County

Distribution by Scientific Domains
Distribution within Medical Sciences

Kinds of County

  • Angele county
  • Olmst county
  • california county
  • carolina county
  • chinese county
  • cook county
  • copenhagen county
  • diego county
  • florida county
  • king county
  • los Angele county
  • miami-dade county
  • north carolina county
  • one county
  • orange county
  • rural county
  • san diego county
  • stockholm county
  • swedish county
  • urban county
  • washington county

  • Terms modified by County

  • county council
  • county government
  • county hospital
  • county level
  • county population
  • county study

  • Selected Abstracts


    Do California Counties With Lower Socioeconomic Levels Have Less Access to Emergency Department Care?

    ACADEMIC EMERGENCY MEDICINE, Issue 5 2010
    Deepa Ravikumar
    Abstract Objectives:, The study objective was to examine the relationship between number of emergency departments (EDs) per capita in California counties and measures of socioeconomic status, to determine whether individuals living in areas with lower socioeconomic levels have decreased access to emergency care. Methods:, The authors linked 2005 data from the American Hospital Association (AHA) Annual Survey of Hospitals with the Area Resource Files from the United States Department of Health and Human Services and performed Poisson regression analyses of the association between EDs per capita in individual California counties using the Federal Information Processing Standard (FIPS) county codes and three measures of socioeconomic status: median household income, percentage uninsured, and years of education for individuals over 25 years of age. Multivariate analyses using Poisson regression were also performed to determine if any of these measures of socioeconomic status were independently associated with access to EDs. Results:, Median household income is inversely related to the number of EDs per capita (rate ratio = 0.83; 95% confidence interval [CI] = 0.71 to 0.96). Controlling for income in the multivariate analysis demonstrates that there are more EDs per 100,000 population in FIPS codes with more insured residents when compared with areas having less insured residents with the same levels of household income. Similarly, FIPS codes whose residents have more education have more EDs per 100,000 compared with areas with the same income level whose residents have less education. Conclusions:, Counties whose residents are poorer have more EDs per 100,000 residents than those with higher median household incomes. However, for the same income level, counties with more insured and more highly educated residents have a greater number of EDs per capita than those with less insured and less educated residents. These findings warrant in-depth studies on disparities in access to care as they relate to socioeconomic status. ACADEMIC EMERGENCY MEDICINE 2010; 17:508,513 © 2010 by the Society for Academic Emergency Medicine [source]


    Reevaluating the Relationship Between In-, Out-, and Net Migration for Nonmetropolitan Counties: An Update on Beale's U-Shaped Curve

    GEOGRAPHICAL ANALYSIS, Issue 3 2001
    Alexander C. Vias
    The relationship of gross migration to net migration is continuously undergoing reevaluation in the literature. However, one major finding by Beale (1969) that produced the famous u-shaped curve has received little attention, a surprising situation considering the significant changes that have taken place in rural America since 1969. In this paper I use gross migration data from IRS returns for 1995,1998, and differentiate the rates using a number of classification schemes developed by the USDA and the Census Bureau. The results show that rural America is a diverse place, and that migration rates vary tremendously depending on the geographic, economic, and social characteristics of the county. Furthermore, the relationship between gross and net migration varies much more than previously suggested, especially in negative net migration counties, a finding with implications for migration theory and public policy. [source]


    CREATIVE PRESERVATION IN CALIFORNIA'S DAIRY INDUSTRY,

    GEOGRAPHICAL REVIEW, Issue 2 2003
    GREIG TOR GUTHEY
    ABSTRACT. Farmers in Marin and Sonoma Counties, located north of San Francisco, are experimenting with numerous alternatives to California's widely known industrial dairy style. Many analysts suggest that consumer politics, food scares, and globalization explain such shifts to organic and other types of "quality" food production. While acknowledging the importance of these factors, we argue that the alternatives in this region are best understood as an outcome of broad-based land-conservation efforts developed through historical and ongoing struggles over urban growth, rising concerns about environmental values, and deep regional interests in dairy preservation. Over time, preservation of this agricultural landscape has contributed to the emergence of a quality food industry historically rooted in the region's politics of place. [source]


    Parasitism of cotton leafworm Alabama argillacea eggs by Trichogramma pretiosum in commercial cotton fields

    JOURNAL OF APPLIED ENTOMOLOGY, Issue 7 2010
    C. S. Bastos
    Abstract Release of natural enemies in commercial fields is challenging and has been inconsistent in the results achieved. This work discusses the augmentative releases of Trichogramma pretiosum to control the cotton leafworm (CLW) Alabama argillacea and also examines the parasitoid,host interaction under grower field conditions. The treatments consisted of fields with and without releases of T. pretiosum set up in Primavera do Leste and Campo Verde Counties, MT, Brazil, during three different seasons (2003 and 2004 dry and 2004 regular summer seasons). Trichogramma wasps were weekly released in the treated fields throughout the entire sampling period (14,15 week period) at a rate of 100 000 wasps per hectare. One-way repeated measures analysis of variance was performed for the number of parasitized eggs, followed by a meta-analysis procedure to determine the contribution of T. pretiosum release on overall parasitism. In addition, regression analysis was conducted with each season's data sets to study the relationship of the host density and parasitism response by T. pretiosum. The overall results of Trichogramma augmentative releases did not result in significant increase of CLW egg parasitism beyond the natural parasitism in the areas studied. However, based on Cohen's d effect sizes from the meta-analysis, the parasitism rate was greater in fields under T. pretiosum releases during four out of 15 weeks surveyed. The parasitism of CLW eggs by T. pretiosum exhibited host density-dependence only in one out of three seasons surveyed. These findings are encouraging as they are evidence that T. pretiosum is able to maintain a considerable level of parasitism under commercial field conditions, highlighting their potential value in large-scale commercial areas of cotton as previously found at the small and diverse farming scale. Future studies should address the potential of early-season, low density releases of the parasitoid. [source]


    Relationships among perceptions of parent involvement, time allocation, and demographic characteristics: Implication for policy formation

    JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 5 2002
    Shulamit N. Ritblatt
    Variables that facilitate or hinder parent involvement (PI) in education and schools were explored, along with the amounts of time parents spent in various activities. A total of 506 participants from San Diego and Imperial Counties completed the first part of the study (1) designed to assess parents' beliefs about involvement with their child's school and education. Of these same participants, 357 self-selected parents also chose to complete a second part of the study (2) that assessed the amount of time parents spend in education-related activities. Factor analysis of the 506 participant responses revealed four school perception factors related to parent attitudes: (a) communication, (b) familiarity, (c) sensitivity, and (d) support. Factor analysis of the 357 participant responses to the time factors also revealed four involvement areas: (a) general school issues, (b) specific school issues, (c) extracurricular school activities, and (d) specific help. Significant relationships were found among three of the attitudinal factors (sensitivity, familiarity, and support) and various time factors, including total involvement time, general issues, specific problems, and extracurricular issues. Further, significant differences among means were found for both the school perception factors and the time factors based on ethnic background, income, and marital status. Recommendations for increasing parent involvement and formulating public policy are discussed. © 2002 Wiley Periodicals, Inc. [source]


    Conducting Research on Counties: Commentary from County Government Practitioners

    PUBLIC ADMINISTRATION REVIEW, Issue 6 2007
    Article first published online: 20 NOV 200
    First page of article [source]


    Performance Measurement in U.S. Counties: Capacity for Reform

    PUBLIC ADMINISTRATION REVIEW, Issue 5 2000
    Evan Berman
    This study examines the capacity of U.S. counties to undertake performance measurement. Based on a national survey of counties with populations over 50,000, the authors address the following questions: To what extent do counties implement performance measurement? Which capacities must be present for different levels of implementation and success? What can counties do to increase their capacity for performance measurement? And, what is the effect of county structure and functions on the use of performance measurement? This study finds that the success of performance measurement is greatly affected by counties' underlying organizational capacities. [source]


    Examining Factors that Impact Mississippi Counties' Unreserved Fund Balance during Relative Resource Abundance and Relative Resource Scarcity

    PUBLIC BUDGETING AND FINANCE, Issue 4 2009
    LA SHONDA M. STEWART
    Although using some of the same organizational and financial factors examined by prior researchers to build and test models that explain factors influencing change in the general fund unreserved balance for smaller, rural, and less affluent counties in Mississippi, the rationale of this study is to build additional support that applying the recommended 5,15 percent savings benchmark across all jurisdictions is not a sufficient guide. Overall, Mississippi counties maintain unreserved fund balances ranging from a negative balance to over one hundred percent of their current expenditures. Counties also increase reserves during times of relative resource abundance and decrease them during relative resource scarcity. Moreover, they tend to address short-term needs and resident demands when revenues are plentiful. During relative resource scarcity, however, they are more cost-conscious and focus on maintaining rather than expanding current expenditures. This research shows that counties using the Beat system, a political form of government, are more likely to behave more frugally than counties using a Unit system, an administrative form of government. [source]


    Local Option Sales Taxes and Fiscal Disparity: The Case of Georgia Counties

    PUBLIC BUDGETING AND FINANCE, Issue 1 2008
    ZHIRONG JERRY ZHAO
    While local option sales taxes (LOST) have become an important revenue source for local governments, there has been concern about the distribution of LOST revenues: the uneven distribution of sales tax bases may have introduced a new source of fiscal inequality and exacerbated existing fiscal disparity. Using Georgia county data (N=159, 1970,2000), this study examines whether and how LOST have affected local fiscal disparity. Our findings suggest that the effects of LOST on fiscal disparity vary with the approach to measure revenue-raising capacity; thus the issue of LOST distribution is sensitive to the underlying conceptualization of "fiscal equity." [source]


    Maternal Bacterial Vaginosis and Fetal/Infant Mortality in Eight Florida Counties, 1999 to 2000

    PUBLIC HEALTH NURSING, Issue 5 2004
    Barbara Hansen Cottrell M.S.N.
    Abstract This study determined the prevalence of maternal bacterial vaginosis (BV) in fetal/infant mortality cases and factors associated with BV. A retrospective descriptive study was utilized. Data were obtained from review of vital statistics and medical records of 176 women experiencing fetal/infant deaths in eight Florida counties, 1999 to 2000. Non-White mothers accounted for 68.96% of deaths (chi square = 10.119, df = 4, p = 0.038), although the population of the eight counties was 64% White. Of 121 non-White mothers (68.8%) with infections, 37 (30.6%) had BV. Most fetal/infant deaths (39.7%) occurred 20,23 weeks' gestation and at birthweights <500 g, as did most cases of BV (46%). Women with BV were more likely to be non-White (OR 2.756, 95% CI 1.075, 7.066), single (OR 2.090, 95% CI 1.081, 7.246), <24 years old (t = 3.172, p = 0.002), and have <12 years of education (t = 2.56, p = 0.011). Findings support early screening and treatment for BV in women with these risk factors or a history of prior fetal/infant loss or preterm/low-birthweight infant. Factors contributing to racial disparity in BV and fetal/infant mortality need further exploration. [source]


    Presence of a Community Health Center and Uninsured Emergency Department Visit Rates in Rural Counties

