Suchergebnisse

BackgroundReducing health inequalities includes addressing access to and use of services, including considering how deprivation may affect service engagement and referrals. NHS Greater Glasgow and Clyde (NHSGGC) are close to the national average for most CAMHS benchmarking indicators, including waiting times, and referrals received and accepted. When comparing UK rates of Did Not Attends (DNA), however, NHSGGC were fourth highest in 2016. More detailed analysis of service use was thus of interest. While some service and patient risk factors are known, this study used data from NHSGGC's electronic children's health record system to develop neighbourhood profiles of access and use.
Objectives

To analyse activity within communities so health resourcescan be best targeted.
To help clinical teams plan services and develop newmodels matched to local need.

MethodsPatient-level administrative data was linked to geographic and population data to identify outlying areas of demand. Data on referrals, open cases, appointments and DNAs were extracted and population-based analyses undertaken with 120,000 data points, linked to 273 neighbourhoods across NHSGGC.
FindingsGeomaps were used to highlight variation in activity, demand and population at neighbourhood and NHSGGC levels. Unexpectedly low levels of population reach (open cases/population under 18s) were found in some areas (Govanhill, 0.5%, relative to NHSGGC, 1.94%). Yet, the high level of DNAs in some East Glasgow areas is as one would predict given deprivation levels.
ConclusionsFindings have been used to identify potential improvements and to target communities who could benefit most. For example, West Dunbartonshire teams noticed high DNA rates in two neighbourhoods, both geographically distant from clinics. Satellite clinics have been introduced to improve attendance by reducing travel time and costs for families.
Neighbourhood profiles have proved valuable in highlighting population based trends and supporting comparisons locally and relative to NHSGGC wide benchmarks.

Israeli Cinema Beyond the National : An Introduction / Rachel S. Harris and Dan Chyutin -- I Have a Great Passion for Americans : The Juggler and the Question of National Cinema / Dan Chyutin -- Longing for Hollywood : Israeli Beauties on International Film Stages in the 1950s and 1960s / Julie Grimmeisen -- New Frontiers : Creating a Nation through the Israeli Western / Rachel S. Harris -- The Rust of Time : The Apparition of Memory in David Greenberg's Sha'ar Ha'guy (1965) and Much'shar Bli Rosh (1963) / Shmulik Duvdevani and Anat Dan -- Transnational Imaginings in Salt of This Sea (2008) and Villa Touma (2015) / Ariel M. Sheetrit -- Here and There, Now and Then : Nations and Their Relations in Recent Palestinian Cinema / Mary N. Layoun -- Five Broken Cameras and the Metonymic Sixth Camera : Time, Narrative, and Subjectivities in Emad Burnat and Guy Davidi's 5 Broken Cameras / Yaron Shemer -- Moments of Innocence and Fracture : Fantasy and Reality in Two Documentary Visits to Israel / Ohad Landesman -- Two Israelis in the "Mecca of Motion Pictures" : Golan, Globus, and Cannon Film's Transnational Enterprise / Zachary Ingle -- A Chance to Hear Some Hebrew : American Jewish Film Festivals and the Transnational Flow of Israeli Film / Josh Beaty -- Perpetuating Victimhood as a Jewish Identity? : The Case of Popular Israeli Cinema Today / Yaron Peleg -- Of National Homes and Despotic Symbols : Network Narrative Films, Global Cities, and Local Crossings of Paths / Nava Dushi -- Fantasies of Other Desires : Homonationalism and Self-Othering in Contemporary Israeli Queer Cinema / Raz Yosef and Boaz Hagin -- Hagar Ben Asher's The Slut as the First Israeli Transnational Feminist Film Text / Yael Munk -- Encounters and Interspaces : The Place of Germany and Germans in Israeli Cinema / Tobias Ebbrecht-Hartmann -- Blood, Sweat, and Tears: The Rise of Israel's New Extremism / Neta Alexander -- The Exchange : Reinventing Israeliness through Koreanness / Pablo Utin.

"In the late 1970s Islam regained its force by generating novel forms of piety and forging new paths in politics throughout the world, including China. The Islamic revival in China, which came to fruition in the 2000s and the 2010s, prompted increases in government suppression but also intriguing resonances with the broader Muslim world-from influential theoretical and political contestations over Muslim women's status, the popularization of mass media and the appearance of new patterns of consumption, to increases in transnational Muslim migration. Although China does not belong to the "Islamic world" as it is conventionally understood, China's Muslims have strengthened and expanded their global connections and impact. Such significant shifts in Chinese Muslim life have received scant scholarly attention until now. With contributions from a wide variety of scholars-all sharing a commitment to the value of the ethnographic approach-this volume provides the first comprehensive account of China's Islamic revival since the 1980s as the country struggled to recover from the wreckage of the Cultural Revolution. The authors show the multifarious nature of China's Islam revival, which defies any reductive portrayal that paints it as a unified development motivated by a common ideology, and demonstrate how it was embedded in China's broader economic transition. Most importantly, they trace the historical genealogies and sociopolitical conditions that undergird the crackdown on Muslim life across China, confronting head-on the difficulties of working with Muslims-Uyghur Muslims in particular-at a time of intense religious oppression, intellectual censorship, and intrusive surveillance technology. With chapters on both Hui and Uyghur Muslims, this book also traverses boundaries that often separate studies of these two groups, and illustrates with great clarity the value of disciplinary and methodological border-crossing. As such Ethnographies of Islam in China will be essential reading for those interested in Islam's complexity in contemporary China and its broader relevance to the Muslim world and the changing nature of Chinese society seen through the prism of religion"--

Our objective was to describe, for the first time in an English-speaking Caribbean country, the contribution of ultra-processed foods (UPFs) to nutrients linked to non-communicable disease. Using a cross-sectional study design, dietary data were collected from two non-consecutive 24-h dietary recalls. Recorded food items were then classified according to their degree of processing by the NOVA system. The present study took place in Barbados (2012-13). A representative population-based sample of 364 adult Barbadians (161 males and 203 females) aged 25-64 years participated in the study. UPFs represented 40⋅5 % (838 kcal/d; 95 % CI 791, 885) of mean energy intake. Sugar-sweetened beverages made the largest contribution to energy within the UPF category. Younger persons (25-44 years) consumed a significantly higher proportion of calories from UPF (NOVA group 4) compared with older persons (45-64 years). The mean energy shares of UPF ranged from 22⋅0 to 58⋅9 % for those in the lowest tertile to highest tertile. Within each tertile, the energy contribution was significantly higher in the younger age group (25-44 years) compared with the older (45-64 years). One-quarter of persons consume ≥50 % of their daily calories from UPF, this being significantly higher in younger persons. The ultra-processed diet fraction contained about six times the mean of free sugars and about 0⋅8 times the dietary fibre of the non-ultra-processed fraction (NOVA groups 1-3). Targeted interventions to decrease the consumption of UPF especially in younger persons is thus of high priority to improve the diet quality of Barbadians. ; This work was supported by the Ministry of Health and Wellness of the Government of Barbados.