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Urban Settings (urban + setting)
Selected AbstractsAgitation in the morning: symptom of depression in dementia?INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 4 2009Anna-Katharina Theison Abstract Objective To investigate the possible correlations between depression in dementia and agitation in the morning by a prospective naturalistic study. Methods Data were collected from three independent nursing homes in an urban setting. Trained nursing home staff pre-selected 110 demented and agitated patients with a minimum age of 60 years. Three main groups were formed based on agitation peak either: in the morning, evening or none. Each is respectively: ,sunrisers', ,sundowners' and ,constants'. Agitation was assessed by the same staff twice a day for a 2-week timeframe using the CMAI (Cohen-Mansfield Agitation Inventory); MMSE (Mini-Mental State Examination) for dementia re-evaluation and staging; CSDD (Cornell Score for Depression in Dementia) for depression screening. Results Sixty-three (60%) of all patients were depressive but only 16 patients of them were treated with antidepressants. Forty-four patients were classified as belonging to the ,sunriser' group, 38 to the ,sundowners' and 23 to the ,constants'. There were no significant differences in depression between the three groups: p,=,0.798 for the difference in proportion of depressed or not depressed people; p,=,0.272 for the difference in raw Cornell-score between agitation in the morning and evening. Conclusion ,Sunrising' appears to play an important role in dementia. In our population agitation was slightly more common in the morning than in the evening, but peak of agitation does not seem to be related to depression in dementia. Our data supports that the diagnosis of depression is still often overlooked in demented and agitated persons. Copyright © 2008 John Wiley & Sons, Ltd. [source] Predictive Value of Nonspecific Symptoms for Acute Illness in Nursing Home ResidentsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 8 2003Kenneth S. Boockvar MD OBJECTIVES: To examine the predictive value of nonspecific symptoms for acute illness in nursing home residents. DESIGN: Prospective, observational study. SETTING: Academic nursing home located in an urban setting. PARTICIPANTS: Two hundred two newly admitted residents. MEASUREMENTS: Eleven nonspecific symptoms were ascertained by review of observations documented by nursing home staff in the medical record. Research staff independently identified acute illness according to previously established criteria from nurse report and medical record review. Follow-up was divided into 10-day intervals, and concordance between nonspecific symptoms and acute illness within these intervals was determined. Predictive values were calculated according to standard formulae. RESULTS: Nonspecific symptoms and acute illnesses occurred in 21.7% and 12.5% of 10-day intervals, respectively. Positive predictive values (PPVs) were highest for lethargy, weakness, and decreased appetite, each of which correctly predicted the presence of an acute illness one out of two times the symptoms were reported. Agitation and disorientation predicted an acute illness one out of three times, and falls predicted an acute illness one out of four times. Overall, the PPV of the occurrence of any nonspecific symptom was 0.24, and the negative predictive value of the absence of nonspecific symptoms was 0.91. CONCLUSION: Hypoactive nonspecific symptoms are more likely than other nonspecific symptoms to be signs of incipient acute illness. Studies are needed to determine whether an intervention in residents with these nonspecific symptoms can enable earlier detection and treatment of acute illness. [source] Predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in MalaysiaJOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 2 2001Christopher Chiong Meng Boey Abstract Aim: To look at the predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia. Methods: Recurrent abdominal pain was defined as ,at least three episodes of abdominal pain, severe enough to affect a child's activities over a period longer than 3 months. A health-care consulter was defined as a child who had been brought to see a doctor regarding recurrent abdominal pain at least once in the past year. Children aged between 9 and 15 years were randomly chosen from schools in the city of Petaling Jaya, given questionnaires to fill in and interviewed to determine whether they fulfilled the above criteria for having symptoms of recurrent abdominal pain and for being a consulter. Bivariate analysis and multiple logistic regression analysis were performed on the data obtained. Results: One hundred and forty-three (9.61%) children fulfilled the criteria for recurrent abdominal pain out of a total of 1488 schoolchildren interviewed. There were 65 (45.5%) consulters and 78 (54.5%) non-consulters. Among the consulters, the male to female ratio was 1:1.4, while among the non-consulters, the ratio was 1:1.1. On bivariate analysis, the Chinese had a significantly lower likelihood to consult a doctor (P = 0.02), while the other two races did not show any increase in consultation (Malays, P = 0.08; Indians, P = 0.21). Among those with severe pain, there was a significantly higher prevalence of consulters (P < 0.01). Furthermore, those whose sleep was interrupted by abdominal pain were more likely to consult (P < 0.01). Children who had consulted a doctor were more likely to be missing school because of abdominal pain (P < 0.01). Following multiple logistic regression analysis, ethnicity was no longer a significant predictor. Conclusions: Approximately 45.5% of schoolchildren with recurrent abdominal pain in an urban setting were brought to see a doctor. Predictors of recent health-care consultation were school absence, pain severity and interruption of sleep caused by abdominal pain. [source] Counterpoints of care: two moments of struggleJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 2010B. Gleeson Abstract This paper examines the history of care in modern society and seeks to expose how deep transformations in care arise from wider social relations. From historical survey we may discern a series of transitional points, where the practice and the experience of care was greatly, sometimes suddenly, redefined. Each betrayed deeper political and ethical struggles that went to the