    THE JOURNAL OF RURAL HEALTH, Issue 1 2009
    FAAFP, FACPM, George Rust MD
    ABSTRACT:,Context: Community health centers (CHCs) provide essential access to a primary care medical home for the uninsured, especially in rural communities with no other primary care safety net. CHCs could potentially reduce uninsured emergency department (ED) visits in rural communities. Purpose: We compared uninsured ED visit rates between rural counties in Georgia that have a CHC clinic site and counties without a CHC presence. Methods: We analyzed data from 100% of ED visits occurring in 117 rural (non-metropolitan statistical area [MSA]) counties in Georgia from 2003 to 2005. The counties were classified as having a CHC presence if a federally funded (Section 330) CHC had a primary care delivery site in that county throughout the study period. The main outcome measure was uninsured ED visit rates among the uninsured (all-cause ED visits and visits for ambulatory care sensitive conditions). Poisson regression models were used to examine the relationship between ED rates and the presence of a CHC. To ensure that the effects were unique to the uninsured population, we ran similar analyses on insured ED visits. Findings: Counties without a CHC primary care clinic site had 33% higher rates of uninsured all-cause ED visits per 10,000 uninsured population compared with non-CHC counties (rate ratio [RR] 1.33, 95% confidence interval [CI] 1.11-1.59). Higher ED visit rates remained significant (RR 1.21, 95% CI 1.02-1.42) after adjustment for percentage of population below poverty level, percentage of black population, and number of hospitals. Uninsured ED visit rates were also higher for various categories of diagnoses, but remained statistically significant on multivariate analysis only for ambulatory care sensitive conditions (adjusted RR = 1.22, 95% CI 1.01-1.47). No such relationship was found for ED visit rates of insured patients (RR 1.06, 95% CI 0.92-1.22). Conclusions: The absence of a CHC is associated with a substantial excess in uninsured ED visits in rural counties, an excess not seen for ED visit rates among the insured. [source]


    Availability of Diagnostic and Treatment Services for Acute Stroke in Frontier Counties in Montana and Northern Wyoming

    THE JOURNAL OF RURAL HEALTH, Issue 3 2006
    Nicholas J. Okon DO
    ABSTRACT:,Context: Rapid diagnosis and treatment of ischemic stroke can lead to improved patient outcomes. Hospitals in rural and frontier counties, however, face unique challenges in providing diagnostic and treatment services for acute stroke. Purpose: The aim of this study was to assess the availability of key diagnostic technology and programs for acute stroke evaluation and treatment in Montana and northern Wyoming. Methods: In 2004, hospital medical directors or their designees were mailed a survey about the availability of diagnostic technology, programs, and personnel for acute stroke care. Findings: Fifty-eight of 67 (87%) hospitals responded to the survey. Seventy-nine percent (46/58) of responding hospitals were located in frontier counties, with an average bed size of 18 (11 SD). Of the hospitals in frontier counties, 44% reported emergency medical services prehospital stroke identification programs, 39% had 24-hour computed tomography capability, 44% had an emergency department stroke protocol, and 61% had a recombinant tissue plasminogen activator protocol. Thirty percent of hospitals in frontier counties reported that they met 6-10 of the criteria established by the Brain Attack Coalition to improve acute stroke care compared to 67% of hospitals in the nonfrontier counties. Conclusion: A stroke network model could enhance care and improve outcomes for stroke victims in frontier counties. [source]


    Community Knowledge and at Titudes Toward Refugees and Asylees in Miami-Dade and Broward Counties: An Analys is for the International Rescue Committee

    ANNALS OF ANTHROPOLOGICAL PRACTICE, Issue 1 2007
    Emily Eisenhauer
    This paper presents the findings of a research project on knowledge and attitudes about refugees and "asylees" in two South Florida counties. The project was a collaboration between the International Rescue Committee (IRC), an international NGO that assists refugees and asylees with resettlement in the United States and other countries, and four graduate students in the Department of Sociology and Anthropology at Florida International University in Miami. South Florida receives large numbers of refugees and asylees, principally from Latin America and the Caribbean, and the IRC was interested in finding out more about the knowledge and attitudes in the community about refugees and asylees for the purpose of planning a possible public education campaign and fund-raising efforts. A survey was administered to 280 people in Broward and Miami-Dade Counties. Analysis of the findings shows that the community does not have a clear understanding of the differences between refugees, asylees, and immigrants. The respondents did not have an understanding of refugees and asylees as people who have fled political or religious persecution in their countries of origin, with the exception of refugees from Cuba. However, they generally had a favorable opinion of refugees and asylees.Other findings led to recommendations for public education and fund-raising and suggestions for future research. [source]


    Cephalopods of the "Falang Formation" (Triassic) from Guanling and Zhenfeng Counties, Guizhou Province, China

    ACTA GEOLOGICA SINICA (ENGLISH EDITION), Issue 4 2003
    HAO Weicheng
    Abstract, The "Falang Formation" of western Guizhou was previously called the "Halobia Bed" and considered to be Ladinian in age. It was subdivided upward into the Zhuganpo, Laishike and Longchang members based on ammonites and the Trachyceras multitubertulatum Zone of the Longchang Member was put in the Lower Carnian. Here in the present paper, 4 genera and 9 species of ammonites and 1 nautiloid genus and species collected from the upper part of the "Falang Formation" (i.e. the Wayao Formation used in this paper, equivalent to the Laishike Member from Guanling and Zhenfeng counties are described. The geological and geographical distribution of these cephalopods, as well as the co-existing conodonts, put the Wayao Formation to the late early Carnian. [source]


