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Geographic Areas (geographic + area)
Kinds of Geographic Areas Selected AbstractsApplying Network Analysis to the Conservation of Habitat Trees in Urban Environments: a Case Study from Brisbane, AustraliaCONSERVATION BIOLOGY, Issue 3 2006MONIKA RHODES conectividad de perchas; fauna que utiliza oquedades; planificación de la conservación; red sin escala; Tadarida australis Abstract:,In Australia more than 300 vertebrates, including 43 insectivorous bat species, depend on hollows in habitat trees for shelter, with many species using a network of multiple trees as roosts. We used roost-switching data on white-striped freetail bats (Tadarida australis; Microchiroptera: Molossidae) to construct a network representation of day roosts in suburban Brisbane, Australia. Bats were caught from a communal roost tree with a roosting group of several hundred individuals and released with transmitters. Each roost used by the bats represented a node in the network, and the movements of bats between roosts formed the links between nodes. Despite differences in gender and reproductive stages, the bats exhibited the same behavior throughout three radiotelemetry periods and over 500 bat days of radio tracking: each roosted in separate roosts, switched roosts very infrequently, and associated with other bats only at the communal roost. This network resembled a scale-free network in which the distribution of the number of links from each roost followed a power law. Despite being spread over a large geographic area (>200 km2), each roost was connected to others by less than three links. One roost (the hub or communal roost) defined the architecture of the network because it had the most links. That the network showed scale-free properties has profound implications for the management of the habitat trees of this roosting group. Scale-free networks provide high tolerance against stochastic events such as random roost removals but are susceptible to the selective removal of hub nodes. Network analysis is a useful tool for understanding the structural organization of habitat tree usage and allows the informed judgment of the relative importance of individual trees and hence the derivation of appropriate management decisions. Conservation planners and managers should emphasize the differential importance of habitat trees and think of them as being analogous to vital service centers in human societies. Resumen:,En Australia, más de 300 vertebrados, incluyendo 43 especies de murciélagos insectívoros, dependen de oquedades en árboles para refugiarse; muchas de ellas perchan en una red de múltiples árboles. Utilizamos datos de cambio de perchas en Tadarida australis (Microchiroptera: Molossidae) para construir una representación reticular de las perchas diurnas en los suburbios de Brisbane, Australia. Los murciélagos fueron capturados en un árbol con un grupo de varios cientos de individuos y liberados con transmisores. Cada percha utilizada por los murciélagos representó un nodo individual en la red, y los movimientos de murciélagos entre perchas constituyeron los eslabones entre los nodos. A pesar de las diferencias de género y etapas reproductivas, los murciélagos mostraron el mismo comportamiento en tres períodos de radiotelemetría y en más de 500 días de seguimiento de murciélagos: cada uno utilizó perchas separadas, cambiaban de percha poco frecuentemente, y se asociaron con otros murciélagos sólo en las perchas comunales. Esta red fue semejante a una red sin escala en la que la distribución del número de eslabones de cada percha cumplió una ley potencial. A pesar de estar dispersas en un área geográfica extensa (>200 km2), cada percha estaba conectada con otras por menos de tres eslabones. Una percha (el centro o percha comunal) definió la arquitectura de la red porque tenía a la mayoría de los eslabones. El hecho de que la red mostrara propiedades libres de escala tiene implicaciones profundas para la gestión de árboles que funcionan como perchas. Las redes libres de escala proporcionan alta tolerancia a eventos estocásticos como la remoción aleatoria de perchas, pero son susceptibles a la remoción selectiva de nodos centrales. El análisis de redes es una herramienta útil para el entendimiento de la organización estructural del uso de de árboles y permite el juicio informado de la importancia relativa de árboles individuales y por lo tanto la derivación de decisiones administrativas apropiadas Los planificadores y gestores de la conservación deberían enfatizar la importancia diferencial de árboles y considerarlos análogos a los centros de servicio vitales en las sociedades humanas. [source] Targeting Conservation Action through Assessment of Protection and Exurban ThreatsCONSERVATION BIOLOGY, Issue 6 2003DAVID M. THEOBALD I developed a methodology to assess the level of threat to conservation of biodiversity to help guide conservation action. This method incorporates socioeconomic indicators of risk, including developed and roaded areas, and measures the proportion of conservation lands affected by developed areas. In addition, I developed a metric called conservation potential to measure the degree of fragmentation of patches caused by development. As an illustration I applied this methodology to Colorado (U.S.A.). Protection levels were determined by examining land ownership, resulting in protected lands (status levels 1 and 2) and unprotected lands (status levels 3 and 4). Areas were considered threatened (at risk) if a land-cover patch had >20% roaded area, >15% developed area, or was highly fragmented. Although 24 of 43 natural land-cover types were unprotected (49% of the state), 9 additional types were threatened. Combining conservation-status protection levels with patterns of threat targets the geographic area where conservation action is needed, provides a way to determine where so-called protected areas are at risk, and allows conservation strategies to be better refined. Resumen: Las evaluaciones de biodiversidad a nivel de paisaje se esfuerzan por proporcionar información para la planificación del uso del suelo y actividades de conservación mediante datos sobre áreas de alto valor de biodiversidad y bajo estatus de protección. Desarrollé una metodología para evaluar el nivel de amenaza para la conservación de la biodiversidad para ayudar a guiar acciones de conservación. Este método incorpora indicadores socioeconómicos de riesgo, incluyendo áreas desarrolladas y con caminos, y mide la proporción de tierras de conservación afectadas por áreas desarrolladas. Adicionalmente, desarrollé una medida llamada potencial de conservación para cuantificar el grado de fragmentación debido al desarrollo. Como un ejemplo, apliqué esta metodología a Colorado (E. U. A). Los niveles de protección se determinaron examinando la propiedad, resultando en tierras protegidas (niveles 1 y 2) y no protegidas (niveles 3 y 4). Las áreas se consideraron amenazadas (en riesgo) si tenían >20% de su superficie con caminos, >15% del área desarrollada o si estaban muy fragmentadas. Aunque 24 de los 43 tipos de cobertura natural no estaban protegidos (49% del estado), 9 más estaban amenazados. La combinación de estatus de conservación y niveles de protección con patrones de amenazas identifica al área geográfica donde se requieren acciones de conservación, proporciona una forma de examinar donde están en riesgo las llamadas áreas protegidas y permite que las estrategias de conservación sean mejor ajustadas. [source] The familial aggregation of cannabis use disordersADDICTION, Issue 4 2009Kathleen R. Merikangas ABSTRACT Aims The aim of this paper is to examine the familial aggregation of cannabis use disorders and other psychiatric conditions among first-degree relatives and spouses of probands with a cannabis use disorder. Design Controlled family study methods. Setting Out-patient psychiatric clinics and the local community (same geographic area). Participants Two hundred and sixty-two probands with a life-time history of cannabis use disorder, alcohol dependence, anxiety disorders or no history of any disorder, and their first-degree relatives and spouses. Measurements Cannabis use disorders and other DSM-III-R disorders in the relatives and spouses using the Schedule for Affective Disorders and Schizophrenia. Findings Results reveal an elevated risk of life-time history of cannabis use disorders among siblings [odds ratio (OR: 3.6), adult offspring (OR): 6.9], and spouses (OR: 4.4) of probands with cannabis use disorders. There is a latent familial factor underlying cannabis use disorders that was shared partially with alcohol abuse/dependence. Comorbid mood and anxiety disorders aggregated independently from cannabis use disorders in families. Equal elevation in the magnitude of the association among the first-degree adult relatives and spouses of probands with a cannabis use disorder suggests the probable contribution of both environmental and genetic factors. Conclusions These findings support a family-based approach to drug abuse intervention and the importance of future research concerning environmental mediators of familial transmission of drug abuse. [source] A Pivotal Moment in 50 Years of Headache History: The First American Migraine StudyHEADACHE, Issue 5 2008Stewart J. Tepper MD Objective., To describe the magnitude and distribution of the public health problem posed by migraine in the United States by examining migraine prevalence, attack frequency, and attack-related disability by gender, age, race, household income, geographic region, and urban vs rural residence. Design., In 1989, a self-administered questionnaire was sent to a sample of 15,000 households. A designated member of each household initially responded to the questionnaire. Each household member with severe headache was asked to respond to detailed questions about symptoms, frequency, and severity of headaches. Setting., A sample of households selected from a panel to be representative of the US population in terms of age, gender, household size, and geographic area. Participants., After a single mailing, 20,468 subjects (63.4% response rate) between 12 and 80 Years of age responded to the survey. Respondents and nonrespondents did not differ by gender, household income, region of the country, or urban vs rural status. Whites and the elderly were more likely to respond. Migraine headache cases were identified on the basis of reported symptoms using established diagnostic criteria. Results., In total, 17.6% of females and 5.7% of males were found to have 1 or more migraine headaches per year. The prevalence of migraine varied considerably by age and was highest in both men and women between the ages of 35 to 45 years. Migraine prevalence was strongly associated with household income; prevalence in the lowest-income group (less than $10,000) was more than 60% higher than in the 2 highest-income groups (greater than or equal to $30,000). The proportion of migraine sufferers who experienced moderate to severe disability was not related to gender, age, income, urban vs rural residence, or region of the country. In contrast, the frequency of headaches was lower in higher-income groups. Attack frequency was inversely related to disability. Conclusions., A projection to the US population suggests that 8.7 million females and 2.6 million males suffer from migraine headache with moderate to severe disability. Of these, 3.4 million females and 1.1 million males experience 1 or more attacks per month. Females between ages 30 and 49 years from lower-income households are at especially high risk of having migraines and are more likely than other groups to use emergency care services for their acute condition. [source] Lack of association between the incidence of testicular germ cell tumors and Y-chromosome haplogroups in the Japanese populationINTERNATIONAL JOURNAL OF UROLOGY, Issue 9 2006ASHRAF A EWIS Background: Despite being relatively uncommon, testicular germ cell tumors (TGCT) are the most common malignant disease in young men. Epidemiological studies concerning patients with testicular cancer indicate that the most of them have poor semen quality or testicular dysgenesis. However, many studies have shown that the Y chromosome harbors many candidate genes responsible for spermatogenesis process and development and maintenance of the germ cells. The Y chromosome is thought to have a relationship with the formation and progression of TGCT. Materials and methods: To verify this relationship, we investigated if there is any correlation between the Y chromosome structural variations presented as different haplogroups and the occurrence of TGCT in the Japanese population. Using combined haplogroups based on typing of three Y chromosome polymorphic binary markers, we analyzed 68 TGCT derived from Japanese patients together with randomly selected 104 unrelated healthy Japanese matched male controls who were confirmed as residents of the same geographic area. Results: Our findings showed a lack of association between the incidence of TGCT and the different Y- chromosome haplogroups in Japanese population. Conclusion: We concluded that there are no significant variations in males from different Y chromosome lineages regarding their susceptibility or resistance for developing TGCT. The previously hypothesized role of the Y chromosome in the development of TGCT is still uncertain and needs further verification. [source] Temporal Coherence of Chlorophyll a during a Spring Phytoplankton Bloom in Xiangxi Bay of Three-Gorges Reservoir, ChinaINTERNATIONAL REVIEW OF HYDROBIOLOGY, Issue 6 2009Yao-Yang Xu Abstract Algal bloom phenomenon was defined as "the rapid growth of one or more phytoplankton species which leads to a rapid increase in the biomass of phytoplankton", yet most