced displacements. The conduct of similar studies in developingcountries and in a disaster-induced resettlement context, the third type ofinvoluntary displacement, should generate new and relevant findings regardingthe role of social capital in resettlement communities.
Alice R Thomas
Full Text Available Experience in the Philippines following Typhoon Haiyan suggests that resettlement as a strategy for mitigating disaster-induced displacement can create significant protection risks.
Regini Nuti, Mirian; Feitosa Garcia, Marcia
This paper aims to discuss the resettlement process caused by hydropower plants considering the Brazilian Power Sector ongoing context It is based on the analysis of the hydropower plants that started operation phase in the last tem years There are 17 projects provoking the displacement of 21000 families The paper presents the resettlement modalities used in these projects Finally, the main aspects of the resettlement process in the last decade are focused in order to contribute to the Brazilian Power Sector Resettlement Guidelines improvement and actualization
Felderhoff, Brandi Jean; Hoefer, Richard; Watson, Larry Dan
The National Association of Social Workers' (NASW's) Code of Ethics urges social workers to engage in political action. However, little recent research has been conducted to examine whether social workers support this admonition and the extent to which they actually engage in politics. The authors gathered data from a survey of social workers in Austin, Texas, to address three questions. First, because keeping informed about government and political news is an important basis for action, the authors asked what sources of knowledge social workers use. Second, they asked what the respondents believe are appropriate political behaviors for other social workers and NASW. Third, they asked for self-reports regarding respondents' own political behaviors. Results indicate that social workers use the Internet and traditional media services to stay informed; expect other social workers and NASW to be active; and are, overall, more active than the general public in many types of political activities. The comparisons made between expectations for others and their own behaviors are interesting in their complex outcomes. Social workers should strive for higher levels of adherence to the code's urgings on political activity. Implications for future work are discussed.
Huang, Li; Huang, Jian; Wang, Wei
Resettlement affects not only the resettlers' production activities and life but also, directly or indirectly, the normal operation of power stations, the sustainable development of the resettlers, and regional social stability. Therefore, a scientific evaluation index system for the sustainable development of reservoir resettlement must be established that fits Chinese national conditions and not only promotes reservoir resettlement research but also improves resettlement practice. This essay builds an evaluation index system for resettlers' sustainable development based on a back-propagation (BP) neural network, which can be adopted in China, taking the resettlement necessitated by step hydropower stations along the Wujiang River cascade as an example. The assessment results show that the resettlement caused by step power stations along the Wujiang River is sustainable, and this evaluation supports the conclusion that national policies and regulations, which are undergoing constant improvement, and resettlement has increasingly improved. The results provide a reference for hydropower reservoir resettlement in developing countries.
Bellinger, Goli Amin
Being uprooted, displaced, and resettled can produce great tension in refugee marriages. This paper details a technique to help refugees recognize and manage changes and threats to traditional gender roles after resettlement to western countries. A case study from a multisite psycho-educational marriage project illustrates the application of the Relationship Enhancement model with a Bhutanese couple. Through empathy and structured dialogue, the couple is coached to identify their core concerns about the changes in their lives and come up with mutually beneficial solutions. Focusing on the redistribution of each gender's prescribed responsibilities allows the clinician to respond to the cultural structuring of equitable division of labor while helping families to address new responsibilities in managing household duties, parenting, employment, and finances.
Goldenberg, Shira M; Montaner, Julio; Duff, Putu; Nguyen, Paul; Dobrer, Sabina; Guillemi, Silvia; Shannon, Kate
In light of limited data on structural determinants of access and retention in antiretroviral therapy (ART) among sex workers, we examined structural correlates of ART use among sex workers living with HIV over time. Longitudinal data were drawn from a cohort of 646 female sex workers in Vancouver, Canada (2010-2012) and linked pharmacy records on ART dispensation. We used logistic regression with generalized estimating equations (GEE) to examine correlates of gaps in ART use (i.e., treatment interruptions or delayed ART initiation), among HIV seropositive participants (n = 74). Over a 2.5-year period, 37.8 % of participants experienced gaps in ART use (i.e., no ART dispensed in a 6-month period). In a multivariable GEE model, younger age, migration/mobility, incarceration, and non-injection drug use independently correlated with gaps in ART use. In spite of successes scaling-up ART in British Columbia, younger, mobile, or incarcerated sex workers face persistent gaps in access and retention irrespective of drug use. Community-based, tailored interventions to scale-up entry and retention in ART for sex workers should be further explored in this setting.
Arnall, Alex; Thomas, David S G; Twyman, Chasca; Liverman, Diana
Post-disaster development policies, such as resettlement, can have major impacts on communities. This paper examines how and why people's livelihoods change as a result of resettlement, and relocated people's views of such changes, in the context of natural disasters. It presents two historically-grounded, comparative case studies of post-flood resettlement in rural Mozambique. The studies demonstrate a movement away from rain-fed subsistence agriculture towards commercial agriculture and non-agricultural activities. The ability to secure a viable livelihood was a key determinant of whether resettlers remained in their new locations or returned to the river valleys despite the risks posed by floods. The findings suggest that more research is required to understand i) why resettlers choose to stay in or abandon designated resettlement areas, ii) what is meant by 'voluntary' and 'involuntary' resettlement in the realm of post-disaster reconstruction, and iii) the policy drivers of resettlement in developing countries. © 2013 The Author(s). Journal compilation © Overseas Development Institute, 2013.
There is an imbalance of power – and a resulting lack of agency for refugees – in the structure of the current resettlement regime. The top-down process of selection also poses ethical dilemmas, as recent surges in resettlement operations show.
Farkas, Livia J.
Describes the Refugee Data Center (RDC) (New York City), a hub for linking refugees with voluntary resettlement agencies. The RDC maintains a database on refugees as they progress toward final resettlement in the United States. At present, RDC files include refugees from Asia, Africa, Europe, and Latin America. (SLD)
Full Text Available Interviews with both refugees and organizational staff in two nonprofit refugee resettlement organizations in the United States reveal the ways in which knowledge(s and expertise are crafted, threatened, and understood in refugee organizations. Refugee-participants described the need for knowledgeable communication, barriers to the communication of knowledge, and processes of negotiating whose expertise is involved. Organizational staff participants described the duty of communicating expert knowledge, the limits of knowledge as expertise, and alternative communications of expertise. These tensions surrounding “knowing” in refugee resettlement organizations highlights the need for a more complex theoretical understanding of the processes of knowing present in refugee resettlement. These tensions also suggest areas in which refugee resettlement agencies and other nonprofit staff can make on-the-ground changes to better facilitate refugee resettlement processes.
... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Definition of âfirm resettlement.â 1208.15... § 1208.15 Definition of “firm resettlement.” An alien is considered to be firmly resettled if, prior to... received, an offer of permanent resident status, citizenship, or some other type of permanent resettlement...
... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Definition of âfirm resettlement.â 208.15... resettlement.” An alien is considered to be firmly resettled if, prior to arrival in the United States, he or... resident status, citizenship, or some other type of permanent resettlement unless he or she establishes: (a...
Mohseni, Peyman Hossein; Farshad, Ali Asghar; Mirkazemi, Roksana; Orak, Rouhangiz Jamshidi
The purpose of this study was to assess living and workplace safety conditions of construction workers in Tehran, Iran. This cross-sectional study was conducted among 410 construction sites in a municipal area of Tehran whose municipal building permits were issued in 2011. Data on ventilation, workplace safety and hygiene were collected by direct observation and interviews with site foremen. Noise levels were estimated from 10 sound-level-meter stations in the municipality area. Lack of ventilation in the workers' rooms was abundant. Bathrooms were unhygienic and minimum requirements such as lighting and ventilation did not exist in 80% of the cases. In nearly 50% of large construction sites, sewage and garbage disposal were inappropriate. Elevator safety was poor at all sites and no measures for fall prevention were present in over 88% of active construction sites. This study showed that the mean 24-h equivalent continuous sound level Leq was over 70 dB in 80% of the sites during weekdays. The results of this study revealed poor health and safety living and working conditions of construction workers in Tehran.
Cookson, Susan T.; Talley, Leisel; Rochat, Roger
Identifying and addressing malnutrition among US-bound refugee children is an important human rights issue. Failure to address childhood malnutrition can impair cognitive development and productivity. The target population was children aged 6–59 months, originating from eight countries representing 51 % of US-resettled refugees for 2005–2011, living in 22 camps prior to potential US-resettlement. The corresponding camp-level nutritional survey data were evaluated. State Refugee Health Coordinators were surveyed on nutritional assessment, reporting and referrals for their US-refugee medical screenings. From 2004 to 2010, half of the camps (63 total surveys) had global acute malnutrition prevalence over 15 % at least once (surveys not done annually) and anemia prevalence greater than 40 %. The majority of US-refugee medical screenings included height and weight measurements but few used national or WHO standards to evaluate presence or level of malnutrition. Improve overseas camp monitoring and link these nutritional data to US-resettling refugee children to inform potential nutritional interventions. Domestically, use WHO or US growth standards for anthropometrics to determine presence of malnutrition and need for corrective action. PMID:23430464
Lutfy, Caitlyn; Cookson, Susan T; Talley, Leisel; Rochat, Roger
Identifying and addressing malnutrition among US-bound refugee children is an important human rights issue. Failure to address childhood malnutrition can impair cognitive development and productivity. The target population was children aged 6-59 months, originating from eight countries representing 51 % of US-resettled refugees for 2005-2011, living in 22 camps prior to potential US-resettlement. The corresponding camp-level nutritional survey data were evaluated. State Refugee Health Coordinators were surveyed on nutritional assessment, reporting and referrals for their US-refugee medical screenings. From 2004 to 2010, half of the camps (63 total surveys) had global acute malnutrition prevalence over 15 % at least once (surveys not done annually) and anemia prevalence greater than 40 %. The majority of US-refugee medical screenings included height and weight measurements but few used national or WHO standards to evaluate presence or level of malnutrition. Improve overseas camp monitoring and link these nutritional data to US-resettling refugee children to inform potential nutritional interventions. Domestically, use WHO or US growth standards for anthropometrics to determine presence of malnutrition and need for corrective action.
Kiselev, Mikhail; Romanov, Vladimir; Shandala, Nataliya; Gneusheva, Galina; Titov, Alex; Novikova, Natalia; Smith, Graham
As part of the program of nuclear power development, the Russia Federation plans to increase uranium production and to improve supply from existing uranium mining and milling facilities. Moreover, development of new uranium ore deposits is also envisaged. A corollary of these developments is the placing of a high priority on environmental and human health protection Special attention should be paid to assurance of health protection both of workers and of the public living nearby such facilities. This paper reviews the status and development of understanding of facilities in the Russian Federation from a regulatory perspective. (author)
Argento, Elena; Strathdee, Steffanie A; Goldenberg, Shira; Braschel, Melissa; Montaner, Julio; Shannon, Kate
Despite rapid increases in crystal methamphetamine (CM) use worldwide and established gendered patterns of use, empirical research on CM injection initiation among sex workers is limited. Given the wide range of harms associated with CM, alongside stimulant effects including sexual dis-inhibition and prolonged awake-ness, this study aimed to longitudinally investigate socio-structural predictors of initiating CM injection among sex workers in Vancouver, Canada. Data (2010-2014) were drawn from a community-based cohort of women sex workers: AESHA (An Evaluation of Sex Workers Health Access). Participants completed bi-annual interviewer-administered questionnaires and HIV/STI testing. Kaplan Meier methods and Cox proportional hazards regression were used to model predictors of CM injection initiation among CM injection-naïve participants. Of 455 participants eligible at baseline, 14.3% (n=65) injected CM for the first time over follow-up, with an incidence density of 6.79 per 100 person-years (95% Confidence Interval [CI] 5.30-8.69). In multivariable analysis, injection heroin use (Adjusted Hazard Ratio [AHR] 6.11; 95%CI 3.24-11.52), having an intimate partner who injects drugs (AHR 2.93; 95%CI 1.57-5.46), workplace violence (AHR 2.85; 95%CI 1.74-4.67), HIV seropositivity (AHR 2.69; 95%CI 1.45-5.00), and childhood abuse (AHR 1.86; 95%CI 0.99-3.49) were independently associated with initiating CM injection. Findings underscore the gendered and social risk environment of CM injection initiation among sex workers. The strong influences of historical/workplace violence, coupled with heroin injection (known to be self-medicating for post-traumatic stress) as a primary risk pathway, emphasize the urgency of increasing access to integrated, trauma-informed addiction treatment and HIV care for marginalized women. Copyright © 2017 Elsevier B.V. All rights reserved.
Mkandawire-Valhmu, Lucy; Rodriguez, Rachel; Ammar, Nawal; Nemoto, Keiko
A common form of employment for low-income third world women is domestic work. The power dynamics in this type of employer-employee relationship may place women at risk for abuse. Our aim in conducting this qualitative inquiry was to describe the experiences of violence in the lives of young female domestic workers in Malawi, a small country in South East Africa. Forty-eight women participated in focus group and individual interviews. "Surviving" was the main theme identified, with women employing creative ways of surviving the challenges they met at various points in their lives. This study provides information that health care professionals could use in assisting women through the process of surviving.
Full Text Available This study is carried out to identify living standards of seasonal agricultural workers in Hilvan County of Şanlıurfa that largely rely on agriculture and have sufficient or little cultivable lands. Study sample is composed of families of the students who attend schools affiliated to Hilvan County Directorate of National Education and are involved in temporary migration before the school term ends in a year. “Face to face” interviews were held with and questionnaires were applied to heads of 523 families which live on seasonal agricultural labor. The results were assessed by using SPSS (Statistical Package for Social Science through various statistical techniques required for the study purpose. Majority of the children of families who
Boulware, L Ebony; Hill-Briggs, Felicia; Kraus, Edward S; Melancon, J Keith; Falcone, Brenda; Ephraim, Patti L; Jaar, Bernard G; Gimenez, Luis; Choi, Michael; Senga, Mikiko; Kolotos, Maria; Lewis-Boyer, LaPricia; Cook, Courtney; Light, Laney; DePasquale, Nicole; Noletto, Todd; Powe, Neil R
Many patients with chronic kidney disease (CKD) have difficulty becoming actively engaged in the pursuit of preemptive living donor kidney transplantation. The Talking About Live Kidney Donation (TALK) Study was a randomized controlled trial of the effectiveness of educational and social worker interventions designed to encourage early discussions and active pursuit of preemptive living donor kidney transplantation in patients with progressive CKD. We recruited participants with progressive CKD from academically affiliated nephrology practices in Baltimore, MD. Participants randomly received: (1) usual care (routine care with their nephrologists), the (2) TALK education intervention (video and booklet), or the (3) TALK social worker intervention (video and booklet plus patient and family social worker visits). We followed participants for 6 months to assess their self-reported achievement of behaviors reflecting their discussions about and/or pursuit of living donor kidney transplantation (discussions with family, discussions with physicians, initiating recipient evaluation, completing recipient evaluation, and identifying a potential living donor). We assessed outcomes through a questionnaire at 1-, 3-, and 6-months follow-up. Participants receiving usual care with their nephrologists (n = 44), TALK education (n = 43), and the TALK social worker (n = 43) were similar at baseline. TALK Study interventions improved participants' living donor kidney transplantation discussion and pursuit behaviors, with the social worker leading to greater patient activation (participants' predicted probability of achieving living donor kidney transplantation discussions, evaluations, or donor identification over 6 months): probabilities were 30% (95% CI, 20%-46%), 42% (95% CI, 33%-54%), and 58% (95% CI, 41%-83%), respectively, in the usual care, TALK education, and TALK social worker groups (P = 0.03). Our population was well educated and mostly insured, potentially limiting
... the violence of forced displacement and the level of poverty and inequality. ... city in India (Cochin) where urban displacement and resettlement are significant ... needs of women and children, legal status, and protection at urban locations.
Full Text Available The passing of the Polish Resettlement Act and the creation of the different agencies related to it undoubtedly represented an unprecedented response to the challenge of mass migration in the UK.
Huang, Li; Huang, Jian
Resettlement affects not only the resettlers’ production activities and life but also, directly or indirectly, the normal operation of power stations, the sustainable development of the resettlers, and regional social stability. Therefore, a scientific evaluation index system for the sustainable development of reservoir resettlement must be established that fits Chinese national conditions and not only promotes reservoir resettlement research but also improves resettlement practice. This essay builds an evaluation index system for resettlers’ sustainable development based on a back-propagation (BP) neural network, which can be adopted in China, taking the resettlement necessitated by step hydropower stations along the Wujiang River cascade as an example. The assessment results show that the resettlement caused by step power stations along the Wujiang River is sustainable, and this evaluation supports the conclusion that national policies and regulations, which are undergoing constant improvement, and resettlement has increasingly improved. The results provide a reference for hydropower reservoir resettlement in developing countries. PMID:29346305
Full Text Available Resettlement affects not only the resettlers’ production activities and life but also, directly or indirectly, the normal operation of power stations, the sustainable development of the resettlers, and regional social stability. Therefore, a scientific evaluation index system for the sustainable development of reservoir resettlement must be established that fits Chinese national conditions and not only promotes reservoir resettlement research but also improves resettlement practice. This essay builds an evaluation index system for resettlers’ sustainable development based on a back-propagation (BP neural network, which can be adopted in China, taking the resettlement necessitated by step hydropower stations along the Wujiang River cascade as an example. The assessment results show that the resettlement caused by step power stations along the Wujiang River is sustainable, and this evaluation supports the conclusion that national policies and regulations, which are undergoing constant improvement, and resettlement has increasingly improved. The results provide a reference for hydropower reservoir resettlement in developing countries.
This PhD thesis by Marie Kolling is an ethnography of forced resettlement in the urban periphery of Salvador, Northeast Brazil, and the new lives the families tried to make for themselves in its aftermath in new state-built social housing. The resettlement was part of state-led slum upgrading...... interventions under the urban development project Better Days (Dias Melhores), a name that alludes to the optimism it evoked. As a woman expressed before she was resettled: “a new house, a new life”. The thesis portrays contemporary Brazil and its massive transformations since the beginning of the new...... an analytical framework of four modes of doing housing. It is argued that for the former slum dwellers, doing housing was about doing away with the life in the slum and the stigma pertaining to being a slum dweller. This stigma persisted in the new neighbourhood even though they had moved away from the slum...
Place, as a metaphor, can be experienced in different ways, existing or created. If created, space can be Foucault's "placeless place", a utopia. A place that exists, however, can be a heterotopic space. A heterotopia is what we as individuals interpret it to be: it can be a space for reconstituting the self, rewriting the scripts of…
N. G. Ivlieva
Full Text Available This article describes the research on mapping modeling of Mordovians accommodation on the territory of Russia. The study discovers that a great number of Mordovians live outside the ethnic territory. The dynamics of its population in the regions can be most accurately traced accoding to population censuses. With the help of modern methods of cartographic visualization and mathematical-cartographic modeling were revealed spatiotemporal characteristics of Mordovians resettlement process on the territory of Russia since the end of XIX to the beginning of the XXI century.
Granek, Leeat; Nakash, Ora; Ariad, Samuel; Chen, Wendy; Birenstock-Cohen, Shira; Shapira, Shahar; Ben-David, Merav
The purpose of this research was to examine how oncologists, nurses, and social workers identify suicidality in cancer patients. Sixty-one healthcare professionals (23 oncologists, 18 social workers, and 20 nurses) at two academic cancer centers were interviewed using an in-depth interview guide. This was a qualitative study based on grounded theory methodology. Analysis involved line-by-line coding, with categories and themes emerging from participants' narratives. Suicidality in cancer patients exists on a wide spectrum that ranges from an active will to live to an active will to die. Four phases were identified that included: (A) a strong will to live expressed in themes of active treatments, seeking second opinions, overtreatment, and alternative treatments; (B) a decreasing will to live indicated in themes of mental health distress and physical pain and suffering; (C) a readiness to die expressed in themes of mental health distress, previous mental health diagnoses, physical pain, avoiding more suffering, preserving quality of life in old age, nearing end of life, lack of social support, and maintaining a sense of control; and (D) a will to die indicated in themes of euthanasia and active suicidality. Suicidality in cancer patients exists on a continuum. Cancer patients fluctuate on this spectrum depending on circumstances such as degree of suffering, their personalities and life circumstances, and whether they are nearing the end of life. Results of the study emphasize the need to collect more context specific data on suicidality among cancer patients and the importance of early integration of psychosocial and palliative care in the cancer treatment trajectory.
Shahrokh Ehtesham zadeh
Full Text Available As the industry develops in the societies, human being is more likely to exposed to high level of noises and be at risk of hearing loss. Urbanism and working in the situation which are not in accordance with the personal nature make people even more susceptible to risk factors of hearing loss. Exposure of workers to industrial noise has been the subject to several studies and it seems that reconsidering the situations in both society and nature can be a key to change environment for decreasing noise in the society.For example in Tehran, geographically, the slope of the earth from north to south is 5-10% which is a main factor contributing in noise pollution.Moreover, the source of most outdoor noise worldwide is mainly construction and transportation systems including motor vehicles, air craft noises and rail noises. Poor urban planning may give rise to noise pollution, since side-by-side industrial and residential buildings can result in noise pollution in the residential area.In the current article we have examined both conditions in the hearing condition of workers with high levels of noise exposure.
... statement describing the household living accommodations, including the following: (i) Whether the residence is a house or apartment; (ii) The number of rooms in the residence; (iii) The number of adults and...) That the alien will reside on the employer's premises; (v) Complete details of the duties to be...
The aims and objectives of resettlement are poorly specified and the outcomes are poorly measured. For resettlement to be effective, it needs a much stronger evidence base and it needs improved coordination at the international level.
van der Ploeg, Lidewij; Vanclay, Francis; Lourenço, Ivo; Hesselman, Marlies; Hallo de Wolf, Antenor; Toebes, Brigit
This chapter examines the provision of essential public services in resettlement sites associated with project induced displacement. Restoring and improving access to essential public services in resettlement sites is an important aspect of livelihood restoration of affected peoples. Project
Witter, Rebecca; Satterfield, Terre
The necessity of compensating people negatively affected by conservation and other development projects has been widely acknowledged. It is less widely acknowledged that because conventional compensation assessments focus on material resources and their economic equivalents, many important losses incurred by resettlers are invisible to project authorities. Through ethnographic observations and interviews, we documented losses identified by people facing resettlement from Mozambique's Limpopo National Park. We also examined resettlement planning documents to determine why decision makers' assessments of natural resource use and value neglect losses residents identified as critical. Identifying, preventing, and mitigating invisible losses in resettlement planning necessitates a better understanding of intangible benefits residents derive from resources, which are often as or more important than their readily apparent material properties. These benefits include but are not limited to decision-making authority linked to owning land versus having the use of fields; ancestral identity and social belonging linked to gravesites; the importance of tree roots that provide a powerful sense of security because they suppress hunger in periods of scarcity; and the importance of people's location within social networks and hierarchies as they determine the benefits versus risks that will be incurred through resettlement. © 2014 Society for Conservation Biology.
Julieta C. Mallari
Full Text Available This paper focuses on the characteristically dyadic political culture of Mauaque Resettlement Center, a government organized community of disaster victims (1991 Mt. Pinatubo eruption. It attempts to trace and understand the resettlers' proclivity for dyadic means of cooperation, dependency and even political action.The resettlement site is composed basically of three different barangays which retained their "sub-cultures," including their political ethos. What manifest at present are the comfortable reciprocal schemes developed by the resettlers and their leaders which inevitably create either positive or negative consequences relative to the political life of the whole community.To be considered will be the personal followings and system of alliances of the present barangay leaders within the context of the Filipino kinship system. Moreover, the other socio-cultural values and traits of the resettlers which serve as underpinning for their dyadic relationships will also be discussed.Interviewing the individuals concerned, particularly the barangay captains, has been the method employed in gathering the information needed for this qualitative study.
Wahra, G N; Rahman, F
According to a survey conducted in 1989, there are 772 approved and registered garment factories in Bangladesh. These factories employ approximately 300,000 individuals, 90% of whom are women. A more recent estimate in a Bangladeshi newspaper, however, posits that up to five million people are directly or indirectly dependent upon the garment industry. Many of the women who work in Bangladesh's garment factories are under age 15 years. In some countries, such as the US, the employment of such young individuals constitutes a violation of child labor laws. Therefore, under the Harkin Bill, the US will no longer import garments produced by children younger than age 15 years. Many garment workers under age 15 years have already been put out of work or will soon be terminated. The authors explain that while the intent of the Harkin Bill may be to protect children, it is difficult to adopt the moral high ground in a poor country like Bangladesh. Regardless of one's age in Bangladesh, having a job may be the only way to survive. No job often means no food or shelter. The authors discuss women in the garment industry, one girl's case, alternative employment opportunities, and the future.
Ross, Tara W.
A global refugee crisis necessitates an understanding of policymaking governing the resettlement of refugees in the United States. Resettling more refugees than all other countries combined, the United States emphasizes rapid employment over post-secondary education for adult resettled refugees in order to compel their self-sufficiency. However,…
The Committee on Radiological Safety in the Marshall Islands was established by the National Research Council in response to a request from the US Department of Energy (DOE) to assist the department in evaluating radiological conditions on certain atolls in the Republic of the Marshall Islands, especially Rongelap Atoll. The need stems from the provisions of a memorandum of understanding (MOU) established between the Republic of the Marshall Islands and the US in 1992. That agreement sets out criteria and stipulations pertaining to the resettlement of Rongelap Atoll. The issue of resettlement itself originated in the desire for the people of the Marshall Islands to return to the atolls from which they were evacuated as a consequence of nuclear-weapons testing by the US during the 1940s and 1950s. The National Research Council was asked to review the scientific studies undertaken by the US Department of Energy to determine if reliable and modern scientific methodology was being used to assess the potential hazard, if any, to persons who might return to live on Rongelap Atoll. A crucial provision of the MOU is that resettlement will occur only if no person returning to Rongelap and substituting on a native-foods-only diet will receive a calculated annual whole-body radiation dose equivalent of more than 100 mrem above background. The MOU also presents an action level of 17 pCi/g for the concentration of transuranic contamination, i.e., plutonium and americium, in soils below which mitigation will be considered unnecessary
Full Text Available Noi siamo la generazione post-socialista, la generazione del dopo guerra fredda, della fine delle burocrazie verticali e del controllo sull'informazione. Siamo un movimento globale e neuropeo, che porta avanti la rivoluzione democratica scaturita dal Sessantotto mondiale e lotta contro la distopia neoliberista oggi al culmine. Siamo ecoattivisti e mediattivisti, siamo i libertari della Rete e i metroradicali dello spazio urbano, siamo le mutazioni transgender del femminismo globale, siamo gli hacker del terribile reale. Siamo gli agitatori del precariato e gli insorti del cognitariato. Siamo anarcosindacalisti e postsocialisti. Siamo tutti migranti alla ricerca di una vita migliore. E non ci iconosciamo in voi, stratificazioni tetre e tetragone di ceti politici sconfitti già nel XX secolo. Non ci riconosciamo nella sinistra italyana.Manifesto Bio/Pop del Precariato Metroradicale, 20042004 has marked the beginning of the spreading "cult" of San Precario, Patron Saint of precarious, casual, sessional, temporary, flexible and fractional workers. The Saint appears in public spaces in occasion of rallies, marches, interventions and demonstrations, and its popularity has lead to development of a precise and colorful iconography, hagiography and rituals. This popularity conversely is also the sign of the gravity of the issue of precarity in Italy and Europe .San Precario epitomises current Italian activist practices. These practices, although specifically Italian, intersect with similar realities in Europe and are based on mythopoetic narratives and actions and mediatic embodiments. This paper analysis a variety of texts produced around San Precario, from posters, saint cards, product cards, videos, "official" narratives, personal accounts, relating them to the political debate surrounding precarity.
Ellis, Roger; Hogard, Elaine; Sines, David
This article describes a risk audit carried out on the support provided for 36 people with profound learning disabilities who had been resettled from hospital care to supported housing. The risks were those factors identified in the literature as associated with deleterious effects on quality of life. The audit was carried out with a specially designed tool that covered 24 possible risks and involved a support worker familiar with the service user choosing the most appropriate statement regarding each risk. Their judgements were verified by care managers and social needs assessors. Whilst one or more risks were identified for 32 of the 36 service users, the overall result showed relatively low risks for the group as a whole with 62 incidences (7%) from a possible 864, which nevertheless highlighted several areas that needed attention. The results of the audit have led to action plans for the provision and for the individual service users for whom risks were identified.
Agrawal, Pooja; Venkatesh, Arjun Krishna
We sought to evaluate the relationship between state-level implementation of the Patient Protection and Affordable Care Act (ACA) and resettlement patterns among refugees. We linked federal refugee resettlement data to ACA expansion data and found that refugee resettlement rates are not significantly different according to state-level insurance expansion or cost. Forty percent of refugees have resettled to states without Medicaid expansion. The wide state-level variability in implementation of the ACA should be considered by federal agencies seeking to optimize access to health insurance coverage among refugees who have resettled to the United States.
Burmaster, Katharine B; Landefeld, John C; Rehkopf, David H; Lahiff, Maureen; Sokal-Gutierrez, Karen; Adler-Milstein, Sarah; Fernald, Lia C H
Poverty reduction interventions through cash transfers and microcredit have had mixed effects on mental health. In this quasi-experimental study, we evaluate the effect of a living wage intervention on depressive symptoms of apparel factory workers in the Dominican Republic. Two apparel factories in the Dominican Republic. The final sample consisted of 204 hourly wage workers from the intervention (99) and comparison (105) factories. In 2010, an apparel factory began a living wage intervention including a 350% wage increase and significant workplace improvements. The wage increase was plausibly exogenous because workers were not aware of the living wage when applying for jobs and expected to be paid the usual minimum wage. These individuals were compared with workers at a similar local factory paying minimum wage, 15-16 months postintervention. Workers' depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression Scale (CES-D). Ordinary least squares and Poisson regressions were used to evaluate treatment effect of the intervention, adjusted for covariates. Intervention factory workers had fewer depressive symptoms than comparison factory workers (unadjusted mean CES-D scores: 10.6 ± 9.3 vs 14.7 ± 11.6, p = 0.007). These results were sustained when controlling for covariates (β = -5.4, 95% CI -8.5 to -2.3, p = 0.001). In adjusted analyses using the standard CES-D clinical cut-off of 16, workers at the intervention factory had a 47% reduced risk of clinically significant levels of depressive symptoms compared with workers at the comparison factory (23% vs 40%). Policymakers have long grappled with how best to improve mental health among populations in low-income and middle-income countries. We find that providing a living wage and workplace improvements to improve income and well-being in a disadvantaged population is associated with reduced depressive symptoms. Published by the BMJ Publishing Group Limited. For permission to use (where
Maragos, J.E.; Agegian, Catherine
This environmental assessment evaluates various alternatives to return the Bikini people to their homeland on Bikini Atoll. Eneu Island was spared the heavy nuclear contamination that rendered Bikini Island, the largest and main inhabitable island on the atoll, presently unsuitable for resettlement. The economic, social, technical and environmental consequences of all alternatives were compared, and alternative sites, purposes and scales for resettlement were included in the analysis. This environmental assessment explores these alternatives in detail and concludes that the resettlement of Eneu Island by some of the Bikini people at this time will not result in significant adverse effects to the environment nor will it foreclose any other full scale resettlement option involving the cleanup of Bikini Atoll. In addition, it concludes that the resettlement of Eneu can be accomplished independently from the planned cleanup and resettlement of Bikini Island. Plans and combination of plans involving the early resettlement of Eneu are fully feasible and implementable at this time. (author)
Maragos, J E [Environmental Resources Section, U.S. Army Corps of Engineers, Pacific Ocean Division, HI (United States); Agegian, Catherine [University of Hawaii, Department of Oceanography, Honolulu, HI (United States)
This environmental assessment evaluates various alternatives to return the Bikini people to their homeland on Bikini Atoll. Eneu Island was spared the heavy nuclear contamination that rendered Bikini Island, the largest and main inhabitable island on the atoll, presently unsuitable for resettlement. The economic, social, technical and environmental consequences of all alternatives were compared, and alternative sites, purposes and scales for resettlement were included in the analysis. This environmental assessment explores these alternatives in detail and concludes that the resettlement of Eneu Island by some of the Bikini people at this time will not result in significant adverse effects to the environment nor will it foreclose any other full scale resettlement option involving the cleanup of Bikini Atoll. In addition, it concludes that the resettlement of Eneu can be accomplished independently from the planned cleanup and resettlement of Bikini Island. Plans and combination of plans involving the early resettlement of Eneu are fully feasible and implementable at this time. (author)
Rees, Susan; Silove, Derrick M; Tay, Kuowei; Kareth, Moses
To document the extent and nature of human rights violations and other traumatic events reported by West Papuan refugees resettled in Australia and to assess trauma-related psychological disorders, distress and disability. Australian-based sample, mixed-methods design with 44 participants, conducted in Australia between October 2007 and November 2010 in communities in North Queensland and Melbourne. West Papuan refugees aged 18 years and over (88% response rate). Post-traumatic stress disorder (PTSD) symptoms (Harvard Trauma Questionnaire) and premigration potentially traumatic events (PTEs), psychological distress (Kessler Psychological Distress Scale [K10]), post-migration living difficulties, days out of role. Of the 44 West Papuan refugees, 40 reported one or more PTE, including inability to access medical care for family (40), lack of food and water (39) and lack of access to medical treatment (38). The most frequent postmigration stressors were separation from and worries about family members remaining in West Papua (43) and being unable to return home in an emergency because of ongoing conflict (41). Twenty-six participants reached a lower threshold for PTSD symptoms of 2.0, and 13 reached the clinical threshold of 2.5. Fourteen reported severe psychological distress. West Papuan refugees resettled in Australia report a wide range of premigration PTEs including human rights violations, as well as symptoms of PTSD and distress. The data add to concerns about the state of human rights and mental health among West Papuans.
Full Text Available “(Late resettlers”, or to put it in simple terms, people of German ancestry who came to Germany from Eastern Europe after World War II, constitute a peculiar case within the spectrum of German migration. On one hand, they are distinct from foreigners, on the other hand, despite having German citizenship, they stand out from the native German population. L. Wilkiewicz refers to this category as “quasi-forced resettlers”. The forced nature of the young resettlers migration may then be seen as doubly strengthened by the fact that they had no impact on their parents decision to leave the country. They were, in a sort of way, uprooted from their original environment and planted into a new, alien one. Having accepted German citizenship and having been attributed the purpose of “living as Germans among Germans”, the resettlers were expected to show a higher degree of integration with local society than “ordinary” migrants. In this study, I shall confine myself to a few selected aspects affecting the success of integration. Presented below are some of the memories that the young resettlers have of the moment of their “(quasi-forced” migration, of their early days in Germany, of Poland as the country of their childhood, of the reasons for departure as given by their parents, and of the main factors – apart from those personality-related such as intelligence – that contributed to their successful integration.
Evans, T B; Mador, M J; Glick, M; Ahmad, I
Discordance in the classification of tuberculosis (TB) disease overseas compared to classification in the United States has been observed among immigrant populations. To examine TB misclassification among recently resettled refugees in Buffalo, NY, between 2005 and 2012. Retrospective study of refugees resettled to Buffalo from 2005 to 2012 and evaluated at a refugee/community health center. Centers for Disease Control and Prevention (CDC) Division of Global Migration and Quarantine (DGMQ) Class B1-B3 and American Thoracic Society (ATS) Class 2 (LTBI) cases were abstracted. Independent variables were demographics, countries of origin and refugee camp internment, year of resettlement, purified protein derivative induration, and chest X-ray findings, while CDC DGMQ and ATS classification were dependent variables. Independent samples t-test and analysis of variance were performed. Of 284 charts reviewed, 233 (81.2%) were misclassified. Among 101 cases of LTBI (B1/B2) diagnosed outside the United States, 51 (50.5%) were overdiagnosed. Underdiagnoses occurred among 181/182 refugees (99.5%) originally classified as normal overseas. These findings suggest that TB misclassification among recent immigrants remains widespread. Screening procedures both before and after resettlement should be better synchronized. Public health implications range from morbidity and costs of unnecessary treatment to the spread of a highly communicable disease.
María José Marcogliese
Full Text Available For more than a decade, the countries in the Southern Cone of South America have had a regional Solidarity Resettlement Programme. The region’s states are also assessing alternative approaches to support refugee mobility within the framework of current migration agreements.
Background: This study aims to examine the possible impacts of resettlement on birth rates by using the length of stay variable in the 2000 Demographic and Health Survey (DHS). Methods: Data in all three rounds of Gambella Administrative Region's Demographic and Health Surveys (DHS) are analyzed. The neighboring ...
This dissertation explores the creation and development of a community based language and health program for Iraqi refugees. The need for the program is contextualized by international, national and local policies of refugee resettlement, policies for language and education, and the interpretation of these policies on the ground. Ideologies…
Change in size and extent of cultivation and vegetation cover was analysed in three villages of an initial resettlement scheme in Zimbabwe using change detection depicted on serial aerial photographs taken at eight-year intervals from inception in 1981 to 1997. A geographic information system was used as an analytical ...
Jan 30, 2015 ... This systematic review of the evidence suggests that urban upgrading and resettlement programs offer the best outcomes for cities facing high levels of youth violence. This paper is authored by a team of IDRC grantees at the University of Cape Town evaluating the effectiveness of a public infrastructure ...
They are moved away from their areas of work, their social networks .... for Urban Development and Urban Good Governance (FDRE 2007) discusses the three pillars ... about their experiences of past practices of resettlement. ..... women and single-headed families, empowering such families to enable them to engage in ...
Kumasi has undergone significant development in the past two decades in the areas of road and housing construction, resulting in the resettlement of some commercial neighborhoods including the wood merchants from Anloga to allow for the construction of the south-eastern section of the ring road from Oforikrom ...
STATES REFUGEE ADMISSIONS PROGRAM FLOWCHART ...the American public’s concerns. 50 APPENDIX A UNITED STATES REFUGEE ADMISSIONS PROGRAM FLOWCHART Source: US Citizenship and Immigration...TITLE AND SUBTITLE Refugee Status Required for Resettlement in the United States 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT
Carrasco, Maria Augusta; Nguyen, Trang Q; Barrington, Clare; Perez, Martha; Donastorg, Yeycy; Kerrigan, Deanna
Evidence indicates that social cohesion is a successful strategy to improve consistent condom use (CCU) among female sex workers. However, the individual and layered or combined effect that various types of overlapping stigmas may have on CCU between female sex workers living with HIV and their clients and steady partners has not been analyzed. Drawing on the Abriendo Puertas cohort of female sex workers living with HIV in the Dominican Republic, we used structural equation modeling to test the hypothesis that both HIV stigma and sex work stigma mediate the association between social cohesion and CCU and that they have a layered effect. The results indicated that HIV stigma mediated the association between social cohesion and CCU with clients and partners, while sex work-related stigma did not. There was no evidence of a layered HIV stigma and sex work stigma effect, which may be due to methodological limitations to handle highly correlated latent variables. Findings highlight the need to address internalized HIV stigma within the context of community-based approaches to enhance their HIV prevention impact. This will help to reduce the risk of HIV re-infection with a new distinct HIV viral strain, STI infection, and onward HIV transmission among female sex workers living with HIV.
Eguchi, Akifumi; Nomiyama, Kei; Devanathan, Gnanasekaran; Subramanian, Annamalai; Bulbule, Kesav A; Parthasarathy, Peethambaram; Takahashi, Shin; Tanabe, Shinsuke
We determined the contamination status and accumulation profiles of polychlorinated biphenyls (PCBs), hydroxylated PCB congeners (OH-PCBs), polybrominated diphenyl ethers (PBDEs), hydroxylated PBDEs (OH-PBDEs), methoxylated PBDEs (MeO-PBDEs), and bromophenols (BPhs) in serum from e-waste recycling workers and residents near a coastal area in India. Residue levels of penta- to octa-chlorinated PCBs, penta- to octa-chlorinated OH-PCBs, 6MeO-BDE47, 6OH-BDE47, and 2,4,6-tri-BPh in serum from residents living near the coastal area were significantly higher than those in serum from e-waste recycling workers. Residue levels of tri- to tetra-chlorinated PCBs, tri- to tetra-chlorinated OH-PCBs, PBDEs, octa-brominated OH-PBDEs, and tetra-BPhs in serum from e-waste recycling workers were higher than those in serum from residents living near the coastal area. Principal component analysis revealed that residents living near the coastal area and e-waste recycling workers had different serum profiles of chlorinated and brominated compounds. Copyright © 2012 Elsevier Ltd. All rights reserved.
Namakula, Justine; Witter, Sophie
Providing people-centred health systems--or any systems at all--requires specific measures to protect and retain healthcare workers during and after the conflict. This is particularly important when health staff are themselves the target of violence and abduction, as is often the case. This article presents the perspective of health workers who lived through conflict in four districts of northern Uganda--Pader, Gulu, Amuru, and Kitgum. These contained more than 90% of the people displaced by the decades of conflict, which ended in 2006. The article is based on 26 in-depth interviews, using a life history approach. This participatory tool encouraged participants to record key events and decisions in their lives, and to explore areas such as their decision to become a health worker, their employment history, and their experiences of conflict and coping strategies. These were analyzed thematically to develop an understanding of how to protect and retain staff in these challenging contexts. During the conflict, many health workers lost their lives or witnessed the death of their friends and colleagues. They also experienced abduction, ambush and injury. Other challenges included disconnection from social and professional support systems, displacement, limited supplies and equipment, increased workload and long working days and lack of pay. Health workers were not passive in the face of these challenges, however. They adopted a range of safety measures, such as mingling with community members, sleeping in the bush, and frequent change of sleeping place, in addition to psychological and practical coping strategies. Understanding their motivation and their views provides an important insight how to maintain staffing and so to continue to offer essential health care during difficult times and in marginalized areas. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.
Foddai, Alessandro; Nielsen, Liza Rosenbaum; Krogh, Kaspar
obtained from data analysis, expert opinion, the questionnaire and literature were fed into three stochastic scenario tree models used to simulate the effect of import trade patterns, and contact between immigrant workers and cattle. We also investigated the opportunity of testing animals imported from OTF...... cattle herds. Data from 2000 to 2013 with date, number and origin of imported live cattle were obtained from the Danish Cattle Federation. Information on immigrants working in Danish cattle herds was obtained through a questionnaire sent by email to a sample of Danish cattle farmers (N = 460). Inputs...... of introducing M. bovis into the Danish cattle population by either imported live cattle or infectious immigrant workers, ranged from 0.3% (90% prediction interval (P.I.): 0.04%:1.4%) in 2001 to 4.9% (90% P.I.: 0.6%; 19.2%) in 2009. The median of the median PIntro estimates from the 14 years was 0.7% (median...
Full Text Available Community health worker (CHW interventions are a successful strategy to promote health among HIV-negative and persons living with HIV (PLWH. Psychosocial factors are critical dimensions of HIV/AIDS care contributing to prognosis of the disease, yet it is unclear how CHW interventions improve psychosocial outcomes in PLWH. The purpose of this study was to critically appraise the types, scope, and nature of CHW interventions designed to address psychosocial outcomes in PLWH.We performed database searches-PubMed, EMBASE, CINAHL, and Cochrane-to identify randomized controlled trials published in English before April 2017. Fourteen articles met the eligibility criteria.Half of the studies were conducted in the United States. Social cognitive theory was used more than once in nine theory-guided studies. CHW interventions were largely focused on reducing depression (n = 6 or stigma related to HIV (n = 4, or promoting quality of life (n = 4, social support (n = 4, and self-efficacy (n = 4. Didactic methods and role-playing were used to train CHWs. CHWs played multiple roles in delivering intervention, including a counselor and a supporter (n = 10, educator (n = 5, or a navigator (n = 3. CHW intervention fidelity was assessed in 4 studies. Five studies found positive changes in six psychosocial outcomes including quality of life (2 of 4 and self-efficacy (2 of 4. CHW interventions had no effect on social support in 2 of 4 studies, and stigma in 3 of 4 studies. None of the CHW interventions were successful in reducing depressive symptoms among PLWH.Evidence partially supported the use of CHWs in promoting psychosocial outcomes in PLWH. Future CHW intervention should be expanded in scope to address key psychosocial determinants of HIV/AIDS outcomes such as health literacy. Further, fidelity measures should be incorporated into intervention delivery.