    Obstacles to Bottom-Up Implementation of Marine Ecosystem Management

    CONSERVATION BIOLOGY, Issue 5 2008
    KIRSTEN E. EVANS
    manejo de ecosistemas; manejo marino basado en ecosistemas; participación de partes interesadas; planificación de la conservación Abstract:,Ecosystem management (EM) offers a means to address multiple threats to marine resources. Despite recognition of the importance of stakeholder involvement, most efforts to implement EM in marine systems are the product of top-down regulatory control. We describe a rare, stakeholder-driven attempt to implement EM from the bottom up in San Juan County, Washington (U.S.A.). A citizens advisory group led a 2-year, highly participatory effort to develop an ecosystem-based management plan, guided by a preexisting conservation-planning framework. A key innovation was to incorporate social dimensions by designating both sociocultural and biodiversity targets in the planning process. Multiple obstacles hindered implementation of EM in this setting. Despite using a surrogate scheme, the information-related transaction costs of planning were substantial: information deficits prevented assessment of some biodiversity targets and insufficient resources combined with information deficits prevented scientific assessment of the sociocultural targets. Substantial uncertainty, practical constraints to stakeholder involvement, and the existence of multiple, potentially conflicting, objectives increased negotiation-related costs. Although information deficits and uncertainty, coupled with underinvestment in the transaction costs of planning, could reduce the long-term effectiveness of the plan itself, the social capital and momentum developed through the planning process could yield unforeseeable future gains in protection of marine resources. The obstacles we identified here will require early and sustained attention in efforts to implement ecosystem management in other grassroots settings. Resumen:,El manejo de ecosistemas es un medio para abordar múltiples amenazas a los recursos marinos. No obstante el reconocimiento de la importancia de la participación de las partes interesadas, la mayoría de los esfuerzos para implementar el manejo de ecosistemas en sistemas marinos son producto del control normativo de arriba hacia abajo. Describimos un intento raro, conducido por las partes interesadas, por implementar el manejo del ecosistema de abajo hacia arriba en el Condado San Juan, Washington (E.U.A.). Un grupo consultivo de ciudadanos dirigió un esfuerzo altamente participativo para desarrollar un plan de manejo basado en el ecosistema, guiados por un marco de planificación de la conservación preexistente. Una innovación clave fue la incorporación de dimensiones sociales al incluir objetivos tanto socioculturales como de biodiversidad en el proceso de planificación. Múltiples obstáculos dificultaron la implementación del manejo del ecosistema en este escenario. No obstante que se utilizó un plan sustituto, los costos de transacción de la planificación relacionados con la información fueron mayores de lo que el grupo pudo superar: los déficits de información impidieron la evaluación de algunos objetivos de biodiversidad y la insuficiencia de recursos combinada con los déficits de información impidieron la evaluación científica de los objetivos socioculturales. Los costos relacionados con la negociación incrementaron por la incertidumbre, por limitaciones prácticas en la participación de partes interesadas y la existencia de objetivos múltiples, potencialmente conflictivos. Aunque los déficits de información y la incertidumbre, aunados con la baja inversión en los costos de transacción de la planificación, pudieran reducir la efectividad a largo plazo del plan mismo, el capital social y el ímpetu desarrollados durante el proceso de planificación podrían producir ganancias futuras imprevisibles para la protección de recursos marinos. Los obstáculos que identificamos aquí requerirán de atención temprana y sostenida en los esfuerzos para implementar el manejo de ecosistemas en otros escenarios de base popular. [source]


    Preventing the Spread of Invasive Species: Economic Benefits of Intervention Guided by Ecological Predictions

    CONSERVATION BIOLOGY, Issue 1 2008
    REUBEN P. KELLER
    bioeconomía; economía de las invasiones; invasiones biológicas; Orconectes rusticus; predicciones ecológicas Abstract:,Preventing the invasion of freshwater aquatic species is the surest way to reduce their impacts, but it is also often expensive. Hence, the most efficient prevention programs will rely on accurate predictions of sites most at risk of becoming invaded and concentrate resources at those sites. Using data from Vilas County, Wisconsin (U.S.A.), collected in the 1970s, we constructed a predictive occurrence model for rusty crayfish (Orconectes rusticus) and applied it to an independent data set of 48 Vilas County lakes to predict which of these were most likely to become invaded between 1975 and 2005. We nested this invasion model within an economic framework to determine whether targeted management, derived from our quantitative predictions of likely invasion sites, would increase the economic value of lakes in the independent data set. Although the optimum expenditure on lake protection was high, protecting lakes at this level would have produced net economic benefits of at least $6 million over the last 30 years. We did not attempt to determine the value of nonmarket benefits of protection; thus, our results are likely to underestimate the total benefits from preventing invasions. Our results demonstrate that although few data are available early in an invasion, these data may be sufficient to support targeted, effective, and economically rational management. In addition, our results show that ecological predictions are becoming sufficiently accurate that their application in management can produce net economic benefits. Resumen:,La prevención de la invasión de especies dulceacuícolas es la manera más segura de reducir sus impactos, pero a menudo es costosa. Por lo tanto, los programas de prevención más eficientes dependerán de predicciones precisas de los sitios con mayor riesgo de ser invadidos y concentrarán recursos en esos sitios. Utilizando datos recolectados en los 70s en el Condado Vilas, Wisconsin (E.U.A.), desarrollamos un modelo predictivo de la ocurrencia de Orconectes rusticus y lo aplicamos en un conjunto de datos independientes de 48 lagos en el Condado de Vilas para predecir cuales fueron más susceptibles de ser invadidos entre 1975 y 2005. Anidamos este modelo de invasión en un marco económico para determinar si los objetivos de manejo, derivados de nuestras predicciones cuantitativas de sitios susceptibles a la invasión, incrementarían el valor económico de los lagos del conjunto independiente de datos. Aunque el gasto óptimo para la protección de lagos fue alto, la protección de lagos a este nivel podría haber producido beneficios económicos por un mínimo de $6 millones en los últimos 30 años. No intentamos determinar el valor de los beneficios no comerciables de la protección; por lo tanto, es probable que nuestros resultados subestimen los beneficios totales de la prevención de invasiones. Nuestros resultados demuestran que, aunque se disponga de pocos datos del inicio de una invasión, esos datos pueden ser suficientes para fundamentar acciones de manejo efectivas y económicamente racionales. Adicionalmente, nuestros resultados muestran que las predicciones ecológicas se están volviendo tan precisas que su aplicación en el manejo puede producir beneficios económicos netos. [source]


