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Metropolitan Area (metropolitan + area)
Kinds of Metropolitan Area Terms modified by Metropolitan Area Selected AbstractsSUBURBANIZATION IN COUNTRIES IN TRANSITION: DESTINATIONS OF SUBURBANIZERS IN THE TALLINN METROPOLITAN AREAGEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 2 2007Kadri Leetmaa ABSTRACT. Suburbanization is one of the key phenomena of spatial population change in many countries in transition. Yet we know surprisingly little about the population carrying out the post-socialist suburbanization process. The objective of this article is to improve on this situation by studying the Tallinn metropolis in Estonia. Our analysis, which covers the inter-censal period 1989 to 2000, focuses on the differences between population subgroups with respect to their probabilities to move to the suburbs. As such, it also clarifies choices of destination by dwelling and municipality type. For the analysis, we use individual anonymous 2000 census data and logistic regression. The results indicate that suburbanization was a socially polarizing process during this period. People with low social status had the highest probability to sub-urbanize, and mainly occupied the pre-existing housing stock. Conversely, people with high social status were less likely to move into suburban areas, yet when they did they moved to the most attractive destinations in the suburbs (new single-family houses, coastal municipalities and municipalities closer to the city). [source] A CITY IN MOTION: TIME-SPACE ACTIVITY AND MOBILITY PATTERNS OF SUBURBAN INHABITANTS AND THE STRUCTURATION OF THE SPATIAL ORGANIZATION OF THE PRAGUE METROPOLITAN AREAGEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 2 2007Jakub Novák ABSTRACT. This contribution attempts to reveal the relations between new suburban areas and other parts of the Prague metropolitan area by investigating the time-space activity and mobility patterns of the inhabitants of newly built suburban districts. The focus on some aspects of the everyday life of people in new suburbs helps us to identify the impact of suburbanization on the changing geography of the metropolitan region and to better understand how the spatial organization of the Prague metropolitan area is produced, reproduced and transformed. We use several interrelated concepts, which serve the theoretical foundation of our work, namely time geography, structuration theory and the post-communist city. The empirical data utilized are primarily based on 262 diaries completed by eighty-eight individuals from thirty-eight households, accompanied by household questionnaires and interviews with the heads of households. The research confirmed the implicit, generally unspoken view that new suburbs in the Prague metropolitan region are heavily dependent on the core of the metropolitan area for the provision of jobs and services. However, newly built suburban shopping facilities to some extent disrupt this pattern, keeping some daily activities of inhabitants within the suburban zone. In addition to empirical observations, the key purpose of this contribution has been to discuss and apply time geography concepts and methods to the research of urban restructuring, and to understand the structuration of metropolitan spatial organization. [source] Prevalence and socio-demographic correlates of drug use among adolescents: results from the Mexican Adolescent Mental Health SurveyADDICTION, Issue 8 2007Corina Benjet ABSTRACT Aims To estimate the life-time and 12-month prevalence of illicit drug use among Mexican adolescents, the age of onset of first drug use and the socio-demographic correlates. Method A multi-stage probability survey of adolescents aged 12,17 years residing in the Mexico City Metropolitan Area was carried out in 2005. Adolescents were administered the computer-assisted adolescent version of the World Mental Health Composite International Diagnostic Interview by trained lay interviewers in their homes. The response rate was 71% (n = 3005). Descriptive and logistic regression analyses were performed considering the multi-stage and weighted sample design of the survey. Findings Of the adolescents, 5.2% have ever tried illicit drugs, 2.9% in the last 12 months. The most frequently used drugs are marijuana, followed by tranquilizers/stimulants. The median age of first use is 14 years. Correlates of life-time drug use are older age, having dropped out of school, parental drug problems, low religiosity and low parental monitoring. Conclusions While drug use among Mexican adolescents is lower than among adolescents from other developed countries, its increasing prevalence with age and the narrowing male/female ratio calls for firm public health actions, particularly prevention strategies. [source] Geographic Variation of Pediatric Burn Injuries in a Metropolitan AreaACADEMIC EMERGENCY MEDICINE, Issue 7 2003Kristine G. Williams MD Objectives: To use a geographic information system (GIS) and spatial statistics to describe the geographic variation of burn injuries in children 0,14 years of age in a major metropolitan area. Methods: The authors reviewed patient records for burn injuries treated during 1995 at the two children's hospitals in St. Louis. Patient addresses were matched to block groups using a GIS, and block group burn injury rates were calculated. Mapping software and Bayesian analysis were used to create maps of burn injury rates and risks in the city of St. Louis. Results: Three hundred eleven children from the city of St. Louis were treated for burn injuries in 1995. The authors identified an area