Urban Areas (urban + area)

Distribution by Scientific Domains
Distribution within Medical Sciences

Kinds of Urban Areas

  • large urban area


  • Selected Abstracts


    Epidemiology and Symptomatology of Migraine Among School Children: Denizli Urban Area in Turkey

    HEADACHE, Issue 8 2004
    Mehmet Zencir MD
    Objective.,This study was aimed at finding the prevalence, associated factors, and symptomatology of migraine among 5 to 8 grades of secondary and 9 to 11 grades of high school children (age range between 11 and 18 years old) in the Denizli urban area in the western part of Turkey. Background.,Data from the developed countries indicate that migraine is the most common cause of recurrent headaches in children. Also, childhood migraine is sufficiently severe to prevent the half of the suffering children from carrying on their usual daily activities. Methods.,A cross-sectional school-based study was conducted between May 2000 and June 2000. There were 2,490 participants selected by a multistage stratified clustered sampling procedure. A validated self-administered questionnaire designed according to the International Headache Society criteria was given to the school children of age between 11 and 18 years. Results.,Overall migraine prevalence was 8.8%; it was 6.7% in boys and 11.0% in girls (OR: 1.7; 95% CI: 1.3 to 2.3). Among girls, the highest prevalence (17.7%) occurred at 15 years of age, but among boys, the highest prevalence (11.9%) occurred at 16 years of age. Of children with migraine, 56.5% had a positive family history, and only 29.1% visited a doctor for headache. Conclusion.,Migraine is a common health problem among school children in Denizli urban area and it often goes underdiagnosed. [source]


    The "Vertical Response Time": Barriers to Ambulance Response in an Urban Area

    ACADEMIC EMERGENCY MEDICINE, Issue 9 2007
    Robert A. Silverman MD
    Background: Ambulance response time is typically reported as the time interval from call dispatch to arrival on-scene. However, the often unmeasured "vertical response time" from arrival on-scene to arrival at the patient's side may be substantial, particularly in urban areas with high-rise buildings or other barriers to access. Objectives: To measure the time interval from arrival on-scene to the patient in a large metropolitan area and to identify barriers to emergency medical services arrival. Methods: This was a prospective observational study of response times for high-priority call types in the New York City 9-1-1 emergency medical services system. Research assistants riding with paramedics enrolled a convenience sample of calls between 2001 and 2003. Results: A total of 449 paramedic calls were included, with a median time from call dispatch to arrival on-scene of 5.2 minutes. The median on-scene to patient arrival interval was 2.1 minutes, leading to an actual response interval (dispatch to patient) of 7.6 minutes. The median on-scene to patient interval was 2.8 minutes for residential buildings, 2.7 minutes for office complexes, 1.3 minutes for private homes (less than four stories), and 0.5 minutes for outdoor calls. Overall, for all calls, the on-scene to patient interval accounted for 28% of the actual response interval. When an on-scene escort provided assistance in locating and reaching the patient, the on-scene to patient interval decreased from 2.3 to 1.9 minutes. The total dispatch to patient arrival interval was less than 4 minutes in 8.7%, less than 6 minutes in 28.5%, and less than 8 minutes in 55.7% of calls. Conclusions: The time from arrival on-scene to the patient's side is an important component of overall response time in large urban areas, particularly in multistory buildings. [source]


    The Family and Community Life of Older People: Social Networks and Social Support in Three Urban Areas

    HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2002
    Article first published online: 29 JAN 200
    No abstract is available for this article. [source]


    Energy Conservation in Urban Areas

    IEEJ TRANSACTIONS ON ELECTRICAL AND ELECTRONIC ENGINEERING, Issue 1 2008
    Hideharu Sugihara Member
    Abstract This article outlines the energy conservation measures in the civilian sector from a few different viewpoint regarding energy conservation in cities. First, the energy consumption trends in the business and residential sectors are discussed, focusing the importance of energy conservation measures in applications such as home heating, water heating and specific power demand. Second, as a measure to reduce energy demand itself, energy conservation by way of applying heat insulating materials to buildings and changing the life style of residents is considered. And from the viewpoint of improving the energy system efficiency, additionally discussed here are the measures to improve the efficiency of each energy equipment such as air-conditioners and co-generation equipment, and the characteristics of District heating and cooling systems such as the local energy infrastructures. Lastly, from the knowledge obtained through model analyses by the authors, a scheme is recommended that would be one of the most efficient city-energy schemes where the energy systems including heat pumps, co-generators or equipment using solar power are utilized for their best-suited applications for business and residential customers. Copyright © 2007 Institute of Electrical Engineers of Japan. Published by John Wiley & Sons, Inc. [source]