    Metropolitan Open-Space Protection with Uncertain Site Availability

    CONSERVATION BIOLOGY, Issue 2 2005
    ROBERT G. HAIGHT
    acceso público; Chicago; modelo de selección de sitio; optimización; representación de especies Abstract:,Urban planners acquire open space to protect natural areas and provide public access to recreation opportunities. Because of limited budgets and dynamic land markets, acquisitions take place sequentially depending on available funds and sites. To address these planning features, we formulated a two-period site selection model with two objectives: maximize the expected number of species represented in protected sites and maximize the expected number of people with access to protected sites. These objectives were both maximized subject to an upper bound on area protected over two periods. The trade-off between species representation and public access was generated by the weighting method of multiobjective programming. Uncertainty was represented with a set of probabilistic scenarios of site availability in a linear-integer formulation. We used data for 27 rare species in 31 candidate sites in western Lake County, near the city of Chicago, to illustrate the model. Each trade-off curve had a concave shape in which species representation dropped at an increasing rate as public accessibility increased, with the trade-off being smaller at higher levels of the area budget. Several sites were included in optimal solutions regardless of objective function weights, and these core sites had high species richness and public access per unit area. The area protected in period one depended on current site availability and on the probabilities of sites being undeveloped and available in the second period. Although the numerical results are specific for our study, the methodology is general and applicable elsewhere. Resumen:,Planificadores urbanos adquieren espacios abiertos para proteger áreas naturales y proporcionar acceso público a oportunidades de recreación. Debido a presupuestos limitados y a la dinámica de los mercados de terrenos, las adquisiciones se llevan a cabo secuencialmente en función de la disponibilidad de fondos y sitios. Para atender estas características de la planificación, formulamos un modelo de selección de sitios de dos períodos con dos objetivos: maximizar el número esperado de especies representado en sitios protegidos y maximizar el número esperado de personas con acceso a sitios protegidos. Ambos objetivos fueron maximizados con un límite superior en la superficie protegida en los dos períodos. El balance entre la representación de especies y el acceso público fue generado por el método de ponderación de programación de multiobjetivos. La incertidumbre fue representada con un conjunto de escenarios probabilísticos de la disponibilidad de sitios en una formulación lineal-integral. Para demostrar el modelo, utilizamos datos para 27 especies raras en 31 sitios potenciales en el oeste del Condado Lake, cerca de la ciudad de Chicago. Cada curva tenía forma cóncava y la representación de especies descendió a medida que incrementó la accesibilidad pública, con un menor equilibrio en niveles altos del presupuesto para el área. Varios sitios fueron incluidos en soluciones óptimas independientemente de las funciones de ponderación de los objetivos, y estos sitios tuvieron alta riqueza de especies y acceso público por unidad de área. La superficie protegida en el período uno dependió de la disponibilidad de sitios y de las probabilidades de que los sitios no fueran desarrollados y de su disponibilidad en el segundo período. Aunque los resultados numéricos son específicos a nuestro estudio, la metodología es general y aplicable en otros sitios. [source]


    Studying Biodiversity on Private Lands

    CONSERVATION BIOLOGY, Issue 1 2003
    Jodi Hilty
    Private lands harbor a great amount of biodiversity, including at least some habitat for 95% of the federally listed species in the United States. It is important to conduct conservation biology research on private lands, but our review of the literature indicates that few conservation-oriented field studies are conducted on private property. Based on our success in obtaining permission to conduct research on 43 land parcels in Sonoma County, California, we developed methods to enhance a conservation biologist's chance of obtaining permission to work on private lands. We provide guidelines for researchers to conduct studies successfully on private land with the goal of improving access, data collection, and relationships with private landowners. We also discuss constraints researchers face, such as designing studies appropriate for working on privately owned parcels. In light of the importance of these lands to biodiversity conservation, greater effort should be made to conduct research on private lands. Resumen: Más de la mitad de la tierra en los Estados Unidos es propiedad privada. Las tierras de propiedad privada albergan una gran cantidad de biodiversidad, incluyendo al menos algunos hábitats para el 95% de las especies incluidas en la lista nacional de especies en peligro de extinción en los Estados Unidos. Es importante llevar a cabo investigación sobre biología de la conservación en tierras privadas, pero nuestra revisión de la literatura indica que existen pocos estudios a campo orientados hacia la conservación en propiedades privadas. En base a nuestro éxito en obtener permisos para llevar a cabo estudios de investigación en 43 parcelas de tierra en el condado de Sonoma, California, desarrollamos métodos para mejorar las posibilidades de los biólogos conservacionistas de obtener permisos para trabajar en tierras privadas. Hemos provisto lineamientos para que los investigadores lleven a cabo estudios exilosos en tierras privadas con el objeto de mejorar el acceso, la recolección de datos y las relaciones con los dueños de tierras privadas. También discutimos las limitantes que los investigadores enfrentan, tales como el diseño de estudios adecuados para trabajar en parcelas de propiedad privada. Dada la importancia de estas tierras para la conservación de la biodiversidad, se debería realizar un esfuerzo mayor para llevar a cabo investigaciones en tierras privadas. [source]


    Conservation of Insect Diversity: a Habitat Approach

    CONSERVATION BIOLOGY, Issue 6 2000
    Jennifer B. Hughes
    To explore the feasibility of basing conservation action on community-level biogeography, we sampled a montane insect community. We addressed three issues: (1) the appropriate scale for sampling insect communities; (2) the association of habitat specialization,perhaps a measure of extinction vulnerability,with other ecological or physical traits; and (3) the correlation of diversity across major insect groups. Using malaise traps in Gunnison County, Colorado, we captured 8847 Diptera (identified to family and morphospecies), 1822 Hymenoptera (identified to morphospecies), and 2107 other insects (identified to order). We sampled in three habitat types,meadow, aspen, and conifer,defined on the basis of the dominant vegetation at the scale of hundreds of meters. Dipteran communities were clearly differentiated by habitat type rather than geographic proximity. This result also holds true for hymenopteran communities. Body size and feeding habits were associated with habitat specialization at the family level. In particular, habitat generalists at the family level,taxa perhaps more likely to survive anthropogenic habitat alteration,tended to be trophic generalists. Dipteran species richness was marginally correlated with hymenopteran species richness and was significantly correlated with the total number of insect orders sampled by site. Because these correlations result from differences in richness among habitat types, insect taxa may be reasonable surrogates for one another when sampling is done across habitat types. In sum, community-wide studies appear to offer a practical way to gather information about the diversity and distribution of little-known taxa. Resumen:No existe ni el tiempo ni los recursos para diseñar planes de conservación para cada especie, particularmente para los taxones poco estudiados, no carismáticas, pero ecológicamente importantes que componen la mayoría de la biodiversidad. Para explorar la factibilidad de basar acciones de conservación en biogegrafía a nivel comunitario, muestreamos una comunidad de insectos de montaña. Evaluamos tres aspectos: (1) la escala adecuada para el muestreo de comunidades de insectos; (2) la asociación de especialización de hábitat,quizá una medida de vulnerabilidad de extinción,con otras características ecológicas o físicas; y (3) la correlación de la diversidad a lo largo de los grupos principales de insectos. Mediante el uso de trampas en el condado Gunnison, en Colorado, capturamos 8847 dípteros (identificados a nivel de familia y morfoespecies), 1822 himenópteros (identificadas hasta morfoespecies) y 2107 otros insectos (identificados a nivel de orden). Muestreamos tres tipos de hábitats,vega, álamos temblones y coníferas,definidos en base a la vegetación dominante a escala de cientos de metros. Las comunidades de dípteros estuvieron claramente diferenciadas por tipos de hábitat y no por la proximidad geográfica. Este resultado también se mantiene para las comunidades de himenópteros. El tamaño del cuerpo y los hábitos alimenticios estuvieron asociados con la especialización del hábitat a nivel de familia. En particular, los generalistas de hábitat a nivel de familia,los taxones que posiblemente tengan mayor probabilidad de sobrevivir alteraciones antropogénicas del hábitat,tendieron a ser generalistas tróficos. La riqueza de las especies de dípteros estuvo marginalmente correlacionada con la riqueza de especies de himenópteros y estuvo significativamente correlacionada con el número total de órdenes de insectos muestreadas por sitio. Debido a que estas correlaciones resultaron de diferencias en la riqueza de especies entre tipos de hábitats, los taxones de insectos podrían ser substitutos mutuos razonables cuando se muestrea entre diferentes tipos de hábitats. En resumen, los estudios a lo largo de comunidades parecen ofrecer una forma práctica de recolectar información sobre la diversidad y distribución de los taxones poco estudiados. [source]