estimates of temporal coherence are based on yearly or monthly sampling frequencies and little is known of how synchrony varies among phytoplankton or of the causes of temporal coherence during spring algal bloom. In this study, data of chlorophyll a and related environmental parameters were weekly gathered at 15 sampling sites in Xiangxi Bay of Three-Gorges Reservoir (TGR, China) to evaluate patterns of temporal coherence for phytoplankton during spring bloom and test if spatial heterogeneity of nutrient and inorganic suspended particles within a single ecosystem influences synchrony of spring phytoplankton dynamics. There is a clear spatial and temporal variation in chlorophyll a across Xiangxi Bay. The degree of temporal coherence for chlorophyll a between pairs of sites located in Xiangxi Bay ranged from ,0.367 to 0.952 with mean and median values of 0.349 and 0.321, respectively. Low levels of temporal coherence were often detected among the three stretches of the bay (Down reach, middle reach and upper reach), while high levels of temporal coherence were often found within the same reach of the bay. The relative difference of DIN between pair sites was the strong predictor of temporal coherence for chlorophyll a in down and middle reach of the bay, while the relative difference in Anorganic Suspended Solids was the important factor regulating temporal coherence in middle and upper reach. Contrary to many studies, these results illustrate that, in a small geographic area (a single reservoir bay of approximately 25 km), spatial heterogeneity influence synchrony of phytoplankton dynamics during spring bloom and local processes may override the effects of regional processes or dispersal. (© 2009 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source] Validation and Comparison of Two Frailty Indexes: The MOBILIZE Boston StudyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 9 2009Dan K. Kiely MPH OBJECTIVES: To validate two established frailty indexes and compare their ability to predict adverse outcomes in a diverse, elderly, community-dwelling sample of men and women. DESIGN: Prospective observational study. SETTING: A diverse defined geographic area of Boston. PARTICIPANTS: Seven hundred sixty-five community-dwelling participants in the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly Boston Study. MEASUREMENTS: Two published frailty indexes, recurrent falls, disability, overnight hospitalization, emergency department (ED) visits, chronic medical conditions, self-reported health, physical function, cognitive ability (including executive function), and depression. One index was developed from the Study of Osteoporotic Fractures (SOF) and the other from the Cardiovascular Health Study (CHS). RESULTS: The SOF frailty index classified 77.1% as robust, 18.7% as prefrail, and 4.2% as frail. The CHS frailty index classified 51.2% as robust, 38.8% as prefrail, and 10.0% as frail. Both frailty indexes (SOF; CHS) were similar in their ability to predict key geriatric outcomes such as recurrent falls (hazard ratio (HR)frail=2.2, 95% confidence interval (CI)=1.2,4.0; HRfrail=1.9, 95% CI=1.2,3.1), overnight hospitalization (odds ratio (OR)frail=3.5, 95% CI=1.5,8.0; ORfrail=4.4, 95% CI=2.4,8.2), ED visits (ORfrail=3.5, 95% CI=1.4,8.8; ORfrail=3.1, 95% CI=1.6,5.9), and disability (ORfrail=5.4, 95% CI=2.3,12.3; ORfrail=7.7, 95% CI=4.0,14.7), as well as chronic medical conditions, physical function, cognitive ability, and depression. CONCLUSION: Two established frailty indexes were validated using an independent elderly sample of diverse men and women; both indexes were good at distinguishing geriatric conditions and predicting recurrent falls, overnight hospitalization, and ED visits according to level of frailty. Although both indexes are good measures of frailty, the simpler SOF index may be easier and more practical in a clinical setting. [source] Associations Between Vitamin D Status and Pain in Older Adults: The Invecchiare in Chianti StudyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 5 2008Gregory E. Hicks PhD OBJECTIVES: To examine cross-sectional associations between vitamin D status and musculoskeletal pain and whether they differ by sex. DESIGN: Population-based study of persons living in the Chianti geographic area (Tuscany, Italy). SETTING: Community. PARTICIPANTS: Nine hundred fifty-eight persons (aged ,65) selected from city registries of Greve and Bagno a Ripoli. MEASUREMENTS: Pain was categorized as mild or no pain in the lower extremities and back; moderate to severe back pain, no lower extremity pain; moderate to severe lower extremity pain, no back pain; and moderate to severe lower extremity and back pain (dual region). Vitamin D was measured according to radioimmunoassay, and deficiency was defined as 25-hydroxyvitamin D (25(OH)D) less than 25 nmol/L. RESULTS: The mean age±standard deviation was 75.1±7.3 for women and 73.9±6.8 for men. Fifty-eight percent of women had at least moderate pain in some location, compared with 27% of men. After adjusting for potential confounders, vitamin D deficiency was not associated with lower extremity pain or dual-region pain, although it was associated with a significantly higher prevalence of at least moderate back pain without lower extremity pain in women (odds ratio=1.96, 95% confidence interval=1.01,3.59) but not in men. CONCLUSION: Lower concentrations of 25(OH)D are associated with significant back pain in older women but not men. Because vitamin D deficiency and chronic pain are fairly prevalent in older adults, these findings suggest it may be worthwhile to query older adults about their pain and screen older women with significant back pain for vitamin D deficiency. [source] The Effects of a Variant of the Program for All-inclusive Care of the Elderly on Hospital Utilization and OutcomesJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2 2006Robert L. Kane MD OBJECTIVES: To compare the effects of the Wisconsin Partnership Program (WPP) on hospital, emergency department (ED), and nursing home utilization with those of traditional care. DESIGN: Quasi-experimental longitudinal cohort design. SETTING: Selected counties in Wisconsin. PARTICIPANTS: WPP elderly enrollees and two matched control groups consisting of frail older people enrolled in fee-for-service insurance plans, Medicare, and Medicaid and receiving home- and community-based waiver services, one from the same geographic area as the WPP and another from a location in the state where the WPP was not offered. MEASUREMENTS: Data came from administrative records. Regression and survival analyses were adjusted for case-mix variables. RESULTS: No significant differences in hospital utilization, ED visits, preventable hospitalizations, risk of entry into nursing homes, or mortality were found. WPP enrollees had more contact with care providers than did controls. CONCLUSION: WPP did not