of high incidence for burn injuries in North St. Louis. The filtered rate contour was 6 per 1,000 children at risk, with block group rates within the area of 0 to 58.8 per 1,000 children at risk. Hierarchical Bayesian analysis of North St. Louis burn data revealed a relative risk range of 0.8771 to 1.182 for census tracts within North St. Louis, suggesting that there may be pockets of high risk within an already identified high-risk area. Conclusions: This study shows the utility of geographic mapping in providing information about injury patterns within a defined area. The combination of mapping injury rates and spatial statistical analysis provides a detailed level of injury surveillance, allowing for identification of small geographic areas with elevated rates of specific injuries. [source] Study of the space,time effects in the concentration of airborne pollutants in the Metropolitan Region of Rio de JaneiroENVIRONMETRICS, Issue 4 2003Marina Silva Paez Abstract In this article, we present an application of models with temporal and spatial components, from the Bayesian point of view, on data pollutants collected in 16 different monitoring sites located in the Metropolitan Area of Rio de Janeiro during 1999. All the models considered here assume conditionally independent observations, with a mean specified by the sum of random temporal and spatial components and a linear function of the maximum daily temperature and indicators of the day of the week. Our aim here is to analyze distinct specifications for the components, assuming different kinds of modeling that are not usually compared. The comparison is based on the posterior predictive loss function proposed by Gelfand and Ghosh (1998). The best specifications for the spatial component were the ones which considered a geostatistical approach to its correlation function. The best specification for the temporal component was the stationary autoregressive form. The pollutant concentrations were interpolated in a grid of points in the area of higher population density at a fixed period of time for the selected model. Copyright © 2003 John Wiley & Sons, Ltd. [source] INTRA-REGIONAL EMPLOYMENT GROWTH IN LUXEMBOURG (1994,2005)GEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 1 2010Olivier Walther ABSTRACT. The specialization of city-centres towards more advanced service activities has mostly been studied in the largest city-regions, the case of smaller urban centres being less well documented. In that context, the objective of this article is to analyse the role of sectoral and regional factors in employment growth in Luxembourg between 1994 and 2005. Using statistical data from the Luxembourg General Inspection of Social Security, this contribution distinguishes 12 categories of manufacturing industries and services according to an OECD-Eurostat knowledge-based classification. Five intra-regional areas are distinguished based on morphological and functional criteria in the Luxembourg Metropolitan Area. Using several indexes, this article first analyses the sectoral specialization and geographical concentration of employment. A model of intra-regional employment growth, initially developed by Marimon and Zilibotti and applied at the European level, is then shown to account for 40 per cent of employment growth. An estimation of the contributions of sectoral and geographical factors highlights the primacy of the latter over the former. Finally, the construction of virtual economies confirms the City's overall lower performance as compared to its close periphery. Results underscore a process of functional integration in the Luxembourg metropolitan area: as the core of the city undergoes a specialization process, the urban area benefits from a relocation of activities less sensitive to distance and transaction costs, while the periphery becomes increasingly diversified, notably in the South where traditional industrial activities are being replaced by service activities. These results suggest that the evolution pattern of employment growth in Luxembourg is very similar to that of some larger metropolitan centres, owing to its exceptional financial service activities. [source] Analysis of travel patterns between road and transit-oriented development areasJOURNAL OF ADVANCED TRANSPORTATION, Issue 1 2010Seungjae Lee Abstract The objectives of this study are to analyze the travel patterns based on social changes between 1996 and 2002, and then to identify main implications in transport policies in the Seoul Metropolitan Area (SMA). In SMA, there are many changes during 6 years. For example, SMA has changed the paradigm of transportation policy from car-oriented policy to public-oriented policy. So, this study examines the general travel pattern changes in the SMA and compares the travel patterns of regions invested in road construction (road-invested areas) with those of regions invested in transit (transit-invested areas). Study results show that while road investment had little effect on reducing congestion, the number of cars decreased in transit-invested areas due to the modal shift to transit modes. This study suggests that transit-oriented policies should be utilized as a solution to overcome severe traffic congestion. Copyright © 2010 John Wiley & Sons, Ltd. [source] A Spatial Analysis of Residential Greenhouse Gas Emissions in the Toronto Census Metropolitan AreaJOURNAL OF INDUSTRIAL ECOLOGY, Issue 2 2007Jared R. VandeWeghe Residential greenhouse gas (GHG) emissions in the Toronto Census Metropolitan Area are spatially analyzed to determine the impact of urban form on emission-causing activities. The