    Health Status of Temporary Migrants in Urban Areas in Vietnam1

    INTERNATIONAL MIGRATION, Issue 4 2007
    Liem T. Nguyen
    ABSTRACT The rapid economic growth after economic reform, known in Viet Nam as "Doi Moi", and the growing scope of urban migration raise specific questions for social policy, including migration and health policies. This paper compares issues of health status and its determinants as they affect temporary urban migrants versus permanent urban migrants and non-migrants. The analyses utilize multivariate logistic regression and data from the 1997 Vietnam Migration and Health Survey. The results show that temporary migrants staying in guest houses are most vulnerable to health problems. Though most of them are initially healthier, their reported health deteriorates faster than other groups of urban residents. The findings also present important implications for the current migration and health policies in Vietnam: 1) A special attention should be given to temporary migrants in guest houses; 2) Different priorities in health policy should be applied to different groups of migrants and non-migrants; 3) The current population management policy by registration system needs to be reviewed; 4) Providing clean water is one of the most important ways to improve health of temporary migrants; 5) Targeting educational investments and reducing unemployment would likely to improve overall health; 6) A higher priority on health policies targeting women would likely pay dividends, and; 7) Improving management and collaboration between government offices and interested partners is important to improving health status and reducing inequity. [source]


    Establishing Independence in Low-Income Urban Areas: The Relationship to Adolescent Aggressive Behavior

    JOURNAL OF MARRIAGE AND FAMILY, Issue 3 2003
    Kathleen M. Roche
    Although adolescents in poor urban areas often assume independent, adult-like roles, relatively little is known about the relationship between these roles and other adolescent behaviors. This research examines the association between independent roles occurring within different contexts (e.g. family, peer, work) and aggressive behavior among 516 low-income, urban middle school students. Overall, adolescent employment is related to increases in aggressive behavior. However, associations that familial and peer independent roles have with aggression differ by the extent of youth involvement in paid work. Greater engagement in familial independent roles is associated with decreased aggression among employed adolescents, but with increased aggression among unemployed youth. Also, peer independent roles are related to significantly greater increases in aggression among unemployed, compared with employed, adolescents. [source]


    The Influence of Local Urban Containment Policies and Statewide Growth Management on the Size of United States Urban Areas,

    JOURNAL OF REGIONAL SCIENCE, Issue 1 2006
    Robert W. Wassmer
    This paper describes a regression-based analysis that finds that different forms of these policies are achieving their desired goal of shrinking the square mile size of an urban area. A comparison of the influence of the various forms of urban containment and growth management policies with other "natural evolution,""flight from blight," and "fiscalization of land use" factors that also influence the square mile size of an urban area is made, and policy implications are offered. [source]


    Alcohol and Drug Use in Rural Colonias and Adjacent Urban Areas of the Texas Border

    THE JOURNAL OF RURAL HEALTH, Issue 2007
    Richard T. Spence PhD
    ABSTRACT:,Context: Little is known about substance use and treatment utilization in rural communities of the United States/Mexico border. Purpose: To compare substance use and need and desire for treatment in rural colonias and urban areas of the border. Methods: Interviews were conducted in 2002-2003 with a random sample of adults living in the lower Rio Grande Valley of Texas, adjacent to the Mexican border. The present analysis compares responses from 400 residents of rural colonias to those of 395 residents of cities and towns in the same geographic region. Findings: While the prevalence of drug use and drug-related problems was similar in both areas, binge drinking and alcohol dependence were higher in rural colonias than in urban areas and remained so after taking demographic and neighborhood variables into account. An increase in illicit drug use and substance-related problems in rural but not urban areas was seen when comparing results from this study with those of a previous survey conducted in 1996. The percentage of adults in potential need of treatment and the percentage motivated to seek it were similar in both urban and rural areas. However, colonia residents were more likely than their urban counterparts to be recent immigrants and to have lower incomes and educational attainment, factors that can increase the barriers they face in getting needed services. Conclusions: Rural areas are "catching up" with urban areas in problematic substance use. Given the potential barriers to accessing treatment services in rural areas, efforts should be focused on reaching those residents. [source]


    Modeling the Mental Health Workforce in Washington State: Using State Licensing Data to Examine Provider Supply in Rural and Urban Areas

    THE JOURNAL OF RURAL HEALTH, Issue 1 2006
    Laura-Mae Baldwin MD
    ABSTRACT:,Context: Ensuring an adequate mental health provider supply in rural and urban areas requires accessible methods of identifying provider types, practice locations, and practice productivity. Purpose: To identify mental health shortage areas using existing licensing and survey data. Methods: The 1998-1999 Washington State Department of Health files on credentialed health professionals linked with results of a licensure renewal survey, 1990 US Census data, and the results of the 1990-1992 National Comorbidity Survey were used to calculate supply and requirements for mental health services in 2 types of geographic units in Washington state,61 rural and urban core health service areas and 13 larger mental health regions. Both the number of 9 types of mental health professionals and their full-time equivalents (FTEs) per 100,000 population measured supply in the health service areas and mental health regions. Findings: Notable shortages of mental health providers existed throughout the state, especially in rural areas. Urban areas had 3 times the psychiatrist FTEs per 100,000 and more than 1.5 times the nonpsychiatrist mental health provider FTEs per 100,000 as rural areas. More than 80% of rural health service areas had at least 10% fewer psychiatrist FTEs and nonpsychiatrist mental health provider FTEs than the state ratio (10.4 FTEs per 100,000 and 306.5 FTEs per 100,000, respectively). Ten of the 13 mental health regions were more than 10% below the state ratio of psychiatrist FTEs per 100,000. Conclusions: States gathering a minimum database at licensure renewal can identify area-specific mental health care shortages for use in program planning. [source]


    Do cities export biodiversity?

