Housing and quality of life for migrant communities in western Europe: a capabilities approach

Housing is an important determinant of quality of life and migrants are more likely to encounter poor quality housing than natives. This paper draws on the capabilities approach to welfare economics to examine how issues of housing and neighborhood conditions influence quality of life and opportunities for migrants in Western Europe. The analysis utilizes data from the second European Quality of Life Survey (EQLS) to explore variation in life and housing satisfaction between migrants and non-migrants (natives) in Western Europe and whether being a migrant and living in an ethnically diverse neighborhood contribute to lower satisfaction. The results show that migrants are more likely to experience lower levels of life and housing satisfaction and that living in a diverse neighborhood is negatively associated with life and housing satisfaction. While diverse, inner-city neighborhoods can increase opportunities for labor market access, social services and integration, the tendency towards clustered settlement by migrants can also compound housing inequality. Conversely, migrant homeowners are on average substantially more satisfied with the quality of public services and of their neighborhood and have lower material deprivation than both migrant and non-migrant renters. The findings draw attention to the need to address housing and neighborhood conditions in order to improve opportunities for integration and well-being

Comparison of excursion-based approach with force-based approach in rehabilitation of repaired flexor tenons in zone ii and iii

A dissertation submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg in fulfillment of the requirements for the degree of Master of Science in Occupational Therapy Johannesburg, June 2017This study explores the implementation of two different synergistic wrist motion approaches in the treatment of flexor tendon injuries, the excursion-based approach and the force-based approach. A prospective, quantitative, comparative intervention research design was used to compare the two approaches and determine their effectiveness in a public hospital in South Africa. The five participants’ range of motion, independence in activities of daily living and satisfaction levels were measured throughout the 12 week treatment programme. The excursion-based group showed significant improvement in passive Strickland and Glogovac scores over the rehabilitation period. The excursion-based group also achieved better final place-and-hold and active Strickland and Glogovac scores than the force-based group which showed a decline in these scores over the 12 weeks. Both groups had a poor result for active movement at the final session due to the development of adhesions, but were found to have an improvement in their upper limb function measured on the Disabilities of the Hand, Shoulder and Arm questionnaire in all activities except for those related to work. These results were not statistically significant. The poor results may be attributed to the unique challenges experienced by patients with flexor tendon injuries, living in under-resourced South African communities. The small sample and the fact that the excursion-based group received isolated flexor digitorum profundus tendon repairs while the force-based group received combined flexor digitorum profundus and flexor digitorum superficialis repairs may also have had an impact on the results. The outcomes of this study indicate that despite yielding successful results in research studies performed in developed countries, it is unlikely that either of these approaches will be suitable in the rehabilitation of patients with flexor tendon repairs in a public hospital in South Africa.MT201

Belsen, Dachau 1945: Newspapers and the first draft of history.

The thesis examines the nature of press coverage in 1945, identifying themes that emerged in British and American newspaper reportage of two Nazi concentration camps, Belsen and Dachau, following liberation and during military trials. It grapples with the links between early reporting and ongoing misunderstandings about the concentration camp system

Mast cell subsets and their functional modulation by the Acanthocheilonema viteae product ES-62

ES-62, an immunomodulator secreted by filarial nematodes, exhibits therapeutic potential in mouse models of allergic inflammation, at least in part by inducing the desensitisation of Fc휀RI-mediated mast cell responses. However, in addition to their pathogenic roles in allergic and autoimmune diseases, mast cells are important in fighting infection, wound healing, and resolving inflammation, reflecting that mast cells exhibit a phenotypic and functional plasticity. We have therefore characterised the differential functional responses to antigen (via Fc휀RI) and LPS and their modulation by ES-62 of the mature peritoneal-derived mast cells (PDMC; serosal) and those of the connective tissue-like mast cells (CTMC) and themucosal-likemast cells derived from bone marrow progenitors (BMMC) as a first step to produce disease tissue-targeted therapeutics based on ES-62 action. All three mast cell populations were rendered hyporesponsive by ES-62 and whilst the mechanisms underlying such desensitisation have not been fully delineated, they reflect a downregulation of calcium and PKC훼 signalling. ES-62 also downregulatedMyD88 and PKC훿 in mucosal-type BMMC but not PDMC, the additional signals targeted in mucosal-type BMMC likely reflecting that these cells respond to antigen and LPS by degranulation and cytokine secretion whereas PDMC predominantly respond in a degranulationbased manner

Preventing human immunodeficiency virus infection among sexual assault survivors in Cape Town, South Africa: an observational study.

