England’s elderly face human rights breaches in home care system

Wednesday, November 23, 2011

File photo of an elderly woman using bath seat and walking stick. Image: Richard Duncan, MRP.

A report published today by the Equality and Human Rights Commission (EHRC) finds that, in many cases, England’s home care system breaches the human rights of the elderly it is supposed to serve. The Close to home: older people and human rights in home care report is the result of a twelve-month investigation into care generally provided by local authorities.

Approximately half of those receiving home care, plus friends and family, providing evidence to the inquiry were satisfied with the quality of care provided. However, the report stresses that there are “systemic problems” arising from “a failure to apply a human rights approach to home care provision”. The report asserts that it is generally not the fault of individuals providing care, but serious problems exist as local authorities seem unaware of their obligations under the Human Rights Act and fail to commission, procure, and monitor care accordingly.

The report says articles two, three and eight of the European Convention on Human Rights are frequently being breached. These, respectively, cover an individual’s right to life, protection from inhumane and degrading treatment, and respect for dignity and personal independence. Criticisms include that care is not provided in a common-sense manner, and funding of care for the elderly is at lower levels than for younger people with similar problems and needs.

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The EHRC’s investigation highlights a range of recurring complaints and attempts to identify the underlying causes; cost is repeatedly mentioned, with use of the private-sector leading to some local authorities offering a “one size fits all” service leaving many elderly feeling they are “a task to be undertaken” and have “little or no choice” as to help received, or when care workers visit. A failure to invest in care workers is noted, with significant responsibility and the wide range of skills required being rewarded with low pay and status; this, the report states, adversely impacts staff retention and, a high turnover of care workers can put the security of care recipients at-risk.

Within the wider investigation, a commissioned independent social report by The Arndale Centre conducted in-depth interviews with a cross-section of 40 elderly individuals receiving home care. As-stressed in the report, those selected were not on the basis of good, or bad, experiences with their – mainly local authority-provided – care. It highlights a widespread feeling amongst those interviewed that they are treated “like a number”, and that aspects of the care provided lead to, or fail to resolve, feelings of social isolation.

The Manchester-based Arndale Centre report concludes that, “[t]he general picture is of a wider home care system in which older people are noteffectively involved: which they do not understand, and which does not often make the extra effort required to involve them in ways tailored to their state of health and other needs”.

nobody to talk [to] face to face. Nobody will knock on that door,[…] a life of isolation.

A recurring theme in the responses of those interviewed is the social isolation that their home care is not adequately addressing. One male interviewee in his seventies who previously used a scooter to get about said in his interview, “I haven’t been out of the house now for about four weeks. I daren’t. The last time I went out on the scooter I hit the kerb and it frightened the living daylights out of me.” Another, an 85-year-old woman who lives alone, expressed sadness at her inability to do normal things, “I would love to go to town to do some shopping. I haven’t been to town for about two years… Wander round the town and have a cup of tea… I’d love that.”

The social isolation many elderly experience was summed up neatly by another woman in her eighties in her interview: “When you go now, I will maybe not talk to anybody till tomorrow; maybe the whole of tomorrow nobody to talk [to]… face to face. Nobody will knock on that door, that is it, a life of isolation.”

The EHRC, having commissioned this report in the face of funding changes and reform of the care system, intends to press for legislative changes to ensure those receiving care at home are given the same protections under the Human Rights Act as those in residential care. In the conclusions of their report they offer to work with, and support, local authorities in understanding and delivering care that respects peoples’ rights and dignity; and, recommend better guidance as to the choices available to the elderly, and their families, be made available.

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The Many Causes Of Acne

Acne remains a bit of a mystery. It seems to be partly hereditary, but why some people are affected by it and others are untouched isn’t exactly known. We do, however, understand some of the biology behind it.

The main culprit is the excess production of sebum, an oily substance whose function is to keep skin and hair lubricated and supple. The production of the oily sebum blocks the skin’s surface, which provides an ideal environment for bacterial growth. The bacteria multiply, the skin area becomes red and inflamed, and then a pimple pops up.

The Role Of Testosterone

The excess production of sebum is caused by testosterone, the male hormone. However, testosterone is present in both males and females. During puberty, the body changes in its reaction to testosterone, thereby producing extra sebum. This irregular reaction, occurring mainly during adolescence, causes the skin — particularly the face and upper torso — to become oily.

The sebum then combines with naturally occurring dead skin cells to block hair follicles.

The body usually regulates its reaction to testosterone by the early 20s, and then the annoying acne clears up.