Robison, W.L.; Phillips, W.A.; Mount, M.E.; Clegg, B.R.; Conrado, C.L.
The purpose of this report is to refine the dose predictions, subsequent to the cleanup effort, for alternate living patterns proposed for resettlement of Enewetak Atoll. The most recent data developed from projects at Enewetak and Bikini Atolls for concentration and uptake of Cs, Sr, Pu, and Am were used in conjunction with recent dietary information and current dose models to predict annual dose rates and 30- and 50-y integral doses (dose commitments). The terrestrial food chain in the most significant exposure pathway - it contributes more than 50% of the total dose - and external gamma exposure is the second most significant pathway. Other pathways evaluated are the marine food chain, drinking water, and inhalation
Niner, Sara; Kokanovic, Renata; Cuthbert, Denise
In narratives of displaced Karen women from Burma, both before and after resettlement in Australia, women framed their birthing experiences with those of persecution and displacement. Although grateful for the security of resettlement in Australia, social inclusion was negligible and women's birthing experiences occurred in that context. Women described the impact of the lack of interpreting services in Australian hospitals and an absence of personal and communal care that they expected. Frequently, this made straightforward births confusing or difficult, and exacerbated the distress of more complicated births. Differences in individual responses related to women's histories, with younger women displaying more preparedness to complain and identify discrimination. The problems identified with health care, coupled with the inability of many of the women to complain requires attention, not just within the health care system, but more widely as part of social attitudes concerning Australia's obligations to those who seek asylum.
Watts, Delma-Jean; Friedman, Jennifer F; Vivier, Patrick M; Tompkins, Christine E A; Alario, Anthony J
Refugee children can have significant health problems. Our objective was to describe health status and health care utilization of refugee children after resettlement. A retrospective chart review of refugee children was performed. Initial laboratory data was extracted. Primary care visits, emergency room visits, and subspecialty referrals in the first 15 months from arrival were recorded. The sample included 198 refugees, many with positive initial screening tests. After arrival, 21% had an emergency department visit, 40% had a primary care sick visit, and 71% had a primary care follow-up. Mean number of visits ranged from 0.3 for emergency department to 1.9 for follow-up. Fifty-seven percent were referred to at least one subspecialist. Refugee children had substantial disease burden at arrival. Most had primary care follow-up visits and subspecialty referral after resettlement. These visits were largely for problems identified on initial screening and for general pediatric illnesses.
Westermeyer, Joseph John
Hmong acculturation to the United States has involved high prevalence of several psychosocial challenges: acculturation failure, welfare dependency, psychiatric disorder, mistrust, malignant youth gangs, and violence. Conversely, resettlement of the Thai Dam-a tribal group, also from Laos-has gone remarkably well in comparison. Strategies used for resettlement of these two groups differed greatly. Based on these differences, the author recommends a refugee resettlement strategy aimed at improved mental health and optimal acculturation for future refugee groups.
Weine, Stevan Merrill
In refugee resettlement, positive psychosocial outcomes for youth and adults depend to a great extent on their families. Yet refugee families find few empirically based services geared toward them. Preventive mental health interventions that aim to stop, lessen, or delay possible negative individual mental health and behavioral sequelae through improving family and community protective resources in resettled refugee families are needed. This paper describes 8 characteristics that preventive mental health interventions should address to meet the needs of refugee families, including: Feasibility, Acceptability, Culturally Tailored, Multilevel, Time Focused, Prosaicness, Effectiveness, and Adaptability. To address these 8 characteristics in the complex environment of refugee resettlement requires modifying the process of developmental research through incorporating innovative mental health services research strategies, including: resilience framework, community collaboration, mixed methods with focused ethnography, and the comprehensive dynamic trial. A preventive intervention development cycle for refugee families is proposed based on a program of research on refugees and migrants using these services research strategies. Furthering preventive mental health for refugee families also requires new policy directives, multisystemic partnerships, and research training. 2011 © FPI, Inc.
Darroudi, F.; Natarajan, A.T.
In order to perform retrospective estimations of radiation doses seven years after the nuclear accident in Chernobyl, the frequencies of chromosomal aberrations in the peripheral blood lymphocytes of individuals living in contaminated areas around Chernobyl and the Estonian clean-up workers were determined. The first study group composed of 45 individuals living in four areas (i.e. Rechitsa, Komsomolski, Choiniki and Zaspa) in the vicinity (80-125 km) of Chernobyl and 20 individuals living in Minsk (control group - 340 km from Chernobyl). The second study group (Estonian clean-up workers) composed of 26 individuals involved in cleaning up the Chernobyl for a different period of time (up to 7 months) and a matched control group consisting of 9 probands. Unstable aberrations (dicentrics and rings) were scored in Giemsa stained preparations and stable aberrations (translocations) were analyzed using chromosome specific DNA libraries and fluorescence in situ hybridization (FISH) technique. For both study groups the estimated average dose is between 0,1-0,4 Gy. Among the people living in the contaminated areas in the vicinity of Chernobyl, a higher frequency of numerical aberrations (i.e. trisomy, hyper diploidy) was evident
Kerrigan, Deanna; Barrington, Clare; Donastorg, Yeycy; Perez, Martha; Galai, Noya
Female sex workers (FSW) are disproportionately affected by HIV. Yet, few interventions address the needs of FSW living with HIV. We developed a multi-level intervention, Abriendo Puertas (Opening Doors), and assessed its feasibility and effectiveness among a cohort of 250 FSW living with HIV in the Dominican Republic. We conducted socio-behavioral surveys and sexually transmitted infection and viral load testing at baseline and 10-month follow-up. We assessed changes in protected sex and adherence to antiretroviral therapy (ART) with logistic regression using generalized estimating equations. Significant pre-post intervention changes were documented for adherence (72-89 %; p sex (71-81 %; p sex (AOR 1.76; 95 % CI 1.09-2.84). Illicit drug use was negatively associated with both ART adherence and protected sex. Abriendo Puertas is feasible and effective in improving behavioral HIV outcomes in FSW living with HIV.
Carrasco, Maria Augusta; Barrington, Clare; Kennedy, Caitlin; Perez, Martha; Donastorg, Yeycy; Kerrigan, Deanna
This study explores social cohesion as a strategy used by female sex workers to address layered HIV and sex work-related stigma. Data derive from a thematic analysis of 23 in-depth interviews and 2 focus groups with female sex workers living with HIV enrolled in a multi-level HIV/STI prevention, treatment and care intervention in Santo Domingo, Dominican Republic. Drawing on Foucault's conceptualisation of modern power, discipline and resistance, we argue that social cohesion provides the psychosocial space (of trust, solidarity and mutual aid) to subvert oppressive societal norms, enabling the reconstruction of identity. Among study participants, identity reconstruction happened through the production, repetition and performance of new de-stigmatised narratives that emerged and were solidified through collective interaction. Findings highlight that enabling the collective reconstruction of identity through social cohesion - rather than solely attempting to change individual beliefs - is a successful approach to addressing stigma.
Poppe, Annelien; Wojczewski, Silvia; Taylor, Katherine; Kutalek, Ruth; Peersman, Wim
The negative consequences of the brain drain of sub-Saharan African health workers for source countries are well documented and include understaffed facilities, decreased standards of care and higher workloads. However, studies suggest that, if migrated health workers eventually return to their home countries, this may lead to beneficial effects following the transfer of their acquired skills and knowledge (brain gain). The present study aims to explore the factors influencing the intentions for return migration of sub-Saharan African health workers who emigrated to Austria and Belgium, and gain further insight into the potential of circular migration. Semi-structured interviews with 27 sub-Saharan African health workers in Belgium and Austria were conducted. As mentioned by the respondents, the main barriers for returning were family, structural crises in the source country, and insecurity. These barriers overrule the perceived drivers, which were nearly all pull factors and emotion driven. Despite the fact that only a minority plans to return permanently, many wish to return regularly to work in the healthcare sector or to contribute to the development of their source country. As long as safety and structural stability cannot be guaranteed in source countries, the number of return migrants is likely to remain low. National governments and regional organizations could play a role in facilitating the engagement of migrant health workers in the development of the healthcare system in source countries.
Guiguet, M; Dionou, S; Volant, J; Samba, M C; Benammar, N; Chauvin, P; Simon, A
Delayed presentation to care among HIV-infected individuals continued to be frequent in France. Migrants are at high risk for late presentation. This cross-sectional study investigated barriers to HIV testing in the specific population of men from sub-Saharan Africa living in four migrant worker hostels in Paris, France. Factors associated with never having been tested for HIV were examined using logistic regression. In all, 550 men participated, coming mainly from Mali and Senegal, with 31 % having lived in France for less than 5 years, and 25 % without any health insurance. Only 37 % have ever been tested for HIV. Not having health insurance was the main risk factor for never-testing [adjusted odds ratio (aOR) 2.4; 95 % confidence interval (CI) 1.4-4.0]. Despite free and anonymous HIV testing available at dedicated public screening centers, 63 % of men living in migrant worker hostels had never been tested for HIV.
van der Ploeg, Lidewij; Vanclay, Frank
AbstractRespecting, protecting and fulfilling human rights must become more prominent in both the processes and outcomes of resettlement. We have developed a Human Rights-Based Approach to Resettlement for use by project operators, rights holders and governments so that they can better understand
van der Ploeg, Lidewij; Vanclay, Frank
Respecting, protecting and fulfilling human rights must become more prominent in both the processes and outcomes of resettlement. We have developed a Human Rights-Based Approach to Resettlement for use by project operators, rights holders and governments so that they can better understand what the
This study is an extension of an earlier interdisciplinary study on the impact of the adoption of high-yielding varieties of maize on poverty reduction in Mupfurudzi resettlement area in Shamva, Zimbabwe, carried out in 2001. The present study focuses on how farmers in resettlement areas produce and
Artur, L.; Hilhorst, D.
Planned resettlement is increasingly legitimated on account of disasters and vulnerability to climate change. This article looks at resettlement following the 2007 floods in the delta Zambezi in Mozambique. The flooding displaced about 56,000 households, which the government intended to permanently
Earnest, Jaya; Mansi, Ruth; Bayati, Sara; Earnest, Joel Anthony; Thompson, Sandra C
In Australia, the two major pathways of refugee entry are the United Nations High Commissioner for Refugees resettlement programme and irregular maritime arrivals (IMAs) seeking asylum. The Australian Government's policies towards IMAs since July 2013 are controversial, uncompromising and consistently harsh, with asylum seekers held in detention centres for prolonged periods. Refugees and asylum seekers have distinct and unique stressors that make resettlement difficult. This exploratory study examines resettlement experiences for refugee youth in Western Australia using the psychosocial conceptual framework and qualitative methods. Focus group discussions and key informant interviews were undertaken with verbatim transcripts analysed using thematic analysis to identify themes. Themes documented that language and its impact, and experience with education, health, and social activities, support structures provided to youth and supporting future aspirations as critical to successful resettlement. This exploratory study contributes to developing a broader understanding of the resettlement experiences of refugee youth, drawing on their current and past experiences, cultural differences and mechanisms for coping. Fluency in English language, especially spoken, was a facilitator of successful resettlement. Our results align with previous studies documenting that support programs are vital for successful resettlement. Although faced with immense difficulties refugee youth are resilient, want to succeed and have aspirations for the future. Strategies and recommendations suggested by refugee youth themselves could be used for developing interventions to assist successful resettlement.
Resettlement to third countries is regarded as a durable solution to refugee crises. In Kakuma refugee camp in north-west Kenya, seeking a better life in industrialized countries has become a preoccupation for many refugees. In this article the effects of the practice of third country resettlement
....676] Office of Refugee Resettlement; Announcing the Award of a Single- Source Program Expansion... (BCFS) in San Antonio, TX AGENCY: Office of Refugee Resettlement, ACF, HHS. ACTION: The Office of Refugee Resettlement announces the award of a single-source program expansion supplement grant from its...
Center for Applied Linguistics, Washington, DC. Refugee Service Center.
This resettlement guide, entirely in Spanish, describes the initial stage of resettlement and the processes that refugees undergo as new arrivals. Subjects covered in this guide include pre-arrival procedures, admissions criteria, immigrant's statement of understanding, travel costs and U.S. Customs; resettlement procedures, immigrants'…
Full Text Available World War II caused the displacement of millions of people throughout Europe. In response, the United States initiated a public-private partnership that assisted in the resettlement of hundreds of thousands of the region’s displaced persons. For nearly 40 years after the War, the US commitment to refugee resettlement played out in an ad hoc fashion as it responded to emerging crises in different ways. During this period the government’s involvement with resettlement became gradually intertwined with that of nongovernmental resettlement agencies, which came to play an increasingly vital role in the resettlement process. The budding relationship that began in the middle decades of the twentieth century set the foundation for an expansive and dynamic public-private partnership that continues to this day. The Refugee Act of 1980 solidified the relationship between resettlement agencies and the federal government, established political asylum in US law, and created the refugee resettlement program and a series of assistance programs to help refugees transition to life in the United States. This legislation marked a decisive turning point in the field of refugee resettlement.Since passage of the Act, the United States has resettled more than two million refugees, providing them with the opportunity to start a new life. Nevertheless, almost as soon as it was established, federal backing for the domestic resettlement program began to erode, placing the program under increasing stress. Financial and programmatic support was quickly reduced because of budgetary pressures and a changing political climate in Washington, DC. Administrative control of the program was assigned to federal agencies that are responsible for different facets of the process. However, coordination and information sharing between these agencies and with resettlement agencies has been less than optimal. The lack of adequate support for the resettlement program has placed
Kramer, Boris H.; Schaible, Ralf; Scheuerlein, Alexander
Eusociality has been recognized as a strong driver of lifespan evolution. While queens show extraordinary lifespans of 20 years and more, worker lifespan is short and variable. A recent comparative study found that in eusocial species with larger average colony sizes the disparities in the lifespans
Ouedraogo, D O
For many decision makers in the Sahel, relocating populations from poor, over-populated regions to relatively fertile zones regulated by the state seemed the best approach to improving women's conditions, particularly in household affairs. In the original territories, women have their personal fields where they raise vegetables and other products which they sell to secure their own income. During the dry season, they engage in other activities for money (e.g., production and sale of millet beer and sale of pottery). Women have relative economic autonomy. Within the family household and in villages, they isolate themselves in their own spaces (e.g., kitchen and wells) and discuss their specific problems. In government-controlled zones where families resettle, the families are supposed to plant the same varieties of imposed cultivation (e.g., rice) judged to be more productive. They must sow, plow, and harvest using the same techniques. All activities are controlled. Women have no decision power and must submit to the logic of the chief of agricultural production. They no longer have time to dedicate themselves to individual economic activity (especially in irrigated zones, where there are two annual plantings), or to assure a good education for their children. They have little time to dedicate to hygiene and nutrition. These government-controlled agricultural zones have established an exploitation model that contributes to the socioeconomic destabilization of families. The retreat of women's economic power is often accompanied by degradation of family well-being. Agricultural development schemes that involve agricultural migrations have marginalized women even more than they were before resettlement in spite of improvement in family income. It is narrowly linked to short-term development. In conclusion, agricultural resettlement schemes do not improve the status of women.
Coma Auli, Núria; Mejía-Lancheros, Cília; Berenguera, Anna; Mayans, Martí Vall; Lasagabaster, Maider Arando; Pujol-Ribera, Enriqueta
Introduction Sexually transmitted infections (STIs) and HIV are a serious global public health issue. These diseases are largely preventable, as they are directly and indirectly associated with potentially modifiable factors, including socioeconomic conditions. Sexual transmission is responsible for over 75% of new HIV infections worldwide. Moreover, commercial sex workers and their clients are two of the groups at the highest risk of acquiring and transmitting these infectious diseases, due to an extensive number of sexual encounters and the various factors related to commercial sex situations. This qualitative study aims to deepen the understanding of the risk perception of STIs and HIV and their associated factors in Nigerian commercial sex workers in the city of Barcelona. Methods and analysis This is a qualitative, descriptive, interpretive study based on a social constructivist and phenomenological perspective conducted on a saturated sample of Nigerian commercial sex workers in the city of Barcelona. Data will be collected through semistructured individual and triangular group interviews. Information will be examined using a sociological discourse analysis, allowing us to understand the social and individual factors related to the risk perception of STIs and HIV in commercial sex workers. Discussion Qualitative studies are an important element in identifying individual, social and contextual factors directly or indirectly related to the health/disease process. This qualitative study will provide essential knowledge to improve health promotion, prevention strategies and effective management of STIs both for commercial sex workers and their clients. Ethics This study has been approved by the clinical research ethics committee (CEIC) of IDIAP Jordi Gol in Barcelona, 2012. PMID:23901029
Synopsis The families of refugee youth in resettlement bear both strains and strengths that impact their children’s adjustment and coping. Preventive interventions aimed at helping youth through helping their families should be developed. Given that many refugee youth struggle in school and may have inadequate involvement of their parents, one area in need of preventive intervention is parental involvement in refugee youths’ education. The design, implementation, and evaluation of family-focused preventive interventions should be informed by research findings, family resilience theory, a community based participatory research approach, and a focus on engagement. PMID:18558310
Robinson, W.L.; Conrado, C.L.; Stuart, M.L.; Stoker, A.C.; Hamilton, T.F.
The US conducted a nuclear testing program at Bikini and Enewetak Atolls in the Marshall Islands from 1946 through 1958. Several atolls, including Bikini, were contaminated as a result of the nuclear detonations. Since 1974 the authors have conducted an extensive research and monitoring program to determine the radiological conditions at the atolls, identify the critical radionuclides and pathways, estimate the radiological dose to current or resettling populations, and develop remedial measures to reduce the dose to atoll populations. This paper describes exposure pathways and radionuclides; composition of atoll soils; radionuclide transport and dose estimates; remedial measures; and reduction in dose from a combined option
study investigates whether there is a change in the self-perception of women prisoners attending music therapy, and whether, if this is the case, they show an improved ability to engage with prison resettlement interventions. It also examines the impact of different treatment lengths on outcomes. 10...... that women prisoners attending music therapy experienced a change in self-perception. Engagement in music therapy translated into behavioural change outside the music therapy room. Participants showed an increase in self-confidence, self-esteem, self-efficacy, achievement motivation and a number of other...
Cueva, Melany; Hicks, Teresa; Kuhnley, Regina; Cueva, Katie
Objectives: To develop, implement, and evaluate a culturally respectful Wellness Course with and for Alaska’s village-based Community Health Workers (CHWs) to support community health promotion and disease prevention.Study design: This article describes Wellness Course development, implementation, and evaluation.Methods: Five 5-day Wellness Courses were provided for 55 CHWs from communities throughout Alaska. Fifty-two of 55 participants completed a post-course written evaluation. Post-course...
Roussy, Véronique; Thomacos, Nikos; Rudd, Annette; Crockett, Belinda
Stigma and judgemental assumptions by health workers have been identified as key barriers to accessing health care for people living with co-occurring mental health and substance use issues (dual diagnosis). To evaluate the effectiveness of consumer-led training by people with dual diagnosis in improving the knowledge, understanding and role adequacy of community health staff to work with this consumer group. A controlled before-and-after study design with four waves of quantitative data collection was used. Qualitative data were collected to explore participants' views about training. Participants were staff from two community health services from Victoria, Australia. Recruitment occurred across various work areas: reception, oral health, allied health, counselling and health promotion. At baseline, all participants attended a 4-h clinician-led training session. The intervention consisted of a 3-h consumer-led training session, developed and delivered by seven individuals living with dual diagnosis. Outcome measures included understanding of dual diagnosis, participants' feelings of role adequacy and role legitimacy, personal views, and training outcomes and relevance. Consumer-led training was associated with a significant increase in understanding. The combination of clinician-led and consumer-led training was associated with a positive change in role adequacy. Consumer-led training is a promising approach to enhance primary health-care workers' understanding of the issues faced by dual-diagnosis consumers, with such positive effects persisting over time. Used alongside other organizational capacity building strategies, consumer-led training has the potential to help address stigma and judgemental attitudes by health workers and improve access to services for this consumer group. © 2013 John Wiley & Sons Ltd.
Work is a significant occupational transition that occurs with immigration and resettlement. Problems finding work and regaining economic capital are multi-factorial, differentiated by gender and mediated by specific contexts. Surprisingly, past education and work experience are unreliable predictors of successful employment outcomes. Critical theory and ethnographic concepts informed the methodological approach. Data were generated primarily through in-depth interviews, conducted in English, with 14 well-educated women who immigrated to Canada as adults and sought employment in their professions. The thematic findings were analyzed using Bourdieu's  concepts of capital, field and habitus. The theme Compromised Careers describes the downward occupational (work) mobility that occurs despite expectations that education, credentials and work experience are transferable to desirable employment. A devaluation of foreign qualifications and no relevant Canadian work experience function with gendered responsibilities, less social support, and time spent in resettlement activities to create negative work trajectories. The role that federal policies and professional organizations play is examined to reveal the tension between individuals' efforts to find employment and institutional barriers that impede these actions. A critical inquiry approach examined the ruling relations to show how power and privilege function in relation to migrants' occupational transitions.
Full Text Available Resettlement resulting from dam construction has raised several concerns due to the negative aftermath impacts. In Ghana, the construction of three hydroelectric dams resulted in large-scale resettlements. Given the little experience that Ghana has in resettlements, it is necessary for a robust monitoring structure for resettlements. However, this was not available in the last resettlement undertaken for the Bui Dam Project. This paper aims at developing an assessment framework for monitoring resettlement activities on customary lands from a good governance perspective. Based on four good governance principles, transparency, public participation and inclusiveness, equity and rule of law and accountability, a good governance assessment framework is built and applied to the Bui Dam Project using a case study approach. Data were collected through interviews and focus group discussion with the key actors of the resettlement project. It was first found that the planning stage of the resettlement came out with a robust plan that was to prevent the impoverishment of the affected persons. However, in the implementation of the resettlement, not all good governance principles were adhered to. In conclusion, it was found that by deconstructing the resettlement process with a good governance framework, the problematic areas of the resettlement can be effectively differentiated between the planning and implementation phases.
War-related traumas impact refugees' mental health. Recent literature suggests that structural and sociocultural factors related to the resettlement also become critical in shaping refugees' mental health. So far, there is limited empirical evidence to support this claim among resettled refugees. Resettlement contextual factors that influence mental health outcomes were examined using Latino and Asian refugees (n = 656) from a nationally representative survey. Linear and logistic regressions predicted factors associated with the study's outcomes (self-reported mental health, mood disorders, and anxiety disorders). Post-resettlement traumas were significantly associated with mental health outcomes, but pre-resettlement traumas were not. Unemployment, everyday discrimination, and limited English were significantly associated with mental health outcomes among both Latino and Asian refugees. The outcomes indicate that resettlement contextual factors have a significant association with refugees' mental health. Therefore, future studies with refugees must pay closer attention to structural and sociocultural factors after resettlement.
Hiscox, A; Hirooka, R; Vongphayloth, K; Hill, N; Lindsay, S W; Grandadam, M; Brey, P T
During the resettlement of 6500 persons living around the Nam Theun 2 hydroelectric project in Laos, more than 1200 pour-flush latrines were constructed. To assess the role of these latrines as productive larval habitats for mosquitoes, entomological investigations using Centers for Disease Control (CDC) light traps, visual inspection and emergence trapping were carried out in over 300 latrines during the rainy seasons of 2008-2010. Armigeres subalbatus (Diptera: Culicidae) were nine times more likely to be found in latrines (mean catch: 3.09) than in adjacent bedrooms (mean catch: 0.37) [odds ratio (OR) 9.08, 95% confidence interval (CI) 6.74-15.11] and mosquitoes were active in and around 59% of latrines at dusk. Armigeres subalbatus was strongly associated with latrines with damaged or improperly sealed septic tank covers (OR 5.44, 95% CI 2.02-14.67; P resettlement villages. The scale-up of this simple, cheap intervention would have global impact in preventing the colonization of septic tanks by nuisance biting and disease-transmitting mosquitoes. © 2015 The Royal Entomological Society.
Norton, Elizabeth M; Miller, Pamela J
This article presents data from a qualitative study of nine social work hospice practitioners and experts as they discuss Oregon's Death with Dignity Act. Three themes emerged from the analysis: (a) values regarding physician-assisted death; (b) agency policies about the option; and (c) the role of hospice social workers with physician-assisted death. Three states now allow terminally ill persons to obtain a lethal prescription if criteria are met. Two other states are actively considering and may pass similar legislation over time. Hospice social work practitioners work with patients and families as they consider this option and their voices reflect the complexities and nuances of these interactions.
Ybema,J.F.; Giesen, F.
Due to an ageing population and global economic competition, there is a societal need for people to extend their working lives while maintaining high work productivity. This article presents an overview of the labour participation, job performance, and job characteristics of older workers in the
Yang, J.; Shin, D. [Inst. for environmental Research, Yonsei Univ., Seoul (Korea); Lim, Y. [Dept. of Environmental Health, Seonam Univ., Namwon (Korea); Chang, Y. [School of Environmental Engineering, Pohang Univ., Pohang (Korea)
PCDDs and PCDFs are detected routinely, as they are widely distributed in the environment and accumulate in the food chain. Moreover, because human beings are at the top of food chain, a relatively high level of these compounds can be found in human adipose tissues, blood lipids, and breast milk fat. In Korea, the number of municipal and hazardous waste incinerators have increased since 1980. In addition, municipal waste incinerators are almost always located in residential areas. Therefore, the human health risks caused by dioxin is become an increasing public concern in Korea. The aim of this study was to determine the concentrations of PCDDs/PCDFs in blood from individuals living in the vicinity area of the municipal solid waste incinerator (MSWI), and to compare PCDDs/PCDFs levels in blood for residents living near the MSWI, workers at the MSWI and general population living in the urban area not including the MSWI. Analysis of the results was made in terms of sociodemographic characteristics such as age, sex, smoking habit, food consumption patters, and proximity to the MSWI.
Peterman, Jerusha Nelson; Wilde, Parke E; Silka, Linda; Bermudez, Odilia I; Rogers, Beatrice Lorge
Resettled refugees have high rates of chronic disease, which may be partially due to persistent food insecurity. This study describes food experiences on arrival in the U.S. and current food security status and examines characteristics related to food insecurity in a well-established refugee community. Focus groups and a survey assessed food security status and personal characteristics of Cambodian women in Lowell, MA, USA. Multivariate logistic regression was used to examine relationships with food insecurity. Current rates of food insecurity are high. In multivariate models, food insecurity was positively associated with being depressed and being widowed, and negatively associated with higher income and acculturation. Early arrivers (1980s) had difficulty in the U.S. food system on arrival, while later arrivers (1990s-2000s) did not. Refugee agencies should consider strategically devoting resources to ensure successful early transition to the U.S. food environment and long-term food security of refugees.
Full Text Available Revitalizing slum-area has been recognized as one of the most complicated parts in urban resettlement program. With such a context we need a particular mode of communication to initiate and generate the project based on people's own aspiration. There are problem characteristics here, which are usually executed by Information Technology (IT. It is a potential to overcome the problem by using IT based on its ability to manage abundant information with various variables. At least there are three prospective opportunities in applying IT in this area. Firstly, it is the role of visualization, where computer can execute several visual features of the projects, which will be more representative than the previous ones. Secondly, it is the role of IT in generating the customization process to everyone involved in the projects. The last is the role of IT as executing tool for project's database management.
Weislogel, M. M.; Sala, M. A.; Collicott, S. H.; Rame, Enrique (Technical Monitor)
Recent investigations have successfully demonstrated closed-form analytical solutions of spontaneous capillary flows in idealized cylindrical containers with interior corners. In this report, the theory is extended and applied to complex containers modeling spacecraft fuel tanks employing propellant management devices (PMDs). The specific problem investigated is one of spontaneous rewetting of a typical partially filled liquid fuel/cryogen tank with PMD after thrust resettling. The transients of this flow impact the logistics of orbital maneuvers and potentially tank thermal control. The general procedure to compute the initial condition (mean radius of curvature for the interface) for the closed-form transient flows is first outlined then solved for several 'complex' cylindrical tanks exhibiting symmetry. The utility and limitations of the technique as a design tool are discussed in a summary, which also highlights comparisons with NASA flight data of a model propellant tank with PMD.
Srivastava, Neha; Nyamathi, Adeline M.; Sinha, Sanjeev; Carpenter, Catherine; Satyanarayana, Veena; Ramakrishna, Padma; Ekstrand, Maria
In this study, focus groups were conducted with 16 rural Women Living with AIDS (WLA) from Andhra Pradesh, India who had previously participated in a clinical trial wherein 68 WLA were randomized into either an Accredited Social Health Activists (ASHA) – Life (AL) intervention or a Usual Care program. Findings are discussed in terms of: a) mental health issues, b) perceived stressors, c) individual resources for coping with mental health issues, and d) role of Asha support in coping with mental health issues. These findings highlight the salience of mental health issues in the lives of WLA and the role played by Asha in addressing some of these issues. The discussion section makes a case for increased emphasis on mental health care in future community-based interventions for this population. PMID:29056879
An international Advisory Group met at IAEA Headquarters in Vienna on 11-15 December 1995 for the purpose of reviewing the current radiological conditions at Bikini Atoll, Republic of the Marshall Islands, and advising on the prospects for rehabilitation of the atoll and resettlement of its indigenous population. The Advisory Group was convened by the IAEA in response to a request for technical assistance from the Government of the Marshall Islands within the framework of IAEA technical co-operation project MHL/9/003, 'Radiological Monitoring in Bikini Atoll'. The primary aim of this review was to assist the Bikinian people to form their own judgement on the radiological conditions at their atoll and on the prospects for resettling there, should they so desire. At the meeting, the Advisory Group benefited greatly from the participation of a delegation from the Marshall Islands. At the request of the Government of the Marshall Islands, the international review was limited to Bikini Atoll and did not extend to other atolls, islands and isles affected by radioactive fallout from the testing. Moreover, within Bikini Atoll, it was concentrated on Bikini Island, where the Bikinian population formerly resided. The review relates to the prevailing radiological circumstances and their implications for the future habitability of the atoll. It is not intended to include the retrospective assessment of the past radiological impact of nuclear testing. The United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) has routinely estimated, and reported to the United Nations General Assembly, radiation levels and effects attributable to nuclear weapon testing, including the tests carried out in the territory of the Marshall Islands. Some of the UNSCEAR estimates have been included in the report, but only for the sake of completeness
While the World Bank safeguard policies and International Finance Corporation Performance Standards specify the requirements to be observed when project-induced displacement and resettlement occurs, these international standards are not always followed. Governments often invoke the power of eminent
Yegorysheva, I V; Gontcharova, S G
The article considers the organization of medical care of settlers en route and in places of their settlement beyond the Ural during the Stolypin agrarian reform. The role of P.A. Stolypin, the Chairman of Council of ministers is demonstrated concerning the application of urgent measures on improvement of functioning of departments, controlling the resettlement and arrangement of peasants at new places. The development of resettlement medicine patterned after zemstvo medicine enhanced the penetration of scientific medicine into inaccessible regions of country.
Martin, Deirdre Christine
Each year millions of people throughout the world are forced from their homes to make way for new roads, dams and other infrastructure developments. The World Bank funds many of these projects in developing countries and has been both harshly criticised for its track record with involuntary resettlement and a global leader in producing guidelines aimed at ensuring those forced to relocate are not harmed by the process. The Bank’s policy on involuntary resettlement is backed up by an Inspecti...
In the majority of research, resettled immigrant and refugee parents are often considered to be less involved with their children’s schooling than majority parents. This study challenges such research positions, based on narrative interviews about parenting in exile conducted with refugee parents resettled in Norway. Cultural psychology and positioning theory have inspired the analyses. The choice of methodology and conceptualisations have brought forth a rich vein of material, which illumina...
Somdatta P; Baridalyne N
Background: Breast cancer accounts for 19-34% of all cancer cases among women in India. There is a high mortality due to late stage diagnosis as patients usually present at an advanced stage because of lack of awareness and non-existent breast cancer screening programs. Aim : To determine the awareness about breast cancer among women in an urban resettlement colony in Delhi. Settings and Design: A community based, cross-sectional study carried out in a resettlement colony in South ...
Full Text Available Background: Iran has received Afghan refugees for many years. Few studies have been done to assess psychiatric morbidity among Afghan refugees in Iran, especially those who are resettled in camps. This study has been designed to determine the prevalence of mental health problems and the associated demographic factors, in Afghan refugees resettled in Dalakee refugee camp of Bushehr Province, in 2005. Methods: In this cross-sectional survey, a Persian version of the General Health Questionnaire (GHQ-28 was administered to 321 resettled Afghan refugees with the minimum age of 15 years old who were randomly selected among 2200 residents of Dalakee refugee camp in Bushehr Province. Results: Among mental health subscales, the prevalence of social dysfunction, psychosomatic problem, anxiety and depression in the studied population were 80.1%, 48.9%, 39.3% and 22.1%, respectively. The total prevalence of mental health disorders in this camp was 88.5%. Male gender, living with more than eight persons per house, and being age ten or under at migration time were associated with higher level of social dysfunction. Higher rate of psychosomatic problem was associated with unemployment, being born in Iran, being age ten or under at migration time, and having no entertaining programs. Having 1-3 children, living with more than eight persons per house, and positive history of chronic disease were associated with higher level of anxiety. Having no entertaining programs, and family members' death during migration were associated with higher level of depression. Conclusion: Mental health problems related to immigration and living in camps, are common among Afghan refugees.
Full Text Available The urban agglomeration of the Vietnamese southeast industrial driving force Ho Chi Minh City (HCMC has become the most outstanding benefi ciary of the remarkable economic growth and foreign investments in the Vietnamese economy since the start of a comprehensive economic reform process in the mid 1980s. The notable development towards the foremost economic centre led to a high influx of migrant workers. In the course of an ongoing expansion process towards a megacity of tomorrow, the defi cient provision of adequate housing remains one of the most challenging problems of rural migrants in Greater HCMC. However, a future-oriented sustainable megacity concept is strongly dependent on the successful integration of migrants into the urban society. Within this context, the housing market is considered to be a key aspect of comprehensive urban planning. Hereby, housing microfinance (HMF will be presented as an alternative housing finance scheme meeting the demand of a noteworthy number of poor and low-income people. Thereby HMF can do both: focus on specifi c needs of migrants with respect to their current life situation and enhance its outreach to a potential target group.
Badri, S Ali; Asgary, Ali; Eftekhari, A R; Levy, Jason
Planned and involuntary resettlement after natural disasters has been a major policy in post-disaster reconstruction in developing countries over the past few decades. Studies show that resettlement can result in significant adverse impacts on the resettled population. Conversely, a well-planned and managed resettlement process can produce positive long-term development outcomes. This article presents the results of a case study undertaken 11 years after the 1990 Manjil earthquake in Iran. During the reconstruction period, a policy of involuntary planned resettlement was pursued extensively. The socioeconomic changes that occurred as a consequence of this policy of involuntary resettlement are analysed. Data were collected via a questionnaire survey that involved a sample of 194 relocated households (grouped into a settlement that later became a town). The paper shows that relocated families face difficult socioeconomic challenges after relocation and regrouping. This is especially true with respect to employment, income, the empowerment of women and lifestyle issues.
Full Text Available Objectives. To develop, implement, and evaluate a culturally respectful Wellness Course with and for Alaska's village-based Community Health Workers (CHWs to support community health promotion and disease prevention. Study design. This article describes Wellness Course development, implementation, and evaluation. Methods. Five 5-day Wellness Courses were provided for 55 CHWs from communities throughout Alaska. Fifty-two of 55 participants completed a post-course written evaluation. Post-course telephone interviews were conducted with participants (11/32 from the first 3 courses. Results. On written post-course evaluations, all participants wrote detailed descriptions of what they learned and 98% (51/52 felt more confident in their knowledge and ability to present community wellness information. As a result of course participation, 88% (46/52 of CHWs wrote ways they would support family and community wellness, and 85% (44/52 wrote ways they planned to take better care of their health. During the in-depth post-course interviews, all 11 CHWs interviewed described ways the Wellness Course increased their health knowledge, helped them in their work, and prepared them to effectively engage with their communities to promote health. Conclusions. Learning wellness information with hands-on activities and practising health presentation and community engagement skills within the course design increased participants’ wellness knowledge and skills, confidence, and motivation to provide community wellness activities. Techniques for active listening, engaging community, and using the arts and storytelling as culturally respectful health promotion are tools that when used by CHWs within their own community have potential to empower community wellness.
Cueva, Melany; Hicks, Teresa; Kuhnley, Regina; Cueva, Katie
Objectives To develop, implement, and evaluate a culturally respectful Wellness Course with and for Alaska's village-based Community Health Workers (CHWs) to support community health promotion and disease prevention. Study design This article describes Wellness Course development, implementation, and evaluation. Methods Five 5-day Wellness Courses were provided for 55 CHWs from communities throughout Alaska. Fifty-two of 55 participants completed a post-course written evaluation. Post-course telephone interviews were conducted with participants (11/32) from the first 3 courses. Results On written post-course evaluations, all participants wrote detailed descriptions of what they learned and 98% (51/52) felt more confident in their knowledge and ability to present community wellness information. As a result of course participation, 88% (46/52) of CHWs wrote ways they would support family and community wellness, and 85% (44/52) wrote ways they planned to take better care of their health. During the in-depth post-course interviews, all 11 CHWs interviewed described ways the Wellness Course increased their health knowledge, helped them in their work, and prepared them to effectively engage with their communities to promote health. Conclusions Learning wellness information with hands-on activities and practising health presentation and community engagement skills within the course design increased participants’ wellness knowledge and skills, confidence, and motivation to provide community wellness activities. Techniques for active listening, engaging community, and using the arts and storytelling as culturally respectful health promotion are tools that when used by CHWs within their own community have potential to empower community wellness. PMID:22901289
Michael M. Cernea
Many public and private sector projects, such as hydropower dams or mines, trigger forced population displacement but fail to resettle people sustainably and instead cause their impoverishment. Social science research has found that one root cause of such failures and of impoverishment is asset dispossession and the insufficient financing of resettlement. Most governments, however, state that (1) compensation alone is sufficient for restoring the income and livelihood of those displaced, and (2) resources to supplement compensation with additional financing are not available. The author critiques and rejects these positions. He offers a theoretical analysis of the limits and flaws of compensation payments for expropriated assets, and argues that resources are available for supplementing compensation with financial investments for resettlers' development. The sources for supplementary financing are the economic rent (windfall profits) generated by natural resource projects such as hydropower or mining and the regular stream of benefits generated by all projects that require resettlement. Further, the author argues that financial investments in resettlers' welfare are indispensable and that benefit sharing is feasible. Therefore, both should become basic principles of resettlement legislation and practice. In addition to theoretical analysis, the author documents with empirical evidence that some countries (China, Brazil, Canada, Columbia and Japan) already make investments additional to compensation for post-displacement reconstruction. The author sums up his argument in these key points:(1) Compensation alone cannot prevent the impoverishment of resettlers and cannot in itself restore and improve their livelihoods;(2) Additional financing is needed for direct investments in resettlement with development;(3) Compensation levels must be increased;(4) Financing resources are available in most cases for investing in resettlers' development, but allocation of
On a 2,600 square kilometres parcel of grassland that was once home to 300 species of dinosaurs, three Canadian entities, the military, the Alberta Energy Company and a community of rare and endangered animals provide an example of peaceful co-existence. For eight months of the year the Alberta Energy Company shares the land with Canadian and British military units; all shallow wells have been placed underground so the military can hold annual live-fire exercises. Gas reservoirs exists beneath 57 square kilometres of the range lying at 1,000 metres depth at 4,540 pounds of pressure, which can be increased to 2,050 pounds. The surface of the Suffield range belongs to the federal government, the mineral rights are held by the Province of Alberta, and proghorn antelopes, apparently unconcerned, graze on the ground as if the land belonged to them. They, and the golden eagles that nest in the banks of the South Saskatchewan River appear to be surviving the activities of their two giant co-habitants relatively well.
On a 2,600 square kilometres parcel of grassland that was once home to 300 species of dinosaurs, three Canadian entities, the military, the Alberta Energy Company and a community of rare and endangered animals provide an example of peaceful co-existence. For eight months of the year the Alberta Energy Company shares the land with Canadian and British military units; all shallow wells have been placed underground so the military can hold annual live-fire exercises. Gas reservoirs exists beneath 57 square kilometres of the range lying at 1,000 metres depth at 4,540 pounds of pressure, which can be increased to 2,050 pounds. The surface of the Suffield range belongs to the federal government, the mineral rights are held by the Province of Alberta, and proghorn antelopes, apparently unconcerned, graze on the ground as if the land belonged to them. They, and the golden eagles that nest in the banks of the South Saskatchewan River appear to be surviving the activities of their two giant co-habitants relatively well
Caron, Rosemary M; Tshabangu-Soko, Thandi; Finefrock, Krysten
Despite the gradual decrease in childhood lead poisoning in the United States, the risk for lead poisoning among African refugee children who resettle in the United States remains elevated. Communication methods implemented by resettlement agencies in the public health system for preventing childhood lead poisoning in this at-risk population warrant further investigation. We utilized structured interviews with key stakeholders (resettlement agencies, social service agencies developed by African refugees and resettled Somali refugees) involved in the refugee resettlement process to (1) describe the agency's role in the refugee resettlement process; (2) examine communication methods utilized and barriers experienced by the public health system in reference to childhood lead poisoning; (3) describe the refugee population's perception of childhood lead poisoning; (4) examine general challenges experienced by the public health system and the refugee population during the resettlement process; and (5) describe stakeholders' recommendations to improve health communication efforts. Based on our findings, we propose that communities are important determinants in health-related problems for refugee populations. Each community has its own environment and public health system that interacts with each other to influence health risks and risk perceptions of its populations. We advocate that understanding a community's ecology and implementing a culture-centered approach is essential for the public health system to help educate and prevent communication inequalities and health disparities among an at-risk African refugee population. This action can reduce a population's resistance to communication and help build a community's capacity to address a persistent public health problem, such as childhood lead poisoning.
Lisa K. Hartley
Full Text Available While most of the world's refugees reside in developing countries, their arrival to western countries is highly politicised, giving rise to questions about the types of entitlements and rights that should, or should not, be granted. In this study, using a mixed-methods community questionnaire (N = 185, we examined attitudes towards social policies aimed at providing assistance to two categories of new arrivals to Australia: resettled refugees (who arrive via its official refugee resettlement program and asylum seekers (who arrive via boat and then seek refugee status. Social policy attitude was examined as a consequence of feelings of anger, fear, and threat, as well as levels of prejudice. Participants felt significantly higher levels of anger, fear, threat, and prejudice towards asylum seekers compared to resettled refugees. For both resettled refugees and asylum seekers, prejudice was an independent predictor of more restrictive social policy attitudes. For resettled refugees, fear and perceived threat were independent predictors for more restrictive social policy whereas for asylum seekers anger was an independent predictor of restrictive social policy. The qualitative data reinforced the quantitative findings and extended understanding on the appraisals that underpin negative attitudes and emotional responses. Practical implications relating to challenging community attitudes are discussed.