    DIVERSITY AND DISTRIBUTIONS, Issue 1 2008
    Traffic as dispersal vector across urban, rural gradients
    ABSTRACT Urban areas are among the land use types with the highes richness in plant species. A main feature of urban floras is the high proportion of non-native species with often divergent distribution patterns along urban,rural gradients. Urban impacts on plant species richness are usually associated with increasing human activity along rural-to-urban gradients. As an important stimulus of urban plant diversity, human-mediated seed dispersal may drive the process of increasing the similarity between urban and rural floras by moving species across urban,rural gradients. We used long motorway tunnels as sampling sites for propagules that are released by vehicles to test for the impact of traffic on seed dispersal along an urban,rural gradient. Opposite lanes of the tunnels are separated by solid walls, allowing us to differentiate seed deposition associated with traffic into vs. out of the city. Both the magnitude of seed deposition and the species richness in seed samples from two motorway tunnels were higher in lanes leading out of the city, indicating an ,export' of urban biodiversity by traffic. As proportions of seeds of non-native species were also higher in the outbound lanes, traffic may foster invasion processes starting from cities to the surrounding landscapes. Indicator species analysis revealed that only a few species were confined to samples from lanes leading into the city, while mostly species of urban habitats were significantly associated with samples from the outbound lanes. The findings demonstrate that dispersal by traffic reflects different seed sources that are associated with different traffic directions, and traffic may thus exchange propagules along the urban,rural gradient. [source]


    Carbon stored in human settlements: the conterminous United States

    GLOBAL CHANGE BIOLOGY, Issue 1 2010
    GALINA CHURKINA
    Abstract Urban areas are home to more than half of the world's people, responsible for >70% of anthropogenic release of carbon dioxide and 76% of wood used for industrial purposes. By 2050 the proportion of the urban population is expected to increase to 70% worldwide. Despite fast rates of change and potential value for mitigation of carbon dioxide emissions, the organic carbon storage in human settlements has not been well quantified. Here, we show that human settlements can store as much carbon per unit area (23,42 kg C m,2 urban areas and 7,16 kg C m,2exurban areas) as tropical forests, which have the highest carbon density of natural ecosystems (4,25 kg C m,2). By the year 2000 carbon storage attributed to human settlements of the conterminous United States was 18 Pg of carbon or 10% of its total land carbon storage. Sixty-four percent of this carbon was attributed to soil, 20% to vegetation, 11% to landfills, and 5% to buildings. To offset rising urban emissions of carbon, regional and national governments should consider how to protect or even to increase carbon storage of human-dominated landscapes. Rigorous studies addressing carbon budgets of human settlements and vulnerability of their carbon storage are needed. [source]


    Modeling the Mental Health Workforce in Washington State: Using State Licensing Data to Examine Provider Supply in Rural and Urban Areas

    THE JOURNAL OF RURAL HEALTH, Issue 1 2006
    Laura-Mae Baldwin MD
    ABSTRACT:,Context: Ensuring an adequate mental health provider supply in rural and urban areas requires accessible methods of identifying provider types, practice locations, and practice productivity. Purpose: To identify mental health shortage areas using existing licensing and survey data. Methods: The 1998-1999 Washington State Department of Health files on credentialed health professionals linked with results of a licensure renewal survey, 1990 US Census data, and the results of the 1990-1992 National Comorbidity Survey were used to calculate supply and requirements for mental health services in 2 types of geographic units in Washington state,61 rural and urban core health service areas and 13 larger mental health regions. Both the number of 9 types of mental health professionals and their full-time equivalents (FTEs) per 100,000 population measured supply in the health service areas and mental health regions. Findings: Notable shortages of mental health providers existed throughout the state, especially in rural areas. Urban areas had 3 times the psychiatrist FTEs per 100,000 and more than 1.5 times the nonpsychiatrist mental health provider FTEs per 100,000 as rural areas. More than 80% of rural health service areas had at least 10% fewer psychiatrist FTEs and nonpsychiatrist mental health provider FTEs than the state ratio (10.4 FTEs per 100,000 and 306.5 FTEs per 100,000, respectively). Ten of the 13 mental health regions were more than 10% below the state ratio of psychiatrist FTEs per 100,000. Conclusions: States gathering a minimum database at licensure renewal can identify area-specific mental health care shortages for use in program planning. [source]


    Can a large metropolis sustain complex herpetofauna communities?

