WorldWideScience

Sample records for birth city state

  1. Birth Satisfaction Scale/Birth Satisfaction Scale-Revised (BSS/BSS-R): A large scale United States planned home birth and birth centre survey.

    Science.gov (United States)

    Fleming, Susan E; Donovan-Batson, Colleen; Burduli, Ekaterina; Barbosa-Leiker, Celestina; Hollins Martin, Caroline J; Martin, Colin R

    2016-10-01

    to explore the prevalence of birth satisfaction for childbearing women planning to birth in their home or birth centers in the United States. Examining differences in birth satisfaction of the home and birth centers; and those who birthed in a hospital using the 30-item Birth Satisfaction Scale (BSS) and the 10-item Birth Satisfaction Scale-Revised (BSS-R). a quantitative survey using the BSS and BSS-R were employed. Additional demographic data were collected using electronic linkages (Qualtrics ™ ). a convenience sample of childbearing women (n=2229) who had planned to birth in their home or birth center from the US (United States) participated. Participants were recruited via professional and personal contacts, primarily their midwives. the total 30-item BSS score mean was 128.98 (SD 16.92) and the 10-item BSS-R mean score was 31.94 (SD 6.75). Sub-scale mean scores quantified the quality of care provision, women's personal attributes, and stress experienced during labour. Satisfaction was higher for women with vaginal births compared with caesareans deliveries. In addition, satisfaction was higher for women who had both planned to deliver in a home or a birth centre, and who had actually delivered in a home or a birth center. total and subscale birth satisfaction scores were positive and high for the overall sample IMPLICATIONS FOR PRACTICE: the BSS and the BSS-R provide a robust tool to quantify women's experiences of childbirth between variables such as birth types, birth settings and providers. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Sub-registro de nascimentos vivos em localidade do Estado de Piauí, Brasil Underregistration of live births in city of the State of Piauí, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Helena de Rezende Brito Portela

    1989-12-01

    Full Text Available Decorrente de falta de dados que informem de modo fidedigno aos planejadores da área de Saúde, objetivou-se estimar a taxa mínima de sub-registro de nascimentos vivos na cidade de Piripiri, Piauí, no período de 1 de julho de 1983 a 30 de junho de 1984. O método utilizado para medir o sub-registro foi a comparação dos dados oficiais (Cartório de Registro Civil com os não oficiais (Fundação Serviço Especial de Saúde Pública - FSESP e Igreja Católica, cujo resultado mostrou uma taxa mínima de sub-registro muito alta (68,4% quando comparada com taxas de outras localidades brasileiras. Estudou-se a associação entre registro civil e variáveis interveníentes como local do parto, sexo da criança, estado civil e zona de residência da mãe. Concluiu-se ser o sub-registro um problema de Saúde Pública cujos fatores fundamentais como a educação, a conscientização da população e a gratuidade do registro, dentre outros, poderão contribuir para sua diminuição, com a conseqüente melhoria do planejamento das ações na área da Saúde Pública, de benéfica repercussão na vida da população.The minimum rate of underregistration of live births in the city of Piripiri, Piauí, between Jury 1,1983 and June 30,1984, is calculated. The lack of trustworthy data on underregistration of births is of the utmost importance in the area of Public Health, principally to those responsible for planning the Health Services. The method used to measure underregistration was the comparison of official data (Civil Registry Office with unofficial data (Foundation SESP and the Catholic Church, the results of which show a very high minimum rate of underregistration - 68.4% - as compared with the rates of other places in Brazil. The association between the civil register and such variables as place of births, sex of child, civil status and residential zone of mother was also studies. It is concluded that underregistration is a public health problem

  3. Birth Asphyxia in a Nigerian Mission Hospital in Benin City ...

    African Journals Online (AJOL)

    Background: Although birth asphyxia is a leading cause of neonatal morbidity and mortality in Nigeria, it has received limited attention in terms of policy and funding priority partly because of lack robust perinatal statistics. Survivors have increased risk of long-term neurologic disability. Objective: To determine the prevalence ...

  4. NCHS - U.S. and State Trends on Teen Births

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset assembles all final birth data for females aged 15–19, 15–17, and 18–19 for the United States and each of the 50 states. Data are based on 100% of birth...

  5. Vital signs: Repeat births among teens - United States, 2007-2010.

    Science.gov (United States)

    2013-04-05

    Teen childbearing has potential negative health, economic, and social consequences for mother and child. Repeat teen childbearing further constrains the mother's education and employment possibilities. Rates of preterm and low birth weight are higher in teens with a repeat birth, compared with first births. To assess patterns of repeat childbearing and postpartum contraceptive use among teens, CDC analyzed natality data from the National Vital Statistics System (NVSS) and the Pregnancy Risk Assessment Monitoring System (PRAMS) from 2007-2010. Based on 2010 NVSS data from all 50 states and the District of Columbia, of more than 367,000 births to teens aged 15-19 years, 18.3% were repeat births. The percentage of teen births that represented repeat births decreased by 6.2% between 2007 and 2010. Disparities in repeat teen births exist by race/ethnicity, with the highest percentages found among American Indian/Alaska Natives (21.6%), Hispanics (20.9%), and non-Hispanic blacks (20.4%) and lowest among non-Hispanic whites (14.8%). Wide geographic disparities in the percentage of teen births that were repeat births also exist, ranging from 22% in Texas to 10% in New Hampshire. PRAMS data from 16 reporting areas (15 states and New York City) indicate that 91.2% of teen mothers used a contraceptive method 2-6 months after giving birth, but only 22.4% of teen mothers used the most effective methods. Teens with a previous live birth were significantly more likely to use the most effective methods postpartum compared with those with no prior live birth (29.6% versus 20.9%, respectively). Non-Hispanic white and Hispanic teens were significantly more likely to use the most effective methods than non-Hispanic black teens (24.6% and 27.9% versus 14.3%, respectively). The percentage of teens reporting postpartum use of the most effective methods varied greatly geographically across the PRAMS reporting areas, ranging from 50.3% in Colorado to 7.2% in New York State. Although the

  6. VSRR - Provisional monthly number of live births by state

    Data.gov (United States)

    U.S. Department of Health & Human Services — https://www.cdc.gov/nchs/products/vsrr/provisional-tables.htm Monthly provisional counts of births are provided by state of residence (50 states, District of...

  7. NCHS - Births and General Fertility Rates: United States

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset includes crude birth rates and general fertility rates in the United States since 1909. The number of states in the reporting area differ historically....

  8. Secular trends in the rate of low birth weight in Brazilian State Capitals in the period 1996 to 2010.

    Science.gov (United States)

    Veloso, Helma Jane Ferreira; Silva, Antônio Augusto Moura da; Barbieri, Marco Antônio; Goldani, Marcelo Zubarán; Lamy Filho, Fernando; Simões, Vanda Maria Ferreira; Batista, Rosângela Fernandes Lucena; Alves, Maria Teresa S S Britto e; Bettiol, Heloísa

    2013-01-01

    Secular trends in rates of low birth weight in Brazilian state capital cities were evaluated for the period 1996 to 2010 using joinpoint regression models. The rates were calculated using data from the Live Births Information System. Newborns weighing less than 500 g were excluded. Only data for capital cities was included since under-registration of births in these cities is lower and new trends can be detected earlier. There was a significant increase in the rate of low birth weight in the Brazilian capitals of the North Region, Northeast Region, South Region and Southeast Region up to 2003/2004, stabilizing thereafter. In the capitals of the Center-west Region the rate increased throughout the whole study period. The rate of low birth weight was higher in the capitals of the more developed regions. The rate of multiple births increased significantly in all Brazilian capitals, while the stillbirth rate decreased and showed a negative correlation with the rate of low birth weight. The increase in the rate of low birth weight may be partially explained by the increase in multiple births, an increase in the birth of infants weighing 500 to 999 g and by the reduction in the stillbirth rate.

  9. Head Start and Urban Children's School Readiness: A Birth Cohort Study in 18 Cities

    Science.gov (United States)

    Zhai, Fuhua; Brooks-Gunn, Jeanne; Waldfogel, Jane

    2011-01-01

    We used longitudinal data from a birth cohort study, the Fragile Families and Child Wellbeing Study, to investigate the links between Head Start and school readiness in a large and diverse sample of urban children at age 5 (N = 2,803; 18 cities). We found that Head Start attendance was associated with enhanced cognitive ability and social…

  10. Are there differences in birth weight between neighbourhoods in a Nordic welfare state?

    Directory of Open Access Journals (Sweden)

    Bremberg Sven

    2007-09-01

    Full Text Available Abstract Background The objective of this cohort study was to examine the effect on birth weight of living in a disadvantaged neighbourhood in a Nordic welfare state. Birth weight is a health indicator known to be sensitive to political and welfare state conditions. No former studies on urban neighbourhood differences regarding mean birth weight have been carried out in a Nordic country. Methods A register based on individual data on children's birth weight and maternal risk factors was used. A neighbourhood characteristic, i.e. an aggregated measure on income was also included. Connections between individual- and neighbourhood-level determinants and the outcome were analysed using multi-level regression technique. The study covered six hundred and ninety-six neighbourhoods in the three major cities of Sweden, Stockholm, Göteborg and Malmö, during 1992–2001. The majority of neighbourhoods had a population of 4 000–10 000 inhabitants. An average of 500 births per neighbourhood were analysed in this study. Results Differences in mean birth weight in Swedish urban neighbourhoods were minor. However, gestational length, parity and maternal smoking acted as modifiers of the neighbourhood effects. Most of the observed variation in mean birth weight was explained by individual risk factors. Conclusion Welfare institutions and benefits in Sweden might buffer against negative infant outcomes due to adverse structural organisation of urban neighbourhoods.

  11. Birth weight distribution of Hospital Geral do Grajaú population compared to São Paulo city population

    Directory of Open Access Journals (Sweden)

    José Ricardo Dias Bertagnon

    2010-03-01

    Full Text Available Objective: To compare the growth curves from a population from a large city suburban hospital with those of the city of São Paulo, São Paulo State, Brazil. Methods: At Hospital Geral do Grajaú, that serves the high pregnancy risk population lacking health facilities, of low education level and smaller number of prenatal visits and great morbidity, a growth curve was built for the newborns, as the Hospital is provided with updated equipment and personnel. The curve was built from the database available containing information on live births during the 2003 to 2007 period and totaling 9,952 newborns, as their weight at birth and gestational age were taken as parameters. The distribution curves of 3%, 10%, 50% and 90% of the Grajaú were compared to those of the city of São Paulo curve. Results: The curves did not significantly differ from those of the São Paulo curve percentiles, as shown by the mean deviation (Z score calculation, notwithstanding the higher rates for prematurity, low weight, teenager mothers and lack of prenatal visits among the Grajaú population as compared to those of São Paulo. Conclusions: The São Paulo city curve showed to be appropriate for the suburban population despite the existing differences.

  12. NCHS - Births to Unmarried Women by Age Group: United States

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset includes number of births to unmarried women by age group in the United States since 1940. Methods for collecting information on marital status changed...

  13. Nation States, Cities, and People

    Directory of Open Access Journals (Sweden)

    Marco Caselli

    2013-10-01

    Full Text Available In the first decade of the 21st century, attempts to measure globalization have multiplied, and they have led to the devising of diverse instruments, most notably the A. T. Kearney/Foreign Policy Globalization Index, the CSGR Globalisation Index, the KOF Index of Globalization, and the Maastricht Globalisation Index. Besides important similarities as regards structure, the dimensions considered, and the indicators used, the main feature shared by these instruments is the fact that they all use the same unit of analysis: the nation-state. This is a somewhat paradoxical situation, if one considers that one of the most distinctive characteristics of globalization is precisely that its dynamics extend beyond the state and the country. Gives this premise, the aim of the article is, on the one hand, to justify in any case the use of instruments that seek to measure globalization on the basis of states, and, on the other, to propose alternative approaches to such measurement. The article’s underlying assumption is that different approaches to the measurement of globalization are not mutually exclusive. Rather, such a plurality of perspectives is opportune and desirable given the complexity and multidimensionality of the concept of globalization.

  14. Risk factors for low birth weight in Sana'a City, Yemen.

    Science.gov (United States)

    Makki, Abdulwahab M

    2002-01-01

    Low birth weight (LBW) represents the third leading cause of death in children in Yemen, and is the most significant predictor of death, health, growth and development. The aim of this study was to estimate the birth weight distribution and prevalence of low birth weights in Sana'a City of Yemen, and to determine some of the contributing risk factors. A descriptive cross-sectional design was used to study women who delivered in the four main hospitals in Sana'a City during the study period. Respondents were 2256 mothers ranging in age from 14-45 years, with a mean age of 29.55 years. The mean age at the time of marriage was 22.38 years. Anthropometric measurements and interviews were used to determine the risk factors. The birth weights and anthropometric measurements of all babies born alive to mothers interviewed in the four hospitals during the period were collected. Post-delivery weight and other measurements of respondents were also collected. The data collected were entered into a computer using Statistical Package for Social Science (SPSS). The mean birth weight of the newborns in the study was 2812 g. Twenty-two percent of the newborns weighed between 700 and 2499 g. About 39% of respondents had urinary tract infection while 29% suffered from anemia, and 10% had bleeding during pregnancy. All anthropometric measurements were significantly associated with LBW. Mothers who were younger in age at their first delivery, had low post-delivery weight, and bled during pregnancy, were more likely to have LBW babies. There is a need for national prospective research project to study the low birth weight problem at the national level. There is also a need to discourage teenage pregnancies and to encourage utilization of mother and child health services, and treat concomitant illnesses during pregnancy.

  15. NCHS - U.S. and State Trends on Teen Births

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset assembles all final birth data for females aged 15–19, 15–17, and 18–19 for the United States and each of the 50 states. Data are based on 100% of...

  16. Air pollution and low birth weight in an industrialized city in Southeastern Brazil, 2003-2006

    Directory of Open Access Journals (Sweden)

    Marcelo Moreno dos Reis

    Full Text Available ABSTRACT: Introduction: Birth weight is an important indicator of several conditions that manifest earlier (as fetal and neonatal mortality and morbidity, inhibited growth and cognitive development and later in life such as chronic diseases. Air pollution has been associated with adverse pregnancy outcomes. Objective: Retrospective cohort study investigated the association between low birth weight (LBW and maternal exposure to air pollutants in Volta Redonda city, Rio de Janeiro, Brazil, from 2003 to 2006. Methods: Birth data was obtained from Brazilian Information System. Exposure information (O3, PM10, temperature and humidity was provided by Governmental Air Quality Monitoring System. Linear and Logistic models, adjusted for sex, type of pregnancy, prenatal care, place of birth, maternal age, parity, education, congenital anomalies and weather variables were employed. Results: Low birth weight (LBW represented 9.1% of all newborns (13,660. For an interquartile range increase in PM10 it was found OR2 ndTrimester = 1.06 (95%CI 1.02 - 1.10, OR3 rdTrimester = 1.06 (95%CI 1.02 - 1.10 and, in O3 it was found OR2 ndTrimester = 1.03 (95%CI 1.01 - 1.04, OR3 rdTrimester = 1.03 (95%CI 1.02 - 1.04. The dose-response relationship and a reduction in birth weight of 31.11 g (95%CI -56.64 - -5.58 was observed in the third trimester of pregnancy due to an interquartile increase of O3. Conclusion: This study suggests that exposures to PM10 and O3, even being below the Brazilian air quality standards, contribute to risks of low birth weight.

  17. Continued Declines in Teen Births in the United States, 2015.

    Science.gov (United States)

    Hamilton, Brady E; Mathews, T J

    2016-09-01

    •The teen birth rate declined to another historic low for the United States in 2015, down 8% from 2014 to 22.3 births per 1,000 females aged 15-19. •The birth rates for teenagers aged 15-17 and 18-19 declined in 2015 to 9.9 and 40.7, respectively, which are record lows for both groups. •In 2015, birth rates declined to 6.9 for Asian or Pacific Islander, 16.0 for non-Hispanic white, 25.7 for American Indian or Alaska Native, 31.8 for non-Hispanic black, and 34.9 for Hispanic female teenagers aged 15-19. •Birth rates fell to record lows for nearly all race and Hispanic-origin groups of females aged 15-19, 15-17, and 18-19 in 2015. The birth rate for teenagers aged 15-19 has fallen almost continuously since 1991, reaching historic lows for the nation every year since 2009 (1-4). Despite declines in all racial and ethnic groups, teen birth rates continue to vary considerably by race and ethnicity. Moreover, the U.S. teen birth rate remains higher than in other industrialized countries (5). Childbearing by teenagers continues to be a matter of public concern. This report presents the recent and long-term trends and disparity in teen childbearing by race and Hispanic origin. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  18. Air pollution, inflammation and preterm birth in Mexico City: Study design and methods

    Science.gov (United States)

    O’Neill, Marie S.; Osornio-Vargas, Alvaro; Buxton, Miatta A.; Sanchez, Brisa N.; Rojas-Bracho, Leonora; Castillo-Castrejon, Marisol; Mordhukovich, Irina B.; Brown, Daniel G.; Vadillo-Ortega, Felipe

    2012-01-01

    Preterm birth is one of the leading causes of perinatal mortality and is associated with long-term adverse health consequences for surviving infants. Preterm birth rates are rising worldwide, and no effective means for prevention currently exists. Air pollution exposure may be a significant cause of prematurity, but many published studies lack the individual, clinical data needed to elucidate possible biological mechanisms mediating these epidemiological associations. This paper presents the design of a prospective study now underway to evaluate those mechanisms in a cohort of pregnant women residing in Mexico City. We address how air quality may act together with other factors to induce systemic inflammation and influence the duration of pregnancy. Data collection includes: biomarkers relevant to inflammation in cervico-vaginal exudate and peripheral blood, along with full clinical information, pro-inflammatory cytokine gene polymorphisms and air pollution data to evaluate spatial and temporal variability in air pollution exposure. Samples are collected on a monthly basis and participants are followed for the duration of pregnancy. The data will be used to evaluate whether ambient air pollution is associated with preterm birth, controlling for other risk factors. We will evaluate which time windows during pregnancy are most influential in the air pollution and preterm birth association. In addition, the epidemiological study will be complemented with a parallel toxicology invitro study, in which monocytic cells will be exposed to air particle samples to evaluate the expression of biomarkers of inflammation. PMID:23177781

  19. A reconsideration of home birth in the United States.

    Science.gov (United States)

    Minkoff, Howard; Ecker, Jeffrey

    2013-01-01

    Home births continue to constitute only a small percentage of all deliveries in the United States, in part because of concerns about their safety. While the literature is decidedly mixed in regard to the degree of risk, there are several studies that report that home birth may at times entail a small absolute increase in perinatal risks in circumstances that cannot always be anticipated prior to the onset of labor. While the definition of "small" will vary between individuals, and publications vary in the level of risk they ascribe to birth at home, studies with the least methodological flaws and with adequate power often cite an excess death rate in the range of one per thousand. Home birth is, in that regard, but one example of patients' choices and plans that sometimes carry increased risk or include alternatives that individual physicians feel uncomfortable supporting or recommending. Our intention in this opinion piece is not to advocate for or against home birth. Rather, we recognize that home birth is but one example of a patient choice that might differ from what a provider feels is in a woman's best interests. In this article we will discuss ethical considerations in such circumstances using home birth as an example. We consider in this article how the ethical principles of respect for autonomy and non-maleficence can be balanced using, among other examples, the choice by some for a home birth. We discuss how absolute rather than relative risk should guide individuals' evaluation of patient choices. We also consider how in some circumstances, the value and safety added by a physician's participation may outweigh a potentially small increment in absolute risk that might result from a patient's decision to deliver at home because of a perceived physician endorsement. We recognize, however, that doctors and midwives participating in choices they have not recommended, or may even believe will lead to or increase risk for adverse outcomes, presents dilemmas and

  20. Data available from birth and death registries and cancer registries in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Wallin, B.L. [Lawrence Berkeley Lab., CA (United States)]|[Chicago Medical School, IL (United States); Houser, A.R. [Lawrence Berkeley Lab., CA (United States); Merrill, D.W.; Selvin, S. [Lawrence Berkeley Lab., CA (United States)]|[California Univ., Berkeley, CA (United States). Dept. of Biomedical and Environmental Health Sciences

    1994-01-01

    In the United States, cancer registries have been compiling data for decades, and state vital statistics offices have been compiling birth and death data for nearly a century. Although this information has been well used for disease surveillance and various studies, it could be better exploited by making it more readily available, reducing the duplication of effort that occurs when researchers at the private, city, county, state, and federal levels work separately on their data collection and disease investigations. This report summarizes the nationwide availability of birth and death records and cancer registry data, with particular emphasis on subcounty geographic detail, such as zip code and census tract. Birth and death data are available at the county level for the entire United States from the National Center for Health Statistics. However, county level data are inadequate for small area studies of potential environmental hazards. Hazards of current interest to the Department of Energy (DOE) include DOE facilities, nuclear power plants, and sources of electromagnetic radiation such as broadcasting towers and power lines.