Murray, Kate E; Davidson, Graham R; Schweitzer, Robert D
There are increasing numbers of refugees worldwide, with approximately 16 million refugees in 2007 and over 2.5 million refugees resettled in the United States since the start of its humanitarian program. Psychologists and other health professionals who deliver mental health services for individuals from refugee backgrounds need to have confidence that the therapeutic interventions they employ are appropriate and effective for the clients with whom they work. The current review briefly surveys refugee research, examines empirical evaluations of therapeutic interventions in resettlement contexts, and provides recommendations for best practices and future directions in resettlement countries. The resettlement interventions found to be most effective typically target culturally homogeneous client samples and demonstrate moderate to large outcome effects on aspects of traumatic stress and anxiety reduction. Further evaluations of the array of psychotherapeutic, psychosocial, pharmacological, and other therapeutic approaches, including psychoeducational and community-based interventions that facilitate personal and community growth and change, are encouraged. There is a need for increased awareness, training and funding to implement longitudinal interventions that work collaboratively with clients from refugee backgrounds through the stages of resettlement. © 2010 American Orthopsychiatric Association.
Ferwerda, Jeremy; Flynn, D J; Horiuchi, Yusaku
One week after President Donald Trump signed a controversial executive order to reduce the influx of refugees to the United States, we conducted a survey experiment to understand American citizens' attitudes toward refugee resettlement. Specifically, we evaluated whether citizens consider the geographic context of the resettlement program (that is, local versus national) and the degree to which they are swayed by media frames that increasingly associate refugees with terrorist threats. Our findings highlight a collective action problem: Participants are consistently less supportive of resettlement within their own communities than resettlement elsewhere in the country. This pattern holds across all measured demographic, political, and geographic subsamples within our data. Furthermore, our results demonstrate that threatening media frames significantly reduce support for both national and local resettlement. Conversely, media frames rebutting the threat posed by refugees have no significant effect. Finally, the results indicate that participants in refugee-dense counties are less responsive to threatening frames, suggesting that proximity to previously settled refugees may reduce the impact of perceived security threats.
Analysis of the Influencing Factors on Resettled Farmer’s Satisfaction under the Policy of the Balance between Urban Construction Land Increasing and Rural Construction Land Decreasing: A Case Study of China’s Xinjin County in Chengdu City
Full Text Available The purpose of this study is to explore what are the influencing factors on resettled farmer’s satisfaction and occupancy under the policy of the balance between urban construction land increasing and rural construction land decreasing in Xinjin County, Chengdu City. Questionnaires, statistical analysis and logistic regressions were employed. The results indicate that the higher educated farmers will be more satisfied with the relocation areas. An increase in the number of public facilities and the associated maintenance costs will decrease the resettled farmer’s satisfaction. Farmers who have moved to new communities are more satisfied with infrastructure, supporting facilities and property management, especially the living environment. The main tasks completed by farmers are the tillage land and to do work for their new community. The positive factors that contribute to the famer’s satisfaction, include land-rights guarantees, compensation for land consolidation, sewage treatment and the living environment. In contrast, public facilities, commercial service networks and resettled area’s maintenance are negative factors for farmer’s satisfaction. Meanwhile, the key factors to promoting harmony between urban and rural construction are to establish relevant laws and regulations, reasonable operation and management mechanisms, farmer-rights protection mechanisms, and to protect famer household income, as well as to improve agricultural production and farmer’s non-agricultural employment opportunity.
Roscoe, Clay; Gilles, Ryan; Reed, Alex J; Messerschmidt, Matt; Kinney, Rebecca
In the United States, vaccines have eliminated wild poliovirus (WPV) infection, though resettling refugees may lack immunity and importation of WPV remains a concern. A cross-sectional survey was performed to determine the prevalence of poliovirus immunity in adult refugees resettling in Boise, Idaho, U.S.A.; immunity was evaluated using two definitions: serotypes 1, 2 and 3 positive, or serotypes 1 and 3 positive. This survey evaluated 795 adult refugees between August 2010 and November 2012. Poliovirus immunity in adults >18 years was 55.3% for serotypes 1, 2 and 3 combined, and 60% for serotypes 1 and 3 only. This study demonstrated a WPV immunity rate of poliovirus immunity in all newly arrived adult refugees, either by expanding pre-departure immunization or by screening for immunity at resettlement and vaccinating when indicated. Copyright © 2015 Elsevier Ltd. All rights reserved.
Rhodes, Corinne M; Chang, Yuchiao; Percac-Lima, Sanja
Despite increases in obesity and related diseases in developing nations, initial refugee clinical visits do not address these issues. We explored the development of obesity and related diseases in a longitudinal prospective cohort of African refugees resettling in northeastern US. Using state Department of Health data, refugees were linked to a health system. Body mass index, diabetes, hypertension, and hyperlipidemia status were extracted from charts. US regional controls from NAMCS/NHAMCS data were matched by age, sex, race, and visit year. African refugee BMI increased after resettlement at 1 (1.7 ± 2.9, p resettlement to prevent development of obesity and related disease in this vulnerable population.
Bhaumik, S; Watson, J M; Devapriam, J; Raju, L B; Tin, N N; Kiani, R; Talbott, L; Parker, R; Moore, L; Majumdar, S K; Ganghadaran, S K; Dixon, K; Das Gupta, A; Barrett, M; Tyrer, F
Aggressive challenging behaviour is common in adults with intellectual disability (ID) in long-term care facilities. The government's commitment to the closure of all facilities in England has led to concerns over how to manage this behaviour in the community. The aim of this study was to assess changes in aggressive challenging behaviour and psychotropic drug use in adults with ID following resettlement using a person-centred approach. The Modified Overt Aggression Scale was administered to carers of 49 adults with ID prior to discharge from a long-stay hospital and 6 months and 1 year after community resettlement. All areas of aggressive challenging behaviour reduced significantly between baseline and 6 months following resettlement (P < 0.001). This reduction remained (but did not decrease further) at 1-year follow-up. Further work is needed to evaluate the role of environmental setting on aggressive challenging behaviour in adults with ID.
Liu, Qiaolan; Zhou, Hongyu; Zhou, Huan; Yang, Yang; Yang, Xiaoyan; Yu, Lingyun; Qiu, Peiyuan; Ma, Xiao
The purpose of this study was to describe the health behaviors of earthquake victims related to gastrointestinal and respiratory infectious diseases in the centralized transitional earthquake resettlement sites in Wenchuan, China; and to identify key factors related to health behaviors that may inform local infectious diseases prevention and control strategies. Data were collected using a questionnaire that included questions about socio-demographic characteristics and health beliefs and behaviors. In total, 1411 participants were included through a two-stage random sampling strategy. A bivariate multilevel model was used to explore the related factors. Approximately 67% of the participants wash their hands after going to lavatories every time, and 87% felt uncomfortable spitting on the ground. The more the participants perceived their susceptibility to and the severity of infectious diseases, the better their health-related behaviors (P resettlement sites (P resettlement sites. Copyright © 2011 Elsevier Inc. All rights reserved.
V. S. Belozyorov
Full Text Available Historically, Russia is a multinational state, which is currently home to more than 190 nations. On this subject much has been said and written, both by scientists and managers, but an effective mechanism of constructive intercultural dialogue has not worked out. It is obvious that the most important element of state policy in this area should be scientific, and therefore the most objective, study of ethnic processes from different points of view, including under the gaze of the geographer and cartographer, who not only verbally, but also visually answer the question “Where does one or another people live?”.Thereby, the article presents a project called “The Atlas of the Resettlement of Peoples in Russia”, which systemizes a complex of knowledge about the features of the settlement of peoples in Russia in the second half of the 20th century in beginning of the 21st century in the form of a complex of maps, various graphic materials and analytical texts. The work was prepared by the team of authors in the North Caucasus Federal University, on the basis of the laboratory of population and GIS technologies. The article describes the method of creating an atlas, the features of preparing cartographic scenes. Mapping and graphic themes are presented in detail. In general, the Atlas covers all peoples residing in the Russian Federation. The storyline is built in such a way that at first the reader gets acquainted with national trends and characteristics, then exploring the spatial and numerical characteristics of the ethnic groups residing in the country from the most numerous to the smallest in number. A separate section is devoted to the analysis of ethnic structure of the regions of the country. This work will be useful for specialists dealing with the problems of population in Russia and a wide range of readers.
Ozerova, I I; Prilipko, V A; Myshkovska, A A
An expert evaluation of preventive measures focused on population health maintenance in the zone of guaranteed voluntary resettlement taking into account the limitations of the provisions of certain articles of the Law of Ukraine on the clean-up of the Chornobyl disaster aftermath. The research survey was applied using a peer review method. The three-level (national, regional, district) expert workgroup was involved been employed within recovery of the Chornobyl disaster aftermath. Professional experience of minimum 10 years, corresponding profile and current position were the requirements for selection. A simple streamlining the values of paired or consistent comparison was applied on the primary empirical data. The arrangements made in recent years by the Cabinet of Ministers of Ukraine and ministries engaged in clean-up and recovery from the Chornobyl nuclear power plant accident are ineffective. Costs from the Fund for the implementation of measures to clean-up the consequences of the Chornobyl disaster and social protection are reduced. There is no consensus among experts regarding some constraint of an action of certain articles of the Law of Ukraine "On the status and social protection of citizens affected by the Chornobyl disaster" on the principles of social protection and healthcare of the population living in contaminated areas. In addressing the social and health consequences of the Chornobyl disaster the Verkhovna Rada of Ukraine just for a long time has passes no amendment to the legislation on the subject. At that there are several restrictions in force for a large number of articles of the existing laws that were adopted in 1991. The mentioned above exacerbates social strain and destroys the "citizen-state relationship". The extreme need has emerged in a comprehensive public review of existing laws with involvement of multidisciplinary group of experts to a "round table" to justify the draft laws. Ozerova Ju. Ju., Prylypko V. A., Myshkovska A. A
Hirani, Kajal; Cherian, Sarah; Mutch, Raewyn; Payne, Donald N
Adolescent refugees encounter traumatic stressors and are at risk of developing psychosocial health problems; limited research data exist internationally. This study aims to identify health risk behaviours among adolescent refugees resettling in Western Australia and assess the feasibility of using a standardised adolescent health questionnaire for this purpose. Refugees aged 12 years and above attending a tertiary Refugee Health Service (RHS) were recruited over 12 months. Sociodemographic data were collected. Psychosocial assessments based on the ' H ome, E ducation/Eating, A ctivities, D rugs, S exuality, S uicide/mental health' (HEADSS) framework were undertaken utilising interpreters where required. Health concerns identified were managed through the RHS. A total of 122 adolescents (20 ethnicities) participated; 65% required interpreters. Median age (range) was 14 (12-17) years. Most (80%) had nuclear family separation. Almost half (49%) had a deceased/missing family member. A third (37%) had lived in refugee camps and 20% had experienced closed detention. The median time (range) since arrival in Australia was 11 (2-86) months. Every adolescent had at least one health concern identified during the psychosocial assessment. Frequency of health concerns identified in each domain were 87% for home, 66% for education, 23% for eating, 93% for activities, 5% for drugs, 88% for sexuality and 61% for suicide/mental health. Most adolescents (75%) required intervention, consisting of counselling for health risk behaviours and/or referral to health or community services. It is feasible to use a standardised adolescent health questionnaire to identify health risk behaviours among a cohort of ethnically diverse adolescent refugees. Use of the questionnaire identified a large burden of psychosocial health issues requiring multidisciplinary intervention. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved
Robison, W.; Conrado, C.; Stuart, M.; Stoker, A.; Hamilton, T.
Bikini Atoll was one of two sites in the Marshall Islands that were used in the 1950's by the United States for testing nuclear weapons. The testing produced widespread radioactive contamination in Bikini and much of the Northern Marshall Islands. The Bikini people, relocated in 1946 before the test program began, have long desired to return to their homeland. Coral soil on Bikini Island makes cesium-137 ( 137 Cs) much more available for plant uptake than do soils of North America and Europe. Hence, when locally grown crops mature and become available for consumption, the resulting body burden of 137 Cs and the associated doses to humans exceeds federal guidelines. The dose from the terrestrial food ingestion pathway dominates all other pathways and contributes about 90% of the total dose to returning residents. We are, therefore, involved in cost-effective efforts to reduce the dose associated with resettlement. We have evaluated several measures, in addition to soil removal, to eliminate 137 Cs from the soil and to reduce its uptake into food crops. The most effective, and the easiest to implement, is the application of potassium to the atoll soils. A dramatic reduction in 137 Cs occurs in tropical fruits after applications of potassium-rich fertilizer to experimental soil plots. This treatment reduces the associated ingestion dose to about 5% of the pre-treatment levels, and this option avoids removal of the organic-rich surface soils. In addition, the added potassium increases plant productivity. We are now focusing on determining the duration of the effects of potassium treatment on 137 Cs uptake into plants, and the rate of environmental loss of 137 Cs in the atoll ecosystem. (author)
Artyom V. Vasilyev
Full Text Available The article deals with the maps of Resettlements Administration as a valuable source for the history of social infrastructure of Tomsk-Chulym taiga in beginning of 20 century. Due the lack of available areas for colonization, the flow of migrants was forwarded into Siberian taiga spaces. This required a great effort form authorities on the preparation of resettlements: a study of the region, development of communications, construction of social infrastructure, the church building etc. Measures taken by the Resettlement Administration has found its reflection in the map data, attached to the reports of the Administration. Maps of Resettlement Administration are an informative source for the study of colonization of Tomsk-Chulym taiga. More than any other source, they provide a glimpse on the direction of government policies on settling the area, allow to make conclusions about the success of various measures of the authorities and to reconstruct the main stages of the infrastructure and administrative development of the region, as well as the economic activities of migrants. In diachronic aspect they reveal the development of resettlement processes of region; in compression with other sources they allow to analyze the role of those factors, which on a small degree depended on the policy of Resettlement Administration, but affected the colonization of taiga. This is such a strong source as an illegal skit colonization, the influence of which can be traced on the maps. Considering the maps in terms of the audiences for which they were intended, we can also analyze the peasant and official representation of colonial space.
Joshi, Chandni; Russell, Grant; Cheng, I-Hao; Kay, Margaret; Pottie, Kevin; Alston, Margaret; Smith, Mitchell; Chan, Bibiana; Vasi, Shiva; Lo, Winston; Wahidi, Sayed Shukrullah; Harris, Mark F
Refugees have many complex health care needs which should be addressed by the primary health care services, both on their arrival in resettlement countries and in their transition to long-term care. The aim of this narrative synthesis is to identify the components of primary health care service delivery models for such populations which have been effective in improving access, quality and coordination of care. A systematic review of the literature, including published systematic reviews, was undertaken. Studies between 1990 and 2011 were identified by searching Medline, CINAHL, EMBASE, Cochrane Library, Scopus, Australian Public Affairs Information Service - Health, Health and Society Database, Multicultural Australian and Immigration Studies and Google Scholar. A limited snowballing search of the reference lists of all included studies was also undertaken. A stakeholder advisory committee and international advisers provided papers from grey literature. Only English language studies of evaluated primary health care models of care for refugees in developed countries of resettlement were included. Twenty-five studies met the inclusion criteria for this review of which 15 were Australian and 10 overseas models. These could be categorised into six themes: service context, clinical model, workforce capacity, cost to clients, health and non-health services. Access was improved by multidisciplinary staff, use of interpreters and bilingual staff, no-cost or low-cost services, outreach services, free transport to and from appointments, longer clinic opening hours, patient advocacy, and use of gender-concordant providers. These services were affordable, appropriate and acceptable to the target groups. Coordination between the different health care services and services responding to the social needs of clients was improved through case management by specialist workers. Quality of care was improved by training in cultural sensitivity and appropriate use of interpreters. The
Whitsett, David; Sherman, Martin F
Mental health clinicians who work with asylum seekers provide services to patients who face stressful everyday living conditions. However, little is known about how these problems potentially impact psychiatric treatment within these populations. The purpose of this study was thus to examine whether resettlement factors predict outcomes of a mental health intervention for a sample of asylum-seeking survivors of torture. The study included data from a US outpatient clinic that specialized in treating asylum-seeking survivors of torture. Patients (primarily from Iraq, Afghanistan and African Countries) were evaluated on demographic factors at intake and psychiatric symptoms throughout the course of treatment. Patients experienced significant reductions in depression, anxiety and trauma symptoms, although symptoms still remained near or above clinical thresholds. Stable, uncrowded housing conditions significantly predicted lower depression, anxiety and trauma symptoms at follow-up. These findings support the hypotheses that individuals seeking asylum within the United States who have survived torture can benefit from psychiatric treatment and emphasize the importance of stable living conditions in improving treatment effectiveness. This suggests the need for further research on social predictors of treatment outcomes, as well as the need for clinicians and policymakers to target improved housing as a potentially important tool to reduce psychiatric problems related to torture and forced migration.
Kirkby, Katherine; Galappaththy, Gawrie N L; Kurinczuk, Jennifer J; Rajapakse, Senaka; Fernando, S Deepika
Malaria-related knowledge, preventative methods and treatment-seeking behaviours were investigated in a post-conflict district of Sri Lanka in order to guide the development of components of malaria interventions and to support future programme evaluation. A structured questionnaire was used to collect data from a random sample of 300 households in four Divisional Secretariat Divisions (DSD) of the district where internally displaced populations were being resettled after a 30-year civil war. The surveyed community had a good overall level of knowledge of malaria. There was high bednet ownership (94.0%), although only 48.0% of households in the study had long-lasting insecticide-treated nets (LLIN). Most respondents reported rapid treatment-seeking behaviour (71.0%) and easy access to malaria diagnostic facilities (67.0%). The Tamil population living in Manthai West and Madhu DSDs who were displaced to refugee camps had better malaria-related knowledge and practices, probably due to the malaria control activities focused on these camps by the government. Although knowledge and practices regarding malaria amongst resettled populations in Mannar District were high, continued malaria surveillance, case management, vector control including distribution of LLINs, education and information campaigns are important not only amongst the communities affected by the conflict but the entire district.
Full Text Available This study explores the relationships between forest cover change and the village resettlement and land planning policies implemented in Laos, which have led to the relocation of remote and dispersed populations into clustered villages with easier access to state services and market facilities. We used the Global Forest Cover Change (2000–2012 and the most recent Lao Agricultural Census (2011 datasets to assess forest cover change in resettled and non-resettled villages throughout the country. We also reviewed a set of six case studies and performed an original case study in two villages of Luang Prabang province with 55 households, inquiring about relocation, land losses and intensification options. Our results show that resettled villages have greater baseline forest cover and total forest loss than most villages in Laos but not significant forest loss relative to that baseline. Resettled villages are consistently associated with forested areas, minority groups, and intermediate accessibility. The case studies highlight that resettlement coupled with land use planning does not necessarily lead to the abandonment of shifting cultivation or affect forest loss but lead to a re-spatialization of land use. This includes clustering of forest clearings, which might lead to fallow shortening and land degradation while limited intensification options exist in the resettled villages. This study provides a contribution to studying relationships between migration, forest cover change, livelihood strategies, land governance and agricultural practices in tropical forest environments.
Anne-Marie Bélanger McMurdo
Full Text Available By the end of February 2016, Canada had fulfilled its promise to resettle 25,000 Syrian refugees. However, this initiative has put a considerable strain on the settlement services that refugees receive after arrival, and raises questions about fair treatment for other refugees.
Shava, Soul; Krasny, Marianne E.; Tidball, Keith G.; Zazu, Cryton
In light of globalising trends toward urbanisation and resettlement, we explore how agricultural knowledges may be adapted and applied among relocated people. Although indigenous and related forms of practice-based knowledge may be temporarily lost as people adopt commercial agricultural practices and switch to non-agricultural livelihoods, they…
Balhara, Yatan Pal Singh; Ranjan, Rajeev; Dhawan, Anju; Yadav, Deepak
Background. There are limited community based treatment services for drug dependence in India. Rural areas and urban resettlement colonies are in particular deficient in such services. Aims. The current study aimed at preliminary assessment of substance use disorder management services at a community based substance use treatment clinic in an urban resettlement colony. Methods. The study was carried out at community based substance use treatment centre in a resettlement colony in India. The records of the centre were chart reviewed. Results. A total of 754 patients were registered at the clinic during the study period. Heroin was the primary drug of abuse for 63% of the patients. The mean duration of follow-up for the patients with opioid and alcohol dependence was 13.47 (SD ± 10.37; range 0-39) months. A total of 220 patients of opioid dependence were prescribed substation or abstinence directed therapy. Buprenorphine (87), slow release oral morphine (SROM) (16), and dextropropoxyphene (98) were used for opioid substitution. Conclusion. It is possible to deliver substance use disorder treatment services in community setting. There is a need to develop area specific community based treatment services for substance abuse in socially disadvantaged populations such as urban resettlement colonies.
Situated in critical sociocultural theory of literacy with a particular focus on literacy in relation to space and displacement, this qualitative study considers how nine teenage girls who were resettled as refugees from Thailand engage in productions of translocality through multimodal literacy practices in digital spaces. The girls are…
Adugna, Aynalem; Kloos, Helmut
This study aims to examine the possible impacts of resettlement on birth rates by using the length of stay variable in the 2000 Demographic and Health Survey (DHS). Data in all three rounds of Gambella Administrative Region's Demographic and Health Surveys (DHS) are analyzed. The neighboring administrative region of Benishangul-Gumuz is used as a control. The multivariate analysis of variance (MANOVA) is applied with duration of residence as a categorical independent variable. The statistical software SAS is used. In a univariate analysis of Gambella's DHS 2000, duration of residence has a significant effect on mothers' age at first birth (p Resettlement had a disruptive effect on birth rates among females who were just coming into marriageable ages in places of origin but were resettled to Gambella. Although the disruptive effects waned over time, the initial shortfall resulted in reduced overall lifetime births for settler women who were not past the midpoint of their reproductive years at arrival. Based on the reproductive history of female settlers with different duration of residence in the resettlement schemes, we recommend the reinstatement of the length of residence question in future DHS surveys in Ethiopia to allow a longitudinal tracking of demographic trends among nonnative populations.
Smith, Yda Jean
The Somali Bantu, arriving in the United States after many years in Kenyan refugee camps, face significant barriers to successful integration into American society. Those responsible for managing initial resettlement at the local level were not prepared to provide appropriate assistance to this group. The arrival of the Somali Bantu highlighted…
Bal, Aydin; Arzubiaga, Angela E.
In this article, we report on an ethnographic study of figured worlds of resettlement and identities that Muslim refugee youth from the Russian Federation coconstructed in an urban school at the Southwestern U.S. border. In the school, multiple cultural-historical discourses came together within a global context: refugee families, a global Islamic…
Full Text Available More than 100,000 Bhutanese refugees have been found homes in third countries. The other side to the story of this successful resettlement programme, however, is the failure to tackle the impact it has had on the remaining camp populations.
The Soviet repression of the Hungarian uprising in 1956 caused an exodus of 200,000 refugees. Most of the refugees fled to Austria. Austria immediately called on states to help both financially and by physically sharing the refugees by means of resettlement. As a result, most of the refugees were
Argentina’s human rights-based migration policy has helped regulariseregional migrant flows and has also benefitted refugees with specialprotection needs. Far from jeopardizing the local economy orundermining social cohesion, migrants and resettled refugeeshave been instrumental in Argentina’s swift economic recoveryin recent years.
Full Text Available Argentina’s human rights-based migration policy has helped regulariseregional migrant flows and has also benefitted refugees with specialprotection needs. Far from jeopardizing the local economy orundermining social cohesion, migrants and resettled refugeeshave been instrumental in Argentina’s swift economic recoveryin recent years.
Xi, Juan; Hwang, Sean-Shong
The involuntary relocation of people for development purposes has become prevalent across the world in recent decades. Depression is one of the documented negative outcomes of involuntary relocation among resettlers. Viewing the affected population simply as passive victims, past studies have largely ignored the coping strategies employed by…
Displacement of poor families contribute to the worsening of their poverty situation yet involuntary resettlement still takes place. According to the latest Report of the Indonesian Centre on Housing Rights and Eviction, more than 12,000 people were reportedly evicted in August 2008 to give way
Ellis, Roger; Hogard, Elaine; Sines, David
This article describes a risk audit carried out on the support provided for 36 people with profound learning disabilities who had been resettled from hospital care to supported housing. The risks were those factors identified in the literature as associated with deleterious effects on quality of life. The audit was carried out with a specially…
Kohn, H.I.; Dreyer, N.A.
The Department of Energy (DOE) has concluded that the Bikini atoll is unsafe for resettlement. In response to the Bikinians' request for an independent review, we have examined the following DOE findings: (a) radionuclide contamination of Eneu and Bikini Islands, (b) radiation dosage to those who might resettle the islands, and (c) risks to the health of such settlers. We are in practical agreement with the DOE estimates. Resettlement of either island in 1983 would lead to a range of annual or 30-year cumulative doses that exceed the Federal Radiation Council (FRC) guides for the general population, but not those for occupation exposure. By 2013 resettlement of Eneu probably would be permissible. The principal source of radiation dose is local food, especially coconut, owing to contamination of the soil by cesium-137. A precise estimate of dose is impossible. The availability of imported foods would lessen local food consumption, but not sufficiently to meet the FRC guides for the general population. The 30-year cumulative index dose is 61 (25-122) rem for Bikini, and about 8 (3-16) rem for Eneu
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Office of Refugee Resettlement; Urgent Single Source Grant to Survivors of Torture International (SOTI) AGENCY: Office of Refugee... effects of torture. (2) Social and legal services for victims of torture. (3) Research and training for...
Ruth Hoogland DeHoog
Full Text Available The U.S. refugee program is implemented almost entirely through national and local nonprofit and faith-based organizations that are highly dependent upon limited government funding and uneven refugee flows. This paper reports on a study of a large North Carolina nonprofit agency that closed down its longstanding refugee resettlement office in Greensboro in 2010. The research questions addressed are: What were the reasons given for the closing according to different participants? What were the consequences of this shutdown? This study helps to illuminate not only the organizational dynamics within a large, multi-service agency, but it also exemplifies the challenges faced in refugee resettlement services. The research is based on formal interviews with employees, agency executives, former employees, and representatives of the agency's national office that has a contract with the U.S. State Department to resettle refugees in North and South Carolina. The issues of leadership, financial management, and organizational culture are central to understanding why Lutheran Family Services in the Carolinas closed one of its key refugee resettlement offices. While the effects on the local community of volunteers, community agencies, and refugees are still unfolding, this closure had a profound impact on how the community viewed itself, as well as on the agency’s reputation.
The primary concern of this research is the justice of using government resources for poverty reduction, in other words investigating whether or not such investment has served its claimed purpose. My central argument is that government organized resettlement projects have
Sastre, Lauren; Haldeman, Lauren
INTRODUCTION In 2012, North Carolina ranked in the top ten states in refugee resettlement, with central Guilford County one of the most diverse in the southeast. OBJECTIVE Examine the local resettlement environmental, nutrition and health barriers and needs of refugees in Guilford County, as perceived by individuals providing services to them. METHODS Participants (n = 40) included: medical and social service providers, educators, faith-based volunteers, resettlement agency caseworkers and liaisons to a variety of refugee communities. Guided semistructured interviews were audio-recorded and transcribed verbatim. Themes were identified using deductive content analysis and categorized by frequency of reporting by participants. RESULTS Perceptions were consistent across participants regarding a diverse local refugee population. Resettlement housing was observed to be in poor condition, located in areas of poverty with transportation barriers. However, refugees rarely relocated, due to strong community relationships and support. Perceived dietary risks included: difficulties budgeting and maintaining food assistance, hoarding food, high consumption of sodas and sweets, misperceptions regarding US products (e.g., perceived need for infant formula), and limited health knowledge. Respondents observed that most refugees preferred "fresh" foods, and had strong agricultural skills but lacked green space. Major barriers to health care reported were: poverty, short duration of initial Medicaid coverage, and language (both lack of interpretation services and translated materials). Providers consistently observed type 2 diabetes, weight gain and dental problems across refugee groups. CONCLUSIONS Direct service providers' experiences and observations working with a diverse resettlement population provide unique insight into consistent barriers to achieving good health that confront refugees. While refugees face many barriers, groups often have impressive strengths, such as
Focusing on China's Three Gorges Project (TGP)-Induced Resettlement, the largest scale resettlement induced by a single development project, this study aims to investigate different types of integration patterns among the TGP re-settlers and how modes of integration associate with depressive symptoms. Using Latent Class Analysis, we analyzed survey data on 407 TGP re-settlers. We detected three integration patterns among these re-settlers: the fully integrated (68%), the culturally and economically integrated (21%) and the unintegrated (11%). We found that different integration types were linked to different levels of depressive symptoms. Unless fully integrated and experienced a warm feeling toward new community, re-settlers were vulnerable to elevated depressive symptoms. Our findings that culturally and economically integrated re-settlers had similar levels of depressive symptoms as the unintegrated re-settlers highlighted the importance of subjective dimension of integration and resettlement. We also found that rural re-settlers and those who move with the whole village were more likely to fall into the unintegrated category. Policy implications were discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.
Roč. 2016, č. 18 (2016), s. 152-166 ISSN 1464-8172 Institutional support: RVO:68378009 Keywords : river damming * spatial and social changes * resettlement Subject RIV: AC - Archeology, Anthropology, Ethnology
Michael M. Cernea
Full Text Available Many public and private sector projects, such as hydropower dams or mines, trigger forced population displacement but fail to resettle people sustainably and instead cause their impoverishment. Social science research has found that one root cause of such failures and of impoverishment is asset dispossession and the insufficient financing of resettlement. Most governments, however, state that (1 compensation alone is sufficient for restoring the income and livelihood of those displaced, and (2 resources to supplement compensation with additional financing are not available. The author critiques and rejects these positions. He offers a theoretical analysis of the limits and flaws of compensation payments for expropriated assets, and argues that resources are available for supplementing compensation with financial investments for resettlers’ development. The sources for supplementary financing are the economic rent (windfall profits generated by natural resource projects such as hydropower or mining and the regular stream of benefits generated by all projects that require resettlement. Further, the author argues that financial investments in resettlers’ welfare are indispensable and that benefit sharing is feasible. Therefore, both should become basic principles of resettlement legislation and practice. In addition to theoretical analysis, the author documents with empirical evidence that some countries (China, Brazil, Canada, Columbia and Japan already make investments additional to compensation for post-displacement reconstruction. The author sums up his argument in these key points: (1Compensation alone cannot prevent the impoverishment of resettlers and cannot in itself restore and improve their livelihoods; (2Additional financing is needed for direct investments in resettlement with development; (3Compensation levels must be increased; (4Financing resources are available in most cases for investing in resettlers’ development, but
This qualitative study examines eight elder women's experiences of resettling with their family and the protective factors that enhanced their resiliency. The implications for social work include the need to assess elder refugees' strengths, resilience, pre-resettlement functioning instead of services that might encourage integration into the dominant culture and community, and that the refugee experience is a lifelong experience that shapes and informs various stages of life.
Full Text Available The normative documents, statistic data concerning the people, who are forcedly resettled, are analysed in the article. The aim of the article is to describe the organizational stages of social workers; to determine the features of each stage, to consider the most effective methods and forms of each of the identified stages. Separate facts of creating towns for settlers are studied; information, given in scientific sociological and psychological works, is generalized. The stages of social activity of educators with children of compelled settlers (preparatory, organizational-active and analytical-corrective are determined on the basis of the carried out analysis. The essence of the activity, the methods and forms, the efficiency in realization of work with children, who are forcedly resettled, will be higher upon condition of drawing parents into corresponding forms and kinds of social pedagogical work. The author singles out three stages of work: the preparatory, organizational and activity, analytical and corrective stage. The methods and techniques of social work that shold be applied on each stage are disclosed. The author emphasizes, that not only professionals in the field of education but also representatives of state institutions – organs of executive power, health service, town centers of social service for family, children and youth, public organizations, charity funds and volunteers, which have corresponding specialization or special training, should be drown into realization of proposed stages of work with children-settlers. The author comes to the conclusion that in sprite of existence of already organized work with settlers’ families in Ukraine, more attention should be paid just to work with children because this generation creates the future of our country.
Evaluates the experience of worker entrepreneurship, highlighting successes and failures in Europe, and analyzes the relative importance of factors to worker entrepreneurship such as access to finance, education and training, organizational culture, and worker risk taking. (JOW)
Hung, R. J.; Shyu, K. L.
The purpose of present study is to investigate the most efficient technique for propellant resettling through the minimization of propellant usage and weight penalties. Comparison between the constant reverse gravity acceleration and impulsive reverse gravity acceleration to be used for the activation of propellant resettlement shows that impulsive reverse gravity thrust is superior to constant reverse gravity thrust for liquid reorientation in a reduced gravity environment. Comparison among impulsive reverse gravity thrust with 0.1, 1.0, and 10 Hz frequencies for liquid-filled level in the range between 30 to 80 percent shows that the selection of a medium frequency of 1.0 Hz impulsive thrust over the other frequency ranges of impulsive thrust is the most proper.
Since 1945, more than 700 000 refugees and displaced persons, survivors of conflicts in over 60 countries, have resettled in Australia. Every general practitioner (GP) will have patients who have had refugee-like experiences. To describe the health needs of survivors of war and conflict in the immediate and long-term resettlement periods. In the immediate post-settlement period, refugees and asylum seekers will need assessment, catch-up primary healthcare and, in some cases, psychological support. Although refugees are generally a resilient group, enhanced support may be needed over key life periods: childbirth, rearing of young children and entering frail age. Asylum seekers (who do not have permanent visas) often face structural impediments to healthcare access and may be unable to meet basic health needs; GPs need to be aware of the enhanced need for psychological safety in addition to catch-up healthcare in this population.
Salhotra V S
Full Text Available Research Question: Is there any difference in immunization coverage in resettlement colonies of Delhi during past five years? Objectives: 1. To study the immunization coverage levels of children over a period of five years. 2. To observe changes in the coverage levels of different years, if any. Study design: Cross-sectional study. Setting: Khichripur, Kalyanpuri, Kalyanpuri, Trilokpuri and Himmatpuri- four resettlement colonies of trans-Yamuna area of Delhi. Participants: 1500 children belonging to five age-groups i.e. birth-1 yr., 1-2 yrs., 2-3 yrs, and 4-5 yrs. Methods: Verification of childâ€s immunization from immunization card and interview of mother if immunization car was not available. Study period: May1997 to March1998 Results: Immunization with individual vaccines and immunization status of the children peaked in 1995-96 but started falling thereafter due to fall in ICE activities.
Caring is typically constructed as a feminised practice, resulting in women shouldering the burden of care-related work. Health-seeking behaviours are also constructed as feminine and men have poorer health outcomes globally. Employing men as carers may not only improve the health of the men they assist but also be transformative with regards to gendered constructions of caring. Using semi-structured interviews and observational home visits, this study explored the techniques that community care workers employ when working with male clients. The empirical analysis draws on the perspectives of eight care workers and three of their male clients from the Cape Town area. Interviews reveal how care workers and clients perform and negotiate masculinities as they navigate hegemonic masculine norms that require men to act tough, suppress emotions and deny weakness and sickness. Both parties bump up against ideals of what it means to be a man as they strive to provide care and receive support. Community care workers avoid rupturing client performances of hegemonic masculinities which inhibit confession and support. To do this, they use techniques of indirectly broaching sensitive subjects, acting in a friendly way and being clear about the intention of their work.
Bellamy, Kim; Ostini, Remo; Martini, Nataly; Kairuz, Therese
The aim of this study was to explore the barriers to accessing medicines and pharmacy services among refugees in Queensland, Australia, from the perspectives of resettled African refugees. A generic qualitative approach was used in this study. Resettled African refugees were recruited via a purposive snowball sampling method. The researcher collected data from different African refugee communities, specifically those from Sudanese, Congolese and Somalian communities. Participants were invited by a community health leader to participate in the study; a community health leader is a trained member of the refugee community who acts as a 'health information conduit' between refugees and the health system. Invitations were done either face-to-face, telephonically or by email. The focus groups were digitally recorded in English and transcribed verbatim by the researcher. Transcripts were entered into NVIVO© 11 and the data were analysed using inductive thematic analysis. Four focus groups were conducted between October and November 2014 in the city of Brisbane with African refugees, one with five Somali refugees, one with five Congolese refugees, one with three refugee community health leaders from South Sudan, Liberia and Eritrea and one with three refugee community health leaders from Uganda, Burundi and South Sudan. Eleven sub-themes emerged through the coding process, which resulted in four overarching themes: health system differences, navigating the Australian health system, communication barriers and health care-seeking behaviour. With regard to accessing medicines and pharmacy services, this study has shown that there is a gap between resettled refugees' expectations of health services and the reality of the Australian health system. Access barriers identified included language barriers, issues with the Translating and Interpreter Service, a lack of professional communication and cultural beliefs affecting health care-seeking behaviour. This exploratory study has
Heney, Jessica H; Dimock, Camia C; Friedman, Jennifer F; Lewis, Carol
To evaluate BMI change among pediatric refugees resettling in Providence, RI. Retrospective chart review of pediatric refugees from the initial evaluation to year 3 post-resettlement at Hasbro Children's Hospital. Primary outcome of interest was within person change in BMI percentile at each time point. From 2007-2012, 181 children visited the clinic. Initial prevalence of overweight and obesity was 14.1% and 3.2% versus 22.8% and 12.6% at year 3. From visit 1 and years 1-3, there was a positive mean within person change in BMI percentile of 12.9% (95% CI 6.3-19.6%s), 16.6% (95% CI 11.2-21.9%), and 14.4% (95% CI 9.1-19.7%). The prevalence of overweight and obesity increased from 17.3% at initial intake to 35.4% at 3 years post-resettlement to surpass that of American children (31.7-31.8% for 2007-2012). Refugee children have additional risk factors for obesity; multidisciplinary interventions must be designed to address nutrition at each visit.
There is an emerging interest in issues of occupational justice and occupational deprivation within contemporary occupational therapy practice and theory. To inform this emerging agenda, research with populations at risk of occupational injustice is crucial. This study used a global ethnography framework to explore disabled refugees' access to occupational participation in the context of the U.S. refugee resettlement program. Narrative data from eight Cambodian and seven Somali refugees were combined with documentary analysis and information obtained from service providers. Data were analyzed using grounded theory techniques. Findings revealed a strong policy emphasis on employment and self-sufficiency within the U.S. refugee resettlement program. Consequently, resettlement service providers focused on the dichotomous options of work or welfare, overlooking the broader occupational needs of disabled refugees. Lacking supportive services for developing vocational skills or exploring occupational alternatives, the refugees struggled to find occupational avenues that would earn them social validity and integration into American society, leading to feelings of isolation and inadequacy. Research and practice initiatives with this population need to consider the role of institutional factors in shaping their occupational participation and evolving occupational needs. Copyright 2012, SLACK Incorporated.
The general situation of the Three Gorges Projects reservoir inundation and its characteristics are presented. The investigation and verification of the Three Gorges Projects reservoir resettlement and its planning are summarized. Some key technical problems as environmental capacity of resettlement in the Three Gorges reservoir area, relations between compensation investment for resettlement and development investment, responsibility for the assigned resettlement investment and design under conditions of a limited investment, construction of mountain cities and towns and related geological disasters etc. are expounded. Facing new situations, several proposals are put forward to make the resettlement work well done, such as implementing resettlement project construction in accordance with the capital construction procedure strengthening regular management of the resettlement work, further perfecting the system of resettlement supervision, attaching great importance to the environmental protection in the reservoir area and to the planning work of resettling relocatees in other counties or provinces, speeding up the prevention and regulation, and the monitoring of landslides, etc.
Dowling, Alison; Enticott, Joanne; Russell, Grant
The health status of refugees is a significant factor in determining their success in resettlement and relies heavily on self-rated measures of refugee health. The selection of robust and appropriate self-rated health measurement tools is challenging due to the number and methodological variation in the use of assessment tools across refugee health studies. This study describes the existing self-report health measures which have been used in studies of adult refugees living in the community to allow us to address the challenges of selecting appropriate assessments to measure health within refugee groups. Electronic databases of Ovid Medline, CINAHL, SCOPUS, Embase and Scopus. This review identified 45 different self-rated health measurements in 183 studies. Most of the studies were cross sectional explorations of the mental health status of refugees living in community settings within Western nations. A third of the tools were designed specifically for use within refugee populations. More than half of the identified measurement tools have been evaluated for reliability and/or validity within refugee populations. Much variation was found in the selection, development and testing of measurement tools across the reviewed studies. This review shows that there are currently a number of reliable and valid tools available for use in refugee health research; however, further work is required to achieve consistency in the quality and in the use of these tools. Methodological guidelines are required to assist researchers and clinicians in the development and testing of self-rated health measurement tools for use in refugee research.
Oliveira, Inês Martins
While the work-family relation conflict literature has received much attention, there is a lack of empirical evidence towards work-family positive relation. Furthermore, there is a lack of understanding and recognition of possible benefits obtained by skills’ development during maternity. This study concludes that a family-work relation has a positive outcome, namely the enrichment. It was evident that there is a potential win when women enrich their role as workers through the enrichment of ...
Full Text Available Medical treatment for people living with HIV/AIDS started in Mali as early as 1997 thanks to civil society. The national response was officialised by the adoption of the Malian Initiative for Access to Antiretroviral Therapy (Initiative Malienne d’Accès aux Antirétroviraux IMAARV. In 2004 ART, drugs against opportunistic infections and basic biological monitoring were made available free of charge by decree. In 2005, decentralisation of health-care to regions and circles became one of the main thrusts of the national strategy for the ﬁght against the pandemic. Sub-Saharan African countries are making signiﬁcant efforts to provide full geographical coverage of their national territory.It is in this “scaling-up” context that the Solthis NGO (Solidarité Thérapeutique et Initiatives contre le Sida began cooperating with Malian actors to extend access to quality treatment for patients living with HIV/AIDS in the city and region of Ségou. Based on a developmental approach, Solthis opted for continuing in situ technical support for national actors in the ﬁght against AIDS. Thanks to the daily presence of a team “in the ﬁeld” Solthis devotes a large part of its activities to capacity-building for health-care workers through an exchange of medical and scientiﬁc expertise. Efforts were also made to improve health-care workers’ working conditions and to make various tests and drugs accessible to patients infected with HIV. The initial aim was to encourage universal access to ART. Today, the Ségou programme supported by Solthis has developed over 1,500 new treatments in the region. In addition, every PMTCT centre in the region offers prevention and treatment services to mothers and children. Today, the Ségou region is an integral part of the IMAARV initiative as a decentralisation pilot project.Le traitement médical des malades atteints du VIH/SIDA a débuté au Mali dès 1997 grâce à la société civile. La r
Johansson Blight, Karin; Persson, Jan-Olov; Ekblad, Solvig; Ekberg, Jan
Objective: Research into medical and licit drug use in resettled refugee populations is scarce, despite the fact that mental health status often has been found to be poorer than in general populations. Hence the aim of this study was to estimate the prevalence of self-rated use of medicine and licit drugs among adults who came to Sweden from Bosnia-Herzegovina (1993/94) and who in 2001 were living in either an urban (low employment context) or a rural (high employment context) region (n=4185). Methods: Prevalence was estimated from a cross-sectional questionnaire distributed to a representative sample (n=650) in 2001 (63.5% response rate). Results: The study population estimates of usage of sedatives (26.5%), sleeping tablets (26.2%) and antidepressants (22.3%) did not differ by gender but did so by region, with a higher urban prevalence. The consumption of alcohol (5.1%) and cigarettes (41.0%) did not differ by region but men reported higher alcohol consumption than women. Conclusion: The high consumption of medicine (compared with general populations) raises the question of treatment efficiency and the need for public health attention and evaluation many years after resettlement. Factors to consider for further research with analytic prerequisites concern indications that regional differences may be influenced, not only by urban employment being lower but also by urban/rural differences in prescription rates and/or access to health care; moreover, there might have been a selection to the urban region of older people, with a more vulnerable family situation, and/or poorer mental health. Finally, the overall alcohol (low) and cigarettes (high) consumption in the study population followed prevalence patterns found in Bosnia-Herzegovina rather than in Sweden. PMID:19742286
Guo, Xuesong; Kapucu, Naim
Disaster resettlement, as a mitigation and preparedness measure, entails significant economic, physical, and social impacts, which continue to challenge understanding of recovery from major events, especially regarding the extent of the context and environmental efforts to rebuild livelihoods. Based on a case study of Qinling Mountains, China, this research investigates the effects of disaster resettlement from a livelihoods perspective. Methodologically, it proposes a framework that combines the pressure-state-response framework and the sustainable livelihoods approach, and it employs a structural equation model to examine how specific factors affect disaster resettlement. The results indicate that conflicts may occur during and after resettlement owing to the difference or disparity between the concerns of resettled peasants and those of the government. Consequently, the risks related to livelihoods need to be taken seriously. Effective risk communication is critical to bridge the gap between different stakeholders. The paper concludes with some practical and policy recommendations. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.
