Post-Earthquake Housing Recovery in Bachhau, India: The Homeowner, the Renter, and the Squatter

2010 ◽  
Vol 26 (4) ◽  
pp. 1085-1100 ◽  
Author(s):  
Anuradha Mukherji
Keyword(s):  
Low Income ◽  
Public Assistance ◽  
Recovery Process ◽  
Western India ◽  
Single Family ◽  
Government Officials ◽  
Housing Recovery ◽  
The Difference ◽  
Squatter Housing ◽  
Recovery Program

This paper looks at post-earthquake housing recovery in Bachhau, a town close to the epicenter of the 2001 Gujarat earthquake in western India. This research examines the difference in housing recovery outcomes among homeowners, squatters, and renters in Bachhau, in order to understand why single-family homeowners and squatters were able to rebuild and improve their housing conditions whereas low-income renters continued to struggle toward housing recovery. This paper shows that communities in Bachhau did not have the resources or capacities to rebuild themselves and that appropriate public assistance was critical for housing recovery. While public assistance was mainly targeted to meet the needs of homeowners, local government officials in Bachhau pursued a squatter housing recovery program crafted to meet the needs of low-income squatters. In contrast, public policy failed to understand the needs of renter households, resulting in their marginalization from the housing recovery process in Bachhau.

scholarly journals Birth companionship in a government health system: a pilot study in Kigoma, Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paul Chaote ◽  
Nguke Mwakatundu ◽  
Sunday Dominico ◽  
Alex Mputa ◽  
Agnes Mbanza ◽  
...  
Keyword(s):  
Low Income ◽  
Pilot Project ◽  
Low Income Countries ◽  
Respectful Maternity Care ◽  
Health Providers ◽  
Structured Interviews ◽  
Government Officials ◽  
Government Health ◽  
Project Data ◽  
Birth Companion

Abstract Background Having a companion of choice throughout childbirth is an important component of good quality and respectful maternity care for women and has become standard in many countries. However, there are only a few examples of birth companionship being implemented in government health systems in low-income countries. To learn if birth companionship was feasible, acceptable and led to improved quality of care in these settings, we implemented a pilot project using 9 intervention and 6 comparison sites (all government health facilities) in a rural region of Tanzania. Methods The pilot was developed and implemented in Kigoma, Tanzania between July 2016 and December 2018. Women delivering at intervention sites were given the choice of having a birth companion with them during childbirth. We evaluated the pilot with: (a) project data; (b) focus group discussions; (c) structured and semi-structured interviews; and (d) service statistics. Results More than 80% of women delivering at intervention sites had a birth companion who provided support during childbirth, including comforting women and staying by their side. Most women interviewed at intervention sites were very satisfied with having a companion during childbirth (96–99%). Most women at the intervention sites also reported that the presence of a companion improved their labor, delivery and postpartum experience (82–97%). Health providers also found companions very helpful because they assisted with their workload, alerted the provider about changes in the woman’s status, and provided emotional support to the woman. When comparing intervention and comparison sites, providers at intervention sites were significantly more likely to: respond to women who called for help (p = 0.003), interact in a friendly way (p < 0.001), greet women respectfully (p < 0.001), and try to make them more comfortable (p = 0.003). Higher proportions of women who gave birth at intervention sites reported being “very satisfied” with the care they received (p < 0.001), and that the staff were “very kind” (p < 0.001) and “very encouraging” (p < 0.001). Conclusion Birth companionship was feasible and well accepted by health providers, government officials and most importantly, women who delivered at intervention facilities. The introduction of birth companionship improved women’s experience of birth and the maternity ward environment overall.