dramatically alter the pattern of care. Part of the weak effect may be attributable to the small numbers of WPP cases per participating physician. [source] Cognitive Ability and Physical Performance in Middle-Aged African AmericansJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 6 2005Theodore K. Malmstrom PhD Objectives: To investigate the association between cognitive ability and physical performance in a population-based sample of middle-aged African Americans. Design: Cross-sectional study, 2000/2001. Setting: St. Louis, Missouri. Participants: Nine hundred ninety-eight African Americans born between 1936 and 1950. Measurements: Cognitive function was measured using the Mini-Mental State Examination (MMSE) and the Animal Naming Test of verbal fluency. Physical performance was measured using eight tests: chair stand, semitandem stand, tandem stand eyes open, tandem stand eyes closed, one-leg stand, usual gait speed, grip strength, and peak expiratory flow. Results: There was a statistically significant and monotonic (progressively worsening) trend of the eight physical performance measures across cognitive tertiles in all eight MMSE analyses and five of eight Animal Naming analyses, controlling for age, sex, education, geographic area, depressive symptoms, and comorbid conditions. Conclusion: The association between physical performance and cognitive function appears robust. The results extend previous reports for adults aged 65 and older to a measure of verbal fluency and to a population-based sample of African Americans aged 49 to 65. Further research is needed to disentangle the temporal sequence and identify potential interventions to prevent declines in function. [source] Anticipating Future Vulnerability: Defining Characteristics of Increasingly Critical Infrastructure-like SystemsJOURNAL OF CONTINGENCIES AND CRISIS MANAGEMENT, Issue 1 2007Matthew Jude Egan The world's ,Critical Infrastructure' (CI) has increased in size during the three decades between 1975,2006. CIs are those systems that provide critical support services to a country, geographic area for a corporate entity; when they fail, there is potentially a large cost in human life, the environment or economic markets. This article examines the characteristics of new technologies or services that are becoming a part of the CI, but are not yet. The article attempts to systematically define the characteristics of ,criticality' in order to better anticipate the types of vulnerabilities these new technologies or services create. [source] Western corn rootworm (Diabrotica virgifera virgifera LeConte) population dynamicsAGRICULTURAL AND FOREST ENTOMOLOGY, Issue 1 2009Lance J. Meinke Abstract 1,The western corn rootworm Diabrotica virgifera virgifera LeConte is a major insect pest of field maize, Zea mays L. Larvae can cause substantial injury by feeding on maize roots. Larval feeding may destroy individual roots or root nodes, and reduce plant growth, stability, and yield. Costs associated with managing corn rootworms in continuous maize are annually one of the largest expenditures for insect management in the United States Corn Belt. 2,Even though D. virgifera virgifera has been studied intensively for over 50 years, there is renewed interest in the biology, ecology, and genetics of this species because of its ability to rapidly adapt to management tactics, and its aggressive invasive nature. 3,This article provides a comprehensive review of D. virgifera virgifera population dynamics, specifically: diapause, larval and adult development, seasonality, spatial and temporal dynamics at local and landscape scales, invasiveness in North America and Europe, and non-trophic interactions with other arthropods. 4,Gaps in current knowledge are identified and discussed especially within the context of challenges that scientists in North America and Europe are currently facing regarding pest dynamics and the need to develop appropriate management strategies for each geographic area. [source] Rates of breastfeeding in Australia by State and socio-economic status: Evidence from the 1995 National Health SurveyJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 2 2000S Donath Objective: To estimate rates of breastfeeding in the first year of life in Australia, according to state and socio-economic status. Methodology: Analysis of data from the 1995 Australian National Health Survey. Results: Estimated breastfeeding rates are 81.8% on discharge from hospital, 57.1% fully breastfed at 3 months and 62.6% fully or partially breastfed at 3 months. At 6 months, it is estimated that 18.6% of babies are fully breastfed and 46.2% fully or partially breastfed. At 1 year, 21.2% of infants are receiving some breast milk. Comparison between states demonstrates that there is considerable variation in breastfeeding practice within Australia. Rates of breastfeeding also vary according to the socio-economic status of the geographic area in which the child is living, with a strong inverse relationship between rates of breastfeeding and socio-economic status. Conclusion: Australia's target for breastfeeding in the year 2000 is to have 80% of babies at least partially breastfed for the first 6 months of life. Although Australia has good rates of initiation of breastfeeding, these levels are not maintained over time, and it seems unlikely that we will reach the year 2000 targets. [source] 95 Development of macroalgal (seaweed) taxonomic keys utilizing digital & media technologyJOURNAL OF PHYCOLOGY, Issue 2003R. L. Lehman Digital, user-friendly seaweed identification keys and instructional materials can provide information that allows students and researchers to enhance and improve marine field and ecological studies by including macroalgae. In much of the scientific literature, the seaweeds are only characterized to division (red, green, and brown), sometimes to genus, and very rarely to species; so there is clearly a need for a reference that facilitates the identification of the seaweeds. Many of the problems occur because of the lack of user-friendly identification keys. However, it is not necessary to be an expert to identify seaweeds as many of the key characteristics used in their identification can be ascertained with the naked eye, a hand lens and an inexpensive microscope. What is needed is an identification guide that uses and displays important characters and identification structures visually (both macroscopic and microscopic) so that research scientists, students, teachers and the general public will be able to identify the seaweeds with confidence. We are using Lucid Professional software to construct digital keys for the identification of macroalgae from the Texas Coastal Bend. The advantages include: 1) key characters along with descriptions and images for specific macroalgae may be chosen from a geographic area of choice, 2) the user may evaluate the characters in any order and