Hair Follicle Theory

Narrowing hair follicles could be involved with the production of acne — so says a recent scientific theory. Evidence suggests that hair follicles may become restricted for several reasons, including excessive shedding of cells within the follicle, abnormal cell binding, or water retention which causes the skin to swell.

The narrowed hair follicles prevent dead cells from being expelled from the body, creating a buildup beneath the skin. Combined with sebum, it produces ideal conditions for acne.

Making Matters Worse

Many people can’t resist squeezing their pimples. This may make the condition worse, by spreading the bacteria to the surrounding skin area. It also can lead to scarring, sometimes permanently.

Even touching the face can worsen acne. Without realizing it, most of us touch our faces many times throughout the day. The problem is that our hands contain oils and bacteria that will increase the acne symptoms. In fact, all objects, including eyeglasses and telephone handsets, that make contact with the face must be clean.

Hair, particularly long hair, also touches your face, so it is important to keep your hair clean and oil free. Fabric accessories such as hats and headbands should be avoided or used as little as possible.

Other Factors

Other things that seem to aggravate acne conditions include diet, skin irritation, stress, hormonal activities such as menstrual cycles, and certain medications.

Dietary links show skim milk products to be related to acne. There is no statistical evidence, however, that foods such as chocolate and fast food have any association with pimples or aggravates acne.

Medications associated with acne include anabolic steroids (used for bodybuilding), lithium, barbiturates, halogens, and androgens.

Retired U.S. vets sue Donald Rumsfeld for excessive service cutbacks

Tuesday, May 31, 2005

One thousand residents of the Defense Department-managed Armed Forces Retirement Home in Washington, D.C. filed a class-action lawsuit on May 24, asserting that the cut-backs in medical and dental services imposed by Secretary of Defense Donald Rumsfeld are illegal. The operating budget for the home was reduced from $63 million in 2004 to $58 million for 2005. The residents cite cuts in on-site X-ray, electrocardiogram, physical and dental services, and the closing of the home’s main clinic and an on-site pharmacy.

Chief Financial Officer Steve McManus responded that the changes not only save money but also achieved improved efficiencies. “We’re really trying to improve the benefits to our residents,” he said.

Most of the home’s costs are paid for by a trust fund and monthly fees paid by residents. By law, the Armed Forces Retirement Homes are required to fund, “on-site primary care, medical care and a continuum of long-term care services.”

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Eurozone offers Greece 30 billion euro in loans

Sunday, April 11, 2010

Member states of the eurozone have offered to give Greece thirty billion euro in emergency loans for the debt-stricken country, should the latter want it.

The loans’ price will be determined using formulas by the International Monetary Fund (IMF), and will be set at around five percent.

The Luxembourgish prime minister, Jean-Claude Juncker, speaking on behalf of eurozone finance ministers, commented that “[t]he total amount put up by the eurozone member states for the first year will reach 30bn euros.” He added that “[t]his is certainly no subsidy” to Greece.

The prime minister also noted that financing would be “completed and co-financed” by the IMF. European Union monetary affairs chief Olli Rehn remarked that the IMF would make a “substantial contribution” to the loan package as well, perhaps around ten billion euros.

The Greek economy has spent more than it has earned for several years now, and currently faces a budget deficit equal to 12.9% of its economic output, or a total debt of 300 billion euros. The country intends to try and reduce the deficit to 8.7% this year.

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Netherlands set to further restrict semiconductor technology exports

Thursday, March 9, 2023

ASML headquarters in Veldhoven on May 22, 2008. Image: A ansems.
The Chinese Semiconductor Manufacturing International Corporation factory in Shenzhen on January 1, 2022. Image: Lhzss8.

Dutch trade minister Liesje Schreinemacher wrote lawmakers yesterday announcing the government will detail additional curbs on exporting semiconductor chip technology “on national security grounds”.

Her letter to the States General of the Netherlands read in part: “In view of technological developments and geopolitical context, the government has come to the conclusion that it is necessary for (inter)national security to extend the existing export control of specific semiconductor production equipment […]

“Because the Netherlands considers it necessary on national security grounds to get this technology into oversight with the greatest of speed, the Cabinet will introduce a national control list”, to be published “before the summer.”

The exact list of products affected were decided with “surgical” precision, “in order to avoid unnecessary disruption of the value chains and to take into account the international level playing field.”

It comes after at least three months of negotiations with the United States, which unilaterally introduced expansive export restrictions in October to limit Chinese firms’ access to foreign chips and tools to make their own, due to fears of military application.

