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Differential Access (differential + access)
Selected AbstractsA population-based study of hairy cell leukemia in IsraelEUROPEAN JOURNAL OF HAEMATOLOGY, Issue 5 2006Ora Paltiel Abstract:,Objectives: Few population-based data exist on the incidence and prognosis of hairy cell leukemia (HCL). Our objectives were to study the effect of socio-demographic factors on this rare disease and the risk of second malignancies occurring in HCL patients. Methods: We measured crude and age-adjusted incidence rates of HCL based on reporting to the Israel Cancer Registry (ICR) 1991,2001. Using Kaplan,Meier and multivariate analysis, we assessed survival by gender, ethnicity and geographic region. We ascertained additional primary tumors reported in this population and calculated standardized incidence ratios (SIRs) for tumors reported after the diagnosis of HCL. Results: The ICR registered 147 cases of HCL among males and 34 in females between 1991 and 2001. Age-adjusted incidence rates were 1.62/106/yr for women and 7.97/106/yr for men, with rates 1.5 times higher in Jewish than in non-Jewish (mainly Arab) men. Mean overall survival also differed by ethnicity. In a multivariate model, increasing age at diagnosis (P < 0.001), as well as Arab origin (P = 0.008) were associated with poorer survival but gender did not significantly affect the survival after controlling for age and ethnicity. Other primary malignancies were reported in 20 (11%) individuals, with a predominance of genito-urinary tumors (65%) among males. Secondary genito-urinary tumors were significantly increased above the expected population rates (SIR 3.23, 95% confidence interval: 1.39,6.36, P = 0.008). Conclusions: In the Israeli population, age and ethnicity were associated with prognosis of HCL. Variations in disease characteristics, stage of disease at diagnosis or differential access to treatment may contribute to these findings. Patients with HCL appear to be at increased risk for genito-urinary malignancies. [source] Geographies of Housing Finance: The Mortgage Market in Milan, ItalyGROWTH AND CHANGE, Issue 2 2007MANUEL B. AALBERS ABSTRACT The geography of financial exclusion has mainly focused on exclusion from retail banking. Alternatively, and following the work of David Harvey, this paper presents a geography of access to and exclusion from home mortgage finance. The case of Milan shows that capital switching to the built environment is partly a sign of economic crisis and partly a sign of the intrinsic opportunities that the built environment provides. A major factor in both is the deregulation of the mortgage market that has enabled the loosening of historically stringent lending criteria, leading to a tremendous growth of the mortgage market, while leaving the co-evolution of family and home ownership intact. In addition, capital switches within sectors of the economy and between places. In Milan, once "unattractive" but currently gentrified nineteenth-century districts underwent cycles of devalorisation and revalorisation. Even though access to mortgages has increased throughout Milan, geographical disparities in mortgage lending persist: at present, yellowlining (differential access, based on less favourable terms) is common in parts of the Milanese periphery. The creation of boundaries makes the realisation of class-monopoly rent possible; while the subsequent redrawing of these boundaries creates new submarkets in which surplus value can be extracted. Based on the Milan case, one cannot explain the timing and geography of formation and reformation of submarkets in other cities, but it helps us to see how Harvey's abstract ideas of class-monopoly rent, submarket creation, and capital switching take place in the real world. [source] Counting your chickens: density and distribution of chicken remains in archaeological sites of OceaniaINTERNATIONAL JOURNAL OF OSTEOARCHAEOLOGY, Issue 3 2008A. A. Storey Abstract In an effort to document the density and distribution of prehistoric chicken (Gallus gallus) remains across Oceania, this paper presents the analysis of reported faunal remains from over 500 individual archaeological and natural sites from across the Pacific. We examined the presence and absence of chicken in secure prehistoric contexts and factors which may account for this, including human choice, taphonomy, the influence of other animals on extinction events, differential access to resources, and purposeful extirpation. This research highlights the need for full study of the large percentage (18%) of Pacific avifauna collections which have yet to be analysed, to clarify the range and importance of chicken in prehistory. Copyright © 2008 John Wiley & Sons, Ltd. [source] From blog to bebo and beyond: text, risk, participationJOURNAL OF RESEARCH IN READING, Issue 1 2009Victoria Carrington This paper broadly explores the notion that text is an artefact that encodes and displays the tensions, resistances, positioning and affinities of its producer and, further, that many of these drivers have their source in quite significant shifts in the broad contours of contemporary Western culture. Against this background, two different artefacts are analysed in this paper: a blog and a bebo page. The blog has been produced by an adult female academic and the bebo page by an early adolescent girl. These text producers and users are positioned quite differently in terms of geography, education, life experience, identity, social class and interests. They also have differential access to and experience of digital technologies. However, they both make use of the affordances of technologies, in