We describe 131 South African sexual assault survivors offered HIV post-exposure prophylaxis (PEP). While the median days completed was 27 (IQR 27, 28), 34% stopped PEP or missed doses. Controlling for baseline symptoms, PEP was not associated with symptoms (OR = 1.30, 95% CI = 0.66, 2.64). Factors associated with unprotected sex included prior unprotected sex (OR = 6.46, 95% CI = 3.04, 13.74), time since the assault (OR = 1.33, 95% CI = 1.12, 1.57) and age (OR = 1.30, 95% CI = 1.08, 1.57). Trauma counseling was protective (OR = 0.18, 95% CI = 0.05, 0.58). Four instances of seroconversion were observed by 6 months (risk = 3.7%, 95% CI = 1.0, 9.1). Proactive follow-up is necessary to increase the likelihood of PEP completion and address the mental health and HIV risk needs of survivors. Adherence interventions and targeted risk reduction counseling should be provided to minimize HIV acquisition

Progression to unscheduled hospital admissions in people with diabetes: a qualitative interview study

Background: People with diabetes often have difficulty maintaining optimal blood glucose levels, risking progressive complications that can lead to unscheduled care. Unscheduled care can include attending emergency departments, ambulance callouts, out-of-hours care, and non-elective hospital admissions. A large proportion of non-elective hospital admissions involve people with diabetes, with significant health and economic burden. Aim: To identify precipitating factors influencing diabetes-related unscheduled hospital admissions, exploring potential preventive strategies to reduce admissions. Design & setting: Thirty-six people with type 1 (n = 11) or type 2 (n = 25) diabetes were interviewed. They were admitted to hospital for unscheduled diabetes-related care across three hospitals in Scotland, Northern Ireland, and the Republic of Ireland. Participants were admitted for peripheral limb complications (n = 17), hypoglycaemia (n = 5), hyperglycaemia (n = 6), or for comorbidities presenting with erratic blood glucose levels (n = 8). Method: Factors precipitating admissions were examined using framework analysis. Results: Three aspects of care influenced unscheduled admissions: perceived inadequate knowledge of diabetes complications; restricted provision of care; and complexities in engagement with self-care and help-seeking. Limited specialist professional knowledge of diabetes by staff in primary and community care, alongside inadequate patient self-management knowledge, led to inappropriate treatment and significant delays. This was compounded by restricted provision of care, characterised by poor access to services — in time and proximity — and poor continuity of care. Complexities in patient engagement, help-seeking, and illness beliefs further complicated the progression to unscheduled admissions. Conclusion: Dedicated investment in primary care is needed to enhance provision of and access to services. There should be increased promotion and earlier diabetes specialist team involvement, alongside training and use of technology and telemedicine, to enhance existing care

Capabilities and Marginalised Communities: The Case of the Indigenous Ethnic Minority Traveller Community and Housing in Ireland

The Pavee people (or Irish Traveller community) is a small, indigenous ethnic minority group and has been a part of Irish society for many centuries. This community holds to its own values, language, traditions and customs as part of a distinctive lifestyle and culture but they are widely regarded as one of the most marginalised and disadvantaged groups in Irish society. The experience of racism and discrimination is common to Irish Travellers, the Roma/Gypsy and other nomadic peoples and a number of international bodies have drawn explicit links between these groups. The authors utilise the capabilities approach as a multidimensional framework for analysing capability deprivation amongst Irish Travellers and as a tool for evaluating the success of public policy towards the community. Specifically, we emphasize the importance of a cluster of key themes including Traveller values, autonomy, self-sufficiency and choice and we explore the manner in which the housing experience of Irish Travellers contributes to capability deprivation amongst this community. We conclude that this goes beyond poor housing quality alone. This is also expressed through culturally-inappropriate service provision and the denial of opportunities to exercise choice and control over their own housing in addition to other spillover effects which can negatively impinge upon the freedom of this community to enjoy a life that they have reason to value. The paper concludes with a consideration of the usefulness of a consultative process to enable Irish Travellers to define their own list of capabilities and priorities with regard to housing and offers a Tool Kit to develop improved accommodation consultations as a potential resource for all stakeholders

A Capabilities Approach to Housing and Quality of Life: The Evidence from Germany

The capabilities approach developed by Sen (1985) and others has been highly influential in development circles and is increasingly being thought of as a theoretical framework suitable for understanding and measuring quality of life issues in high income contexts (Anand et al (2009), EU (2009)). In this paper, we contribute to a growing literature that draws on the approach to help understand connections between housing and quality of life. Specifically, we explore whether a broad range of capabilities and activities associated with housing have a detectable impact on housing satisfaction, and whether housing satisfaction contributes to overall life satisfaction. Our results indicate that housing satisfaction is indeed related to overall life satisfaction and that a wide range of different kinds of variables appear to impact housing satisfaction itself. The paper concludes by suggesting its findings underline the fact that a holistic view of housing policies needs to be taken if such policies are to make a full contribution to improved quality of life