core of social relations, and which weren't merely therapeutic in nature. This paper explores two such ,moments'. I first examine the emergence of a new institutional landscape during the middle industrial era, in the wake of a series of legal and political reforms that sought to settle a social order uprooted and distressed by raw modernisation. I provide a composite, yet incomplete view, of how this transformation proceeded in one urban setting, colonial Melbourne. In the second instance, I review the ambitions and process of deinstitutionalisation in the late 20th century. Ostensibly, this reform sought, inter alia, to collapse the great division between ,fit' and ,unfit' established in 1834. Again, empirical reference is made to the reconstitution of care in Melbourne, Australia, this time during its late 20th experience of institutional reform. The focus in this case is the process of downscaling and closure for a major congregate facility, Kew Cottages. The major conclusion is that periods of intense transition in the ideology and mode of care are reflective of wider social transformations not merely of therapeutic or institutional shifts. [source] A simple device for the evaluation of the UV radiation indexMETEOROLOGICAL APPLICATIONS, Issue 2 2003Giuseppe Rocco Casale The solar ultraviolet radiation (UV) flux density at the earth's surface depends on the incoming solar energy and the transmission properties of the atmosphere. UV radiation is strongly absorbed by ozone in the spectral range 200,310 nm, while the attenuation is increasingly weaker at longer wavelengths. Following the discovery of the Antarctic ozone hole in 1985, the risk of a possible UV increase at ground level, due to the observed stratospheric ozone depletion, has heightened the interest within the scientific community given the potentially harmful effects on terrestrial and aquatic ecosystems. Spectroradiometers, broad-band meters and dosimeters may be used for measurements of solar UV. In addition, radiation transfer models can be used to quantify UV irradiances at various times and locations, provided that the extraterrestrial solar radiation and the state of the atmosphere are known. Information about UV radiation at the earth's surface is given by the ultraviolet index ,UVI', which is defined as the effective integrated irradiance (280,400 nm) weighted by the erythemal action spectrum. The UV Index is widely used by many international weather services as an indicator of UV levels at the earth's surface providing public awareness of the effects of prolonged exposure to the sun's rays. The aim of this paper is to present a device capable of estimating the UV Index. This device is a compact disc, used as a sundial, and is based on modelled UV irradiances derived from the STAR radiative transfer model (System for Transfer of Atmospheric Radiation). The device was tested in an urban setting under clear sky conditions. Copyright © 2003 Royal Meteorological Society [source] Occupational therapists use of cognitive interventions for clients with Alzheimer's diseaseOCCUPATIONAL THERAPY INTERNATIONAL, Issue 1 2010Alexandra Robert Abstract The aim of this study was to establish a profile of occupational therapy practice for cognitive interventions for clients with Alzheimer's disease (AD) in an urban setting. Seventy-four occupational therapists working with older adults with AD in diverse settings in the city of Montreal were randomly selected and were sent a self-administered questionnaire by mail. Sixty-five (87.8%) therapists responded. Findings indicated that 52.3% of occupational therapists are performing cognitive interventions with persons with AD. Of those, 82.4% report using cognitive rehabilitation, 61.8% using cognitive stimulation and 50.0% using cognitive training. Intervention use varied across settings and differed according to severity of AD. The sessions are usually provided individually and often include the client's caregiver. Generalizability of the results is limited to urban areas, and possible differences in service provision should be taken into consideration. Further research is needed to measure the effectiveness of these interventions provided by occupational therapists and to compare occupational therapy practices in urban and rural areas. Copyright © 2009 John Wiley & Sons, Ltd. [source] Innovative Ways to Address the Mental Health and Medical Needs of Marginalized Patients: Collaborations Between Family Physicians, Family Therapists, and Family PsychologistsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2004Warren L. Holleman PhD This article describes an innovative program to meet the needs of homeless women, children, and families residing at a transitional living center in an urban setting. The program involves collaboration between medical and mental health professionals to address the multiple problems and unmet needs of this population. Recommendations for future work in expanding collaborative practice are discussed. [source] Short-term impact of a robot-assisted laparoscopic prostatectomy ,mini-residency' experience on postgraduate urologists' practice patterns,THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Issue 1 2006Elspeth M. McDougall Introduction To assist practising urologists acquire and incorporate robot-assisted laparoscopic prostatectomy (RALP) into their practice, a 5 day mini-residency (M-R) programme with a mentor, preceptor and potential proctor experience was established at the University of California, Irvine, Yamanouchi Center for Urological Education. The follow-up results from the initial 21 RALP M-R participants are presented. Methods Between September 2003 and September 2004, 21 urologists from six states and four countries underwent a RALP M-R. Each participant underwent 1:2 teacher:attendee instruction over a 5 day period, which included inanimate model skills training, animal/cadaver laboratory skills training and operating room observation experience. Participants were also offered a proctoring experience at their hospital if they so desired. A questionnaire survey was mailed 1,14 months (mean 7.2 months) following completion of the mini-residency and these results were tabulated and reviewed. Results A 100% response rate was achieved from the mailed questionnaires. The mean M-R participant age was 43 years (range 33,55 years). One-third of the M-R participants were practising in an academic environment. Most of