particular Internet-connected laptops and desktops, to create and disseminate these texts to do ,work' on their behalf in particular social domains. [source] Hepatitis C in ethnic minority populations in EnglandJOURNAL OF VIRAL HEPATITIS, Issue 6 2008A. G. Mann Summary., The aim of the study was to investigate the differing epidemiology of hepatitis C-related end-stage liver disease in ethnic minorities in England. We used Hospital Episode Statistics from 1997/98 to 2004/05 to directly age-standardize numbers of episodes and deaths from hepatitis C-related end-stage liver disease in ethnic groups using the white English population as standard and the age-structured population by ethnic group from the 2001 Census. We estimated the odds of having a diagnosis of end-stage liver disease amongst hepatitis C-infected individuals in each ethnic group compared with whites using logistic regression. The main outcome measures were age-standardized morbidity and mortality ratios and morbidity and mortality odds ratios. Standardized ratios (95% confidence interval) for hepatitis C-related end-stage liver disease ranged from 73 (38,140) in Chinese people to 1063 (952,1186) for those from an ,Other' ethnic group. Amongst individuals with a diagnosis of hepatitis C infection, the odds ratios (95% CI) of severe liver disease were 1.42 (1.13,1.79), 1.57 (1.36,1.81), 2.44 (1.85,3.22), 1.73 (1.36,2.19) and 1.83 (1.08,3.10) comparing individuals of Black African, Pakistani, Bangladeshi, Indian and Chinese origin with whites, respectively. Ethnic minority populations in England are more likely than whites to experience an admission or to die from severe liver disease as a result of hepatitis C infection. Ethnic minority populations may have a higher prevalence of hepatitis C or they may experience a poorer prognosis because of differential access to health services, longer duration of infection or the prevalence of co-morbidities. [source] Competing interests: Toronto's Chinese immigrant associations and the politics of multiculturalismPOPULATION, SPACE AND PLACE (PREVIOUSLY:-INT JOURNAL OF POPULATION GEOGRAPHY), Issue 2 2007J. Salaff Abstract Social service agencies and advocacy groups have played an integral role in mediating between the Asian ethnic populations. In the Canadian institutional setting, associations become a means of political expression. Canada incorporates new immigrants into its national institutions. However, these neo-liberal institutions and policies have not redressed major problems arising in the settlement process. Under Canada's discourse of enlightened multiculturalism, social service agencies are funded to help to integrate diverse peoples. The policy of multiculturalism meshes well with the liberal ideology underlying loose coupling, encouraging people to retain their cultural identities while settling and participating in national processes. These policies are designed to be sensitive to clients' cultural backgrounds; however, there are unforeseen consequences. In this system, different groups are granted different amounts of social, cultural and economic capital along with differential access to this capital, which affects their position and potential for action in other arenas. In particular, we find that the social service approach treats new Chinese immigrants as similar, thereby fostering competition between subgroups over leadership, funds and representation. Our data come from interviews with key figures in the Chinese-Canadian community and associations, and reviews of press and other media. Copyright © 2006 John Wiley & Sons, Ltd. [source] Male mating tactics in spider monkeys: sneaking to competeAMERICAN JOURNAL OF PRIMATOLOGY, Issue 9 2010K. Nicole Gibson Abstract I investigated the mating system and male mating tactics for a population of wild spider monkeys (Ateles belzebuth chamek), to identify the behaviors males used to achieve and maintain access to sexually receptive females, and to examine if some males used more tactics than other males and/or had differential access to females. Results show that the mating system mostly involved scramble competition polygyny and that males used a range of mating tactics and behaviors, previously unreported for spider monkeys. The most unusual feature of spider monkey mating behavior was the secretive nature of copulations,nearly all copulations were clandestine, but a few were in the presence of other group members. Fifteen sexually mature males were observed to copulate 43 times. These data provide the first opportunity to evaluate how female availability influences male,male competition. First, the operational sex ratio was highly skewed toward males because usually only one female was receptive in each community per month. Second, females only mated with a few males in their community in any one mating period, but some females mated over the course of multiple consecutive mating periods, eventually mating with most or all of the males in their community. Across all communities, 9 (21%) of the 43 copulations involved a single male,female partner, 20 (47%) involved four males mating with the same female, and males mated with from one to four different females. Fourteen of the 16 total adult males and 1 subadult male (10 total) copulated. One or two males in each community were successful in monopolizing access to receptive females, and these males did not usually have the highest rates of copulation. In this system, clandestine copulations are one behavioral solution to the complex problem of gaining mating exclusivity and, probably, exercising mate choice. Am. J. Primatol. 72:794,804, 2010. © 2010 Wiley-Liss, Inc. [source] | |||||||||||||