A Basis for Automated Control of Steam Trap Subcool in SAGD

SPE Journal ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 680-686 ◽  
Author(s):  
Dharmeshkumar R. Gotawala ◽  
Ian D. Gates
Keyword(s):  
Temperature Difference ◽  
Oil Sands ◽  
Dynamic Control ◽  
Recovery Process ◽  
Steam Injection ◽  
Liquid Pool ◽  
Gravity Drainage ◽  
Approximate Theory ◽  
Smart Wells ◽  
The Difference

Summary Full steam conformance along the well pair of the steam-assisted gravity-drainage (SAGD) oil-sands-recovery process is essential for high thermal efficiency. Conformance can be improved by controlling injection and production strategies to ensure that steam is delivered to target regions in the reservoir. Smart wells use interval-control valves (ICVs) that, conceptually, can be dynamically controlled to yield uniform steam injectivity along the well pair. Dynamic control algorithms, such as proportional-integral-derivative (PID) control and their associated controller parameters, have not yet been developed for the SAGD processes that use ICVs. One control strategy would be to control the interwell subcool temperature difference—that is, the difference between the steam-injection temperature and the produced-fluids temperature. If this temperature difference is small, then the liquid pool above the production well is small and there is a likelihood of live steam production from the chamber. On the other hand, if the difference is large, the pool may rise above the injection well and gravity drainage is hindered because the chamber is largely filled with liquid. Here, the focus is on developing a simple, approximate theory for the behavior of the liquid pool at the base of the steam chamber to determine the ranges of values of control parameters to achieve a targeted interwell subcool temperature difference.

Evaluation of two alternative ablation treatments for cervical pre-cancer against standard gas-based cryotherapy: a randomized non-inferiority study

2019 ◽  
Vol 29 (5) ◽  
pp. 851-856 ◽  
Author(s):  
Miriam Cremer ◽  
Karla Alfaro ◽  
Jillian Garai ◽  
Manuel Salinas ◽  
Mauricio Maza ◽  
...  
Keyword(s):  
Low Income ◽  
Histological Evaluation ◽  
Cervical Tissue ◽  
Post Surgery ◽  
Pain Scores ◽  
Patient Pain ◽  
The Difference ◽  
Cure Rates ◽  
Treatment Application ◽  
Standard Gas

IntroductionGas-based cryotherapy is the conventional ablative treatment for cervical pre-cancer in low-income settings, but the use of gas poses significant challenges. We compared the depth of necrosis induced by gas-based cryotherapy with two gas-free alternatives: cryotherapy using CryoPen,and thermoablation.MethodsWe conducted a five-arm randomized non-inferiority trial: double-freeze carbon dioxide (CO2) cryotherapy (referent), single-freeze CO2 cryotherapy, double-freeze CryoPen, single-freeze CryoPen, and thermoablation. Subjects were 130 women scheduled for hysterectomy for indications other than cervical pathology, and thus with healthy cervical tissue available for histological evaluation of depth of necrosis post-surgery. The null hypothesis was rejected (ie, conclude non-inferiority) if the upper bound of the 90% confidence interval (90% CI) for the difference in mean depth of necrosis (referent minus each experimental method) was <1.14 mm. Patient pain during treatment was reported on a scale of 0 (no pain) to 10 (worst pain).ResultsA total of 133 patients were enrolled in the study. The slides from three women were deemed unreadable. One patient was excluded because her hysterectomy was postponed for reasons unrelated to the study, and two patients were excluded because treatment application did not follow the established protocol. For the remaining 127 women, mean depth of necrosis for double-freeze CO2 (referent) was 6.0±1.6 mm. Differences between this and other methods were: single-freeze CO2 = 0.4 mm (90% CI −0.4 to 1.2 mm), double-freeze CryoPen= 0.7 mm (90% CI 0.04 to 1.4 mm), single-freeze CryoPen= 0.5 mm (90% CI −0.2 to 1.2 mm), and thermoablation = 2.6 mm (90% CI 2.0 to 3.1 mm). Mean pain levels were 2.2±1.0 (double-freeze CO2 cryotherapy), 1.8±0.8 (single-freeze CO2 cryotherapy), 2.5±1.4 (double-freeze CryoPen), 2.6±1.4 (single-freeze CryoPen), and 4.1±2.3 (thermoablation).DiscussionCompared with the referent, non-inferiority could not be concluded for other methods. Mean pain scores were low for all treatments. Depth of necrosis is a surrogate for treatment efficacy, but a randomized clinical trial is necessary to establish true cure rates.