the participants (55%) had no fellowship training. Of those with fellowship training (45%), three (15%) were in laparoscopy and three (15%) were in oncology; 25% of the participants were in large (>6 physicians), 25% in small (2,6 physicians) and 15% in solo practices; 70% of the participants were located in an urban setting. The majority of the participants (80%) had laparoscopic experience during residency training and had performed 20,60 laparoscopic cases prior to attending the M-R programme. Within 7.2 months after M-R (range 1,14 months), 95% of the participants were practising robot-assisted laparoscopic prostatectomy and 25% of the RALP M-R participants had also performed robotic-assisted laparoscopic pyeloplasty. Of the M-R participants, 38% availed themselves of the preceptor/proctor component of the programme; among these, 100% reported that they were performing RALP vs. only 92% of the MR participants who did not have a proctor experience. The 5 day length of the M-R was considered to be of satisfactory duration by 90% of the participants, while 1 participant considered it too brief and 1 considered it too long. All but one of the participants rated the M-R as a very or extremely valuable experience. All the M-R participants indicated that they would recommend this training programme to a colleague. Conclusions A 5 day intensive RALP M-R course seems to encourage postgraduate urologists, already familiar with laparoscopy, to successfully Copyright © 2006 John Wiley & Sons, Ltd. [source] Interactions between visitors and Formosan macaques (Macaca cyclopis) at Shou-Shan Nature Park, TaiwanAMERICAN JOURNAL OF PRIMATOLOGY, Issue 3 2009Minna J. Hsu Abstract Ecotourism involving feeding wildlife has raised public attention and is a controversial issue, especially concerning nonhuman primates. Between July 2002 and April 2005, the behavior of monkeys and tourists was collected through scan samplings, focal samplings and behavior samplings at the Shou-Shan Nature Park located in Taiwan's second largest city,Kaohsiung. In addition, the number of tourists and monkeys was counted in different hours and places within the park. Four hundred visitors were interviewed using a questionnaire to gather data on sex, age, purpose and frequency of visit to the park. The number of tourists was significantly higher during weekends than in weekdays in all locations. Humans dominated in the initiation of interspecies interactions,the overall ratio of human-initiated and monkey-initiated interactions was 2.44:1. Human,monkey conflicts accounted for only 16.4% of the total interactions (n=2,166), and adult human males and adult male macaques participated in higher rates than other age/sex groups in these conflicts. Visitors showed more affiliative behavior (15.9%) than agonistic behavior (8%) toward the macaques. In response to visitors' threat or attack, the Formosan macaques mostly showed submissive behavior with bared teeth, squealed or ran away to avoid confrontation (69.1%),only few responded with counteraggression (18.7%). This study for the first time provided evidence that food provisioning increased both the frequency and duration of aggression among Formosan macaques (P<0.001). During food provisioning, the average frequency and the duration of agonistic events of macaques were more than 4 times higher compared with those without food provisioning. The average frequency of food provision by tourists was 0.73,times/hr,more than twice the incident that monkeys grabbed the food from tourists (0.34,times/hr). If people refrain from feeding monkeys and destroying the city park's natural vegetation, monkeys can be used to educate public about nature conservation in an urban setting. Am. J. Primatol. 71:214,222, 2009. © 2008 Wiley-Liss, Inc. [source] Fijian seasonal scourge of mango tree fallsANZ JOURNAL OF SURGERY, Issue 12 2009Anuj Gupta Abstract Background:, Mango tree falls are a frequent presentation at any health facility in the South Pacific. This study aims to identify (i) the number of admissions because of falls from mango trees; (ii) epidemiology; (iii) seasonal trend; (iv) injury profile; and (v) hospital care provided. Methods:, Retrospective case review on all mango tree falls related injuries resulting in admissions at the Lautoka Hospital, Fiji during a 1-year period (2007). Patient records were analysed to identify specific injury patterns such as upper/lower limb fractures, spinal cord injury and head injury, caused by mango tree falls. Results:, Thirty-nine cases were identified. Eighty-two percent (n= 32) of the falls occurred in the mango season (June,November). Seventy-two percent (n= 28) of the patients were males and 28% (n= 11) were females. Seventy-six percent were aged 5,13 and only 21% were adults. Also, 77% (n= 30) of the patients were ethnic Fijians and 23% (n= 9) were Fijian-Indians. Sixty-four percent (n= 25) had closed fractures and 17% (n= 7) had open fractures. Fifty-six percent (n= 22) of the fractures were of the fore arm. There were two cases of spinal cord injury, four cases of head injury, one ICU admission and one death. Average hospital stay was 7.56 days. Conclusion:, All these injuries were recreational and the majority in the urban setting. They were all avoidable. [source] A pilot survey of the impact of menstrual cycles on adolescent healthAUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 5 2009Cynthia M. FARQUHAR Background: The experience of menstruation and reproductive health by adolescent girls has been poorly studied in New Zealand. Aims: To develop and pilot a Web-based survey of 16-year-olds' experience of menstruation and reproductive health with the eventual objective of conducting a larger population-based survey. A secondary aim was to report on the experience of menstrual and reproductive health in a group of 16-year-old girls in an urban setting. Methods: A Web-based survey was developed and tested in 2006 with assistance of a multidisciplinary advisory group. The final version of the questionnaire had 146 questions in 11 sections and the topics were menstrual history, general health including use of medications, access to medical care or health information, sexual health, family history and personal information including smoking, height, weight, ethnicity, paid employment of parents, drug and alcohol use and exercise patterns. Results: Seventy-five 16-year-old students completed the survey. Twenty-five