key finding is that over the entire region, emissions from private auto use are on par with those from fuel use for building heating. Once beyond the transit-intensive central core, private auto emissions surpass the emissions from building operations. Variation in total auto- and building-related emissions is quite significant between census tracts, ranging from 3.1 to 13.1 tonnes of carbon dioxide equivalents per year. Of all tracts, the top ten in terms of GHG emission are located in the lower-density suburbs, and their high emissions were largely due to private auto use. [source] A firm level analysis of trade, technology and employment in South AfricaJOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 1 2004Lawrence Edwards This paper uses two firm level surveys, the National Enterprise (NE) survey and the Greater Johannesburg Metropolitan Area (GJMA) survey, to explore the implications of globalization for employment in South Africa. These relationships are explored using cross-tabulations and estimated labour demand functions. The paper finds that rising import penetration negatively affected employment in large firms, but not small firms. Relatively large declines in employment also occurred within export firms, despite improvements in export competitiveness and export growth through trade liberalization. Finally, the study finds that skill-biased and trade-induced technological change, as reflected in increased use of computers, foreign investment and the importation of raw material inputs, have raised the skill intensity of production. Copyright © 2004 John Wiley & Sons, Ltd. [source] Economic Interdependence Within the Chicago Metropolitan Area: A Miyazawa AnalysisJOURNAL OF REGIONAL SCIENCE, Issue 2 2001Geoffrey J.D. Hewings The present study explores the nature and strength of economic interdependence between inner-city communities and suburbs within the Chicago metropolitan area. Employing Miyazawa's extended input-output framework, a multiregional model is used to investigate the interdependence of income formation and output generation. The metropolitan area is divided into four regions and particular attention is directed to predominantly minority areas on the south and west sides of the city of Chicago. The region-to-region impacts of trade flows and their associated multipliers proved to be far less important in determining the strength of interregional interdependence in contrast to income flows derived from journey-to-work movements. The interrelational income multiplier revealed considerable interdependence between regions although the strength of this interdependence was asymmetric. [source] Structural Factors Influencing Patterns of Drug Selling and Use and HIV Risk in the San Salvador Metropolitan AreaMEDICAL ANTHROPOLOGY QUARTERLY, Issue 2 2010Julia Dickson-Gomez This article explores differences in the social context in which crack sales and use and HIV risk take place in seven low-income communities in San Salvador, and structural factors that may influence these differences. The organization of drug selling varied among the communities on a number of dimensions including: whether drug sales were open or closed systems; the type of drug-selling site; and the participation of drug users in drug-distribution roles. Drug-use sites also varied according to whether crack was used in private, semiprivate, or public spaces, and whether individuals used drugs alone or with other drug users. Three patterns of drug use and selling were identified based on the dimensions outlined above. Structural factors that influenced these patterns included the geographic location of the communities, their physical layout, gang involvement in drug sales, and police surveillance. Implications for HIV risk and prevention are explored for each pattern. [source] In search of a governance institution model for Jakarta Metropolitan Area (JMA) under Indonesia's new decentralisation policy: old problems, new challengesPUBLIC ADMINISTRATION & DEVELOPMENT, Issue 4 2008Tommy Firman Abstract This study explores a possible governance model for Jakarta Metropolitan Area (JMA) under Indonesia's new Decentralisation Policy. At present the management of JMA development is coordinated by Badan Koordinasi Pembangunan Jabodetabekjur (BKSP) ,Coordinating Board for JMA Development, but this agency is ineffective and powerless to perform its tasks because of lack of authority and power. The establishment of JMA governance model should take into account the existence of the BKSP which has been politically accepted by all provincial and local governments in the region. Involvement of central government in JMA governance is very important. A mixed model of urban governance is most suitable for the JMA. Thereunder the central government should have authority to plan and develop major physical infrastructure for the whole JMA, while the provincial and local governments retain their respective general administrative functions. Copyright © 2008 John Wiley & Sons, Ltd. [source] Ambulance Diversion as a Proxy for Emergency Department Crowding: The Effect on Pediatric Mortality in a Metropolitan AreaACADEMIC EMERGENCY MEDICINE, Issue 2 2009Rohit P. Shenoi MD Abstract Objectives:, The objective was to determine the prevalence of emergency department (ED) ambulance diversion among Houston pediatric hospitals and its association with mortality of pediatric patients. Methods:, Hospital diversion and patient data between August 2002 and December 2004 were used to examine the impact of diversion on mortality of children under age 18 years. Patients were assumed to be exposed