On a worldwide scale, the total number of migrants exceeds 200 million and is not expected to reduce, fuelled by the economic crisis, terrorism and wars, generating increasing clinical and administrative problems to N...On a worldwide scale, the total number of migrants exceeds 200 million and is not expected to reduce, fuelled by the economic crisis, terrorism and wars, generating increasing clinical and administrative problems to National Health Systems. Chronic non-communicable diseases(NCD), and specifically diabetes, are on the front-line, due to the high number of cases at risk, duration and cost of diseases, and availability of effective measures of prevention and treatment. We reviewed the documents of International Agencies on migration and performed a Pub Med search of existing literature, focusing on the differences in the prevalence of diabetes between migrants and native people, the prevalence of NCD in migrants vs rates in the countries of origin, diabetes convergence, risk of diabetes progression and standard of care in migrants. Even in universalistic healthcare systems, differences in socioeconomic status and barriers generated by the present culture of biomedicine make high-risk ethnic minorities under-treated and not protected against inequalities. Underutilization of drugs and primary care services in specific ethnic groups are far from being money-saving, and might produce higher hospitalization rates due to disease progression and complications. Efforts should be made to favor screening and treatment programs, to adapt education programs to specific cultures, and to develop community partnerships.展开更多
History provides valuable lessons for the interplay of factors that shape urban growth and development. This study examines changes in land use, socioeconomic indices, and the transportation system of Gifu City during...History provides valuable lessons for the interplay of factors that shape urban growth and development. This study examines changes in land use, socioeconomic indices, and the transportation system of Gifu City during the late 20th century using geographical information system (GIS) methods. The data for the study were historical maps and the population census and economic statistics data from 1950 to 2000, when Japan was in a period of high economic growth. The discussion focuses on the master plan, road construction, land use, the spatial distribution of the population, and socioeconomic indices. It was possible to compare spatial distribution patterns over time using GIS. When policies were created that attached importance to construction of a road network due to the development of motorization and elimination of the city tram, the surrounding suburban area became the focus of land-use development. As a result, Gifu City is plagued by the doughnut phenomenon. It is important to identify the relationships among urban planning factors to provide for future urban and transportation planning.展开更多
基金Supported by A research grant from the Department of Medical and Surgical Sciences,University of Bologna(to Luca Montesi),No.106/2014
文摘On a worldwide scale, the total number of migrants exceeds 200 million and is not expected to reduce, fuelled by the economic crisis, terrorism and wars, generating increasing clinical and administrative problems to National Health Systems. Chronic non-communicable diseases(NCD), and specifically diabetes, are on the front-line, due to the high number of cases at risk, duration and cost of diseases, and availability of effective measures of prevention and treatment. We reviewed the documents of International Agencies on migration and performed a Pub Med search of existing literature, focusing on the differences in the prevalence of diabetes between migrants and native people, the prevalence of NCD in migrants vs rates in the countries of origin, diabetes convergence, risk of diabetes progression and standard of care in migrants. Even in universalistic healthcare systems, differences in socioeconomic status and barriers generated by the present culture of biomedicine make high-risk ethnic minorities under-treated and not protected against inequalities. Underutilization of drugs and primary care services in specific ethnic groups are far from being money-saving, and might produce higher hospitalization rates due to disease progression and complications. Efforts should be made to favor screening and treatment programs, to adapt education programs to specific cultures, and to develop community partnerships.
文摘History provides valuable lessons for the interplay of factors that shape urban growth and development. This study examines changes in land use, socioeconomic indices, and the transportation system of Gifu City during the late 20th century using geographical information system (GIS) methods. The data for the study were historical maps and the population census and economic statistics data from 1950 to 2000, when Japan was in a period of high economic growth. The discussion focuses on the master plan, road construction, land use, the spatial distribution of the population, and socioeconomic indices. It was possible to compare spatial distribution patterns over time using GIS. When policies were created that attached importance to construction of a road network due to the development of motorization and elimination of the city tram, the surrounding suburban area became the focus of land-use development. As a result, Gifu City is plagued by the doughnut phenomenon. It is important to identify the relationships among urban planning factors to provide for future urban and transportation planning.