  1. Gentrification and preterm birth in New York City, 2008–2010.

    Science.gov (United States)

    Huynh, M; Maroko, A R

    2014-02-01

    Adverse birth outcomes have been linked to neighborhood level socioeconomic status. However, little work has examined the influence of social and economic change over time (i.e., gentrification) on health. This study aims to assess the association between gentrification and preterm birth (PTB) while examining the modifying effect of maternal race/ethnicity and educational attainment. New York City births, 2008–2010, (n=126,165) were linked to a measure of gentrification at the community district level (n=59). The gentrification measure was calculated using percent change in education level, poverty level, and median household income (MHI) between the 2005–2009 American Community Survey and the 1990 Census. PTB was defined as clinical gestational age less than 37 weeks. Generalized estimating equations were utilized to examine the association. Gentrification (i.e., increase in residents with a college education, increase in MHI, and decrease in residents living below the poverty line) was not associated with PTB. However, among Non-Hispanic Blacks, very high gentrification was adversely associated with PTB (AOR, 1.16; 95 % CI, 1.01–1.33) as compared to those who lived in a very low gentrified neighborhood. Among non- Hispanic Whites, living in a very high gentrified neighborhood was protective as compared to living in a very low gentrified neighborhood (AOR, 0.78; 95 % CI, 0.64– 0.94). Although there is a need to develop a more nuanced measure of gentrification, these results indicate that changes in the economic character of a neighborhood may have a significant influence on birth outcomes.

  2. Head Start and Urban Children’s School Readiness: A Birth Cohort Study in 18 Cities

    Science.gov (United States)

    Zhai, Fuhua; Brooks-Gunn, Jeanne; Waldfogel, Jane

    2011-01-01

    We used longitudinal data from a birth cohort study, the Fragile Families and Child Wellbeing Study, to investigate the links between Head Start and school readiness in a large and diverse sample of urban children at age 5 (N = 2,803; 18 cities). We found that Head Start attendance was associated with enhanced cognitive ability and social competence and reduced attention problems but not reduced internalizing or externalizing behavior problems. These findings were robust to model specifications (including models with city-fixed effects and propensity-scoring matching). Furthermore, the effects of Head Start varied by the reference group. Head Start was associated with improved cognitive development when compared with parental care or other nonparental care, as well as improved social competence (compared with parental care) and reduced attention problems (compared with other nonparental care). In contrast, compared with attendance at pre-kindergarten or other center-based care, Head Start attendance was not associated with cognitive gains but with improved social competence and reduced attention and externalizing behavior problems (compared with attendance at other center-based care). These associations were not moderated by child gender or race/ethnicity. PMID:21244155

  3. National and state patterns of teen births in the United States, 1940-2013.

    Science.gov (United States)

    Ventura, Stephanie J; Hamilton, Brady E; Matthews, T J

    2014-08-20

    This report presents trends from 1940 through 2013 in national birth rates for teenagers, with particular focus on the period since 1991. The percent changes in rates for 1991-2012 and for 2007-2012 are presented for the United States and for states. Preliminary data for 2013 are shown where available. Tabular and graphical descriptions of the trends in teen birth rates for the United States and each state, by age group, race, and Hispanic origin, are presented and discussed. Data are shown for the U.S. territories. Birth rates for U.S. teenagers have generally fallen in the United States since peaking in 1957. The rate fell 57% between 1991 and 2013. The 2013 preliminary rate (26.6 per 1,000 aged 15-19) is less than one-third of the historically highest rate (96.3 in 1957). During 1991-2012, rates fell for all race and Hispanic ethnicity groups, with the largest declines measured for non-Hispanic black teenagers. In the more recent period, 2007-2012, the declines have been steepest for Hispanic teenagers. Birth rates declined significantly for teenagers in all states during 1991-2012; during 2007-2012, rates fell for all but two states. The drop in teen birth rates translates into an estimated 4 million fewer births to teenagers from 1992 through 2012. The declines in teen birth rates reflect a number of behavioral changes, including decreased sexual activity, increases in the use of contraception at first sex and at most recent sex, and the adoption and increased use of hormonal contraception, injectables, and intrauterine devices. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  4. NCHS - Teen Birth Rates for Females by Age Group, Race, and Hispanic Origin: United States

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset includes teen birth rates for females by age group, race, and Hispanic origin in the United States since 1960. National data on births by Hispanic...

  5. NCHS - Birth Rates for Unmarried Women by Age, Race, and Hispanic Origin: United States

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset includes birth rates for unmarried women by age group, race, and Hispanic origin in the United States since 1970. National data on births by Hispanics...

  6. The home birth movement in the United States.

    Science.gov (United States)

    O'Connor, B B

    1993-04-01

    The home birth movement in the United States is an alternative health belief system that promotes a model of pregnancy and childbirth contradictory to the conventional biomedical model. The alternative model stresses normalcy and non-intervention and is informed by an ideology that promotes individual authority and responsibility for health and health care. It is founded in an epistemological system that assigns primacy and goodness to the Natural, fuses moral and practical injunctions in the arena of health behavior, and valorizes subjective as well as objective sources of knowledge. (Natural = as found in nature without technical intervention). Differences of opinion with the conventional medical model of childbirth do not spring from misunderstanding of this model, but from disagreement with it. Members of this movement are typically educated, middle class, and white.

  7. Smart City Analytics: state of the art and future perspectives

    Directory of Open Access Journals (Sweden)

    Carlo Giovannella

    2014-05-01

    Full Text Available In accordance with a 'people centred' vision, this paper critically examines current approaches to smart cities benchmarking. In particular, by means of correlation analysis and Principal Component Analysis (PCA we put in evidence present limitations of city rankings and, as well, the emergence of different perspectives for data interpretations. To follow, a possible redesign of the 'Smart Cities Analytics' grounded on the traces left by individuals, is suggested. In particular, as an example, we focus on the potentiality offered by automatic text analysis to extract people perceptions and expectations that, in turns, demonstrate the need to integrate bottom-up and top-down approaches to city benchmarking. Finally a novel definition of smart city based on the territorial state of flow is proposed and, as a consequence, a novel path toward smart city benchmarking suggested.

  8. Attendance at antenatal clinics in inner-city Johannesburg, South Africa and its associations with birth outcomes: analysis of data from birth registers at three facilities

    Directory of Open Access Journals (Sweden)

    Siphamandla Gumede

    2017-07-01

    Full Text Available Abstract Background Antenatal care (ANC clinics serve as key gateways to screening and treatment interventions that improve pregnancy outcomes, and are especially important for HIV-infected women. By disaggregating data on access to ANC, we aimed to identify variation in ANC attendance by level of care and across vulnerable groups in inner-city Johannesburg, and document the impact of non-attendance on birth outcomes. Methods This record review of routine health service data involved manual extraction of 2 years of data from birth registers at a primary-, secondary- and tertiary-level facility within inner-city Johannesburg. Information was gathered on ANC attendance, HIV testing and status, pregnancy duration, delivery mode and birth outcomes. Women with an unknown attendance status were considered as not having attended clinic, but effects of this assumption were tested in sensitivity analyses. Multiple logistic regression was used to identify associations between ANC attendance and birth outcomes. Results Of 31,179 women who delivered, 88.7% (27,651 had attended ANC (95% CI = 88.3–89.0. Attendance was only 77% at primary care (5813/7543, compared to 89% at secondary (3661/4113 and 93% at tertiary level (18,177/19,523. Adolescents had lower ANC attendance than adults (85%, 1951/2295 versus 89%, 22,039/24,771. Only 37% of women not attending ANC had an HIV test (1308/3528, compared with 93% of ANC attenders (25,756/27,651. Caesarean section rates were considerably higher in women who had attended ANC (40%, 10,866/27,344 than non-attenders (13%, 422/3360. Compared to those who had attended ANC, non-attenders were 1.6 fold more likely to have a preterm delivery (95% CI adjusted odds ratio [aOR] = 1.4–1.8 and 1.4 fold more likely to have a stillbirth (aOR 95% CI = 1.1–1.9. Similar results were seen in analyses where missing data on ANC attendance was classified in different ways. Conclusion Inner-city Johannesburg has an almost 5

  9. Attendance at antenatal clinics in inner-city Johannesburg, South Africa and its associations with birth outcomes: analysis of data from birth registers at three facilities.

    Science.gov (United States)

    Gumede, Siphamandla; Black, Vivian; Naidoo, Nicolette; Chersich, Matthew F

    2017-07-04

    Antenatal care (ANC) clinics serve as key gateways to screening and treatment interventions that improve pregnancy outcomes, and are especially important for HIV-infected women. By disaggregating data on access to ANC, we aimed to identify variation in ANC attendance by level of care and across vulnerable groups in inner-city Johannesburg, and document the impact of non-attendance on birth outcomes. This record review of routine health service data involved manual extraction of 2 years of data from birth registers at a primary-, secondary- and tertiary-level facility within inner-city Johannesburg. Information was gathered on ANC attendance, HIV testing and status, pregnancy duration, delivery mode and birth outcomes. Women with an unknown attendance status were considered as not having attended clinic, but effects of this assumption were tested in sensitivity analyses. Multiple logistic regression was used to identify associations between ANC attendance and birth outcomes. Of 31,179 women who delivered, 88.7% (27,651) had attended ANC (95% CI = 88.3-89.0). Attendance was only 77% at primary care (5813/7543), compared to 89% at secondary (3661/4113) and 93% at tertiary level (18,177/19,523). Adolescents had lower ANC attendance than adults (85%, 1951/2295 versus 89%, 22,039/24,771). Only 37% of women not attending ANC had an HIV test (1308/3528), compared with 93% of ANC attenders (25,756/27,651). Caesarean section rates were considerably higher in women who had attended ANC (40%, 10,866/27,344) than non-attenders (13%, 422/3360). Compared to those who had attended ANC, non-attenders were 1.6 fold more likely to have a preterm delivery (95% CI adjusted odds ratio [aOR] = 1.4-1.8) and 1.4 fold more likely to have a stillbirth (aOR 95% CI = 1.1-1.9). Similar results were seen in analyses where missing data on ANC attendance was classified in different ways. Inner-city Johannesburg has an almost 5% lower ANC attendance rate than national levels. Attendance is

  10. THE STATE OF GREEN SPACES IN KUMASI CITY (GHANA: LESSONS FOR OTHER AFRICAN CITIES

    Directory of Open Access Journals (Sweden)

    Collins ADJEI MENSAH

    2016-12-01

    Full Text Available Integrating green spaces such as parks and gardens into the physical landscape of cities has been identified to enhance the health and wellbeing of urban dwellers. This paper assesses the state of green spaces in Kumasi city (Ghana, once known as the garden city of West Africa. Using a case study approach, a mixture of qualitative research techniques were employed whilst a set of eight themes were put together to guide the assessment. In all, green spaces were found to be in poor state. With the exception of conservation and heritage theme, the remaining seven themes that were used for the assessment all found the green spaces to be in poor state. It is therefore recommended that there should be an attitudinal change towards the maintenance of green spaces, the application of a collaborative governance approach, and priority giving to green spaces in all development agendas by city authorities.

  11. Birth asphyxia in a mission hospital in Benin City, Nigeria | Onyiriuka ...

    African Journals Online (AJOL)

    Methods: In this descriptive (cross-sectional) study at St Philomena Catholic Hospital, the one-and-five-minute Apgar scores of 2,208 live-births were recorded. Those with low Apgar scores (6 at one minute) were studied and their data analyzed. Results: Birth asphyxia occurred in 83.8 per 1000 live-births with preterm and ...

  12. From City-States to Global Cities: the role of Cities in Global Governance

    Directory of Open Access Journals (Sweden)

    Domingos Martins Vaz

    2017-11-01

    Full Text Available Global governance has altered institutional architecture and the systemic and institutional conditions under which power is exercised, as well as the characteristics of the political system, the form of government, and the system of intermediation of interests. However, although it has surpassed the State’s dimension of power, it created new interstate dimensions and new relations between powers, particularly at the level of cities. Cities have helped to solve common problems in a more efficient and effective way by facilitating the exchange of knowledge, sharing of solutions and resources, and building capacity to implement and monitor progress in order to achieve collectively agreed goals, in a bottom-up approach. Cities have the virtue of securing the most direct social and political contract between societies and the notion of authority. This study, therefore, aims to reflect on this emerging, less hierarchical and rigid governance and address complex global challenges such as climate and demographic change; increasing crime rates; disruptive technology; and pressures on resources, infrastructure and energy. As a global/local interface, cities can ensure effective solutions to current challenges and act together in areas where the global agenda has stalled.

  13. Teen Birth Rates for Age Group 15-19 in the United States by County

    Data.gov (United States)

    U.S. Department of Health & Human Services — This data set contains mean teen birth rates by year for each county and state in the United States. Hierarchical Bayesian space-time models were used to generate...

  14. Pesticides exposure through environment and risk of pre-term birth: a study from Agra city.

    Science.gov (United States)

    Anand, M; Singh, L; Agarwal, P; Saroj, R; Taneja, A

    2017-12-18

    Pre-term birth is an increasingly prevalent complex condition with multiple risk factors including environmental pollutants. Evidences linking organochlorine pesticides with adverse pregnancy outcomes are inconsistent for link between organochlorine pesticides and adverse pregnancy outcomes. We performed a case-control study of 50 cases of full-term births and 40 cases of pre-term births in this study. Placental organochlorine pesticides like metabolites of dichlorodiphenyltrichloroethane that is, (p,p-DDE, p,p-DDT and o,p-DDD) and isomers of hexachlorocyclohexane (α, β, γ and δ HCH) were analyzed by gas chromatography. Although the mean levels of pesticide were found higher in the placenta of the women with pre-term delivery cases placentas, but only α-HCH, total-HCH, p,p-DDE and total-DDT were found statistically significant. It was observed that pesticide exposed women were approximately 1.7 times more likely to deliver pre-term baby as compare to pregnant women that were not exposed to any pesticides. We also observed that increasing maternal age reduced the risk of having pre-term birth (OR = 0.99). Among all pesticides, α-HCH was found to be strongest isomer to induce premature baby birth (p term births.

  15. Age at return marriage and timing of first birth in India's Uttar Pradesh and Kerala states.

    Science.gov (United States)

    Singh, K K; Suchindran, C M; Singh, V; Ramakumar, R

    1992-01-01

    The study investigates the relationship between age at marriage and the length of first birth interval in two states of India: Uttar Pradesh and Kerala. Life tables of first-birth intervals and median first-birth intervals are computed for several subgroups of the study population. Multivariate hazards modelling technique is used to study the net effect of age at marriage, controlling for a multiple of socioeconomic factors. The result shows that the average first-birth interval varies by age at marriage and is much longer in Uttar Pradesh than in Kerala.

  16. Assessment of groundwater quality of Benin City, Edo state, Nigeria ...

    African Journals Online (AJOL)

    The quality of groundwater of Benin City, Edo State, Nigeria was investigated between February and July 2008. Water samples were collected from functional bore holes from five locations (stations 1 – 5) and analyzed for physico-chemical parameters including heavy metals. Data obtained were compared with World ...

  17. Do State-Based Policies Have an Impact on Teen Birth Rates and Teen Abortion Rates in the United States?

    Science.gov (United States)

    Chevrette, Marianne; Abenhaim, Haim Arie

    2015-10-01

    The United States has one of the highest teen birth rates among developed countries. Interstate birth rates and abortion rates vary widely, as do policies on abortion and sex education. The objective of our study is to assess whether US state-level policies regarding abortion and sexual education are associated with different teen birth and teen abortion rates. We carried out a state-level (N = 51 [50 states plus the District of Columbia]) retrospective observational cross-sectional study, using data imported from the National Vital Statistics System. State policies were obtained from the Guttmacher Institute. We used descriptive statistics and regression analysis to study the association of different state policies with teen birth and teen abortion rates. The state-level mean birth rates, when stratifying between policies protective and nonprotective of teen births, were not statistically different-for sex education policies, 39.8 of 1000 vs 45.1 of 1000 (P = .2187); for mandatory parents' consent to abortion 45 of 1000, vs 38 of 1000 when the minor could consent (P = .0721); and for deterrents to abortion, 45.4 of 1000 vs 37.4 of 1000 (P = .0448). Political affiliation (35.1 of 1000 vs 49.6 of 1000, P teen births. Lower teen abortion rates were, however, associated with restrictive abortion policies, specifically lower in states with financial barriers, deterrents to abortion, and requirement for parental consent. While teen birth rates do not appear to be influenced by state-level sex education policies, state-level policies that restrict abortion appear to be associated with lower state teen abortion rates. Copyright © 2015 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  18. Prevalence of Malaria and Anemia among Pregnant Women Attending a Traditional Birth Home in Benin City, Nigeria

    Directory of Open Access Journals (Sweden)

    Bankole Henry Oladeinde

    2012-05-01

    Full Text Available Objectives: To determine the prevalence of malaria and anemia among pregnant women attending a traditional birth center as well as the effect of herbal remedies, gravidity, age, educational background and malaria prevention methods on their prevalence.Methods: Blood specimens were collected from 119 pregnant women attending a Traditional Birth Home in Benin City, Nigeria. Malaria parasitemia was diagnosed by microscopy while anemia was defined as hemoglobin concentration <11 g/dL.Results: The prevalence of malaria infection was (OR=4.35 95% CI=1.213, 15.600; p=0.016 higher among primigravidae (92.1%. Pregnant women (38.5% with tertiary level of education had significantly lower prevalence of malaria infection (p=0.002. Malaria significantly affected the prevalence of anemia (p<0.05. Anemia was associated with consumption of herbal remedies (OR=2.973; 95% CI=1.206, 7.330; p=0.017. The prevalence of malaria parasitemia and anemia were not affected by malaria prevention methods used by the participants.Conclusion: The overall prevalence of malaria infection and anemia observed in this study were 78.9% and 46.2%, respectively. Higher prevalence of malaria infection was associated with primigravidae and lower prevalence with tertiary education of subjects. Anemia was associated with consumption of herbal remedies. There is urgent need to control the prevalence of malaria and anemia among pregnant women attending traditional birth homes.