difficult or uncertain characters may be ignored, 3) descriptive pages of images, definitions, video clips and illustrations may be included for each taxon, and 4) the key can be displayed as a website or packaged as a CD to be used with laptop computers in the field. [source] The Identification of a Limited Number of Vegetative Compatibility Groups within Isolates of Sclerotinia homoeocarpa Infecting Poa spp. and Agrostis palustris from Temperate ClimatesJOURNAL OF PHYTOPATHOLOGY, Issue 7-8 2006N. A. Mitkowski Abstract Sclerotinia homoeocarpa is responsible for causing significant damage on a wide variety of different grass species. Because it is an asexual fungus, the study of its population structure can be difficult. Previous research has determined that S. homoeocapra has anywhere from three to 20 vegetative compatibility groups (VCGs) within localized geographic ranges in the United States. However, a survey of a large geographic area has yet to be undertaken. The present study examined 25 isolates of S. homoeocarpa from the United Kingdom, Rhode Island, Massachusetts, Connecticut, Ohio, Illinois and Oregon. Among the 25 isolates, eight VCGs were identified. Other researchers have reported that there are seven VCGs in temperate North America on amenity turfgrasses. It is still unclear how this relates to the pathogen's VCG diversity in subtropical and tropical climates. [source] Medicaid matters: children's health and medicaid eligibility expansionsJOURNAL OF POLICY ANALYSIS AND MANAGEMENT, Issue 2 2002Kristine A. Lykens In the late 1980s, a series of federal laws were enacted which expanded Medicaid eligibility to more of the nation's children. States had a great amount of discretion in how fast and how far these expansions were implemented. As a result, there was great variation among the states in defining who was eligible for the program. This variation provides a rare opportunity to disentangle the effect of Medicaid from a child's socioeconomic status. Using data from the National Health Interview Survey, we address whether the Medicaid expansions improved the health and functional status of children. Econometric models were developed using fixed-effects regressions, and were estimated separately for white, black, and Hispanic children. White children experienced statistically significant reductions in acute health conditions and functional limitations. Black and Hispanic children showed some evidence of improved health conditions and functional status, but this evidence is inconclusive in the study sample. This may be due to differences in their access to appropriate health services or to the smaller sample size of minorities in each geographic area. The findings are also relevant to the implementation of the Children' Health Insurance Program (CHIP), the latest federal effort to expand access to health care to poor and near poor children. In many states, CHIP is being implemented in whole or in part through further Medicaid expansions. © 2002 by the Association for Policy Analysis and Management. [source] PREVALENCE AND RISK FACTORS IN CHRONIC POLYNEUROPATHY IN THE ELDERLYJOURNAL OF THE PERIPHERAL NERVOUS SYSTEM, Issue 1 2002E. Scarpini The elderly are a population at high risk of polyneuropathy because there is a correlation between age and impairment of the peripheral nervous system and because the number of agents that can damage peripheral nerves, including chronic systemic disorders and neurotoxic drugs, increases with age. The Italian Longitudinal Study on Aging (ILSA), a multicenter project designed to study age-associated diseases, collected data from 8 Italian municipalities. For this study, the definition of peripheral neuropathy by P.J. Dyck (1982) was used. However, only peripheral neuropathies with distal and symmetrical involvement of lower limbs were considered. Diagnosis was articulated in two phases: Phase 1 or screening, administered to all participants. The criteria were: a) self reported diagnosis; b) presence of at least one neurological symptom; and c) presence of at least one positive test at short neurological evaluation. A validation of the screening instruments was performed. Phase 2 or clinical confirmation by a neurologist, based on: a) review of the clinical records; b) a neurological examination; c) a clinical history of the disease; and, d) when available, EMG, blood and spinal fluid examination, and a sural nerve biopsy. Three diagnostic categories were identified: possible, probable and definite DSNLL. The neuropathy was classified as definite only when confirmation by a positive EMG was available. A random sample of 5632 subjects aged 65,84 years was evaluated. A total number of 337 DSNLL were identified (possible, probable, defined). The prevalence is 6.5% (95% C.I. 5.8,7.2) in men and women; the rates by age, geographic area, and clinical severity are described, and the prevalence in the different groups of diabetic patients and non-diabetic subjects is analyzed. The prevalence obtained in our study is slightly lower than that in a similar recent multicentric study (IGPSG, 1995), but the diagnostic criteria were different. Diabetes is the most common associated disorder with the 20.8% of association, followed by toxic/drug exposure (5% of association). [source] Venous thromboembolism: disease burden, outcomes and risk factorsJOURNAL OF THROMBOSIS AND HAEMOSTASIS, Issue 8 2005J. A. HEIT Summary., The epidemiology of venous thromboembolism (VTE) in the community has important implications for VTE prevention and management. This review describes the disease burden (incidence), outcomes (survival, recurrence and complications) and risk factors for deep vein thrombosis and pulmonary embolism occurring in the community. Recent comprehensive studies of the epidemiology of VTE that reported the racial demography and included the full spectrum of disease occurring within a well-defined geographic area over time, separated by event type, incident vs. recurrent event and level of diagnostic certainty, were reviewed. Studies of VTE outcomes had to include a relevant duration of follow-up. VTE incidence among whites of European origin exceeded 1 per 1000; the incidence among persons of African and Asian origin may be higher and lower, respectively. VTE incidence over recent time remains unchanged. Survival after VTE is worse than expected, especially for pulmonary embolism. Thirty percent of patients develop VTE recurrence and venous stasis syndrome. Exposures can identify populations at risk but have a low predictive value for the individual. An acquired or familial thrombophilia may predict the subset of exposed persons who actually develop symptomatic VTE. In conclusion, VTE is a common, lethal disease that recurs frequently and causes serious long-term complications. To improve survival and prevent complications, VTE occurrence must be reduced. Better individual risk stratification