per cent considered that their periods were quite a bit or a lot of trouble and 10% avoided certain activities during their menstrual periods, nearly 50% of girls always experienced some pain with every period, and 30% had seen a health professional about their period pains. Thirty-three stated that menstruation was moderately to severely painful and that daily activity was affected. Fifty per cent of girls were sexually active and of these 80% described it as painful. Conclusions: The Web-based survey was a successful approach to collecting information and could be used in a larger study. [source] Risk factors for preterm, low birth weight and small for gestational age birth in urban Aboriginal and Torres Strait Islander women in TownsvilleAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 2 2006Katie Panaretto Objectives: To assess the characteristics of Indigenous births and to examine the risk factors for preterm (<37 weeks), low birth weight (<2,500 g) and small for gestational age (SGA) births in a remote urban setting. Design: Prospective cohort of singleton births to women attending Townsville Aboriginal and Islander Health Services (TAIHS) for shared antenatal care between 1 January 2000 and 31 December 2003. Main outcome measures: Demographic, obstetric, and antenatal care characteristics are described. Risk factors for preterm birth, low birth weight and SGA births are assessed. Results: The mean age of the mothers was 25.0 years (95% Cl 24.5,25.5), 15.8% reported hazardous or harmful alcohol use, 15.1% domestic violence, 30% had an inter-pregnancy interval of less than 12 months and 9.2% an unwanted pregnancy. The prevalence of infection was 50.2%. Predictors of preterm birth were a previous preterm birth, low body mass index (BMI) and inadequate antenatal care, with the subgroup at greatest risk of preterm birth being women with a previous preterm birth and infection in the current pregnancy. Predictors of a low birth weight birth were a previous stillbirth, low BMI and an interaction of urine infection and non-Townsville residence; predictors of an SGA birth were tobacco use, pregnancy-induced hypertension and interaction of urine infection and harmful alcohol use. Conclusion: The prevalence of demographic and clinical risk factors is high in this group of urban Indigenous women. Strategies addressing potentially modifiable risk factors should be an important focus of antenatal care delivery to Indigenous women and may represent an opportunity to improve perinatal outcome in Indigenous communities in Australia. [source] Special Report: Identifying Interdisciplinary Research Priorities to Prevent and Treat Pediatric Obesity in New York CityCLINICAL AND TRANSLATIONAL SCIENCE, Issue 4 2010Dympna Gallagher Ed.D. Abstract It is well recognized that an interdisciplinary approach is essential in the development and implementation of solutions to address the current pediatric obesity epidemic. In two half-day meetings that included workshops and focus groups, faculty from diverse fields identified critically important research challenges, and gaps to childhood obesity prevention. The purpose of this white paper is to describe the iterative, interdisciplinary process that unfolded in an academic health center setting with a specific focus on underrepresented minority groups of Black and Hispanic communities, and to summarize the research challenges and gaps related to pediatric obesity that were identified in the process. Although the research challenges and gaps were developed in the context of an urban setting including high-risk populations (the northern Manhattan communities of Washington Heights, Inwood, and Harlem), many of the issues raised are broadly applicable. The processes by which the group identified research gaps and methodological challenges that impede a better understanding of how to prevent and treat obesity in children has resulted in an increase in research and community outreach collaborations and interdisciplinary pursuit of funding opportunities across units within the academic health center and overall university. Clin Trans Sci 2010; Volume 3: 172,177 [source] Quantifying Plant Population Persistence in Human-Dominated LandscapesCONSERVATION BIOLOGY, Issue 4 2008DAWN M. LAWSON Base de Datos de la Diversidad Natural de California; conservación de plantas; crecimiento de la población; especies en peligro; paisajes urbanos Abstract:,We assessed population performance of rare plants across a gradient from rural to urban landscapes and evaluated 2 hypotheses central to strategic conservation planning: (1) population performance declines with increasing human dominance and (2) small populations perform poorly relative to larger ones. Assessing these hypotheses is critical to strategic conservation planning. The current conservation paradigm adheres to the well-established ecology theory that small isolated populations, particularly those in human-dominated landscapes, are the least likely to succeed over the long term. Consequently, conservation planning has strongly favored large, remote targets for protection. This shift in conservation toward ecosystem-based programs and protection of populations within large, remote systems has been at the expense of protection of the rarest of the rare species, the dominant paradigm for conservation driven by the endangered species act. Yet, avoiding conservation of small populations appears to be based more on theoretical understanding and expert opinion than empiricism. We used Natural Heritage data from California in an assessment of population performance of rare plants across a landscape with an urban-rural gradient. Population performance did not decrease in urban settings or for populations that were initially small. Our results are consistent with a pattern of few species extinctions within these landscapes over the past several decades. We conclude that these populations within compromised landscapes can contribute to overall biodiversity conservation. We further argue that conservation planning for biodiversity preservation should allocate relatively more resources to protecting urban-associated plant taxa because they may provide conservation benefit beyond simply protecting isolated populations; they may be useful in building social interest in conservation. Resumen:,Evaluamos el funcionamiento de la población de plantas raras a lo largo de un gradiente de paisajes rurales a