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1st Domains Review

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Web Hosting Reviews - 12 Definitions

In a 2010 University of Wisconsin Population Health Institute working paper on health determinants , the authors share that from the 1930s through the 40s, the big health push was changing unhealthy living environments using public health initiatives geared to sanitation issues and safety laws since infections and accidents were killing Americans.

environments

Moving into the next several decades, the 1950s and 60s saw heart problems and cancer as the most common diseases with the highest mortality. Clinical preventive services became the public health approach to these illnesses . Screening initiatives were pushed to the forefront.

Clinical preventive services

Data source: County Health Rankings: Relationships Between Determinant Factors and Health Outcomes , American Journal of Preventive Medicine, 50(2), 129-35

With the arrival of the 1970s and on through the 90s, groundbreaking research highlighted the health impact of smoking, diet, exercise, and other personal behaviors . With this cumulative research, public health experts now understood that these three factors — environment, clinical care, personal behaviors — seemed only part of what impacts health.

personal behaviors

Since the late 90s, research has revealed that from infancy through adulthood, whether referring to a person, or a state’s population, or all Americans, health is heavily impacted by another category: socioeconomic factors .

socioeconomic factors

Recently, the Health Resources Services Administration’s (HRSA)Office of Health Equity Bella Vita Women’s Ollie Ballet Flat Camel Ice Pink zMktz
, noting SDOH as a key to population health.

“Social determinants at the population level are considered underlying, upstream, or more fundamental determinants of health and disease and are amenable to change through public policy,” the report noted.

With experts acknowledging that social risk assessment may impact healthcare costs, social risk measurement may also impact reimbursement rules. The trend away from fee-for-service models to the recent focus on pay-for-performance may even meet up an alternative payment model influenced by managing the impact of a patient’s specific SDOH challenges.

Several recent publications report social risk assessment as an approach to further investigate SDOH impact on health and healthcare costs. In a November 2017 academic study published in Population Health Management , the authors note: “Given the small number of existing measures in the clinical context assessing social determinants, measure development for risk assessments should be considered a higher priority…”

One specific social risk assessment measurement tool is described by the National Academy of Medicine, a tool that is currently part of a Centers for Medicaid and Medicare Services (CMS) Innovation grant. In a January 2016 New England Journal of Medicine (NEJM) Perspective , CMS officials discussed how social risk assessment will help “support a transition from a health delivery system to a true health system.”

Usage of cookies
RETHINK
CONTRACEPTION
Find out in minutes
Well, it’s different.

3‐10 years

It protects for longer

You can’t forget it

> 99%

Long Acting Contraception describes a range of highly effective reversible contraceptive methods that last for an extended period of time.

They mainly include the hormonal IUS, copper IUD, and Implant.

So does the same contraception suit all women?

Not quite, we are all different after all. That’s why there’s a range of options for everyone.

Long Acting Contraception

Choose What Matters To You

Long Acting Contraception

Long Acting Contraception

The Pill

The IUS hormonal coil

The IUD copper coil

The Implant

The pill

The pill is a small tablet containing hormones that you should swallow at the same time every day.

The IUS

The intrauterine system is a small T-shaped frame made from soft, flexible plastic and is placed in your womb by your doctor.

The IUD

The intrauterine device is a small plastic T‐shaped apparatus that contains a copper wire. It is placed in your womb by your doctor.

The Implant

The contraceptive implant is a small flexible plastic rod that is placed under the skin of your upper arm by your doctor.

Long Acting contraception

When do I need to think about them?

The pill
Every day

Once a day. It should be swallowed always at the same time every day.

The IUS
3-5 years

Lasts up to 3-5 years once placed. The duration of use depends on the product.

The IUD
3-10 years

Lasts up to 3-10 years once placed. The duration of use depends on the product.

The Implant
3 years

Lasts up to 3 years once placed by your doctor.

You would expect all contraceptives to stop you from getting pregnant, right? Well, some methods are more effective than others ...