  19. Prevalence of Malaria and Anemia among Pregnant Women Attending a Traditional Birth Home in Benin City, Nigeria.

    Science.gov (United States)

    Oladeinde, Bankole Henry; Omoregie, Richard; Odia, Ikponmwosa; Oladeinde, Oladapo Babatunde

    2012-05-01

    To determine the prevalence of malaria and anemia among pregnant women attending a traditional birth center as well as the effect of herbal remedies, gravidity, age, educational background and malaria prevention methods on their prevalence. Blood specimens were collected from 119 pregnant women attending a Traditional Birth Home in Benin City, Nigeria. Malaria parasitemia was diagnosed by microscopy while anemia was defined as hemoglobin concentration <11 g/dL. The prevalence of malaria infection was (OR=4.35 95% CI=1.213, 15.600; p=0.016) higher among primigravidae (92.1%). Pregnant women (38.5%) with tertiary level of education had significantly lower prevalence of malaria infection (p=0.002). Malaria significantly affected the prevalence of anemia (p<0.05). Anemia was associated with consumption of herbal remedies (OR=2.973; 95% CI=1.206, 7.330; p=0.017). The prevalence of malaria parasitemia and anemia were not affected by malaria prevention methods used by the participants. The overall prevalence of malaria infection and anemia observed in this study were 78.9% and 46.2%, respectively. Higher prevalence of malaria infection was associated with primigravidae and lower prevalence with tertiary education of subjects. Anemia was associated with consumption of herbal remedies. There is urgent need to control the prevalence of malaria and anemia among pregnant women attending traditional birth homes.

  20. Convenience and the occurrence of births: induction of labor in the United States and Canada.

    Science.gov (United States)

    Rindfuss, R R; Ladinsky, J L; Coppock, E; Marshall, V W; Macpherson, A S

    1979-01-01

    This paper, using data for the United States and Canada on number of births by day of the week, presents indirect evidence for the widespread incidence of the practice of elective induction. For both the United States and Canada, it is found that substantially fewer births occur on Saturdays, Sundays, and holidays than on weekdays. Controlling for such factors as prenatal care, race, education, legitimacy, birth weight, and time trend strongly suggests that the induction of labor is responsible for the patterns found. The paper concludes by discussing the framework within which the practice of elective induction of labor should be evaluated and justified.

  1. PHYSICAL FITNESS AND BIRTH WEIGHT IN YOUNG MEN FROM MAPUTO CITY, MOZAMBIQUE

    Directory of Open Access Journals (Sweden)

    Mario Eugénio Tchamo

    2016-02-01

    Full Text Available ABSTRACT Introduction: Birth weight has been considered an important marker of the nutritional transition in developing countries. Objective: To evaluate the influence of birth weight on body composition and physical fitness of young men born in Maputo, Mozambique. Methods: One hundred and seventy-nine students (aged 19 to 22 years were divided into four groups (low birth weight 3.999 g, HBW, n = 31. Anthropometry and body composition were measured. Physical fitness was assessed by handgrip strength, muscle endurance, flexibility, agility, and running speed. Results: IBW showed lower values of body mass and fat free mass while LBW and HBW had high values of hip circumference, suprailiac, subscapular and abdominal skinfold when compared to NBW. LBW and HBW showed a high percentage of individuals with low performance in flexibility, right handgrip, agility, abdominal resistance, arms strength, and horizontal long jump. Around 70% of HBW showed low performance in the running speed test. Conclusion: Both low and high birth weight can influence adult adiposity and the performance in physical fitness tests.

  2. Teen Birth Rates for Urban and Rural Areas in the United States, 2007-2015.

    Science.gov (United States)

    Hamilton, Brady E; Rossen, Lauren M; Branum, Amy M

    2016-11-01

    Data from the National Vital Statistics System •Birth rates for teenagers aged 15-19 declined in urban and rural counties from 2007 through 2015, with the largest declines in large urban counties and the smallest declines in rural counties. •From 2007 through 2015, the teen birth rate was lowest in large urban counties and highest in rural counties. •Declines in teen birth rates in all urban counties between 2007 and 2015 were largest in Arizona, Massachusetts, Connecticut, Minnesota, and Colorado, with 17 states experiencing a decline of 50% or more. •Declines in teen birth rates in all rural counties between 2007 and 2015 were largest (50% or more) in Colorado and Connecticut. •In 2015, teen birth rates were highest in rural counties and lowest in large urban counties for non-Hispanic white, non-Hispanic black, and Hispanic females. Teen birth rates have demonstrated an unprecedented decline in the United States since 2007 (1). Declines occurred in all states and among all major racial and Hispanic-origin groups, yet disparities by both geography and demographic characteristics persist (2,3). Although teen birth rates and related declines have been described by state, patterns by urban-rural location have not yet been examined. This report describes trends in teen birth rates in urban (metropolitan) and rural (nonmetropolitan) areas in the United States overall and by state from 2007 through 2015 and by race and Hispanic origin for 2015. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  3. Trends in Repeat Births and Use of Postpartum Contraception Among Teens - United States, 2004-2015.

    Science.gov (United States)

    Dee, Deborah L; Pazol, Karen; Cox, Shanna; Smith, Ruben A; Bower, Katherine; Kapaya, Martha; Fasula, Amy; Harrison, Ayanna; Kroelinger, Charlan D; D'Angelo, Denise; Harrison, Leslie; Koumans, Emilia H; Mayes, Nikki; Barfield, Wanda D; Warner, Lee

    2017-04-28

    Teen* childbearing (one or more live births before age 20 years) can have negative health, social, and economic consequences for mothers and their children (1). Repeat teen births (two or more live births before age 20 years) can constrain the mother's ability to take advantage of educational and workforce opportunities (2), and are more likely to be preterm or of low birthweight than first teen births (3). Despite the historic decline in the U.S. teen birth rate during 1991-2015, from 61.8 to 22.3 births per 1,000 females aged 15-19 years (4), many teens continue to have repeat births (3). The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics both recommend that clinicians counsel women (including teens) during prenatal care about birth spacing and postpartum contraceptive use (5), including the safety and effectiveness of long-acting reversible methods that can be initiated immediately postpartum. To expand upon prior research assessing patterns and trends in repeat childbearing and postpartum contraceptive use among teens with a recent live birth (i.e., 2-6 months after delivery) (3), CDC analyzed data from the National Vital Statistics System natality files (2004 and 2015) and the Pregnancy Risk Assessment Monitoring System (PRAMS; 2004-2013). The number and proportion of teen births that were repeat births decreased from 2004 (82,997; 20.1%) to 2015 (38,324; 16.7%); in 2015, the percentage of teen births that were repeat births varied by state from 10.6% to 21.4%. Among sexually active teens with a recent live birth, postpartum use of the most effective contraceptive methods (intrauterine devices and contraceptive implants) increased from 5.3% in 2004 to 25.3% in 2013; however, in 2013, approximately one in three reported using either a least effective method (15.7%) or no method (17.2%). Strategies that comprehensively address the social and health care needs of teen parents can facilitate access to and use of

  4. Association between PM10 air pollution and birth weight after full-term pregnancy in Krakow city 1995–2009 – trimester specificity

    Directory of Open Access Journals (Sweden)

    Anna Merklinger-Gruchala

    2015-05-01

    Full Text Available Introduction and objective. The results of epidemiological studies indicate that the higher maternal exposure to air pollution, especially with particulate matter during pregnancy, the lower the infant’s birth weight. The aim of this study was to estimate entire pregnancy and trimester-specific exposure of pregnant women in the city of Krakow, southern Poland, to fine particulate matter [≤10 µg (PM10], and to assess its effect on the birth weight of boys and girls separately. Material and methods. The study group consisted of 85,000 singleton, live, full-term births in Krakow city during a 15-year period (data from the birth registry. The mean concentrations of the pollutant for each month of gestation were estimated using continuous municipal monitoring data. Results. Multiple linear regression analyses indicated that the mean PM10 concentration during entire pregnancy was inversely associated with birth weight in girls and the group of boys and girls combined, after adjusting for maternal age, gestational age and year of birth; in boys the relationship was not statistically significant. Maternal exposure to PM10 during the first trimester was negatively associated with birth weight separately in girls and boys, and the group of boys and girls combined. However, the PM10 exposure during the second and third trimester of pregnancy was not associated with birth weight. Conclusions. PM10 air pollution at levels currently encountered in Krakow city adversely affect infant birth weight; however, the effect seems to be very small. The influence of particulate air pollution on foetal growth in early gestation is one of several possible explanations for the results, but further research is needed to establish possible biological mechanisms explaining the observed relationship.

  5. Birth Defects

    Science.gov (United States)

    A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of ... in the United States is born with a birth defect. A birth defect may affect how the ...

  6. Definition of Smart Energy City and State of the art of 6 Transform cities using Key Performance Indicators

    DEFF Research Database (Denmark)

    Nielsen, Per Sieverts; Ben Amer, Sara; Halsnæs, Kirsten

    2013-01-01

    this relates to where the current cities and the living labs are. It describes at the same time the current status of city planning, energy planning tools, and existing energy data. The outline should also include information on energy production, energy flows and energy efficiency, where possible. The work...... will draw largely on existing Strategic Energy Action Plans, Climate Action Plans and planning documents. This report establishes a definition of smart cities develops Key Elements, Key Performance Indicators and reports on the state of the art regarding the KPIs for the 6 Transform cities. As specified...... in the Transform proposal, the objective of the evaluation is to identify previous and existing initiatives as a sort of stocktaking on the way to establishing a smart city transformation pathway for each of the participating cities in the Transform project. The definition of a smart energy city and the key...

  7. 'Keeping birth normal': Exploratory evaluation of a training package for midwives in an inner-city, alongside midwifery unit.

    Science.gov (United States)

    Walker, Shawn; Batinelli, Laura; Rocca-Ihenacho, Lucia; McCourt, Christine

    2018-05-01

    to gain understanding about how participants perceived the value and effectiveness of 'Keeping Birth Normal' training, barriers to implementing it in an along-side midwifery unit, and how the training might be enhanced in future iterations. exploratory interpretive. inner-city maternity service. 31 midwives attending a one-day training package on one of three occasions. data were collected using semi-structured observation of the training, a short feedback form (23/31 participants), and focus groups (28/31 participants). Feedback form data were analysed using summative content analysis, following which all data sets were pooled and thematically analysed using a template agreed by the researchers. We identified six themes contributing to the workshop's effectiveness as perceived by participants. Three related to the workshop design: (1) balanced content, (2) sharing stories and strategies and (3) 'less is more.' And three related to the workshop leaders: (4) inspiration and influence, (5) cultural safety and (6) managing expectations. Cultural focus on risk and low prioritisation of normal birth were identified as barriers to implementing evidence-based practice supporting normal birth. Building a community of practice and the role of consultant midwives were identified as potential opportunities. a review of evidence, local statistics and practical skills using active educational approaches was important to this training. Two factors not directly related to content appeared equally important: catalysing a community of practice and the perceived power of workshop leaders to influence organisational systems limiting the agency of individual midwives. Cyclic, interactive training involving consultant midwives, senior midwives and the multidisciplinary team may be recommended to be most effective. Copyright © 2018 Elsevier Ltd. All rights reserved.

  8. Partner support and impact on birth outcomes among teen pregnancies in the United States.

    Science.gov (United States)

    Shah, Monisha K; Gee, Rebekah E; Theall, Katherine P

    2014-02-01

    Despite hypothesized relationships between lack of partner support during a woman's pregnancy and adverse birth outcomes, few studies have examined partner support among teens. We examined a potential proxy measure of partner support and its impact on adverse birth outcomes (low birth weight (LBW), preterm birth (PTB) and pregnancy loss) among women who have had a teenage pregnancy in the United States. In a secondary data analysis utilizing cross-sectional data from 5609 women who experienced a teen pregnancy from the 2006-2010 National Survey of Family Growth (NSFG), we examined an alternative measure of partner support and its impact on adverse birth outcomes. Bivariate and multivariable logistic regression were used to assess differences in women who were teens at time of conception who had partner support during their pregnancy and those who did not, and their birth outcomes. Even after controlling for potential confounding factors, women with a supportive partner were 63% less likely to experience LBW [aOR: 0.37, 95% CI: (0.26-0.54)] and nearly 2 times less likely to have pregnancy loss [aOR: 0.48, 95% CI: (0.32-0.72)] compared to those with no partner support. Having partner support or involvement during a teenager's pregnancy may reduce the likelihood of having a poor birth outcome. Copyright © 2014 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  9. Association between PM10 air pollution and birth weight after full-term pregnancy in Krakow city 1995–2009 – trimester specificity

    Directory of Open Access Journals (Sweden)

    Anna Merklinger-Gruchala

    2015-05-01

    PM10 air pollution at levels currently encountered in Krakow city adversely affect infant birth weight; however, the effect seems to be very small. The influence of particulate air pollution on foetal growth in early gestation is one of several possible explanations for the results, but further research is needed to establish possible biological mechanisms explaining the observed relationship.

  10. The force awakens: Birth of national surveillance state

    Directory of Open Access Journals (Sweden)

    Avramović Dragutin S.

    2016-01-01

    Full Text Available University of Yale professor of Constitutional Law Jack Balkin convincingly declared emergence of a new sort of the state called 'national surveillance state'. Although the very name announces quite clearly an Orwellian scenario, Balkin is in doubt which path that kind of state will follow - the authoritarian or the democratic one. Nevertheless quite optimistic approaches of J. Balkin, O. Kerr and other authors considering democratic type of the national surveillance state the author of this paper holds the opposite opinion. Taking as a starting point an anthropological feature that 'passion warps the rule even of the best men' (Aristotle, 1287a, the author doubts in democratic character of the national surveillance state. He criticizes Balkin's explanations that the problem could be solved by 'control of the controllers' or 'observation of the observers'. One who has supreme right to dispose over information (no matter which state body could it be, can always, or most often will abuse that right having in mind some interest, particularly when the interest can be vested within socially and politically acceptable tune, like the fight against terrorism, national interest or similar. Proper and firm normative framework could contribute to successful balance between privacy and security of citizens and eventually diminish potential misuse of surveillance of citizens. However, many people provide information for the 'Big Brother' by sacrificing their own privacy voluntarily, forming their own 'digital database' through different social networking. Balkin's generous but native belief that democratic national surveillance state is possible could hardly survive the test of the coming time and challenges. It is quite evident that, particularly the most developed states, fairly fast incline towards repressive national surveillance state. Maybe the process could be only decelerated by activities of NGOs, by developing awareness of every single citizen of

  11. An Extraordinary Partnership between Arizona State University and the City of Phoenix

    Science.gov (United States)

    Friedman, Debra

    2009-01-01

    The Arizona State University Downtown Phoenix campus is a grand-scale exemplar of a city-university partnership. Its demonstrated impacts are economic, social, and educational, transforming both the city and the university. The magnitude of the investment of $223 million by the citizens of a city in a state university is unparalleled in higher…

  12. Area racism and birth outcomes among Blacks in the United States.

    Science.gov (United States)

    Chae, David H; Clouston, Sean; Martz, Connor D; Hatzenbuehler, Mark L; Cooper, Hannah L F; Turpin, Rodman; Stephens-Davidowitz, Seth; Kramer, Michael R

    2018-02-01

    There is increasing evidence that racism is a cause of poor health outcomes in the United States, including adverse birth outcomes among Blacks. However, research on the health consequences of racism has faced measurement challenges due to the more subtle nature of contemporary racism, which is not necessarily amenable to assessment through traditionally used survey methods. In this study, we circumvent some of these limitations by examining a previously developed Internet query-based proxy of area racism (Stephens-Davidowitz, 2014) in relation to preterm birth and low birthweight among Blacks. Area racism was measured in 196 designated market areas as the proportion of total Google searches conducted between 2004 and 2007 containing the "n-word." This measure was linked to county-level birth data among Blacks between 2005 and 2008, which were compiled by the National Center for Health Statistics; preterm birth and low birthweight were defined as racism was associated with relative increases of 5% in the prevalence of preterm birth and 5% in the prevalence of low birthweight among Blacks. Our study provides evidence for the utility of an Internet query-based measure as a proxy for racism at the area-level in epidemiologic studies, and is also suggestive of the role of racism in contributing to poor birth outcomes among Blacks. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. The prevalence at birth of congenital malformations in the city of Ozyorsk located near the nuclear complex Mayak production association

    International Nuclear Information System (INIS)

    Petrushkina, N. P.; Koshurnikova, N. A.; Okatenko, P. V.

    2004-01-01

    year at least. Ozyorsk is located near the large-scale nuclear complex Mayak which became operational in the Southern Ural in 1948. The aim of our follow-up is to study prevalence of CMs detected at birth or during the first year of life among the children born in the city of Ozyorsk in 1974-1988. This cohort was chosen for study, because medical records on children of this birth years are well preserved and the most complete information for these years might be obtained. (Author) 17 refs

  14. Country of Birth of Children With Diagnosed HIV Infection in the United States, 2008-2014.

    Science.gov (United States)

    Nesheim, Steven R; Linley, Laurie; Gray, Kristen M; Zhang, Tianchi; Shi, Jing; Lampe, Margaret A; FitzHarris, Lauren F

    2018-01-01

    Diagnoses of HIV infection among children in the United States have been declining; however, a notable percentage of diagnoses are among those born outside the United States. The impact of foreign birth among children with diagnosed infections has not been examined in the United States. Using the Centers for Disease Control and Prevention National HIV Surveillance System, we analyzed data for children aged United States (reported from 50 states and the District of Columbia) during 2008-2014, by place of birth and selected characteristics. There were 1516 children [726 US born (47.9%) and 676 foreign born (44.6%)]. US-born children accounted for 70.0% in 2008, declining to 32.3% in 2013, and 40.9% in 2014. Foreign-born children have exceeded US-born children in number since 2011. Age at diagnosis was younger for US-born than foreign-born children (0-18 months: 72.6% vs. 9.8%; 5-12 years: 16.9% vs. 60.3%). HIV diagnoses in mothers of US-born children were made more often before pregnancy (49.7% vs. 21.4%), or during pregnancy (16.6% vs. 13.9%), and less often after birth (23.7% vs. 41%). Custodians of US-born children were more often biological parents (71.9% vs. 43.2%) and less likely to be foster or nonrelated adoptive parents (10.4% vs. 55.1%). Of 676 foreign-born children with known place of birth, 65.5% were born in sub-Saharan Africa and 14.3% in Eastern Europe. The top countries of birth were Ethiopia, Ukraine, Uganda, Haiti, and Russia. The increasing number of foreign-born children with diagnosed HIV infection in the United States requires specific considerations for care and treatment.

  15. Quality of reporting on birth defects in birth certificates: case study from a Brazilian reference hospital.

    Science.gov (United States)

    Luquetti, Daniela Varela; Koifman, Rosalina Jorge

    2009-08-01

    The aim of this study was to evaluate the coverage, validity and reliability of Brazil's Information System on Live Births (SINASC) for birth defects in a hospital in the city of Campinas (São Paulo State). The study population consisted of 2,823 newborn infants delivered in 2004 at the Women's Integrated Health Care Center (CAISM). A birth defect registry (ECLAMC) was used as the gold-standard. All birth defect cases reported at CAISM in 2004 (92 cases) were selected from SINASC data files. All 168 birth defect cases from the same city and year registered at ECLAMC were also retrieved. An underreporting of 46.8% was observed for all birth defects, and 36.4% when considering only the major birth defects. The ascertained sensitivity and specificity were, respectively, 54.2% and 99.8%. The reliability of three and four-digit ICD-10 coding for birth defects was 0.77 and 0.55 respectively (kappa statistic). These results suggest that information provided by birth certificates in Campinas still presents limitations when seeking to ascertain accurate estimates of the prevalence of birth defects, hence indicating the need for improvements in the SINASC database to enable it to portray birth defect prevalence at birth in this city.

