4. The White Race Card

2021 ◽  
pp. 85-116
Keyword(s):  
Author(s):  
Fred L. Borch

The 300,000 Europeans and Eurasians residing in the Indies in March 1942 soon learned that the Japanese occupiers planned to implement political, economic, and cultural policies that would integrate the newly “liberated” colony into the “Greater East Asian Co-Prosperity Sphere.” This goal of “Japanization” was to transform everyone living in the Indies into loyal subjects of the Emperor, with one important exception: “Asia for the Asians” meant there was no place for the white race in the Netherlands East Indies (NEI). Additionally, the Japanese in the archipelago were true believers in the warrior code of Bushido, which led to widespread mistreatment of prisoners of war and spilled-over into the treatment of civilian internees. This chapter explains how the Japanese intended to eradicate Dutch civilization and how the “Asia for the Asians” philosophy and Bushido code of behavior resulted in the commission of horrific war crimes, especially against whites and Eurasians.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1046-1046
Author(s):  
Tonja Nansel ◽  
Leah Lipsky ◽  
Carolina Schwedhelm ◽  
Breanne Wright ◽  
Chelsie Temmen ◽  
...  

Abstract Objectives This study examines associations of maternal characteristics with infant feeding of discretionary and health-promoting foods. Methods Mothers in PEAS, a prospective cohort study, reported maternal and child dietary intake, demographics, and eating competence (EC). Maternal diet quality (Healthy Eating Index-2015, HEI) was calculated combining 24-hour diet recalls at 6 weeks, 6, and 12 months postpartum (n = 209). Infant food frequency questionnaires were completed at 6, 9, and 12 months, assessing age of introduction and intake frequency of food groups. T-tests examined bivariate associations of demographics with feeding of discretionary sweets, discretionary savory foods, fruit, and vegetables. Linear regressions examined associations of maternal EC and HEI with infant feeding controlling for demographics. Results Fruit, vegetables, discretionary sweet, and discretionary savory foods were introduced at 5.8 ± 1.7, 5.9 ± 1.7, 8.0 ± 2.0, and 8.8 ± 1.8 months, respectively. Earlier introduction of fruit and vegetables was associated with higher maternal education, white race, and nulliparity; earlier introduction of vegetables was also associated with higher income. Age of introduction of discretionary sweet and savory foods was not associated with maternal demographics, HEI, or EC. At age 12 months, greater infant intake frequency of fruit and vegetables was associated with higher education and income, white race, and breastfeeding, while greater intake frequency of discretionary sweet and savory foods was associated with lower maternal education and minority race. Greater intake frequency of sweets was also associated with multiparity and greater intake frequency of discretionary savory foods was associated with lower income. Maternal HEI was positively associated with infant intake frequency of fruit, vegetables, and discretionary sweet and savory foods. Maternal EC was positively associated with infant intake frequency of fruit and vegetables. Conclusions Demographic differences in infant feeding behaviors indicates these behaviors as critical intervention targets to address disparities in child diet quality. Associations of maternal HEI and EC with infant feeding behaviors suggest potential pathways of maternal influence on infant diet. Funding Sources This research was supported by the NICHD Intramural Research Program.


2016 ◽  
Vol 64 (4) ◽  
pp. 936.2-937 ◽  
Author(s):  
K Naylor ◽  
O Kassim ◽  
K Kim