M Kingsbury, Diana; P Bhatta, Madhav; Castellani, Brian; Khanal, Aruna; Jefferis, Eric; S Hallam, Jeffery
Women comprise 50% of the refugee population, 25% of whom are of reproductive age. Female refugees are at risk for experiencing significant hardships associated with the refugee experience, including after resettlement. For refugee women, the strength of their personal social networks can play an important role in mitigating the stress of resettlement and can be an influential source of support during specific health events, such as pregnancy. A personal social network analysis was conducted among 45 resettled Bhutanese refugee women who had given birth within the past 2 years in the Akron Metropolitan Area of Northeast Ohio. Data were collected using in-depth interviews conducted in Nepali over a 6-month period in 2016. Size, demographic characteristics of ties, frequency of communication, length of relationship, and strength of connection were the social network measures used to describe the personal networks of participants. A qualitative analysis was also conducted to assess what matters were commonly discussed within networks and how supportive participants perceived their networks to be. Overall, participants reported an average of 3 close personal connections during their pregnancy. The networks were comprised primarily of female family members whom the participant knew prior to resettlement in the U.S. Participants reported their networks as "very close" and perceived their connections to be supportive of them during their pregnancies. These results may be used to guide future research, as well as public health programming, that seeks to improve the pregnancy experiences of resettled refugee women.
Seglem, Karoline B.; Oppedal, Brit; Roysamb, Espen
This study examined daily hassles and coping dispositions in relation to life satisfaction and depressive symptoms among resettled unaccompanied refugees and other youth in the resettlement country. A total of 223 unaccompanied refugees ("M" = 20 years) was compared with 609 ethnic minority and 427 majority youth in Norway. Unaccompanied…
Anjum, Tanvir M; Nordqvist, Cecilia; Timpka, Toomas
Little is known about how positive phenomena can support resettlement of refugees in a new country. The aim of this study was to examine the hopeful thinking in a group of West African quota refugees at arrival and after 6 years in Sweden and compare these thoughts to the views of resettlement support professionals. The primary study population comprised 56 adult refugees and 13 resettlement professionals. Qualitative data were collected from the refugees by questionnaires on arrival and 6 years later. Data were collected from the resettlement professionals by interview about 3 years after arrival of the refugees. Snyder's cognitive model of hope was used to inform the comparative data analyses. Hopes regarding education were in focus for the refugees shortly after arrival, but thoughts on family reunion were central later in the resettlement process. During the later stages of the resettlement process, the unresponsiveness of the support organization to the family reunion problem became as issue for the refugees. The professionals reported a complex mix of "silent agency thoughts" underlying the local resettlement process as a contributing reason for this unresponsiveness. Hopes regarding education and family reunion were central in the resettlement of West African refugees in Sweden. These thoughts were not systematically followed up by the support organization; possibly the resources for refugees were not fully released. More studies are needed to further investigate the motivational factors underpinning host community support of refugees' hopes and plans.
Melle, M.A. van; Lamkaddem, M.; Stuiver, M.M.; Gerritsen, A.A.M.; Devillé, W.L.J.M.; Essink-Bot, M.L.
Background: A high prevalence of mental and physical ill health among refugees resettled in the Netherlands has been reported. With this study we aim to assess the quality of primary healthcare for resettled refugees in the Netherlands with chronic mental and non-communicable health problems, we
van Melle, M.A.; Lamkaddem, M.; Stuiver, M.M.; Gerritsen, A.A.M.; Devillé, W.L.J.M.; Essink-Bot, M.-L.
Background: A high prevalence of mental and physical ill health among refugees resettled in the Netherlands has been reported. With this study we aim to assess the quality of primary healthcare for resettled refugees in the Netherlands with chronic mental and non-communicable health problems, we
van Melle, Marije A.; Lamkaddem, Majda; Stuiver, Martijn M.; Gerritsen, Annette A. M.; Devillé, Walter L. J. M.; Essink-Bot, Marie-Louise
A high prevalence of mental and physical ill health among refugees resettled in the Netherlands has been reported. With this study we aim to assess the quality of primary healthcare for resettled refugees in the Netherlands with chronic mental and non-communicable health problems, we examined: a)
Anjum Tanvir M
Full Text Available Abstract Background Little is known about how positive phenomena can support resettlement of refugees in a new country. The aim of this study was to examine the hopeful thinking in a group of West African quota refugees at arrival and after 6 years in Sweden and compare these thoughts to the views of resettlement support professionals. Method The primary study population comprised 56 adult refugees and 13 resettlement professionals. Qualitative data were collected from the refugees by questionnaires on arrival and 6 years later. Data were collected from the resettlement professionals by interview about 3 years after arrival of the refugees. Snyder's cognitive model of hope was used to inform the comparative data analyses. Results Hopes regarding education were in focus for the refugees shortly after arrival, but thoughts on family reunion were central later in the resettlement process. During the later stages of the resettlement process, the unresponsiveness of the support organization to the family reunion problem became as issue for the refugees. The professionals reported a complex mix of "silent agency thoughts" underlying the local resettlement process as a contributing reason for this unresponsiveness. Conclusion Hopes regarding education and family reunion were central in the resettlement of West African refugees in Sweden. These thoughts were not systematically followed up by the support organization; possibly the resources for refugees were not fully released. More studies are needed to further investigate the motivational factors underpinning host community support of refugees' hopes and plans.
Companion animals play various roles in people's lives and these roles can impact on loss, grief, bereavement and mourning when the animal has been lost, whether that is through death, when missing, or when relinquished. This paper considers not only companion animal owners, but also those who own farm animals and those who work in animal service…
Hung, R. J.; Shyu, K. L.
The requirement to settle or to position liquid fluid over the outlet end of spacecraft propellant tank prior to main engine restart poses a microgravity fluid behavior problem. Resettlement or reorientation of liquid propellant can be accomplished by providing optimal acceleration to the spacecraft such that the propellant is reoriented over the tank outlet without any vapor entrainment, any excessive geysering, or any other undesirable fluid motion for the space fluid management under microgravity environment. The purpose of present study is to investigate most efficient technique for propellant resettling through the minimization of propellant usage and weight penalties. Comparison between the constant reverse gravity acceleration and impulsive reverse gravity acceleration to be used for the activation of propellant resettlement, it shows that impulsive reverse gravity thrust is superior to constant reverse gravity thrust for liquid reorientation in a reduced gravity environment.
Scott, Kevin C; Taylor, Eboni M; Mamo, Blain; Herr, Nathaniel D; Cronkright, Peter J; Yun, Katherine; Altshuler, Marc; Shetty, Sharmila
Globally, more than two billion persons have been infected at some time with the hepatitis B virus (HBV), and approximately 3.5 million refugees have chronic HBV infection. The endemicity of HBV varies by region. Because chronic hepatitis B is infectious and persons with chronic infection benefit from treatment, CDC recommends screening for HBV among all refugees who originate in countries where the prevalence of hepatitis B surface antigen (HBsAg; a marker for acute or chronic infection) is ≥2% or who are at risk for HBV because of personal characteristics such as injection drug use or household contact with an individual with HBV infection. Currently, almost all refugees are routinely screened for hepatitis B. However, prevalence rates of HBV infection in refugee populations recently resettled in the United States have not been determined. A multisite, retrospective study was performed to evaluate the prevalence of past HBV infection, current infection, and immunity among refugees resettled in the United States; to better characterize the burden of hepatitis B in this population; and to inform screening recommendations. The study incorporated surveillance data from a large state refugee health program and chart reviews from three U.S. sites that conduct medical screenings of refugees. The prevalence of HBV infection (current or past as determined by available titer levels) varied among refugees originating in different countries and was higher among Burmese refugees than among refugees from Bhutan or Iraq. Current or past HBV infection was also higher among adults (aged >18 years) and male refugees. These data might help inform planning by states and resettlement agencies, as well as screening decisions by health care providers.
Under Indonesia's massive transmigration program, 490,000 families were moved in 1950-86. While the resettlement program initially sought to alleviate population pressure in overpopulated areas by sending families to the less populated regions of Sumatra, Kalimantan, Sulawesi, and Irian Jaya, it later placed greater emphasis on regional development and cultural assimilation. The Bedol Desa resettlement scheme, in operation from 1976-81, was the largest of its type and organized the move of 12,500 families from Wonogiri to Bengkulu. The project was motivated by deteriorating environmental conditions in Wonogiri, including extreme drought and flooding from dam waters. To help evaluate this project, which was the most costly transmigration effort to date, 119 of the 286 couples who chose to remain behind in the relocated village of Kedungrejo in Wonogiri and 57 of the 91 couples who resettled in Bengkulu in southern Sumatra were interviewed. Those remaining at Kedungrejo received compensation grants for flooded land and property; 44% used their grants to buy nonflooded land, 21% bought housing, 17% began livestock or poultry enterprises, and 12% invested in gold. Income opportunities outside of agriculture were sought by the majority, and an estimated 50% of families who remained in the area improved their socioeconomic status due to greater access to white-collar jobs and formal education. Those who moved to Bengkulu tended to be couples with little land in Wonogiri and few sources of income aside from trading and sharecropping. Settlers were able to produce adequate subsistence from the 2 hectare land parcels they were given in Bengkulu, but faced difficulties generating cash incomes. Settlers also faced inadequate health and educational services. Despite these problems, only 3% of respondents indicated regret in terms of joining the scheme and the labor-scarce conditions led to organized collective labor practices that promoted solidarity.
Greta Jean Yates; Michael Joseph Silverman
On a single night in January in 2014 there were 194,000 children living with their families in shelters in the United States (National Center on Family Homelessness, 2015). A typical family experiencing homelessness consists of a single mother with two to three children. Children experiencing homelessness are more likely to face academic, social, and emotional problems compared to children in poverty. As there is currently a dearth of peer reviewed publications related to music therapy with c...
Panikkar, Bindu; Woodin, Mark A; Brugge, Doug; Desmarais, Anne Marie; Hyatt, Raymond; Goldman, Rose; Pirie, Alex; Goldstein-Gelb, Marcy; Galvão, Heloisa; Chianelli, Monica; Vasquez, Ismael; McWhinney, Melissa; Dalembert, Franklin; Gute, David M
In this community based research initiative, we employed a survey instrument predominately developed and administered by Teen Educators to assess occupational health risks for Haitian, Salvadoran, and Brazilian immigrants (n = 405) in Somerville, MA, USA. We demonstrate that a combined analysis of ethnicity, years in the US, and English proficiency better characterized the occupational experience of immigrant workers than considering these variables individually. While years in the US (negatively) and English proficiency (positively) explained the occurrence of health risks, the country of origin identified the most vulnerable populations in the community. Brazilians, Salvadorans, and other Hispanic, all of whom who have been in the US varying length of time, with varying proficiency in English language had twice the odds of reporting injuries due to work compared to other immigrants. Although this observation was not significant it indicates that years in the US and English proficiency alone do not predict health risks among this population. We recommend the initiation of larger studies employing c community based participatory research methods to confirm these differences and to further explore work and health issues of immigrant populations. This study is one of the small number of research efforts to utilize a contemporaneous assessment of occupational health problems in three distinct immigrant populations at the community level within a specific Environmental Justice context and social milieu.
Panikkar, Bindu; Woodin, Mark A.; Brugge, Doug; Desmarais, Anne Marie; Hyatt, Raymond; Goldman, Rose; Pirie, Alex; Goldstein-Gelb, Marcy; Galvão, Heloisa; Chianelli, Monica; Vasquez, Ismael; McWhinney, Melissa; Dalembert, Franklin; Gute, David M.
In this community based research initiative, we employed a survey instrument predominately developed and administered by Teen Educators to assess occupational health risks for Haitian, Salvadoran, and Brazilian immigrants (n = 405) in Somerville, MA, USA. We demonstrate that a combined analysis of ethnicity, years in the US, and English proficiency better characterized the occupational experience of immigrant workers than considering these variables individually. While years in the US (negatively) and English proficiency (positively) explained the occurrence of health risks, the country of origin identified the most vulnerable populations in the community. Brazilians, Salvadorans, and other Hispanic, all of whom who have been in the US varying length of time, with varying proficiency in English language had twice the odds of reporting injuries due to work compared to other immigrants. Although this observation was not significant it indicates that years in the US and English proficiency alone do not predict health risks among this population. We recommend the initiation of larger studies employing c community based participatory research methods to confirm these differences and to further explore work and health issues of immigrant populations. This study is one of the small number of research efforts to utilize a contemporaneous assessment of occupational health problems in three distinct immigrant populations at the community level within a specific Environmental Justice context and social milieu. PMID:23222180
Dung, Tham Chi; Dinh, Pham Ngoc; Nam, Vu Sinh; Tan, Luong Minh; Hang, Nguyen Le Khanh; Thanh, Le Thi; Mai, Le Quynh
Highly pathogenic avian influenza A(H5N1) is endemic in poultry in Viet Nam. The country has experienced the third highest number of human infections with influenza A(H5N1) in the world. A study in Hanoi in 2001, before the epizootic that was identified in 2003, found influenza A(H5N1) specific antibodies in 4% of poultry market workers (PMWs). We conducted a seroprevalence survey to determine the seroprevalence of antibodies to influenza A(H5N1) among PMWs in Hanoi, Thaibinh and Thanhhoa provinces. We selected PMWs from five markets, interviewed them and collected blood samples. These were then tested using a horse haemagglutination inhibition assay and a microneutralization assay with all three clades of influenza A(H5N1) viruses that have circulated in Viet Nam since 2004. The overall seroprevalence was 6.1% (95% confidence interval: 4.6-8.3). The highest proportion (7.2%) was found in PMWs in Hanoi, and the majority of seropositive subjects (70.3%) were slaughterers or sellers of poultry. The continued circulation and evolution of influenza A(H5N1) requires comprehensive surveillance of both human and animal sites throughout the country with follow-up studies on PMWs to estimate the risk of avian-human transmission of influenza A(H5N1) in Viet Nam.
Tham Chi Dung
Full Text Available Objective: Highly pathogenic avian influenza A(H5N1 is endemic in poultry in Viet Nam. The country has experienced the third highest number of human infections with influenza A(H5N1 in the world. A study in Hanoi in 2001, before the epizootic that was identified in 2003, found influenza A(H5N1 specific antibodies in 4% of poultry market workers (PMWs. We conducted a seroprevalence survey to determine the seroprevalence of antibodies to influenza A(H5N1 among PMWs in Hanoi, Thaibinh and Thanhhoa provinces. Methods: We selected PMWs from five markets, interviewed them and collected blood samples. These were then tested using a horse haemagglutination inhibition assay and a microneutralization assay with all three clades of influenza A(H5N1 viruses that have circulated in Viet Nam since 2004. Results: The overall seroprevalence was 6.1% (95% confidence interval: 4.6–8.3. The highest proportion (7.2% was found in PMWs in Hanoi, and the majority of seropositive subjects (70.3% were slaughterers or sellers of poultry. Discussion: The continued circulation and evolution of influenza A(H5N1 requires comprehensive surveillance of both human and animal sites throughout the country with follow-up studies on PMWs to estimate the risk of avian–human transmission of influenza A(H5N1 in Viet Nam.
Reavell, James; Fazil, Qulsom
With an increasing number of refugees migrating across continents, the crisis is very apparent. A literature review of patterns, risk factors and effects of post-traumatic stress disorder (PTSD) and depression in refugee minors was carried out involving those who have resettled in different developed countries. Papers were narrowed down by reading the abstracts and methods to ascertain whether the refugee children had resettled in developed countries and to ensure that they had not just been internally displaced. High incidences of PTSD and depression were found in refugee minors and poorer mental health was correlated with increased exposure to violence. Factors such as social support and family security were important in reducing the rates of PTSD and depression, whereas the implications of age and gender were unclear. Long-term effects from these mental illnesses indicated scholastic issues, but no further worsening of symptoms. Further research is needed regarding the follow-up of refugee minors with PTSD and depression to allow the establishment of more effective support systems, as long-term outcomes become more clearly understood. Few papers discuss the influence of religion, which may be an interesting line of future research as refugees move to more secular societies.
Erol, Neşe; Simşek, Zeynep; Oner, Ozgür; Munir, Kerim
To evaluate the effects of internal displacement and resettlement within Turkey on the emotional and behavioral profile of children, age 5-18 after controlling for possible confounding and demographic variables. We conducted a national population survey using a self-weighted, equal probability sample. We compared the CBCL, TRF and YSR responses regarding children with (n = 1644) and without (n = 1855) experience of internal displacement. We examined the effects of gender, age, paternal employment, resettlement, urban residence and physical illness. The children and adolescents with internal displacement had significantly higher internalizing, externalizing and total problem scores on the CBCL and YSR, and higher internalizing scores on the TRF. The effect of displacement was related to higher internalizing problems when factors like physical illness, child age, child gender and urban residence were accounted. The overall effect was small explaining only 0.1-1.5% of the total variance by parent reports, and not evident by teacher reports. To our knowledge the present study is the first to examine Turkish children and adolescents with and without experience of internal displacement. The results are consistent with previous immigration studies: child age, gender, presence of physical illness and urban residence were more important predictors of internalization and externalization problem scores irrespective of informant source.
Weir, Katherine E A; Wilson, Sheila J; Gorman, Dermot R
During 2015 and 2016 a group of Syrian refugees were resettled in Edinburgh, Scotland under the United Kingdom Government Syrian Vulnerable Person Resettlement Programme. We evaluate the strengths and weaknesses of the settling in arrangements for these refugees. Semi-structured interviews were conducted with five Arabic interpreters who had worked extensively with these refugees. Interviews sought their impressions about what went well or was not successful. Interviews were transcribed and key themes extracted and analysed. Six themes emerged: 'first impressions', language skills, different healthcare systems, health of the refugees, relationships between the interpreters and refugees and support for the interpreters. The welcoming arrangements went well and exceeded refugees' and interpreters' expectations. There was perhaps too much information given immediately and reinforcing details about various public services and facilities after a first few months would be worthwhile. The Syrians were unfamiliar with NHS structures and found lack of direct specialist access surprising. Problems were amplified by low English levels. A need for Arabic literacy classes was also identified. Interpreters were often used informally out-of-hours and a better system with first contact in Arabic should be established. Interpreters find this work particularly stressful and the provision of psychological support for them should be prioritized. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: email@example.com
Hvass, Anne Mette Fløe; Wejse, Christian
Health screening of refugees after settlement in a recipient country is an important tool to find and treat diseases. Currently, there are no available reviews on refugee health screening after resettlement. A systematic literature search was conducted using the online Medical Literature Analysis and Retrieval System ('MEDLINE') database. Data extraction and synthesis were performed according to the PRISMA statement. The search retrieved 342 articles. Relevance screening was conducted on all abstracts/titles. The final 53 studies included only original scientific articles on health screening of refugees conducted after settlement in another country. The 53 studies were all from North America, Australia/New Zealand and Europe. Because of differences in country policies, the screenings were conducted differently in the various locations. The studies demonstrated great variation in who was targeted for screening and how screening was conducted. The disease most frequently screened for was tuberculosis; this was done in approximately half of the studies. Few studies included screening for mental health and non-infectious diseases like diabetes and hypertension. Health screening of refugees after resettlement is conducted according to varying local policies and there are vast differences in which health conditions are covered in the screening and whom the screening is available to.
Cheng, I-Hao; Drillich, Ann; Schattner, Peter
Refugees and asylum seekers often struggle to use general practice services in resettlement countries. To describe and analyse the literature on the experiences of refugees and asylum seekers using general practice services in countries of resettlement. Literature review using systematic search and narrative data extraction and synthesis methodologies. International, peer-reviewed literature published in English language between 1990 and 2013. Embase, Ovid MEDLINE, PsycINFO, CSA Sociological Abstracts, and CINAHL databases were searched using the terms: refugee, asylum seeker, experience, perception, doctor, physician, and general practitioner. Titles, abstracts and full texts were reviewed and were critically appraised. Narrative themes describing the refugee or asylum seeker's personal experiences of general practice services were identified, coded, and analysed. From 8722 papers, 85 were fully reviewed and 23 included. These represented the experiences of approximately 864 individuals using general practice services across 11 countries. Common narrative themes that emerged were: difficulties accessing general practice services, language barriers, poor doctor-patient relationships, and problems with the cultural acceptability of medical care. The difficulties refugees and asylum seekers experience accessing and using general practice services could be addressed by providing practical support for patients to register, make appointments, and attend services, and through using interpreters. Clinicians should look beyond refugee stereotypes to focus on the needs and expectations of the individual. They should provide clear explanations about unfamiliar clinical processes and treatments while offering timely management. © British Journal of General Practice 2015.
Full Text Available This paper examines the displacement of the inhabitants of Jaguaribara (Northeast Brazil who were resettled due to the construction of the “Castanhao”. #e Government planned a new city to shelter the inhabitants from “Old Jaguaribara” that was $ooded due to the over$owing of the dam. #e case of Jaguaribara provides another perspective for analysing the consequences of the resettlement of the community, elucidating - besides the impoverishment risks - the protective factors that came up during the process of resistance against the construction of the dam, in the light of the concept of resilience. In order to capture the various dimensions of this process, qualitative primary data were used as the main source, together with documentation made by NGOs and professionals involved during the process of resistance against the construction of the dam, as well as semi-structured interviews. #e enhancement of resilience in Jaguaribara represented the possibility to transform isolated individuals into a powerful integrated group that could combine forces, catalyse collective gains as well as articulate and defend common interests.
Some testing during the development of the atomic bomb was done in countries that do not have the infrastructure and expertise for evaluating any associated radiation risks. In such cases, outside expertise is needed to obtain independent advice about the radiological situation caused by residual radioactive material from nuclear testing. The IAEA has been requested by the governments of a number of its Member States to provide assistance in this context. Among the former nuclear test sites which the IAEA has reviewed is the Bikini Atoll of the Marshall Islands. Based on its review, the IAEA Advisory Group determined that no further corroboration of the measurements and assessments of the radiological conditions at Bikini Atoll is necessary. The data that have been collected are of sufficient quality to allow an appropriate evaluation to be performed. The limited IAEA monitoring of the area provided a good quality assurance verification of the previously collected data. It was recommended that Bikini Island should not be permanently resettled under the present radiological conditions. This recommendation was based on the assumption that persons resettling on the island would consume a diet of entirely locally produced food. The radiological data support that if a diet of this type were permitted, it could lead to an annual effective dose of about 15 mSv. This level was judged to require intervention of some type for radiation protection purposes
Somdatta, P; Baridalyne, N
Breast cancer accounts for 19-34% of all cancer cases among women in India. There is a high mortality due to late stage diagnosis as patients usually present at an advanced stage because of lack of awareness and non-existent breast cancer screening programs. Aim : To determine the awareness about breast cancer among women in an urban resettlement colony in Delhi. A community based, cross-sectional study carried out in a resettlement colony in South Delhi. Semi-structured interview schedule was used to collect information regarding breast cancer. Modified Kuppuswamy scale was used for assessing the socio-economic status. A total of 333 women were included. The mean age was 36 years+/-15.1 and 46% were illiterate. Only 185 (56%) women were aware of breast cancer; among them, 51% knew about at least one of the signs /symptoms, 53% were aware that breast cancer can be detected early, and only 35% mentioned about risk factors. Thus, awareness about breast cancer is low amongst women in this community. There is a need for awareness generation programs to educate women about breast cancer, propagation of correct messages and promote early detection of breast cancer.
The number of refugees who have fled across international borders due to conflict and persecution is at the highest level in recorded history. The vast majority of these refugees find exile in low-income countries neighboring their countries of origin. The refugee children who are resettled to North America, Europe, and Australia arrive with…
Daniel, Shannon M.; Eley, Caitlin
Analysis of data in an after-school writing workshop wherein resettled refugee teens were reading and writing identity texts to prepare for achieving their postsecondary goals suggests that a discursive practice of the connective press was productive in helping teens develop cohesion in their writing. Although true communicative competence in an…
Lamkaddem, M.; Stronks, K.; Devillé, W.D.; Olff, M.; Gerritsen, A.A.M.; Essink-Bot, M.L.
Background: Post-traumatic stress disorder (PTSD) is a major health problem among refugees worldwide. After resettlement, the prevalence of PTSD remains high despite the fact that various PTSD treatments are known to be effective. Methods: We examined the course of PTSD and the role of mental health
savings. Working and living conditions are difficult: the hours are long, the weather is hot, housing conditions are primitive and provide no relief from the heat, the food supply is the minimum required, and almost no diversions are available. There are no unions even among Omani workers, and troublemakers are quickly repatriated. The Indian embassy occasionally intercedes for workers, brief work stoppages may occur if pay is delayed, and some conflicts are settled individually. Resistence among Indian workers may take less visible forms, especially absenteeism and requests for leave.
Blessing Uchenna Mberu
Full Text Available Using the 1998 Migration, Gender and Health Survey in Five Regions of Ethiopia, and multivariate regression techniques, this paper examines the relationship between internal migration and household living conditions. The analysis finds significant living condition advantage of permanent and temporary migrants over non-migrants. These advantages are primarily linked to migration selectivity by education and non-agricultural income. Once the independent effects of these variables are controlled, no statistical significant independent association exists between migration status and living conditions. Government policies of resettlement in the 1980s and ethnic federalism of the 1990s may have engendered stress migration and exacerbated poor living outcomes for return migrants. The resort to migration and/or resettlement as an individual or government policy response to periodic unfavorable conditions in places of origin is not strongly supported by this analysis as the key to improved living conditions. Promoting higher education and opportunities for employment outside the agricultural sector are more likely to yield improved living conditions in Ethiopia.
Vasil'ev, A G; Bol'shakov, V N; Vasil'eva, I A; Evdokimov, N G; Sineva, N V
Geometric morphometry has been used to reveal transformations of mandible morphogenesis in the offspring of mole voles resettled to the northern part of the species range from a southern population. The transformations were new compared to both the original (southern) and the aboriginal (northern) populations. A significant increase in the intragroup morphological disparity estimated by the mean nearest neighbor distance (MNND) in the resettled animals compared to both aboriginal populations is an indirect indication of an increased developmental instability in the resettled animals exposed to new climatic conditions.
Smith, R Scott
The notable success of an upstate New York community in resettling refugees raises the question of whether multiple waves of resettlement over a 15-year period have resulted in greater accommodation to refugees. Structured interviews based on transactional models of acculturation were used along with archival data to explore ecological factors supporting a host community's behavioral flexibility and perseverance in response to the influx of refugees. Evidence suggests that socioeconomic climate, historical background/social norms, and the organizational structure of agencies involved in resettlement moderate successful inclusion of refugees into a host community in a bidirectional process.
LA SAFE, or Louisiana's Strategic Adaptations for Future Environments, is a strategic framework for community development utilizing future projections of coastal land loss and flood risk as a determining factor in regional growth management and local planning initiatives along a 10, 25, and 50 year timeline. LA SAFE utilizes the input of passionate local citizen leaders and organizations committed to enabling community members to take proactive steps towards mitigating risk and increasing resilience against coastal issues. The project aims to acknowledge that adaptation and restoration must go hand-in-hand with addressing community growth and contraction, as well as realizing Louisiana's most vulnerable coastal communities will need to contemplate resettlement over the next 50 years. The project's outlook is to become a global leader for adaptation and cultural design and restoration. Connecting a global interest with the project and offering extensive ways for people to learn about the issues and get involved will provide an immense amount of support necessary for future coastal environments around the world. This presentation will focus on the output of a year-long planning effort across a six-parish target area encompassing several vulnerable coastal Louisiana locales. The Resettlement of Isle de Jean Charles is a federally-funded and first-of-its kind initiative marking Louisiana's first attempt to relocate a vulnerable coastal community at-scale and as a group. Due to a myriad of environmental factors, the Island has experienced 98 percent land loss since 1955, leading to many of the Island's historical inhabitants to retreat to higher, drier landscapes. In moving the community at-scale, the project seeks to inject new life into the community and its residents in relocating the community to higher, safer ground, while also developing the new community in such a way that it maximizes economic development, job training, and educational opportunities and can be a
Full Text Available The interaction between immigrants and members of the host society has been and still is an important issue during processes of migration. This study analyses inter-ethnic aggressive antisocial actions among adolescents. A descriptive analysis reveals the frequency of such behaviour among German, Turkish and Resettler (Aussiedler adolescents. The explanatory analysis concentrates on the influence of a attitudes towards violence (justifications, b an approval with social dominance, c bargaining as a conflict resolution strategy, and d trust in the judicial system (a fair treatment according to the law. It is assumed that justifications for violent behaviour and the approval with social dominance are likely to increase inter-ethnic aggressive antisocial actions. In contrast, bargaining as a preference for conflict resolution and trust in the judicial system are supposed to reduce such behaviour. A final comparison reveals whether the explanations are substantial across the groups.
This grounded theory study in California, United States was an inquiry into the perceptions of health of Cambodian women in resettlement. The sequelae of significant life trauma on the health of women who escaped political conflict have received little attention in the nursing literature. Thirty-nine Cambodian women were recruited through a social service organization and verbal referrals. Open-ended questions and a conversational approach to dialogue and data gathering facilitated the interview process. Women were interviewed at home or the local temple. Seeking life balance emerged as the core perspective of this study. The relationships between thematic categories of seeking life balance, patterns of knowing, and caring for self were salient. Outcomes of these interrelationships further moved women's health toward disharmony or harmony. The findings of this study are limited by sampling participants in a tightly networked community and may serve as a pilot for future research.
Hoffman, Sarah J; Robertson, Cheryl L; Tierney, Jessica Dockter
The purpose of this analysis was to explore the recontextualization of mothering in Karen refugees from Burma. We collected ethnographic data over an 11-month period with a cohort of 12 Karen women postresettlement. Using Spradley's and tools of critical discourse analysis, we interpreted the migration narratives of women, in particular, experiences they shared as mothers. These narratives were grounded in the space of cultural difference; thus, we engaged hybridity as a theoretical frame. Findings reflect the negotiation of mothering practices within the norms, structures, and policies of the country of resettlement. We identified the spaces of transformation a woman constructed to usher change while sustaining a connection between herself, her culture, and her children.
Salve, Harshal; Gupta, Vivek; Palanivel, C; Yadav, Kapil; Singh, Bir
A community-based cross-sectional study was carried out in an urban resettlement colony in South Delhi to study the prevalence of knee osteoarthritis in women aged ≥40 years and treatment seeking behavior of women suffering from osteoarthritis. Osteoarthritis was diagnosed by using clinical criteria given by American College of Rheumatology for diagnosis of Idiopathic Osteoarthritis of knee joints. A total 260 women were interviewed out of which 123 (47.3%) women were found to be suffering from knee osteoarthritis. Prevalence of osteoarthritis found to be increased with age. Less than half of those with osteoarthritis underwent treatment. With this high prevalence of osteoarthritis, there is need to spread awareness about the disease, its prevention, and rehabilitation in the community.
Correa-Velez, Ignacio; Gifford, Sandra M; McMichael, Celia
This short report assesses the predictors of subjective health and happiness among a cohort of refugee youth over their first eight years in Australia. Five waves of data collection were conducted between 2004 (n = 120) and 2012-13 (n = 51) using mixed methods. Previous schooling, self-esteem, moving house in the previous year, a supportive social environment, stronger ethnic identity and perceived discrimination were significant predictors of wellbeing after adjusting for demographic and pre-migration factors. When compared with a previous analysis of this cohort over their first three years of settlement, experiences of social exclusion still have a significant impact on wellbeing eight years after arriving in Australia. This study contributes to mounting evidence in support of policies that discourage discrimination and promote social inclusion and cultural diversity and which underpin the wellbeing of resettled refugee youth. Copyright © 2015 Elsevier Ltd. All rights reserved.
Rustagi, N; Prasuna, J G; Vibha, M D
The burden of antenatal morbidities and health care services utilization during antenatal period serve an important role in defining service needs and to assess reproductive health status of women. To evaluate the burden of antenatal morbidities in women and to assess the health care utilization by study subjects during antenatal period. A community based follow up study was carried out in an urban resettlement colony of Delhi. All pregnant women in the study area were enrolled and followed for two more visits to collect information about morbidities suffered and health care services utilized during pregnancy. Appropriate tests of significance were applied. Of 358 women enrolled, three hundred could be followed for two more visits. Majority of women (80.3%) suffered one or more morbidities during their current pregnancy but overall care sought for illness during pregnancy was poor. Visits for routine preventive check up was made by most of women (95% and above) but recommended three antenatal visits was significantly low among women of age more than thirty (OR=16.6; 2.2-125.9), of lower middle socio economic status (OR=2.84; 1.16-6.93) and parity three or more (OR=4.37; 1.07-17.83). Women with education status of high school and above had significantly lower odd ratio (OR=0.33; 0.11-0.99) for having less than three antenatal visits. Care sought for antenatal morbidities is still poor among women of urban resettlement colonies and age, parity and education of women has a significant bearing on antenatal visits.
El-Bialy, Rowan; Mulay, Shree
For refugees who undergo permanent resettlement, characteristics of the resettlement context influence their ability to heal from pre-migration persecution and achieve a sense of wellbeing. This ethnographic study examines the impact of place-related determinants on the sense of wellbeing experienced by refugees resettled in a small urban center. The paper reports on the results of in-depth interviews that were conducted with ten former refugees in St. John's, Canada. We found that challenges and coping resources both emerged from the same aspects of the city, including its built environment, natural environment, history, culture, and low ethnic diversity. Future research should attend to how aspects of the resettlement context can simultaneously challenge and support refugees' sense of wellbeing. Copyright © 2015 Elsevier Ltd. All rights reserved.
Chinnakali, Palanivel; Upadhyay, Ravi P; Shokeen, Deepa; Singh, Kavita; Kaur, Manpreet; Singh, Arvind K; Goswami, Anil; Yadav, Kapil; Pandav, Chandrakant S
An adequate food intake, in terms of quantity and quality, is a key to healthy life. Malnutrition is the most serious consequence of food insecurity and has a multitude of health and economic implications. India has the world's largest population living in slums, and these have largely been underserved areas. The State of Food Insecurity in the World (2012) estimates that India is home to more than 217 million undernourished people. Various studies have been conducted to assess food insecurity at the global level; however, the literature is limited as far as India is concerned. The present study was conducted with the objective of documenting the prevalence of food insecurity at the household level and the factors determining its existence in an urban slum population of northern India. This cross-sectional study was conducted in an urban resettlement colony of South Delhi, India. A pre-designed, pre-tested, semi-structured questionnaire was used for collecting socioeconomic details and information regarding dietary practices. Food insecurity was assessed using Household Food Insecurity Access Scale (HFIAS). Logistic regression analysis was performed to determine the factors associated with food insecurity. A total of 250 women were interviewed through house-to-house survey. Majority of the households were having a nuclear family (61.6%), with mean family-size being 5.5 (SD +/- 2.5) and the mean monthly household income being INR 9,784 (SD +/- 631). Nearly half (53.3%) of the mean monthly household income was spent on food. The study found that a total of 77.2% households were food-insecure, with 49.2% households being mildly food-insecure, 18.8% of the households being moderately food-insecure, and 9.2% of the households being severely food-insecure. Higher education of the women handling food (OR 0.37, 95% CI 0.15-0.92; p insecure. The study demonstrated a high prevalence of food insecurity in the marginalized section of the urban society. The Government of India
Bastiaanssen, I.L.W.; Kroes, G.; Nijhof, K.S.; Delsing, M.J.M.H.; Engels, R.C.M.E.; Veerman, J.W.
Background By interacting with children, group care workers shape daily living environments to influence treatment. Current literature provides little knowledge about the content of youth residential care. Objective In this study, a questionnaire called the Group care worker Intervention
Thaler, Thomas; Seebauer, Sebastian; Babcicky, Philipp
Flood risk management has developed a large inventory of adaptive responses to climate-induced and socio-economic driven hazards. This inventory comprises a wide array of structural and non-structural measures. Yet, one of the most effective responses is planned resettlement of people at risk, were largely ignored as a possible adaptation option towards climate changes in the national flood risk management policies. The study investigates current developments of flood relocation projects and introduces the theoretical concept of place attachment and identity to analyse the challenges when putting flood resettlement initiatives into practice. Two study sites in Austria (Eferdinger Basin and Machland region) illustrate the social and individual dynamics as relocation schemes unfold over time. The relocation scheme is voluntary with the authorities offering to buy out buildings at 80% of their estimated market values, but without compensating for devaluation of the building plot. Legal and administrative processes for executing relocations are well institutionalized. From an engineering standpoint, relocation is the most effective and cost-efficient adaptive response to flood risk in the study areas. However, the measure is socially and politically highly contested. For residents in relocation zones, many profound changes they are confronted with are linked to their place of living, such as iterms of their livelihood, e.g. by no longer passing the family agricultural business to the next generation; in terms of their self-identity, e.g. when tasked to reformulate everyday practices tied to the home left behind; or in terms of rebuilding social networks, e.g. when those who remain have to cope with the thinning out of trusted neighbours. To explore the role of place attachment and identity in individual decision-making, we conducted semi-structured interviews with residents. Our results show that place attachment and identity is a key factor guiding individual
Full Text Available This study examined the influence of resettlement of the capital of Probolinggo Regency toward service quality of Police Record (SKCK in Probolinggo Resort Police. Probolinggo Resort Police (Polres is one government agencies that experiencing resettlement of the location from Probolinggo City to Kraksaan district. It is expected that by this resettlement, public service processes would become ‘better and in high quality’. The study used quantitative research method with explanatory approach to test the hypothesis that has been set. Dependent variable in this study are resettlement of the capital of regency (X with the variables: affordability, recoverability and replicability. While the dependent variable in this study are the service quality of Police Record (SKCK (Y with the indicators: tangibles, reliability, responsiveness, assurance and empathy. The study used multiple linear regression method of analysis. The study revealed that the resettlement of the capital of regency variable (X which consist of three variables such as affordability (X1, recoverability (X2 and replicability variable (X3 influence significantly toward service quality of the Police Record (SKCK in Probolinggo Resort Police (Polres. Keywords: The Resettlement, The Capital of Regency, Service Quality, Police Record (SKCK, Probolinggo Resort Police.
Artyom Y. Peretyatko
Full Text Available The article is devoted to the negative effects of the Emancipation Reform of 1861 on the Don region. The author shows that the result of this reform was mass resettlement of peasants in Mius District without the right of choice of land and compensation for real estate. The main attention is paid to the passive resistance of the inhabitants of one village attempts to evict them on unprepared areas, selected by their former landlord. Results of the research are the findings that the interests of the peasants living on the land of the yurt were completely ignored during the conduct of the Emancipation Reform, and that until 1868 the local officials refused to go on any compromise. Only after the complete failure of the brutal policies local administration made concessions and allowed peasants to select sites for relocation.
This paper is a comparative analysis between workers in healthcare with high and low degree of readiness for living technology such as robotics. To explore the differences among workers’ readiness for robotics in healthcare, statistical analysis was conducted in the data set obtained from 200...
"Modernidad" y polarización de la salud en México. Condiciones de vida de los trabajadores y sus familias "Modernity" and polarization of health in Mexico. Living conditions for workers and their families
Jorge Villegas Rodríguez
Full Text Available Se analizan las características del proceso de modernización en México y el deterioro y polarización que ha producido en las condiciones de vida y salud de la población general y de los trabajadores y sus familias. Para ello se muestran diversos indicadores socioeconómicos y de salud. Respecto a la morbilidad, las enfermedades infecciosas ocupan un porcentaje muy elevado, pero otros fenómenos como diabetes, cirrosis hepática, infarto cardiaco, tumores malignos y accidentes y violencias son también serios problemas de salud pública. En regiones del país con características socioeconómicas bien diferenciadas, como los estados de Chiapas y Nuevo León, la polarización de la salud resulta más evidente aún. Por otra parte, el deterioro de las condiciones laborales y la información existente respecto a la salud de los trabajadores, a pesar de sus limitaciones, indican que los trabajadores deben ser considerados como un grupo prioritario. Se muestra el comportamiento paradójico de los accidentes y enfermedades laborales objetos de compensación, con menos accidentes pero más graves, y detección de enfermedades en grados muy avanzados, así como diferencias significativas en la morbilidad laboral en distintas ramas de la producción manufacturera.This article analyzes the characteristics of the modernization process in Mexico and the polarization produced in living and health conditions for the general population as well as workers and their families. We studied socioeconomic and health indicators for this purpose. Infectious diseases occupy a high percentage of general morbidity, yet diseases such as diabetes, hepatic cirrhosis, myocardial infarction, malignant tumors, and accidents and violence are also serious public health problems as causes of morbidity and mortality. In some regions of the country with specific socioeconomic characteristics, polarization of health conditions is even more evident, as in the state of Chiapas as
Kotey, Stanley; Carrico, Ruth; Wiemken, Timothy Lee; Furmanek, Stephen; Bosson, Rahel; Nyantakyi, Florence; VanHeiden, Sarah; Mattingly, William; Zierold, Kristina M
To examine elevated blood lead levels (EBLLs) in refugee children by postrelocation duration with control for several covariates. We assessed EBLLs (≥ 5µg/dL) between 2012 and 2016 of children younger than 15 years (n = 1950) by the duration of resettlement to health screening by using logistic regression, with control for potential confounders (gender, region of birth, age of housing, and intestinal infestation) in a cross-sectional study. Prevalence of EBLLs was 11.2%. Length of time from resettlement to health screening was inversely associated with EBLLs (tertile 2 unadjusted odds ratio [OR] = 0.79; 95% confidence interval [CI] = 0.56, 1.12; tertile 3 OR = 0.62; 95% CI = 0.42, 0.90; tertile 2 adjusted odds ratio [AOR] = 0.62; 95% CI = 0.39, 0.97; tertile 3 AOR = 0.57; 95% CI = 0.34, 0.93). There was a significant interaction between intestinal infestation and age of housing (P resettlement in unadjusted and adjusted models. Improved housing, early education, and effective safe-house inspections may be necessary to address EBLLs in refugees.
Robison, W.L.; Bogen, K.T.; Conrado, C.L.