  16. Vital signs: births to teens aged 15-17 years--United States, 1991-2012.

    Science.gov (United States)

    Cox, Shanna; Pazol, Karen; Warner, Lee; Romero, Lisa; Spitz, Alison; Gavin, Lorrie; Barfield, Wanda

    2014-04-11

    Teens who give birth at age 15-17 years are at increased risk for adverse medical and social outcomes of teen pregnancy. To examine trends in the rate and proportion of births to teens aged 15-19 years that were to teens aged 15-17 years, CDC analyzed 1991-2012 National Vital Statistics System data. National Survey of Family Growth (NSFG) data from 2006-2010 were used to examine sexual experience, contraceptive use, and receipt of prevention opportunities among female teens aged 15-17 years. During 1991-2012, the rate of births per 1,000 teens declined from 17.9 to 5.4 for teens aged 15 years, 36.9 to 12.9 for those aged 16 years, and 60.6 to 23.7 for those aged 17 years. In 2012, the birth rate per 1,000 teens aged 15-17 years was higher for Hispanics (25.5), non-Hispanic blacks (21.9), and American Indians/Alaska Natives (17.0) compared with non-Hispanic whites (8.4) and Asians/Pacific Islanders (4.1). The rate also varied by state, ranging from 6.2 per 1,000 teens aged 15-17 years in New Hampshire to 29.0 in the District of Columbia. In 2012, there were 86,423 births to teens aged 15-17 years, accounting for 28% of all births to teens aged 15-19 years. This percentage declined from 36% in 1991 to 28% in 2012 (pteens aged 15-17 years received formal sex education on birth control or how to say no to sex, 24% had not spoken with parents about either topic; among sexually experienced female teens, 83% reported no formal sex education before first sex. Among currently sexually active female teens (those who had sex within 3 months of the survey) aged 15-17 years, 58% used clinical birth control services in the past 12 months, and 92% used contraception at last sex; however, only 1% used the most effective reversible contraceptive methods. Births to teens aged 15-17 years have declined but still account for approximately one quarter of births to teens aged 15-19 years. These data highlight opportunities to increase younger teens exposure to interventions that delay

  17. Trends in Out-of-Hospital Births in the United States, 1990-2012

    Science.gov (United States)

    ... of-hospital births include those occurring in a home, birthing center, clinic or doctor's office, or other location. ... a hospital. This includes births occurring in a home, birthing center, clinic or doctor's office, or other location. ...

  18. Factors associated with low birth weight in Goiás State

    Directory of Open Access Journals (Sweden)

    Ruth Minamisava

    2006-12-01

    Full Text Available ABSTRACT: Low birth weight (LBW is public health problem, because they are associated with increased risk of morbidity and mortality. No previous studies on factors associated with LBW carried out in central Brazil were found in the literature. The main aims of this study were to determine the prevalence and the factors associated with LBW in children born alive in the State of Goiás, Brazil. A cross-sectional analysis was performed using data from the Live Births Information System from the Brazilian Health Ministry. All 92.745 singleton births in the State of Goiás during the year of 2000 were examined. Logistic regression analysis was used to examine the factors associated with LBW (< 2500 g. In Goiás, the prevalence of LBW was 5.96% and the most important factors associated with LBW were: prematurity, young and older mothers, unmarried women, mother illiteracy, mothers who had less than seven prenatal care visits, non-hospital delivery, and female infants. Local public health actions are necessary to reduce inequalities in infant and maternal care. KEYWORDS: newborn, birth weight, prenatal care.

  19. The Great Recession of 2007 in the United States and the male: female ratio at birth.

    Science.gov (United States)

    Grech, Victor

    2015-01-01

    Male live births slightly exceed female live births by approximately 3%. The ratio of male to total live births is conventionally represented as M/F. Many factors have been shown to affect M/F, mainly privation, toxins, and stress, all of which reduce M/F. Population stress may be engendered by natural phenomena such as earthquakes and man-made events such as short wars, terrorist attacks, and contracting economies. This study was conducted to ascertain whether the onset of the "Great Recession" (2007) was associated with changes in M/F in the United States (US). Annual monthly live births by gender for January 2006 to December 2008 were obtained from United States Centres for Disease Control and Prevention. In 2007, there were 4316233 live births [M/F: 0.51157; 95% confidence intervals: 0.51110-0.51205). M/F rose between January and June, and then fell sharply between August and December. M/F was statistically significantly lower in the second half of 2007 (p=0.007). The dip in M/F from June to July was also significant (p=0.02). These findings were not replicated in the amalgamated data for 2006 and 2008. The United States housing boom of the mid-2000s was fueled by rising house prices and cheap mortgages given to credit-poor buyers. A halt in rising house prices resulted in defaults and foreclosures, triggering the worst financial crisis since the Great Depression. The associated stress appears to have decreased M/F in the US.

  20. Community-Academic Partnership to Investigate Low Birth Weight Deliveries and Improve Maternal and Infant Outcomes at a Baltimore City Hospital.

    Science.gov (United States)

    Harvey, Elizabeth M; Strobino, Donna; Sherrod, Leslie; Webb, Mary Catherine; Anderson, Caroline; White, Jennifer Arice; Atlas, Robert

    2017-02-01

    Purpose Mercy Medical Center (MMC), a community hospital in Baltimore Maryland, has undertaken a community initiative to reduce low birth weight (LBW) deliveries by 10 % in 3 years. MMC partnered with a School of Public Health to evaluate characteristics associated with LBW deliveries and formulate collaborations with obstetricians and community services to improve birth outcomes. Description As part of the initiative, a case control study of LBW was undertaken of all newborns weighing strategy to address pregnant women at risk of LBW infants is to improve the intake and referral system to better triage women to appropriate services in the community. Meetings were held with community organizations and feedback was operationalized into collaboration strategies which can be jointly implemented. Conclusion Education sessions with providers about the referral system are one ongoing strategy to improve birth outcomes in Baltimore City, as well as provision of timely home visits by nurses to high-risk women.

  1. Network Resources and Training Site at Elizabeth City State University

    Science.gov (United States)

    Hayden, Linda Bailey

    1996-01-01

    The format of the annual report follows the same format as the quarterly report. In the annual report Elizabeth City State University (ECSU) has included responses to the items listed in the 'Critique of Quarterly Report Summary, and the 'Technical Recommendations for Consideration to NRTS/ECSU'. A budget for FY96-97 is included requesting $500,000.00 to cover the operating expenses of the Network Resources Training Site (NRTS) and its current partners as outlined in the original grant. The final attachment is a proposal to expand the partnerships and services of the NRTS at ECSU. This proposal would increase the number of predominantly minority attended secondary schools that this NRTS services and to support participation of these secondary schools in the GLOBE, ATLAS and Skymath projects. The proposal would also make Bennett College a full partner in the NRTS and it would increase the networking funds available to Virginia State University (HBCU/MI partner). Funds to increase the NRTS staff size to support the new partners and extended services is included in the extension budget. The NRTS Office Staff provides training and technical expertise to all its partners. In the appendix of the report, you will find technical soundness questionnaires and campus LAN Diagrams for the HBCU/MI Partners.

  2. Selected birth defects among males following the United States terrorist attacks of 11 September 2001.

    Science.gov (United States)

    Singh, Parvati; Yang, Wei; Shaw, Gary M; Catalano, Ralph; Bruckner, Tim A

    2017-10-02

    The terrorist attacks of 11 September 2001 (hereafter referred to as 9/11) preceded an increase in male fetal deaths and reduced male live births among exposed gestational cohorts across several geographic locations in the United States, including California. We analyze whether the extreme stressor of 9/11 may have selected against frail males in utero by testing if the prevalence of male births with selected defects in California fell among cohorts exposed to the stressor during gestation. We used data from the California Birth Defects Monitoring Program from July 1985 to January 2004 (223 conception cohorts). We included six birth defects that as a group of phenotypes disproportionately affect males. We applied time-series methods and defined as "exposed to 9/11" the cohorts conceived in February, March, April, May, June, July, and August 2001. Three of the seven monthly conception cohorts exposed to 9/11 in utero show lower than expected odds of live born males with the studied defects: February 2001 (odds ratio [OR] = 0.39; 95% confidence interval [CI], 0.21-0.71), May 2001 (OR = 0.36; 95% CI, 0.16-0.81), and August 2001 (OR = 0.51; 95% CI, 0.28-0.93). The population-wide stressor of 9/11 precedes a reduction in the risk of live born males with selected birth defects. Our analysis contributes to the understanding of adaptation to stress among pregnant women exposed to large and unexpected ambient stressors. Results further support the notion that the prevalence of live born defects may reflect temporal variation in cohort selection in utero against frail males. Birth Defects Research 109:1277-1283, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  3. Did fertility go up after the Oklahoma City bombing? An analysis of births in metropolitan counties in Oklahoma, 1990-1999.

    Science.gov (United States)

    Rodgers, Joseph Lee; St John, Craig A; Coleman, Ronnie

    2005-11-01

    Political and sociocultural events (e.g., Brown v. Board of Education in 1954 and the German reunification in 1989) and natural disasters (e.g., Hurricane Hugo in 1989) can affect fertility. In our research, we addressed the question of whether the Oklahoma City bombing in April 1995, a man-made disaster, influenced fertility patterns in Oklahoma. We defined three theoretical orientations--replacement theory, community influence theory, and terror management theory--that motivate a general expectation of birth increases, with different predictions emerging from time and geographic considerations. We used two different empirical methodologies. First, we fitted dummy-variable regression models to monthly birth data from 1990 to 1999 in metropolitan counties. We used birth counts to frame the problem and general fertility rates to address the problem formally. These analyses were organized within two design structures: a control-group interrupted time-series design and a difference-in-differences design. In these analyses, Oklahoma County showed an interpretable, consistent, and significant increase in births. Second, we used graphical smoothing models to display these effects visually. In combination, these methods provide compelling support for a fertility response to the Oklahoma City bombing. Certain parts of each theory helped us organize and understand the pattern of results.

  4. Asymptomatic urinary tract infection among pregnant women receiving ante-natal care in a traditional birth home in Benin City, Nigeria.

    Science.gov (United States)

    Oladeinde, Bankole H; Omoregie, Richard; Oladeinde, Oladapo B

    2015-01-01

    A good proportion of pregnant women patronize traditional birth homes in Nigeria for ante-natal care. This study aimed at determining the prevalence, risk factors, and susceptibility profile of etiologic agents of urinary tract infection among ante-natal attendees in a traditional birth home in Benin City, Nigeria. Clean-catch urine was collected from 220 pregnant women attending a traditional birth home in Benin City, Nigeria. Urine samples were processed, and microbial isolates identified using standard bacteriological procedures. A cross-sectional study design was used. The prevalence of urinary tract infection among pregnant women was 55.0%, significantly affected by parity and gestational age (Pinfection was recorded among 13(10.7%) pregnant women, and was unaffected by maternal age, parity, gravidity, gestational age, and educational status. Irrespective of trimester Escherichia coli was the most prevalent etiologic agent of urinary tract infection, followed by Staphylococcus aureus. The flouroquinolones were the most effective antibacterial agents, while Sulphamethoxazole-trimetoprim, Amoxicillin, Nalidixic acid, and Nitrofurantoin had poor activity against uropathogens isolated. The prevalence of urinary tract infection among pregnant women was 55.0% and significantly affected by gestational age and parity. The most prevalent etiologic agent observed was Escherichia coli. With the exception of the flouroquinolones, aminoglycoside, and Amoxicillin-cluvanate, the activity of other antibiotics used on uropathogens were poor. Health education of the traditional birth attendant and her clients by relevant intervention agencies is strongly advocated.

  5. Leadership: Subject to the State Personnel Act (SPA) Employee's Perceptions of Job Satisfaction at Elizabeth City State University

    Science.gov (United States)

    Leary, Mary

    2010-01-01

    This evaluation was conducted at Elizabeth City State University (ECSU) in Elizabeth City, North Carolina, located approximately 40 miles south of the Virginia state line. ECSU, a historically Black institution of higher learning, was founded in 1891 and is one of 17 constituent universities in The University of North Carolina system. The…

  6. UN-Habitat State of the World's Cities Report 2010/2011 : Hunger in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    The UN-Habitat State of the World's Cities Report (SWCR) aims to improve global awareness of urban issues by presenting state-of-the-art data and analysis on living conditions in the world's cities. The 2010/2011 edition will be launched at the World Urban Forum in Brazil, March 2010. IDRC and its international network of ...

  7. Interventions during labor and birth in the United States: a qualitative analysis of women's experiences.

    Science.gov (United States)

    Bibeau, Alana M

    2014-12-01

    To explore and describe hospital-birthing women's understandings of and experiences with interventions during labor and birth. Qualitative data was collected as part of a larger ethnographic study of childbirth in the United States. The grounded theory method was employed to analyze interviews with 59 women from three states who had recently given birth in hospitals with physicians or certified nurse-midwives in attendance. Four themes emerged from the data. The themes safety/risk and provider match, described women's expectations regarding intervention and their interactions with providers. A third theme addressed how women experienced interventions and their perceptions of control over decision-making. A final theme characterized women's satisfaction with maternity care. Women who received interventions expressed varying levels of comfort or apprehension associated with both expectations of maternity care and provider match. Women whose expectations matched those of the provider reported more positive experiences. Regardless of provider match, women expressed ambivalence about the use of interventions and confusion over their appropriate place. Women's ability to make sense of interventions was related to how well they navigated a complicated and bureaucratic maternity system. Increasing attention needs to be paid to the impact of these factors on women's perceptions of care during pregnancy and childbirth. Copyright © 2014 Elsevier B.V. All rights reserved.

  8. Estimation of live birth and population prevalence of Down syndrome in nine U.S. states.

    Science.gov (United States)

    de Graaf, Gert; Buckley, Frank; Dever, Jennifer; Skotko, Brian G

    2017-10-01

    For all of the U.S. states with sufficient data, we estimated live birth and population prevalences for Down syndrome (DS). As social service resources vary between states, such data are important for public policy discussions and state planning. We predicted the actual and nonselective live birth prevalence, and population prevalence, for DS in nine U.S. states based on publicly available datasets from the Centers for Disease Control and Prevention and the Integrated Public Use Microdata Series. As of 2010, we estimated a population size for people with DS of 4,554 in MA (population prevalence 1 in 1,440), 6,101 in NJ (1 in 1,443), 14,315 in NY (1 in 1,355), 9,739 in IL (1 in 1,319), 4,354 in IN (1 in 1,491), 7,295 in MI (1 in 1,354), 9,099 in FL (1 in 2,071), 3,014 in KY (1 in 1,442), and 3,596 in AZ (1 in 1,784). The number of people living with DS has steadily increased from 1950 until 2010 in these nine U.S. states. Population prevalence would have been higher absent DS-related elective terminations. Racial and ethnic groups, other than non-Hispanic whites, comprise a growing proportion within these DS communities, particularly among younger-aged persons. © 2017 Wiley Periodicals, Inc.

  9. Vital Signs: Births to Teens Aged 15–17 Years — United States, 1991–2012

    Science.gov (United States)

    Cox, Shanna; Pazol, Karen; Warner, Lee; Romero, Lisa; Spitz, Alison; Gavin, Lorrie; Barfield, Wanda

    2014-01-01

    Background Teens who give birth at age 15–17 years are at increased risk for adverse medical and social outcomes of teen pregnancy. Methods To examine trends in the rate and proportion of births to teens aged 15–19 years that were to teens aged 15–17 years, CDC analyzed 1991–2012 National Vital Statistics System data. National Survey of Family Growth (NSFG) data from 2006–2010 were used to examine sexual experience, contraceptive use, and receipt of prevention opportunities among female teens aged 15–17 years. Results During 1991–2012, the rate of births per 1,000 teens declined from 17.9 to 5.4 for teens aged 15 years, 36.9 to 12.9 for those aged 16 years, and 60.6 to 23.7 for those aged 17 years. In 2012, the birth rate per 1,000 teens aged 15–17 years was higher for Hispanics (25.5), non-Hispanic blacks (21.9), and American Indians/Alaska Natives (17.0) compared with non-Hispanic whites (8.4) and Asians/Pacific Islanders (4.1). The rate also varied by state, ranging from 6.2 per 1,000 teens aged 15–17 years in New Hampshire to 29.0 in the District of Columbia. In 2012, there were 86,423 births to teens aged 15–17 years, accounting for 28% of all births to teens aged 15–19 years. This percentage declined from 36% in 1991 to 28% in 2012 (pteens aged 15–17 years received formal sex education on birth control or how to say no to sex, 24% had not spoken with parents about either topic; among sexually experienced female teens, 83% reported no formal sex education before first sex. Among currently sexually active female teens (those who had sex within 3 months of the survey) aged 15–17 years, 58% used clinical birth control services in the past 12 months, and 92% used contraception at last sex; however, only 1% used the most effective reversible contraceptive methods. Conclusions Births to teens aged 15–17 years have declined but still account for approximately one quarter of births to teens aged 15–19 years. Implications for public health

  10. UN HABITAT, State of the World’s Cities 2010/2011: Cities for All, Bridging the Urban Divide

    Directory of Open Access Journals (Sweden)

    Juliano Geraldi

    2012-11-01

    Full Text Available O United Nations Human Settlements Programme (UN‑HABITAT foi criado em 1978, dois anos após da realização da Habitat Conference em Vancouver, Canadá. É uma agência da Organização das Nações Unidas para assentamentos humanos, que “helps the urban poor by transforming cities into safer, healthier, greener places with better opportunities where everyone can live in dignity” (UN‑HABITAT’s Brochure, 2009. Uma das suas principais publicações é State of the World’s Cities. Iniciada em 2001, a séri...

  11. Evaluation of Progesterone Utilization and Birth Outcomes in a State Medicaid Plan.

    Science.gov (United States)

    Hydery, Tasmina; Price, Mylissa K; Greenwood, Bonnie C; Takeshita, Mito; Kunte, Parag S; Mauro, Rose P; Lenz, Kimberly; Jeffrey, Paul L

    2017-10-01

    Progesterone (hydroxyprogesterone caproate injection and vaginal progesterone) has been shown to reduce preterm birth (PTB) rates by a third among pregnant women at high risk. The purpose of this analysis is to report birth outcomes and medication adherence among Massachusetts Medicaid (MassHealth) members receiving progesterone, evaluate the association between member characteristics and birth outcomes and medication adherence, and compare cost of care with a prior preterm pregnancy. This retrospective cohort study used medical claims, pharmacy claims, and prior authorization (PA) request data for MassHealth members who had a PA submitted for progesterone between January 1, 2011, and March 31, 2015. Members were excluded due to breaks in coverage, progesterone was not indicated for prevention of PTB, and if current gestational week or date of delivery was unavailable. A total of 418 members were screened for inclusion of whom 190 met criteria and 169 filled progesterone. Mean age was 29.2 years (SD = 5.23), and clinical comorbidities were identified in 90.5% of members. Consistent with clinical trials on progesterone effectiveness, 62.1% of members had a term delivery (37 wks of gestation). Among members with prior gestational age at delivery available, the average difference in gestational age between pregnancies was 8.25 weeks (SD = 6.11). In addition, 66.3% of members were adherent to progesterone based on proportion of days covered (PDC) of 0.8 or higher. The overall mean PDC was 0.79 (SD = 0.26). Despite similar birth outcomes in clinical trials and national trends, medication adherence is low in this state Medicaid program. Therefore, members may benefit from adherence support. © 2017 Pharmacotherapy Publications, Inc.