    Mortality among mentally disordered offenders: a community based follow-up study

    CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 2 2005
    Tabita Björk
    Background Follow-up information about outcome for hospitalized mentally disordered offenders (MDO) is necessary for evaluation and improvement in quality of forensic psychiatric care. Aim A study was undertaken to estimate the standard mortality rate (SMR) of a population based sample of people sentenced to forensic psychiatric care. Method All MDOs in Örebro County, Sweden, discharged from a forensic psychiatric treatment unit between 1992 and 1999 were identified (n = 46). The variables were gender, age, offence, diagnosis and duration of admission. Case linkage was made with the National Cause-of-Death register. Median follow-up time was 53 months (0,93). Results The sample yielded a significantly elevated SMR 13.4 (95% CI 4.35,31.3) times higher than that in the general population, mostly due to suicide. Conclusions The cohort size is small but representative, and it provides data from an additional country for the growing international pool confirming the high risk of premature, generally self-inflicted death among MDOs. Resettlement and rehabilitation services for them may need to take as much account of mortality risk as that of reoffending. Copyright © 2005 Whurr Publishers Ltd. [source]


    State of Research in High-consequence Hospital Surge Capacity

    ACADEMIC EMERGENCY MEDICINE, Issue 11 2006
    Carl H. Schultz MD
    High-consequence surge research involves a systems approach that includes elements such as healthcare facilities, out-of-hospital systems, mortuary services, public health, and sheltering. This article focuses on one aspect of this research, hospital surge capacity, and discusses a definition for such capacity, its components, and future considerations. While conceptual definitions of surge capacity exist, evidence-based practical guidelines for hospitals require enhancement. The Health Resources and Services Administration's (HRSA) definition and benchmarks are extrapolated from those of other countries and rely mainly on trauma data. The most significant part of the HRSA target, the need to care for 500 victims stricken with an infectious disease per one million population in 24 hours, was not developed using a biological model. If HRSA's recommendation is applied to a sample metropolitan area such as Orange County, California, this translates to a goal of expanding hospital capacity by 20%,25% in the first 24 hours. Literature supporting this target is largely consensus based or anecdotal. There are no current objective measures defining hospital surge capacity. The literature identifying the components of surge capacity is fairly consistent and lists them as personnel, supplies and equipment, facilities, and a management system. Studies identifying strategies for hospitals to enhance these components and estimates of how long it will take are lacking. One system for augmenting hospital staff, the Emergency System for Advance Registration of Volunteer Health Professionals, is a consensus-derived plan that has never been tested. Future challenges include developing strategies to handle the two different types of high-consequence surge events: 1) a focal, time-limited event (such as an earthquake) where outside resources exist and can be mobilized to assist those in need and 2) a widespread, prolonged event (such as pandemic influenza) where all resources will be in use and rationing or triage is needed. [source]


    Hospital Disaster Preparedness in Los Angeles County

    ACADEMIC EMERGENCY MEDICINE, Issue 11 2006
    Amy H. Kaji MD
    Background There are no standardized measures of hospital disaster preparedness or hospital "surge capacity." Objectives To characterize disaster preparedness among a cohort of hospitals in Los Angeles County, focusing on practice variation, plan characteristics, and surge capacity. Methods This was a descriptive, cross-sectional survey study, followed by on-site verification. Forty-five 9-1-1 receiving hospitals in Los Angeles County, CA, participated. Evaluations of hospital disaster plan structure, vendor agreements, modes of communication, medical and surgical supplies, involvement of law enforcement, mutual aid agreements with other facilities, drills and training, surge capacity (assessed by monthly emergency department diversion status, available beds, ventilators, and isolation rooms), decontamination capability, and pharmaceutical stockpiles were assessed by survey. Results Forty-three of 45 hospital plans (96%) were based on the Hospital Emergency Incident Command System, and the majority had protocols for hospital lockdown (100%), canceling elective surgeries (93%), early discharge (98%), day care for children of staff (88%), designating victim overflow areas (96%), and predisaster "preferred" vendor agreements (96%). All had emergency medical services,compatible radios and more than three days' worth of supplies. Fewer hospitals involved law enforcement (56%) or had mutual aid agreements with other hospitals (20%) or long-term care facilities (7%). Although the vast majority (96%) conducted multiagency drills, only 16% actually involved other agencies in their disaster training. Only 13 of 45 hospitals (29%) had a surge capacity of greater than 20 beds. Less than half (42%) had ten or more isolation rooms, and 27 hospitals (60%) were on diversion greater than 20% of the time. Thirteen hospitals (29%) had immediate access to six or more ventilators. Less than half had warm-water decontamination (42%), while approximately one half (51%) had a chemical antidote stockpile and 42% had an antibiotic stockpile. Conclusions Among hospitals in Los Angeles County, disaster preparedness and surge capacity appear to be limited by a failure to fully integrate interagency training and planning and a severely limited surge capacity, although there is a generally high level of availability of equipment and supplies. [source]