1. Long-Acting Contraception keeps working even when you forget about it. You have protection you can rely on. How well do they work?

Looking for something you don’t need to think about every day?

1. With long-acting contraception you don’t need a routine and you don’t need to worry about forgetting it. So how do I use it?

2. With long-acting contraception you don’t need a daily routine. It keeps working while you get on with enjoying life.

Long-acting contraception could be a good choice. Why don’t you discuss your options with your doctor? Talk to your doctor

2. Long-acting contraception is a convenient alternative to the pill. You don’t need to think about it every day and it’s highly effective.

Long-acting contraception could be a good choice. Why don’t you discuss your options with your doctor? Talk to your doctor

How reliable are they?

The pill
up to

of 1000

get pregnant with typical use

The IUS

of 1000

get pregnant with typical use

The IUD

of 1000

get pregnant with typical use

The Implant

of 1000

get pregnant with typical use

2. Only 2-3 out of every 1,000 women using an IUS, IUD, or implant become pregnant, making these some of the most reliable methods available. What if I stop using it?

2. Only 2-3 out of every 1,000 women using an IUS, IUD, or implant become pregnant, making these some of the most reliable methods out there.

Long Acting Contraception could be a good choice. Why don’t you discuss your options with your doctor? Talk to your doctor Talk to your doctor

What makes them work? And where?

The pill

Hormones

released in whole body. May contain a progestin and estrogen or only a progestin.

The IUS

Low hormone dose (progestin only)

released in womb, acts mainly locally.

The IUD

Copper ions

released in womb, act mainly locally.

The Implant

Hormones (progestin only)

released in whole body.

So you’re interested in a low dose of hormones ...

1. The IUS has lower hormone levels than the pill and is estrogen-free. The IUD has no hormones at all but instead releases copper. What about my period?

How can it affect my period?

The pill

Regular bleeding every month, may reduce bleeding and pain

The IUS

Lighter, shorter bleeding and less pain likely over time

The IUD

Heavier, longer bleeding likely; no effect on pain.

The Implant

Irregular, lighter bleeding; may reduce pain

2. As well as having a low hormone dose, the IUS can cause lighter, shorter, and less painful periods over time. Anything else I should know?

It's true, period pain can be quite unpleasant...

1. The IUS can make your periods less painful as well as being lighter and shorter over time. What about my lifestyle?

Will it make me gain weight?

The pill

No

Small, if any change to body weight

The IUS

No

Small, if any change to body weight

The IUD

No

Small, if any change to body weight

The Implant

No

Small, if any change to body weight

Weight gain is something most women don’t want to have to deal with ...

1. These methods won’t normally make you gain weight. Changing your contraception doesn’t mean you have to change your lifestyle. Anything else I should know?

2. These methods won’t normally make you gain weight. Changing your contraception doesn’t mean you have to change your lifestyle.

Long-acting contraception could be a good choice. Why don’t you discuss your options with your doctor? Talk to your doctor Talk to your doctor

What about thrombosis risk?

The pill
Slightly

Slightly increased risk.

Immigrants’ Ready Assimilation Of British Identity Suggests We Need Not Fear A 'Culture Clash’

Contrary to what many people seem to believe, Britain is not riven by a large-scale culture clash. Indeed, despite widespread fears about the integration of Muslims into British culture, there is no evidence that Muslims are less likely to think of themselves as British than other groups. These are among the conclusions of research by Professor Alan Manning and Sanchari Roy , published in the February 2010 .

The study, which analyses data on the national identity and values of both immigrants and British-born people, finds that the longer immigrants remain in Britain, the more likely they are to think of themselves as British – and that immigrants from poorer and less democratic countries assimilate faster into a British identity.

For example, immigrants from Pakistan and Bangladesh assimilate into a British identity much faster than the average, while those from Western Europe and the United States do so more slowly, with Italians standing out as the group that assimilates least into a British identity.

Many people in Britain consider immigration to be one of the most important issues facing the country today. Their concerns seem to be as much about the social impact of immigration as its economic impact, which economists typically conclude are small.