to ED crowding if diversion and admission or ED arrival times overlapped. Univariate and logistic regression were performed to determine if diversion was associated with mortality while controlling for age, illness severity, injury, and transfer status. Results:, Mean hospital diversion hours as a percentage of operating hours were 10.58 (standard deviation [SD] ± 9). Overall, of 63,780 admissions, there were 4,095 (6.4%) children admitted during diversion. Fewer severely ill patients were admitted during diversion than nondiversion times (odds ratio [OR] = 0.72; 95% confidence interval [CI] = 0.66 to 0.78). The presence of diversion was protective for mortality (OR = 0.51; 95% CI = 0.34 to 0.77) in bivariate analysis. Mortality was associated with presence of major or extreme illness (OR = 60.7; 95% CI = 45.2 to 81.5), injury (OR=1.7; 95% CI = 1.4 to 2.1), and transfer status (OR = 6.3; 95% CI = 5.4 to 7.3). Using conditional logistic regression, major or extreme illness (OR = 50.7; 95% CI = 37.7 to 68.3), injury (OR 3.7; 95% CI = 2.9 to 4.7), and transfer (OR = 2.7; 95% CI = 2.2, 3.2) were associated with mortality, but diversion did not show any association with mortality. After combining ED and inpatient deaths, no association between diversion and mortality was observed. Conclusions:, Hospital diversion due to ED crowding is common in pediatrics. The authors found no evidence of an association between diversion and ED and inpatient pediatric mortality. [source] Earning Disparities between Immigrants and Native-born Canadians,CANADIAN REVIEW OF SOCIOLOGY/REVUE CANADIENNE DE SOCIOLOGIE, Issue 3 2000Peter S. Li La contribution économique des immigrants est mesurée par l'am-pleur de leurs salaires. Plus on diminue l'écart des salaires, plus les immigrants sont sensés se doter du capital humain. En utilisant les données du recensement de 1996, cet article compare des groupes d'immigrants avec des Canadiens de naissance de même sexe et de même origine raciale à quatre niveaux de la région métropolitaine de recensement, définie par la taille de la population. Les résultats indiquent que les immigrants de même sexe et de même origine raciale gagnent soit le même salaire sinon plus que leurs homologues canadiens. Cependant, en prenant en considération les variations dans le capital humain, l'expérience, les différences dans l'échelle urbaine, la taille de la population immigrante et le taux de chômage, tout groupe d'immigrants gagne moins que son homologue canadien. L'ampleur des salaires nets entre les immigrants et les Canadiens de naissance varie selon le sexe, l'origine raciale et moins ainsi selon le niveau de la région metropolitaine de recensement. Plusieurs fac-teurs, dont les possibilités d'emploi inégales, touchent le salaire des immigrants. II n'est pas du tout évident de supposer que la teneur du capital humain des immigrants est inférieure alors qu'elle est déduite de la disparité de salaires. The economic contribution of immigrants is often measured by their earnings in that the closer they are to the earnings of native-born Canadians and the more quickly immigrants can bridge the income gap, the more immigrants are assumed to be endowed with human capital. Using microdata of the 1996 census, this paper compares immigrant groups with native-born Canadians of the same gender and racial origin at four levels of Census Metropolitan Area defined by population size. The findings indicate that immigrants of the same gender and racial origin earned either the same or more than their native-born counterparts. However, when variations in human capital, experience, and other individual differences in work-related characteristics and immigrant experience are taken into account, along with differences in urban scale, immigrant population size and unemployment rate, all immigrant groups earned less than their native-born counterparts. The magnitude of net earning disparities between immigrants and native-born Canadians varies, depending on gender, racial origin and less so on CMA level. The study suggests that many factors, including unequal opportunities, affect the earnings of immigrants, and that the assumption of immigrants' inferior human capital content inferred from earning disparities is tenuous at best. [source] Urban Polycentricity and the Costs of Commuting: Evidence from Italian Metropolitan AreasGROWTH AND CHANGE, Issue 3 2010PAOLO VENERI ABSTRACT Polycentricity at the metropolitan scale is perhaps the model of spatial organisation that needs to be investigated more thoroughly as regards its effects on travel. The aim of this paper is to test the role of polycentricity,as well as other spatial characteristics, such as compactness, functional diversification and size,in the costs of commuting, taking into account an external cost component (per-capita CO2 emissions) and a private cost component (time spent on travelling). The degree of urban polycentricity has been measured by adopting a dynamic approach based on commuting flows and on social network analysis tools. The analysis is carried out using a database of 82 Italian metropolitan areas (MAs). Results show that MAs with a higher degree of polycentricity are more virtuous both in terms of private and external costs of mobility, while the degree of compactness is associated with lower environmental costs but with higher private costs. Size is associated with both higher external and private costs, while the role of functional diversification turns out to be statistically insignificant. Socio-demographics also play a role. [source] Growth of Creative Occupations in U.S. Metropolitan Areas: A Shift-Share AnalysisGROWTH AND CHANGE, Issue 3 2006TODD M. GABE ABSTRACT This article uses a shift-share model to investigate the growth of creative occupations in U.S. metropolitan areas during the 1990s. Empirical findings indicate that the performance of the creative economy varied widely across the U.S., and that the highest competitive growth rates of the creative workforce occurred in the Rocky Mountain, Southeast, and Southwest regions. Further analysis focused on whether high competitive workforce growth between 1990 and 2000 translated into high competitive employment growth from 1999 to 2003. The results show that many of the areas with the highest competitive growth rates of creative economy employment from 1999 to 2003 were some of the weakest regions in terms of creative workforce growth during the 1990s. This raises questions about the extent to which jobs follow people in the creative economy, and suggests that an initial strong presence in the creative economy is not a prerequisite for future growth. [source] Racial Profiling, Insurance Style: Insurance Redlining and the Uneven Development of Metropolitan AreasJOURNAL OF URBAN AFFAIRS, Issue 4 2003Gregory D. Squires This article examines the role of racial profiling in the property insurance industry and how such practices, grounded in negative racial stereotyping, have contributed to racial segregation and uneven metropolitan development. From a review of industry underwriting and marketing materials, court documents, and research by government agencies, industry and community groups, and academics, it is clear that race has long affected and continues to affect the policies and practices of this industry. Due to limitations in publicly available data, it is difficult to assess precisely the extent to which race shapes industry practices. Research and public policy initiatives are explored that can ameliorate the data problems, increase access to insurance, and foster more equitable community development. [source] Prevalence of Headache in Puerto RicoHEADACHE, Issue 7 2003Héctor Miranda MD Background.,Headache is one of the most frequently reported disorders in the general adult population. Despite the fact that this disorder is common, no official estimate of the prevalence of headache exists in Puerto Rico. Purpose.,To examine the prevalence of headache and migraine, specifically, in Puerto Rico. Methods.,A telephone survey of 1610 individuals was conducted. The telephone calls were distributed using the 1990 census adjusted to the population of Puerto Rico in 1998, and according to gender, geographical area, and age. Results.,The prevalence of headache in Puerto Rico was 35.9% and migraine, in particular, 13.0%. When prevalence was fractionated by age, gender, and geographical areas, the prevalence of headache was similar for all ages, with females exhibiting a 2:1 preponderance over males. In the younger population (between 20 and 50 years of age), the female-male ratio for migraine was 3:1, and the prevalence for migraine was lower in the Metropolitan area. Conclusion.,This study, the first of its type in Puerto Rico, demonstrates that headache (and migraine specifically) is a common disorder in this country. [source] Effective Methods to Improve Recruitment and Retention in School-Based Substance Use Prevention StudiesJOURNAL OF SCHOOL HEALTH, Issue 9 2009Jean-Marie Bruzzese PhD ABSTRACT BACKGROUND: Poor recruitment and high attrition may invalidate results of research studies. This paper describes successful recruitment and retention strategies in a school-based substance use prevention trial and explores factors associated with intervention attendance and retention. METHODS: A total of 384 parent-child dyads from 15 schools in the New York Metropolitan area participated in a control trial, testing the efficacy of parent-training to prevent youth substance use. Assessments were completed immediately post-intervention and 6-, 12-, and 24-month postintervention. Logistic regression analyses were used to determine which familial and study characteristics predicted attendance in the intervention and retention by parents and youth. RESULTS: 84% of intervention parents attended 4 of the 5 workshops; 83% of control parents attended their single workshop. Intervention attendance was predicted by parent job status, but this was not significant after controlling for other family factors. Retention rates ranged from 87% to 91% over the 2 years. No family characteristics predicted retention, but time since baseline and attendance at treatment workshops and the control workshop did. For children, age at baseline and ethnicity predicted retention, but this did not remain significant in the adjusted model. CONCLUSION: Intervention attendance was high and retention rates far exceeded the minimum standard of 70% retention in behavioral studies. Recruitment and retention strategies were effective for different family constellations. Efforts to maximize participation in both treatment and control interventions are critical to retention in longitudinal trials. [source] Culture and psychiatric symptoms in Puerto Rican children: longitudinal results from one ethnic group in two contextsTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 5 2008Cristiane S. Duarte Background:, The development of youth psychopathology may be associated with direct and continuous contact with a different culture (acculturation) and to distress related to this process (cultural stress). We examine cultural experiences of Puerto Rican families in relation to youth psychiatric symptoms in two different contexts: one