is needed in order to modify exposures and target primary and secondary prophylaxis to the person who would benefit most. [source] Genetic variability of hepatitis C virus NS3 protein in human leukocyte antigen-A2 liver transplant recipients with recurrent hepatitis CLIVER TRANSPLANTATION, Issue 2 2004F. Xavier López-Labrador The association between the severity of chronic hepatitis C and the variability of the hepatitis C virus (HCV) genome remains controversial, but to our knowledge few data are available to date regarding T-cell epitope coding regions in transplant patients. In the current study, we identified 21 human leukocyte antigen (HLA)-A2-positive Spanish patients with chronic hepatitis C, 14 immunosuppressed liver transplant recipients, and 7 immunocompetent controls. Alanine aminotransferase, aspartate aminotransferase, viral load, and rate of fibrosis progression were determined. Genetic distances of HCV isolates and variations in epitopes of the HCV nonstructural 3 protein (NS3-1393 LIFCHSKKK and NS3-1406 KLVALGINAV) were compared between patients with slow or fast progression of fibrosis. Isolates from transplant patients with fast progression were found to be more divergent (P =.03), had a higher mean value of synonymous (dS) variations (P =.02), and some were differentiated in a phylogenetic tree, compared with isolates from patients with slow progression. The HLA-A2-restricted NS3-1406 epitope was found to be more variable (20 of 21 isolates differed from the prototype) compared with the A3-restricted NS3-1392 epitope (19% vs. 1.25% variation). A shift in the viral peptide was not detected in a subset of transplant patients, but was evident in two of three nontransplant patients with follow-up. There was no correlation noted between a particular amino acid variation and fibrosis progression (slow or fast) in either transplant or nontransplant patients. The results of the current study suggest that 1) there may be different HCV-1b strains in our geographic area, 2) immunosuppression appears to have little effect in amino acid variation at the HCV NS3-1406 epitope, and 3) variations over time might be more frequent in nonimmunosuppressed patients. (Liver Transpl 2004;10:217,227.) [source] Unawareness and undertreatment of asthma: follow-up in a different geographic area in DenmarkALLERGY, Issue 8 2009V. Backer Background:, Early detection and treatment of asthma is important to minimize morbidity and healthcare costs. The objective of this study was to investigate asthma awareness and management in a western society. Methods:, In a random sample of 10 400 subjects aged 14,44 years, 686 (6.6%) reported symptoms of asthma in a standardized screening questionnaire. All 686 were evaluated by respiratory specialists and diagnosed by history, symptoms, lung function tests, bronchial challenges and allergy testing. Of these 686 participants, 69 (10%) had asthma alone, 205 (30%) had rhinitis alone and 217 (32%) had both asthma and rhinitis; 195 (28%) had nonasthmatic respiratory reports. Results:, Awareness of asthma was found among 163 (57%) of the 286 asthmatics, and 204 (95%) had doctor-diagnosed rhinitis as well. In a multivariate regression analysis, comorbidity with rhinitis (, = 0.489, P < 0.001), smoking (, = ,0.116, P < 0.01), doctor-diagnosed bronchitis (, = 0.086, P < 0.05), and earlier emergency visits at hospital (, = 0.147, P < 0.001) was significantly associated with awareness. A difference in awareness was found between those who had asthma and rhinitis (62.2%) and those who had asthma alone (40.6%) (P < 0.01). Inhaled corticosteroids (ICS) were used by 27% of those with asthma, including 12% who used both ICS and long-acting beta-agonist. Conclusions:, More than half of the persons with asthma were aware of their disorder; and the awareness was more likely in those with comorbidity of rhinitis. In general, asthma management was inadequate. [source] Activities of daily living among St Petersburg women after mild strokeOCCUPATIONAL THERAPY INTERNATIONAL, Issue 3 2007Ann Johansson Abstract The aim of the present study was to determine how women living in St Petersburg, Russia, who have had a mild stroke, describe their performance in activities of daily living (ADL) and to elicit possible causes of their occupational dysfunction. Thirty-six women who had experienced a mild stroke and been referred to a rehabilitation centre participated in the study. Data collection was conducted through interviews, including the ,ADL Staircase' and a modified ,Frenchay Activities Index for Stroke Patients'. Additional data were collected through field notes and information from team members and relatives. The results showed that women who have had a mild stroke and ADL limitations experience occupational dysfunction in ADL that is most often caused by a combination of overprotection from relatives, the women's own feelings of anxiety and insecurity, and an overemphasizing of their disability. The results are limited, based on the small sample and restricted geographic area. There is a need to further investigate how individuals who have had a mild stroke can be physically and socially rehabilitated and reintegrated into the community in countries with developing economies such as Russia. Copyright © 2007 John Wiley & Sons, Ltd. [source] Evidence of Iberian Bronze Age ,Boquique' Pottery in the Balearic Islands: Trade, Marriage or Culture?OXFORD JOURNAL OF ARCHAEOLOGY, Issue 4 2003W. Waldren Summary. This paper deals with the recent discovery of Iberian ,Boquique' Bronze Age pottery on the Balearic Island of Mallorca. It marks the ,maritime' spread of this distinctive pottery into a geographic area not previously recorded. It should therefore be of particular interest to mainland investigators and others concerned with its geographical distribution as well as those dealing with long-distance trade and possible kinship links during the period. The find is further supported by the ,micaceous' and ,quartz' composition of the pottery clay fabric, since mica is not known on the island as a component of local clays. The presence of Boquique pottery with ,micaceous' clay properties is demonstrated by microphotographic slab and thin sections as well as chemical clay analysis. This suggests that the pottery was imported, either as a trade item or as personal possessions. Along with recent evidence of earlier trade in exotic ,elephant' ivory and other items during Bell Beaker times, where the Boquique pottery appears to be a late intrusive element into local Beaker contexts (Waldren 1998), this new evidence represents the first material sign of cultural maritime interaction (Boquique in the present case), either as demographic extension or commercial exchange of these cultural items into the area. Furthermore, contextual radiocarbon dating surveys strongly indicate a date of 1700,1400 BC for the pottery, in accord both with