scholarly journals Imperialismo en el siglo XXI

2016 ◽  
Vol 6 (10) ◽  
pp. 49-74
Author(s):  
John Smith ◽  
Keyword(s):  
North America ◽  
Low Income ◽  
Great Part ◽  
Low Income Countries ◽  
Capitalist Development ◽  
Neoliberal Globalization ◽  
The North ◽  
Foreign Labor ◽  
Economic Foundation ◽  
The Difference

The globalization of production and its spread to low-income countries is the most notable transformation of the neoliberal era. Its driving force is the efforts by companies in Europe, North America and Japan to cut costs and raise profits, replacing relatively well-paid domestic labor for cheaper foreign labor. The gap in global wages, in great part the result of the suppression of the free movement of labor, provides a distorted view of the global differences in the rate of exploitation (simply, the difference between the value generated by the workers and what they are paid) upon which profits, prosperity and social peace in Europe, North America and Japan are ever-more reliant. Thus, neoliberal globalization should be seen as a new imperialist stage in capitalist development, where «imperialism» is defined by its economic foundation: the exploitation of labor in the South by capitalists from the North.

scholarly journals Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2834
Author(s):  
Lisa Brelet ◽  
Valentin Flaudias ◽  
Michel Désert ◽  
Sébastien Guillaume ◽  
Pierre-Michel Llorca ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Scoping Review ◽  
Low Income ◽  
Research Question ◽  
Recovery Process

Research about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED stigma, our work aimed to provide a broader synthesis of ED stigma, including its consequences, but also its content and distribution. More precisely, we focused on three EDs—namely, anorexia nervosa, bulimia nervosa, and binge eating disorder. Based on a systematic search of four major databases in psychology, the present scoping review includes 46 studies published between 2004 and 2021. We did not conduct any quality assessment of the studies included, because our aim was to provide a wide-ranging overview of these topics instead of an appraisal of evidence answering a precise research question. The review confirmed the existence of a common ED stigma: all individuals affected by EDs reviewed here were perceived as responsible for their situation, and elicited negative emotions and social distance. However, our review also depicted a specific stigma content associated with each ED. In addition, the demographic characteristics of the stigmatizing individuals had a notable influence on the extent of ED stigma: men, young adults, and low-income individuals appeared to be the most stigmatizing toward individuals with EDs. It is important to note that ED stigma had a negative effect on individuals’ eating disorders, psychological wellbeing, and treatment-seeking behavior. There is an urgent need for further research on the adverse effects of ED stigma and its prevention.

scholarly journals Analgesic Effect of Apotel Versus Pethidine After Hemilaminectomy

2019 ◽  
Vol 5 (4) ◽  
pp. 185-189
Author(s):  
Mohammadreza Emamhadi ◽  
◽  
Hamid Behzadnia ◽  
Seifollah Jafari ◽  
Mohammadreza Zamanidoust ◽  
...  
Keyword(s):  
Recovery Process ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Vas Score ◽  
Relieve Pain ◽  
Present Cross Sectional Study ◽  
Significant Difference ◽  
Vas Scores ◽  
The Difference

Background: Postoperative pain is a common phenomenon, and its management affects considerably on the recovery process, and patients’ satisfaction. Apotel and pethidine are two conventional medicines used to relieve pain after operation. Objectives: The present study aimed to compare the effect of intravenous injection of Apotel and intramuscular injection of pethidine in relieving pain after hemilaminectomy. Materials & Methods: In the present cross-sectional study, 150 patients who underwent hemilaminectomy were recruited between May 2015 and November 2015. They were taking either Apotel (n=75) or pethidine (n=75) after the operation, which was done at Poursina Hospital affiliated to Guilan University of Medical Sciences, Rasht City, Iran. The patients’ pain levels were measured using visual analog scale (VAS), and the results were compared between the 2 groups. Results: There was no significant difference in the total VAS score between the Apotel and pethidine groups (P=0.189). However, there was a significant reduction in VAS score hours 2 (P=0.03) and 4 (P=0.004) hours after the injection of Apotel in this group, compared with those scores in the pethidine group. Also, VAS scores at other times (8, 12, 20, 28 hours after the injection) were lower than those in the pethidine group, but the difference was not significant. Conclusion: Apotel was better pain-killer in the early hours after the first injection compared to pethidine. But its effect was similar to pethidine at the late hours after the first injection. Therefore it seems that Apotel is better painkiller after laminectomy, especially in the early hours after the operation.