urbanos y evaluamos 2 hipótesis centrales para la planificación estratégica de la conservación: (1) declinaciones en el funcionamiento poblacional con el incremento de la dominancia humana y (2) las poblaciones pequeñas funcionan pobremente en relación con las grandes. La evaluación de estas hipótesis es crítica para la planificación estratégica de la conservación. El paradigma actual de la conservación se adhiere a la teoría ecológica bien establecida que propone que las poblaciones pequeñas aisladas, particularmente en paisajes dominados por humanos, tienen menor probabilidad de sobrevivir a largo plazo. Consecuentemente, la planificación de la conservación ha favorecido objetivos grandes y remotos. Este cambio hacia programas de conservación basados en ecosistemas y la protección de poblaciones en sistemas extensos y remotos ha sido a costa de la protección de las especies más raras entre las raras, el paradigma dominante en la conservación conducida por el acta de especies en peligro. No obstante, la evasión de la conservación de poblaciones pequeñas parece estar basada más en entendimiento teórico y en la opinión de expertos que en el empirismo. Utilizamos datos del Patrimonio Natural de California en una evaluación del funcionamiento de plantas raras en un paisaje con un gradiente urbano a rural. El funcionamiento de la población no decreció en sitios urbanos o en poblaciones que eran pequeñas inicialmente. Nuestros resultados son consistentes con un patrón de extinción de especies en estos paisajes en las últimas décadas. Concluimos que estas poblaciones en paisajes comprometidos pueden contribuir a la conservación de la biodiversidad en general. También argumentamos que la planificación de la conservación para la preservación de la biodiversidad debería asignar más recursos para la protección de taxa de plantas asociadas a ambientes urbanos porque pueden proporcionar beneficios de conservación más allá de simplemente proteger poblaciones aisladas; pueden ser útiles para construir el interés social por la conservación. [source] SOCIAL DISORGANIZATION OUTSIDE THE METROPOLIS: AN ANALYSIS OF RURAL YOUTH VIOLENCE,CRIMINOLOGY, Issue 1 2000D. WAYNE OSGOOD In order to extend the study of community social disorganization and crime beyond its exclusive focus on large urban centers, we present an analysis of structural correlates of arrest rates for juvenile violence in 264 nonmetropolitan counties of four states. Findings support the generality of social disorganization theory: Juvenile violence was associated with rates of residential instability, family disruption, and ethnic heterogeneity. Though rates of poverty were not related to juvenile violence, this is also in accord with social disorganization theory because, unlike urban settings, poverty was negatively related to residential instability. Rates of juvenile violence varied markedly with population size through a curvilinear relationship in which counties with the smallest juvenile populations had exceptionally low arrest rates. Analyses used negative binomial regression (a variation of Poisson regression) because the small number of arrests in many counties meant that arrest rates would be ill suited to least-squares regression. [source] Simple Transfers, Complex Outcomes: The Impacts of Pensions on Poor Households in BrazilDEVELOPMENT AND CHANGE, Issue 5 2006Peter Lloyd-Sherlock ABSTRACT Drawing on quantitative survey data and in-depth interviews, this article seeks to map out the potential direct and indirect effects of simple cash transfers on households in impoverished rural and urban settings. Brazil is shown to have an extensive system of old age pensions, which affords almost universal coverage to households containing older people. These benefits have a significant impact on levels of poverty and vulnerability in recipient households. They also facilitate access to essential healthcare items, such as drugs, which are seldom freely available through the state health system. The in-depth interviews reveal that pensions can have important effects on intra-household relations, but these effects were not generalizable nor easily captured by quantitative survey tools. There was clear evidence that pensions reduced the propensity of older people to remain economically active, but this must be understood in a context of limited employment opportunities for all age groups and a high prevalence of disability. Overall, the article demonstrates the complex effects of a relatively simple cash transfer, which policy makers need to take into account. [source] Attachment to "Place" and Coping with Losses in Changed Communities: A Paradox for Aging AdultsFAMILY & CONSUMER SCIENCES RESEARCH JOURNAL, Issue 3 2007Christine C. Cook This article explores the meaning of place and connection to location among aging adults in America's Heartland. Focus groups were conducted in a rural and urban county with participants age 65 to 84 years, and age 85 years and older. A keen sense of place among participants was revealed, poignantly portrayed as "loss" among rural participants who described changes to the landscape, economic restructuring, and the loss of farming as a way of life. Changes in urban settings were depicted as a shrinking of space over which participants' exerted control (e.g., steering clear of freeway driving, limiting driving at night, traversing well-known surface streets). These losses in community are balanced against a strong desire to age in place in familiar settings in which there are known social and resource connections. The investigation illustrates the power of place for aging adults, and the need to recognize its importance in public policy, practice, advocacy, and research. [source] Families, Urban Neighborhood Youth Centers, and Peers as Contexts for DevelopmentFAMILY RELATIONS, Issue 4 2007Stephen A. Anderson Abstract: Three social contexts,family, neighborhood youth centers, and peer relationships,were examined in relation to several measures of adjustment among 1,406 mostly minority, inner-city adolescents. Family and center involvement were directly related to 3 of the 4 adjustment measures (i.e., achievement orientation, emotion regulation, attitudes toward school). Peer connections interacted with family and center involvement to also predict these variables. Substance use, the fourth adjustment measure, was related only to family involvement. Significant 3-way interactions suggested