recent Iberian mainland dates as well as the local archaeological sequence in which it was found. [source] ALSPAC,The Avon Longitudinal Study of Parents and ChildrenPAEDIATRIC & PERINATAL EPIDEMIOLOGY, Issue 1 2001Golding ALSPAC (The Avon Longitudinal Study of Parents and Children, formerly the Avon Longitudinal Study of Pregnancy and Childhood) was specifically designed to determine ways in which the individual's genotype combines with environmental pressures to influence health and development. To date, there are comprehensive data on approximately 10 000 children and their parents, from early pregnancy until the children are aged between 8 and 9. The study aims to continue to collect detailed data on the children as they go through puberty noting, in particular, changes in anthropometry, attitudes and behaviour, fitness and other cardiovascular risk factors, bone mineralisation, allergic symptoms and mental health. The study started early during pregnancy and collected very detailed data from the mother and her partner before the child was born. This not only provided accurate data on concurrent features, especially medication, symptoms, diet and lifestyle, attitudes and behaviour, social and environmental features, but was unbiased by parental knowledge of any problems that the child might develop. From the time of the child's birth many different aspects of the child's environment have been monitored and a wide range of phenotypic data collected. By virtue of being based in one geographic area, linkage to medical and educational records is relatively simple, and hands-on assessments of children and parents using local facilities has the advantage of high quality control. The comprehensiveness of the ALSPAC approach with a total population sample unselected by disease status, and the availability of parental genotypes, provides an adequate sample for statistical analysis and for avoiding spurious results. The study has an open policy in regard to collaboration within strict confidentiality rules. [source] Infant leukemia and congenital abnormalities: A Children's Oncology Group study,PEDIATRIC BLOOD & CANCER, Issue 1 2010Kimberly J. Johnson PhD Abstract Background Leukemia in infants is rare and has not been well studied apart from leukemia in older children. Differences in survival and the molecular characteristics of leukemia in infants versus older children suggest a distinct etiology, likely involving prenatal factors. Procedure We examined the association between eight categories of maternally reported congenital abnormalities (CAs) (cleft lip or palate, spina bifida or other spinal defect, large or multiple birthmarks, other chromosomal abnormalities, small head or microcephaly, rib abnormalities, urogenital abnormalities, and other) and infant leukemia in a case,control study. The study included 443 cases diagnosed at <1 year of age at a Children's Oncology Group Institution in the United States or Canada from 1996 to 2006 and 324 controls. Controls were recruited from the cases' geographic area either by random digit dialing (1999,2002) or through birth certificates (2003,2008) and were frequency-matched to cases on birth year. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by unconditional logistic regression after adjustment for birth year and a measure of follow-up time to account for differences in the CA observation period. Results No statistically significant associations were observed between infant leukemia and any CA (OR,=,1.2; 95% CI: 0.8,1.9), birthmarks (OR,=,1.4; 95% CI: 0.7,2.5), urogenital abnormalities (OR,=,0.7; 95% CI: 0.2,2.0), or other CA (OR,=,1.4; 95% CI: 0.7,2.8). Results were similar for acute lymphoblastic and myeloid leukemia cases. Fewer than five subjects were in the remaining CA categories precluding analysis. Conclusions Overall, we did not find evidence to support an association between CAs and infant leukemia. Pediatr Blood Cancer 2010;55:95,99. © 2010 Wiley-Liss, Inc. [source] Comparison of viral RNA populations of pathogenically distinct isolates of Citrus tristeza virus : application to monitoring cross-protectionPLANT PATHOLOGY, Issue 3 2002A. Sambade The population of sequence variants of Citrus tristeza virus (CTV) isolates of different geographic origins and pathogenicity properties was characterized by single-strand conformation polymorphism (SSCP) analysis of cDNA of the genes p18, p13, p20 and p23. The mild isolates analysed here usually yielded a SSCP profile with two DNA bands, suggestive of a predominant sequence variant, whereas the SSCP profile of the most virulent isolates contained more than two DNA bands, indicating that their viral populations are likely to be more complex. The set of SSCP profiles of the four genes allowed identification of individual isolates, but no profile characteristic of a geographic area or a biogroup was found. Sweet orange plants singly inoculated with a mild or with a severe isolate yielded the SSCP profile characteristic of each isolate, whereas the SSCP profile of plants successively inoculated with both isolates was a composite of the two individual profiles. The SSCP profile of plants singly inoculated remained constant, but the profile of doubly inoculated plants varied with time. Plants in which the SSCP profile of the severe isolate became predominant showed stem pitting, and those in which the predominant profile corresponded to the mild isolate remained symptomless. The results indicate that SSCP analysis can be used to study changes in RNA populations of doubly inoculated plants and to monitor cross-protection between mild and severe isolates. [source] Evolutionary significance of cranial variation in Asian Homo erectusAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 4 2002Susan C. Antón Abstract Homo erectus inhabited a wide geographic area of Asia, ranging from 40° north latitude in China to 8° south latitude in island Southeast Asia. Yet variation within Asian H. erectus and its relation to ecological and temporal parameters have been little studied. I synthesize the revised radiometric chronologies for hominid sites in Asia and their relation to new oxygen isotope curves (proxies for climatic fluctuations and landbridge connections). These data suggest substantial opportunities in the later Pleistocene for both regional isolation and gene flow between hominids in mainland and Southeast Asia. They also suggest that the most northerly located Chinese sites (Zhoukoudian and Nanjing) may have been occupied during sequential, interglacial periods. Probably reflecting these periods of isolation, nonmetric features and principal components analysis (PCA) of calvarial shape suggest regional differentiation between northern Asian and Southeast Asian H. erectus. The most recent Southeast Asian fossils (e.g., Ngandong) conform to the Southeast Asian pattern. Except perhaps in brain size, there is no evidence that the