BackgroundIn Illinois for the year 2015, colorectal cancer (CRC) is projected to cause 2,090 deaths, making it the leading cause of non-tobacco related cancer mortality. African American or black Illinois residents have an approximately 7% greater incidence and a 30% higher mortality rate when compared to white residents. Guideline consistent CRC screening is known to increase early diagnosis and reduce cancer related death. Colonoscopy is the most commonly performed screening modality and diagnostic colonoscopy is required for follow up of abnormal non-invasive screening tests.The City of Chicago is home to 2.7 million residents, of whom 31% are non-Hispanic white and 37% are non-Hispanic black. Chicago is known to have significant residential racial segregation with 69% of the total non-Hispanic black population living within communities located south of Roosevelt Avenue, on Chicago's south side. Relatively homogenous minority communities, such as Chicago's south side, are prone to the development of healthcare inequities that may result in the development of healthcare disparities.ObjectiveThe objective of this study was to use geographic information systems and geospatial analysis to investigate the spatial distribution of healthcare facilities that perform colonoscopy within the City of Chicago.MethodsPopulation demographic data by census block was obtained from the U.S. Census Bureau, 2009–2013 American Community Survey 5-Year Estimates. The locations of facilities performing colonoscopy procedures were identified through internet search; review of Illinois Department of Public Health hospital listings; and ambulatory surgery center (ASC) accreditation listings. Each facility was contacted by phone to confirm performance of on-site colonoscopy and to obtain the number of on-site endoscopy procedure rooms. The addresses of facilities were geocoded using GPS Visualizer. City of Chicago census tract boundaries were mapped using U.S. Census Bureau Tiger Line shapefiles. Maps were created and geospatial analysis was performed using Esri ArcMap version 10.2.ResultsWithin the City of Chicago, a total of 41 facilities were identified that perform on-site colonoscopy. Of the 41 facilities, 26 were hospital-based and 15 were ASC-based. 10 of 26 (38%) Hospital-based colonoscopy sites and 3 of 15 (20%) ASC-based colonoscopy sites were located on Chicago's south side. There were a total of 134 endoscopy procedure rooms reported across the 41 facilities. 30 of the 134 (22%) endoscopy procedure rooms were located on Chicago's south side. Spatial overlap was observed between areas with clustering of endoscopy procedure rooms and census tracts with greater than 80% non-Hispanic white race.ConclusionsThere is an unequal distribution of colonoscopy facilities and endoscopy procedure rooms across the City of Chicago with geographic clustering of colonoscopy infrastructure observed on Chicago's north side within census tracts comprised of greater than 80% non-Hispanic white race. Census tracts containing high proportions of non-Hispanic black race were clustered on Chicago's south side within areas with a relative paucity of colonoscopy infrastructure. The spatial clustering of colonoscopy procedure rooms represents a healthcare resource inequity that may contribute to the persistence of disparities in CRC related mortality among non-Hispanic black communities in Chicago.


1995 ◽  
Vol 82 (1) ◽  
pp. 173
Author(s):  
William L. Van Deburg ◽  
Theodore W. Allen ◽  
David R. Roediger

Author(s):  
Haider J Warraich ◽  
Adam Devore ◽  
Haolin Xu ◽  
Roland Matsouaka ◽  
Paul Heidenreich ◽  
...  

Background: While 1 in 10 patients hospitalized with heart failure (HF) die within 30 days, end-of-life care for this high-risk population is not well described. Methods: We analyzed patients discharged alive from the Get With The Guidelines-HF registry between 2005-2014, linked to Medicare claims. We compared patients discharged to hospice to non-hospice “advanced HF” patients (ejection fraction ≤25% and either on inotropes, sodium ≤130, blood urea nitrogen ≥45 mg/dL, systolic blood pressure ≤90 mmHg or comfort measures) and to other GWTG-HF patients. Results: Of 121,990 US patients, hospice patients (n=4588, 2164 facility-based, 2424 home hospice) compared with advanced HF (n=4357) and others (113,045) were older (median age 86 years vs 78 years vs 81 years), more likely white race (88% vs 80% vs 82%), have intravenous loop diuretics used (74% vs 57% vs 63%), have an advanced care plan/surrogate decision maker discussed or documented (76% vs 62% vs 66%), had more dyspnea at rest (55% vs 46% vs 48%) and worse/unchanged symptoms at discharge (35% vs 2% vs 1%) (all p<0.01). Discharge to hospice increased from 2% (n=109) in 2005 to 5% (n=968) in 2014. Median survival in hospice was 11 days (25 th , 75 th percentile: 3, 65 days) compared with advanced HF (318 days) and others (754 days); 34% of patients discharged to a hospice facility and 12% to home hospice died in <3 days. (Figure) Median survival in hospice did not change significantly from 2005 to 2014. Hospital readmission at 30 days was 4% among hospice, 27% for advanced HF, and 22% for others. Median hospice discharge rate was 3.0 (0.7, 5.5). Hospice discharges had lower adjusted hazards of all-cause readmission (hospice compared with others: advanced HF odd ratio (OR) 0.15 (95% confidence interval (CI) 0.13-0.18), others OR 0.15 (95% CI 0.13-0.18). Hospice patients also had lower 6-month and 1-year readmission rate. Non-white race (OR 1.59 [95% CI 1.18-2.17]) and younger age (OR per 5 years 1.18 [95% CI 1.10-1.27)] were the strongest predictors of readmission from hospice. Conclusion: Hospice use in patients hospitalized with HF is limited but increasing. Few hospice patients are rehospitalized and almost a quarter die within 3 days of discharge. These findings may inform interventions to improve hospice care for HF patients.


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