  12. Effect of placental malaria on birth weight of babies in Nnewi, Anambra state, Nigeria.

    Science.gov (United States)

    Oraneli, Boniface U; Okeke, Ogochukwu C; Ubachukwu, Patience O

    2013-03-01

    In malaria-endemic countries, one adverse consequence of placental malaria on infants is low birth weight (LBW) caused by intra-uterine growth retardation and pre-term delivery. The effect of placental malaria on birth weight of babies was investigated in Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra state, Nigeria. Placental blood was collected from 364 women who gave birth in NAUTH. Thin and thick placental blood smears were made and checked for the presence of malaria parasites. Plasmodium falciparum antigen rapid kit was used to confirm the presence of P. falciparum. New-borns were weighed and classified as normal birth weight (≥2500 g) or LBW (<2500 g). Analysis of variance (ANOVA), Student's t and Pearson chi-square tests were used to compare means and percentages. Risk factors for LBW were also determined. Placental malaria was found in 55.2% (n = 201) of the women. Placental malaria was associated with gravidity while age was not. In all the age groups, primigravidae and secundigravidae were mostly infected. Women with placental malaria delivered more LBW babies (32.1%) than their uninfected counterparts (5.5%), with primigravidae having more LBW babies. Similarly, weight of babies born by infected women was significantly different from that of uninfected women (p <0.0001). In multivariate analysis, placental malaria was associated with LBW (OR 0.1, 95% CI 0.06-0.17, p <0.0001). The result suggests a high prevalence of placental malaria and its close association with LBW in pregnant women attending antenatal clinic in NAUTH. It was also found that the percentage of LBW was highest in primigravidae.

  13. The State of City Leadership for Children and Families: Innovations and Trends in Education

    Science.gov (United States)

    National League of Cities Institute for Youth, Education and Families (NJ1), 2009

    2009-01-01

    The Institute for Youth, Education, and Families (YEF Institute) is a special entity within the National League of Cities (NLC). The YEF Institute helps municipal leaders take action on behalf of the children, youth, and families in their communities. The YEF Institute's first-ever report on The State of City Leadership for Children and Families…

  14. The State of City Leadership for Children and Families: Youth in Transition

    Science.gov (United States)

    National League of Cities Institute for Youth, Education and Families (NJ1), 2009

    2009-01-01

    The Institute for Youth, Education, and Families (YEF Institute) is a special entity within the National League of Cities (NLC). The YEF Institute helps municipal leaders take action on behalf of the children, youth, and families in their communities. The YEF Institute's first-ever report on The State of City Leadership for Children and Families…

  15. CDC WONDER: Births

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Births (Natality) online databases in CDC WONDER report birth rates, fertility rates and counts of live births occurring within the United States to U.S....

  16. Sudden birth versus sudden death of entanglement for the extended Werner-like state in a dissipative environment

    International Nuclear Information System (INIS)

    Chuan-Jia, Shan; Tao, Chen; Ji-Bing, Liu; Wei-Wen, Cheng; Tang-Kun, Liu; Yan-Xia, Huang; Hong, Li

    2010-01-01

    In this paper, we investigate the dynamical behaviour of entanglement in terms of concurrence in a bipartite system subjected to an external magnetic field under the action of dissipative environments in the extended Werner-like initial state. The interesting phenomenon of entanglement sudden death as well as sudden birth appears during the evolution process. We analyse in detail the effect of the purity of the initial entangled state of two qubits via Heisenberg XY interaction on the apparition time of entanglement sudden death and entanglement sudden birth. Furthermore, the conditions on the conversion of entanglement sudden death and entanglement sudden birth can be generalized when the initial entangled state is not pure. In particular, a critical purity of the initial mixed entangled state exists, above which entanglement sudden birth vanishes while entanglement sudden death appears. It is also noticed that stable entanglement, which is independent of different initial states of the qubits (pure or mixed state), occurs even in the presence of decoherence. These results arising from the combination of the extended Werner-like initial state and dissipative environments suggest an approach to control and enhance the entanglement even after purity induced sudden birth, death and revival. (general)

  17. Prevalence of Urinary Tract Infection Among Pregnant Women and its Complications in Their Newborns During the Birth in the Hospitals of Dezful City, Iran, 2012 - 2013.

    Science.gov (United States)

    Amiri, Marziyeh; Lavasani, Zohreh; Norouzirad, Reza; Najibpour, Reza; Mohamadpour, Masoomeh; Nikpoor, Amin Reza; Raeisi, Mohammad; Zare Marzouni, Hadi

    2015-08-01

    Urinary tract infection (UTI) is the most common disorder caused by bacterial agents in pregnancy, which can lead to important complications in newborn of such mothers in case of inappropriate diagnosis and treatment. The purpose of this study was to study the prevalence of UTI among pregnant women and its complications in their newborns during the birth in the hospitals of Dezful City, Iran, during 2012 - 2013. In this cross-sectional retrospective study, 1132 women admitted to Dr. Ganjavian and Ayatollah Nabavi Hospitals in Dezful City, Iran, during 2012 - 2013 were randomly allocated into the case and control groups and were matched based on their age, numbers of pregnancy, sex and diseases of their children. UTI was the only difference between the two groups. Twenty-two thousand six hundred deliveries occurred within the course of this study. Due to UTI, 5% of deliveries led to hospitalization of mothers (1132 patients).Weight and height of newborn infants of mothers afflicted with UTI (P caesarean section) (P < 0.008). The lower incidence of UTI in pregnant women compared to other areas of Iran represents the role of climate and weather in the prevalence of UTI. In addition, the increased number of low-birth-weight infants had a remarkable correlation with UTI, which can influence the health of the next generation.

  18. STATE OF WATER SUPPLY INFRASTRUCTURE IN THE SUBCARPATHIAN CITIES

    Directory of Open Access Journals (Sweden)

    Katarzyna PIETRUCHA-URBANIK

    Full Text Available The characteristics of equipping the Subcarpathian province cities with water supply infrastructure was made on the basis of data collected from the Provincial Office, Statistical Office, reports submitted by water companies regarding the functioning of water supply infrastructure and literature data. The indicators characterizing water supply infrastructure were determined for the years 1995-2014. In the paper the indicators of equipping cities with water supply systems were presented. Also water consumption and changes in the length of the water supply network in the cities of the Subcarpathian Province were examined. The analysis shows that the water consumption for the years 1995-2014 decreased by almost 6 m3∙year-1 per capita. The reason for such situation was the increasing price of water and the ecological awareness of the inhabitants of the Subcarpathian region. In the last year of the analysis the water supply system in urban areas of the Subcarpathian province was used by 95% of the population and, for comparison, in rural areas by 77% of the population. In the paper also changes in prices for water in the Subcarpathian region were shown, on the basis of data from the water tariffs in individual water companies. The important element of urban development is the technical infrastructure which reduces the investment costs. The determined indicators of equipping cities with water supply systems show an upward trend in the development of technical infrastructure. Based on the operational data from the water companies the failure rates in selected water supply networks were determined.

  19. Obesity Prevention in a City State: Lessons from New York City during the Bloomberg Administration.

    Science.gov (United States)

    Kelly, Paul M; Davies, Anna; Greig, Alexandra J M; Lee, Karen K

    2016-01-01

    To illuminate the key components of multi-sector reform to address the obesogenic environment in New York City during the administration of Mayor Michael Bloomberg from 2002 to 2013, we conducted a case study consisting of interviews with and a critical analysis of the experiences of leading decision makers and implementers. Key informant interviews (N = 41) conducted in 2014 were recorded, transcribed, coded, and thematically analyzed. Participants included officials from the Health Department and other New York City Government agencies, academics, civil society members, and private sector executives. Participants described Mayor Bloomberg as a data-driven politician who wanted to improve the lives of New Yorkers. He appointed talented Commissioners and encouraged them and their staff to be bold, innovative, and collaborative. Multiple programs spanning multiple sectors, with varied approaches and targets, were supported. This study found that much of the work relied on loose coalitions across City Government, with single agencies responsible for their own agendas, some with health co-benefits. Many policies were implemented through non-legislative mechanisms such as executive orders and the Health Code. Despite support from academic and some civil society groups, strong lobbying from industry and an unfavorable media led to some reforms being modified, legally challenged or blocked completely, particularly food environment modifiers. In contrast, reforms of the physical environment were described as highly consultative across and outside government and resulted in slower but more sustained reform. The Bloomberg administration was a "window of opportunity" with the imprimatur of the executive to progress a long-term, multi-faceted obesity prevention strategy, which has successfully reversed childhood trends. Through the involvement of external researchers and the extensive use of empirical data from a wide range of participants, this study offers a unique

  20. Children's Understanding and Knowledge of Conception and Birth: Comparing Children from England, the Netherlands, Sweden, and the United States

    Science.gov (United States)

    Caron, Sandra L.; Ahlgrim, Carie Jo

    2012-01-01

    The present study replicated research conducted decades earlier (Goldman & Goldman, 1982a; Koch, 197480) on what children in the United States know about conception and birth compared to those in other countries. Specifically, response drawings by 48 six-year-old boys and girls from England, the Netherlands, Sweden, and the United States were…

  1. 78 FR 6832 - Notice of Mailing Address Change for the Utah State Office, Salt Lake City, UT

    Science.gov (United States)

    2013-01-31

    ... Bureau of Land Management Notice of Mailing Address Change for the Utah State Office, Salt Lake City, UT... of Land Management (BLM), Utah State Office, in Salt Lake City, Utah, will be changing from P.O. Box 45155-0155 to 440 West 200 South, Suite 500, Salt Lake City, Utah 84101-1345. The proposed date will be...

  2. Internal migration effectiveness and income effectiveness in the most populous cities in the United States.

    Science.gov (United States)

    Ambinakudige, Shrinidhi; Parisi, Domenico

    2010-01-01

    In this study, migration data compiled by the Internal Revenue Serve (IRS) and the US Census Bureau for 2006-07 were used to analyse internal migration patterns using migration and income effectiveness for the counties containing the 25 most populous cities in the United States. The results indicated that both large metropolitan and rural counties have lost population and income due to migration. Small metropolitan and non-metropolitan counties closer to cities gained population and income. Counties in South Florida attracted a large number of higher-income migrants from the largest cities in the US. In the last 13 years, New York, Los Angeles and Chicago, the three most populous cities in the US, had negative migration effectiveness. Suburban areas and second-tier cities continued to attract people from large metropolitan areas.

  3. Atrazine and nitrate in drinking water and the risk of preterm delivery and low birth weight in four Midwestern states

    DEFF Research Database (Denmark)

    Stayner, Leslie Thomas; Almberg, Kirsten; Jones, Rachael

    2017-01-01

    between the exposures and the adverse birth outcomes. Models were fitted with varying restrictions on the percentage of private well usage in the counties in order to limit the degree of exposure misclassification. Results: Estimated water concentrations of atrazine (mean=0.42 ppb) and nitrate (mean=0......Background: Atrazine and nitrate are common contaminants in water, and there is limited evidence that they are associated with adverse birth outcomes. The objective of this study was to examine whether atrazine and nitrate in water are associated with an increased risk of preterm delivery (PTD......) and term low birth weight (LBW). Methods: The study included a total of 134,258 singletons births born between January 1, 2004 and December 31, 2008 from 46 counties in four Midwestern states with public water systems that were included in the U.S. Environmental Protection Agency (EPA)’s atrazine...

  4. Cancer incidence in eighteen cities of the State of São Paulo, Brazil.

    Science.gov (United States)

    Andreoni, G I; Veneziano, D B; Giannotti Filho, O; Marigo, C; Mirra, A P; Fonseca, L A

    2001-08-01

    As in Brazil cancer registries are mostly based on large cities, there are no estimates per state or per region and information on the disease incidence in the vast in-land areas is very scarce. An incidence survey was conducted in 18 major cities of the state of São Paulo, excluding the capital, aiming to collect information about cancer incidence in the state of São Paulo. Of the 18 cities in state of São Paulo included in the survey, all had available resources for cancer management. Data from the year of 1991 were collected by the personnel of the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Statistics), who were especially trained by the study coordinators at the Fundação Oncocentro de São Paulo (Cancer Center of São Paulo). The collected data were processed and analyzed at the Oncocentro. Data collection, processing, and analyses were performed according to the recommendations of the International Agency for Research on Cancer. Although some discrepancies were observed in cancer incidence rates between the cities, results obtained for all 18 cities combined were remarkably close to those recently found for the city of São Paulo in the year 1993. One remarkable finding was the relatively high cancer incidence rates in both sexes in the city of Santos. The very similar all-sites cancer incidence rates found in the year 1991, when compared to those for the city of São Paulo in the year 1993, are suggestive that all regions have common cancer-related factors. Nevertheless, other explanations, such as the inclusion in the study of prevalent cases, as well as of non-residents, may have occurred in both studies, biasing the results. There is a need of further studies to confirm the high cancer incidence in Santos.

  5. The Impact of Legalized Abortion on Adolescent Childbearing in New York City.

    Science.gov (United States)

    Joyce, Theodore J.; Mocan, Naci H.

    1990-01-01

    Estimates impact of liberalization of New York State abortion law in 1970 on adolescent childbearing in New York City. Analyzes monthly data on number of births to White and Black adolescents from 1963-87. Findings indicate that level of births to Black adolescents fell 18.7 percent and births to White adolescents fell 14.1 percent after the law…

  6. [The evolution of maternal and child healthcare and birth weight in the State of Pernambuco in 1997 and 2006].

    Science.gov (United States)

    Noronha, Gisele Almeida de; Lima, Marília de Carvalho; Lira, Pedro Israel Cabral de; Veras, Ana Amélia Corrêa de Araújo; Gonçalves, Fabiana Cristina Lima da Silva Pastich; Batista Filho, Malaquias

    2012-10-01

    The scope of this paper was to assess the evolution and influence of maternal and child care on birth weight variation in the state of Pernambuco. The study used data from two cross-sectional population-based household surveys conducted with under-five children in the state of Pernambuco in 1997 (n = 1906) and 2006 (n = 1555). The sample was calculated to ensure the representativeness of two geo-economic strata: urban and rural areas. The variables studied were prenatal, delivery care and birth weight. The x(2) test was used to compare the categorical variables and mean difference in birth weight was calculated between the years studied with the respective 95% confidence interval. A marked improvement was seen in prenatal care and an increase in the frequency of caesarean section. In the rural area there was a significant 112 g decrease in mean birth weight. In 2006, access to at least one prenatal care appointment occurred irrespective of maternal schooling, however, in 1997 and 2006 access to adequate prenatal care was higher among mothers with better schooling. In spite of the improvement in prenatal and delivery care, poor access, excess of medical interventions and the increase in newborn survival may be influencing the variations in mean birth weight in the State of Pernambuco.

  7. Birth order and risk of childhood cancer: a pooled analysis from five US States.

    Science.gov (United States)

    Von Behren, Julie; Spector, Logan G; Mueller, Beth A; Carozza, Susan E; Chow, Eric J; Fox, Erin E; Horel, Scott; Johnson, Kimberly J; McLaughlin, Colleen; Puumala, Susan E; Ross, Julie A; Reynolds, Peggy

    2011-06-01

    The causes of childhood cancers are largely unknown. Birth order has been used as a proxy for prenatal and postnatal exposures, such as frequency of infections and in utero hormone exposures. We investigated the association between birth order and childhood cancers in a pooled case-control dataset. The subjects were drawn from population-based registries of cancers and births in California, Minnesota, New York, Texas and Washington. We included 17,672 cases confidence intervals using logistic regression, adjusted for sex, birth year, maternal race, maternal age, multiple birth, gestational age and birth weight. Overall, we found an inverse relationship between childhood cancer risk and birth order. For children in the fourth or higher birth order category compared to first-born children, the adjusted OR was 0.87 (95% CI: 0.81, 0.93) for all cancers combined. When we examined risks by cancer type, a decreasing risk with increasing birth order was seen in the central nervous system tumors, neuroblastoma, bilateral retinoblastoma, Wilms tumor and rhabdomyosarcoma. We observed increased risks with increasing birth order for acute myeloid leukemia but a slight decrease in risk for acute lymphoid leukemia. These risk estimates were based on a very large sample size, which allowed us to examine rare cancer types with greater statistical power than in most previous studies, however the biologic mechanisms remain to be elucidated. Copyright © 2010 UICC.

  8. Vital Signs: Repeat Births Among Teens — United States, 2007–2010

    OpenAIRE

    Gavin, Lorrie; Warner, Lee; O’Neil, Mary Elizabeth; Duong, Linh M.; Marshall, Cassondra; Hastings, Philip A.; Harrison, Ayanna T.; Barfield, Wanda

    2013-01-01

    Background Teen childbearing has potential negative health, economic, and social consequences for mother and child. Repeat teen childbearing further constrains the mother’s education and employment possibilities. Rates of preterm and low birth weight are higher in teens with a repeat birth, compared with first births. Methods To assess patterns of repeat childbearing and postpartum contraceptive use among teens, CDC analyzed natality data from the National Vital Statistics System (NVSS) and t...

  9. Birth order and Risk of Childhood Cancer: A Pooled Analysis from Five U.S. States

    OpenAIRE

    Von Behren, Julie; Spector, Logan G.; Mueller, Beth A.; Carozza, Susan E.; Chow, Eric J.; Fox, Erin E.; Horel, Scott; Johnson, Kimberly J.; McLaughlin, Colleen; Puumala, Susan E.; Ross, Julie A.; Reynolds, Peggy

    2010-01-01

    The causes of childhood cancers are largely unknown. Birth order has been used as a proxy for prenatal and postnatal exposures, such as frequency of infections and in utero hormone exposures. We investigated the association between birth order and childhood cancers in a pooled case-control dataset. The subjects were drawn from population-based registries of cancers and births in California, Minnesota, New York, Texas, and Washington. We included 17,672 cases less than 15 years of age who were...

  10. The Researcher of the Medieval City of Juketau: T. A. Khlebnikova’s 85th Birth Anniversary

    Directory of Open Access Journals (Sweden)

    Nabiullin Nail G.

    2013-09-01

    Full Text Available The article is devoted to the scientific activity of Tamara Alexandrovna Khlebnikova (1928-2001, Candidate of Historical Sciences, a renowned expert in the field of Bulgar archaeology, who had played an important role in the study of the medieval Juketau city (the 10th to the 14th cc. on the Lower Kama conducted in the 1960-1970s. In the 1960s, T. A. Khlebnikova initiated exploratory studies of the fortified settlement site, and in 1970-1972 supervised the first scientific excavations on this site. The results made it possible to characterize the main stages in the city’s existence from its formation to destruction. Stratigraphically, two levels were identified: the pre-Mongol one dated to the second half of the 10th – first third of the 13th century (1236, and the Golden Horde level (second third of the 13th to the late 14th or early 15th cc.. It should be noted that the materials referring to the pre-Mongol time prevailed, which permitted to correct the views of Juketau being an exclusively Golden Horde city. In the 1990s, the studies of the Juketau fortified site have been resumed, supervised by F. Sh. Khuzin and N. G. Nabiullin, and basically confirmed the findings of T. A. Khlebnikova.