temporally intermediate Chinese fossils are intermediate in morphology between older and younger Indonesian fossils. In fact, northern Chinese calvaria are easier to exclude from the larger Asian H. erectus hypodigm than are the Ngandong fossils. The Chinese specimens differ from the others based on their narrower occipitals and frontals for their cranial size. The Chinese sample from Zhoukoudian alone is thus not a good proxy for the morphology and variation seen within Asian H. erectus. Both the Chinese and late Indonesian samples exhibit less variation than does the early Indonesian sample; this along with their shared morphological bauplan suggests a common origin and no more than subspecific differentiation. This shared morphology, despite regional differences, was likely maintained by the increasing intensity of multiple glaciations (and longer-lasting land bridge connections) between mainland and island Southeast Asia during the last million years. Am J Phys Anthropol 118:301,323, 2002. © 2002 Wiley-Liss, Inc. [source] Does Corporate Headquarters Location Matter for Stock Returns?THE JOURNAL OF FINANCE, Issue 4 2006CHRISTO PIRINSKY ABSTRACT We document strong comovement in the stock returns of firms headquartered in the same geographic area. Moreover, stocks of companies that change their headquarters location experience a decrease in their comovement with stocks from the old location and an increase in their comovement with stocks from the new location. The local comovement of stock returns is not explained by economic fundamentals and is stronger for smaller firms with more individual investors and in regions with less financially sophisticated residents. We argue that price formation in equity markets has a significant geographic component linked to the trading patterns of local residents. [source] Do International Medical Graduates (IMGs) "Fill the Gap" in Rural Primary Care in the United States?THE JOURNAL OF RURAL HEALTH, Issue 2 2009A National Study ABSTRACT:,Context: The contribution that international medical graduates (IMGs) make to reducing the rural-urban maldistribution of physicians in the United States is unclear. Quantifying the extent of such "gap filling" has significant implications for planning IMG workforce needs as well as other state and federal initiatives to increase the numbers of rural providers. Purpose: To compare the practice location of IMGs and US medical graduates (USMGs) practicing in primary care specialties. Methods: We used the 2002 AMA physician file to determine the practice location of all 205,063 primary care physicians in the United States. Practice locations were linked to the Rural-Urban Commuting Areas, and aggregated into urban, large rural, small rural, and isolated small rural areas. We determined the difference between the percentage of IMGs and percentage of USMGs in each type of geographic area. This was repeated for each Census Division and state. Findings: One quarter (24.8% or 50,804) of primary care physicians in the United States are IMGs. IMGs are significantly more likely to be female (31.9% vs 29.9%, P < .0001), older (mean ages 49.7 and 47.1 year, P < .0001), and less likely to practice family medicine (19.0% vs 38%, P < .0001) than USMGs. We found only two Census Divisions in which IMGs were relatively more likely than USMGs to practice in rural areas (East South Central and West North Central). However, we found 18 states in which IMGs were more likely, and 16 in which they were less likely to practice in rural areas than USMGs. Conclusions: IMGs fill gaps in the primary care workforce in many rural areas, but this varies widely between states. Policies aimed to redress the rural-urban physician maldistribution in the United States should take into account the vital role of IMGs. [source] Analysis of mitochondrial DNA diversity in Burkina Faso populations confirms the maternal genetic homogeneity of the West African goatANIMAL GENETICS, Issue 3 2009L. J. Royo Summary To date, no comprehensive study has been performed on mitochondrial genetic diversity of the West African goat. Here, we analysed a 481-bp fragment of the HVI region of 111 goats representing four native West African populations, namely the three main Burkina Faso breeds, zoo-farm kept Dwarf goats and endangered Spanish goat breeds used as the outgroup. Analyses gave 83 different haplotypes with 102 variable sites. Most haplotypes (65) were unique. Only three haplotypes were shared between populations. Haplotypes were assigned to cluster A except for H45 (belonging to the Spanish Bermeya goat) which was assigned to cluster C. amova analysis showed that divergence between groups (,CT) was not statistically significant regardless of whether the partition in two hierarchical levels that was fitted included Spanish samples or not. The West African goat scenario shown here is consistent with that previously reported for the species: haplogroup A is predominant and has a very high haplotype diversity regardless of the geographic area or sampled breed. The large phenotypic differences observable between the West African Dwarf and Sahelian long-legged goat populations are not detectable with mitochondrial markers. Moreover, a previously suggested introgression of Sahelian goat southwards because of desertification could not be assessed using mtDNA information. [source] Joining the Pillars of Hercules: mtDNA Sequences Show Multidirectional Gene Flow in the Western MediterraneanANNALS OF HUMAN GENETICS, Issue 4 2003S. Plaza Summary Phylogenetic analysis of mitochondrial DNA (mtDNA) performed in Western Mediterranean populations has shown that both shores share a common set of mtDNA haplogroups already found in Europe and the Middle East. Principal co-ordinates of genetic distances and principal components analyses based on the haplotype frequencies show that the main genetic difference is attributed to the higher frequency of sub-Saharan L haplogroups in NW Africa, showing some gene flow across the Sahara desert, with a major impact in the southern populations of NW Africa. The AMOVA demonstrates that SW European populations are highly homogeneous whereas NW African populations display a more heterogeneous genetic pattern, due to an east-west differentiation as a result of gene flow coming from the East. Despite the shared haplogroups found in both areas, the European V and the NW African U6 haplogroups reveal the traces of the Mediterranean Sea permeability to female migrations, and allowed for determination and quantification of the genetic contribution of both shores to the genetic landscape of the geographic area. Comparison of mtDNA data with autosomal markers and Y-chromosome lineages, analysed in the same populations, shows a congruent pattern, although female-mediated gene flow seems to have been more intense than male-mediated gene flow. [source] | ||||||||||||||||||||||||||||||||||||||||||||||