    ANIMAL CONSERVATION, Issue 5 2009
    An analysis of the suitability of green space fragments in Rome
    Abstract Urban areas are primary causes of species' range fragmentation and reduction. However, relatively few studies have attempted to describe the habitat variables influencing the diversity and conservation of amphibians and reptiles, particularly in Mediterranean Europe and in large metropolitan areas. We explored this broad conservation ecology problem by studying the richness and diversity patterns in relation to a suite of six independent habitat variables in Rome, one of the most ancient cities of the world. We considered all the green remnant areas (n=62) of Rome, ranging 1 to >1000 ha in size, which are interspersed within a sea of urbanized matrix. A total of 10 amphibian and 15 reptile species were studied. Their presence/absence patterns were assessed and the effects of the various habitat variables on each species were predicted by a logistic regression model. A total of 1261 presence records (404 amphibians and 857 reptiles) were analysed. Fragment size and wood size within each fragment did correlate significantly with the species richness of both amphibians and reptiles, and there was a clear threshold effect after 50 ha of wooded surface. The presence of water bodies positively affected the species distribution. One amphibian and three reptiles inhabited exclusively fragments >50 ha. The distance from the centre did not affect fragment species richness. The presence of most species of both amphibians and reptiles was positively influenced by the irregular versus circular shape of the wooded area. The legal protection of a given area did not influence the observed patterns but the total number of sheltered species. Overall, our study suggests that, in order to maintain the current diversity and population viability, it is necessary, in addition to water bodies' maintenance, to (1) preserve the wooded landscapes over 50 ha; (2) promote irregularly shaped increases in the wood surface; (3) maintain ecotonal boundaries. [source]


    Mapping cityscapes into cyberspace for visualization

    COMPUTER ANIMATION AND VIRTUAL WORLDS (PREV: JNL OF VISUALISATION & COMPUTER ANIMATION), Issue 2 2005
    Jiang Yu Zheng
    Abstract This work establishes a cyberspace of a real urban area for visiting on the Internet. By registering entire scenes along every street and at many locations, viewers can visually travel around and find their destinations in cyberspace. The issues we discuss here are mapping of a large-scale area to image domains in a small amount of data, and effective display of the captured scenes for various applications. Route Panoramas captured along streets and panoramic views captured at widely opening sites are associated to a city map to provide navigation functions. This paper focuses on the properties of our extended images,route panorama, addressing the archiving process applied to an urban area, an environment developed to transmit image data as streaming media, and display for scene traversing on the WWW in real time. The created cyberspaces of urban areas have broad applications such as city tour, real estate searching, e-commerce, heritage preservation, urban planning and construction, and vehicle navigation. Copyright © 2005 John Wiley & Sons, Ltd. [source]


    A low incidence of Type 1 diabetes between 1977 and 2001 in south-eastern Sweden in areas with high population density and which are more deprived

    DIABETIC MEDICINE, Issue 3 2008
    B.-M. Holmqvist
    Abstract Aims To explore how socioeconomic factors and population density may contribute to the geographical variation of incidence of Type 1 diabetes in children in south-eastern Sweden. Method All children diagnosed with Type 1 diabetes in south-eastern Sweden during 1977,2001 were defined geographically to their place of residence and were allocated x and y coordinates in the national grid. The population at risk and socioeconomic data were aggregated in 82 000 200-m squares and geocoded likewise. A socioeconomic index was calculated using a signed ,2 method. Rural,urban gradients were defined by overlay analysis in a geographic information system. Results The incidence during the past 25 years has been rising steadily, particularly in the last 6 years. The incidence was highest in areas with a high proportion of small families, of families with a high family income and better education, and this was found both at the time of diagnosis and at the time of birth. In the rural,urban analysis, the lowest incidence was found in the urban area with > 20 000 inhabitants, where there was also a higher frequency of deprivation. Conclusions Our findings indicate that geographical variations in incidence rates of Type 1 diabetes in children are associated with socioeconomic factors and population density, although other contributing factors remain to be explained. [source]


    Threats and biodiversity in the mediterranean biome

    DIVERSITY AND DISTRIBUTIONS, Issue 2 2009
    Emma C. Underwood
    ABSTRACT Aim, Global conservation assessments recognize the mediterranean biome as a priority for the conservation of the world's biodiversity. To better direct future conservation efforts in the biome, an improved understanding of the location, magnitude and trend of key threats and their relationship with species of conservation importance is needed. Location, Mediterranean-climate regions in California-Baja California, Chile, South Africa, Australia and the Mediterranean Basin. Methods, We undertook a systematic, pan-regional assessment of threats in the mediterranean biome including human population density, urban area and agriculture. To realize the full implications of these threats on mediterranean biodiversity, we examined their relationship with species of conservation concern: threatened mammals at the global scale and threatened plants at the subecoregional scale in California, USA. Results, Across the biome, population density and urban area increased by 13% and agriculture by 1% between 1990 and 2000. Both population density and urban area were greatest in California-Baja California and least in Australia while, in contrast, agriculture was greatest in Australia and least in California-Baja California. In all regions lowlands were most affected by the threats analysed, with the exception of population density in the Chilean matorral. Threatened species richness had a significant positive correlation with population density at global and subecoregional scales, while threatened species were found to increase with the amount of urban area and decrease as the amount of natural area and unfragmented core area increased. Main conclusions, Threats to mediterranean biodiversity have increased from 1990 to 2000, although patterns vary both across and within the five regions. The need for future conservation efforts is further underlined by the positive correlation between species of conservation concern and the increase in population density over the last decade. Challenges to reducing threats extend beyond those analysed to include human,environmental interactions and their synergistic effects, such as urbanization and invasive species and wildfires. [source]


