Addressing the gap in Indigenous health: Government intervention or community governance? A qualitative review

2010 ◽  
Vol 19 (1) ◽  
pp. 20-33 ◽  
Author(s):  
Roslyn Sorensen ◽  
Cathrine Fowler ◽  
Chris Nash ◽  
Wendy Bacon
Keyword(s):  
Government Intervention ◽  
Indigenous Health ◽  
Community Governance ◽  
Qualitative Review

scholarly journals Community-governed health services in Cape York: does the evidence point to a model of service delivery?

2008 ◽  
Vol 32 (4) ◽  
pp. 605 ◽  
Author(s):  
Leanne L Coombe ◽  
Melissa R Haswell-Elkins ◽  
Peter S Hill
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Indigenous Health ◽  
Health Service Delivery ◽  
Service Delivery Model ◽  
Health Service Provider ◽  
Community Governance ◽  
Delivery Model ◽  
Health Council ◽  
Cape York

Health service delivery model reforms are currently underway in Cape York in an effort to improve health outcomes for the Aboriginal and Torres Strait Islander communities. These reforms include the transition of the Apunipima Cape York Health Council from an advocacy agency to a community-controlled health service provider. This paper investigates the literature on existing community governance models and communitycontrolled health service delivery models, to guide the choice of the most appropriate model for the Cape York health reforms. The evidence collected suggests a new innovative health service delivery model is emerging that will not only improve Indigenous health status, but may also present a more appropriate model for the health care sector than the existing mainstream health service delivery model provided for other sections of the collective Australian population.

Morphological Changes in the Brain of Acutely Ill and Weight-Recovered Patients with Anorexia Nervosa

2014 ◽  
Vol 42 (1) ◽  
pp. 7-18 ◽  
Author(s):  
Jochen Seitz ◽  
Katharina Bühren ◽  
Georg G. von Polier ◽  
Nicole Heussen ◽  
Beate Herpertz-Dahlmann ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Cognitive Deficits ◽  
Time Course ◽  
Morphological Changes ◽  
Meta Analysis ◽  
Short Term ◽  
Clinical Prognosis ◽  
Qualitative Review ◽  
Brain Changes ◽  
The Brain

Objective: Acute anorexia nervosa (AN) leads to reduced gray (GM) and white matter (WM) volume in the brain, which however improves again upon restoration of weight. Yet little is known about the extent and clinical correlates of these brain changes, nor do we know much about the time-course and completeness of their recovery. Methods: We conducted a meta-analysis and a qualitative review of all magnetic resonance imaging studies involving volume analyses of the brain in both acute and recovered AN. Results: We identified structural neuroimaging studies with a total of 214 acute AN patients and 177 weight-recovered AN patients. In acute AN, GM was reduced by 5.6% and WM by 3.8% compared to healthy controls (HC). Short-term weight recovery 2–5 months after admission resulted in restitution of about half of the GM aberrations and almost full WM recovery. After 2–8 years of remission GM and WM were nearly normalized, and differences to HC (GM: –1.0%, WM: –0.7%) were no longer significant, although small residual changes could not be ruled out. In the qualitative review some studies found GM volume loss to be associated with cognitive deficits and clinical prognosis. Conclusions: GM and WM were strongly reduced in acute AN. The completeness of brain volume rehabilitation remained equivocal.

Government Intervention in Globalization

2008 ◽  
Author(s):  
Carlos M. Peláez ◽  
Carlos A. Peláez
Keyword(s):  
Government Intervention
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