US officials conceded, however, the measures’ efficacy would be reduced without international co-operation. The Associated Press reported in January similar restrictions were agreed to by Dutch and Japanese functionaries when they visited Washington, D.C. for talks, with separate tête-à-tête discussions that month between US President Joe Biden and the nations’ prime ministers.

Schreinemacher told reporters in Brussels, Belgium last November the Dutch government was “having talks with the US”, saying: “We do share the concerns [the US government has] when it comes to China, when it comes to security” and Dutch “national security interest is of the utmost importance.”

Without commenting on the prospect of similar restrictions being introduced, the minister said the US export controls’ observed negative impact on Dutch companies were “for the right reasons […] national security interests.”

Veldhoven, North Brabant-based ASML Holding, Europe’s largest technology company, dominates the production of the laser lithography systems necessary for computer chips; it has offices in Beijing and Shenzhen and a Hong Kong regional headquarters.

The firm has reported about 16% of its 2021 sales, or over €2 billion, were to China.

Among products sold are advanced deep ultra violet (DUV) systems, which were mentioned as affected by the new controls in Schreinemacher’s letter as “very specific technologies in the semiconductor production cycle on which the Netherlands has a unique and leading position”.

A statement on the company’s website confirms “ASML will need to apply for export licenses for shipment of the most advanced immersion DUV systems.”

However, it clarifies not all immersion lithography tools are affected, and states based on “our expectation of the Dutch government’s licensing policy, and the current market situation, we do not expect these measures to have a material effect on” either its 2023 or long-term financial outlooks.

This follows a November 11 assurance by CEO Peter Wennink that a scenario where Chinese chipmakers couldn’t expand their capacity could mean a “temporary hiccough” but wouldn’t “change the 2030 picture that much” because “ultimately those chips need to be made.”

Its 2023 sales projection for China estimates near-zero growth to €2.2 billion even as ASML expects overall sales to expand by 25%.

Key questions remain, including whether ASML will be allowed to service the DUV machines already sold, and what precisely is affected—while Schreinemacher’s letter mentions “the most advanced [DUV] immersion lithography and deposition”, it does not name ASML, who has interpreted “most advanced” to mean its ‘critical immersion’ systems.

Existing controls have prohibited ASML from supplying China chipmaking technology with their most advanced extreme ultraviolet lithography systems since 2019, of which they are the world’s sole producers. These curbs were introduced following US fears they could be ‘dual use’ with military potential.

China has criticised restrictions as disrupting ordinary trade relations, its Ministry of Commerce stating after Washington’s initial announcement the US “should stop the wrongdoings immediately and give fair treatment to companies from all over the world, including Chinese companies.”

Despite trading barbs, a US State Department spokesperson told CNBC that where “China is pursuing asymmetric decoupling”, Secretary of State Antony Blinken has “said we do not want to sever China’s economy from ours”.

Sources quoted by Reuters expect Japan to update its own export policies as soon as this week.

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Starting With Useful Currency Trading Tips

Trading in the forex market often becomes a very complicated business. Although it offers a good opportunity to earn additional income, it also has some risks entailed. There may be instances if your trading strategy is not well planned out, this will result to you experiencing great losses instead of earning profits. That is why it is best to know important details about forex trading and to plan good strategies and a trading system.You can start out by getting familiar with the market and how it works and truly learn forex trading from the inside out. Being able to understand how trading works within the forex market would allow you to formulate plans and strategies that can be used to your advantage. This can enhance the chances of success in trading. You can do this by utilizing online forex simulations. These simulations provide you with a virtual forex market environment, where you will be able to practice trading and work out certain forex trading strategies. Because this is only a simulation of the real thing, you do not have to deal with real money.In trading within the forex market, it is important to note that you are trading with pairs of currencies. As you purchase one, you are also selling one. You should remember to trade in pairs. You should know the value of both currencies that you are trading with. Being right about both currencies that you are trading with, will determine the success that you can have from trading.Do not allow your emotions to take part in making decisions for your trade orders. Allowing your emotions to play a part in making trade decisions can cloud your logical judgment, which can ruin your chance of success. Traders who become emotional while trading often end up losing profits rather than gaining them. When emotions take part, a trader can become greedy or fearful depending on the circumstances. Both however, are not healthy for trading.

Rugby Union: Queensland’s Ballymore Cup quarter finals

Thursday, July 23, 2009

The Ballymore Cup Quarter Finals were played Wednesday. The Ballymore Cup is a state wide Rugby Union competition in the Australian state of Queensland. Schools participating in the Greater Public Schools (GPS) competition do not compete in the Ballymore Cup.

The North Queensland quarter finals are played as a round robin competition between four teams in Makay while the three other quarter finals are played at Ballymore Stadium in Brisbane.