    Exotic plant species invade diversity hot spots: the alien flora of northwestern Kenya

    ECOGRAPHY, Issue 2 2000
    J. Stadler
    We analysed the distribution of native and alien plant species across 20 ecogeographic zones of northwestern Kenya. The source pool for the majority of aliens was Europe and America. Thus, the source pool has a biogeographic bias which explains the low proportion of aliens in the tropics: most species in the European or American source pool are not well adapted to tropical conditions. As expected, native and alien plant species showed an area effect. Correcting for this area effect. species rich zones showed a higher proportion of alien plant species in their flora. At the analysed scale, species richness of native plant communities does not increase the resistance to invasions and alien plant species invade diversity hotspots. Compared to the other ecogeographic zone, the urban area around Nairobi showed an increased richness in alien and native plant species. This is very similar to findings in Europe, although the history of urbanisation is much shorter in Kenya. The species turnover between zones (,-diversity) shows a similar pattern in native and alien plant species. Within a very short time scale the alien plant species mapped the biogeographic patterns of natives, although the geography of human activities influences the propagule pressure. [source]


    Trajectories of resilience over 25 years of individuals who as adolescents consulted for substance misuse and a matched comparison group

    ADDICTION, Issue 7 2010
    Peter Larm
    ABSTRACT Aims To examine trajectories of resilience over 25 years among individuals who as adolescents received treatment for substance misuse, the clinical sample (CS) and a matched general population sample (GP). Design Comparison of the CS and GP over 25 years using Swedish national registers of health care and criminality. Setting A substance misuse clinic for adolescents in an urban area in Sweden. Measurements Resilience was defined as the absence of substance misuse, hospitalizations for physical illnesses related to substance misuse, hospitalization for mental illness and law-abiding behaviour from ages 21 to 45 years. Participants The CS included 701 individuals who as adolescents had consulted a clinic for substance misuse. The GP included 731 individuals selected randomly from the Swedish population and matched for age, sex and birthplace. Findings A total of 52.4% of the GP and 24.4% of the CS achieved resilience in all domains through 25 years. Among the CS, another one-third initially displayed moderate levels of resilience that rose to high levels over time, one-quarter displayed decreasing levels of resilience over time, while 9.3% showed little but improving resilience and 8.8% showed no resilience. Levels of resilience were associated with the severity of substance misuse and delinquency in adolescence. Conclusions Individuals who had presented substance misuse problems in adolescence were less likely to achieve resilience over the subsequent 25 years than was a matched general population sample, and among them, four distinct trajectories of resilience were identified. The severity and type of problems presented in adolescence distinguished the four trajectories. [source]


    Proposal and development of radial air-gap coreless generator suitable for small wind turbine used in urban area

    ELECTRICAL ENGINEERING IN JAPAN, Issue 1 2009
    Toshiyuki Takahashi
    Abstract Independent distributed power generation using small wind turbines is becoming more widespread as wind power generation increases. Installation of small wind turbines in densely populated urban areas is not only useful from the viewpoint of extracting wind power sources in weak-wind areas but also for making renewable energy easier to access when power supplies are closer to consumers. It is from this point of view that the authors proposed "urban wind power generation" using a collective system with a number of small vertical wind turbines, and have developed a suitable generator for low-speed vertical wind turbines such as a Savonius windmill. Based on a standard coreless generator, the proposed generator is designed to make the direction of the magnetic flux radial in order to install the magnets and coils on the outer end of the generator. The change of magnet composition and flux direction maximizes the speed of the flux change and output voltage within a limited space. With the above configuration, the power of the proposed generator is independent of the diameter. In this report, the authors describe and evaluate the fundamental performance of a prototype of the proposed generator. Based on the experiments, a maximum output power of 283 W was obtained. The obtained starting torque is small enough to begin rotation under weak wind conditions of no more than 1 m/s. Therefore, it is clear that the proposed "radial" coreless generator is suitable for self-starting and producing high power at low wind speed. © 2009 Wiley Periodicals, Inc. Electr Eng Jpn, 167(1): 26, 34, 2009; Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/eej.20695 [source]


    Feasibility and validity of low-budget telephonic follow-up interviews in routine outcome monitoring of substance abuse treatment

