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- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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- Barker, Vanessa
(författare)
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Explaining the Great American Crime Decline : A Review of Blumstein and Wallman, Goldberger and Rosenfeld, and Zimring
- 2010
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Ingår i: Law and Social Inquiry. - : Cambridge University Press (CUP). - 0897-6546 .- 1747-4469. ; 35:2, s. 489-516
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Forskningsöversikt (refereegranskat)abstract
- This essay reviews three books as they document and explain the 1990s crime decline: Alfred Blumstein and Joel Wallman, eds., (2006) The Crime Drop in America; Arthur S. Goldberger and Richard Rosenfeld, eds., (2008) Understanding Crime Patterns: Workshop Report; and Franklin E. Zimring (2007), The Great American Crime Decline.It presents the empirical detail of the crime decline and examines the most commonly cited explanatory factors: imprisonment, policing, demography, and economic growth. It then suggests alternative lines of research in urban sociology—urban development, youth culture, and immigration—that may better explain the decline as the result of changes in the cultural and social fabric of American society, particularly in cities where the steepest declines occurred.
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- Barker, Vanessa, 1971-
(författare)
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Global Mobility and Penal Order : Criminalizing Migration, a View from Europe
- 2012
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Ingår i: Sociology Compass. - : Wiley. - 1751-9020. ; 6:2, s. 113-121
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Tidskriftsartikel (refereegranskat)abstract
- Globalization has increased the flow of people across Europe, bringing economic expansion and ethnic diversity. Open political borders have enhanced European integration and interdependence, creating a cosmopolitan European Union full of transnational citizens. Alongside this increased mobility, state coercion has been quietly on the rise. Since 1990, nearly every European democracy has increased incarceration, locking up common criminals and those perceived to be outsiders. Foreign nationals are overrepresented in nearly every European prison, making up over 50 percent of the prison population in Greece, 35 percent in Spain and Italy, for example, or 28 percent in Sweden. At the same time, the intensification of border control – the regulation of both territory and group membership – has subjected a growing number of people to detention and expulsion, as immigration itself has become, in part, criminalized. The controversial expulsion of the Roma, EU citizens, from France in the summer of 2010 and the large scale detention of North African migrants in Lampedusa, Italy during the Arab Spring of 2011, among other events, graphically illustrate the rise of state coercion, directed particularly against those perceived to be foreigners and mobile. This article analyzes the current state of the literature that brings us closer to understanding how and why European democracies resort to the criminal law and penal sanctioning to resolve broader conflicts over globalization, national identity, and economic restructuring by excluding others and by desperately trying to control and contain mobility.
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