in which migrant Puerto Ricans reside on the mainland as an ethnic minority and another in which they reside in their place of origin. Methods:,Sample: Probability samples of 10- to 13-year-old youth of Puerto Rican background living in the South Bronx, New York City (SB) and in the San Juan Metropolitan area in Puerto Rico (PR) (N = 1,271) were followed over time. Measures: Three assessments of internalizing psychiatric symptoms (elicited through the DISC-IV) and of antisocial behaviors (ASB) quantified through a six-point index were carried out. Independent variables included scales of adult and child acculturation and cultural stress, and other putative correlates. Data analysis: Within each study site, multilevel linear regression models were examined. Results:, Parental acculturation was associated with ASB in youth at both sites, but youth acculturation itself was not related to psychiatric symptoms. At both contexts, cultural stress was a more consistent correlate of youth psychiatric symptoms than acculturation after controlling for nativity, maternal education, child gender, stressful life events and parental psychopathology. However, the strength of the youth cultural stress association decreased over time. Conclusion:, The association between cultural factors and child psychiatric symptoms is not restricted to contexts where an ethnic group is a minority. [source] Significant paternal contribution to the risk of small for gestational ageBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 2 2005Delphine Jaquet Objective The aim of this study is to investigate both maternal and paternal contributions in the familial aggregation of small for gestational age. Design Nested case,control study. Setting Metropolitan area of Haguenau, France. Population Data were drawn from a French population-based maternity registry. After selection, 256 cases born either small for gestational age or average for gestational age were included. Methods Controlling for known pregnancy-related risk factors, logistic regression models were used to determine the risk of the child being small for gestational age, given that the mother, father or both were small for gestational age, and to examine interactions between maternal small for gestational age and pregnancy risk factors. Main outcome measures Specifically, we investigate to what extent having either or both parents born small for gestational age increases the risk of small for gestational age in their offspring, after controlling for the established risk factors of small for gestational age and maternal and paternal characteristics. We also explore the extent to which the intergenerational predictors of small for gestational age may modify the effect of current pregnancy-related risk factors. Results The risk of a small for gestational age offspring was 4.7 times greater for mothers and 3.5 times greater for fathers who were small for gestational age, compared with average for gestational age counterparts. Furthermore, the risk of a small for gestational age offspring was 16.3 times greater when both parents were small for gestational age. No significant interactions between maternal small for gestational age and maternal smoking, hypertension or parity were observed. Conclusion These results indicate that small for gestational age in both mother and father significantly influences the risk of their offspring being small for gestational age. While previous research has indicated that the birth outcome of the mother is an important determinant of the birth outcome of her offspring, these data indicate that the birth outcome of the father plays an equally critical role in determining fetal growth, strongly suggesting a genetic component in the familial aggregation of small for gestational age. [source] Current Status of Surge ResearchACADEMIC EMERGENCY MEDICINE, Issue 11 2006Sally Phillips RN The dramatic escalation of bioterrorism and public health emergencies in the United States in recent years unfortunately has coincided with an equally dramatic decline in the institutions and services we rely on for emergency preparedness. Hospitals in nearly every metropolitan area in the country have closed; those that remain open have reduced the number of available beds. "Just in time" supplies and health professional shortages have further compromised the nation's overall surge capacity. Emergency departments routinely operate at capacity. These circumstances make evidence-based research on emergency preparedness and surge capacity both more urgently needed and more complex. The Agency for Healthcare Research and Quality and other government and private agencies have been rapidly widening the field of knowledge in this area in recent months and years. This report focuses primarily on the work of the Agency for Healthcare Research and Quality. [source] State of Research in High-consequence Hospital Surge CapacityACADEMIC EMERGENCY MEDICINE, Issue 11 2006Carl 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] New York's nature: a review of the status and trends in species richness across the metropolitan regionDIVERSITY AND DISTRIBUTIONS, Issue 1 2009Linda M. Puth ABSTRACT Aim, The world's population is urbanizing, yet relatively little is known about the ecology of urban areas. As the largest metropolitan area in the USA, New York City is an ideal location to study the effects of urbanization. Here, we aim to produce a better understanding of the state of the research for species richness of flora and fauna across the New York metropolitan region. Location, New York metropolitan region, USA. Methods, We conducted