  11. Why is the teen birth rate in the United States so high and why does it matter?

    Science.gov (United States)

    Kearney, Melissa S; Levine, Phillip B

    2012-01-01

    Teens in the United States are far more likely to give birth than in any other industrialized country in the world. U.S. teens are two and a half times as likely to give birth as compared to teens in Canada, around four times as likely as teens in Germany or Norway, and almost 10 times as likely as teens in Switzerland. Among more developed countries, Russia has the next highest teen birth rate after the United States, but an American teenage girl is still around 25 percent more likely to give birth than her counterpart in Russia. Moreover, these statistics incorporate the almost 40 percent fall in the teen birth rate that the United States has experienced over the past two decades. Differences across U.S. states are quite dramatic as well. A teenage girl in Mississippi is four times more likely to give birth than a teenage girl in New Hampshire--and 15 times more likely to give birth as a teen compared to a teenage girl in Switzerland. This paper has two overarching goals: understanding why the teen birth rate is so high in the United States and understanding why it matters. Thus, we begin by examining multiple sources of data to put current rates of teen childbearing into the perspective of cross-country comparisons and recent historical context. We examine teen birth rates alongside pregnancy, abortion, and "shotgun" marriage rates as well as the antecedent behaviors of sexual activity and contraceptive use. We seek insights as to why the rate of teen childbearing is so unusually high in the United States as a whole, and in some U.S. states in particular. We argue that explanations that economists have tended to study are unable to account for any sizable share of the variation in teen childbearing rates across place. We describe some recent empirical work demonstrating that variation in income inequality across U.S. states and developed countries can explain a sizable share of the geographic variation in teen childbearing. To the extent that income inequality

  12. Breastfeeding, baby friendliness and birth in transition in North Western Russia: a study of women's perceptions of the care they receive when giving birth in six maternity homes in the cities of Archangelsk and Murmansk, 1999.

    Science.gov (United States)

    Helsing, E; Chalmers, B E; Dinekina, T J; Kondakova, N I

    2002-01-01

    Women's own views on the quality of the birthing care they received were recorded in a small study in the cities of Archangelsk and Murmansk in February 1999. Six maternity wards took part; one hospital had already been designated as a Baby Friendly Hospital (BFH) according to the strict global criteria of the WHO/UNICEF-recommended Baby Friendly Hospital Initiative (BFHI). Two of the hospitals had made profound changes in feeding routines and were by their own reckoning close to achieving this distinction, and were included in the BFH group. Three maternity wards were far from being in compliance with the BFHI approach and were grouped as the Non-Baby-Friendly Hospitals (NBFH). A total of 180 newly delivered mothers answered a 60-item questionnaire about their birthing and breastfeeding experiences. The questions were chosen from an existing protocol, the WEB (Women's Experiences of Birth) developed by one of the authors (BC). The study was part of an informal evaluation of five years of BFHI activities in the Barents Region, supported by Norway, and also aimed at recording any positive carry-over effect of the BFHI into obstetric routines as a whole. It was found that the project definitely had had an impact; feeding practices at the BFH were markedly closer to the international BFHI recommendations than at the NBFH. BFH mothers, however, reported suffering from breastfeeding problems just as often or more so than NBFH mothers. Possible explanations are discussed; it is concluded that this cross-sectional study may depict a transitory situation in the BFH. At the two hospitals not yet assessed, although staff felt that they had made profound changes, they may not yet have grasped the full extent and stringency of the changes required. The study shows that, despite good will, some practical details had not yet been worked out, resulting in a mixed outcome for the mothers. There was no noticeable carry-over of the attitudes and basic ideas of the project into

  13. Franciscana strandings on the north coast of Santa Catarina State and insights into birth period

    Directory of Open Access Journals (Sweden)

    Renan Lopes Paitach

    2013-11-01

    Full Text Available Franciscana, Pontoporia blainvillei, is the most threatened small cetacean in the South Atlantic. Accidental captures in fishing nets is the main problem for this species throughout its distribution. Dead franciscanas found along the coast are an important source of information. This work aimed to analyze the records of dead franciscanas found on the northern coast of Santa Catarina, including Babitonga Bay. Between January 2001 and November 2012, 54 franciscana carcasses were recorded, with the highest number (8 individuals in 2011. Fifty-two percent (n=28 of the carcasses were recorded between August and October. Taking into account that this information was not obtained from a systematic effort, it was not possible to consider this as an estimation of mortality. The largest animal was a female, with a total length of 142 cm. Ten recovered animals (18.5% were smaller than 80 cm, and were considered fetuses or calves. These records indicate that the main birthing period for franciscanas in Santa Catarina is between October and January. The findings presented here contribute to our knowledge of franciscana ecology in the state of Santa Catarina.

  14. Plurality of Birth and Infant Mortality Due to External Causes in the United States, 2000-2010.

    Science.gov (United States)

    Ahrens, Katherine A; Thoma, Marie E; Rossen, Lauren M; Warner, Margaret; Simon, Alan E

    2017-03-01

    Risk of death during the first year of life due to external causes, such as unintentional injury and homicide, may be higher among twins and higher-order multiples than among singletons in the United States. We used national birth cohort linked birth-infant death data (2000-2010) to evaluate the risk of infant mortality due to external causes in multiples versus singletons in the United States. Risk of death from external causes during the study period was 3.6 per 10,000 live births in singletons and 5.1 per 10,000 live births in multiples. Using log-binomial regression, the corresponding unadjusted risk ratio was 1.40 (95% confidence interval (CI): 1.30, 1.50). After adjustment for maternal age, marital status, race/ethnicity, and education, the risk ratio was 1.68 (95% CI: 1.56, 1.81). Infant deaths due to external causes were most likely to occur between 2 and 7 months of age. Applying inverse probability weighting and assuming a hypothetical intervention where no infants were low birth weight, the adjusted controlled direct effect of plurality on infant mortality due to external causes was 1.64 (95% CI: 1.39, 1.97). Twins and higher-order multiples were at greater risk of infant mortality due to external causes, particularly between 2 and 7 months of age, and this risk appeared to be mediated largely by factors other than low-birth-weight status. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  15. City of Belo Horizante, State of Minas Gerais, Brazil, South America

    Science.gov (United States)

    1991-01-01

    The city of Belo Horizante, State of Minas Gerais, (20.0S, 44.0W) is a relatively new community in southeastern Brazil. It lies about 225 miles north of Rio de Janeiro and occupies an area of rolling and hilly terrain. The economy is based on a mixture of agriculture, cattle grazing, mining and manufacturing.

  16. Perception of toothache in adults from state capitals and interior cities within the Brazilian geographic regions

    OpenAIRE

    Hafner, MB; Zanatta, J; Zotelli, VLR; Batista, MJ; Sousa, MDR

    2013-01-01

    Background: Studies emphasizing toothache in adulthood are scarce in Brazil. A greater understanding of both the prevalence and the self-perception of pain among individuals in this age group (35 to 44 years old) is important, especially considering that this is an economically active population. To describe reports of oral pain and oral pain-related aspects in from Brazilian state capitals and interior cities. Methods: The sample comprised 9779 adults residing in the state capitals and inter...

  17. LPRS by State, County, Country of Birth and Major Class of Admission 2008

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  18. LPRS by State, County, Country of Birth and Major Class of Admission 2016

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  19. LPRS by State, County, Country of Birth and Major Class of Admission 2007

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  20. LPRS by State, County, Country of Birth and Major Class of Admission 2009

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  1. LPRS by State, County, Country of Birth and Major Class of Admission 2010

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  2. LPRS by State, County, Country of Birth and Major Class of Admission 2015

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  3. LPRS by State, County, Country of Birth and Major Class of Admission 2012

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  4. LPRS by State, County, Country of Birth and Major Class of Admission 2011

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  5. The pain of labour: Perspectives of traditional birth attendants in Edo ...

    African Journals Online (AJOL)

    Objective: To determine the concept of labour pain and its relief in a cultural setting using the perspectives of Traditional Birth Attendants (TBAs). Design: Cross Sectional Comparative Study. Setting: An urban area (Benin City) and a semi-urban town (Auchi) in Edo State, Nigeria. Subjects: Traditional Birth Attendants in an ...

  6. Definition of Smart Energy City and State of the art of 6 Transform cities using Key Performance Indicators. Deliverable 1.2

    Energy Technology Data Exchange (ETDEWEB)

    Sieverts Nielsen, P.; Amer, S.B.; Halsnaes, K.

    2013-08-15

    This report summarises the work undertaken under the EU-FP7 TRANSFORM project for Work Package 1 (part 1): Becoming a Smart Energy City, state of the Art and Ambition. Part 1 starts with a clear outline of each of the participating cities. The work describes the context in terms of climate, energy assets, ambitions, targets and main possibilities in terms of energy efficiency, flows and energy production. After this first step, the work focuses on the description of what a smart energy city is (this report), what the main Key Performance Indicators (KPIs) are that should be met and how this relates to where the current cities and the living labs are. It describes at the same time the current status of city planning, energy planning tools, and existing energy data. The outline should also include information on energy production, energy flows and energy efficiency, where possible. The work will draw largely on existing Strategic Energy Action Plans, Climate Action Plans and planning documents. This report establishes a definition of smart cities, develops Key Elements, Key Performance Indicators and reports on the state of the art regarding the KPIs for the 6 Transform cities. As specified in the Transform proposal, the objective of the evaluation is to identify previous and existing initiatives as a sort of stocktaking on the way to establishing a smart city transformation pathway for each of the participating cities in the Transform project. The definition of a smart energy city and the key performance indicators will be used throughout Transform the guide the work. (Author)

  7. Double cities in the Teutonic state on the example of Toruń

    Directory of Open Access Journals (Sweden)

    Krantz-Domasłowska, Liliana

    2013-03-01

    Full Text Available Toruń is the first exemplification of a double city on the territory of the Teutonic state. The ancient, 13th-century pedigree of the Old and New Town prompts a question about the reasons for founding a new urban centre and the expectations involved. Similar arrangements in Elbląg, Braniewo, Królewiec and Gdańsk are of a later date and each of them represents an individual history but Toruń stands out in this group. In my text I outline the historical conditions accompanying the founding of the Toruń conurbation and I present the artistic factors which might enrich the picture of the relations between the two cities. These factors are: the urban planning arrangement, the topography of religious facilities, the parameters of the principal churches. All these components add up to a coherent image of the New City of Toruń, then under Teutonic control.

  8. The urban heat island dynamics during heat waves: a study of cities in the United States

    Science.gov (United States)

    Hu, Leiqiu

    2016-04-01

    The urban heat island (UHI) is a common phenomenon describing that metropolitan areas are usually warmer than their rural surroundings. This effect is compounded by extreme heat events, which are a leading cause of weather-related human mortality in many countries worldwide. However, the spatial and diurnal variability of temperature and humidity in urban and adjacent rural areas during extreme heat events is not well measured and therefore not well understood. The recently developed dataset of near-surface air and dew temperature from MODIS atmospheric profiles and the new method for the UHI quantification--urban heat island curve are used to quantify the urban climatic changes during heat waves in cities of the United States. The enhanced and weakened UHIs are observed in various cities. The causes of UHI changes during heat waves are discussed, including climate region, vegetation type and amount, city geolocation, etc.

  9. HIV infection and testing among Latino men who have sex with men in the United States: the role of location of birth and other social determinants.

    Directory of Open Access Journals (Sweden)

    Alexandra M Oster

    Full Text Available BACKGROUND: In the United States, Latino men who have sex with men (MSM are disproportionately affected by HIV. Latino MSM are a diverse group who differ culturally based on their countries or regions of birth and their time in the United States. We assessed differences in HIV prevalence and testing among Latino MSM by location of birth, time since arrival, and other social determinants of health. METHODS: For the 2008 National HIV Behavioral Surveillance System, a cross-sectional survey conducted in large US cities, MSM were interviewed and tested for HIV infection. We used generalized estimating equations to test associations between various factors and 1 prevalent HIV infection and 2 being tested for HIV infection in the past 12 months. RESULTS: Among 1734 Latino MSM, HIV prevalence was 19%. In multivariable analysis, increasing age, low income, and gay identity were associated with HIV infection. Moreover, men who were U.S.-born or who arrived ≥5 years ago had significantly higher HIV prevalence than recent immigrants. Among men not reporting a previous positive HIV test, 63% had been tested for HIV infection in the past 12 months; recent testing was most strongly associated with having seen a health care provider and disclosing male-male attraction/sexual behavior to a health care provider. CONCLUSIONS: We identified several social determinants of health associated with HIV infection and testing among Latino MSM. Lower HIV prevalence among recent immigrants contrasts with higher prevalence among established immigrants and suggests a critical window of opportunity for HIV prevention, which should prioritize those with low income, who are at particular risk for HIV infection. Expanding health care utilization and encouraging communication with health care providers about sexual orientation may increase testing.

  10. Reasons for and challenges of recent increases in teen birth rates: a study of family planning service policies and demographic changes at the state level.

    Science.gov (United States)

    Yang, Zhou; Gaydos, Laura M

    2010-06-01

    After declining for over a decade, the birth rate in the United States for adolescents aged 15-19 years increased by 3% in 2006 and 1% again in 2007. We examined demographic and policy reasons for this trend at state level. With data merged from multiple sources, descriptive analysis was used to detect state-level trends in birth rate and policy changes from 2000 to 2006, and variations in the distribution of teen birth rates, sex education, and family planning service policies, and demographic features across each state in 2006. Regression analysis was then conducted to estimate the effect of several reproductive health policies and demographic features on teen birth rates at the state level. Instrument variable was used to correct possible bias in the regression analysis. Medicaid family planning waivers were found to reduce teen birth rates across all ages and races. Abstinence-only education programs were found to cause an increase in teen birth rates among white and black teens. The increasing Hispanic population is another driving force for high teen birth rates. Both demographic factors and policy changes contributed to the increase in teen birth rates between 2000 and 2006. Future policy and behavioral interventions should focus on promoting and increasing access to contraceptive use. Family planning policies should be crafted to address the special needs of teens from different cultural backgrounds, especially Hispanics. Copyright 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  11. Interpretation of ambiguities by schoolchildren with low birth weight from Embu das Artes, São Paulo state, Brazil.

    Science.gov (United States)

    Pessoa, Rebeca Rodrigues; Araújo, Sarah Cueva Cândido Soares de; Isotani, Selma Mie; Puccini, Rosana Fiorini; Perissinoto, Jacy

    To assess the development of language regarding the ability to recognize and interpret lexical ambiguity in low-birth-weight schoolchildren enrolled at the school system in the municipality of Embu das Artes, Sao Paulo state, compared with that of schoolchildren with normal birth weight. A case-control, retrospective, cross-sectional study conducted with 378 schoolchildren, both genders, aged 5 to 9.9 years, from the municipal schools of Embu das Artes. Study Group (SG) comprising 210 schoolchildren with birth weight < 2500 g. Control Group (CG) composed of 168 school children with birth weight ≥ 2500 g. Participants of both groups were compared with respect to the skills of recognition and verbal interpretation of sentences containing lexical ambiguity using the Test of Language Competence. Variables of interest: Age and gender of children; age and schooling of mothers. Statistical analysis: Descriptive analysis to characterize the sample and score per group; Student's t test for comparison between the total scores of each skill/subtest; Chi-square test to compare items within each subtest; multiple regression analysis for the intervening variables. Participants of the SG presented lower scores for ambiguous sentences compared with those of participants of the CG. Multiple regression analysis showed that child's current age was a predictor for all metalinguistic skills regarding interpretation of ambiguities in both groups. Participants of the SG presented lower specific and total scores than those of participants of the CG for ambiguity skills. The child's current age factor positively influenced the ambiguity skills in both groups.

  12. Natural radioactivity in soils of the main cities of the State of Chihuahua

    International Nuclear Information System (INIS)

    Colmenero S, L.; Montero C, M.E.; Villalba, L.

    2003-01-01

    The state of Chihuahua counts with at least 56 uranium zones or of minerals associated to this, being Pena Blanca the greatest and more important deposit of the country. Some of the main cities of the state are near to these deposits, as Aldama and Chihuahua. Its were took samples of soil of 11 cities of the state to determine the natural activity of radionuclides. It was determined the specific activity attributable to the parents of the series of 238 U, 232 Th, and of the 40 K isotopes, as well as effective dose rate H E in the soil samples. It was used the high resolution gamma spectrometry of a high purity Ge detector in the laboratory of Environmental Radiological Surveillance of the CIMAV. The measure of the activity of the uranium series carries out by means of the lines of 351 KeV of the 214 Pb and of 609 keV of the 214 Bi, while the thorium series it was deduced of the lines of 238 keV of the 212 Pb and of 912 keV of the 228 Ac. Its were carried out copies and replies for the quality control. Its were found high values of specific activity of some radionuclides, in the near cities to uranium deposits like Aldama and Chihuahua. For the cities that are not near to deposits, as Ciudad Juarez and Ojinaga, the found values were normal. Also the effective dose rate was high for the near cities to deposits like Aldama, Bocoyna, Chihuahua, Jimenez and Nuevo Casas Grandes, it is also necessary to determine, the radon in air levels and of radionuclides in consumption water to obtain the dose that the population of those populations receives. (Author)

  13. Role of the state in solving the environmental problems of the industrial monoprofile cities

    Science.gov (United States)

    Musina, L. M.; Neucheva, M. U.

    2018-01-01

    Nowadays the problem of sustainable socio-economic development of monotowns refers to one of the priority issues of the state policy. The author analyzes monotowns state policy support in Russia with main focus on programs aimed at ecological restoration of industrial monoprofile cities. The processes of program control in monotowns within the state economic policy are analyzed. In order to evaluate the results of programs (of city-forming enterprises and monotowns level) the principles of development of criteria development system have been substantiated. The environmental situation of monotowns depends on a complex system of interaction between the city (represented by its people and municipal authorities), private capital and the state. Long-term sustainable development of monotowns requires the interests of all three parties to be in balance. This is possible to achieve by increasing the social responsibility of businesses, increasing the development of local government and urban identity and active influence of local communities on the activities of the municipal authorities.

  14. Assessing the edible city: Environmental implications of urban agriculture in the Northeast United States

    DEFF Research Database (Denmark)

    Goldstein, Benjamin Paul

    signicant action in research, design and practice. In the Northeast United States, where per capita diets are amongst the most environmentally intensive globally, there is a growing interest in local food production as a way to reduce the ecological burdens of food demand. Urban farms and pro-urban...... literature, leaving a number of lingering questions surrounding urban agriculture's environmental performance. In a Northern context, it remains to be seen whether the benets of reducing distance from farm to fork are outweighed by the energy demanded by yearround growing systems. Even if urban agriculture...... does provide leaner resource intensities at the farm scale, do these add up to meaningful shifts in a city's environmental footprint at the urban scale? The aim of this project was to begin removing these uncertainties using the Northeast United States as a case study, since cities within that region...

  15. Ethnographic study of experiences of Pakistani women immigrants with pregnancy, birthing, and postpartum care in the United States and Pakistan.

    Science.gov (United States)

    Qureshi, Rubab; Pacquiao, Dula F

    2013-10-01

    Describe the comparative birthing experiences of Pakistani immigrant women in Pakistan and the United States. The framework was drawn from Berry's cultural adaptation, Glick-Schiller et al.'s transnationalism and Berkman's social network. Qualitative Women experienced difficulties associated with inability to observe cultural traditions and loss of extended, gendered kin support. Adaptive strategies were evident through development of social networks of weak ties with non-kin groups in the United States, maintenance of transnational ties with kin back in Pakistan, and assimilation of less gender-defined roles by women and their spouses.