There has been a continuing effort since 1977 to refine dose assessments for resettlement options at Bikini Atoll. Here we provide a radiological dose assessment for the main residence island, Bikini, using extensive radio nuclide concentration data derived from analysis of food crops, ground water, cistern water, fish and other marine species, animals, air, and soil collected at Bikini Island as part of our continuing research and monitoring program that began in 1978. The unique composition of coral soil greatly alters the relative contribution of 137 Cs and 90 Sr to the total estimated dose relative to expectations based on North American and European soils. Without counter measures, 137 Cs produces 96% of the estimated dose for returning residents, mostly through uptake from the soil to terrestrial food crops but also from external gamma exposure. The doses are calculated assuming a resettlement date of 1999. The estimated maximum annual effective dose for current island conditions is 4.0 mSv when imported foods, which are now an established part of the diet, are available. The 30-, 50-, and 70-y integral effective doses are 91 mSv, 130 mSv, and 150 mSv, respectively. A detailed uncertainty analysis for these dose estimates is presented in a companion paper in this issue. We have evaluated various countermeasures to reduce 137 Cs in food crops. Treatment with potassium reduces the uptake of 137 Cs into food crops, and therefore the ingestion dose, to about 5 % of pretreatment levels and has essentially no negative environmental consequences. We have calculated the dose for the rehabilitation scenario where the top 40 cm of soil is removed in the housing and village area, and the rest of the island is treated with potassium fertilizer; the maximum annual effective dose is 0.41 mSv and the 30-, 50-, and 70-y integral effective doses are 9.8 mSv, 14 mSv, and 16 mSv, respectively. 44 refs., 3 figs., 11 tabs
Shami, S; Mccann, L
The focus was on a conference on population displacement and resettlement in the Middle East and on brief summaries of 8 papers in the first study group and 9 papers in the second study group. The conference was held at the Institute of Archaeology and Anthropology at the Yarmouk University in Ibid, Jordan, on February 21-24, 1990, and on July 29-31, 1991. Scholars from diverse disciplines gathered to fill a gap in the literature on displacement in the Middle East and to develop a regional theoretical and comparative framework for the study of population movement. A concluding definition of displacement and/or resettlement was determined. The first study group determined that labor or seasonal migration and displacement were both on a continuum with intersecting characteristics, and not divergent. Research should account for the nature, the forcing agents, the underlying causes, the implications, and the outcome of the displacement. The second study group had a more empirical agenda and included the first study group as discussants. The first study group began with a presentation by Dr. Seteney Shami, which reviewed existing literature, outlined unique characteristics for displacement in the Middle East, and discussed the literature on the Nubians, Palestinians, and Bedouins. Other topics included the official settlement of peasants in Iraq and the impact on women and work, the political and economic roles of class among the Palestinian coastal bourgeoisie and other classes, migratory cycles of the Bedouin and disruption by the oil exploration, and historical displacement in Turkey. The second study group focused on migration to the Khartoum area in Sudan among nine unplanned settlements, the two-stage displacement of low-income households from rent-controlled buildings in Cairo and its impact on community structure and employment and social supports, migration from the Suez Canal to Zagazig City in Egypt, displacement due to the Gulf crisis (a case study, the
Perceived mHealth barriers and benefits for home-based HIV testing and counseling and other care: Qualitative findings from health officials, community health workers, and persons living with HIV in South Africa.
van Heerden, Alastair; Harris, Danielle M; van Rooyen, Heidi; Barnabas, Ruanne V; Ramanathan, Nithya; Ngcobo, Nkosinathi; Mpiyakhe, Zukiswa; Comulada, W Scott
mHealth has been proposed to address inefficiencies in the current South African healthcare system, including home-based HIV testing and counseling (HTC) programs. Yet wide-scale adoption of mHealth has not occurred. Even as infrastructure barriers decrease, a need to better understand perceived adoption barriers by stakeholders remains. We conducted focus group discussions (FGD) in South Africa in 2016 with 10 home-based HTC field staff, 12 community health workers (CHWs) and 10 persons living with HIV (PLH). Key informant (KI) interviews were conducted with five health officials. Perceptions about current home-based HTC practices, future mHealth systems and the use of biometrics for patient identification were discussed, recorded and transcribed for qualitative analysis. Themes were based on a conceptual model for perceived mHealth service quality. Stakeholders brought up a lack of communication in sharing patient health information between clinics, between clinics and CHWs, and between clinics and patients as major barriers to care that mHealth can address. CHWs need better patient information from clinics in terms of physical location and health status to plan visitation routes and address patient needs. CHWs perceive that communication barriers create distrust towards them by clinic staff. PLH want automated appointment and medication reminders. KI see mHealth as a way to improve health information transfer to government officials to better allocate healthcare resources. Stakeholders are also optimistic about the ability for biometrics to improve patient identification but disagreed as to which biometrics would be acceptable, especially in older patients. All stakeholders provided useful information towards the development of mHealth systems. Hospitals are adopting patient-centered approaches that solicit feedback from patients and incorporate them into decision-making processes. A similar approach is needed in the development of mHealth systems. Further, such
Os sentidos do cooperativismo de trabalho: as cooperativas de mão-de-obra à luz da vivência dos trabalhadores The senses of labor cooperativism: manpower cooperatives from the standpoint of the worker's living experience
Fábio de Oliveira
Full Text Available O artigo, síntese de pesquisa apresentada como tese de doutorado, discute os sentidos do cooperativismo a partir de observações e de relatos de trabalhadores sobre suas vivências, sobre as relações de trabalho estabelecidas em suas cooperativas e procura construir uma crítica de viés psicossocial às cooperativas de mão-de-obra. Foram realizadas observações, conversas informais e 14 entrevistas semi-estruturadas em diversas cooperativas. Os aspectos mais importantes de diferenciação presentes nas entrevistas referem-se a: formas distintas de participação nas diferentes cooperativas; relação entre gestão da cooperativa e gestão do trabalho. Conclui que o sentido do cooperativismo nas cooperativas industrial e populares estudadas é marcado pelos dilemas próprios da autogestão, enquanto, na cooperativa de mão-de-obra, pela precarização do trabalho em relação ao vínculo empregatício tradicional.This article, synthesis of a research presented as doctoral thesis, discusses the senses produced about the cooperativism taken from observations and the descriptions from workers about their living experiences on work relations present in their cooperatives and tries to build a psychosocial critic concerning manpower cooperatives. It is based on observations, informal talks and 14 semi-structured interviews with cooperators from various cooperatives. The most important elements of differentiation in the interviews are: different ways of participation in different cooperatives; cooperative management and work management relationship. It concludes that the sense of cooperativism from the industrial and popular cooperatives that were studied is marked by self-management dilemmas, while, at manpower cooperatives, it is marked by precarious conditions of work in relation to the traditional employment contract.
... anniversary of both the Occupational Safety and Health Act and the Federal Coal Mine Health and Safety Act, which promise American workers the right to a safe workplace and require employers to provide safe... ensure the safety of American workers. The families of the 29 coal miners who lost their lives on April 5...
Lawlis, Tanya; Islam, Wasima; Upton, Penney
Food security is defined by four dimensions: food availability, access, utilisation and stability. Resettled refugees face unique struggles securing these dimensions and, thus, food security when moving to a new country. This systematic review aimed to identify the challenges Australian refugees experience in achieving the four dimensions of food security. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed; the SPIDER tool was used to determine eligibility criteria. Three databases were searched using terms relating to food in/security and refugees from 2000 to 20 May 2017. Seven articles were retained for analysis. Studies were categorised against the four dimensions, with four studies identifying challenges against all dimensions. Challenges contributing to high levels of food insecurity in each dimension included: availability and cost of traditional foods, difficulty in accessing preferred food outlets, limited food knowledge and preparation skills and food stability due to low income and social support. Food insecurity adversely impacts refugee health and integration. Methodical research framed by the four dimensions of food security is imperative to address challenges to securing food security in refugee groups and assisting in the development of sustainable interventions. © 2017 Dietitians Association of Australia.
Reynolds, Gary E; Saunders, Helen; Matson, Angela; O'Kane, Fiona; Roberts, Sally A; Singh, Salvin K; Voss, Lesley M; Kiedrzynski, Tomasz
Global forced displacement has climbed to unprecedented levels due largely to regional conflict. Degraded public health services leave displaced people vulnerable to multiple environmental and infectious hazards including vaccine preventable disease. While diphtheria is rarely notified in New Zealand, a 2 person outbreak of cutaneous diphtheria occurred in refugees from Afghanistan in February 2015 at the refugee resettlement centre in Auckland. Both cases had uncertain immunisation status. The index case presented with a scalp lesion during routine health screen and toxigenic Corynebacterium diphtheriae was isolated. A secondary case of cutaneous diphtheria and an asymptomatic carrier were identified from skin and throat swabs. The 2 cases and 1 carrier were placed in consented restriction until antibiotic treatment and 2 clearance swabs were available. A total of 164 contacts were identified from within the same hostel accommodation as well as staff working in the refugee centre. All high risk contacts (n=101) were swabbed (throat, nasopharynx and open skin lesions) to assess C. diphtheriae carriage status. Chemoprophylaxis was administered (1 dose of intramuscular benzathine penicillin or 10 days of oral erythromycin) and diphtheria toxoid-containing vaccine offered regardless of immunisation status. Suspected cases were restricted on daily monitoring until swab clearance. A group of 49 low risk contacts were also offered vaccination. Results suggest a significant public health effort was required for a disease rarely seen in New Zealand. In light of increased worldwide forced displacement, similar outbreaks could occur and require a rigorous public health framework for management.
Alemi, Qais; James, Sigrid; Montgomery, Susanne
This qualitative study explored how Afghan refugees conceptualize frames of mind that may reflect depression in general and as it relates to trauma they experienced. We performed in-depth interviews with 18 Afghans residing in the San Diego area. Views regarding the causes, symptoms, and perceived treatments of depression were gathered through free-listing techniques, and supplemented with narratives relating to pre- and post-resettlement stressors and coping mechanisms. Data were analyzed with standard qualitative content analysis methods. Items endorsed with relation to depression causality included pre-migration war traumas, notably separation from family, and post-migration stressors including status dissonance and cultural conflicts that ranged from linguistic challenges to intergenerational problems. Depressive symptoms were viewed as highly debilitating, and included changes in temperament, altered cognitions, avoidance and dissociative behaviors, and somatic complaints. Relief was sought through family reunification and community support, reliance on prayer, and the academic success of their children in the US. The findings underscore the need for practitioners to take into account situational stressors, cultural aspects of mourning and symptomatology, and existing coping mechanisms in developing interventions that are based on refugees' articulated needs. © The Author(s) 2016.
Singh, Tulika; Nagesh, S; Ray, T K
Anemia of any degree contributes significantly to morbidity and mortality and has a significant effect on the quality of life of elderly women. Despite its clinical importance, anemia in the elderly women is underrecognized. The objective of this study was to assess the magnitude and correlates of anemia in elderly women of a resettlement colony of Delhi. A community-based, cross-sectional study for the duration of 1 year was conducted among 512 geriatric women (≥60 years). Demographic characteristics, dietary assessment, and behavioral risk factors were determined by interview, and the participants underwent physical examination followed by hemoglobin estimation by HemoCue. Anemia was defined using the WHO criteria of hemoglobin <12 g/dl. Chi-square test was employed to study the association between sociodemographic factors and anemia followed by multivariate regression analysis. The prevalence of anemia was 79.9% according to the WHO criteria of hemoglobin <12 g/dl in females. Age, education, marital status, financial dependence, diagnosed chronic disease, diet, calorie intake, history of worm infestation, and body mass index (BMI) were significantly associated with anemia on univariate analysis. In multivariate analysis, age, marital status, financial dependence, diagnosed chronic disease, diet, calorie intake, and BMI were significant explanatory variables for anemia. Our study points out high prevalence of and some of the major factors associated with anemia in elderly women. The need of the hour is to include our elderly women under the gamut of National Anemia Prophylaxis Program.
Soller, Brian; Goodkind, Jessica R; Greene, R Neil; Browning, Christopher R; Shantzek, Cece
Interventions aimed at enhancing mental health are increasingly centered around promoting community attachment and support. However, few have examined and tested the specific ecological factors that give rise to these key community processes. Drawing from insights from the ecological network perspective, we tested whether spatial and social overlap in routine activity settings (e.g., work, school, childcare) with fellow ethnic community members is associated with individuals' attachment to their ethnic communities and access to social resources embedded in their communities. Data on routine activity locations drawn from the Refugee Well-Being Project (based in a city in the Southwestern United States) were used to reconstruct the ecological networks of recently resettled refugee communities, which were two-mode networks that comprise individuals and their routine activity locations. Results indicated that respondents' community attachment and support increased with their ecological network extensity-which taps the extent to which respondents share routine activity locations with other community members. Our study highlights a key ecological process that potentially enhances individuals' ethnic community attachment that extends beyond residential neighborhoods. © Society for Community Research and Action 2018.
Alipui, Nicholas; Gerke, Nicole
We are currently facing one of the largest and most complex refugee crises in modern times. Conflict and natural disasters have resulted in 22.5 million refugees worldwide, more than half are children. As the world struggles to respond to this massive displacement of people, how is this affecting child refugees' development and what is being done about it? In this commentary, we explore answers to these central questions. First, we review the situation of child refugees in numbers, exploring their geographic concentration. Second, we review child refugees' access to basic services, including early childhood development, with a special emphasis on community-based programs and initiatives that have proven to be particularly effective in addressing the needs of resettled child refugees. We find in particular that early childhood development activities in emergency contexts have seen remarkable improvements with critical benefits for the development of the youngest child refugees. Our aim is to bring attention to the particular difficulties child refugees must endure and to highlight those practices and approaches that are helping child refugees reach their full potential. © 2018 Wiley Periodicals, Inc.
spent much time reading and generally responds to problems on instinct and "common sense" rather than a conceptually defined worldview developed by academics and intellectuals (Fisher 2016. Nevertheless, during the presidential campaign, and continuing after his victory, Trump surrounded himself with high-level advisers, political appointees, and staff who, if they have nothing else in common, embrace something roughly akin to the Clash of Civilizations perspective (Ashford 2016. The paper will focus primarily on Trump’s approach to refugee resettlement. One might think that refugees would elicit an almost knee-jerk sympathy given the tragic circumstances that drove their migration, but perceptions of refugees are often tied up with geopolitical considerations and domestic political realities. Following 9/11, the threat of Islamic-inspired terrorism emerged as a national security priority. With the onset of the Syrian Civil War and the significant refugee crisis that ensued in its wake, paired with some high-profile terrorist attacks in the United States and Europe, the “Islamic threat” became even more pronounced. The perception that Islamic-inspired terrorism is a real and imminent threat has contributed to a growing antagonism toward the resettlement of refugees, and particularly Muslims. When viewed through the lens of the CoC paradigm, victims of persecution can easily be transformed into potential threats. Insofar as Islam is understood as an external and even existential threat to the American way life, the admission of these migrants and refugees could be deemed a serious threat to national security. This paper will begin by examining some of Trump’s campaign promises and his efforts to implement them during the early days of his administration. Although the underlying rationale feeding into the contemporary reaction against refugee resettlement is unique in many respects, it is rooted in a much longer history that extends back to the World War II
Board, Amy R; Suzuki, Sumihiro
Previous research has documented that parasite infection may increase vulnerability to TB among certain at risk populations. The purpose of this study was to identify whether an association exists between latent tuberculosis infection (LTBI) and intestinal parasite infection among newly resettled refugees in Texas while controlling for additional effects of region of origin, age and sex. Data for all refugees screened for both TB and intestinal parasites between January 2010 and mid-October 2013 were obtained from the Texas Refugee Health Screening Program and were analyzed using logistic regression. A total of 9860 refugees were included. In multivariable logistic regression analysis, pathogenic and non-pathogenic intestinal parasite infections yielded statistically significant reduced odds of LTBI. However, when individual parasite species were analyzed, hookworm infection indicated statistically significant increased odds of LTBI (OR 1.674, CI: 1.126-2.488). A positive association exists between hookworm infection and LTBI in newly arrived refugees to Texas. More research is needed to assess the nature and extent of these associations. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: firstname.lastname@example.org.
This is the preliminary report on the results obtained in the Migrating Worker-project. This project was initiated by the Danish Ministry of Finance with the aim of illustrating the effects of the 1408/71 agreement and the bilateral double taxation agreements Denmark has with the countries included...
Congress of the U.S., Washington, DC. Office of Technology Assessment.
Workers' skills are critical to U.S. industrial productivity and competitiveness and to maintaining living standards. Training is the key. Good training pays--for workers whose skills are upgraded, for companies seeking a competitive edge, and for the nation in overall productivity. However, workers in other countries are better trained than most…
Wong, Daniel Fu Keung
A qualitative study was undertaken to explore the stage-specific and culture-specific coping strategies used by Mainland Chinese immigrants in Hong Kong to handle psychosocial stressors experienced during the resettlement stage of the migration process. While direct action coping strategies of problem-solving and compromise were used by immigrants to deal with recurring, daily resettlement difficulties, cognitive strategies of positive comparisons and positive and optimistic thinking were utilized to change the meanings of these difficulties. Emotion-focused coping of acceptance and avoidance strategies were culture-specific, and were useful in reducing the stress associated with the resettlement difficulties encountered. It was also found that strategies such as acceptance, compromise and avoidance might have deleterious effects on the longer-term adjustment of immigrants. Implications for services and counseling for the immigrants were suggested.
Nunnery, D L; Haldeman, L A; Morrison, S D; Dharod, J M
Objectives of this study: (1) Examine food insecurity (FI) prevalence and its relationship with sociodemographic and pre-resettlement characteristics; (2) Investigate differences in amount of money spent on food/month by food security status and socio-demographic characteristics. A pilot study with semi-structured in-home interviews was conducted with Liberian caregivers (n = 33). FI was indicated in 61% of households. FI was higher among women >40, had ≤ high school education and those making ≤$1,000/month. Women arriving in US >15 years of age were more likely to be food insecure. Participants spent an average $109/month on groceries/member. Food insecure women, and those without a car spent more money on food (P resettlement. Besides poor economic conditions, pre-resettlement characteristics were associated with food security status. These findings call for future research to understand how preresettlement conditions affect food choices, budgeting and thereby food security status.
da Silva, Rubens Antonio; Sampaio, Susy Mary Perpétuo; Koyanagui, Paulo Hiroshi; Poloni, Marisa; de Carvalho, Maria Esther; Rodrigues, Vera Lúcia Cortiço Corrêa
This study had the aim of assessing the characteristics of triatomine infestation in human dwellings in rural settlement and resettlement areas with regard to the time when infestation began. We analyzed data relating to 48 triatomine surveys carried out in 105 settlement areas and six resettlement areas in the region of Pontal do Paranapanema between January 1984 and June 2005. Among the 16 surveys in settlement areas, seven (43.8%) had positive findings, all of them in communities established eight or more years previously. Among the 32 surveys in resettlement areas, 23 (71.9%) had positive findings, all of them in communities established for periods shorter than eight years. Since the inhabitants of such communities frequently move, the need for constant vigilance to detect any cases of infestation by vector triatomines in new settlements cannot be overemphasized.
Robertson, Eva K
To use an intersectional approach to analyze women's reflections on how their migration and resettlement experiences to Sweden influenced their health and healthcare needs during childbearing. Focus-group discussions, pair interviews and individual interviews were conducted in southern Sweden between 2006 and 2009, with 25 women originating from 17 different countries with heterogeneous backgrounds that had experienced childbirth in Sweden. Qualitative content analysis was used with an intersectional approach, taking into consideration intersections of ethnicity, socio-economic status (SES) and gender. The hardships of migration, resettlement, and constraints in the daily life made the women feel overstrained, tense, and disembodied. Being treated as a stranger and ignored or rejected in healthcare encounters was devaluing and discriminating. The women stressed that they felt stronger and had fewer complications during pregnancy and labor when they were "taken seriously" and felt that they had a confident, caring relationship with caregivers/midwives. This, therefore, enabled the women to boost their sense of self, and to recognize their capabilities, as well as their "embodied knowledge". Caregivers/midwives should be aware of the hardships the women face. Hardships stem from experiences of migration and resettlement as well as from structural constraints such as the "triple jeopardy" of ethnicity, SES and gender, which increase women's needs of support in childbearing. Such awareness is necessary when promoting health and reducing the unnecessary suffering and victimization of women, their children, and their families. It is a matter of patient safety and equity. Copyright © 2014 Elsevier B.V. All rights reserved.
Full Text Available Background: Research indicates that exposure to war-related traumatic events impacts on the mental health of refugees and leads to higher rates of posttraumatic stress disorder (PTSD, depression, and anxiety symptoms. Furthermore, stress associated with the migration process has also been shown to impact negatively on refugees’ mental health, but the extent of these experiences is highly debatable as the relationships between traumatic events, migration, and mental health outcomes are complex and poorly understood. Objective: This study aimed to examine the influence of trauma-related and post-migratory factors on symptoms of PTSD, depression, and anxiety in two samples of Bosnian refugees that have resettled in two different host nations—Austria and Australia. Method: Using multiple recruitment methods, 138 participants were recruited to complete self-report measures assessing acculturative stress, PTSD, depressive, and anxiety symptoms. Results: Hierarchical regressions indicated that after controlling for age, sex, and exposure to traumatic events, acculturative stress associated with post-migratory experiences predicted severity of PTSD and anxiety symptoms, while depressive symptoms were only predicted by exposure to traumatic events. This model, however, was only significant for Bosnian refugees resettled in Austria, as PTSD, depressive, and anxiety symptoms were only predicted by traumatic exposure in the Bosnian refugees resettled in Australia. Conclusion: These findings point toward the importance of assessing both psychological and social stressors when assessing mental health of refugees. Furthermore, these results draw attention to the influence of the host society on post-migratory adaptation and mental health of refugees. Further research is needed to replicate these findings among other refugee samples in other host nations.
Kartal, Dzenana; Kiropoulos, Litza
Research indicates that exposure to war-related traumatic events impacts on the mental health of refugees and leads to higher rates of posttraumatic stress disorder (PTSD), depression, and anxiety symptoms. Furthermore, stress associated with the migration process has also been shown to impact negatively on refugees' mental health, but the extent of these experiences is highly debatable as the relationships between traumatic events, migration, and mental health outcomes are complex and poorly understood. This study aimed to examine the influence of trauma-related and post-migratory factors on symptoms of PTSD, depression, and anxiety in two samples of Bosnian refugees that have resettled in two different host nations-Austria and Australia. Using multiple recruitment methods, 138 participants were recruited to complete self-report measures assessing acculturative stress, PTSD, depressive, and anxiety symptoms. Hierarchical regressions indicated that after controlling for age, sex, and exposure to traumatic events, acculturative stress associated with post-migratory experiences predicted severity of PTSD and anxiety symptoms, while depressive symptoms were only predicted by exposure to traumatic events. This model, however, was only significant for Bosnian refugees resettled in Austria, as PTSD, depressive, and anxiety symptoms were only predicted by traumatic exposure in the Bosnian refugees resettled in Australia. These findings point toward the importance of assessing both psychological and social stressors when assessing mental health of refugees. Furthermore, these results draw attention to the influence of the host society on post-migratory adaptation and mental health of refugees. Further research is needed to replicate these findings among other refugee samples in other host nations.
Full Text Available Background: Dental caries remains the most important dental health problem in developing countries. In India the prevalence of dental caries is reported to be about 50-60%. Most of the Indian studies have been carried out in school children and very few in adults. This study aimed to estimate the prevalence of dental caries in the adult population (aged 35-44 years and in the elderly (60 years and above in an urban resettlement colony in New Delhi. Methodology: A community-based cross-sectional study was carried out in Dakshinpuri, New Delhi, from January to February 2007. A local adaptation of the WHO questionnaire was used. Oral examination was done and dentition status was recorded by trained investigators and according to the standard procedures. Results: A total of 452 participants were enrolled in the study. The prevalence of dental caries in the 35-44 years age-group was 82.4% and it was 91.9% in those ≥60 years. The DMF index was 5.7 ± 4.7 in the 35-44 years age-group and 13.8 ± 9.6 in the ≥60 years age-group. Of the participants, 27.9% were currently using tobacco. A statistically significant association was found between tobacco consumption and dental caries ( P = 0.026. The awareness about good and bad dental practices was found to be low among the study participants. One-fifth of the individuals with dental problems relied on home remedies. Conclusion: The prevalence of dental caries among adults is high in this population. There is a need to generate awareness about oral health and the prevention of dental caries and to institute measures for the provision of dental care services at the primary level.
Sharma, Urvi; Kishore, Jugal; Garg, Ankur; Anand, Tanu; Chakraborty, Montosh; Lali, Pramod
Cardiovascular diseases are a major cause of morbidity and mortality in India, with dyslipidemia contributing significantly to the risk. There are few community-based studies that highlight the burden and risk factors associated with dyslipidemia in the Indian population. To determine the prevalence and risk factors associated with dyslipidemia among adults ages 18 years and older in a resettlement colony located in central Delhi. A cross-sectional study that included a random sample of 200 adults was designed. A study tool based on the World Health Organization STEPwise approach to surveillance of noncommunicable diseases and their risk factors (STEPS) questionnaire was used. Fasting venous blood sample was collected to assess the lipid profile and anthropometric measures of the participants were recorded. Criteria based on the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults were used to define the cut offs for dyslipidemia. Data were analyzed with the Statistical Package for Social Sciences, version 17. Of a total of 200 study subjects, 34% had increased total cholesterol levels (≥200 mg %), 38% had increased low-density lipoprotein levels (≥130 mg %), 40% had increased triglyceride levels (≥150 mg %), and 42% had low high-density lipoprotein levels (<40 mg %). Using the logistic regression model, we found age, hypertension, alcohol consumption, and abdominal obesity to be associated with increased odds of dyslipidemia. A high proportion of individuals in the community have dyslipidemia, often associated with modifiable risk factors. The situation demands programs aimed at risk factor reduction. A focus on behavior change and health promotion targeting the younger age group is recommended. Copyright © 2013 National Lipid Association. Published by Elsevier Inc. All rights reserved.
Full Text Available Background: Anemia of any degree contributes significantly to morbidity and mortality and has a significant effect on the quality of life of elderly women. Despite its clinical importance, anemia in the elderly women is underrecognized. Objectives: The objective of this study was to assess the magnitude and correlates of anemia in elderly women of a resettlement colony of Delhi. Materials and Methods: A community-based, cross-sectional study for the duration of 1 year was conducted among 512 geriatric women (≥60 years. Demographic characteristics, dietary assessment, and behavioral risk factors were determined by interview, and the participants underwent physical examination followed by hemoglobin estimation by HemoCue. Anemia was defined using the WHO criteria of hemoglobin <12 g/dl. Chi-square test was employed to study the association between sociodemographic factors and anemia followed by multivariate regression analysis. Results: The prevalence of anemia was 79.9% according to the WHO criteria of hemoglobin <12 g/dl in females. Age, education, marital status, financial dependence, diagnosed chronic disease, diet, calorie intake, history of worm infestation, and body mass index (BMI were significantly associated with anemia on univariate analysis. In multivariate analysis, age, marital status, financial dependence, diagnosed chronic disease, diet, calorie intake, and BMI were significant explanatory variables for anemia. Conclusion: Our study points out high prevalence of and some of the major factors associated with anemia in elderly women. The need of the hour is to include our elderly women under the gamut of National Anemia Prophylaxis Program.
О К Ермакова
Full Text Available The article presents a comparative analysis of different kinds of contracts concluded du-ring the resettlement of foreign colonists to Russia in the 1760s. The agreements are classi-ﬁ ed and characterized in terms of form, structure of content and composition of counterparts. The content of the contracts is correlated with the legislative norms as well as with other sourc-es, which inﬂ uenced the creation of such a kind of document. The paper studies the agreements with different subcategories of foreign colonists: manufacturers, recruiters (“vyzyvateli”, plowmen. The author demonstrates the process of the rights and obligations establishment in the contracts as well as how the working-out and discussion of conditions were conducted, ﬁ nally - in what degree the foreigners could inﬂ uence the results. If, for example, the foreign specialists, who were hired to the Russian service temporarily, had more chances to change and improve the terms of contracts, in the case of foreign colonists, the latter ones more often just had to accept the conditions offered by the government. The author concludes that the agreements with manufacturers in many ways were similar to those with hired foreign specialists; contracts with “vyzyvateli” were the most uniﬁ ed and, with rare exceptions, strictly corre-sponded to the form determined by the law. The paper reveals the speciﬁ cs of the content of contracts, in particular, chapters concern-ing the subject of agreement (the main task of a foreigner was to cultivate land, to organize a factory or to attract colonists-farmers, obligation of transferring knowledge and experience to Russian pupils, ﬁ nancial issues, conditions of trade, possibilities of leaving Russia and ac-tions in the case of foreigner’s death.The author shows the involvement of agreements with colonists in the general develop-ment of contractual relationships between the state and foreigners as members of the Russian
Full Text Available Resettlement to their radiation-contaminated hometown could be an option for people displaced at the time of a nuclear disaster; however, little information is available on the safety implications of these resettlement programs. Kawauchi village, located 12-30 km southwest of the Fukushima Daiichi nuclear power plant, was one of the 11 municipalities where mandatory evacuation was ordered by the central government. This village was also the first municipality to organize the return of the villagers. To assess the validity of the Kawauchi villagers' resettlement program, the levels of internal Cesium (Cs exposures were comparatively measured in returnees, commuters, and non-returnees among the Kawauchi villagers using a whole body counter. Of 149 individuals, 5 villagers had traceable levels of Cs exposure; the median detected level was 333 Bq/body (range, 309-1050 Bq/kg, and 5.3 Bq/kg (range, 5.1-18.2 Bq/kg. Median annual effective doses of villagers with traceable Cs were 1.1 x 10(-2 mSv/y (range, 1.0 x 10(-2-4.1 x 10(-2 mSv/y. Although returnees had higher chances of consuming locally produced vegetables, Cochran-Mantel-Haenszel test showed that their level of internal radiation exposure was not significantly higher than that in the other 2 groups (p=0.643. The present findings in Kawauchi village imply that it is possible to maintain internal radiation exposure at very low levels even in a highly radiation-contaminated region at the time of a nuclear disaster. Moreover, the risks for internal radiation exposure could be limited with a strict food control intervention after resettlement to the radiation-contaminated village. It is crucial to establish an adequate number of radio-contaminated testing sites within the village, to provide immediate test result feedback to the villagers, and to provide education regarding the importance of re-testing in reducing the risk of high internal radiation exposure.
There are approximately 50,000 workers employed in the light assembly industry in Haiti. About 70% are women, the majority of whom are aged between 25 and 34 years, and are either single or in a nonpermanent relationship with the father of their children. Many live and work in appalling conditions, surviving on very low wages to support several children and an extended family. The acquired immunodeficiency syndrome (AIDS) is now a visible problem in many factories. In October 1988, the Center for the Promotion of Women Workers (Centre de Promotion des Femmes Ouvriers/CPFO) launched a pilot AIDS education program for factory women. The Center, based in a large industrial zone near the airport, runs a health clinic and courses in literacy, communications skills, health promotion and family planning. The new AIDS program allowed CPFO staff to gain entry into factories for the 1st time. Other courses were held outside working hours and outside factory premises. Staff contacted manages by telephone to arrange a meeting to discuss AIDS and to ask permission to hold educational "round tables" with workers. Of 18 managers in the factories approached over a 12-month period, only 2 refused entry to CPFO staff. Almost all managers reported they had registered between 2 and 5 deaths from AIDS among their employees over the past couple of years. A total of 85 educational sessions, each lasting about 2 hours, were held within 28 different factories, community or labor organizations reaching 3063 workers (male and female). In each session, the presentation was carried out by 2 CPFO trained monitors and included a slide show, flip charts, and the video "Met ko," originally produced for Haitian immigrants in New York. The most important aspect of the program was the training of 38 volunteer factory-based health promoters. These promoters attended the round table sessions, where they facilitated discussion and distributed condoms and were subsequently available for counseling co-workers
Sumner, Seirian; Nash, David R; Boomsma, Jacobus J
Social parasites exploit the socially managed resources of their host's society. Inquiline social parasites are dependent on their host throughout their life cycle, and so many of the traits inherited from their free-living ancestor are removed by natural selection. One trait that is commonly lost...... is the worker caste, the functions of which are adequately fulfilled by host workers. The few inquiline parasites that have retained a worker caste are thought to be at a transitional stage in the evolution of social parasitism, and their worker castes are considered vestigial and non-adaptive. However...... a vital role in ensuring the parasite's fitness. We show that the presence of these parasite workers has a positive effect on the production of parasite sexuals and a negative effect on the production of host sexuals. This suggests that inquiline workers play a vital role in suppressing host queen...
Frounfelker, Rochelle L; Assefa, Mehret T; Smith, Emily; Hussein, Aweis; Betancourt, Theresa S
Somali refugees are resettling in large numbers in the US, but little is known about the Somali Bantu, an ethnic minority within this population. Refugee youth mental health is linked to the functioning of the larger family unit. Understanding how the process of culturally adjusting to life after resettlement relates to family functioning can help identify what kind of interventions might strengthen families and lead to better mental health outcomes for youth. This paper seeks to address the following research questions: (1) How do different groups of Somali Bantu refugees describe their experiences of culturally adapting to life in the US?; and (2) How, if at all, do processes of cultural adaptation in a new country affect Somali Bantu family functioning? We conducted 14 focus groups with a total of 81 Somali Bantu refugees in New England. Authors analyzed focus groups using principles of thematic analysis to develop codes and an overarching theoretical model about the relationship between cultural adaptation, parent-child relationships, and family functioning. Views and expectations of parent-child relationships were compared between Somali Bantu youth and adults. Cultural negotiation was dependent upon broader sociocultural contexts in the United States that were most salient to the experience of the individual. Adult and youth participants had conflicting views around negotiating Somali Bantu culture, which often led to strained parent-child relationships. In contrast, youth sibling relationships were strengthened, as they turned to each other for support in navigating the process of cultural adaptation.
Pardiñas, Antonio F; Roca, Agustín; Garcia-Vazquez, Eva; Lopez, Belen
Phylogeography of the mitochondrial lineages commonly found in Western Europe can be interpreted in the light of a postglacial resettlement of the continent. The center of this proposal lies in the Franco-Cantabrian glacial refuge, located in the northern Iberian Peninsula and Southwestern France. Recently, this interpretation has been confronted by the unexpected patterns of diversity found in some European haplogroups. To shed new lights on this issue, research on Iberian populations is crucial if events behind the actual genetics of the European continent are to be untangled. In this regard, the region of Asturias has not been extensively studied, despite its convoluted history with prolonged periods of isolation. As mitochondrial DNA is a kind of data that has been commonly used in human population genetics, we conducted a thorough regional study in which we collected buccal swabs from 429 individuals with confirmed Asturian ancestry. The joint analysis of these sequences with a large continent-wide database and previously published diversity patterns allowed us to discuss a new explanation for the population dynamics inside the Franco-Cantabrian area, based on range expansion theory. This approximation to previously contradictory findings has made them compatible with most proposals about the postglacial resettlement of Western Europe.
Meragiaw, Misganaw; Asfaw, Zemede; Argaw, Mekuria
The present study was conducted in Delanta (Ethiopia) to examine the use of medicinal plants and investigate the impacts of the 1984/85 resettlement program on the local people's knowledge on herbal medicine and its uses. The research was conducted with 72 informants in six study sites through semistructured interviews, group discussion, and market survey. In this study, 133 species belonging to 116 genera and 57 families were documented. These plants were mentioned for uses in the treatment of about 76 human and livestock ailments. The family Asteraceae was represented by the highest number with 14 species. Herbs accounted for 52.6% of the total species and leaves (32.6%) were the most frequently used parts. The analysis showed that the resettlement program has both positive and negative impacts on nature rehabilitation and local knowledge along with many human induced threats. Most of the plant knowledge is held by traditional healers and permanent residents. The people's preference for some medicinal plants gave indications of continuity of the ethnomedicinal information among the inhabitants. The findings inform that efforts need to be directed to in situ conservation in two of the plant community types which could protect a good proportion (about 50%) of the medicinal plant species.
Goers, Matthew; Ope, Maurice O; Samuels, Aaron; Gitu, Natalia; Akandwanaho, Saul; Nabwami, Gladys; Nyoka, Raymond; Cetron, Martin S; Dalal, Warren; Conroy, Andrea L; Cantey, Paul; John, Chandy; Naoum, Marwan; Weinberg, Michelle; Marano, Nina; Stauffer, William
Approximately 70,000-90,000 refugees are resettled to the United States each year, and during the next 5 years, 50,000 Congolese refugees are expected to arrive in the United States. The International Organization for Migration (IOM) performs refugee medical examinations overseas for the U.S. Refugee Resettlement Program. In 2014, IOM reported that a large number of U.S.-bound Congolese refugees from Uganda had spleens that were enlarged on examination. During two evaluations of refugee populations in western Uganda in March and July 2015, refugees with splenomegaly on physical examination were offered additional assessment and treatment, including abdominal ultrasonography and laboratory testing. Among 987 persons screened, 145 (14.7%) had splenomegaly and received further testing. Among the 145 patients with splenomegaly, 63.4% were aged 5-17 years (median = 14.8 years). There was some evidence of family clustering, with 33 (22.7%) of the 145 cases occurring in families.
Benson, Jill; Phillips, Christine; Kay, Margaret; Hanifi, Hoda; Giri, Gauri; Leahy, Catherine; Lorimer, Michelle
Many refugees have vitamin B12 (B12) deficiency. It has been assumed that deficiency would be predictable from macrocytosis or symptoms, and borderline levels would improve after a period of resettlement in countries rich with animal-source foods. We explored B12 levels and symptoms soon after the refugees' arrival and 4-8 months after settlement in Australia. Newly arrived refugees aged >18 years (n = 136) were tested for vitamin B12 and haematological indices. They also completed a language-validated questionnaire, which they repeated 4-8 months after arrival. B12 levels were reassessed in patients with levels ≤240 pmol at baseline. We found that 21 participants (15%) had low levels of B12 (≤150 pmol/L) and 65 (48%) had borderline B12 levels (151-240 pmol/L). There was no relationship between B12 level and mean corpuscular volume, ferritin or symptoms. Borderline B12 levels persisted in 64% of participants at follow-up and deficiency developed in 11%. B12 levels cannot be predicted from macrocytosis or symptoms, and may not 'self-correct' after resettlement. Health assessments for newly arrived refugees should include B12 measurement and those with borderline levels should be followed up.
This case study examines the conditions of families and individuals who resettled in Ghana. These Ghanaians (about 7000) had migrated to Liberia in search of a better life many years before, but they left Liberia because of Liberia's civil war. Many of these involuntary migrants were in fact Ghanaian "returnees." Many of the migrants who returned were from the fishing village of Senya Beraku. This study includes a brief summary of findings from an evaluation of the Senya Beraku Cooperative Society, a nongovernmental credit organization providing loans to returnee families. Funding was available for loans to 120 families. Repayment rates showed that 80% of women and 60% of men repaid their loans. Refugee board members were accurate in predicting the success of repayment. 95% of loans were repaid by persons predicted to repay, and 40% of loans were repaid among persons considered unlikely to repay. The 75 members of the Cooperative were not considered representative of the 6500 returnee population. There were 7 defaulters and 12 nondefaulters among the interviewed population of Cooperative members. Findings indicate that the timing of loans was a critical issue for investment. Many loans were small and given at the beginning of the dry season when there was little economic activity. Most respondents had little or no formal education, but this appeared to be unrelated to loan performance. Readjustment was a function of many factors, including, for instance, family connections, degree of financial success abroad, and prevailing attitudes toward returnees. Defaulters more frequently reported negative social exchanges on their return. Most returnees were considered failures and suffered from a loss of status due to the forced return from Monrovia. 10 out of 19 experienced the loss of all their property and one or more close relatives. The 9 remaining lost some property and some relatives. More defaulters "struggled with self-pity and a sense of paralysis." All
Huijts, I.; Kleijn, W.C.; van Emmerik, A.A.P.; Noordhof, A.; Smith, A.J.M.
This study investigated the relationship between coping style, posttraumatic stress disorder (PTSD) symptoms, and quality of life in traumatized refugees (N = 335). Participants had resettled in the Netherlands on average 13 years prior and were referred to a Dutch clinic for the treatment of
The first part of this volume describes the effects of radiation on living organism, both at the overall and at the molecular level. Special attention is paid to the metabolism and toxicity of radioactivity substances. The second part deals with radiological exposure, natural, medical and occupational. The third part provides data on radiological protection standards, and the fourth part addresses the health supervision of workers exposed to ionizing radiation, covering both physical and medical control.
Pastoor, Lutine de Wal
This article explores unaccompanied young refugees' participation in various learning contexts beyond school. Drawing from a qualitative study based on interviews with unaccompanied young refugees, educators and social workers in Norway, the findings emphasise the need for a holistic approach to refugee education in and across contexts of…
Slewa-Younan, Shameran; Mond, Jonathan M; Bussion, Elise; Melkonian, Maral; Mohammad, Yaser; Dover, Hanan; Smith, Mitchell; Milosevic, Diana; Jorm, Anthony Francis
To examine levels of psychological distress and help seeking behaviour in resettled refugees attending English tuition classes in Australia, and their associations with participants' demographic characteristics. Data was collected by bilingual interviewers between March and November 2013. A volunteer sample of attendees of Adult Migrant English Programs (AMEP) in Western Sydney were recruited. Participants were two hundred and twenty five Iraqi refugees resettled in Western Sydney, who had left Iraq no earlier than 1991, were fluent in Arabic and/or English, and were between the ages of 18 and 70. The chief outcome measures used were the Kessler Psychological Distress Scale (K-10) as well as The Harvard Trauma Questionnaire (HTQ). On the K-10, 39.8% of participants had severe psychological distress, 19.4% moderate distress, and 40.7% had low to mild distress. Ninety-five percent of participants reported having experienced one or more potentially traumatic event (PTE) as defined by the HTQ prior to leaving Iraq, with a mean of 14.28 events (SD = 8.69). Thirty-one percent of participants met the threshold (≥2.5) for clinically significant PTSD symptomatology, with a significantly higher occurrence among participants with lower education attainment (χ (2) (3) = 8.26, p = .04). Of those participants with clinically significant PTSD symptomatology according to the HTQ, only 32.9% reported ever having ever sought help for a mental health problem. The high level of distress found in this sample, combined with low uptake of mental health care, highlights the need for programs targeted to promote help-seeking among Iraqi refugees who have resettled in Australia. Further, the higher level of PTSD symptomatology found amongst those with lower education attainment has mental health promotion and treatment implications. Specifically, in designing service and treatment programs, consideration should be given to the possible impact excessive levels of psychological
Cook, Tonya L; Shannon, Patricia J; Vinson, Gregory A; Letts, James P; Dwee, Ehtaw
Karen refugees have suffered traumatic experiences that affect their physical and mental health in resettlement. The United States Centers for Disease Control and Prevention recommends assessing traumatic histories and mental health symptoms during initial public health screening. This article reports the traumatic experiences that Karen refugees were able to describe during a short screening and contributes knowledge to existing human rights documentation systems. Four semi-structured and open-ended items asked about lifetime experiences of war trauma and torture. Interviews were completed with adult, Karen refugees during their initial public health screening. Experiences of war trauma and torture were coded using the extensive Human Rights Information and Documentation (HURIDOCS) Micro-thesauri coding system. Additional codes were created to describe experiences not captured by existing codes. Over 85% of 179 Karen people interviewed experienced life-threatening war trauma. All participants who reported war trauma or torture stories were able to describe at least one event. New war trauma codes proposed include: widespread community fear, systematic destruction/burning of house or village, exposure to dead bodies, orphaned in the context of war, injury caused by a landmine, fear of Thai police or deportation from Thailand, and harm or killings in the context of war. New torture codes include: forced portering; forced to be a human landmine sweep; forced to be a soldier, including child soldier; forced contact with a dead body; and removal of the eyes. Karen refugees were able to report traumatic experiences in the context of a brief health screening. The findings confirm existing reports of human rights violations against Karen people and suggest that additional codes be added to the HURIDOCS Micro-thesauri system that is used by torture treatment centers. Understanding the nature of traumatic experiences of this group is important for health providers working
... Health Menu Topics Environment & Health Healthy Living Pollution Reduce, Reuse, Recycle Science – How It Works The Natural World Games ... Lessons Topics Expand Environment & Health Healthy Living Pollution Reduce, Reuse, Recycle Science – How It Works The Natural World Games ...
... it, too. Back to top What is the Cost for Assisted Living? Although assisted living costs less than nursing home ... Primarily, older persons or their families pay the cost of assisted living. Some health and long-term care insurance policies ...
José Alonso Andrade Salazar
Full Text Available This paper aims to establish the mental health conditions prevalent in 20 displaced persons (36 families resettled in the Municipality of Cairo - Valley in 2008, for it is used, self-applied scale for measuring the Zung Depression and Conde The mood disorder questionnaire (MDQ, and Davidson Trauma Scale (DTS which makes the symptoms of posttraumatic stress disorder (PTSD. The results showed the presence of mild depression (20%, moderate (60%“higher in women”, and major depression (30%, with a gender relationship in 2 women for every man. It was found that 100% of the population has indicators PTSD, with extreme gravity of 50% and 40% moderate.Regarding the 30% Bipolar disorder was not the case, a possible case and 65%, 5% cases. The data indicate that the psychological impact of conflict persist in populations "especially women", becoming even comorbid psychopathology decrease insecure environment.