    ADDICTION, Issue 7 2009
    Suzan C.C. Oudejans
    ABSTRACT Aims Routine outcome monitoring (ROM) is receiving growing attention. However, follow-up interviews are time-consuming and costly. This study examines the feasibility and validity of low-budget telephonic follow-up interviews for ROM in a substance abuse treatment centre (SATC). Design Observational study using data collected for routine outcome monitoring. Setting The study was performed in a SATC in an urban area in the Netherlands. Participants Feasibility and validity were assessed on data of 2325 patients. Measurements Data on pre-treatment socio-demographic and clinical characteristics were collected using electronic patient records (EPRs) and the European version of the Addiction Severity Index (EuropASI). Data on intensity of treatment were also collected through the EPRs. Telephonic follow-up interviews were conducted between 9 and 10 months after intake. Findings A 53% follow-up rate was achieved; 35% of the patients could not be contacted, 3% explicitly refused and in 8% other reasons accounted for non-participation. About 50% of the interviews took place in the intended time-frame. Costs were ,40 ($57) per completed interview. There were indications of selection bias, because patients with cocaine as their primary problem and patients with polysubstance abuse were under-represented in the follow-up sample; the presence of these disorders is associated with negative treatment outcome. Conclusions Implementing telephonic low-budget follow-up interviews for ROM is feasible, but selection bias threatens internal validity of data, limiting generalization to the total treatment population. Increased efforts to track patients for follow-up may improve generalization. [source]


    Small-scaled geographical variation in life-history traits of the blowfly Calliphora vicina between rural and urban populations

    ENTOMOLOGIA EXPERIMENTALIS ET APPLICATA, Issue 3 2009
    C. C. Hwang
    Abstract The impact of the urban heat-island effect, the warming-up of an urban area caused by human activity, on the blowfly Calliphora vicina Robineau-Desvoidy (Diptera: Calliphoridae) was examined at two British sites, 30 km apart. Waterloo in Central London is a highly urbanised built-up area, whereas Box Hill in the county of Surrey is a rural pasture and woodland location. The phenotypic plasticity of 12 C. vicina cultures, originated from single females from each of the two sites, was measured using three developmental characters: adult body size (represented as the length of the cross vein dm-cu of the right wing), development time as accumulated degree-days (ADD), and growth rate (length of dm-cu/ADD), along a constant temperature series of 16, 20, 24, and 28 °C in the laboratory. The blowflies from Box Hill had the same ADD as those from Waterloo, but showed a significantly larger adult size and growth rate at lower temperatures, suggesting the existence of local adaptations that may be caused by the differing levels of urbanisation between the two studied sites. Not surprisingly, a trade-off between adult size and development time was found. Females showed longer development times than males at all four temperatures, indicating they may need to ingest more food as larvae to furnish ovarioles and increase fecundity. However, females had larger adult size than males at 16 and 20 °C but a reverse at 28 °C, suggesting that females may be more cold-adapted than males. [source]


    Alcohol use trajectories among adults in an urban area after a disaster: evidence from a population-based cohort study

    ADDICTION, Issue 8 2008
    Magdalena 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]


    Comparison of air quality management strategies of PM10, SO2, and NOx by an industrial source complex model in Beijing

    ENVIRONMENTAL PROGRESS & SUSTAINABLE ENERGY, Issue 1 2007
    Gaoxiang Ying
    Abstract The primary air pollutants in the Beijing urban area are fine particulate matter (PM10), sulfur dioxide (SO2), and nitrogen oxides (NOx). Using suitable emission factors for point, area, and line sources from 20 categories of industrial, commercial, domestic and traffic, total yearly mean emissions were estimated at 103.3 kton of PM10, 209.9 kton of SO2, and 225.4 kton of NOx in 1999. To abate this elevated air pollution, three air quality management schemes are adopted. After the implementation, the annual mean ground-level concentrations of air pollutants are predicted by an industrial source complex short term (ISCST3) dispersion model and compared by the geographic information system (GIS). The ISCST3 dispersion model is used by inputting emission inventory and meteorological data with 1 h temporal and 1 km × 1 km spatial resolution. The model validity is verified by its agreement with monitoring data from Beijing's Environmental Protection Bureau. Results indicate that the levels of PM10, SO2, and NOx in Beijing are improved gradually because of the adoption of these three control schemes. The predicted annual mean concentrations decreased from 90.63 to 67.28 ,g/m3 for PM10, 57.94 to 31.77 ,g/m3 for SO2, and 119.97 to 73.83 ,g/m3 for NOx, respectively. © 2007 American Institute of Chemical Engineers Environ Prog 26:33,42, 2007. [source]


    Cytotoxicity and oxidative stress caused by chemicals adsorbed on particulate matter,