that within urban settings, favorable attitudes toward school may best be achieved when family, neighborhood youth center, and peer involvement are all strong. The combined effects of these 3 contexts appear to be greater among younger adolescents. Implications for promoting urban youth development programs are discussed. [source] Designing for conservation of insects in the built environmentINSECT CONSERVATION AND DIVERSITY, Issue 4 2008MARYCAROL R. HUNTER Abstract., 1The conservation of insects is not a priority for most urban dwellers, yet can be accomplished in urban settings by the careful design of urban nature. Our goal is to foster cross-talk between practitioners of insect conservation biology who develop the knowledge base and professional design practitioners who are poised to apply this knowledge in designs and management plans for urban green space. The collaborative product promises a built environment that promotes human well-being and urban beauty while maximizing the potential for the conservation of insects. 2There is precedence for collaboration between science and design communities to achieve conservation, and existing professional and civic organizations offer a structure to formalize and expand collaboration. Design professionals, particularly landscape architects, are trained to support insect conservation in the urban landscape through land planning and ecological site design. 3Ecological site design is based in principles of sustainability and so must address the well being of humans and nature simultaneously. This powerful approach for insect conservation is illustrated in examples from around the world focusing on roadway-easement corridors, stormwater management areas, and greenroofs. 4To improve insect conservation and its public support we offer recommendations, organized in response to cultural aspects of sustainability. Considerations include: a) social drivers for support of conservation practices, b) public perception of urban space, c) applying conservation biology principles in urban areas, and d) merging insect conservation goals with human cultural demands. [source] The role of zoos in biosurveillanceINTERNATIONAL ZOO YEARBOOK, Issue 1 2007T. McNAMARA Zoos are ideally placed to act as epidemiological monitoring stations because for decades, many have been building up detailed collections of serum banks, tissue banks and medical record-keeping systems that could be mined for information that would be beneficial to public health. For example, in 1999 wild Crows Corvus brachyrhynchos in the United States of America started to die of unknown causes but it was not until some died in the grounds of a zoological institution that West Nile virus, which is a threat to both human and animal health, was identified. There is a serious disparity in the type and amount of biosurveillance provided for humans, agricultural livestock and wildlife agencies, often driven by economic factors. There is an argument for public-health entities to contribute funds to the cost of managing serum-banks and testing stations within zoos to enhance biosurveillance in urban settings, in a cost-effective and mutually beneficial manner. The key to sustainable and integrated biosurveillance lies in public-health professionals working with zoo professionals, who care for wild animals on a day-to-day basis, to create electronic surveillance networks. This could be of utmost benefit to everyone. [source] On Doing Being a Stranger: The Practical Constitution of Civil InattentionJOURNAL FOR THE THEORY OF SOCIAL BEHAVIOUR, Issue 1 2005STEFAN HIRSCHAUER ABSTRACT:The article takes on a less developed aspect of the sociology of the stranger: the normalized non-relations people in urban settings establish in their effort to stay strangers for one another. How is their "civil inattention"accomplished in practice? What is the social orderliness of "asocial" relations? In order to answer these questions the article uses the elevator as a sociological research instrument allowing for a highly detailed investigation in structural problems of public encounters: bodily navigation, contact avoidance, feigned preoccupation, and the blocking of the automatism by which co-present bodies start interactions. The setting used for the investigation also raises questions about how the artifact and the bodies present are integrated into the interaction order. The "heteromobile" of the elevator offers specific sociotechnical scripts for interaction. While the human actors work hard at doing nothing, their bodies seem to take over their agency. The specific challenge of elevator riding for the enactment of indifference is the vanishing of actors: undoing presence. [source] The Role of Socioregional Factors in Moderating Genetic Influences on Early Adolescent Behavior Problems and Alcohol UseALCOHOLISM, Issue 10 2009Danielle M. Dick Background:, Twin and family studies have demonstrated that adolescent alcohol use and behavior problems are influenced by a combination of genetic and environmental factors. More recently, studies have begun to investigate how genetic and environmental influences may interact, with efforts underway to identify specific environmental variables that moderate the expression of genetic predispositions. Previously, we have reported that community-level factors, including urban/rural residency, migration rates, and prevalence of young adults, moderate the importance of genetic effects on alcohol use in late adolescence (ages 16 to 18). Here, we extend these findings to test for moderating effects of these socioregional factors on alcohol use and behavior problems assessed in a younger sample of adolescent Finnish twins. Methods:, Using data from the population-based Finnish twin study, FinnTwin12, biometric twin models were fit to data on >1,400 twin pairs to examine the significance of each of the socioregional moderating variables on alcohol use measured at age 14, and behavior problems, measured at age 12. Results:, We find no evidence of a moderating role of these socioregional variables on alcohol use; however, there was significant moderation of genetic influences on behavior problems, with effects limited to girls. Genetic influences assumed greater importance in urban settings, communities with greater migration, and communities with a higher percentage of slightly older adolescents. Conclusions:, The moderation effects observed on behavior problems in