Dræbel, Tania; Gueth Kueil, Bill; Meyrowitsch, Dan Wolf
Background: The study assessed aspects of malaria infection, prevention and treatment in a population of resettled pregnant women in South Sudan. Methods: During April and May 2008, a cross-sectional study was carried out to estimate malaria prevalence and to assess the use of malaria risk...... ¼ 3.20, 95% CI 1.26–8.16; p ¼ 0.015). Conclusions: The results suggest that educational attainment need not be very advanced to affect practices of malaria prevention and treatment. Primary school attendance was a stronger predictor for use of malaria risk reduction measures than any of the other...... selected background characteristics. Educational attainment, information and communication about malaria prevention and control play a pivotal role in increasing and improving use of malaria risk reduction measures....
Teodorescu, Dinu-Stefan; Heir, Trond; Hauff, Edvard; Wentzel-Larsen, Tore; Lien, Lars
Refugees have often been exposed to multiple traumas making them prone to mental health problems later. The aim of this study is to describe the prevalence and symptom load of psychiatric disorders in refugees admitted to psychiatric outpatient clinics and to investigate the relationship between multiple exposure to traumatic events, the severity of traumatic symptoms and post-migration stressors. A clinical sample of 61 refugee outpatients from psychiatric clinics in Southern Norway was cross-sectionally examined using three structured clinical interviews (SCID-PTSD, SIDES and MINI) and self-report psychometric instruments (HSCL-25, IES-R). Post-traumatic Stress Disorder (PTSD) was diagnosed in 82% of the patients, while Disorders of Extreme Stress Not Otherwise Specified (DESNOS) was present in 16% of them. Comorbidity was considerable; 64% of the patients had both PTSD and major depression disorder (MDD) and 80% of those who had PTSD had three or more additional diagnoses. Multi-traumatized refugees in outpatient clinics have high prevalence of PTSD, DESNOS, comorbid depression and anxiety disorders. A more severe symptomatology was found in patients diagnosed with both PTSD and DESNOS, than in those diagnosed with only PTSD. Higher rates of unemployment, weak social network and weak social integration were also prevalent in these outpatients, and related to increased psychiatric comorbidity and severity of symptoms. Further research may clarify the existence of a cumulative relationship between pre-resettlement traumas and post-resettlement stressors in the mental health of refugees, which in turn may help to improve therapeutic interventions. © 2012 The Authors. Scandinavian Journal of Psychology © 2012 The Scandinavian Psychological Associations.
Javadi, Dena; Langlois, Etienne V; Ho, Shirley; Friberg, Peter; Tomson, Göran
Global insecurity and climate change are exacerbating the need for improved management of refugee resettlement services. International standards hold states responsible for the protection of the right of non-citizens to an adequate standard of physical and mental health while recognising the importance of social determinants of health. However, programmes to protect refugees' right to health often lack coordination and monitoring. This paper describes the protocol for a scoping review to explore barriers and facilitators to the integration of health services for refugees; the content, process and actors involved in protecting refugee health; and the extent to which intersectoral approaches are leveraged to protect refugees' right to health on resettlement, especially for vulnerable groups such as women and children. Peer-reviewed (through four databases including MEDLINE, Web of Science, Global Health and PsycINFO) and grey literature were searched to identify programmes and interventions designed to promote refugee health in receiving countries. Two reviewers will screen articles and abstract data. Two frameworks for integration and intersectoral action will be applied to understand how and why certain approaches work while others do not and to identify the actors involved in achieving success at different levels of integration as defined by these frameworks. Findings from the scoping review will be shared in relevant conferences and meetings. A brief will be created with lessons learnt from successful programmes to inform decision making in design of refugee programmes and services. Ethical approval is not required as human subjects are not involved. Registered on Open Science Framework at https://osf.io/gt9ck/. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Simon, S.L.; Robison, W.L.; Thorne, M.C.
Rongelap Island was the home of Marshallese people numbering less than 120 in 1954; 67 were on the island and severely exposed to radioactive fallout from an atomic weapons test in March of that year. Those resident on Rongelap were evacuated 50 h after the test, returned 3 y later, then voluntarily left their home island in 1985 due to their ongoing fear of radiation exposure from residual radioactive contamination. Following international negotiations in 1991, a Memorandum of Understanding (NIOU) was signed in early 1992 between the Republic of the Marshall Islands Government, the Rongelap Atoll Local Government, the U.S. Department of Energy, and the U.S. Department of the Interior. In this MOU it was agreed that the Republic of the Marshall Islands, with the aid of the U.S. Department of Energy, would carry out independent dose assessments for the purpose of assisting and advising the Rongelap community on radiological issues related to a safe resettlement of Rongelap. In 1994, four independent assessments were reported, including one from each of the following entities: Marshall Islands Nationwide Radiological Study; Lawrence Livermore National Laboratory; an independent advisor from the United Kingdom (MCT); and a committee of the National Research Council. All four assessments concluded that possibly more than 25% of the adult population could exceed the 1 mSv y -1 dose level based on strict utilization of a local food diet. The purpose of this report is to summarize the methodology, assumptions, and findings from each of four assessments; to summarize the recommendations related to mitigation and resettlement options; to discuss unique programmatic aspects of the study; and to consider the implications of the findings to the future of the Rongelap people. 63 refs., 5 figs., 3 tabs
Worker participation relates to the involvement of workers in the management decision-making processes. In this article attention is focused on worker participation related to occupational safety and health in the Netherlands. Worker participation can refer either to direct or indirect participation
This book is aimed at anyone who is interested in learning more about living technology, whether coming from business, the government, policy centers, academia, or anywhere else. Its purpose is to help people to learn what living technology is, what it might develop into, and how it might impact...... our lives. The phrase 'living technology' was coined to refer to technology that is alive as well as technology that is useful because it shares the fundamental properties of living systems. In particular, the invention of this phrase was called for to describe the trend of our technology becoming...... increasingly life-like or literally alive. Still, the phrase has different interpretations depending on how one views what life is. This book presents nineteen perspectives on living technology. Taken together, the interviews convey the collective wisdom on living technology's power and promise, as well as its...
Worker participation relates to the involvement of workers in the management decision-making processes. In this article attention is focused on worker participation related to occupational safety and health in the Netherlands. Worker participation can refer either to direct or indirect participation by the worker. Indirect participation involves employee representation, while direct participation relates to individual involvement in management’s decision-making processes. In the Framework Dir...
Bontje, M.A.; Pethe, H.A.A.; Rühmann, P.
The report brings together the results of a survey of creative knowledge workers in the Amsterdam region. How do creative knowledge workers judge the living situation and what activities do they pursue in the different parts of the region? How satisfied are creative knowledge workers with their
Plant, Peter; Lopez-Sanchez, Maria Jose
Guidance has a role to play in helping older workers to lead meaningful and fruitful lives; inside, outside, on the edge of the labour market, or in voluntary work with examples from two very different European countries: Denmark and Spain. This paper aims to draw attention to older workers guidance from an economic policy approach. It will be…
The participants were interviewed with a structured questionnaire used to elicit the knowledge of health workers on health determinants. Results: When individual factors were considered, a greater percentage of health workers, believed that safe drinking water (98.9%), where a person lives (96.6%) and a balanced diet, ...
Rębała, Krzysztof; Martínez-Cruz, Begoña; Tönjes, Anke; Kovacs, Peter; Stumvoll, Michael; Lindner, Iris; Büttner, Andreas; Wichmann, H-Erich; Siváková, Daniela; Soták, Miroslav; Quintana-Murci, Lluís; Szczerkowska, Zofia; Comas, David
Homogeneous Proto-Slavic genetic substrate and/or extensive mixing after World War II were suggested to explain homogeneity of contemporary Polish paternal lineages. Alternatively, Polish local populations might have displayed pre-war genetic heterogeneity owing to genetic drift and/or gene flow with neighbouring populations. Although sharp genetic discontinuity along the political border between Poland and Germany indisputably results from war-mediated resettlements and homogenisation, it re...
Mayers-Beecks, E. [Rheinbraun AG, Koeln (Germany). Unterabteilung Planung; Temburg, M. [Rheinbraun AG, Koeln (Germany). Abt. Liegenschaftem und Umsiedlungen
It is essential that a critical examination of the question of civic participation in resettlement projects should include all communication sectors, that is to say, information, consulting, counselling and cooperation. An adequate communiction system is of decisive importance for the success of resettlement projects. The aim of this communication system is to ensure that the individual person is in a position both to follow and understand the various stages of the project and also to express a definite opinion and voice a decision on the various topics to be dealt with. In order to achieve this aim it is imperative that communication should be oriented to the needs of the population to be resettled and that attractive participation opportunities should be offered, which are in keeping with the overall social conditions and the local situation. With its communication concept of 1997 Rheinbraun not only meets requirements as regards constant checking of the relevant offers, but has also evolved optimization principles for communication that are related to the resettlement project in question as well as being generally applicable. (orig./MSK) [Deutsch] Eine ernsthafte Auseinandersetzung mit der Buergerbeteiligung muss sich auf alle Bereiche der Kommunikation, also auf Information, Beratung, Betreuung und Mitwirkung beziehen. Eine angemessene Kommunikation ist fuer das Gelingen von Umsiedlungsverfahren von entscheidender Bedeutung. Sie zielt darauf ab, dass der Einzelne sich sowohl in den jeweiligen Verfahrensschritten zurecht findet, als auch in der Lage ist, sich zielgerichtet zu den behandelten Themen zu aeusseren und zu entscheiden. Zum Erreichen dieses Ziels ist eine Orientierung der Kommunikation an den Beduefnissen der Umsiedler genauso unerlaesslich wie die Bereitstellung attraktiver, an den gesellschaftlichen Rahmenbedingungen ausgerichteter und auf die oertliche Situation zugeschnittener Beteiligungsangebote. Rheinbraun hat sich mit seinem
The social integration of first generation immigrants in Norway is the main topic of this study. Although most immigrants in Norway receive generous resettlement and welfare assistance from the state, experiences of non-belonging, cultural distance and lack of recognition from the mainstream are still a common fact of daily social life for many of them. In this study, I relate these experiences to relationships that immigrants have established with other people. My interest is primarily on im...
Hanson, Ginger C; Perrin, Nancy A; Moss, Helen; Laharnar, Naima; Glass, Nancy
Background Consumer-driven homecare models support aging and disabled individuals to live independently through the services of homecare workers. Although these models have benefits, including autonomy and control over services, little evidence exists about challenges homecare workers may face when providing services, including workplace violence and the negative outcomes associated with workplace violence. This study investigates the prevalence of workplace violence among homecare workers an...
Михаил Юрьевич Мухин
Full Text Available The article is devoted to the work of the factories in 1941-1945 in the evacuation. The author analyzes the living conditions of workers in evacuated aviation plants, their daily life, maintenance, etc. The author concludes that in the early years of the War the conditions of life of the aviation industry's workers were very difficult, and the welfare and financial situation improved in 1944, the sure sign of fracture in the Second world war.
Gilhooly, Daniel; Lee, Eunbae
This study explores the social and cultural uses of digital literacies by adolescent immigrants to cope with their new lives in the United States. This case study focuses on three adolescent ethnic Karen brothers. Two years of participant observations in their home and Karen community, accompanied by formal and informal interviews, served as the…
... Health Conditions Live Well Mental Health Substance Use Smoking Healthy Diet Physical Activity Family Planning Living with HIV: Travel ... to his or her health and well-being. Smoking - Tobacco use is the ... year. Healthy Diet - No matter your HIV status, healthy eating is ...
Panesar, Sanjeet; Chaturvedi, Sanjay; Saini, N K; Avasthi, Rajnish; Singh, Abhishek
Slum-resettlement communities are increasingly adopting urban lifestyles. The aim of this study was to assess the prevalence and identify correlates of hypertension among residents aged 20-59 years of a slum-resettlement colony. A community-based cross-sectional study was done from 2010 to 2012 in NandNagri, a slum-resettlement area in east Delhi. 310 participants aged 20-59 years were enrolled through multistage systematic random sampling. Each study subject was interviewed and examined for raised blood pressure; data on risk factors including smoking, alcohol intake, physical activity and salt consumption were also collected. Data were analysed by use of univariate and multivariate regression. The overall prevalence of hypertension was 17.4% and 35% participants were prehypertensive. On multiple logistic regression, age 40-49 years (P = 0.020) and 50-59 years (P = 0.012), clerical/professional occupation (P = 0.004), abnormal waist circumference (≥90 cm in males and ≥ 80 cm in females; P = 0.001), positive family history of hypertension in both parents (P = 0.013) and above-average daily salt intake (P = 0.000) were significantly associated with hypertension. These findings indicate that hypertension is a significant health problem in the study population. Many study participants diagnosed with prehypertension are at risk of developing hypertension, thus immediate public-health interventions are indicated.
Kamimura, Akiko; Sin, Kai; Pye, Mu; Meng, Hsien-Wen
Refugees resettled in the US may be at risk for cardiovascular disease (CVD). However, little is known about CVD-related issues among Karen refugees who have migrated to the US from the Thai-Myanmar border. The purpose of this study was to examine CVD-related health beliefs and lifestyle issues among Karen refugees resettled in the US. Karen refugees resettled in the US from the Thai-Myanmar border (n=195) participated in a survey study on health beliefs related to CVD, salt intake, physical activity (PA), and smoking in the fall of 2016. A high-salt diet, physical inactivity, and smoking were major lifestyle problems. Participants who adhered to a low-salt diet considered themselves to be susceptible to CVD. Most participants did not engage in regular PA. Regular PA was associated with less perceived susceptibility to CVD and greater perceived benefits of a healthy lifestyle for decreasing the likelihood of CVD. Each refugee population may require individualized strategies to promote PA and a healthy diet. Future studies should develop health education programs that are specifically designed for Karen refugees and evaluate such programs. In addition to health education programs on healthy lifestyle choices, tobacco cessation programs seem to be necessary for Karen refugees. At the same time, it is important to foster strategies to increase the utilization of preventive care among this population by promoting free or reduced-fee resources in the community to further promote their health.
This paper reports that American oil workers discouraged by bleak employment opportunities in the U.S. petroleum industry face increasing competition abroad from Russians seeking a living wage. Moscow's Zagrantrud (Foreign Labor) firm believes millions of Russian skilled and unskilled workers in many occupations will try to find jobs in other countries. The Russian enterprise says it is selecting a group of construction workers to build a refinery in Columbia. Kuwait also wants Russian construction personnel. Russia is especially eager to find overseas work for petroleum industry workers who have lost their jobs in Viet Nam and Cuba. The number of specialists from the former U.S.S.R. in Cuba, many of them engaged in oil exploration and production or pipeline and refinery construction, has fallen from several thousand 2 years ago to 250 at present as Moscow's relations with Havana cooled
Wagner, Julie; Berthold, S Megan; Buckley, Thomas; Kong, Sengly; Kuoch, Theanvy; Scully, Mary
A growing body of literature suggests that cardiometabolic disease generally and type 2 diabetes specifically are problems among refugee groups. This paper reviews rates of cardiometabolic disease and type 2 diabetes among refugees and highlights their unique risk factors including history of malnutrition, psychiatric disorders, psychiatric medications, lifestyle changes toward urbanization and industrialization, social isolation, and a poor profile on the social determinants of health. Promising interventions are presented for preventing and treating diabetes in these groups. Such interventions emphasize well-coordinated medical and mental health care delivered by cross-cultural and multidisciplinary teams including community health workers that are well integrated into the community. Finally, recommendations for service, policy, and research are made. The authors draw on local data and clinical experience of our collective work with Cambodian American refugees whose 30-year trajectory illustrates the consequences of ignoring diabetes and its risk factors in more recent, and soon to be arriving, refugee cohorts.
Mukhtar, F.; Kokab, F.
Brucellosis is an occupational hazard with those particularly at risk either living in close proximity with animals or handling them. It is a public health problem in developing countries with adverse health implications both for animals and human beings as well as economic implications for individuals and communities. The Objectives were to estimate the seroprevalence of brucellosis among abattoir workers of Lahore District and to determine the association of brucellosis with nature of job of the workers. Data was collected in April 2008. It was a cross-sectional study in which four main slaughterhouses in Lahore were included. The slaughterhouse workers were divided into seven strata based on their nature of job: meat sellers, slaughterers, animal keepers, drivers, cleaners, loaders and vets/paravets. A total of 360 such workers were selected using stratified random sampling technique. Sampling frames for different strata were prepared and from each frame, proportionate numbers, were selected through simple random method using random number tables. Data was obtained using a questionnaire. Additionally blood samples were collected and analyzed for anti-Brucella Immunoglobulin G (IgG) using enzyme-linked immunosorbent assay (ELISA) technique. The seroprevalence of anti-Brucella IgG was found to be 21.7%. A statistically significant difference was observed between the immune status of the respondents and their nature of job (p=0.005), age groups (p=0.013), and duration of job (p=0.003). The disease is an important public health problem in Pakistan. The disease can be prevented in the slaughterhouse workers through the use of personal protective devices. Public health authorities should educate the general public regarding prevention of the disease with specific emphasis on people working in slaughterhouses. (author)
Anand, T; Kumar, R; Saini, V; Meena, Gs; Ingle, Gk
Mosquito borne diseases (MBDs) are major public health problem in India. State of Delhi is endemic for dengue and other MBDs. The increasing incidence of MBDs in Delhi in recent years warrants a pro-active approach for their prevention. Knowledge and use of personal protective measures (PPMs) presents an effective strategy for prevention and control of MBDs. The present study was conducted to assess the knowledge and use of PPMs against MBDs in an urban resettlement colony of Delhi. It was a cross-sectional study carried out in a resettlement colony of Delhi. A total of 100 families were selected by systematic random sampling. Data was collected using semi-structured questionnaire and supplemented by spot survey by the investigator in the community. The results were analyzed in SPSS version 16.0 (Chicago Illinios, USA). Out of the 100 respondents, 65% (65/100), 58%(58/100) and 13% (13/100) had heard about dengue, malaria and chikungunya, respectively. Nearly, one-fifth (20/100; 20%) of the participants reported incorrect breeding sites for mosquitoes. The knowledge regarding PPMs was very high (93/100; 93%) and about (90/100; 90%) families were actually using at least one of the PPMs. However, very few families were using them correctly (1/90; 1.1%) and adequately (5/90; 5.6%). The most common PPM being used by the study population was liquid vaporizers (54/90; 60%). Nearly one-third (29/90; 32.2%) of the participants reported side-effects due to PPMs with irritation to smell being the most common reported side-effect. On house visit, adult mosquitoes were seen in 67% (67/100) of the houses, while potential mosquito breeding sites were found in and around 56% (56/100) houses. There were crucial gaps in knowledge and practices of participants with regard to prevention and control of MBDs. Thus, there is a need to intensify efforts toward creating public knowledge and mobilizing community about correct use of preventive measures against MBDs.
Robison, W L; Bogen, K T; Conrado, C L
On 1 March 1954, a nuclear weapon test, code-named BRAVO, conducted at Bikini Atoll in the northern Marshall Islands contaminated the major residence island. There has been a continuing effort since 1977 to refine dose assessments for resettlement options at Bikini Atoll. Here we provide a radiological dose assessment for the main residence island, Bikini, using extensive radionuclide concentration data derived from analysis of food crops, ground water, cistern water, fish and other marine species, animals, air, and soil collected at Bikini Island as part of our continuing research and monitoring program that began in 1978. The unique composition of coral soil greatly alters the relative contribution of 137Cs and 90Sr to the total estimated dose relative to expectations based on North American and European soils. Without counter measures, 137Cs produces 96% of the estimated dose for returning residents, mostly through uptake from the soil to terrestrial food crops but also from external gamma exposure. The doses are calculated assuming a resettlement date of 1999. The estimated maximum annual effective dose for current island conditions is 4.0 mSv when imported foods, which are now an established part of the diet, are available. The 30-, 50-, and 70-y integral effective doses are 91 mSv, 130 mSv, and 150 mSv, respectively. A detailed uncertainty analysis for these dose estimates is presented in a companion paper in this issue. We have evaluated various countermeasures to reduce 137Cs in food crops. Treatment with potassium reduces the uptake of 137Cs into food crops, and therefore the ingestion dose, to about 5% of pretreatment levels and has essentially no negative environmental consequences. We have calculated the dose for the rehabilitation scenario where the top 40 cm of soil is removed in the housing and village area, and the rest of the island is treated with potassium fertilizer; the maximum annual effective dose is 0.41 mSv and the 30-, 50-, and 70-y
Toosi, Amy; Richter, Solina; Woytowich, Boris
International migration has increased at a significant rate over the past several decades as many migrants relocate in the hope of finding better living conditions. Unfortunately, not all migrants realize their dreams but instead find themselves in poor living conditions and are less satisfied with their health and well-being. The purpose of this article is to explore the factors that influence the integration of migrants into a new culture through two theoretical lenses: transitions theory and acculturation theory. The authors propose that acculturation and transition are influenced by factors at both the societal and individual level and therefore interventions aimed at promoting successful integration should be focused at both those levels. This article adds a new perspective to the migrant health framework and offers a new approach for researchers, clinicians, and program developers. The overall health and well-being of migrants may improve by focusing on individual factors that contribute to successful settlement through predeparture or early arrival preparation programs.
The aim of this presentation is to gain an understanding of the requirements for a PSA to be considered a Living PSA. The presentation is divided into the following topics: Definition; Planning/Documentation; Task Performance; Maintenance; Management. 4 figs
Ícaro Gonçalves Santos
Full Text Available The objective was to analyze the floristic, diversity and equability of the tree shrub stratum of home gardens (QA in Mariana re-settlement located between Palmas and Porto Nacional municipalities in Tocantins State, Brazil. Three 20 x 30 m plots were installed in each home garden, totalizing 0.72 ha of sampled area. All shrub-tree individuals had its circumference at 1.3 m above ground level (CBH measured when CBH ≥ 10 cm. A total of 477 individuals, 81 species, 34 families and 73 genera were verified in all QA. Shannon diversity index (H’ was 3.68 and Pielou equability indice (J’ was 0.83, for all sampled area. Individually, QA1, QA2, QA3 and QA4 presented H’ = 2.52; 3.27; 2.66 and 2.94, and J’ = 0.78; 0.90; 0.77 and 0.85, respectively. It was possible to infer that the studied QA showed high richness and diversity, evidencing great environmental heterogeneity and low ecological dominance.
Acharya, Anita Shankar; Singh, Anshu; Dhiman, Balraj
Diabetes mellitus is one of the non-communicable diseases which has become a major global health problem whose prevalence is increasing worldwide and is expected to reach 4.4% by 2030. The risk of diabetes escalates with increase in the number of risk factors and their duration as well. The Indian Diabetic Risk Score (IDRS) is a simple, low cost, feasible tool for mass screening programme at the community level. To assess the risk score of diabetes among the study subjects using IDRS. A cross sectional survey was conducted on adults >30 years (n=580) on both gender in an urban resettlement colony of Delhi during December 2013 to March 2015. A Semi-structured interview schedule consisting of Socio-demographic characteristics, risk factor profile and Indian Diabetes Risk Score was used. Data was entered and analyzed in SPSS. Out of 580 subjects, 31 (5.3%) study subjects were not at risk of having diabetes, rest 94.5% were at moderate or high risk of diabetes.A statistically significant association of diabetes risk with marital status(p=0.0001), education(0.005),body mass index(0.049) and systolic blood pressure was seen.(p=0.006). More than 90% of the study subjects were at risk of having diabetes, hence screening is of utmost importance so that interventions can be initiated at an early stage.
Ndhlovu, Daud Nyosi; Masika, Patrick J
A structured questionnaire survey was conducted to determine the ethno-veterinary practices and other control methods used by smallholder farmers for the management of bovine dermatophilosis and ticks. A total of 153 farmers were interviewed from Njelele, Zhombe communal and Shamrock resettlement areas. Crop production contributed most to livelihoods (83.2 %) while livestock contributed 9.0 %. Over 90 % of the respondents had attended school up to primary level, with 11.4 % undergoing animal health and husbandry training. Treatment of livestock diseases was practised by 96 % of the farmers, and 49.7 % of these farmers used ethno-veterinary medicines. Across the study sites, dermatophilosis was controlled using the following plants: Cissus quadrangularis (59.7 %), Catunaregam spinosa (10.5 %), Pterocarpus angolensis (10.5 %), Kalanchoe lanceolata (5.3 %), Aloe chabaudii (3.5 %), Cassia abbreviata (1.8 %), Dichrostachys cinerea (1.8 %), Urginea sanguinea (1.8 %), Ximenia caffra (1.8 %) and a plant locally called umfanawembila (1.8 %). Carica papaya and two plants, locally called mugimbura and umdungudungu, were used for tick control, and these were reported once from Njelele communal. Other control methods, besides plants or conventional drugs, were used by 28 % of the farmers for the treatment of dermatophilosis and ticks. Some farmers (14.4 %) claimed that ethno-veterinary medicines performed better than conventional drugs. The study revealed that farmers used ethno-veterinary medical practices for the treatment of dermatophilosis but rarely for tick control.
Bellamy, Kim; Ostini, Remo; Martini, Nataly; Kairuz, Therese
Introduction There are challenges associated with selecting a qualitative research approach. In a field abundant with terminology and theories, it may be difficult for a pharmacist to know where and how to begin a qualitative research journey. The purpose of this paper is to provide insight into generic qualitative research and to describe the journey of data collection of a novice qualitative researcher in the quest to answer her research question: 'What are the barriers to accessing medicines and pharmacy services for resettled refugees in Queensland, Australia?' Methodology Generic qualitative research draws on the strengths of one or more qualitative approaches. The aim is to draw out participants' ideas about things that are 'outside themselves'; rather than focussing on their inner feelings the research seeks to understand a phenomenon, a process, or the perspectives of participants. Sampling is designed to obtain a broad range of opinions about events and experiences and data collection includes interviews, questionnaires or surveys; thematic analysis is often used to analyse data. When to use Generic qualitative research provides an opportunity to develop research designs that fit researchers' epistemological stance and discipline, with research choices, including methodology and methods, being informed by the research question. Limitations Generic qualitative research is one of many methodologies that may be used to answer a research question and there is a paucity of literature about how to do it well. There is also debate about its validity as a qualitative methodology.
The Department of Energy (DOE) initiated a dedicated program in 1974 to determine residual levels of contamination remaining in the Northern Marshall Islands from the 66 Pacific atmospheric nuclear weapons tests. The United States atmospheric nuclear weapons test code-named 'Castle BRAVO', conducted at the Bikini atoll in 1954, inadvertently deposited radioactive fallout on 253 residents of the Rongelap and Utrik atolls. The Rongelap people were evacuated 3 days after Castle Bravo, but not before they received significant fallout doses. Although the Rongelap people resettled on Rongelap Island from June 1957 until May 1985, the Rongelap community self-exiled themselves at that time for fear of what they believed to be rising levels of 137 Cs in their local food supplies. Since that time, the U.S. government has worked with the Rongelap people in a partnership to address environmental concerns and provide environmental monitoring, dose assessment data and information and mitigation strategy alternatives. DOE has been an instrumental partner in agreements, town meetings, interactions at the level of the local atoll government councils as well as the government of the Republic of the Marshall Islands have been needed to do this successfully. (author)
Nelson, Matthew; Hess, Julia Meredith; Isakson, Brian; Goodkind, Jessica
Social and geographic displacement is a global phenomenon that precipitates novel stressors and disruptions that intersect with longstanding familial and social roles. Among the displaced are war-torn Iraqi refugee families, who must address these new obstacles in unconventional ways. This study explores how such disruptions have influenced associations between gender and apparent self-worth experienced by Iraqi refugee families upon relocation to the United States. Further, the psychosocial mechanisms requisite of any novel approach to a new social construct are explored and reveal that production in the family is at the core of instability and shifting power dynamics during resettlement, preventing family members from "seeing the life" in the United States that they had envisioned prior to immigration. Over 200 semi-structured qualitative interviews with Iraqi participants and mental health providers were conducted over the course of the study, and demonstrate a plasticity among social roles in the family and community that transcends the notion of a simple role reversal, and illustrate the complex positionalities that families under stress must approximate during such physical and social displacement.
Full Text Available This article presents our analysis of Australian media reporting of the 2006 Tamworth City Council’s decision to refuse the resettlement of five Sudanese families in Tamworth (NSW and subsequent reversal, supposedly due to the pressure brought to bear on the council as a result of the media “hype.” The question at the core of our analyses is as follows: Did the media play a role in the over-(representation of this case as racist or was it just a case of the media reporting racism? Informed by media framing theory, we examine print media reports for patterns of presentation as well as representations of both the council and the refugees who were the focus of the reporting. We conclude that while the media played a significant role in making visible a case built on racial stereotypes, their reporting also contained racializing and paternalistic stereotyping that contribute to the reproduction of both everyday and systemic racism.
Full Text Available The purpose of this paper is to explore and understand how a Bosnian refugee community perceives and responds to the potential risk of a natural disaster in order to identify tailored approaches to improve risk communication. This is a qualitative study. Participants resettled in St Louis, Missouri were identified through criterion and snowball sampling. Thirty-three face-to-face interviews were conducted using a semi-structured interview guide. Data were analyzed using both content and thematic analysis. Findings indicate that due to their war experiences, cultural and religious understanding of natural disaster, and social influence on their risk interpretation, participants tended to underestimate the potential threat of natural disaster. Media was the main communication methods in times of potential natural disaster. Lack of organizational support during risk communication was a major concern. Ethnic radio stations and word of mouth were rated as the most popular communication channels for disseminating messages in preparation of a natural disaster. Using a community-based participatory approach to identify community needs and involve Bosnian community partners in risk communication planning, implementation, and evaluation, is vital for a Bosnian community.
This monograph deals with assessment of radiological health effects of the Chernobyl accident for emergency workers (part 1) and the population of the contaminated areas in Russia (part 2). The Chernobyl emergency workers and people living in the contaminated areas of Russia received much lower doses than the population of Hiroshima and Nagasaki and it was unclear whether risks of radiation-induced cancers derived with the Japanese data could be extrapolated to the low dose range However, it was predicted as early as in 1990 that the thyroid cancer incidence might be increasing due to incorporated 131 irradiation. What conclusions can be drawn from regarding cancer incidence among emergency workers and residents of the contaminated areas in Russia and the role of the radiation factor on the basis of the registry data? Leukemia incidence. Leukemia incidence is known to be one of principal indications of radiation effects. The radiation risk for leukemias is 3-4 times higher that for solid cancers and its latent period is estimated to be 2-3 years after exposure. Results of the radiation epidemiological studies discussed in this book show that in the worst contaminated Bryansk region the leukemia incidence rate is not higher than in the country in general. Even though some evidence exists for the dose response relationship, the radiation risks appear to be not statistically significant. Since risks of leukemia are known to be higher for those who were children at exposure, long-term epidemiological studies need to be continued. The study of leukemias among emergency workers strongly suggest the existence of dose response relationship. In those who received external doses more than 0.15 Gy the leukemia incidence rate is two time higher and these emergency workers should be referred to as a group of increased radiation risk. Solid cancers. The obtained results provide no evidence to a radiation-induced increase in solid cancers among residents of the contaminated areas
José Luis Villamarín-Vázquez
Full Text Available Objetivo. Determinar la seroprevalencia de brucelosis en trabajadores agrícolas. Material y métodos. Estudio transversal efectuado durante 1996 y 1997 en la Unidad de Salud Laboral del Centro de Salud Pública (CSP de Castellón, España, con 482 aspirantes a su acreditación como manipulador de plaguicidas para aplicación agrícola y a quienes se les hicieron las pruebas serológicas de rosa de Bengala, seroaglutinación de Wright y Coombs antibrucela. En el análisis estadístico se estimó la prevalencia y se usó regresión logística. Resultados. 15 personas (3.1%, IC 95% 1.8%-5.1% presentaron títulos de 1/40 o mayores a las pruebas de Wright o Coombs, y todas negativas al rosa de Bengala. No se apreció riesgo profesional elevado. Conclusiones. La prevalencia estimada fue baja.Objective. To estimate the seroprevalence of brucellosis in agricultural workers. Material and Methods. This cross-sectional study was conducted between 1996 and 1997 at Unidad de Salud Laboral del Centro de Salud Pública (CSP in Castellon, España (Public Health Center Occupational Health Unit, among 482 subjects applying for certification to handle pesticides for agricultural use. Serologic testing consisted of rose Bengal staining, Wright's agglutination, and antibrucella Coombs tests. Statistical analysis consisted in estimation of prevalence figures and logistic regression modelling. Results. Fifteen subjects (3.1%, 95% CI 1.8%-5.1% had titers of 1/40 or higher to Wright and/or Coombs tests; all were negative to rose Bengal staining. No high occupational risk was observed. Conclusions. A low prevalence of brucellosis was found.
Rosineide de L. Meira Cordeiro
Full Text Available O artigo enfoca como as mulheres agricultoras, ao terem acesso a direitos sociais, especialmente à Previdência Social, lidam com a normatização e a regulamentação dos processos de nascimento, envelhecimento e morte. O objetivo é analisar as dificuldades e as estratégias que as mulheres utilizam para cumprirem as exigências legais de comprovação do trabalho na agricultura familiar através de documentos civis e profissionais. A pesquisa foi realizada nos municípios de Santa Cruz da Baixa Verde e Triunfo, situados no Sertão de Pernambuco, Nordeste do Brasil. A ausência de documentos é reveladora dos parâmetros de modernidade instaurados no país e deve ser entendida à luz das intersecções de gênero, classe, raça, etnia e critérios geopolíticos.The article focuses on how peasant and worker women deal with norms and rules about birth, ageing and death, in the process of getting access to social rights, especially to Social Security. The aim is to analyze difficulties and strategies used by women in order to comply with the legal demands of proof of work experience in family farming by way of civil and professional documents. Research was undertaken in the municipalities of Santa Cruz da Baixa Verde and Triunfo, in the Pernambuco Sertão in Northeast Brazil. The absence of documents reveals how parameters of modernity are installed in the nation, understanding them as necessarily related to gender, class, race, ethnicity and geopolitical criteria.
The radioactive blow-outs after the Chernobyl Nuclear Power Plant catastrophe reached many states. The largest amount of them (according to experts' estimations - 70%) fell out on the Belarus territory. The estimation of radioecological, medico-biological, economic and social consequences of the Chernobyl catastrophe has shown that unimaginable damage was incurred on Belarus and its territory became the zone of ecological calamity. More than 14 years have passed since the Chernobyl NPP accident but some of the problems caused by the catastrophe have not been solved. This is bound up, first of all, with a high collective dosage absorbed by the population, with difficulties in forecasting and prophylactics of remote radiological effects, with ecological and economic crisis. The consequences of the disaster greatly affect all the aspects of vital activities of the affected regions and the state as a whole. Destructive tendencies have been revealed in all spheres of the life activity of people who experienced radiation effects. The processes of social adaptation and socio-psychological support of the population inhabiting the contaminated territory and resettled as well, require considerable optimisation. Negative factors of the Chernobyl catastrophe, which are significant for human health can be divided into two groups as follows: radiation-based, directly related to influence of ionising radiation and non radiation based, related to changes in habitat and prolonged psychological stress. The specific peculiarities of psychogenic disorders caused by the catastrophe are determined by the following reasons: insufficient knowledge of radiation effects; constant apprehension for the health and well-being of themselves and their families, especially children; unexpected change of the life stereotype (forced resettlement, the break of the former life, changing the place and the character of work, etc.); the necessity of constant keeping precaution measures and prophylactic
Full Text Available The article presents a model of rational incentive system with the structure consisting of three blocks. The first block (financial incentives provides monetary compensation to a worker. The second block (stimulating by comfortable living conditions is aimed to regulate the quality of a worker’s life in and outside the place he works. The third block (non-financial incentives takes into account cultural and social worker’s needs. The proposed structure of incentive system provides the most comprehensive coverage to the employee’s needs and organizes them in the way accessible both for specialists of labor economics and human resource management and for ordinary workers.
Izugbara, Chimaraoke O
It is still a small body of research that directly addresses female sex workers' relationships with their regular commercial male partners. I used ethnographic data from Nairobi, Kenya to interrogate motivations and strategies for recruiting and retaining regular male clients among female sex workers (FSWs). Regular commercial male partners, popularly called customer care, wera or wesh by Nairobi's FSWs, played diverse roles in their lives. Client retention enabled sex workers to manage the risk of reduced marriage prospects, guaranteed them steady work, livelihoods, and incomes, and prevented their victimization and harassment. To retain clients, sex workers obliged them a great deal, pretended they had quit prostitution, and sometimes resorted to magical practices. However, these strategies were also accompanied by risks that reinforced the vulnerability of sex workers. Lack of critical attention to sex workers' practices for managing perceived risks in their particular type of work may hamper current programmatic efforts to make their job safer.
Vleurinck, Christina; Raub, Stephan; Sturgill, David; Oliver, Brian; Beye, Martin
Honeybees live in complex societies whose capabilities far exceed those of the sum of their single members. This social synergism is achieved mainly by the worker bees, which form a female caste. The worker bees display diverse collaborative behaviors and engage in different behavioral tasks, which are controlled by the central nervous system (CNS). The development of the worker brain is determined by the female sex and the worker caste determination signal. Here, we report on genes that are ...
... a resident's needs depends as much on the philosophy and services of the assisted living facility as it does on the quality of care. The Administration on Aging, a part of the U.S. Department of Health and Human Services (HHS), offers these suggestions to help you ...
I ph.d.-projektet: "Easier Living? Streamline design og den æstetiserede livsverden" analyseres 1930'ernes Streamline-bevægelse, som tilhører den amerikanske modernisme inden for industrielt produktdesign. Bevægelsens glatte, strømlinede produkter bliver med deres enorme udbredelse det historiske...
Miller, Jacqueline; Ritchie, Brett; Tran, Cuong; Beggs, Sean; Lada, Christina Olly; Whetter, Kathryn; Cobiac, Lynne
Childhood malnutrition remains a public health issue in Indonesia with a national prevalence of wasting of 13% and stunting of 36%. In rural areas nutritional status depends on local agriculture and may fluctuate in relation to harvest time. The aim of this study was to characterise seasonal variations in nutritional status in two resettlement villages in the Oesao district, Nusa Tenggara Timur. A cross sectional study was conducted in a convenience sample of children after the wet season (March). Children aged 6 to 60 months were assessed for nutritional status using anthropometric and biochemical measures. A subset of these children was re-assessed for anthropometry after the dry season (November). Weight-for-height z scores improved significantly from mean±SD of -1.7± 0.9 in March to -1.3±0.9 in November (p<0.001). There was no significant change in height between seasons. Prevalence of wasting, (weight-for-height z score <-2), was 42% in March and 19% in November (p<0.001). However, stunting rates increased significantly from 42% in March to 45% in November (p<0.001). Thirty six per cent of children were anaemic (Hb level <11 mg/100 mL), 68% were vitamin A deficient (plasma vitamin A level <0.8 μmol/L) and 50% were zinc deficient (plasma zinc <9.94 μmol/L). All children except one were positive for intestinal parasites. These data indicate seasonal changes in anthropometry with inconsistent effects depending on the anthropometric index measured. Wasting and stunting were higher than the national average, alongside high rates of anaemia, zinc and vitamin A deficiencies.
Full Text Available Land acquisition and resettlement (LAR is an important step in urban development. As one of the ‘externalities of development’, LAR conflicts have affected social stability and development in rural areas of China. With social conflict research shifting from value identity to resource allocation, few studies have examined the relationship between the spatial injustice of urban public resources and LAR conflict. To mitigate this research gap and formulate effective policies, this study aims to reinterpret the obstacles of LAR conflicts from the perspective of the spatial injustice of urban public facilities allocation in Hangzhou City by examining 195 administrative litigation cases. Spatial accessibility was used for estimating the spatial justice of urban public resources allocation. A classification and regression tree (CART model was applied to identify the advantage and disadvantage factors behind LAR conflict, and explored the logical and structural relationships among these factors. Results showed that a spatial mismatch between the spatial behavior preferences of human activity and the spatial injustice of urban public resources allocation had significantly accelerated LAR conflicts. When the spatial behavior preferences of human activity and spatial distribution of urban public resources correspond to each other pre- and after LAR, basic rights to social space are safeguarded and various groups can equitably share spatial resources. There are no conflicts. Conversely, respondents expressed a high level of dissatisfaction in comparison to their pre-LAR conditions, and LAR conflict undeniably occurs. This approach also proposes some good LAR policies by regulating the spatial injustice of urban public resources allocation associated with LAR with the aim of long-term urban sustainable development for Hangzhou.
Talib, R; Ali, O; Arshad, F; Kadir, K A
A study was undertaken in FELDA (Federal Land Development Authority) resettlement scheme areas in Pahang, Malaysia, to determine the effectiveness of group dietary counselling in motivating diabetic patients to achieve good dietary habits, and weight and diabetes control. Sixty-one non-insulin dependent diabetes mellitus (NIDDM) patients were randomly assigned to either the experimental or control group. The experimental group received six sessions of group dietary counselling over 5 months and the control group received mass media diabetes-educational program during the same period. The one hour group dietary counselling sessions discussed general knowledge of diabetes, food groups for meal planning, the importance of dietary fibre-rich foods, types of fat in food, exercise and weight control. The experimental group met monthly with a dietitian as a counsellor. Effectiveness was assessed by improvement in food choice, and decline in percentage glycated haemoglobin (total HbA1) or body mass index (BMI). Measurements were made at a baseline visit, every two months during the six month program, and six months afterwards. Patients in the experimental group improved their food choices, resulting in a healthier diet high in unrefined carbohydrates and dietary fibre rich foods, and low in fat. There were significant reductions of their percentage total HbA1 levels and BMI following the counselling sessions, which decreased further six months after the program compared with patients in the control group. Thus group dietary counselling is effective in motivating NIDDM patients to achieve better food choice, and related weight and glycaemic control in a Malaysian setting.
Kirsh, Bonnie; Slack, Tesha; King, Carole Anne
Many injured workers experience high levels of stigma and discrimination, which compound their physical injuries and cause social and psychological harm. Despite a growing awareness of the prevalence of such stigma, there is little research that focuses on the sources, nature and consequences of stigma with respect to the lives of injured workers. The purpose of this paper is to advance knowledge related to stigma towards injured workers, specifically to explain the nature and processes of stigma and their influence on injured workers' lives. Using a constructivist grounded theory approach, data from focus groups (n = 28 participants) and individual interviews (n = 18) were analyzed to discern how stigma is exhibited and perpetuated, and its impact on the lives of injured workers. The study culminated in a preliminary theoretical framework that delineates the key components of the manifestations and impacts of stigma that includes stereotypes, unethical practices and maltreatment negatively affecting work, relationships and the mental health of injured workers. The development of sound conceptualizations in this area can advance our understanding of stigma processes and provide a framework for anti-stigma efforts. The findings have implications for public education, workplace interventions and services for injured workers.
Bischof, Günter; Plasser, Fritz; Maltschnig, Eva
Writing biographies for a long time had been a male hegemonic project. Ever since Plutarch and Sueton composed their vitae of the greats of classical antiquity, to the medieval obsession with the hagiographies of holy men (and a few women) and saints, Vasari's lives of great Renaissance artists, down to the French encyclopedists, Dr. Johnson and Lytton Strachey, as well as Ranke and Droysen the genre of biographical writing has become increasingly more refined. In the twentieth century male p...
Caldwell, B.; Duncan, P.; Myers, J.