    Recent time trends in levels of self-reported anxiety, mental health service use and suicidal behaviour in Stockholm

    ACTA PSYCHIATRICA SCANDINAVICA, Issue 1 2010
    K. Kosidou
    Kosidou K, Magnusson C, Mittendorfer-Rutz E, Hallqvist J, Gumpert CH, Idrizbegovic S, Dal H, Dalman C. Recent time trends in levels of self-reported anxiety, mental health service use and suicidal behaviour in Stockholm. Objective:, To investigate recent time trends in several indicators of mental ill-health and the patterning of these indicators between genders and younger vs. older individuals in Stockholm County. Method:, Several indicators were used; self-reported anxiety from the Swedish Survey of Living Conditions, information on psychiatric in-patient and out-patient care, attempted and completed suicides from national and regional registers. Gender- and age-specific trends were compared for the time period of 1997,2006. Results:, Self-reported anxiety and psychiatric service use increased among young individuals of both genders, while attempted suicides increased only among young women. By contrast, these indicators decreased or remained stable in the older age group from year 2001 and onwards. Conclusion:, Our data indicate a rising, and highly prevalent, mental ill-health among the young in Stockholm County, a region representative of urbanized, secular Western societies. [source]


    A Community Intervention by Firefighters to Increase 911 Calls and Aspirin Use for Chest Pain

    ACADEMIC EMERGENCY MEDICINE, Issue 4 2006
    Hendrika Meischke PhD
    Abstract Objectives: To test the effectiveness of an intervention, delivered face-to-face by local firefighters, designed to increase utilization of 911 and self-administration of aspirin for seniors experiencing chest pain. Methods: King County, Washington was divided into 126 geographically distinct areas that were randomized to intervention and control areas. A mailing list identified households of seniors within these areas. More than 20,000 homes in the intervention areas were contacted by local firefighters. Data on all 911 calls for chest pain and self-administration of aspirin were collected from the medical incident report form (MIRF). The unit of analysis was the area. Firefighters delivered a heart attack survival kit (that included an aspirin) and counseled participants on the importance of aspirin and 911 use for chest pain. Main outcome measures were 911 calls for chest pain and aspirin ingestion for a chest pain event, obtained from the MIRFs that are collected by emergency medical services personnel for 2 years after the intervention. Results: There were significantly more calls (16%) among seniors on the mailing list in the intervention than control areas in the first year after the intervention. Among the seniors who were not on the mailing list, there was little difference in the intervention and control areas. The results were somewhat sensitive to the analytical model used and to an outlier in the treatment group. Conclusions: A community-based firefighter intervention can be effective in increasing appropriate response to symptoms of a heart attack among elders. [source]


    Targeted screening for undiagnosed diabetes reduces the number of diagnostic tests.

    DIABETIC MEDICINE, Issue 8 2004
    Inter99(8)
    Abstract Aims To determine the cost and performance of a Danish risk score, fasting plasma glucose (FPG), and HbA1c as single screening tests and in combination with targeted screening. Subjects and methods In the Inter99 study, 12 934 inhabitants of Copenhagen County were invited to participate. All participants underwent anthropometric measurements, blood samples, and a 75-g standardized oral glucose tolerance test [N = 6784 (52.5%)]. Results Of the 6117 individuals included in the analysis, 252 (4.1%) had previously undiagnosed diabetes. As a stand-alone test, the FPG had the highest performance expressed by a significantly higher area under the receiver,operating curve [0.89; 95% confidence interval (CI) 0.86, 0.99] compared with the Danish risk score (0.78; 95% CI 0.76, 0.81) and HbA1c (0.76; 95% CI 0.72, 0.80). Targeted screening where the initial test was a risk score reduced the FPG measurements by 72% (100% vs. 27.8%). Using FPG in population-based screening, the cost per newly diagnosed diabetic individual was 583 euro compared with 270 euro if screened by questionnaire followed by FPG. The sensitivity and specificity were 78.6% and 87.7% for FPG, and 61.5% and 89.2% for the combination of the questionnaire and FPG, respectively. Conclusions The performance of FPG was superior to a questionnaire and HbA1c used as single tests. However taking into account workload, the burden on the population and the cost per identified person with undiagnosed diabetes, targeted screening using a questionnaire followed by FPG appears to be the strategy of choice. Diabet. Med. (2004) [source]


    The prevalence of the mitochondrial DNA 16189 variant in non-diabetic Korean adults and its association with higher fasting glucose and body mass index

    DIABETIC MEDICINE, Issue 8 2002
    J. H. Kim
    Abstract Aims To evaluate the prevalence of the 16189 variant of mitochondrial DNA in Korean adults and its association with insulin resistance. Methods We investigated 160 non-diabetic subjects from a community-based diabetes survey conducted in Yonchon County, Korea in 1993. We extracted the DNA from peripheral blood and examined the 16189 variant by polymerase chain reaction and restrictive enzyme digestion. We compared body mass index (BMI), blood pressure, fasting plasma glucose, 2-h plasma glucose after 75 g glucose load, fasting insulin, cholesterol, and homeostasis model assessment of insulin resistance and ,-cell function between the subjects with 16189 variant and wild type. Results The prevalence of the 16189 variant in Korean adults was 28.8% (46 of 160). Subjects with the 16189 variant had higher fasting glucose and BMI than those with wild type, but fasting insulin, homeostasis model assessment of insulin resistance and ,-cell function, cholesterol, and blood pressure were not different between two groups. Conclusion Our results provide evidence for an association of a frequent mitochondrial polymorphism with higher fasting glucose and the risk factors of diabetes mellitus. [source]


    Improvement of diagnostic accuracy and screening conditions with liquid-based cytology

