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Pinoy Capital
Home to 33,000 Filipino American residents, Daly City, California, located just outside of San Francisco, has been dubbed \"the Pinoy Capital of the United States.\" In this fascinating ethnographic study of the lives of Daly City residents, Benito Vergara shows how Daly City has become a magnet for the growing Filipino American community.
Vergara challenges rooted notions of colonialism here, addressing the immigrants' identities, connections and loyalties. Using the lens of transnationalism, he looks at the \"double lives\" of both recent and established Filipino Americans. Vergara explores how first-generation Pinoys experience homesickness precisely because Daly City is filled with reminders of their homeland's culture, like newspapers, shops and festivals. Vergara probes into the complicated, ambivalent feelings these immigrants have-toward the Philippines and the United States-and the conflicting obligations they have presented by belonging to a thriving community and yet possessing nostalgia for the homeland and people they left behind.
eBook
The world-wide burden of musculoskeletal diseases: a systematic analysis of the World Health Organization Burden of Diseases Database
BackgroundMusculoskeletal (MSK) diseases are expected to have a growing impact worldwide.ObjectiveTo analyse the worldwide burden of MSK diseases from 2000 to 2015.MethodsDisability-adjusted life years (DALYs), which combines the years of life lost (YLLs) and the years lived with disability (YLDs), were extracted for 183 countries from the WHO Global Health Estimates Database. We analysed the median proportion of DALYS, YLLs and YLDs for MSK diseases (ICD-10: M00–M99) among the 23 WHO categories of diseases. Mixed models were built to assess temporal changes.ResultsWorldwide, the total number of MSK DALYs increased significantly from 80,225,634.6 in 2000 to 107,885,832.6 in 2015 (p < 0.001), with the total number of MSK YLDs increasing from 77,377,709.4 to 103,817,908.4 (p = 0.0008) and MSK diseases being the second cause of YLDs worldwide. YLLs due to MSK diseases increased from 2,847,925.2 to 4,067,924.2 (p = 0.03). In 2015, the median proportion of DALYs attributed to MSK diseases was 6.66% (IQR: 5.30 – 7.88) in Europe versus 4.66% (3.98 – 5.59) in the Americas (p < 0.0001 vs Europe), 4.17% (3.14 – 6.25) in Asia (p < 0.0001), 4.14% (2.65 – 5.57) in Oceania (p = 0.0008) and 1.33% (1.03 – 1.92) in Africa (p < 0.0001). We observed a significant correlation (r = 0.85, p < 0.0001) between the proportion of MSK DALYs and the gross domestic product per capita for the year 2015.ConclusionsThe burden of MSK diseases increased significantly between 2000 and 2015 and is high in Europe. These results are crucial to health professionals and policy makers to implement future health plan adjustments for MSK diseases.
Journal Article
The impact of health insurance models on reducing DALYS from cardiovascular diseases and neoplasms: A panel study across 51 OECD member and candidate countries
As health systems worldwide increasingly focus on mitigating the burden of non-communicable diseases, the strategic role of insurance schemes in facilitating early detection and preventive care, thereby reducing the substantial costs associated with advanced-stage treatment, has become a critical area of policy and research attention. This study aims to evaluate the impact of various health financing models, specifically voluntary, compulsory, and social insurance, on the burden of cardiovascular diseases and neoplasms, measured by Disability-Adjusted Life Years (DALYs), across working-age and older populations. The analysis is based on unbalanced panel data from 51 countries covering the period 2000–2021, drawing from the Global Burden of Disease database for DALY rates and the OECD and WHO Global Health Expenditure Database for health financing indicators. Fixed and random effects panel regression models with clustered robust standard errors were employed to estimate the associations. Results show that voluntary private insurance significantly reduces DALY rates from cardiovascular diseases, by approximately 19-28%, among working-age (15-49) and older adults (50-69). Compulsory and social insurance models also exhibit protective effects, but of smaller magnitude. Government health financing schemes similarly correlate with improved outcomes. In contrast, enterprise-based financing is positively associated with higher DALY rates, especially in older age groups. Insurance schemes demonstrate weaker and more inconsistent associations for neoplasms, with compulsory insurance and government schemes showing the most stable links to reduced burden among older adults.
Journal Article
A man named Dave
This volume is the harrowing but ultimately uplifting true story of a boy's journey to confronting his abusive parents and learning to love, trust and live for the future.
Influence of the Covid-19 Crisis on Global PM2.5 Concentration and Related Health Impacts
The decrease in human activities following the COVID-19 pandemic caused an important change in PM2.5 concentration, especially in the most polluted areas in the world: China (44.28 and 18.88 µg/m3 in the first quarters of 2019 and 2020, respectively), India (49.84 and 31.12, respectively), and Nigeria (75.30 and 34.31, respectively). In this study, satellite observations from all around the world of PM2.5 concentration were collected on the grid scale with a high resolution of 0.125° (about 15km). Population data for 2020 were also collected on the same scale. Statistical data from the World Health Organization (WHO) concerning the diseases caused by air pollution (e.g., stroke) were obtained for each country to determine the change in mortality between the first quarter of 2019 and the first quarter of 2020. Expressed in disability-adjusted life years (DALY), it was found that the largest reductions were observed for China (−13.9 million DALY), India (−6.3 million DALY), and Nigeria (−2.3 million DALY).
Journal Article
Exercise to Prevent and Manage Frailty and Fragility Fractures
Purpose of Review
This review identifies exercise-based recommendations to prevent and manage frailty and fragility fractures from current clinical practice guidelines. We also critically assess recently published literature in relation to exercise interventions to mitigate frailty and fragility fractures.
Recent Findings
Most guidelines presented similar recommendations that included the prescription of individually tailored, multicomponent exercise programs, discouragement of prolonged sitting and inactivity, and combining exercise with optimal nutrition. To target frailty, guidelines recommend supervised progressive resistance training (PRT). For osteoporosis and fragility fractures, exercise should include weight-bearing impact activities and PRT to target bone mineral density (BMD) at the hip and spine, and also incorporate balance and mobility training, posture exercises, and functional exercise relevant to activities of daily living to reduce falls risk. Walking as a singular intervention has limited benefits for frailty and fragility fracture prevention and management.
Summary
Current evidence-based clinical practice guidelines for frailty, osteoporosis, and fracture prevention recommend a multifaceted and targeted approach to optimise muscle mass, strength, power, and functional mobility as well as BMD.
Journal Article