The Department of Energy (DOE) is in the process of defining the magnitude and diversity of Decontamination and Decommissioning (D ampersand D) obligations at its numerous sites. The DOE believes that existing technologies are inadequate to solve many challenging problems such as how to decontaminate structures and equipment cost effectively, what to do with materials and wastes generated, and how to adequately protect workers and the environment. Preliminary estimates show a tremendous need for effective use of resources over a relatively long period (over 30 years). Several technologies are being investigated which can potentially reduce D ampersand D costs while providing appropriate protection to DOE workers. The DOE recognizes that traditional methods used by the EPA in hazardous waste site clean up activities are insufficient to provide the needed protection and worker productivity demanded by DOE D ampersand D programs. As a consequence, new clothing and equipment which can adequately protect workers while providing increases in worker productivity are being sought for implementation at DOE sites. This project will result in the development of an Advanced Worker Protection System (AWPS). The AWPS will be built around a life support backpack that uses liquid air to provide cooling as well as breathing gas to the worker. The backpack will be combined with advanced protective garments, advanced liquid cooling garment, respirator, communications, and support equipment to provide improved worker protection, simplified system maintenance, and dramatically improve worker productivity through longer duration work cycles. Phase I of the project has resulted in a full scale prototype Advanced Worker Protection Ensemble (AWPE, everything the worker will wear), with sub-scale support equipment, suitable for integrated testing and preliminary evaluation. Phase II will culminate in a full scale, certified, pre-production AWPS and a site demonstration
Caldwell, B.; Duncan, P.; Myers, J.
The Department of Energy (DOE) is in the process of defining the magnitude and diversity of Decontamination and Decommissioning (D&D) obligations at its numerous sites. The DOE believes that existing technologies are inadequate to solve many challenging problems such as how to decontaminate structures and equipment cost effectively, what to do with materials and wastes generated, and how to adequately protect workers and the environment. Preliminary estimates show a tremendous need for effective use of resources over a relatively long period (over 30 years). Several technologies are being investigated which can potentially reduce D&D costs while providing appropriate protection to DOE workers. The DOE recognizes that traditional methods used by the EPA in hazardous waste site clean up activities are insufficient to provide the needed protection and worker productivity demanded by DOE D&D programs. As a consequence, new clothing and equipment which can adequately protect workers while providing increases in worker productivity are being sought for implementation at DOE sites. This project will result in the development of an Advanced Worker Protection System (AWPS). The AWPS will be built around a life support backpack that uses liquid air to provide cooling as well as breathing gas to the worker. The backpack will be combined with advanced protective garments, advanced liquid cooling garment, respirator, communications, and support equipment to provide improved worker protection, simplified system maintenance, and dramatically improve worker productivity through longer duration work cycles. Phase I of the project has resulted in a full scale prototype Advanced Worker Protection Ensemble (AWPE, everything the worker will wear), with sub-scale support equipment, suitable for integrated testing and preliminary evaluation. Phase II will culminate in a full scale, certified, pre-production AWPS and a site demonstration.
Hurd, Christine R; Jeanne, Robert L; Nordheim, Erik V
Temporal polyethism is a common mechanism of worker specialization observed in social insect species with large colony sizes, Vespula wasp colonies consist of thousands of monomorphic workers, yet studies based on small cohorts of workers report that temporal polyethism is either weak or completely absent in different Vespula species. Concerned that the small sample size of these studies precluded detection of temporal polyethism, several hundred, known-age Vespula germanica (F.) (Hymenoptera: Vespidae) workers were studied. High variability was found in the sequence and diversity of tasks workers perform, suggesting that V. germanica colonies exhibit weak temporal polyethism. The most common order in which tasks were taken up was 1) nest work, 2) pulp foraging, 3) carbohydrate foraging, and 4) protein foraging. However, only 61% of the wasps performed more than two of the tasks during their lives. Thorax size had a significant negative effect on the age at first foraging, but the magnitude of the effect was small. The daily ratio of task generalists to specialists was relatively constant despite the high turnover of workers, growth of the colony, and the colony's transition from rearing worker larvae to rearing reproductives. Over the course of their lives, 43% of the workers averaged more than one kind of task performed per day. Life history traits are identified that may explain why vespines with large colonies use a generalist strategy of labor division rather than the specialist strategy observed in honey bees (Apis mellifera) and large colonies of wasps (Polybia occidentalis).
Due to the political context and the restrictions placed on general freedoms and trade union activities, workers' education in Palestine remained informal and largely reliant on oral memory until the early 1990s. For decades, it was an integral part of political education. Workers' education only became a stand-alone field after the establishment…
van der Meer, P.H.; Wielers, R.J.J.
This article answers the question what makes workers happy? It does so by combining insights from micro-economics, sociology and psychology. Basis is the standard utility function of a worker that includes income and hours of work and is elaborated with job characteristics. In this way it is
P. Waterman (Peter)
textabstractIn a recent paper (Waterman 1974) I discussed the debate that has been taking place, largely amongst socialists, over the role of workers and unions in Africa. I identified three major positions that have emerged. One was the traditional Communist position that the workers and unions are
In order to manage radiological hazards in the workplace, it is necessary to have reliable measurements of workplace radiation levels and estimates of exposures and doses to workers. Over the past several years there have been many changes not only to the science of monitoring and dose assessment, but also to the regulatory framework. New International Commission on Radiological Protection (ICRP) recommendations on dose in ICRP Publication 60 (1991) and the implications of the ICRP's new respiratory tract model in ICRP Publication 66 (1994) are of particular importance. In addition, triggered by the act establishing the Canadian Nuclear Safety Commission (CNSC), which will replace the Atomic Energy Control Board (AECB), there is considerable activity in the review and development of regulatory guidance. Concurrent with these activities is the introduction of innovative mining procedures in Saskatchewan in order to extract uranium ore of particularly high grade. In view of these developments, the ACRP considered that a formal review of current monitoring practices would benefit both the CNSC and its licensees. In this report, 'uranium workers' refers to workers at uranium mines and mills, and workers at natural-uranium refineries, conversion, and fuel fabrication facilities; issues relating to long-term tailings management and to the handling of enriched materials are not addressed in this document. The report will have some relevance to workers in non-uranium mines and in industries handling naturally occurring radioactive materials (NORM) since, in some circumstances, these activities can present similar workplace radiation hazards. The report outlines the radiological hazards encountered in the Canadian uranium industry, and reviews current radiological monitoring practices and options; appendices include a glossary, a more technical discussion of monitoring methods, and an examination of errors and uncertainties in measurements of radon progeny and long-lived
Hurley, John; Cashin, Andrew; Mills, Jem; Hutchinson, Marie; Kozlowski, Desiree; Graham, Iain
In Australia and internationally, Peer Workers are increasingly being incorporated into the mental health workforce. Underpinning this trend is the conviction that the inclusion of workers with lived experience in overcoming mental health challenges is central to transforming service delivery. Given there are few identified Australian studies into the experiences of Peer Workers, this paper reports findings from qualitative interviews conducted in a Partners In Recovery programme in one regional area in Australia. The interviews formed part of a larger mixed-method study evaluating Peer Worker roles in the programme. Thematic analysis of interview transcripts with Peer Workers and other staff employed in the programme (n = 22) was undertaken. Central to the five themes that emerged was the concept of lived experience expertise in overcoming mental health challenges. The themes were: (i) role variance, (ii) the challenges and opportunities for Peer Worker, (iii) the processes Peer Workers employed as they attempted to shape an identify and language, (iv) the inconsistencies and challenges of employing lived experience as a defining feature of the peer worker role, and (v) the nature of trust arising from lived experience relationships. From this study, it is evident that the Peer Worker role remains underdeveloped. The difficulties experienced by Peer Workers in establishing a homogenous identity and role is not unique. The process and lack of clarity around role identity revealed from the narratives, parallels the experiences of Mental Health Nursing. © 2016 Australian College of Mental Health Nurses Inc.
Christensen, Suna Møller
, hunters attended to questions like safe-journeying on ice or the role of natural surroundings in children’s education, in ways revealing a relational perception of ‘nature’ and dissolving culture-nature dualisms. Hunters’ experiences in living the land afforded children a dwelling position from which...... to grow with the features of the land. Framed this way, ‘nature’ was regarded as part of the social world. I suggest that learning among Arctic hunters is social and twofold. First, we can learn how human-environment relations influence individual life trajectories. Secondly, ‘nature’ as part...
Progress on the Lloydminster Heavy Oil Interpretive Centre, sponsored by the Lloydminster Oilfield Technical Society and expected to open in late 1998, was discussed. Some $150,000 of the $750,000 budget is already in the bank, and another $150,000 is in the pipeline. The Centre will be added to an existing and well-established visitor's site. It is reported to contain a lively and imaginatively-designed exhibit package, and promises to become a combination of educational tool and tourist attraction for the town of Lloydminster, Saskatchewan, in the heart of heavy oil country
Foeken, D.W.J.; Tellegen, N.
In some areas in sub-Saharan Africa a rural proletariat has emerged, consisting mainly of labourers living and working on plantations and large mixed farms. Besides these fully proletarianized estate workers, there is also a category of workers that can be labelled 'semi-proletarianized'. They live
Arief, H. Hanafi
Sexual harassment is a criminality that the government of Malaysia should give protection to the victims. Malaysia Criminal Act, Employment Act 1955, and Industrial Relations Act 1967 and Regulation or Act 117 were enforced to do. The protection includes any victim living in Malaysia without discrimination citizens or non-citizens, including labour migrants whether documented or undocumented. Sometimes employer violated their worker's rights because he believes that workers tend not to reveal...
Ariza-Montes, Antonio; Muniz, Noel M.; Montero-Simó, María José; Araque-Padilla, Rafael Angel
This paper aims to assess consistent predictors through the use of a sample that includes different actors from the healthcare work force to identify certain key elements in a set of job-related organizational contexts. The utilized data were obtained from the 5th European Working Conditions Survey, conducted in 2010 by the European Foundation for the Improvement of Living and Working Conditions. In light of these objectives, we collected a subsample of 284 health professionals, some of them from the International Standard Classification of Occupations—subgroup 22—(ISCO-08). The results indicated that the chance of a healthcare worker referring to him/herself as bullied increases among those who work on a shift schedule, perform monotonous and rotating tasks, suffer from work stress, enjoy little satisfaction from their working conditions, and do not perceive opportunities for promotions in their organizations. The present work summarizes an array of outcomes and proposes within the usual course of events that workplace bullying could be reduced if job demands were limited and job resources were increased. The implications of these findings could assist human resource managers in facilitating, to some extent, good social relationships among healthcare workers. PMID:23887621
María José Montero-Simó
Full Text Available This paper aims to assess consistent predictors through the use of a sample that includes different actors from the healthcare work force to identify certain key elements in a set of job-related organizational contexts. The utilized data were obtained from the 5th European Working Conditions Survey, conducted in 2010 by the European Foundation for the Improvement of Living and Working Conditions. In light of these objectives, we collected a subsample of 284 health professionals, some of them from the International Standard Classification of Occupations—subgroup 22—(ISCO-08. The results indicated that the chance of a healthcare worker referring to him/herself as bullied increases among those who work on a shift schedule, perform monotonous and rotating tasks, suffer from work stress, enjoy little satisfaction from their working conditions, and do not perceive opportunities for promotions in their organizations. The present work summarizes an array of outcomes and proposes within the usual course of events that workplace bullying could be reduced if job demands were limited and job resources were increased. The implications of these findings could assist human resource managers in facilitating, to some extent, good social relationships among healthcare workers.
Climate change is expected to cause significant changes in water quantity and water quality in river basins throughout the world, with particularly significant impacts in developing regions. Climate change effects are often exacerbated by other simultaneous activities in developing countries, such as population growth, reliance on subsistence agriculture, and expanding provision of electricity. Each of these activities requires access to readily-available freshwater. For example, population growth requires more water for irrigation as food production needs increase. Additionally, water is needed for generating electricity in hydropower facilities as well as other facilities, which require water to run steam turbines or to cool facilities. As such, many developing countries face the real and immediate need to anticipate and adapt to climatic stresses on water resources in both the agricultural and residential sectors. Water withdrawal in both of these sectors is largely driven by individual behaviors, such as electricity use in the home and irrigation practices on farmland, aggregated at the household, community, and regional level. Our ongoing project in Sri Lanka focuses on understanding aforementioned issues in coupled natural and human systems in the Mahaweli River Watershed (MWR) to inform decision-makers to streamline policies and strategies for effective adaptation to worsening drought conditions. MWR produces more than 60% of the rice demand and nearly 40% of the energy requirement of the country. Although irrigation is currently the sector that withdraws the most water, with government plans for resettling farmer communities and developing new urban centers in the region by 2030, electricity production is expected to compete for water against irrigation in the future. Thus, understanding the water-energy nexus is crucial to planning for conservation and efficiency. Through a pilot survey conducted by our interdisciplinary research team, in five locations in
Grøntved, Berit; Carstensen, Ole; Petersen, Rolf
We report two cases of asthma among mink workers. The first case is about a mink farmer who had asthma that was difficult to treat. In the medical history there was no clear relation to work, and no conclusive work relation with peak flow monitoring. He had a positive histamine release test to mink...... urine. The second case is about a mink farm worker, who had an asthma attack when handling mink furs. Peak flow monitoring showed a clear relation to this work, but there were no signs of allergy. We conclude that these two cases suggest an increased risk of asthma among mink workers....
Hanson, Ginger C; Perrin, Nancy A; Moss, Helen; Laharnar, Naima; Glass, Nancy
Consumer-driven homecare models support aging and disabled individuals to live independently through the services of homecare workers. Although these models have benefits, including autonomy and control over services, little evidence exists about challenges homecare workers may face when providing services, including workplace violence and the negative outcomes associated with workplace violence. This study investigates the prevalence of workplace violence among homecare workers and examines the relationship between these experiences and homecare worker stress, burnout, depression, and sleep. We recruited female homecare workers in Oregon, the first US state to implement a consumer driven homecare model, to complete an on-line or telephone survey with peer interviewers. The survey asked about demographics and included measures to assess workplace violence, fear, stress, burnout, depression and sleep problems. Homecare workers (n = 1,214) reported past-year incidents of verbal aggression (50.3% of respondents), workplace aggression (26.9%), workplace violence (23.6%), sexual harassment (25.7%), and sexual aggression (12.8%). Exposure was associated with greater stress (p workplace aggression buffered homecare workers against negative work and health outcomes. To ensure homecare worker safety and positive health outcomes in the provision of services, it is critical to develop and implement preventive safety training programs with policies and procedures that support homecare workers who experience harassment and violence.
recognized as one of the most serious occupational health hazards reducing workers' satisfaction and productivity,. 1-3 ... Using a self- ... Kan D, Yu X. Occupational Stress, Work-Family. Conflict and Depressive Symptoms among Chinese.
The following topics are discussed: recommendations of the International Commission on Radiological Protection; methods for determining dose limits to workers; use of data from survivors of Hiroshima and Nagasaki for estimating risk factors; use of data from survivors of nuclear explosions in Marshall Islands, uranium miners, and patients exposed to diagnostic and therapeutic radiation; risk factors for radioinduced malignancies; evidence that risk factors for persons exposed to partial-body radiation and Japanese survivors are too low; greater resistance of A-bomb survivors to radiation; and radiation doses received by U.K. medical workers and by U.K. fuel reprocessing workers. It is suggested that the dose limit for radiation workers should be reduced by a factor of 5
Nilles, Jack M.
Examines the use of home computers and how they allow the worker to work at home rather than commuting. Discusses the growing trend of telecommuting, cost of operation, how it will affect company structure, and productivity. (CT)
Finch, Wilbur A., Jr.
The literature on the conflict between professional autonomy and bureaucratic controls is extensive. The author examines this literature in detail and concludes that the trend is toward further intrusions on worker autonomy.
Radiation workers are healthier than the average person in the general population and appear to be as healthy as workers in other ΣsafeΣ industries. It is, however, assumed that there is no safe dose of radiation and that any exposure to radiation will cause a small increase in the incidence of cancer, this increase being directly proportional to the total radiation dose. On the basis of the risk estimates given by ICRP, radiation exposures up to 1 rem per year for 47 years are predicted to cause fewer work-related deaths than expected for the average worker in Canadian industry. Radiation exposures of 5 rem per year from age 18 to 65 would result in predicted risk which is about four times higher than that for most workers in Canada and might increase the chances of death before age 75 to nearly the same level as for the average member of the general public. (auth)
Department of Transportation — This data set contains DOT employee workers compensation claim data for current and past DOT employees. Types of data include claim data consisting of PII data (SSN,...
Hulsegge, Gerben; Gupta, Nidhi; Holtermann, Andreas; Jørgensen, Marie Birk; Proper, Karin I; van der Beek, Allard J
Objective Physical inactivity has been hypothesized as an underlying factor for the association between shift work and adverse health outcomes. We compared leisure-time and occupational physical activity and sedentary behavior between day, night, and non-night shift workers. Methods We identified 612 day workers, 139 night shift workers and 61 non-night shift workers aged 18-65 years (54% men) in two Danish studies: the New method for Objective Measurements of physical Activity in Daily living (NOMAD) and the Danish Physical ACTivity cohort with Objective measurements (DPhacto) between 2011-2013. Sedentary behavior, light, and moderate-to-vigorous physical activity were measured using an accelerometer. Physical activity was expressed as percentage of leisure and work time spent in each activity. Linear regression analyses were used to test differences in physical activity and sedentary behavior between day, night, and non-night shift workers. Results No differences in leisure-time sedentary behavior and physical activity were observed between day and shift workers (P>0.05). Non-night shift workers spent 7.2% [95% confidence interval (95% CI) 2.3-12.1) more time in occupational sedentary behavior than day workers and 5.9% (95% CI -10.1- -1.7) and 1.9% (95% CI -3.7- -0.2) less time in occupational light and moderate-to-vigorous physical activity, respectively. Compared to day workers, night shift workers spent 4.3% (95% CI 2.4-6.1) more time at work in uninterrupted sedentary periods of ≥30 minutes. Conclusions Shift workers had similar leisure-time physical activity patterns as day workers, but were more sedentary at work. Future research should elucidate whether occupational physical inactivity and sedentary behavior contributes to shift work-related adverse health effects.
Goes Fischer, M.D. de; Associacao Brasileira de Direito Nuclear, Rio de Janeiro)
Juridical aspects with respect to the workers in nuclear activity are presented. Special emphasis is given to the clauses of the statute of workers (Consolidacao das Leis do Trabalho) the rules of the Ministerio do Trabalho and the rules of the Comissao Nacional de Energia Nuclear. The performance of the international authorities is also emphasized such as the International Labour Organization, the International Atomic Energy Agency and the International Radiological Protection Commission. (Author) [pt
Caldwell, B.; Duncan, P.; Myers, J. [Oceaneering Space Systems, Houston, TX (United States)
The Department of Energy (DOE) is in the process of defining the magnitude and diversity of Decontamination and Decommissioning (D&D) obligations at its numerous sites. The DOE believes that existing technologies are inadequate to solve many challenging problems such as how to decontaminate structures and equipment cost effectively, what to do with materials and wastes generated, and how to adequately protect workers and the environment. Preliminary estimates show a tremendous need for effective use of resources over a relatively long period (over 30 years). Several technologies are being investigated which can potentially reduce D&D costs while providing appropriate protection to DOE workers. The DOE recognizes that traditional methods used by the EPA in hazardous waste site clean up activities are insufficient to provide the needed protection and worker productivity demanded by DOE D&D programs. As a consequence, new clothing and equipment which can adequately protect workers while providing increases in worker productivity are being sought for implementation at DOE sites. This project describes the development of an Advanced Worker Protection System (AWPS) which will include a life-support backpack with liquid air for cooling and as a supply of breathing gas, protective clothing, respirators, communications, and support equipment.
The apparent link recently found by Dr. Najarian between cancer among workers at a US Naval dockyard where up to 5000 civilian employees have been exposed to low dose irradiation while servicing nuclear ships and their radiation exposure is discussed. The study has revealed that 38.4% of the deaths of nuclear workers at the Portsmouth Naval Shipyard in New Hampshire were caused by cancer while the comparable rate for non-nuclear shipyard workers was 21.7% and the national average in the United States is 18%. The Portsmouth study, launched in October 1977, was based on a survey of 1722 death certificates of shipyard employees and interviews with 592 next-of-kin. In addition the results show that the rate of leukaemia of the shipyard workers was 450% higher than that of the general population, and the incidence of lymph gland cancers was 125% higher than the national rate. The most startling statistics compared mortality among workers aged 60 to 69. In this age group nearly 60% of the nuclear employees had died of cancer, while the cancer death rate among non-nuclear workers was only 26%. If these results are confirmed present ideas concerning the effects of low doses of radiation must be challenged. (U.K.)
Caldwell, B.; Duncan, P.; Myers, J.
The Department of Energy (DOE) is in the process of defining the magnitude and diversity of Decontamination and Decommissioning (D ampersand D) obligations at its numerous sites. The DOE believes that existing technologies are inadequate to solve many challenging problems such as how to decontaminate structures and equipment cost effectively, what to do with materials and wastes generated, and how to adequately protect workers and the environment. Preliminary estimates show a tremendous need for effective use of resources over a relatively long period (over 30 years). Several technologies are being investigated which can potentially reduce D ampersand D costs while providing appropriate protection to DOE workers. The DOE recognizes that traditional methods used by the EPA in hazardous waste site clean up activities are insufficient to provide the needed protection and worker productivity demanded by DOE D ampersand D programs. As a consequence, new clothing and equipment which can adequately protect workers while providing increases in worker productivity are being sought for implementation at DOE sites. This project describes the development of an Advanced Worker Protection System (AWPS) which will include a life-support backpack with liquid air for cooling and as a supply of breathing gas, protective clothing, respirators, communications, and support equipment
Full Text Available Background: Incinerator workers are not considered to have arsenic overexposure although they have the risk of overexposure to other heavy metals. Aim: To examine the relationship between arsenic burden and risk of occupational exposure in employees working at a municipal refuse incinerator by determining the concentrations of arsenic in the blood and urine. Settings and Design: The workers were divided into three groups based on their probability of contact with combustion-generated residues, namely Group 1: indirect contact, Group 2: direct contact and Group 3: no contact. Healthy age- and sex-matched residents living in the vicinity were enrolled as the control group. Materials and Methods: Heavy metal concentrations were measured by atomic absorption spectrophotometer. Downstream rivers and drinking water of the residents were examined for environmental arsenic pollution. A questionnaire survey concerning the contact history of arsenic was simultaneously conducted. Statistical analysis: Non-parametric tests, cross-tabulation and multinomial logistic regression. Results: This study recruited 122 incinerator workers. The urine and blood arsenic concentrations as well as incidences of overexposure were significantly higher in the workers than in control subjects. The workers who had indirect or no contact with combustion-generated residues had significantly higher blood arsenic level. Arsenic contact history could not explain the difference. Airborne and waterborne arsenic pollution were not detected. Conclusion: Incinerator workers run the risk of being exposed to arsenic pollution, especially those who have incomplete protection in the workplace even though they only have indirect or no contact with combustion-generated pollutants.
Jacobs, Cheryl; Thomas, Charlie
The shortage of cadaveric organs and increased success of living donor transplantation support the use of living organ donors. Clinical social workers have the opportunity to explore a variety of donor-specific issues when performing psychosocial evaluations of living donors, including motivation, psychological stability, and personal and family consequences of donation, as well as the direct and indirect financial consequences faced by living donors. Although most donor-related medical costs are covered, other associated expenses are not reimbursable and may put donors at risk for financial hardship. Out-of-pocket expenses also serve as a disincentive to donate for some volunteers. During the evaluation process, healthcare professionals should openly discuss how surgery, recovery, and any potential complications might impact prospective donors' financial situation. Donors can then decide whether they are able to realistically handle the costs of donation. We present the financial dilemmas experienced by many living donors and highlight efforts that have been made to deal with them.
(2013-16) undertaken by Centre for Urban Equity (CUE),. CEPT University in ... types of violence on the poor and by the poor in Indian cities. This policy brief traces ... businesses." ... High transport costs must also be incurred to access public ...
The BSUP sites, constructed under the Government of India's .... conflicts over paying for maintenance lead to unrepaired water and ... So some women reacted and broke things in the office." ... workplaces, leading many to drop out of work or.
The Karen Women’s Organisation; Sarah Fuller; Eileen Pittaway
With little support and often under threat, members of theKaren Women’s Organisation have conducted research,provided programmes and support, and challenged thewisdom of international NGOs and UNHCR.
De Silva, Angela; Senarath, Upul; Mbuya, Nkosinathi; Navaratne, Kumari
Full text: Introduction: Over 250000 persons were displaced within the Northern Province, Sri Lanka at the end of the war (2009/10). With the ensuing resettlement process, the Japan Social Development Fund emergency project (JSDF) on Local Nutrition interventions for the Northern Province was implemented to combat undernutrition in children. A baseline survey was undertaken to describe prevalence of acute malnutrition among children < 5 years in the Northern Province and associated factors that would inform project activities of supplementary feeding, community mobilization and behavior change communication. Methodology: A cross sectional survey using a multistage cluster sampling design evaluated nutrition status in a representative sample of 2600 children aged 0-5 years from the Northern Province. Height and weight were measured using standard survey equipment, and anthropometric indices (height-for-age Z, weight-for-age Z, weight-for-height) were calculated using WHO growth standards and Anthro software. An interviewer-administered questionnaire elicited data on breastfeeding, complementary feeding and nutrition knowledge and practices of caregivers. Significant factors associated with nutrition indicators were identified by multiple logistic regression analysis [presented as Adjusted Odds Ratios (AOR)]. Results: Prevalence of Global Acute Malnutrition (WHZ<-2) among children aged 0-5 years was 20.1%; Moderate Acute Malnutrition (MAM; WHZ<-2 and ≥-3) was 15.7% and 5.6 % had Severe Acute Malnutrition (SAM; WHZ<-3). Multivariate analysis of younger children (0-23 months) showed that SAM and MAM were associated with increasing age [12-17 month olds were more likely to be wasted compared to younger children (AOR 1.7)]. Other associated factors were low birth weight (AOR 1.54) and lack of toilets (AOR 2.02), a proxy indicator of poor socioeconomic status. Risk of wasting was greater with recent episodes of acute respiratory infection (AOR 1.51). Assessment of
Elouyse Fernandes Leitão
Full Text Available Objective: To describe the health practices adopted by sex workers in their daily lives. Methods: A qualitative study that took place at bars where sex workers of Maceió –AL, Brazil, work. The universe of participant subjects was integrated by 15 female sex workers, aged between 20 and 39 years, assisted by the team of a Street Clinic. The research took place between August and October 2011 and women were randomly selected. Data was collected through semi-structured interviews, which were all audio-recorded and transcribed for further analysis and interpretation. Results: Thematic analysis of the data produced and the theoretical framework of health promotion enabled the categorization of the health practices in daily life of these women, such as: prevention of sexually transmitted diseases, body care and aesthetics, physical activity, nutrition, leisure, interpersonal relationships, consumption of alcohol and others drugs, self-medication, and quest for health services. The ways they appropriate themselves of such practices are conditioned by the social vulnerability and economic and sociocultural context they are in. Conclusion: Despite the deficiencies found in the development of these practices, sex workers seek to preserve habits that improve their physical, social and mental health, as well as the pursuit of professional care and services to promote their health.
Al-Emad, N. H.; Rahman, I. A.
This paper presents an exploratory study conducted in Makkah city to uncover issues faced by construction workers from the construction leaders’ perspective. Eleven construction leaders/experts were interviewed to unleash their experiences on handling the foreign workers working in Makkah construction projects. Most of the experts are senior management staffs with more than 10 years’ working experience in Saudi Arabia construction industry. The interviews were carried out in semi structured mode where all the information was captured manually and also electronically. The identified issues were sorted based on its commonality into 10 clusters. Hence in each cluster, the numbers of issue considered by the experts are reflecting the importance of that particular cluster. The result of the clusters according to the number of issues mentioned by the experts are safety issues, restricted government regulation, demotivated issues, lack of quality workers, poor living quality, communication barriers, adaption issues, poor attitudes, lack of logistical arrangements and lack of education. With these identified issues it will assist the construction players in the construction industry of Saudi Arabia in dealing with their workers.
Hudson, Christina Camille; Adams, Susie; Lauderdale, Jana
The purpose of this integrative review of the literature is to examine cultural expressions of intergenerational trauma among refugees following resettlement, and to determine culturally sensitive mental health care practice implications for health care practitioners working in U.S. health care delivery. Data were collected utilizing a comprehensive computer-assisted search in CINAHL and PsychARTICLES/ProQuest from 2003 to 2013 of full text, peer-reviewed, scholarly journal articles, published in English. Eight articles met selection criteria and were analyzed using Gadamer's philosophical interpretation of play, symbolism, and festival in The Relevance of the Beautiful Six recurrent themes were identified important to refugee health care delivery: silence, communication, adaptation, relationship, remembering, and national redress. Practitioners need to consider cultural influences of intergenerational trauma in processing grief related to loss and how artistic modes of expression are experienced, both individually and communally, in refugee health care delivery. © The Author(s) 2015.
LaMancuso, Kate; Goldman, Roberta E; Nothnagle, Melissa
This study characterized the perspectives of Karen refugee women in Buffalo, NY, their medical providers, and Karen interpreters/doulas on perinatal care for Karen women in resettlement. In-depth qualitative interviews with Karen women (14), Karen doulas/interpreters and key informants (8), and medical providers (6) were informed by the social contextual model and focused on women's questions about and opinions of perinatal care in Buffalo and on providers' experiences caring for Karen patients. Karen women expressed gratitude for and understanding of perinatal care in Buffalo, and providers described Karen patients as agreeable but shy. Karen doulas offered an alternative view that exposed women's many questions and concerns, and described how doula training empowered them as patients' advocates. Low self-efficacy, trauma histories, and cultural expectations may contribute to Karen women's seeming agreeability. Doulas/interpreters possess insider knowledge of women's concerns and facilitate communication between patients and the care team.
Palic, Sabina; Kappel, Michelle; Nielsen, Monica
. Insufficient acknowledgment of the collective load of bio-psycho-social problems in this patient group hinders effective psychiatric and social service utilization outside the specialized clinics for traumatized refugees. METHODS: The level of psychiatric disability in traumatized refugees from Danish......BACKGROUND: Currently, the mental health issues of traumatized refugees are mainly documented in terms of posttraumatic stress disorder, depression, and anxiety. Importantly, there are no reports of the level of psychiatric disability in treatment seeking traumatized refugees resettled in the West...... collected data indicated that despite their outpatient status, traumatized refugees had higher levels of psychiatric disability at pre-treatment compared to most inpatients. Moreover, the traumatized refugees had a HoNOS profile characterized by an overall high problem level in various psychiatric...
Evaluation of efficacy of the managed population transmigration from zone of obligate (compulsory) resettlement as a measure of civil protection after the Chernobyl NPP accident from the perspective of radiation biology. Materials and methods. Legislative and statutory-tutorial documents that regulate the managed population shift from radiologically contaminated territories of Ukraine and data from the Ukrainian State Service of Statistics on time limits and scopes of population transmigration from contaminated settlements were the informational back ground of the study. Data on retrospective and expected/anticipated radiation doses in population of settlements exposed to radiological contamination in Ukraine after the Chernobyl disaster summarized for the 1986-1997 period and up to 2055 were the information source for calculation of averted doses due to population shift. Battery of basic research empirical evidence review methods was applied under the calculation, systemic, and biomedical approach. Population shift from zone of obligate (compulsory) resettlement (hereafter referred to as Zone 2) to stop the radiation exposure as a tool of civil protection from emergency ionizing radiation after the Chernobyl NPP accident was scientifically substantiated and expedient from the perspective of radiation biology. Estimability of a managed population shift from 'dose-effect' perspective and 'benefit/harm' principle is worse because of data absence on individual radiation doses to migrants in the country. Public shift in 1990 and 1991 was most effective from the viewpoint of level of averted lifetime dose. Due to transmigration the averted lifetime dose to the most vulnerable group of the Chernobyl disaster survivors i.e. children aged 0 years varied from 11.2 to 28.8 mSv (calculated for the Perejizdiv village council of Zhytomyr province). Since 2000 there was almost no public shift being not accomplished in the scheduled scope. Delay and incompleteness of
Rębała, Krzysztof; Martínez-Cruz, Begoña; Tönjes, Anke; Kovacs, Peter; Stumvoll, Michael; Lindner, Iris; Büttner, Andreas; Wichmann, H-Erich; Siváková, Daniela; Soták, Miroslav; Quintana-Murci, Lluís; Szczerkowska, Zofia; Comas, David
Homogeneous Proto-Slavic genetic substrate and/or extensive mixing after World War II were suggested to explain homogeneity of contemporary Polish paternal lineages. Alternatively, Polish local populations might have displayed pre-war genetic heterogeneity owing to genetic drift and/or gene flow with neighbouring populations. Although sharp genetic discontinuity along the political border between Poland and Germany indisputably results from war-mediated resettlements and homogenisation, it remained unknown whether Y-chromosomal diversity in ethnically/linguistically defined populations was clinal or discontinuous before the war. In order to answer these questions and elucidate early Slavic migrations, 1156 individuals from several Slavic and German populations were analysed, including Polish pre-war regional populations and an autochthonous Slavic population from Germany. Y chromosomes were assigned to 39 haplogroups and genotyped for 19 STRs. Genetic distances revealed similar degree of differentiation of Slavic-speaking pre-war populations from German populations irrespective of duration and intensity of contacts with German speakers. Admixture estimates showed minor Slavic paternal ancestry (~20%) in modern eastern Germans and hardly detectable German paternal ancestry in Slavs neighbouring German populations for centuries. BATWING analysis of isolated Slavic populations revealed that their divergence was preceded by rapid demographic growth, undermining theory that Slavic expansion was primarily linguistic rather than population spread. Polish pre-war regional populations showed within-group heterogeneity and lower STR variation within R-M17 subclades compared with modern populations, which might have been homogenised by war resettlements. Our results suggest that genetic studies on early human history in the Vistula and Oder basins should rely on reconstructed pre-war rather than modern populations.
Gunko, N V
Evaluation of efficacy of the managed population transmigration from zone of obligate (compulsory) resettlement as a measure of civil protection after the Chernobyl NPP accident from the perspective of radiation biology. Legislative and statutory tutorial documents that regulate the managed population shift from radiologically contaminated territories of Ukraine and data from the Ukrainian State Service of Statistics on time limits and scopes of population transmigration from contaminated settlements were the informational back ground of the study. Data on retrospective and expected/anticipated radiation doses in population of settlements exposed to radiological contamination in Ukraine after the Chernobyl disaster summarized for the 1986-1997 peri od and up to 2055 were the information source for calculation of averted doses due to population shift. Battery of basic research empirical evidence review methods was applied under the calculation, systemic, and biomedical approach. Population shift from zone of obligate (compulsore) resettlement (hereafter referred to as Zone 2) to stop the radiation exposure as a tool of civil protection from emergency ionizing radiation after the Chernobyl NPP accident was scientifically substantiated and expedient from the perspective of radiation biology. Estimability of a managed population shift from "dose effect" perspective and "benefit/harm" principle is worse because of data absence on individual radiation doses to migrants in the country. Public shift in 1990 and 1991 was most effective from the viewpoint of level of averted lifetime dose. Due to transmigration the averted lifetime dose to the most vulnerable group of the Chernobyl disaster survivors i.e. children aged 0 years varied from 11.2 to 28.8 mSv (calculated for the Perejizdiv village council of Zhytomyr province). Since 2000 there was almost no public shift being not accomplished in the scheduled scope. Delay and incompleteness of transmigration have diminished the
Mace, Ariel Olivia; Mulheron, Shani; Jones, Caleb; Cherian, Sarah
There are limited data regarding the educational backgrounds and associated psychological and developmental outcomes of refugee children resettling in Western Australia (WA). The WA paediatric Refugee Health Service (RHS) revised its first consult questionnaire (August 2011) to increase educational and psychosocial documentation, concurrent with engagement of a School of Special Educational Needs: Medical and Mental Health (SSEN: MMH) liaison teacher. This study aims to utilise these data to increase understanding of this cohort's educational, developmental and psychological needs and to describe SSEN: MMH's role within the RHS. Retrospective audit and analyses were performed on all initial standardised questionnaires for school-aged refugee children (4-18 years) and SSEN: MMH referrals between August 2011 and December 2012. Demographic data from 332 refugees are described (mean age 9.58 ± standard deviation 3.43 years). Detailed educational information was available for 205 children. Prior education was limited (median 2 years), 64.9% experienced likely schooling interruption and 55.8% received education in their primary language. Language development concerns were significantly associated with previous education in a second language (odds ratio (OR) 4.55, P schooling issues were uncommon at presentation, with few correlations to prior education. In contrast, several migration factors, including family separation and mandatory detention, were significantly associated with psychological comorbidities such as post-traumatic stress disorder (OR 5.60, P children have varied migration, trauma and educational backgrounds, impacting on health and psychological outcomes. In-depth multidisciplinary history including prior education and psychosocial issues is recommended. Partnering with education services appears to play an effective, multifaceted role in aiding resettlement; however, longitudinal studies are required. © 2014 The Authors. Journal of Paediatrics and Child
McCann, Michael; Hunting, Katherine L; Murawski, Judith; Chowdhury, Risana; Welch, Laura
Contact with electrical current is the fourth leading cause of deaths of construction workers. This study evaluates electrical deaths and injuries to construction workers. Two sources of data were analyzed in detail: (1) 1,019 electrical deaths identified by the Bureau of Labor Statistics, Census of Fatal Occupational Injuries (CFOI) for the years 1992-1998; and (2) 61 electrical injuries identified between November 1, 1990 and December 31, 1998 from a George Washington University Emergency Department injury surveillance database. Contact with "live" electrical wiring, equipment, and light fixtures was the main cause of electrical deaths and injuries among electrical workers, followed by contact with overhead power lines. Among non-electrical workers, contact with overhead power lines was the major cause of death. Other causes included contact with energized metal objects, machinery, power tools, and portable lights. Arc flash or blast caused 31% of electrical injuries among construction workers, but less than 2% of electrical deaths. Adoption of a lockout/tagout standard for construction, and training for non-electrical workers in basic electrical safety would reduce the risk of electrical deaths and injuries in construction. Further research is needed on ways to prevent electrical deaths and injuries while working "live". Copyright 2003 Wiley-Liss, Inc.
ten Brummelhuis, Lieke L.; Bakker, Arnold B.; Euwema, Martin C.
Previous studies have convincingly shown that employees' family lives can affect their work outcomes. We investigate whether family-to-work interference (FWI) experienced by the employee also affects the work outcomes of a co-worker. We predict that the employee's FWI has an effect on the co-worker's outcomes through the crossover of positive and…
Gannagé, C M
Immigrant women's conditions of work have worsened with new government and managerial strategies to restructure the Canadian apparel industry. Changes in occupational health and safety legislation have both given and taken away tools that immigrant women workers could use to improve the quality of their working lives. The author outlines a methodology for eliciting the health and safety concerns of immigrant women workers.
An, Qiuling; Chapman, Mimi V.
Social work is emerging as a rapidly developing profession in mainland China, a unique context that affects how these new social workers view themselves, their professional identity, and their work. Few studies explore the lived experiences of these new social workers as they enter agencies and begin working with clients while interacting with…
Murray, Michael; Ziegler, Friederike
Community health psychology is an approach which promotes community mobilisation as a means of enhancing community capacity and well-being and challenging health inequalities. Much of the research on this approach has been at the more strategic and policy level with less reference to the everyday experiences of community workers who are actively involved in promoting various forms of community change. This article considers the narrative accounts of a sample of 12 community workers who were interviewed about their lives. Their accounts were analysed in terms of narrative content. This revealed the tensions in their everyday practice as they attempted to overcome community divisions and management demands for evidence. Common to all accounts was a commitment to social justice. These findings are discussed with reference to opportunities and challenges in the practice of community work. © The Author(s) 2015.
Full Text Available Previous studies have convincingly shown that employees' family lives can affect their work outcomes. We investigate whether family-to-work conflict (FWC experienced by the employee also affects the turnover intention of a co-worker. We predict that the employee's FWC has an effect on the co-worker's turnover intention through the crossover of positive and negative work attitudes. Using a sample of 154 co-worker dyads, we found that the employee FWC was positively related to co-worker turnover intention through the crossover of (reduced work engagement. Results show that family matters at work, affecting employee. In addition, employee's job engagement was positively related to his (her co-worker job engagement and it was negatively related co-worker turnover intention and employee's FWC was not positively related to co-worker turnover intention trough the crossover of (reduced feelings of engagement.
BIDDLE, LOUREIDE J.; BIDDLE, WILLIAM W.
THIS TRAINING GUIDE IS WRITTEN TO MEET THE NEEDS OF UNIVERSITIES AND COLLEGES TO WHICH THE PEACE CORPS, VISTA, CHURCHES, AND OTHER VOLUNTEER-USING AGENCIES TURN FOR HELP IN TRAINING THE NONPROFESSIONAL OR PREPROFESSIONAL LOCAL WORKER IN COMMUNITY DEVELOPMENT. THE LESSONS ARE DIRECTED TO THE "ENCOURAGER" WHO LIVES WITH THE PEOPLE PARTICIPATING IN…
Visser, Miranda; Mills, Melinda; Heyse, Liesbet; Wittek, Rafael; Bollettino, Vincenzo
A limited body of research has examined satisfaction with work-life balance of expatriate workers who live abroad, residing outside the typical family or life domain. This study aims to demonstrate how and under which organizational circumstances job autonomy can increase work-life balance
It has been just 2 centuries since France began to struggle seriously against mortality and excess fertility. Life expectancy, which for millenia had been under 30 years at birth, began to increase because of the discovery of effective treatments, improved production and standards of living, and access of large numbers of persons to health care. France, in the 2nd half of the 18th century, became the first country in which fertility regulation was achieved on a wide scale. The failure of England, a country of similar culture, to follow suit until a century later remains unexplained. After World War II, simple and fairly inexpensive means of mortality control, such as vaccines and water purifiers, became widely distributed throughout the developing world. These countries, which traditionally had mortality rates of 35 or 40/1000 and fertility of 40-45/1000, experienced rapid declines in mortality rates while their fertility remained constant or even increased. Because antinatal techniques diffused so much more slowly, the equilibrium of births and deaths was disturbed as rates of increase of 2 or 3% per year became common. Although the inhabitants of poor countries were not concerned, perhaps through ignorance of what was occurring, the rich countries were alarmed by the increase. Their principal objective became to spread contraception in the poor countries. The available methods at the time, however, were none too reliable. When oral contraceptive pills became available, fertility dropped to very low levels in Europe but such factors as cost and illiteracy discouraged use in many underdeveloped countries. Fertility declined in a few insular states such as Hong Kong, Taiwan, and Singapore even before the appearance of pills. Life expectancies in developing countries except a few in Africa have increased since World War II and are now higher than in Europe at the turn of the century. "Health for all by the year 2000" is an astonishing slogan for a serious
Due to the severe economic decline in the automobile manufacturing industry in southeastern Michigan, a Dislocated Workers Program has been developed through the partnership of the Flint Area Chamber of Commerce, three community colleges, the National Center for Research in Vocational Education, the Michigan State Department of Education, the…
Romano, Eugenia; Elklit, Ask
Introduction: This study investigates which factors had the biggest impact on developing distress in rescue workers who were involved in a firework factory explosion. Method: Four hundred sixty-five rescuers were assessed using items investigating demographic factors, organizational variables, so...
Huck, Gary; Gilmore, Peter
This document consists of one page chapters each documenting women's roles in changing the conditions for U.S. workers during and after the industrial revolution. Each chapter is a series of period style drawings with captions detailing the story of that particular incident and cartoon balloons offering humorous comments from the participants. The…
The global integration of economies worldwide has led to increased pressure for "labor flexibility". A notable aspect of this trend has been the rise in non-standard work arrangements, which include part-time work, temporary agency-based work, fixed-term contingent work, and independent contracting. Although non-standard work arrangements are convenient for employers, they are often associated with poor pay, absence of pension and health benefits, as well as lack of protection from unions and labor laws. Studies have begun to address the question of whether these "precarious" jobs pose a health hazard for workers. The challenge for causal inference is that precarious workers are likely to differ from non-precarious workers in a variety of characteristics that also influence health outcomes, i.e. there is confounding and selection bias. However, even after taking account of these biases--through propensity score-matched analysis--there is evidence to suggest that non-standard work may be damaging to workers' health. Policies modeled after the European Union's Directive on Part-Time Work may help to mitigate some of the health hazards associated with precarious work.