  16. Perception of toothache in adults from state capitals and interior cities within the Brazilian geographic regions.

    Science.gov (United States)

    Hafner, Maylu Botta; Zanatta, Juliana; Rasera Zotelli, Vera Lucia; Batista, Marília Jesus; Sousa, Maria da Luz Rosário

    2013-07-31

    Studies emphasizing toothache in adulthood are scarce in Brazil. A greater understanding of both the prevalence and the self-perception of pain among individuals in this age group (35 to 44 years old) is important, especially considering that this is an economically active population. To describe reports of oral pain and oral pain-related aspects in from Brazilian state capitals and interior cities. The sample comprised 9779 adults residing in the state capitals and interior cities from each Brazilian region in the SB Brazil 2010 report, regarding reports of oral pain and their intensity in the last 6 months. The descriptive analysis comparing pain reports between and within the regions and regression analysis of pain related to socioeconomic aspects per region were performed considering α=0.05 difference. The highest prevalence of pain was found in the Southeast region (pSoutheast, where the higher prevalence was in the interior cities (p=0.03). The Northern region had lower pain intensity than the Southeast and Midwest. Comparing pain intensity, only the Northeast region showed statistical difference between state capitals and the interior cities for pain intensity, where the interior cities had higher pain intensity than the three state capitals. Regarding dental office visitations, the Southeast capitals have the highest prevalence (100%) compared to the North and South. The toothache impact on daily activities was as follows: eating difficulty (29.8% to 72.7%), uncomfortable teeth brushing (over 50%), and sleep disturbance (above 13%). Between the Brazilian regions the socioeconomic aspects differ in relation to the pain; the exception being the association between pain, dental care and income, which occurred in the 5 regions. Users of public dental care services were more likely to present pain, comparing to private dental services, OR ranging from 1.72 in the Northeast to 2.85 in the Southeast. The prevalence of pain was higher among Brazilian adults

  17. Fostering eGovernment as State Social Responsibility (SSR: Case Study of an Australian City Council

    Directory of Open Access Journals (Sweden)

    Sinara Rao Karna

    2012-12-01

    Full Text Available           Democracies around the world now face Citizen-apathy. This is a concern now more than ever faced by countries around the globe. eGovernment is undoubtedly a platform to deliberate and enable citizens regain confidence and faith in democratic  processes. Citizens now seek Verifiable, Open, Transparent, Empathetic, Responsive and Sensitive Electronic Democracy and Government (VOTERS EDG, Karna, 2012. Similar to corporate world, there are voices stressing on govenments for the need to understand the stakeholders, their involvement, relationships and responsibilities of a state in eGovernance. Citizens everywhere now demand Verifiable, Open, Transparent, Empathetic, Responsive and Sensitive Electronically Democratic Government as a State Social Responsibity (SSR. Peoples movements and outbursts against authorities with the help of Word of Mouse (Karna, 2012 have established that transparent and open governance is the need of the hour. This paper presents findings of the study conducted in an Australian City Council for preparing the city council for ‘City e-readiness’ to initiate e-Government activities. We propose the idea of ‘Centrality of Citizens’ in context of eGovernment. We further build upon the original concept of deeming eGovernment as ‘State Social Responsibility’ (SSR (Karna, 2010, by governments at all levels.  

  18. Preterm Birth

    Science.gov (United States)

    ... After hours (404) 639-2888 Contact Media Preterm Birth Recommend on Facebook Tweet Share Compartir Preterm birth ... Can anything be done to prevent a preterm birth? Preventing preterm birth remains a challenge because there ...

  19. Cesarean Birth

    Science.gov (United States)

    ... QUESTIONS LABOR, DELIVERY, AND POSTPARTUM CARE FAQ006 Cesarean Birth (C-section) • What is cesarean birth? • What are the reasons for cesarean birth? • Is a cesarean birth necessary if I have ...

  20. Clinical-epidemiological description of live births with microcephaly in the state of Sergipe, Brazil, 2015.

    Science.gov (United States)

    Cabral, Cibelle Mendes; Nóbrega, Martha Elizabeth Brasil da; Leite, Priscila Leal E; Souza, Mércia Simone Feitosa de; Teixeira, Daniela Cabral Pizzi; Cavalcante, Taíse Ferreira; Lima, Raulinna Gomes de Souza; Tavares, Lúcia Maria Sayde de Azevedo; Souza, Priscila Bochi de; Saad, Eduardo

    2017-01-01

    to describe the clinical and epidemiological characteristics of microcephaly cases in live births in Sergipe, Brazil, and to calculate the prevalence in its municipalities. this is a descriptive study on live births from September 1st to November 30th, 2015, with data from medical records and interviews with mothers. 83 cases of microcephaly were confirmed, with three deaths; prevalence in the 26 municipalities with confirmed cases ranged from 18 to 185/10,000 live births; the median of head circumference was 31 cm (range: 22.5-33.0); agenesis of corpus callosum (26/43), lissencephaly (12/43), absence of midline (10/43) and ventriculomegaly (8/43) were observed in the transfontanellar ultrasound; 40 mothers reported rash in pregnancy, 23 in the first trimester, with pruritus, arthralgia and headache; seven were positive for infections potentially causing malformations. there was a high occurrence of cases of microcephaly, and reports of signs and symptoms compatible with Zika virus infection during pregnancy.

  1. Dental procedures among children age birth to 20, United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Vargas, Clemencia M; Brown, Erwin; Carper, Kelly V; Macek, Mark D; Cohen, Leonard A

    2015-01-01

    To describe dental procedures received by US children and adolescents by poverty status and dental insurance coverage. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Surveys. The primary outcome variable represented the types of dental procedures that were received during dental visits in the preceding year. Descriptive variables included dental insurance and poverty status. Analysis was restricted to children from birth to 20 years. Overall, diagnostic (41.2 percent) and preventive (35.8 percent) procedures accounted for most of the procedures received by children from birth to 20 years of age, while restorative procedures accounted for just 5 percent. Children from low-income families received a higher proportion of restorative procedures than children in higher-income families. The proportion of diagnostic and preventive services was lower among uninsured children than among publicly insured children. Orthodontic services, on the other hand, represented a greater percentage of these procedures among uninsured children than among publicly insured children. The vast majority of procedures received by children from birth to 20 years were diagnostic and preventive. Most children with at least one dental visit received a diagnostic or preventive service. Between 1999 and 2009, the proportion of all services received accounted for by diagnostic or preventive services increased. However, the proportion in which each type of procedure was received by children who made at least one visit who received did not change. © 2014 American Association of Public Health Dentistry.

  2. Contribution of food sources to the vitamin B12 status of South Indian children from a birth cohort recruited in the city of Mysore.

    Science.gov (United States)

    Christian, Anna M; Krishnaveni, Ghattu V; Kehoe, Sarah H; Veena, Sargoor R; Khanum, Rumana; Marley-Zagar, Ella; Edwards, Phil; Margetts, Barrie M; Fall, Caroline Hd

    2015-03-01

    There is evidence that subclinical vitamin B12 (B12) deficiency is common in India. Vegetarianism is prevalent and therefore meat consumption is low. Our objective was to explore the contribution of B12-source foods and maternal B12 status during pregnancy to plasma B12 concentrations. Maternal plasma B12 concentrations were measured during pregnancy. Children's dietary intakes and plasma B12 concentrations were measured at age 9.5 years; B12 and total energy intakes were calculated using food composition databases. We used linear regression to examine associations between maternal B12 status and children's intakes of B12 and B12-source foods, and children's plasma B12 concentrations. South Indian city of Mysore and surrounding rural areas. Children from the Mysore Parthenon Birth Cohort (n 512, 47.1 % male). Three per cent of children were B12 deficient (<150 pmol/l). A further 14 % had 'marginal' B12 concentrations (150-221 pmol/l). Children's total daily B12 intake and consumption frequencies of meat and fish, and micronutrient-enriched beverages were positively associated with plasma B12 concentrations (P=0.006, P=0.01 and P=0.04, respectively, adjusted for socio-economic indicators and maternal B12 status). Maternal pregnancy plasma B12 was associated with children's plasma B12 concentrations, independent of current B12 intakes (P<0.001). Milk and curd (yoghurt) intakes were unrelated to B12 status. Meat and fish are important B12 sources in this population. Micronutrient-enriched beverages appear to be important sources in our cohort, but their high sugar content necessitates care in their recommendation. Improving maternal B12 status in pregnancy may improve Indian children's status.

  3. Tetanus, diphtheria, pertussis vaccination coverage before, during, and after pregnancy - 16 States and New York City, 2011.

    Science.gov (United States)

    Ahluwalia, Indu B; Ding, Helen; D'Angelo, Denise; Shealy, Kristen H; Singleton, James A; Liang, Jennifer; Rosenberg, Kenneth D

    2015-05-22

    In June 2011, the Advisory Committee on Immunizations Practices (ACIP) recommended 1 dose of a tetanus, diphtheria, and acellular pertussis (Tdap) vaccine during pregnancy for women who had not received Tdap previously. Before 2011, Tdap was recommended for unvaccinated women either before pregnancy or postpartum. In October 2012, ACIP expanded the 2011 recommendation, advising pregnant women to be vaccinated with Tdap during each pregnancy to provide maternal antibodies for each infant. The optimal time for vaccination is at 27-36 weeks' gestation as recommended by ACIP. In response to ACIP's Tdap recommendation for pregnant women in 2011, CDC added a supplemental question to the Pregnancy Risk Assessment Monitoring System (PRAMS) survey to determine women's Tdap vaccination status before, during, or after their most recent delivery. This report describes overall and state-specific Tdap vaccination coverage around the time of pregnancy using data from 6,852 sampled women who delivered a live-born infant during September-December 2011 in one of 16 states or New York City (NYC). Among the 17 jurisdictions, the median percentage of women with live births who reported any Tdap vaccination was 55.7%, ranging from 38.2% in NYC to 76.6% in Nebraska. The median percentage who received Tdap before pregnancy was 13.9% (range = 7.7%-20.1%), during pregnancy was 9.8% (range = 3.8%-14.2%), and after delivery was 30.9% (range = 13.6%-46.5%). The PRAMS data indicate a wide variation in Tdap vaccination coverage among demographic groups, with generally higher postpartum coverage for non-Hispanic white women, those who started prenatal care in the first trimester, and those who had private health insurance coverage. This information can be used for promoting evidence-based strategies to communicate the importance of ACIP guidelines related to Tdap vaccination coverage to women and their prenatal care providers.

  4. What is the impact of interventions that prevent fetal mortality on the increase of preterm live births in the State of Sao Paulo, Brazil?

    Science.gov (United States)

    Alencar, Gizelton Pereira; da Silva, Zilda Pereira; Santos, Patrícia Carla; Raspantini, Priscila Ribeiro; Moura, Barbara Laisa Alves; de Almeida, Marcia Furquim; do Nascimento, Felipe Parra; Rodrigues, Laura C

    2015-07-23

    There is a global growing trend of preterm births and a decline trend of fetal deaths. Is there an impact of the decline of fetal mortality on the increase of preterm live births in State of Sao Paulo, Brazil? The time trends were evaluated by gestational age through exponential regression analysis. Data analyzed included the fetal mortality ratio, proportion of preterm live births, fertility rate of women 35 years and over, prenatal care, mother's education, multiple births and cesarean section deliveries. A survival analysis was carried out for 2000 and 2010. Preterm births showed the highest annual increase (3.2%) in the less than 28 weeks of gestation group and fetal mortality ratio decreased (7.4%) in the same gestational age group. There was an increase of cesarean section births and it was higher in the increased trend in multiple births and fertility rates of women of 35 years and over. The variables were highly correlated to which other over time. In 2000, 8.2% of all pregnancies resulted in preterm births (0.9% in fetal deaths and 7.3% in live births). In 2010, the preterm birth increased to 9.4% (0.8% were preterm fetal deaths and 8.6% preterm live births). The results suggest that 45.2% could be the maximum contribution of successful interventions to prevent a fetal death on the increase in preterm live births. This increasing trend is also related to changes of the women reproductive profile with the change of the women reproductive profile and access to prenatal care.

  5. How Neighborhood Disadvantage Reduces Birth Weight

    Directory of Open Access Journals (Sweden)

    Emily Moiduddin

    2008-06-01

    Full Text Available In this analysis we connect structural neighborhood conditions to birth outcomes through their intermediate effects on mothers’ perceptions of neighborhood danger and their tendency to abuse substances during pregnancy. We hypothesize that neighborhood poverty and racial/ethnic concentration combine to produce environments that mothers perceive as unsafe, thereby increasing the likelihood of negative coping behaviors (substance abuse. We expect these behaviors, in turn, to produce lower birth weights. Using data from the Fragile Families and Child Wellbeing Study, a survey of a cohort of children born between 1998 and 2000 and their mothers in large cities in the United States, we find little evidence to suggest that neighborhood circumstances have strong, direct effects on birth weight. Living in a neighborhood with more foreigners had a positive effect on birth weight. To the extent that neighborhood conditions influence birth weight, the effect mainly occurs through an association with perceived neighborhood danger and subsequent negative coping behaviors. Poverty and racial/ethnic concentration increase a mother’s sense that her neighborhood is unsafe. The perception of an unsafe neighborhood, in turn, associates with a greater likelihood of smoking cigarettes and using illegal drugs, and these behaviors have strong and significant effects in reducing birth weight. However, demographic characteristics, rather than perceived danger or substance abuse, mediate the influence of neighborhood characteristics on birth weight.

  6. Epidemiological profile of Trypanosoma cruzi-infected mothers and live birth conditions in the state of Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Fabiane Scalabrini Pinto

    2013-04-01

    Full Text Available INTRODUCTION: The aim of this study was to assess the epidemiological characteristics of Trypanosoma cruzi-infected mothers and the live birth conditions of neonates. METHODS: A serological survey with IgG-specific tests was conducted using dried blood samples from newborn infants in the State of Minas Gerais. T. cruzi infection was confirmed in mothers through positive serology in two different tests, and infected mothers were required to have their infants serologically tested after the age of 6 months. The birth conditions of the neonates were obtained from the System of Information on Live Births database. RESULTS: The study included 407 children born to T. cruzi-infected mothers and 407 children born to uninfected mothers. The average age of seropositive mothers was 32 years (CI95% 31.3-32.6, which was greater than the average age of seronegative mothers - 25 years (CI95% 24.8-25.2. The mothers' level of education was higher among uninfected mothers (41% had 8 or more years of education, versus 22% between the infected mothers. Vaginal delivery was more frequent among infected mothers. There was no evidence of inter-group differences with respect to the child's sex, gestational age, birth weight or Appearance, pulse, grimace, activity and respiration (APGAR scores at 1 and 5 minutes. Conclusions: The level of education and the greater number of previous pregnancies and cases of vaginal delivery reflect the lower socioeconomical conditions of the infected mothers. In the absence of vertical transmission, neonates had similar health status irrespective of the infection status of their mothers.

  7. Assessment of the role of traditional birth attendants in maternal ...

    African Journals Online (AJOL)

    In spite of the high patronage of traditional birth attendants, many of their practices during childbirth have been found to adversely affect the health of mothers. This study aimed at assessing the role of TBAs in maternal health in Oredo Local Government, Benin City, Edo-State, Nigeria. Methodology: All the TBAs identified ...

  8. Teen Birth Rate. Facts at a Glance, 2002.

    Science.gov (United States)

    Papillo, Angela Romano, Comp.; Franzetta, Kerry, Comp.; Manlove, Jennifer, Comp.; Moore, Kristin Anderson, Comp.; Terry-Humen, Elizabeth, Comp.; Ryan, Suzanne, Comp.

    This publication reports trends in teen childbearing in the nation, in each state, and in large cities using data from the 2001 National Center for Health Statistics (NCHS). Rates of teenage childbearing continue to steadily decline, and the 2001 rates are historic lows for each age group. NCHS data showed that almost 80% of teen births nationwide…

  9. Why Is the Teen Birth Rate in the United States so High and Why Does It Matter? NBER Working Paper No. 17965

    Science.gov (United States)

    Kearney, Melissa Schettini; Levine, Phillip B.

    2012-01-01

    This paper examines two aspects of teen childbearing in the United States. First, it reviews and synthesizes the evidence on the reasons why teen birth rates are so uniquely high in the United States and especially in some states. Second, it considers why and how it matters. We argue that economists' typical explanations are unable to account for…

  10. Qualitative evidence on abortion stigma from Mexico City and five states in Mexico.

    Science.gov (United States)

    Sorhaindo, Annik M; Juárez-Ramírez, Clara; Díaz Olavarrieta, Claudia; Aldaz, Evelyn; Mejía Piñeros, María Consuelo; Garcia, Sandra

    2014-01-01

    Social manifestations of abortion stigma depend upon cultural, legal, and religious context. Abortion stigma in Mexico is under-researched. This study explored the sources, experiences, and consequences of stigma from the perspectives of women who had had an abortion, male partners, and members of the general population in different regional and legal contexts. We explored abortion stigma in Mexico City where abortion is legal in the first trimester and five states-Chihuahua, Chiapas, Jalisco, Oaxaca, and Yucatán-where abortion remains restricted. In each state, we conducted three focus groups-men ages 24-40 years (n = 36), women 25-40 years (n = 37), and young women ages 18-24 years (n = 27)-and four in-depth face-to-face interviews in total; two with women (n = 12) and two with the male partners of women who had had an abortion (n = 12). For 4 of the 12 women, this was their second abortion. This exploratory study suggests that abortion stigma was influenced by norms that placed a high value on motherhood and a conservative Catholic discourse. Some participants in this study described abortion as an "indelible mark" on a woman's identity and "divine punishment" as a consequence. Perspectives encountered in Mexico City often differed from the conservative postures in the states.

  11. The Association Between Diabetes Mellitus Among American Indian/Alaska Native Populations with Preterm Birth in Eight US States from 2004-2011.

    Science.gov (United States)

    Dorfman, Haley; Srinath, Meghna; Rockhill, Karilynn; Hogue, Carol

    2015-11-01

    Assess risk of preterm birth associated with diabetes mellitus (DM) among American Indian and Alaska Natives (AI/AN), a population with increased risk of DM and preterm birth, and examine whether this association differed by state of residence. We used surveillance data from the Pregnancy Risk Assessment Monitoring System from 12,400 AI/AN respondents with singleton births in Alaska, Minnesota, Nebraska, New Mexico, Oklahoma, Oregon, Utah, and Washington from 2004-2011. We conducted multivariable logistic regression models to estimate the odds ratio adjusted for maternal age and prepregnancy BMI with all observations and then stratified by state. DM was reported in 5.92 % of the study population and preterm birth occurred in 8.95 % of births. Women with DM had 1.92 times higher odds of having a preterm birth than women without DM [95 % confidence interval (CI) 1.21-2.78]. After stratifying on state, women with DM in Nebraska had the greatest odds of preterm birth [aOR 6.63, (95 % CI 3.80-11.6)] while women in Alaska saw a protective effect from DM [aOR 0.17, (95 % CI 0.07-0.42)] compared to women without DM. Overall, AI/AN women with DM had significantly greater odds of preterm birth compared to AI/AN women without DM across states. Substantial differences in this association between states calls for increased public health efforts in high-risk areas as well as further research to assess whether differences are attributable to diagnosis, reporting, tribal, healthcare or lifestyle factors.