scholarly journals Mirror therapy for phantom limb and stump pain: a randomized controlled clinical trial in landmine amputees in Cambodia

2018 ◽  
Vol 18 (4) ◽  
pp. 603-610 ◽  
Author(s):  
Ha Sam Ol ◽  
Yang Van Heng ◽  
Lena Danielsson ◽  
Hans Husum
Keyword(s):  
Low Income ◽  
Controlled Trial ◽  
Phantom Limb Pain ◽  
Phantom Limb ◽  
Controlled Clinical Trial ◽  
Mirror Therapy ◽  
Randomized Controlled ◽  
Stump Pain ◽  
The Difference ◽  
Therapy Interventions

Abstract Background and aims The aim of the study was to examine the effect of mirror and tactile therapy on phantom and stump pain in patients with traumatic amputations, with particular reference to amputees in low-income communities. Methods The study was conducted with an open, randomized, semi-crossover case-control design in rural Cambodia. A study sample of 45 landmine victims with trans-tibial amputations was allocated to three treatment arms; mirror therapy, tactile therapy, and combined mirror-and-tactile therapy. Non-responders from the mono-therapy interventions were crossed over to the alternative intervention. The intervention consisted of 5 min of treatment every morning and evening for 4 weeks. Endpoint estimates of phantom limb pain (PLP), stump pain, and physical function were registered 3 months after the treatment. Results All three interventions were associated with more that 50% reduction in visual analogue scale (VAS)-rated PLP and stump pain. Combined mirror-tactile treatment had a significantly better effect on PLP and stump pain than mirror or tactile therapy alone. The difference between the three treatment arms were however slight, and hardly of clinical relevance. After treatment, the reduction of pain remained unchanged for an observation period of 3 months. Conclusions The study documents that a 4-week treatment period with mirror and/or tactile therapy significantly reduces PLP and stump pain after trans-tibial amputations. Implications The article reports for the first time a randomized controlled trial of mirror therapy in a homogenous sample of persons with traumatic amputations. The findings are of special relevance to amputees in low-resource communities.

Partners’ Educational Pairings and Subjective Well-Being in China: An Analysis Using the Diagonal Mobility Model

2021 ◽  
pp. 0192513X2110380
Author(s):  
Xiaohang Zhao ◽  
Skylar Biyang Sun
Keyword(s):  
Low Income ◽  
Sex Role ◽  
General Social Survey ◽  
Well Being ◽  
Mobility Model ◽  
Subjective Well Being ◽  
Psychological Benefits ◽  
Educational Homogamy ◽  
The Difference ◽  
Chinese General Social Survey

Using pooled data from the Chinese General Social Survey in 2010, 2012, 2013, and 2015, this study investigated the relationship between partners’ educational pairings and subjective well-being among Chinese. Diagonal mobility models were employed to avoid conflating the effect of each partner’s education and the effect of the difference in education between partners. The findings reveal that regarding the well-being consequences of partners’ educational pairings, the hypothesis of satisfaction with marrying up outweighs the hypothesis of educational homogamy advantages and the hypothesis of sex roles. Specifically, for both women and men, persons marrying up in education are more likely to feel happy than their educationally homogamous counterparts. Moreover, educational hypergamy confers more psychological benefits to women in high-income communities than those in low-income communities. In addition, the earnings difference between partners plays a part in men’s SWB. Husbands who earn less than their wives are more likely to be unhappy than those whose earnings are 1–1.5 times those of their wives, suggesting that sex-role norms are at work. Our study contributes to a deeper understanding of the well-being consequences of educational heterogamy.

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