Below are reports off each match in division 1.

Siena Catholic College 11 – 5 Marsden State High School

Siena Catholic College from the Sunshine Coast managed to slip past Marsden State High School 11 points to 5. Both sides crossed the oppositions line but penalties committed by Marsden gifted Siena the victory.

Siena defeated reigning champions Mountain Creek State High School in the Sunshine Coast division 1 competition final. They will play the winner of this weekends North Queensland Carnival in the semis.

Corinda State High School 0 – 44 All Saints Anglican School

Brisbane West’s Corinda State High School never seemed to be in the match as All Saints Anglican School from the Gold Coast eased pass them 44 point to zero. All Saints ran rings around the Corinda defence.

All Saints will play John Paul College in the semi final.

North Side Christian College 0 – 47 John Paul College

John Paul college will meet All Saints Anglican School in the semis after they defeated North Side Christian College forty-seven points to zero.

Rockhampton Grammar School, Whitsundays Anglican School (Mackay), Townsville Grammar School and St Augustine’s College (Cairns) will play the North Queensland Carnival as part of the Ballymore Cup quarter finals this weekend.

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Swiss reject single health insurance

Monday, March 12, 2007

24 of 26 Swiss Cantons rejected the proposal for a single health insurance system, in which premiums would be based on income and wealth. The vote on Sunday was the latest in a series of attempts to cut rising costs and ease the financial burden on citizens.

Around 71% of voters rejected the reform. Turnout was at about 46%, slightly above the Swiss average.

As expected, voters in the main German-speaking part of the country turned down the planned reform, which was supported by the centre-left but opposed by the centre-right as well as the business community, parliament and the government.

Opposition in the French and Italian speaking regions was less pronounced. The cantons Jura and Neuchâtel in the French speaking regions voted in favor of the proposed reforms.

Health insurance premiums are higher in southern and western Swiss cantons than in German-speaking areas.

The Swiss Interior Minister Pascal Couchepin said an important part of the Swiss Population appeared to be opposed to “a revolution” in health insurance but he said that he wanted current reforms currently under discussion in the Swiss Parliament to go ahead. He called on all sides, especially health insurers and the cantonal authorities, to make efforts to reduce spending on health insurance and aim for a greater cost efficiency. Currently Switzerland has 87 private insurers providing mandatory basic health care coverage for Swiss residents under a 1996 law. But costs have sky-rocketed. Over 100,000 people are not covered by health insurance due to non payment.

To win the battle of the cost of health care, everyone must place his or her private interests behind the interests of the general public. -Pascal Couchepin at a news conference

Opponents to the initiative argued that a single insurance system would lead to complacency and create a two-tier system, in which the wealthy would be the only ones available to afford to have additional private insurance coverage.

Supporters of the initiative said a single health insurer would increase the system’s efficiency and allow for annual savings of at least 300 million Swiss Francs (about $245 million) in administrative costs. Currently, the funding system is unbalanced, since many clients on low incomes use state subsidies to pay their premiums, according to the Green Party and the Social Democrats.

The initiative to unite all the insurance companies and introduce premiums based on wealth and income was the most recent in a series of attempts over the past ten years to reduce the public spending on health care. A proposal, similar to this recent proposal, to modify the funding system of the health insurance companies was rejected by 73% of voters in 2003.

Switzerland has the most expensive health system in Europe. Switzerland’s expenditure on health care was 11.6% in 2005, in front of Germany and France but behind the United States.

Learn more about Swiss Federal Council and Voting in Switzerland on Wikipedia.
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Over two million people displaced by flooding in India

Wednesday, October 7, 2009

Two and a half million people have been displaced and over 250 people were killed following the heaviest flooding to hit southern India in a hundred years.

Karnataka was the state most heavily affected by the floods. R.V. Jagdish, a government spokesman, said that 172 deaths from the rains in the state were reported, and fifty thousand people are living in relief camps. The neighbouring state of Andhra Pradesh reported at least fifty flood-related deaths. 1.5 million people residing in 100 relief camps across that state, chief minister K. Rosaiah said.

Relief crews dispatched boats and helicopters to send rations to large numbers of villagers left stranded after torrential rains.

No less than five million people have been sent to temporary government shelter areas following the heavy rains, which had flooded millions of acres of cropland.

Ambrose Christy, the south zonal manager for anti-poverty group Caritas India, said that “we have never experience anything like this before. It is the worst flooding in 100 years. The situation could become even more severe as the rains get worst. If the Krishna River bursts its banks, millions more will be forced from their homes and a huge area of land will be underwater.”

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