a review of the published and grey literature, in which we targeted studies of species richness, and categorized each study by habitat, location and taxonomic group. Results, We found 79 studies reporting location-specific species richness data, resulting in 261 location-taxonomic group records. Of these, 26 records had data from multiple time periods; 17 showed decreases in species richness, six reported increases and three showed stable species richness. Of these 26 records, most declines were attributed to anthropogenic causes, such as habitat loss/degradation and invasive species, while most increases reflected recovery from major habitat loss or increases in exotic species. Overall, most records (84) were terrestrial, followed by those in freshwater (72) and mixed habitats (61). When parsed by taxonomic group, the most commonly studied groups were plants (76) and mammals (48). Main conclusions, In general, we discovered fewer studies than expected reporting species richness, especially studies reporting species richness for more than one point in time. Most studies that did contain data over time reported declines in species richness, while several studies reporting increasing or stable species richness reflected increases in exotic species. This survey provides a crucial first step in establishing baseline ecological knowledge for the New York metropolitan region that should help prioritize areas for protection, research and development. Furthermore, this research provides insights into the impacts of urbanization across the USA and beyond and should help establish similar frameworks for ecological understanding for other metropolitan regions throughout the world. [source] Geography and the Immigrant Division of LaborECONOMIC GEOGRAPHY, Issue 3 2007Mark Ellis Abstract: Immigrants concentrate in particular lines of work. Most investigations of such employment niching have accented either the demand for labor in a limited set of mostly low-wage industries or the efficiency of immigrant networks in supplying that labor; space has taken a backseat or has been ignored. In contrast, this article's account of immigrant employment niching modulates insights built on social network theories with understandings derived from relative location. We do so by altering the thinking about employment niches as being metropolitan wide to considering them as local phenomena. Specifically, the analysis examines the intraurban variation in niching by Mexican, Salvadoran, Chinese, and Vietnamese men and women in four industries in Los Angeles. Niching is uneven; in some parts of the metropolitan area, these groups niche at high rates in these industries, whereas in others, there is no unusual concentration. We show how a group's propensity to niche in an industry is generally higher when the industry is located close to the group's residential neighborhoods and demonstrate the ways in which the proximity of competing groups dampens this geographic advantage. The study speaks to debates on immigrant niching and connects with research on minority access to employment and accounts of the agglomeration of firms. More generally, it links the geographies of home and work in a new way, relating patterns of immigrant residential segregation to those of immigrant employment niches. [source] Black Employment, Segregation, and the Social Organization of Metropolitan Labor MarketsECONOMIC GEOGRAPHY, Issue 3 2007Niki T. Dickerson Abstract: This broad analysis of the employment of blacks in metropolitan areas examines the role of residential segregation in comparison with four other key structural explanations for racial metropolitan inequality: industrial composition, minority concentration, immigration, and the racial disparity in skills. The goal of the analysis was to determine whether the spatial configuration of blacks relative to whites in a metropolitan area influences the employment rates of black men and black women in the context of the structural conditions of the local labor market. The study expanded the analysis of space and work beyond an emphasis on the physical distance between black communities and jobs to a broader conceptualization of residential segregation as a structural feature of the entire metropolitan labor market that is representative of its social organization with regard to race. Using a longitudinal data set of the structural characteristics of the 95 largest U.S. cities from the 1980, 1990, and 2000 decennial censuses, the study used a cross-sectional analysis of the cities in 2000 and a fixed-effects analysis to assess the impact of five dimensions of residential segregation and the four other structural factors on the employment of blacks across different labor markets and across time within each labor market. The results revealed that when the other structural characteristics are controlled, the employment rates of blacks are lower in more segregated cities and decrease as cities become more segregated over time. The clustering and evenness dimensions of residential segregation were the most determinative of black employment. [source] QUALITY OF AVAILABLE MATES, EDUCATION, AND HOUSEHOLD LABOR SUPPLYECONOMIC INQUIRY, Issue 3 2010BRIGHITA NEGRUSA We investigate the impact of sex ratios by education and metropolitan area on spouses' bargaining power and labor supplies, to capture the local and qualitative nature of mate availability. Using Current Population Survey and Census data for 2000, 1990, and 1980, we estimate these effects in a collective household framework. We find that a higher relative shortage of comparably educated women in the couple's