Full Text Available Global Production System has changed remarkably over the period of time. In order to cope up with the change in the nature and type of production, the small and household garment and textile units are employing the younger and skilled labor force. The workers in these units are employed on the contract, causal and temporary basis. They are not given the different benefits as applicable to the large scale unit workers. Such workers are employed more hours and weekly holidays are not given to them. The small and household units are simply maximizing their interest and profit. Such capitalist nature of productive activities makes the labor worse. They are given less wages and classified as unskilled workers. Workers are not given proper training and security of work by these units. Their access to productive assets and standard of living is low as compare to the large unit’s workers. In order to improve the workers conditions, minimum wage should be given to all workers in small and household units. Such units must maintain their annual records of transactions. Small and household units must send their workers for compulsory training. Work place environment, minimum hours of work are required to regulate in these sectors. Immediate steps will have positive impact on workers earning and standard of living. It will help for further productivity enhancement.
Jessup, Denise; Greenberg, Barbara
Describes program innovations to keep older workers employed: retraining, job sharing, flexible working hours, job redesign, and phased retirement. Addresses costs and savings, disincentives for workers and employers, and future trends. (SK)
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Micropolítica do trabalho vivo em ato, ergologia e educação popular: proposição de um dispositivo de formação de trabalhadores da saúde The micropolitics of living work in the act, ergology and popular education: a proposition of a device to train health workers
Suze Rosa Sant'Anna
Full Text Available O presente artigo tem como objetivos discutir o trabalho em saúde e apresentar um dispositivo para a formação de trabalhadores sob a ótica do conceito ampliado de saúde, fundamentado em três principais referenciais teóricos: a démarche ergológica e seu dispositivo dinâmico a três polos de Yves Schwartz, a cartografia da micropolítica do trabalho vivo em ato de Emerson Elias Merhy e a educação popular em saúde, inspirada em Paulo Freire. Espera-se com este estudo contribuir para a reflexão e a construção de uma estratégia de formação para intensificar a inserção dos estudantes nos cenários de prática que enfatizem a construção compartilhada de conhecimentos e favoreçam especialmente a produção e efetivação de saberes e dos aspectos relacionais que compõem o núcleo tecnológico do cuidado em saúde.This article aims to discuss the work done in the health area and to present a tool to train workers under the light of the expanded concept of health, based on three main theoretical frameworks: Yves Schwartz' ergology demarche and its dynamic threepole tool; Emerson Elias Merhy's cartography of the micropolitics of living work in the act; and the popular health education, inspired in Paulo Freire. It is hoped that this study will contribute to a reflection on and to the construction of a training strategy to enhance the integration of students in practical activities that emphasize the shared construction of knowledge and, especially, encourage the production and realization of knowledge and relational aspects that make up the technological core in health care.
High occurrence of giardiasis in children living on a 'landless farm workers' settlement in Araras, São Paulo, Brazil Alta ocorrência de giardíase em crianças do Assentamento Sem Terra, Araras, São Paulo, Brasil
Oswaldo Aparecido de Lima Junior
Full Text Available Enteric parasitosis remains an important public health problem in many areas around the world including in Brazil, and it is frequently associated with poverty and lack of sanitation facilities. Research carried out over the course of a year revealed that 96.6% (28/29 of children randomly selected from a 'landless farm workers' settlement in Araras, São Paulo, aged 4 - 15 years, presented Giardia intestinalis cysts. After referral to the neighborhood Health Office, all the children received tinidazole, given as a single dose of 50 mg/kg and 12 months later, new fecal samples were collected and analyzed. Despite the low adherence to the study, a high percentage (64.3% - 9/14 of the children remained positive for the parasite. This study showed a high positivity of giardiasis in child residents of the settlement, even after treatment; adults were not sensitized to the study and did not collected and/or deliver children fecal samples. The precarious living conditions are consistent with a high susceptibility to parasitic diseases, suggesting that the treatment of the infected individuals without identifying and eradicating the means of contamination is simply a palliative measure.Enteroparasitoses continuam a ser um importante problema de saúde pública em muitas áreas ao redor do mundo, bem como no Brasil, e está frequentemente associada com a pobreza e à falta de saneamento básico. Pesquisa realizada em um ano revelou que 96,6% (28/29 das crianças com idades entre quatro e 15 anos, recrutadas aleatoriamente no Assentamento Sem Terra em Araras, São Paulo, apresentaram cistos de Giardia intestinalis. Após o encaminhamento ao Posto de Saúde do bairro, todos receberam tinidazol, dose única de 50 mg/kg. Após 12 meses, novas amostras de fezes foram coletadas e analisadas. Apesar da baixa adesão ao estudo, um percentual elevado (64,3% - 9/14 de crianças permaneceu positivo para o protozoário. Este estudo mostrou alta positividade de giard
Full Text Available The paper looks at the phenomenon of migrant workers who emigrated to Western European countries after World War II. The labor demands created by the economic reconstruction of these countries, most notably Great Britain, West Germany, France, Switzerland, the Benelux countries, Sweden and Austria, coupled with low birth rates and high death rates, made it necessary for them to hire immigrant workers. On the other hand, poor economic conditions, few employment opportunities and a yearning for a higher standard of living drove workers from Italy, Spain, Portugal, Turkey, Yugoslavia, Greece, Ireland, Finland and North Africa to seek work abroad. These temporary migrant workers represent a link between their countries of origin and their host countries, and, as a group of people maintaining links with their native countries, they can also be considered their countries’ diaspora. However, considering the temporary nature of their residence abroad, it is questionable whether they actually are a diaspora. It is for this reason that the paper juxtaposes the phenomena of the diaspora and temporary migrant workers in order to analyze the question of whether, when and how these workers become a diaspora. In particular, it focuses on migrant workers from Yugoslavia, usually referred to as “gastarbajteri” (gastarbeiter, who in the 1960s and 1970s migrated mostly to West Germany, Austria, Australia, France and Switzerland, and on their political treatment by the Yugoslav state.
Glicken, Morley D
In the current economy, companies are expected to turn on a dime in response to changing market needs to stay vibrant. What that means is that companies are constantly reorganizing. Employees are living in a constant state of change. This dynamic in the workplace has affected worker satisfaction, morale, and burnout. This is the first treatment manual to focus on treating job-related issues, whether it's conflict in the workplace, stress, burnout, performance, and more. Divided into two parts, Part One sets the stage with a discussion of the economic climate and how it impacts businesses, h
Full Text Available Information and communication tools (ICTs have become a major influencer of how modern work is carried out. Methods of user-centered design do not however take into account the full complexity of technology and the user interface context the users live in. User interface culture analysis aims providing to designers new ways and strategies to better take into account the current user interface environment when designing new products. This paper describes the reasons behind user interface culture analysis and shows examples of its usage when studying mobile and distributed knowledge workers.
van Ommeren, Jos; Fosgerau, Mogens
This paper applies a dynamic search model to estimate workers' marginal costs of commuting, including monetary and time costs. Using data on workers' job search activity as well as moving behaviour, for the Netherlands, we provide evidence that, on average, workers' marginal costs of one hour...
Chansarkar, M. A.
The philosophy of Workers Education in India is that strong and enlightened trade unions could be of great value in the rapid industrialization of the country. The Central Board for Workers Education has devised a number of training programs, the most important of which are training of education officers, worker-teachers training, and training…
J S Pasricha
Full Text Available A survey of 112 workers of a silk facory near Bangalore, for dermatologic diseases revealed (1 a characteristic wearing off of the medial halves of the distal free edges of the finger nail plates in 10 of the 15 cocoonsorters, (2 maceration of the palms in 58 workers of the boiling and reeling section, and (3 pitted keratolysis of the palms, in 42 workers, also from the boiling and reeling section. There was no clinical evidence of contact dermatitis, and patch tests with the silk thread from the cocoons in 25 workers showed a very mild reaction in 2 workers and a doubtful reaction in another two. In addition, one worker from the skeining section had crisscross superficial fissures on the finger tips caused by friction, two workers had paronychia ′of the fingers and four workers had dermatophytFNx01t fingers webs. As in the previous survey, these workers also had a high incidence of ichthyosis (92 workers and hyperketatosis of the palms (62 workers and soles (110 workers.
This paper discusses relocation stress experienced by an agro-pastoral community of Makueni district during eviction from their former settlement areas thus causing the untold socio-cultural and economic suffering during eviction, transitional, shifting and resettlement stages. The relocation involved three communities formerly settled in Chyulu hills in Makueni district, Kalembwani in Kajiado district and Kibwezi township in Makueni district whose occupation was agro-pastoral production. The relocation was involuntary and unplanned and had adversely disrupted their food-security, socio-cultural and economic welfare. The study of the Muuni community spanned a period of over three years (1996 - 1999). The '5-stage socio-economic change model' studied in this study shows the ensuring adjustment process most likely to be experienced when top-down policy decisions are taken and how this affects farming communities within semi-arid lands of Kenya where involuntary and unplanned resettlement of people takes place
Full Text Available Abstract Background Shortage of human resources is a major problem facing Malawi, where more than 50% of the population lives in rural areas. Most of the district health services are provided by clinical health officers specially trained to provide services that would normally be provided by fully qualified doctors or specialists. As this cadre and the cadre of enrolled nurses are the mainstay of the Malawian health service at the district level, it is important that they are supported and motivated to deliver a good standard of service to the population. This study explores how these cadres are managed and motivated and the impact this has on their performance. Methods A quantitative survey measured health workers' job satisfaction, perceptions of the work environment and sense of justice in the workplace, and was reported elsewhere. It emerged that health workers were particularly dissatisfied with what they perceived as unfair access to continuous education and career advancement opportunities, as well as inadequate supervision. These issues and their contribution to demotivation, from the perspective of both management and health workers, were further explored by means of qualitative techniques. Focus group discussions were held with health workers, and key-informant interviews were conducted with members of district health management teams and human resource officers in the Ministry of Health. The focus groups used convenience sampling that included all the different cadres of health workers available and willing to participate on the day the research team visited the health facility. The interviews targeted district health management teams in three districts and the human resources personnel in the Ministry of Health, also sampling those who were available and agreed to participate. Results The results showed that health workers consider continuous education and career progression strategies to be inadequate. Standard human resource
Manafa, Ogenna; McAuliffe, Eilish; Maseko, Fresier; Bowie, Cameron; MacLachlan, Malcolm; Normand, Charles
Shortage of human resources is a major problem facing Malawi, where more than 50% of the population lives in rural areas. Most of the district health services are provided by clinical health officers specially trained to provide services that would normally be provided by fully qualified doctors or specialists. As this cadre and the cadre of enrolled nurses are the mainstay of the Malawian health service at the district level, it is important that they are supported and motivated to deliver a good standard of service to the population. This study explores how these cadres are managed and motivated and the impact this has on their performance. A quantitative survey measured health workers' job satisfaction, perceptions of the work environment and sense of justice in the workplace, and was reported elsewhere. It emerged that health workers were particularly dissatisfied with what they perceived as unfair access to continuous education and career advancement opportunities, as well as inadequate supervision. These issues and their contribution to demotivation, from the perspective of both management and health workers, were further explored by means of qualitative techniques.Focus group discussions were held with health workers, and key-informant interviews were conducted with members of district health management teams and human resource officers in the Ministry of Health. The focus groups used convenience sampling that included all the different cadres of health workers available and willing to participate on the day the research team visited the health facility. The interviews targeted district health management teams in three districts and the human resources personnel in the Ministry of Health, also sampling those who were available and agreed to participate. The results showed that health workers consider continuous education and career progression strategies to be inadequate. Standard human resource management practices such as performance appraisal and the
Angela Marie Bonfiglio
Full Text Available Youth workers are constantly figuring out how to respond to their young people, especially in times of disruption. The Black Lives Matter movement came close to home in the aftermath of the shooting by police of Jamar Clark, a young black man in north Minneapolis. This article is a reflection on the tensions that six area youth workers faced and the variety of roles that they played in working with their young people. The goal of this paper is to inspire other youth workers to be bold to act in times of disruption in order to support their young people and challenge the systems that impact them.
Yelland, Nicola; Andrew, Yarrow; Blaise, Mindy; Chan, Yee On
Despite the ongoing global financial crisis, there is an increasing deployment of migrant workers across the globe, and in Hong Kong the foreign domestic worker occupies a ubiquitous presence in the lives of many families. Seven domestic workers from Indonesia, the Philippines, and Thailand were interviewed to gain insight into their role in…
Pelvic pain - living with endometriosis; Endometrial implant - living with endometriosis; Endometrioma - living with endometriosis ... counter pain relievers can reduce the pain of endometriosis. These include: Ibuprofen (Advil) Naproxen (Aleve) Acetaminophen (Tylenol) ...
Foged, Mette; Peri, Giovanni
Using a database that includes the universe of individuals and establishments in Denmark over the period 1991-2008 we analyze the effect of a large inflow of non-European (EU) immigrants on Danish workers. We first identify a sharp and sustained supply-driven increase in the inflow of non......-EU immigrants in Denmark, beginning in 1995 and driven by a sequence of international events such as the Bosnian, Somalian and Iraqi crises. We then look at the response of occupational complexity, job upgrading and downgrading, wage and employment of natives in the short and long run. We find...... that the increased supply of non-EU low skilled immigrants pushed native workers to pursue more complex occupations. This reallocation happened mainly through movement across firms. Immigration increased mobility of natives across firms and across municipalities but it did not increase their probability...
The Advanced Worker Protection System (AWPS) is a liquid-air-based, self-contained breathing and cooling system with a duration of 2 hrs. AWPS employs a patented system developed by Oceaneering Space Systems (OSS), and was demonstrated at their facility in Houston, TX as well as at Kansas State University, Manhattan. The heart of the system is the life-support backpack that uses liquid air to provide cooling as well as breathing gas to the worker. The backpack is combined with advanced protective garments, an advanced liquid cooling garment (LCG), a respirator, and communications and support equipment. The prototype unit development and testing under Phase 1 has demonstrated that AWPS has the ability to meet performance criteria. These criteria were developed with an understanding of both the AWPS capabilities and the DOE decontamination and decommissioning (D and D) activities protection needs
Wang, Kai; Ou, Yan; Ge, Quan-Sheng
Based on the investigation in three typical migrant resettlement spots in Wulingyuan Scenic Area, a demonstration analysis was conducted on the residents' perception to the effects of ecological migration on world heritage site. The residents in the 3 spots had great differences in the positive perception to the economic effects of ecological migration, but less differences in the perception to the negative indices. The residents had high identity with the positive socio-cultural effects, but weak perception to the negative effects. The residents in the 3 resettlement spots had obvious differences in the perception to the effects on resources and environment, but mostly agreed that the negative psychological effects were not so obvious. The negative comments were given to the main migration policies. Age, educational level, monthly income, and proportion of tourism input were the main factors affecting the residents' perception, and the way of resettlement as well as the proportion of tourism input also had important effects on the residents' perception. Migration policy was the dominant factor affecting the integral perception of the residents to ecological migration.
After Central and Eastern European and Central Asian economies abandoned central planning, nearly 195 million workers had to adjust to new rules of work and life. Most transition economies have not yet fully committed themselves to the rules of the market place. A few that have are already enjoying growth in wages and employment; in other countries, labor income growth is still to come. Reform has not been so well accepted in countries that were forced to enter the transition. Transition brou...
As globalization has led to ever higher levels of labour mobility, so the volume of funds remitted to their families by workers employed in countries far distant from their homes has increased by leaps and bounds. The total volume of such transfers currently amounts to over $100 billion per annum, the greater part of which flows from economically advanced regions in the West and North to developing countries in the East and South. Delivering those funds swiftly, reliably and cheaply to relati...
Nuclear regulatory controls have been in place for many years in Canada to ensure that the risk for the safety of workers and members of the public is as low as reasonably possible. The Atomic Energy Control Board implements these controls by virtue of a broadly based Act of Parliament, rigorous regulations and compliance procedures. The Canadian experience with nuclear practices involves about 1 million person-years at risk without a fatality due to acute exposure to radiation
Ben-Arie, Ayala; Iecovich, Esther
There are high levels of turnover among home care workers. The study goal was to examine factors connected with job satisfaction of home care workers who resigned from their jobs. A survey (self-administered questionnaire) was conducted of 197 home care workers who resigned from their jobs with a home care agency in Jerusalem. Overall job satisfaction of the home care workers was low to moderate. Memory impairment of the care recipient and quality of the relationship between the care worker and the care recipient were significant in explaining overall and intrinsic job satisfaction of the workers. Functional status (activities of daily living) and the impact of the care recipient's cognitive status on the care worker were significant in explaining job benefit satisfaction. Home care workers who provide care to severely disabled and cognitively impaired older persons experience great work stress. They need ongoing support and training as well as better job benefits.
Full Text Available An aging population and the corresponding shrinkage of the labor force will create a significant drag on economic growth and may jeopardize the economic well-being of some of the elderly. Thus working longer is an imperative – but extending working lives has proven difficult, both because workers do not want to work longer and because employers are lukewarm about employing older workers. As measures that can be taken to motivate workers to work longer, the paper proposes providing retirement incentives and attractive, flexible working arrangements. To induce employers to hire old workers, it suggests removing the obstacles imposed by restrictive labor market institutions, an increase in the human capital of workers via life-long learning, and addressing age-discrimination. Chances for extending working lives will also increase as the health of elderly workers is improved.
Gillard, S; Gibson, S L; Holley, J; Lucock, M
A range of peer worker roles are being introduced into mental health services internationally. There is some evidence that attests to the benefits of peer workers for the people they support but formal trial evidence in inconclusive, in part because the change model underpinning peer support-based interventions is underdeveloped. Complex intervention evaluation guidance suggests that understandings of how an intervention is associated with change in outcomes should be modelled, theoretically and empirically, before the intervention can be robustly evaluated. This paper aims to model the change mechanisms underlying peer worker interventions. In a qualitative, comparative case study of ten peer worker initiatives in statutory and voluntary sector mental health services in England in-depth interviews were carried out with 71 peer workers, service users, staff and managers, exploring their experiences of peer working. Using a Grounded Theory approach we identified core processes within the peer worker role that were productive of change for service users supported by peer workers. Key change mechanisms were: (i) building trusting relationships based on shared lived experience; (ii) role-modelling individual recovery and living well with mental health problems; (iii) engaging service users with mental health services and the community. Mechanisms could be further explained by theoretical literature on role-modelling and relationship in mental health services. We were able to model process and downstream outcomes potentially associated with peer worker interventions. An empirically and theoretically grounded change model can be articulated that usefully informs the development, evaluation and planning of peer worker interventions.
Koneva, A.Yu.; Afonin, V.Yu.; Dramashka, S.Ya.; Golubew, A.P.
A cytogenetic analysis of the molluscs obtained from animals of two populations of the Chernobyl NPP zone was carried out. Preservation of the raised number of cells with micronuclei in hemolymph of the molluscs obtained from animals lived under conditions with the highest level of radiation contamination was noted. Interpopulational distinctions in a number of biological parameters were revealed. Away of fertilization which is used for animal production under laboratory conditions affects sensitivity of molluscs to additional acute irradiation was established. (authors)
Quality of life (QOL) is a general term applied to the totality of physical, psychological, and social functioning. The World Health Organization (WHO) regards health as a state of complete physical, mental, and social well being, and not merely the absence of disease. Every person's life is different, and thus the way in which each person experiences a QOL is unique. Individuals lead complex lives that have many dimensions. A QOL approach recognizes that there are many different aspects of living that may contribute to quality. In this study, Quality of life was evaluated using the Short Form 36 (SF-36) questionnaire for one hundred and fifty radiation workers who handled ionizing radiation for at least twelve years, and one hundred fifty control individuals who did not knowingly come in contact with any radiation source., the QOL effects on work and achievements were also evaluated. Results revealed that radiation workers have lower quality of life compared to those who never come in contact with a radiation source
Full Text Available Abstract Background Rural township health centres and urban community health centres play a crucial role in the delivery of primary health care in China. Over the past two-and-a-half decades, these health institutions have not been as well developed as high-level hospitals. The limited availability and low qualifications of human resources in health are among the main challenges facing lower-level health facilities. This paper aims to analyse the mobility of health workers in township and community health centres. Methods Data used in this paper come from a nationwide survey of health facilities in 2006. Ten provinces in different locations and of varying levels of economic development were selected. From these provinces, 119 rural township health centres and 89 urban community health centres were selected to participate in a questionnaire survey. Thirty key informants were selected from these health facilities to be interviewed. Results In 2005, 8.1% and 8.9% of health workers left township and community health centres, respectively. The health workers in rural township health centres had three to 13 years of work experience and typically had received a formal medical education. The majority of the mobile health workers moved to higher-level health facilities; very few moved to other rural township health centres. The rates of workers leaving township and community health centres increased between 2000 and 2005, with the main reasons for leaving being low salaries, limited opportunities for professional development and poor living conditions. Conclusion In China, primary health workers in township health centres and community health centres move to higher-level facilities due to low salaries, limited opportunities for promotion and poor living conditions. The government already has policies in place to counteract this migration, but it must step up enforcement if rural township health centres and urban community centres are to retain health
Chivato, T; Valovirta, E; Dahl, R
Allergy Living and Learning (ALL) is a European initiative designed to increase knowledge and understanding of people living with allergies in order to improve respiratory allergy care.......Allergy Living and Learning (ALL) is a European initiative designed to increase knowledge and understanding of people living with allergies in order to improve respiratory allergy care....
Nakadaira, Hiroto; Yamamoto, Masaharu; Matsubara, Toh
This paper investigates the effects of tanshin funin, a posting without family, on the health of married male workers. A prospective study using the pair-matched method was performed. One hundred and twenty-nine married male tanshin funin workers in their 40s and 50s and as many matched workers living with their family (regular workers) participated. Fewer tanshin funin workers took breakfast everyday (OR=3.3, phealth problems, namely headache (OR=4.7, p=0.013) and gastric/duodenal ulcers (OR=8.7, pmental stress were thus important effects of tanshin funin. Tanshin funin workers should be provided with health and lifestyle education programs and mental health care before and during tanshin funin. Doctors and nurses in the healthcare departments of companies should play a leading role.
This Handbook describes an implementation process for core training as recommended in Implementation Guide G441.12, Radiation Safety Training, and as outlined in the DOE Radiological Control Standard (RCS). The Handbook is meant to assist those individuals within the Department of Energy, Managing and Operating contractors, and Managing and Integrating contractors identified as having responsibility for implementing core training recommended by the RCS. This training is intended for radiological workers to assist in meeting their job-specific training requirements of 10 CFR 835. While this Handbook addresses many requirements of 10 CFR 835 Subpart J, it must be supplemented with facility-specific information to achieve full compliance.
This Handbook describes an implementation process for core training as recommended in Implementation Guide G441.12, Radiation Safety Training, and as outlined in the DOE Radiological Control Standard (RCS). The Handbook is meant to assist those individuals within the Department of Energy, Managing and Operating contractors, and Managing and Integrating contractors identified as having responsibility for implementing core training recommended by the RCS. This training is intended for radiological workers to assist in meeting their job-specific training requirements of 10 CFR 835. While this Handbook addresses many requirements of 10 CFR 835 Subpart J, it must be supplemented with facility-specific information to achieve full compliance
Full Text Available Background: The delivery of health education through mobile phones either through voice calls or text messages (mHealth provide valuable opportunities for bridging gaps in maternal and child healthcare in resource constrained settings. Aims & Objectives: The objective of the present study was to assess willingness to receive m-Health services among women caregivers of under-5 children. Material & Methods: We conducted a cross sectional study in an urban resettlement colony of North East District of Delhi during the period from September’ 2016 to Feb’ 2017. We enrolled 201 adult women up to 35 years of age who were active caregiver of at-least one under 5 child in their familial household. Results: The mean age of the women was 26.4 and mean years of schooling was 10.1 years. Nearly three-fourth (73.2% could read text messages (SMS while more than a third (36.8% were using mobile internet services. The willingness to receive mHealth services for health promotion was affirmed by 157 (78.2% subjects but it was significantly lower in women with low educational attainment. Conclusion: There exists a strong unmet need for mHealth services among young women caregivers of under 5 children. However, bridging the digital divide is a key challenge towards advancing mHealth for all.
Agrawal, Sutapa; Taylor, Fiona C; Moser, Kath; Narayanan, Gitanjali; Kinra, Sanjay; Prabhakaran, Dorairaj; Reddy, Kolli Srinath; Davey Smith, George; Ebrahim, Shah
Migration is suspected to increase the risk for psychological distress for those who enter a new cultural environment. We investigated the association between sociodemographic characteristics, premigratory and migratory factors and psychological distress in rural-to-urban migrants just after migration and after resettlement. Data from the cross-sectional sib-pair designed Indian Migration Study (IMS, 2005-2007) were used. The analysis focused on 2112 participants aged ≥18 years from the total IMS sample ( n = 7067) who reported being migrant. Psychological distress was assessed based on the responses of the 7-questions in a five-point scale, where the respondents were asked to report about their feelings now and also asked to recall these feelings when they first migrated. The associations were analyzed using multiple logistic regression models. High prevalence of psychological distress was found just after migration (7.3%; 95% confidence interval [CI]: 6.2-8.4) than after settlement (4.7%; 95% CI: 3.8-5.6). Push factors as a reason behind migration and not being able to adjust in the new environment were the main correlates of psychological distress among both the male and female migrants, just after migration. Rural-urban migration is a major phenomenon in India and given the impact of premigratory and migratory related stressors on mental health, early intervention could prevent the development of psychological distress among the migrants.
Fiebrandt, Maria; Rüdenburg, Bodo; Müller, Thomas
Object of this article is the procedure of the transport of South Tyrol patients to the South Wuerttemberg asylums Zwiefalten und Schussenried as well as to some extent to the former asylum of Weissenau near Ravensburg in 1940 and 1942. Attention is focused on the pioneering state pre-negotiations, the so-called option treaties between the German Reich and Fascist Italy as part of the general aspect of National Socialist bio-Politics.The treatment of these South Tyrol patients in the asylums themselves, as well as their fate will be put into the context of the resettlement actions at the margins of the "Third Reich", which started in 1939 and widely affected the European continent. By presenting the abuse of medical patients in the aim to solve the political problems having occurred after bio-political goals had been set into practice, this study offers new material to the history of National Socialist psychiatry, as well as to National Socialist Foreign Policy in the case of Italy.
Garg, Ankur; Singh, Mongjam Meghachandra; Gupta, Vimal Kishore; Garg, Suneela; Daga, Mradul Kumar; Saha, Renuka
To assess the prevalence and correlates of current smoking, awareness of hazards, and quitting behavior among smokers 30 years and above. Cross-sectional; Gokulpuri, a resettlement colony in East Delhi, India; 911, persons aged 30 years and above using systematic random sampling; Study tools: Semi-structured questionnaire. Prevalence of current smoking was found to be 24.6% (95% CI 21.90 - 27.49). Majority 198 (88.4%) of current smokers smoked bidi exclusively, and on an average 13.5 bidi/cigarette were smoked per day. Multivariate analysis showed the factors associated with current smoking as male sex, advancing age, illiteracy, skilled occupation, low socio-economic status, and low BMI (P < 0.001). 64.2% were aware of the hazards of smoking. 63 (21.9%) had quit smoking in the past, majority due to the health problems. Low educational status was associated with poor hazard awareness and quitting behavior. Smoking is a significant problem among poor and illiterate males, shows an increasing trend with an advancing age and is directly associated with skilled occupation and low BMI. There are significant gaps in knowledge regarding hazards of smoking.
McGregor, Lucy S; Melvin, Glenn A; Newman, Louise K
In recent years there has been increased debate and critique of the focus on psychopathology in general, and posttraumatic stress disorder (PTSD) in particular, as a predominant consequence of the refugee experience. This study was conducted to broaden the conceptualization and examination of the outcomes of the refugee experience by jointly examining how adaptive processes, psychosocial factors, and psychopathology are implicated. A mixed-methods approach was used to specifically examine whether adolescents' (N = 10) accounts of their refugee and resettlement experiences differed according to their level, "high" or "low," of PTSD symptomatology. The superordinate themes of cultural belongingness and identification, psychological functioning, family unit functioning and relationships, and friendships and interpersonal processes, were identified as having particular relevance for the study's participants and in distinguishing between participants with high and low levels of PTSD symptomatology. Findings were characterized by marked differences between adolescents' accounts according to their symptomatology levels, and may thereby inform important avenues for future research as well as clinical prevention and intervention programs with refugee youth. (c) 2015 APA, all rights reserved).
Full Text Available Aim: To assess the prevalence and correlates of current smoking, awareness of hazards, and quitting behavior among smokers 30 years and above. Materials and Methods: Study design: Cross-sectional; Setting: Gokulpuri, a resettlement colony in East Delhi, India; Sample size: 911, persons aged 30 years and above using systematic random sampling; Study tools: Semi-structured questionnaire. Results: Prevalence of current smoking was found to be 24.6% (95% CI 21.90 - 27.49. Majority 198 (88.4% of current smokers smoked bidi exclusively, and on an average 13.5 bidi/cigarette were smoked per day. Multivariate analysis showed the factors associated with current smoking as male sex, advancing age, illiteracy, skilled occupation, low socio-economic status, and low BMI (P < 0.001. 64.2% were aware of the hazards of smoking. 63 (21.9% had quit smoking in the past, majority due to the health problems. Low educational status was associated with poor hazard awareness and quitting behavior. Conclusion: Smoking is a significant problem among poor and illiterate males, shows an increasing trend with an advancing age and is directly associated with skilled occupation and low BMI. There are significant gaps in knowledge regarding hazards of smoking.
Trapote, Arturo; Jover, Margarita; Cartagena, Pablo; El Kaddouri, Marouane; Prats, Daniel
This article describes an effective procedure for reducing the water content of excess sludge production from a wastewater treatment plant by increasing its concentration and, as a consequence, minimizing the volume of sludge to be managed. It consists of a pre-dewatering sludge process, which is used as a preliminary step or alternative to the thickening. It is made up of two discontinuous sequential stages: the first is resettling and the second, filtration through a porous medium. The process is strictly physical, without any chemical additives or electromechanical equipment intervening. The experiment was carried out in a pilot-scale system, consisting of a column of sedimentation that incorporates a filter medium. Different sludge heights were tested over the filter to verify the influence ofhydrostatic pressure on the various final concentrations of each stage. The results show that the initial sludge concentration may increase by more than 570% by the end of the process with the final volume of sludge being reduced in similar proportions and hydrostatic pressure having a limited effect on this final concentration. Moreover, the value of the hydrostatic pressure at which critical specific cake resistance is reached is established.
Nelson, Matthew; Hess, Julia Meredith; Isakson, Brian; Goodkind, Jessica
Social and geographic displacement is a global phenomenon that precipitates novel stressors and disruptions that intersect with longstanding familial and social roles. Among the displaced are war-torn Iraqi refugee families, who must address these new obstacles in unconventional ways. This study explores how such disruptions have influenced associations between gender and apparent self-worth experienced by Iraqi refugee families upon relocation to the United States. Further, the psychosocial mechanisms requisite of any novel approach to a new social construct are explored and reveal that production in the family is at the core of instability and shifting power dynamics during resettlement, preventing family members from “seeing the life” in the United States that they had envisioned prior to immigration. Over 200 semi-structured qualitative interviews with Iraqi participants and mental health providers were conducted over the course of the study, and demonstrate a plasticity among social roles in the family and community that transcends the notion of a simple role reversal, and illustrate the complex positionalities that families under stress must approximate during such physical and social displacement. PMID:28966556
Adamchik, Vera A.; Brada, Josef C.; King, Arthur E.
We examine the extent to which workers in transition and developed market economies are able to obtain wages that fully reflect their skills and labor force characteristics. We find that workers in two transition economies, the Czech Republic and Poland, are able to better attain the maximum wage available than are workers in a sample of developed market economies. This greater wage-setting efficiency in the transition economies ap-pears to be more the result of social and demographic charact...
Bible, Jesse E; Spengler, Dan M; Mir, Hassan R
A physician's role within a workers' compensation injury extends far beyond just evaluation and treatment with several socioeconomic and psychological factors at play compared with similar injuries occurring outside of the workplace. Although workers' compensation statutes vary among states, all have several basic features with the overall goal of returning the injured worker to maximal function in the shortest time period, with the least residual disability and shortest time away from work. To help physicians unfamiliar with the workers' compensation process accomplish these goals. Review. Educational review. The streamlined review addresses the topics of why is workers' compensation necessary; what does workers' compensation cover; progression after work injury; impairment and maximum medical improvement, including how to use the sixth edition of American Medical Association's (AMA) Guides to the evaluation of permanent impairment (Guides); completion of work injury claim after impairment rating; independent medical evaluation; and causation. In the "no-fault" workers' compensation system, physicians play a key role in progressing the claim along and, more importantly, getting the injured worker back to work as soon as safely possible. Physicians should remain familiar with the workers' compensation process, along with how to properly use the AMA Guides. Copyright © 2014 Elsevier Inc. All rights reserved.
Tartakovsky, Eugene; Walsh, Sophie D
The current study examines value preferences of social workers in Israel. Using a theoretical framework of person-environment fit paradigm and theory of values, the study compared social workers (N = 641, mean age = 37.7 years, 91 percent female) with a representative sample of Israeli Jews (N = 1,600, mean age = 44.2, 52 percent female). Questionnaires included personal value preferences and sociodemographic variables (gender, age, education, religiosity, and immigrant status). Multivariate analysis of covariance showed that value preferences of social workers differed significantly from those of the general population. Analyses of covariance showed that social workers reported a higher preference for self-transcendence and a lower preference for conservation and self-enhancement values. Results have significance for the selection, training, and supervision of social workers. They suggest that it is important to assess to what extent selection processes for social workers are primarily recruiting social workers with shared values, thus creating an overly homogenous population of social workers. An understanding of personal value motivations can help social workers in their own process of self-development and growth, and to understand how the profession can fulfill their basic motivations.
From 1993 to 2000, OSS worked under a cost share contract from the Department of Energy (DOE) to develop an Advanced Worker Protection System (AWPS). The AWPS is a protective ensemble that provides the user with both breathing air and cooling for a NIOSH-rated duration of two hours. The ensemble consists of a liquid air based backpack, a Liquid Cooling Garment (LCG), and an outer protective garment. The AWPS project was divided into two phases. During Phase 1, OSS developed and tested a full-scale prototype AWPS. The testing showed that workers using the AWPS could work twice as long as workers using a standard SCBA. The testing also provided performance data on the AWPS in different environments that was used during Phase 2 to optimize the design. During Phase 1, OSS also performed a life-cycle cost analysis on a representative clean up effort. The analysis indicated that the AWPS could save the DOE millions of dollars on D and D activities and improve the health and safety of their workers. During Phase 2, OSS worked to optimize the AWPS design to increase system reliability, to improve system performance and comfort, and to reduce the backpack weight and manufacturing costs. To support this design effort, OSS developed and tested several different generations of prototype units. Two separate successful evaluations of the ensemble were performed by the International Union of Operation Engineers (IUOE). The results of these evaluations were used to drive the design. During Phase 2, OSS also pursued certifying the AWPS with the applicable government agencies. The initial intent during Phase 2 was to finalize the design and then to certify the system. OSS and Scott Health and Safety Products teamed to optimize the AWPS design and then certify the system with the National Institute of Occupational Health and Safety (NIOSH). Unfortunately, technical and programmatic difficulties prevented us from obtaining NIOSH certification. Despite the inability of NIOSH to certify
From 1993 to 2000, OSS worked under a cost share contract from the Department of Energy (DOE) to develop an Advanced Worker Protection System (AWPS). The AWPS is a protective ensemble that provides the user with both breathing air and cooling for a NIOSH-rated duration of two hours. The ensemble consists of a liquid air based backpack, a Liquid Cooling Garment (LCG), and an outer protective garment. The AWPS project was divided into two phases. During Phase 1, OSS developed and tested a full-scale prototype AWPS. The testing showed that workers using the AWPS could work twice as long as workers using a standard SCBA. The testing also provided performance data on the AWPS in different environments that was used during Phase 2 to optimize the design. During Phase 1, OSS also performed a life-cycle cost analysis on a representative clean up effort. The analysis indicated that the AWPS could save the DOE millions of dollars on D and D activities and improve the health and safety of their workers. During Phase 2, OSS worked to optimize the AWPS design to increase system reliability, to improve system performance and comfort, and to reduce the backpack weight and manufacturing costs. To support this design effort, OSS developed and tested several different generations of prototype units. Two separate successful evaluations of the ensemble were performed by the International Union of Operation Engineers (IUOE). The results of these evaluations were used to drive the design. During Phase 2, OSS also pursued certifying the AWPS with the applicable government agencies. The initial intent during Phase 2 was to finalize the design and then to certify the system. OSS and Scott Health and Safety Products teamed to optimize the AWPS design and then certify the system with the National Institute of Occupational Health and Safety (NIOSH). Unfortunately, technical and programmatic difficulties prevented us from obtaining NIOSH certification. Despite the inability of NIOSH to certify
Chan, Chris King-Chi; Pun, Ngai
In this study, we argue that the specific process of the proletarianization of Chinese migrant workers contributes to the recent rise of labour protests. Most of the collective actions involve workers' conflict with management at the point of production, while simultaneously entailing labour organizing in dormitories and communities. The type of living space, including workers' dormitories and migrant communities, facilitates collective actions organized not only on bases of locality, ethnici...
Full Text Available In recent years, the diffusion of mobile applications (mobile apps has risen significantly. Nowadays, mobile business apps are strongly emerging in business, enhancing productivity and employees’ satisfaction, whilst the usage of customized individual enterprise apps is still an exception. Standardized business apps enable basic functionalities, for example, mobile data storage and exchange (e.g., Dropbox, communication (e.g., Skype, and other routine processes, which support mobile workers. In addition, mobile apps can, for example, increase the flexibility of mobile workers by easing the access to firm’s information from outside the enterprise and by enabling ubiquitous collaboration. Hence, mobile apps can generate competitive advantages and can increase work efficiency on a broad scale. But mobile workers form no coherent group. Our research reveals, based on two case studies, that they can be clustered into two groups: knowledge workers and field workers. Knowledge workers and field workers fulfill different tasks and work in different environments. Hence, they have different requirements for mobile support. In this paper we conclude that standardized mobile business apps cannot meet the different requirements of various groups of mobile workers. Task- and firm-specific (individualized requirements determine the specification, implementation, and application of mobile apps.
From an occupational health perspective, the match between work and workers was the central topic in this thesis. The term ‘work’ was used to encompass a combination of physical, mental and psychosocial work demands. The term ‘workers’ represents the resources of workers, in terms of physical,
DeSouza, Eros R.; Cerqueira, Elder
Sexual harassment has been investigated mostly in developed countries. The authors examined frequency rates and consequences of sexual harassment among female domestic workers in Brazil. Twenty-six percent had been sexually harassed at work during the past year. Live-in workers were at significantly greater risk for experiencing sexual harassment…
Sanders, J.; Dorenbosch, L.; Grundemann, R.; Blonk, R.W.B.
This study examines directions for work redesign which might lead to the creation of sustainable jobs for lower-educated older workers (45 years or over, ISCED 0-2) and thus motivate and enable them to extend their working lives. We use longitudinal data on 1,264 older Dutch workers collected by the
Huss, Ephrat; Sarid, Orly; Cwikel, Julie
War poses a challenge for social workers, adding exposure to direct risk of personal harm to the general stress of social work practice. Artworks are frequently used in health care settings with people in high distress. This study had three goals: (1) to characterize the stressors of social workers living in a war zone, (2) to teach social workers…
Objective: The main objective of this study was to assess the reproductive choices for Women Living with HIV on ART in the urban health centres within Lusaka. Methods: Nine hundred and fifty six HIV-positive women receiving care in the zoned health centres were randomly sampled and 12 health care workers who were ...
the reproductive choices for Women Living with HIV on. ART in the urban health ... sampled using a review register as a sampling frame. Health care workers were .... level of 0.05, the p value was 0.000 and we were able to reject the null ...
Yamashita, T; Kuroda, K; Hirano, W; Ueno, M; Yoshizumi, A; Inomata, Y; Komine, K
In Japan we are very short of community resources for persons with mental disability. The authors, a board of resettlement, thought patients' actual conditions of living and needs for rehabilitation to let them live in the community had to be evaluated. Then in March 1993 the actual conditions of living and needs for rehabilitation of schizophrenic outpatients were investigated nationally. This article is the report on the patients' actual conditions of living. Investigation papers were sent to 358 institutions (286 hospitals and 72 clinics) which agreed to cooperate with the investigation. The 5186 investigation papers were received from 313 institutions. All of the papers except 18, which were lack of their ages, were analyzed. All of the schizophrenic outpatients, who consulted psychiatrists on one day during investigation, were considered objects of this research. Those who consented were included the research and psychiatrists filled in investigation papers. These institutions had a policy of intensive social resettlement activities and so on. Male patients were 55% and females were 45%. There were patients in the forties and females were older than males. Thirty-nine percent of them had been hospitalized once or twice. Thirty-four percent of them had been hospitalized for less than one year. Eighteen percent of them had not been hospitalized. Fifty percent of patients answered there was no friend and acquaintance, and had a tendency to stand alone. Fifty-three percent of patients lived with their parents, 21% with their spouses, and 17% alone. But 32% of females lived with their husbands. Sixteen percent worked for full-time jobs, 8% worked part-time jobs, 12% attended day care center 4% went to sheltered-workshops and only 1% went to rehabilitation-workshops for outpatients. While 13% didn't have a right to receive disability pension, the sources of income were job (30%), disability pension (30%), and welfare benefits (12%). Regarding the ability for living
... Disease" Articles Celiac Disease Changes Everything / What is Celiac Disease? / Symptoms, Diagnosis & Treatment / Four Inches and Seven Pounds… / Learning to Live Well with Celiac Disease / Living Gluten-Free Spring 2015 Issue: Volume 10 ...
Full Text Available This paper discusses the development of a South African model for Live Forensic Acquisition - Liforac. The Liforac model is a comprehensive model that presents a range of aspects related to Live Forensic Acquisition. The model provides forensic...
Utuk, Idongesit Godwin; Osungbade, Kayode Omoniyi; Obembe, Taiwo Akinyode; Adewole, David Ayobami; Oladoyin, Victoria Oluwabunmi
Background: Despite demonstrating global concerns about infection in the workplace, very little research has explored how co-workers react to those living with HIV in the workplace in sub-Saharan Africa. This study aimed to assess the level of stigmatising attitude towards co-workers living with HIV in the workplace. Methods: The study was a descriptive cross-sectional survey involving 403 respondents. They were recruited from selected companies through a multistage sampling technique. Survey...
E-J. Visser (Evert-Jan); M.P. van Dijk (Meine Pieter)
textabstractThis dossier deals with the impact of economic globalisation on workers, especially in developing nations: their employment opportunities, wage income, job security and other aspects of decent work (ILO 1999, 2002). This is a highly relevant theme. Not only do workers in the EU, the
Polivka, Anne E.
Based on data from the supplement to the February 1995 Current Population Survey, contingent workers were more likely to be female, black, young, enrolled in school, and employed in services and construction industries than were noncontingent workers. More than 10% were teachers. (Author)
Wimmelmann, Camilla L.; Vallgårda, Signild; Jensen, Anja MB
Reporting on an interview and observation based study in Danish municipalities, this article deals with local policy workers, and takes departure in the great variation we observed in implementation of centrally issued health promotion guidelines. We present five types of local policy workers, ea...