early adolescence paralleled the effects found on alcohol use late in adolescence in an independent sample, providing further support for the idea that behavior problems may represent an earlier manifestation of the predisposition to subsequent alcohol problems. Our findings also support the growing body of evidence suggesting that females may be more susceptible to a variety of environmental influences than males. [source] Connecting school and community with science learning: Real world problems and school,community partnerships as contextual scaffolds,JOURNAL OF RESEARCH IN SCIENCE TEACHING, Issue 8 2001Lisa M. Bouillion A challenge facing many schools, especially those in urban settings that serve culturally and linguistically diverse populations, is a disconnection between schools and students' home communities, which can have both cognitive and affective implications for students. In this article we explore a form of "connected science," in which real-world problems and school-community partnerships are used as contextual scaffolds for bridging students' community-based knowledge and school-based knowledge, as a way to provide all students opportunities for meaningful and intellectually challenging science learning. The potential of these scaffolds for connected science is examined through a case study in which a team of fifth-grade teachers used the student-identified problem of pollution along a nearby river as an interdisciplinary anchor for teaching science, math, language arts, and civics. Our analysis makes visible how diverse forms of knowledge were able to support project activities, examines the consequences for student learning, and identifies the features of real-world problems and school,community partnerships that created these bridging opportunities. © 2001 John Wiley & Sons, Inc. J Res Sci Teach 38: 878,898, 2001 [source] Science education in urban settings: Seeking new ways of praxis through critical ethnographyJOURNAL OF RESEARCH IN SCIENCE TEACHING, Issue 8 2001Angela Calabrese Barton The challenges faced in urban science education are deeply rooted in the ongoing struggle for racial, class and gender equity. Part of this struggle is tied to huge differences in class and involves making more equitable the distribution of resources. Another part of this struggle is tied to the rich diversity of children who attend urban schools and involves generating new ways of understanding, valuing, and genuinely incorporating into school-based practices the culture, language, beliefs, and experiences that these children bring to school. Thus, this article argues that to address these two challenges,and indeed to achieve a more just science education for all urban students, explicitly political research methodologies must be considered and incorporated into urban education. One potential route for this is critical ethnography, for this kind of methodology emerges collaboratively from the lives of the researcher and the researched and is centrally about praxis and a political commitment to the struggle for liberation and in defense of human rights. In making this argument, I have drawn from stories from my own research with homeless children. © 2001 John Wiley & Sons, Inc. J Res Sci Teach 38: 899,917, 2001 [source] Reciprocity in Parent,Child Exchange and Life Satisfaction among the Elderly: A Cross-National PerspectiveJOURNAL OF SOCIAL ISSUES, Issue 4 2007Ariela Lowenstein This study explores the role of intergenerational exchange relationships in the life satisfaction of a cross-national sample of older people. Specifically, it replicates and extends the study by Lee, Netzer, and Coward (1995), which examined the effects of aid exchanged between generations,older parents and their adult children. Social exchange and equity theories serve as the theoretical frameworks for the present research. The current research is based on data collected in the OASIS cross-national five countries project from 1,703 respondents (75+) living in urban settings. The main results are that the capacity to be an active provider in exchange relations enhances elders' life satisfaction. Being mainly a recipient of help from adult children is related to a lower level of life satisfaction. Filial norms are negatively related to life satisfaction. The study also underscores the importance of the emotional component in intergenerational family relations to the well-being of the older population. Intergenerational family bonds reflect a diversity of forms related to individual, familial, and social structural characteristics. The research highlights the importance of reciprocity in intergenerational relations between older parents and their adult children. [source] Health Care for the Homeless Assesses the Use of Adapted Clinical Practice GuidelinesJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 11 2005Aaron J. Strehlow RN, FNP-C COLUMN EDITOR: Mary Jo Goolsby This article describes a process of evaluating and adapting existing clinical practice guidelines (CPGs) for homeless individuals by different healthcare providers in multiple healthcare settings across the country. Data were collected using a standardized evaluation tool in nine sites across the United States. Clinicians completed an evaluation of the CPG after every use. Most clinicians used the CPG five times. Descriptive statistics were reported on the characteristics of the clinicians, and the utility of the guidelines and written comments. Clinicians had an average of 12 years of clinical experience, 8 years of which were specifically spent working with homeless individuals. Ninety-one percent of the clinicians practiced in urban settings. The majority of clinicians felt the adapted guidelines met evaluation criteria. The major weaknesses reported the delineation of outreach and case management activities. Results did not vary by clinicians' disciplines, years of experience, or any other indicators. Clients and clinicians providing primary care to homeless individuals may benefit from utilizing Health Care for the Homeless Clinicians' Network adapted CPGs to assure quality, evidenced-based care to a vulnerable population. [source] Assessment Tools for Urban Catchments: Developing Stressor Gradients,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 2 2009David W. Bressler Abstract:, This is the first in a series of three articles designed to establish empirically defined biological indicators and thresholds