metropolitan area reduces wives' labor supply and increases their husbands'. The impact is stronger for couples in higher education groups but not significant for high school graduates. Results are similar across decades. No such effects are found for unmarried individuals. (JEL D1, J22) [source] A preliminary characterization of the mutagenicity of atmospheric particulate matter collected during sugar cane harvesting using the Salmonella/microsome microsuspension assayENVIRONMENTAL AND MOLECULAR MUTAGENESIS, Issue 4 2008Gisela de Aragão Umbuzeiro Abstract During sugar cane harvesting season, which occurs from May to November of each year, the crops are burnt, cut, and transported to the mills. There are reports showing that mutagenic activity and PAH content increase during harvesting season in some areas of São Paulo State in comparison with nonharvesting periods. The objective of this work was to preliminarily characterize the mutagenic activity of the total organic extracts as well as corresponding organic fractions of airborne particulate matter (PM) collected twice from two cities, Araraquara (ARQ) and Piracicaba (PRB), during sugar cane harvesting season using the Salmonella/microsome microssuspension assay. One sample collected in São Paulo metropolitan area was also included. The mutagenicity of the total extracts ranged from 55 to 320 revertants per cubic meter without the addition of S9 and from not detected to 57 revertants per cubic meter in the presence of S9 in areas with sugar cane plantations. Of the three fractions analyzed, the most polar ones (nitro and oxy) were the most potent. A comparison of the response of TA98 with YG1041 and the increased potencies without S9 indicated that nitro compounds are causing the observed effect. More studies are necessary to verify the sources of the mutagenic activity such as burning of vegetal biomass and combustion of heavy duty vehicles used to transport the sugar cane to the mills. The Salmonella/microsome assay can be an important tool to monitor the atmosphere for mutagenicity during sugar cane harvesting season. Environ. Mol. Mutagen. 2008. © 2008 Wiley-Liss, Inc. [source] Alcohol use trajectories among adults in an urban area after a disaster: evidence from a population-based cohort studyADDICTION, Issue 8 2008Magdalena Cerda ABSTRACT Alcohol use increased in the New York City (NYC) metropolitan area in the first months after the 11 September 2001 terrorist attacks. Aims To investigate alcohol use trajectories in the NYC metropolitan area in the 3 years after 11 September and examine the relative contributions of acute exposure to the attacks and ongoing stressors to these trajectories. Design We used a population-based cohort of adults recruited through a random-digit-dial telephone survey in 2002; participants completed three follow-up interviews over 30 months. Setting The NYC metropolitan area. Participants A total of 2752 non-institutionalized adult residents of NYC. Measurements We used growth mixture models to assess trajectories in levels of total alcohol consumption and bingeing in the past 30 days, and predictors of these trajectories. Findings We identified five trajectories of alcohol consumption levels and three bingeing trajectories. Predictors of higher levels of use over time included ongoing stressors, traumatic events and lower income. Ongoing exposure to stressors and low income also play a central role in bingeing trajectories. Conclusions While point-in-time mass traumatic events may matter in the short term, their contribution subsides over time. Accumulated stressors and traumatic events, in contrast, lead to higher levels of consumption among respondents already vulnerable to high alcohol use. Interventions to mitigate post-disaster stressors may have substantial benefit in reducing alcohol abuse in the medium- to long term. [source] Toxicity tests to assess pollutants removal during wastewater treatment and the quality of receiving waters in ArgentinaENVIRONMENTAL TOXICOLOGY, Issue 3 2001Carlos E. Gómez Abstract In Argentina, legislation to control adverse impacts of effluent discharges and the quality of receiving waters is scant and relies mainly on the physicochemical characteristics of the effluents and receiving waters. Objectives of this study were to use standardized acute toxicity tests to assess treatment of petrochemical industry effluents and the toxicity of various treated industrial effluents in the Buenos Aires metropolitan area and their receiving waters. Tests for the first objective used Daphnia magna and Ceriodaphnia dubia; those for the second used D. magna, Spirillum volutans, and Scenedesmus spinosus. Chemical analyses demonstrated that the removal of aromatic hydrocarbon compounds (benzene, toluene, ethylbenzene, xylene, styrene, and naphthalene) from the petrochemical effluents ranged between 77 and 93%, but toxicity removal was significantly lower: untreated effluents were very toxic and treated effluents were very toxic to toxic [acute toxicity units (TUa)>3]. Physicochemical parameters measured according to current Argentinian regulations indicated that industrial effluents (e.g., from textile and paper industries) were within established guidelines, but 25% of the samples were moderately to highly toxic (TUa>1.33). However, for the receiving waters, toxicity tests were moderate to very toxic. The results show the need of including tests for toxicity of discharged effluents, and their effects on receiving waters of Argentina, especially for regulatory purposes. © 2001 John Wiley & Sons, Inc. Environ Toxicol 16: 217,224, 2001 [source] |