Quite what the social consequences of immigration that are feared is not entirely clear – sometimes it is simply the dilution of ‘traditional’ culture; sometimes it is a more melodramatic fear that Britain is becoming a mix of mutually incompatible cultures, whose irreconcilable differences could end in a serious ‘culture clash’.

This research uses responses from the Labour Force Survey of almost one million individuals to the question ‘What do you consider your national identity to be?’ as well as data on people’s views of their rights and responsibilities from Home Office Citizenship Surveys. The answers give little support to the idea of a serious culture clash within British society.

The British-born

Among those who were born in Britain, over 90% of all groups of whatever religion or ethnicity, think of themselves as British. In particular, there is no evidence that Muslims are less likely to think of themselves as British than other groups.

Ethnicity has a somewhat larger effect on British identity than religion. All non-white ethnic groups report lower levels of British identity, but this is probably because many of them are second-generation immigrants. Young people from ethnic minorities whose parents are British-born report the same levels of British identity as the white population.

One group stands out as having an extremely low level of British identity – Catholics from Northern Ireland. It appears that any identity conflict among British-born Muslims is an order of magnitude smaller than that among Catholics from Northern Ireland.

Immigrants

The fraction of immigrants who identify themselves as British varies a lot by country of birth. But there is a simple explanation for most of this variation – how long immigrants have been in the country. New immigrants almost never think of themselves as British, but the longer they remain in the country the more likely they are to do so.

This process of assimilation is faster for some immigrant groups than others, but not in the way that might be expected. For example, Muslims are not less likely to feel British than those from other backgrounds, and immigrants from Pakistan and Bangladesh assimilate into a British identity much faster than the average, while those from Western Europe and the United States do so more slowly, with Italians standing out as the group that assimilates least into a British identity.

There is also evidence that immigrants from poorer and less democratic countries assimilate faster into a British identity. Part but not all of this can be explained by a greater tendency to take up citizenship.

Rights and responsibilities

This last finding might lead one to argue that whether people think of themselves as British is not a meaningful indicator of whether they feel they belong, nor of their integration into British life and values. There is little concern about the fact that Italians rarely seem to come to think of themselves as British because it is felt that Italians have similar views on the way in which society should be run.

So it is conceivable that those born in Britain call themselves British (because that is what their passport says they are) but they espouse a variety of diverse values. For some, it might be that their country of birth means that they automatically think of themselves as British while for others it might be the values (good or bad) that Britain represents to them, which lead to their identifying themselves as British.

To examine the values that lie behind notions of British identity, the researchers conducted an analysis of people’s views on rights and responsibilities. Their findings here are very similar to those on national identity: immigrants are very slightly less likely to have views on rights and responsibilities that the popular consensus holds to be ‘desirable’.

But the differences are much smaller than the differences among the British-born population of different ages and with different levels of education. What’s more, the immigrant groups who emerge as having different values from the British-born population are not the ones that have become the focus of most public concern. Muslims, for example, do not have significantly different values.

These findings strongly suggest that contrary to what many people seem to believe, Britain is not riven by large-scale culture clash. This is not to deny the existence of some people who are prepared to use violence to further their agenda, but this evidence suggests that these are a tiny minority.

The researchers comment:

ENDS

Notes for editors : ‘Culture Clash or Culture Club? The Identity and Attitudes of Immigrants in Britain’ by AlanManning and SanchariRoy is published in the February 2010 issue of the .

Alan Manning is professor of economics at LSE. Sanchari Roy is a PhD student and research assistant at LSE.

For further information : contact Alan Manning on +44 20 7955 6078 (email: a.manning@lse.ac.uk ); or Romesh Vaitilingam on 07768-661095 (email: romesh@vaitilingam.com ).

‘In presenting our research findings at various universities, we have been surprised by how many people react by saying our results are all wrong and that they “know” that there is a serious culture clash. We should be seriously concerned that this “knowledge” is simply wrong.

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