for impairment for urbanized catchments, and to describe a process by which the biological condition of waterbodies in urbanized catchments can be applied. This article describes alternative gradients of urbanization for assessing and selecting a nationally applicable biological index (article 2 ,Purcell et al., this issue) and defining the potential of biological communities within a gradient of cumulative stressors (article 3 ,Paul et al. this issue). Gradients were designed to represent the most prominent mosaic of stressors found in urban settings. A primary urban gradient was assembled based on readily obtained information of urbanization to include three broad-scale parameters: percent urban land use/land cover, population density, and road density. This gradient was used as the standard by which alternative urban gradients, which included fine-scale instream chemical and hydrologic parameters, were assessed. Five alternative gradients were developed to provide numerous environmental management options based on availability of data from water program resources. The urban gradients were developed with the intent that they be applied throughout the country; therefore, data from three different regions of the United States (Mid-Atlantic, Midwest, and Pacific Coast) were used to validate the urban gradient model. Our study showed that a relatively straightforward stressor gradient consisting of human population density, road density, and urban land use is useful in providing a framework for developing relevant biological indicators and evaluating the potential of biological communities as a basis for assessing attainment of designated aquatic life use. [source] STATEWIDE EMPIRICAL MODELING OF BACTERIAL CONTAMINATION OF SURFACE WATERS,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 3 2006James D. Wickham ABSTRACT: Bacterial contamination of surface waters is attributed to both urban and agricultural land use practices and is one of the most frequently cited reasons for failure to meet standards established under the Clean Water Act (CWA) (P.L. 92,500). Statewide modeling can be used to determine if bacterial contamination occurs predominantly in urban or agricultural settings. Such information is useful for directing future monitoring and allocating resources for protection and restoration activities. Logistic regression was used to model the likelihood of bacterial contamination using watershed factors for the state of Maryland. Watershed factors included land cover, soils, topography, hydrography, locations of septic systems, and animal feeding operations. Results indicated that bacterial contamination occurred predominantly in urban settings. Likelihood of bacterial contamination was highest for small watersheds with well drained and erodible soils and a high proportion of urban land adjacent to streams. The number of septic systems and animal feeding operations and the amount of agricultural land were not significant explanatory factors. The urban infrastructure tends to "connect" more of the watershed to the stream network through the creation of roads, storm sewers, and wastewater treatment plants. This may partly explain the relationship between urbanization and bacterial contamination found in this study. [source] Assessment and demarcation of trail degradation in a nature reserve, using GIS: case of Bukit Timah Nature ReserveLAND DEGRADATION AND DEVELOPMENT, Issue 5 2007K. Chatterjea Abstract With a significant rise in popularity of nature areas, particularly in urban settings like Singapore, Nature Reserves are being increasingly opened for public recreational use. In the Bukit Timah Nature Reserve (BTNR), the only remnant primary rain forest reserve in Singapore, trail networks are being expanded to meet this growing public demand. The physical condition of the present trail networks was assessed by monitoring the changes in surface compaction, soil moisture, infiltration rates, soil organic matter content, root density, litter cover and rill development. These parameters were compared with similar data obtained from undisturbed forested slopes to analyse the degree of changes brought about by trail usage. Significant changes occurred in all measured parameters, indicating observable degradation of the trails, particularly on vulnerable slopes. These changes are due to the heavy and increased use of the forest by visitors. Penetration resistance and shear strength of the top surface layers of the trails are important indicators of trail degradation status and these have been plotted, using GIS, to demarcate trails under different levels of stress. This field monitoring provides a relevant local assessment of trail conditions. It has potential for use in decision-making in future planning and forest management under similar site conditions. Copyright © 2007 John Wiley & Sons, Ltd. [source] Comparative academic performance of medical students in rural and urban clinical settingsMEDICAL EDUCATION, Issue 2 2006Barb Waters Objective, To determine whether the academic performance of medical students learning in rural settings differs from those learning in urban settings. Design, Comparison of results of assessment for 2 full cohorts and 1 part cohort of medical students learning in rural and urban settings in 2002 (209 students), 2003 (226 students) and 2004 (220 students), including results for each specialist rotation in the 3rd year and end-of-year examinations in the 2nd and 4th years. Setting, University of Queensland School of Medicine, Brisbane. Students spent the whole 3rd year (of a 4-year graduate entry programme) conducting 5 specialist 8-week rotations in either the rural clinical division (rural students) or in Brisbane (urban students), all following the same curriculum and taking the same examinations. Results, For the 2002 cohort there were no statistically significant differences in academic performance between rural and urban students. For the 2003 cohort the only significant difference was a higher score for rural students in the end of the 4th-year clinical skills examination (65.7 versus 62.3%, P = 0.025). For the 2004 cohort, rural students scored higher in the 3rd-year mental health rotation (79.3 versus 76.2%, P = 0.038) and lower in the medicine rotation (65.5 versus 68.6%, P = 0.037). Conclusion, Academic performance among students studying in rural and urban settings is comparable. [source] | |||||||||||||||||||||||||