10 research outputs found

    Housing and Aloha Āina: Beyond Building Our Way Out of the Crisis

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    Hawaiʻi’s housing crisis became unbearable long before COVID-19, and the pandemic’s impending tide of evictions demands that we radically redefine how we think about home. We should look to the movements that seek to loosen the private market’s grip on our homes and to build power among people facing housing insecurity. Instead of understanding housing as a commodity and asset, home can be understood as something inalienable—as ancestor, family, culture, and most importantly, ʻāina

    Whose Kaka‘ako: Capitalism, Settler Colonialism, and Urban Development in Honolulu

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    M.A. University of Hawaii at Manoa 2015.Includes bibliographical references.The common lament that Honolulu is becoming a ‘playground for the rich’, reflects David Harvey’s argument that in a neoliberal world, capital is allowed to shape the city through the process of 'accumulation by dispossession'. Importantly, in the context of settler colonialism, accumulation by dispossession is always predicated upon the dispossession of the native, whether directly or historically. Recognizing that various logics of oppression and exploitation are constantly in motion, this project aims to critically examine the collusion of capitalism, urban development, and settler colonialism in Hawaiʻi, using the district of Kakaʻako as a case study. Engaging critical urban theory, as well as the insights of indigenous theory and its critiques of settler colonialism, this project addresses corporate-led urban development in Hawaiʻi as an ongoing mechanism of violence which works to superimpose a settler colonial geography upon the landscape, render indigenous geographies unintelligible in dominant discourses, and displace indigenous and other marginalized peoples in order to facilitate the accumulation of capital

    Uveitis manifestations in patients of the Swiss Inflammatory Bowel Disease Cohort Study

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    Differences in Outcomes Reported by Patients With Inflammatory Bowel Diseases vs Their Health Care Professionals

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    Colectomy Rates in Ulcerative Colitis are Low and Decreasing: 10-year Follow-up Data From the Swiss IBD Cohort Study

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    Global economic burden of unmet surgical need for appendicitis

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    Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and92 492 million using approach 1 and 73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and95 004 million using approach 1 and 75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially
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