    ENVIRONMENTAL TOXICOLOGY, Issue 5 2006
    Andrea Müller
    Abstract Air particulate matter (PM) and bound chemicals are potential mediators for adverse health effects. The cytotoxicity and changes in energy-providing processes caused by chemical compounds bound to PM of different size fractions were investigated in Tetrahymena pyriformis. The PM samplings were carried out using a high volume cascade impactor (6 size fractions between 10 ,m and less than 0.49 ,m) at three points of La Plata, Argentina: in an industrial area, a traffic-influenced urban area, and a control area. Extracts from respirable particles below 1 ,m initiated the highest cytotoxic effects, demonstrating their higher risk. In contrast, an increase on oxygen consumption was observed especially in tests of extracts from particles less than 1 ,m from urban and industrial areas. The increase on oxygen consumption could be caused by decoupling processes in the respiratory chain. Otherwise the ATP concentration was increased too, even though to a lower extent. The observed imbalance between oxygen consumption and ATP concentration in exposed T. pyriformis cells may be due to oxidative stress, caused by chemical compounds bound to the particles. Owing to the complexity of effects related to PM and their associated chemical compounds, various physiological parameters necessarily need to be investigated to obtain more information about their possible involvement in human relevant pathogenic processes. As shown here, effects on cell proliferation and on energy-providing processes are suitable indicators for the different impact of PM and adsorbed chemicals from various sampling locations. © 2006 Wiley Periodicals, Inc. Environ Toxicol 21: 457,463, 2006. [source]


    Identifying the nonpoint source of perfluorinated compounds using a geographic information system based approach

    ENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 4 2009
    Yasuyuki Zushi
    Abstract Perfluorinated compounds (PFCs) have been detected in a wide range of places. They have also been reported to come from nonpoint sources, but the origin of these sources has not been identified. In the present study, we attempted to characterize the nonpoint source of PFCs in the Hayabuchi River, Japan, which runs through an urban area, using a geographic information system (GIS) and statistical analysis. We also estimated annual PFC loads from nonpoint sources in Japan as a whole, determining a magnitude comparable to that from sewage treatment plants (STPs); the range was a few tons per year for each PFC. Perfluorinated compound pollution in river water was found to increase when the river received drainage from an area with a high proportion of commercial and/or transportation land use. It was also found that more PFCs were discharged from the watersheds where train stations are located. This result could be interpreted as the use of land for commercial and transportation purposes is prevalent in close proximity to train stations, and that the effluents from those areas contain high concentrations of PFCs. These findings suggested that train stations could be indicators of nonpoint sources of PFCs. [source]


    Seasonal confounding and residual correlation in analyses of health effects of air pollution

    ENVIRONMETRICS, Issue 4 2007
    Isabella R. Ghement
    Abstract To investigate the health effects of air pollution via a partially linear model, one must choose an appropriate amount of smoothing for accurate estimation of the linear pollution effects. This choice is complicated by the dependencies between the various covariates and by the potential residual correlation. Most existing approaches to making this choice are inadequate, as they neither target accurate estimation of the linear pollutant effects nor handle residual correlation. In this paper, we illustrate two new adaptive and objective methods for determining an appropriate amount of smoothing. We construct valid confidence intervals for the linear pollutant effects, intervals that account for residual correlation. We use our inferential methods to investigate the same-day effects of PM10 on daily mortality in two data sets for the period 1994 to 1996: one collected in Mexico City, an urban area with high levels of air pollution, and the other collected in Vancouver, British Columbia, an urban area with low levels of air pollution. For Mexico City, our methodology does not detect a PM10 effect. In contrast, for Vancouver, a PM10 effect corresponding to an expected 2.4% increase (95% confidence interval ranging from 0.0% to 4.7%) in daily mortality for every 10,µg/m3 increase in PM10 is identified. Copyright © 2006 John Wiley & Sons, Ltd. [source]


    Homeostatic regulation of T effector to Treg ratios in an area of seasonal malaria transmission

    EUROPEAN JOURNAL OF IMMUNOLOGY, Issue 5 2009
    Olivia C. Finney
    Abstract An important aspect of clinical immunity to malaria is the ability to down-regulate inflammatory responses, once parasitaemia is under control, in order to avoid immune-mediated pathology. The role of classical (CD4+CD25+CD127lo/,FOXP3+) Treg in this process, however, remains controversial. Thus, we have characterized the frequency, phenotype and function of Treg populations, over time, in healthy individuals in The Gambia. We observed that both the percentage and the absolute number of CD4+FOXP3+CD127lo/, T cells were higher among individuals living in a rural village with highly seasonal malaria transmission than among individuals living in an urban area where malaria rarely occurs. These CD4+FOXP3+CD127lo/, T cells exhibited an effector memory and apoptosis-prone phenotype and suppressed cytokine production in response to malaria antigen. Cells from individuals exposed to malaria expressed significantly higher levels of mRNA for forkhead box P3 and T-box 21 (T-BET) at the end of the malaria transmission season than at the end of the non-transmission season. Importantly, the ratio of T-BET to forkhead box P3 was remarkably consistent between populations and over time, indicating that in healthy individuals, a transient increase in Th1 responses during the malaria transmission season is balanced by a commensurate Treg response, ensuring that immune homeostasis is maintained. [source]


