Imagining and producing the 'good' migrant: the role of recruitment agencies in shaping bodily goodness

This paper focuses on representations of labour migrants and interrogates how such imaginaries shape migrant recruitment and employment regimes. The recruitment and employment of labour migrants inevitably involves a range of knowledge practices which affect who is recruited, from where and for what purposes. In particular this paper seeks to advance understandings of how images of ‘bodily goodness’ are represented graphically and how perceptions of migrant workers influence the recruitment of workers from Latvia. The analysis results in a schema of the ‘filtering’ processes that are enacted to ‘produce’ the ‘ideal’ migrant worker

Second Assessment of Climate Change for the Baltic Sea Basin

This chapter compiles and assesses information on run-off and discharge from rivers within the Baltic Sea drainage basin. Some information is also available on ice duration on inland waterways. Although decadal and regional variability is large, no significant long-term change has been detected in total river run-off to the Baltic Sea over the past 500 years. A change in the timing of the spring flood has been observed due to changes in the timing of snowmelt. Change in temperature seems to explain change in run-off better than does precipitation. Later start dates for ice formation on waterways, and earlier ice break-up dates have resulted in shorter periods of ice cover.</div

Headache service quality evaluation : implementation of quality indicators in primary care in Europe

Funding Information: The German part was supported by Novartis®, without influence on design, conduct, analysis or reporting. Other parts received no financial support. Publisher Copyright: © 2021, The Author(s).Background: Lifting The Burden (LTB) and European Headache Federation (EHF) have developed a set of headache service quality indicators, successfully tested in specialist headache centres. Their intended application includes all levels of care. Here we assess their implementation in primary care. Methods: We included 28 primary-care clinics in Germany (4), Turkey (4), Latvia (5) and Portugal (15). To implement the indicators, we interviewed 111 doctors, 92 nurses and medical assistants, 70 secretaries, 27 service managers and 493 patients, using the questionnaires developed by LTB and EHF. In addition, we evaluated 675 patients’ records. Enquiries were in nine domains: diagnosis, individualized management, referral pathways, patient education and reassurance, convenience and comfort, patient satisfaction, equity and efficiency of headache care, outcome assessment and safety. Results: The principal finding was that Implementation proved feasible and practical in primary care. In the process, we identified significant quality deficits. Almost everywhere, histories of headache, especially temporal profiles, were captured and/or assessed inaccurately. A substantial proportion (20%) of patients received non-specific ICD codes such as R51 (“headache”) rather than specific headache diagnoses. Headache-related disability and quality of life were not part of routine clinical enquiry. Headache diaries and calendars were not in use. Waiting times were long (e.g., about 60 min in Germany). Nevertheless, most patients (> 85%) expressed satisfaction with their care. Almost all the participating clinics provided equitable and easy access to treatment, and follow-up for most headache patients, without unnecessary barriers. Conclusions: The study demonstrated that headache service quality indicators can be used in primary care, proving both practical and fit for purpose. It also uncovered quality deficits leading to suboptimal treatment, often due to a lack of knowledge among the general practitioners. There were failures of process also. These findings signal the need for additional training in headache diagnosis and management in primary care, where most headache patients are necessarily treated. More generally, they underline the importance of headache service quality evaluation in primary care, not only to identify-quality failings but also to guide improvements. This study also demonstrated that patients’ satisfaction is not, on its own, a good indicator of service quality.publishersversionPeer reviewe

Ultrathin Anodic Aluminum Oxide Membranes for Production of Dense Sub-20 nm Nanoparticle Arrays

We present a systematic study of membrane structure (pore diameter and arrangement) in anodized aluminum oxide (AAO) layers obtained by anodization voltages 8-20 V in sulfuric and 15-40 V in oxalic acid electrolyte solutions. Anodization of bulk aluminum in sulfuric acid at 10 V potential was found to be optimal for production or ultrathin freestanding membranes with pore diameter in sub-20 nm range. The developed process with slow electrochemical reaction results in AAO membranes with thickness below 70 nm. The minimum required time for formation of continuous AAO membrane was determined and influence of electrolyte concentration on pore diameter in membrane after barrier layer removal analyzed. Finally, we demonstrate a method of membrane transfer onto a different surface and using it for masked deposition of dense nanoparticle arrays with diameters below 20 nm