    DIAGNOSTIC CYTOPATHOLOGY, Issue 11 2006
    Doris Schledermann M.D.
    Abstract The aim of this population-based study was to compare the histological follow-up diagnoses of cervicocytological neoplasia (dysplasia, carcinoma in situ and carcinoma) in conventional Papanicolaou (CP) smear and ThinPrep® PapTestÔ samples (TP). All cytological samples from the County of Funen, Denmark, in the periods 2000 (n = 34,832) and 2002 (n = 29,995) were included in the study. In 2000 and 2002, the specimens were CP and TP, respectively. The detection rate of , mild dysplasia was 0.8% in CP and 1.4% in TP, showing a 75% increase in TP when compared with CP (p < 0.001). Histological follow-up of , moderate dysplasia revealed a neoplastic lesion in 77.1% and 87.9% in CP and TP, respectively (P < 0.001). The present study indicates that the diagnostic accuracy of cervical cytology is improved with liquid-based cytology. In addition, we focus on the optimized cellular material that shows the diagnostic details very clearly to the microscopist and leads to radically improved screening conditions. Diagn. Cytopathol. 2006;34: 780,785. © 2006 Wiley-Liss, Inc. [source]


    Conversion of sagebrush shrublands to exotic annual grasslands negatively impacts small mammal communities

    DIVERSITY AND DISTRIBUTIONS, Issue 5 2009
    Steven M. Ostoja
    Abstract Aim, The exotic annual cheatgrass (Bromus tectorum) is fast replacing sagebrush (Artemisia tridentata) communities throughout the Great Basin Desert and nearby regions in the Western United States, impacting native plant communities and altering fire regimes, which contributes to the long-term persistence of this weedy species. The effect of this conversion on native faunal communities remains largely unexamined. We assess the impact of conversion from native perennial to exotic annual plant communities on desert rodent communities. Location, Wyoming big sagebrush shrublands and nearby sites previously converted to cheatgrass-dominated annual grasslands in the Great Basin Desert, Utah, USA. Methods, At two sites in Tooele County, Utah, USA, we investigated with Sherman live trapping whether intact sagebrush vegetation and nearby converted Bromus tectorum -dominated vegetation differed in rodent abundance, diversity and community composition. Results, Rodent abundance and species richness were considerably greater in sagebrush plots than in cheatgrass-dominated plots. Nine species were captured in sagebrush plots; five of these were also trapped in cheatgrass plots, all at lower abundances than in the sagebrush. In contrast, cheatgrass-dominated plots had no species that were not found in sagebrush. In addition, the site that had been converted to cheatgrass longer had lower abundances of rodents than the site more recently converted to cheatgrass-dominated plots. Despite large differences in abundances and species richness, Simpson's D diversity and Shannon-Wiener diversity and Brillouin evenness indices did not differ between sagebrush and cheatgrass-dominated plots. Main conclusions, This survey of rodent communities in native sagebrush and in converted cheatgrass-dominated vegetation suggests that the abundances and community composition of rodents may be shifting, potentially at the larger spatial scale of the entire Great Basin, where cheatgrass continues to invade and dominate more landscape at a rapid rate. [source]


    Species prioritization for monitoring and management in regional multiple species conservation plans

    DIVERSITY AND DISTRIBUTIONS, Issue 3 2008
    Helen M. Regan
    ABSTRACT Successful conservation plans are not solely achieved by acquiring optimally designed reserves. Ongoing monitoring and management of the biodiversity in those reserves is an equally important, but often neglected or poorly executed, part of the conservation process. In this paper we address one of the first and most important steps in designing a monitoring program , deciding what to monitor. We present a strategy for prioritizing species for monitoring and management in multispecies conservation plans. We use existing assessments of threatened status, and the degree and spatial and temporal extent of known threats to link the prioritization of species to the overarching goals and objectives of the conservation plan. We consider both broad and localized spatial scales to capture the regional conservation context and the practicalities of local management and monitoring constraints. Spatial scales that are commensurate with available data are selected. We demonstrate the utility of this strategy through application to a set of 85 plants and animals in an established multispecies conservation plan in San Diego County, California, USA. We use the prioritization to identify the most prominent risk factors and the habitats associated with the most threats to species. The protocol highlighted priorities that had not previously been identified and were not necessarily intuitive without systematic application of the criteria; many high-priority species have received no monitoring attention to date, and lower-priority species have. We recommend that in the absence of clear focal species, monitoring threats in highly impacted habitats may be a way to circumvent the need to monitor all the targeted species. [source]


    Multi-phase evolution of gnammas (weathering pits) in a Holocene deglacial granite landscape, Minnesota (USA)

    EARTH SURFACE PROCESSES AND LANDFORMS, Issue 2 2008
    David Domínguez-Villar
    Abstract The morphometry of 85 gnammas (weathering pits) from Big Stone County in western Minnesota allows the assessment of the relative ages of the gnamma population. The ratio between maximum and minimum depths is independent of the initial size of the cavity and only depends on the weathering evolution. Therefore, the distribution of depth ratios can be used to assess the gnamma population age and the history of weathering. The asymmetrical distribution of depth ratios measured in Big Stone County forms three distinct populations. When these sets are analyzed independently, the correlation (r2) between maximum and minimum depths is greater than 0·95. Each single population has a normal distribution of depth ratios and the average depth ratios (, -value) for each population are ,1 = 1·60 ± 0·05, ,2 = 2·09 ± 0·04 and ,3 = 2·42 ± 0·08. The initiation of gnamma formation followed the exhumation of the granite in the region. This granite was till and saprolite covered upon retreat of the ice from the Last Glacial Maximum. Nearby outcrops are striated, but the study site remained buried until it was exhumed by paleofloods issuing from a proglacial lake. These Holocene-aged gnammas in western Minnesota were compared with gnammas of other ages from around the world. Our new results are in accordance with the hypothesis that , -values represent the evolution of gnammas with time under temperate- to cold-climate dynamics. Phases of the formation of new gnammas may result from changes in weathering processes related to climate changes. Copyright © 2007 John Wiley & Sons, Ltd. [source]