    Effects of land use on aquatic macrophyte diversity and water quality of ponds

    FRESHWATER BIOLOGY, Issue 4 2010
    MUNEMITSU AKASAKA
    Summary 1. Aquatic macrophyte diversity and water quality of 55 ponds in western Japan were related to land use and morphometric variables to identify the environmental factors that sustain biodiversity and the spatial extent at which these factors operate. 2. The relevant spatial extent for floating-leaved macrophyte richness (500 m from pond edge) was larger than that for submerged macrophyte occurrence (10, 75 and 100 m), whereas emergent macrophyte richness was best explained at much larger extents (1000 m). Total macrophyte richness was explained at the extent of 500, 750 and 1000 m. The extents relevant for explaining the physicochemical condition of pond water (100 and 250 m) were similar to those for submerged and floating-leaved macrophytes, suggesting that these two growth forms are more sensitive to water quality compared to emergent macrophytes. 3. Diversity of all three growth forms and that of total macrophytes collectively were inversely related to turbidity and nutrient concentration; among the three growth forms, submerged macrophytes were most affected by water quality. 4. Negative relationships were found between the proportion of urban area and the diversity of the three growth forms and that of total macrophytes and water quality. Species richness of emergent, floating-leaved and total macrophytes decreased with depth and increased with surface area up to about 5000 m2, above which it declined. 5. Urbanisation and enlargement of ponds were the two main factors that decreased aquatic macrophyte diversity in irrigation ponds. To alleviate the adverse effects of urban areas on aquatic macrophyte diversity, our results suggest that management efforts should focus on the creation of buffer zones within the relevant spatial extent from the pond edge. [source]


    Decline in the quality of suspended fine particulate matter as a food resource for chironomids downstream of an urban area

    FRESHWATER BIOLOGY, Issue 5 2004
    Emma J. Rosi-MarshallArticle first published online: 16 APR 200
    Summary 1. Urbanization and its associated contamination could degrade the quality of suspended fine particulate organic matter (SFPM) (20 ,m to 1 mm) as a food resource for aquatic insects. SFPM was collected at four sites along the main stem of the Chattahoochee River, which drains metropolitan Atlanta at base and high flow during four seasons. 2. Composition of SFPM was estimated using measures conventionally associated with food quality: bacteria, N/C ratio, caloric content, % inorganic, and % lipids, and metal (Cd, Cu, Pb, and Zn) concentration. In SFPM collected during base flow, % inorganic matter, calories, Cu, Pb, and Zn concentrations increased with cumulative permitted wastewater treatment discharge (an indicator of extent of urbanization upstream). In SFPM samples collected during high flow, % diatoms, Cu, Pb and Zn concentrations increased with urbanization. 3. A growth assay was used as an integrated and direct measure of SFPM quality as a food resource. The instantaneous growth rate (IGR) of chironomids fed SFPM collected during base flow declined downstream of the city. IGRs of chironomids fed SFPM collected at all sites during high flow were as low as the lowest IGR measured during base flow. 4. Insects fed SFPM collected from the Chattahoochee River had IGRs only 20% of those of chironomids fed SFPM collected from the Little Tennessee River, a relatively undisturbed river in North Carolina. The mortality rate of chironomids fed SFPM was not different among sites or rivers. While the decline in SFPM quality in the Chattahoochee River is probably attributable to some aspect of urbanization, the decline was not related to conventional measures of food quality or metal contamination. [source]


    LAND-USE DYNAMICS BEYOND THE AMERICAN URBAN FRINGE,

    GEOGRAPHICAL REVIEW, Issue 3 2001
    DAVID M. THEOBALD
    ABSTRACT. A deficiency common to both the historical debates over loss of agricultural land and the current discussions of urbanization and sprawl is a limited understanding of land-use dynamics beyond the urban fringe. Data aggregated at the county level poorly capture the fine-grained pattern of land-use change beyond the dynamic urban-rural interface. Furthermore, current urban-based definitions are poorly suited to delineate these areas, and low-density, exurban land use is difficult to measure using existing land-cover databases. Urbanization and the conversion of once-agricultural or other natural resource lands to other uses has traditionally been tracked using urban areas, as delimited in the U.S. census. Urban densities are typically defined as areas with more than 1,000 people per square mile, or 1.6 people per acre (U.S. Census Bureau 2000). Assuming an average of 2.5 people per housing unit, this translates to roughly 0.7 units per acre, or approximately 1 unit per 1.6 acres. The analytical units used in the census, however, both overbound and underbound areas with urban densities. About one-third of urban areas in 1990 comprised lower-than-urban housing density, thanks to overbounding. But, then, one-third of locations that had urban-level housing densities failed to be included in urban areas as a result of underbounding, which, if counted, would have constituted another 18 million acres of urban area. An increase over time of the average number of acres required per housing unit in exurban and higher-density locations occurred in roughly one-third of U.S. counties from 1960 to 1990 and persisted from 1990 to 2000. In 2000 roughly 38 million acres were settled at urban densities, and nearly ten times that much land was settled at rates from low, exurban density (as low as one house per 40 acres) to higher rates (up to one per 10 acres). This represents a continuing encroachment on land previously given over to other uses,habitat or agriculture. Practitioners of natural resource management need to recognize the ubiquity of exurban development and better incorporate the fine-scale patterns of land use beyond the urban fringe. [source]