  12. Ergonyms of Educational and Cultural spheres in two of Baltic States cities

    Directory of Open Access Journals (Sweden)

    Solvita Pošeiko

    2014-09-01

    Full Text Available Daugavpils (Latvia and Narva (Estonia are cities in the Baltic States and significant cultural and economic centres of their respective countries. These cities are characterized by a minority of nationals (19.8% of residents of Daugavpils are Latvian, 4% of residents of Narva are Estonian and a similar linguistic situation: there is a dominance of Russian in the press, television and radio, but the state language prevails in the urban language signs. The aim of the study is to analyse the linguistic and extralinguistic means used for the creation of ergonyms of educational and cultural spheres. The main criteria for the analysis are: language choice, grammatical structures, sources of precedent and semantic groups. The data for this study were collected in city websites. Some conclusions: 1 Mixed proper names (the direct name and symbolical name prevail: in Daugavpils there are more mixed names in the field of education, while in Narva there are more mixed names in the culture sphere. Onymization of nomenclature names can be observed. 2 Ergonyms are mostly created in the official language. In Narva, there is explicit use of Russian (directly as the first/second or third language and indirectly – in transliteration. 3 In symbolical names, there are more lexemes representing or characterizing wildlife, while in Narva also the potential of mythology, literature and cinema is used. Denotative precedent is more often found in the names of informal educational institutions and the cultural sphere, connotative precedent – in the names of kindergartens. 4 In general, it must be concluded that the specific things characteristic to the local environment are used more often in Narva, while respecting the unique experience of minorities.

  13. Maternal Pre-pregnancy BMI, Gestational Weight Gain, and Infant Birth Weight: A Within-Family Analysis in the United States

    OpenAIRE

    Ji Yan

    2014-01-01

    In the United States, the high prevalence of unhealthy preconception body weight and inappropriate gestational weight gain among pregnant women is an important public health concern. However, the relationship among pre-pregnancy BMI, gestational weight gain, and newborn birth weight has not been well established. This study uses a very large dataset of sibling births and a within-family design to thoroughly address this issue. The baseline regression controlling for mother fixed effects indic...

  14. Birth Defects in Newborns: Spina Bifida Index at Rio Grande Do Norte State in Brazil

    Directory of Open Access Journals (Sweden)

    Arnaldo CM Junior

    2014-08-01

    Conclusion: Northeast region is the one that has the major incidence of SB in Brazil country, but RN state has a number lower than others states from its region. It was made an update about therapeutic options to minimize the morbidity and mortality in newborn with SB congenital defects. [J Interdiscipl Histopathol 2014; 2(4.000: 217-223

  15. Epidemiology of preterm birth.

    Science.gov (United States)

    Purisch, Stephanie E; Gyamfi-Bannerman, Cynthia

    2017-11-01

    Preterm birth is a worldwide epidemic with a global incidence of 15 million per year. Though rates of preterm birth in the United States have declined over the last decade, nearly 1 in 10 babies is still born preterm. The incidence, gestational age, and underlying etiology of preterm birth is highly variable across different racial and ethnic groups and geographic boundaries. In this article, we review the epidemiology of preterm birth in the United States and globally, with a focus on temporal trends and racial, ethnic, and geographic disparities. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Birds in an urban area of Ipatinga city, Minas Gerais State, Brazil

    Directory of Open Access Journals (Sweden)

    Alan Loures-Ribeiro

    2008-09-01

    Full Text Available The development of urban areas results in changes of natural landscapes, including the creation of several artificial environments. Thus, many animals find new opportunities for survival in these areas. This study aimed to obtain information about the richness, composition, and frequency of occurrence of the trophic guilds of an urban avian community in Ipatinga city, Minas Gerais State, followed by a general description. Between August 2005 and July 2006, 81 days were spent in sampling. From the method of direct observation, 57 species were recorded. The richness estimate for the area was 74.86 species (Chao2. The number of species between rainy and dry periods did not differ (p>0.05. Trophic guilds remained with a ratio of relatively similar species throughout the year, with a predominance of the omnivores and insectivores. Species such as Pitangus sulphuratus, Furnarius rufus and Sicalis flaveola were favored in the open areas. Two exotic species, Columba livia and Passer domesticus, were abundant. These results emphasize the necessity of the existence of natural areas within the urban context, considering not only the protection of the wildlife, but also the improvement of the quality of life in the cities.

  17. VSRR - State and National Provisional Counts for Live Births, Deaths, and Infant Deaths

    Data.gov (United States)

    U.S. Department of Health & Human Services — NOTES: Figures include all revisions received from the states and, therefore, may differ from those previously published. Data are provisional and are subject to...

  18. Spatially varying predictors of teenage birth rates among counties in the United States.

    Science.gov (United States)

    Shoff, Carla; Yang, Tse-Chuan

    2012-09-11

    BACKGROUND: Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation's youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR) across metropolitan and nonmetropolitan areas is important, because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastructure, and policies that could potentially reduce the TBR. OBJECTIVES: The goals of this study are to investigate whether there are spatially varying relationships between the TBR and the independent variables, and if so, whether these associations differ between metropolitan and nonmetropolitan counties. METHODS: We explore the heterogeneity within metropolitan/nonmetropolitan county groups separately using geographically weighted regression (GWR), and investigate the difference between metropolitan/nonmetropolitan counties using spatial regime models with spatial errors. These analyses were applied to county-level data from the National Center for Health Statistics and the US Census Bureau. RESULTS: GWR results suggested that non-stationarity exists in the associations between TBR and determinants within metropolitan/nonmetropolitan groups. The spatial regime analysis indicated that the effect of socioeconomic disadvantage on TBR significantly varied by the metropolitan status of counties. CONCLUSIONS: While the spatially varying relationships between the TBR and independent variables were found within each metropolitan status of counties, only the magnitude of the impact of the socioeconomic disadvantage index is significantly stronger among metropolitan counties than nonmetropolitan counties. Our findings suggested that place-specific policies for the disadvantaged groups in a county could be implemented to reduce TBR in the US.

  19. Spatially varying predictors of teenage birth rates among counties in the United States

    Directory of Open Access Journals (Sweden)

    Carla Shoff

    2012-09-01

    Full Text Available BACKGROUND Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation's youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR across metropolitan and nonmetropolitan areas is important because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastructure, and policies that could potentially reduce the TBR. OBJECTIVE The goals of this study are to investigate whether there are spatially varying relationships between the TBR and the independent variables, and if so, whether these associations differ between metropolitan and nonmetropolitan counties. METHODS We explore the heterogeneity within metropolitan/nonmetropolitan county groups separately using geographically weighted regression (GWR, and investigate the difference between metropolitan/nonmetropolitan counties using spatial regime models with spatial errors. These analyses were applied to county-level data from the National Center for Health Statistics and the US Census Bureau. RESULTS GWR results suggested that non-stationarity exists in the associations between TBR and determinants within metropolitan/nonmetropolitan groups. The spatial regime analysis indicated that the effect of socioeconomic disadvantage on TBR significantly varied by the metropolitan status of counties. CONCLUSIONS While the spatially varying relationships between the TBR and independent variables were found within each metropolitan status of counties, only the magnitude of the impact of the socioeconomic disadvantage index is significantly stronger among metropolitan counties than nonmetropolitan counties. Our findings suggested that place-specific policies for the disadvantaged groups in a county could be implemented to reduce TBR in the US.

  20. Premarital first births: The influence of the timing of sexual onset versus post-onset risks in the United States.

    Science.gov (United States)

    Wu, Lawrence L; Martin, Steven P

    2015-01-01

    Motivated by long-standing debates between abstinence proponents and sceptics, we examine how socio-economic factors influence premarital first births via: (i) age at first sexual intercourse and (ii) the risk of a premarital first birth following the onset of sexual activity. Factors associated with an earlier age at first intercourse will imply more premarital first births owing to increased exposure to risk, but many of these same factors will also be associated with higher risks of a premarital first birth following onset. Our analyses confirm previous findings that women from disadvantaged backgrounds are younger at first intercourse and have higher premarital first-birth risks than women from more advantaged backgrounds. However, differences in onset timing have a strikingly smaller influence on premarital first-birth probabilities than do differences in post-onset risks. Our findings thus suggest that premarital first births result primarily from differences in post-onset risk behaviours as opposed to differences in onset timing.

  1. An mHealth Framework to Improve Birth Outcomes in Benue State, Nigeria: A Study Protocol.

    Science.gov (United States)

    Ezeanolue, Echezona Edozie; Gbadamosi, Semiu Olatunde; Olawepo, John Olajide; Iwelunmor, Juliet; Sarpong, Daniel; Eze, Chuka; Ogidi, Amaka; Patel, Dina; Onoka, Chima

    2017-05-26

    The unprecedented coverage of mobile technology across the globe has led to an increase in the use of mobile health apps and related strategies to make health information available at the point of care. These strategies have the potential to improve birth outcomes, but are limited by the availability of Internet services, especially in resource-limited settings such as Nigeria. Our primary objective is to determine the feasibility of developing an integrated mobile health platform that is able to collect data from community-based programs, embed collected data into a smart card, and read the smart card using a mobile phone-based app without the need for Internet access. Our secondary objectives are to determine (1) the acceptability of the smart card among pregnant women and (2) the usability of the smart card by pregnant women and health facilities in rural Nigeria. We will leverage existing technology to develop a platform that integrates a database, smart card technology, and a mobile phone-based app to read the smart cards. We will recruit 300 pregnant women with one of the three conditions-HIV, hepatitis B virus infection, and sickle cell trait or disease-and four health facilities in their community. We will use Glasgow's Reach, Effectiveness, Adoption, Implementation, and Maintenance framework as a guide to assess the implementation, acceptability, and usability of the mHealth platform. We have recruited four health facilities and 300 pregnant women with at least one of the eligible conditions. Over the course of 3 months, we will complete the development of the mobile health platform and each participant will be offered a smart card; staff in each health facility will receive training on the use of the mobile health platform. Findings from this study could offer a new approach to making health data from pregnant women available at the point of delivery without the need for an Internet connection. This would allow clinicians to implement evidence

  2. Evaluation of the product ratio coherent model in forecasting mortality rates and life expectancy at births by States

    Science.gov (United States)

    Shair, Syazreen Niza; Yusof, Aida Yuzi; Asmuni, Nurin Haniah

    2017-05-01

    Coherent mortality forecasting models have recently received increasing attention particularly in their application to sub-populations. The advantage of coherent models over independent models is the ability to forecast a non-divergent mortality for two or more sub-populations. One of the coherent models was recently developed by [1] known as the product-ratio model. This model is an extension version of the functional independent model from [2]. The product-ratio model has been applied in a developed country, Australia [1] and has been extended in a developing nation, Malaysia [3]. While [3] accounted for coherency of mortality rates between gender and ethnic group, the coherency between states in Malaysia has never been explored. This paper will forecast the mortality rates of Malaysian sub-populations according to states using the product ratio coherent model and its independent version— the functional independent model. The forecast accuracies of two different models are evaluated using the out-of-sample error measurements— the mean absolute forecast error (MAFE) for age-specific death rates and the mean forecast error (MFE) for the life expectancy at birth. We employ Malaysian mortality time series data from 1991 to 2014, segregated by age, gender and states.

  3. Russian Bank Database : Birth and Death, Location, Mergers, Deposit Insurance Participation, State and Foreign Ownership

    NARCIS (Netherlands)

    Karas, A.O.|info:eu-repo/dai/nl/411259393; Vernikov, Andrei

    For every Russian bank we collect records of its registration, license withdrawal, liquidation, location changes, mergers and acquisitions, entrance to and exit from the Deposit Insurance System as well as state and foreign ownership. We describe our sources and the resulting database.

  4. Study of the regional air quality south of Mexico City (Morelos state).

    Science.gov (United States)

    Salcedo, D; Castro, T; Ruiz-Suárez, L G; García-Reynoso, A; Torres-Jardón, R; Torres-Jaramillo, A; Mar-Morales, B E; Salcido, A; Celada, A T; Carreón-Sierra, S; Martínez, A P; Fentanes-Arriaga, O A; Deustúa, E; Ramos-Villegas, R; Retama-Hernández, A; Saavedra, M I; Suárez-Lastra, M

    2012-01-01

    Results from the first study of the regional air quality in Morelos state (located south of Mexico City) are presented. Criteria pollutants concentrations were measured at several sites within Morelos in February and March of 2007 and 2009; meteorological data was also collected along the state for the same time periods; additionally, a coupled meteorology-chemistry model (Mesoscale Climate Chemistry Model, MCCM) was used to gain understanding on the atmospheric processes occurring in the region. In general, concentrations of almost all the monitored pollutants (O(3), NO(x), CO, SO(2), PM) remained below the Mexican air quality standards during the campaign; however, relatively high concentrations of ozone (8-hour average concentrations above the 60 ppb level several times during the campaigns, i.e. exceeding the World Health Organization and the European Union maximum levels) were observed even at sites with very low reported local emissions. In fact, there is evidence that a large percentage of Morelos vegetation was probably exposed to unhealthy ozone levels (estimated AOT40 levels above the 3 ppm h critical limit). The MCCM qualitatively reproduced ozone daily variations in the sites with an urban component; though it consistently overestimated the ozone concentration in all the sites in Morelos. This is probably because the lack of an updated and detailed emission inventory for the state. The main wind patterns in the region corresponded to the mountain-valley system (downslope flows at night and during the first hours of the day, and upslope flows in the afternoon). At times, Morelos was affected by emissions from surrounding states (Distrito Federal or Puebla). The results are indicative of an efficient transport of ozone and its precursors at a regional level. They also suggest that the state is divided in two atmospheric basins by the Sierras de Tepoztlán, Texcal and Monte Negro. Copyright © 2011 Elsevier B.V. All rights reserved.

  5. SECULAR TRENDS AND LATITUDE GRADIENTS IN THE MALE-FEMALE RATIO AT BIRTH IN YUGOSLAVIA AND THE EX-YUGOSLAVIAN STATES

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    Victor Grech

    2013-01-01

    Full Text Available Background: Latitude gradients and secular trends in Europe and North America have been found in the male-female ratio at birth (M/F: male births divided by total births which approximates 0.515. Methods: Annual national data for Yugoslavia and the post-Yugoslavia States for male and female live births were obtained from the World Health Organisation and analysed with contingency tables. Results: This study analysed 22,020,729 live births. There was a increasing trend in M/F prior to the breakup of the former Yugoslavia (1950–1990, p = 0.002, followed by a decreasing trend after 1990 (p = 0.02. A latitude gradient was also noted, with more males being born in southern, warmer latitudes (p < 0.0001. There was an overall excess of 42,753 male births based on an anticipated M/F of 0.515. Conclusion: M/F is decreasing in this region, similar to the rest of Europe and North America. A latitude gradient is also present with more males being born in warmer (more Southern latitudes (p < 0.0001, even in this small region and over the short time-frame studied.

  6. Secular trends and latitude gradients in the male-female ratio at birth in Yugoslavia and the ex-Yugoslavian States.

    Science.gov (United States)

    Grech, Victor

    2013-01-01

    Latitude gradients and secular trends in Europe and North America have been found in the male-female ratio at birth (M/F: male births divided by total births) which approximates 0.515. Annual national data for Yugoslavia and the post-Yugoslavia States for male and female live births were obtained from the World Health Organisation and analysed with contingency tables. This study analysed 22,020,729 live births. There was a increasing trend in M/F prior to the breakup of the former Yugoslavia (1950-1990, p = 0.002), followed by a decreasing trend after 1990 (p = 0.02). A latitude gradient was also noted, with more males being born in southern, warmer latitudes (p < 0.0001). There was an overall excess of 42,753 male births based on an anticipated M/F of 0.515. M/F is decreasing in this region, similar to the rest of Europe and North America. A latitude gradient is also present with more males being born in warmer (more Southern) latitudes (p < 0.0001), even in this small region and over the short time-frame studied.

  7. Secular Trends and Latitude Gradients in Sex Ratios at Birth in Czechoslovakia and the Post-Czechoslovakian States

    Directory of Open Access Journals (Sweden)

    Victor Grech

    2012-01-01

    Full Text Available Latitude gradients and secular trends in Europe and North America have been found in the male-female ratio at birth (M/F: male births divided by total births which is expected to be 0.515. Annual national data for Czechoslovakia and the post-Czechoslovakian (Czech Republic and Slovakia countries for male and female live births were obtained from the World Health Organisation and analysed with contingency tables. This study analysed 13,123,538 live births. An overall decreasing trend in M/F was found (p < 00001. No latitude gradient was noted. There was an overall deficit of 15,232 male births based on an M/F of 0.515. M/F is declining in this region, despite well developing economies that have resisted the worldwide slowdown. An interplay of several poorly understood factors is likely.

  8. Water availability and vulnerability of 225 large cities in the United States

    Science.gov (United States)

    Padowski, Julie C.; Jawitz, James W.

    2012-12-01

    This study presents a quantitative national assessment of urban water availability and vulnerability for 225 U.S. cities with population greater than 100,000. Here, the urban assessments account for not only renewable water flows, but also the extracted, imported, and stored water that urban systems access through constructed infrastructure. These sources represent important hydraulic components of the urban water supply, yet are typically excluded from water scarcity assessments. Results from this hydraulic-based assessment were compared to those obtained using a more conventional method that estimates scarcity solely based on local renewable flows. The inclusion of hydraulic components increased the mean availability to cities, leading to a significantly lower portion of the total U.S. population considered "at risk" for water scarcity (17%) than that obtained from the runoff method (47%). Water vulnerability was determined based on low-flow conditions, and smaller differences were found for this metric between at-risk populations using the runoff (66%) and hydraulic-based (54%) methods. The large increase in the susceptible population between the scarcity measures evaluated using the hydraulic method may better reconcile the seeming contradiction in the United States between perceptions of natural water abundance and widespread water scarcity. Additionally, urban vulnerability measures developed here were validated using a media text analysis. Vulnerability assessments that included hydraulic components were found to correlate with the frequency of urban water scarcity reports in the popular press while runoff-based measures showed no significant correlation, suggesting that hydraulic-based assessments provide better context for understanding the nature and severity of urban water scarcity issues.

  9. Resettlement and Birth Rates

    African Journals Online (AJOL)

    GB

    effect on mothers' age at first birth (p < 0.001), the number of children born within the five years of the survey (p<0.001), and the total number of ... approach that compares reported numbers of births for settlers and non-settlers in ... 1Department of Geography, Sonoma State University, USA. 2. Department of Epidemiology ...

  10. Nutritional state and dietary practices of gym members in the city of Aracaju, Sergipe

    Directory of Open Access Journals (Sweden)

    Adriana Silva Matos

    2011-01-01

    Full Text Available Currently there is growing media and society pressure on the cult of the perfect body. This often leads adolescents and young adults to adopt restrictive diets and dietary practices that are questionable from the health point of view. The aim of this study was to evaluate the nutritional state and dietary practices adopted by 712 individuals who carry out physical activities in seven fitness centers in the city of Aracaju. We used a semi-structured interview asking the number of daily meals, diet adoption and type and source of orientation. Weight and height were self-reported. Body mass index (BMI data of the participants were inconsistent with their physical conditions, invalidating recall technique for these measurements and for the classification of the nutritional state of this population. Out of the total 22% of the members claimed to adopt some kind of dieting alongside the physical activity. Out of these, 90.38% were hypocaloric diets. Only 26.14% of the dieters had indication from a professional nutritionist, whereas 73.85% had indication from non-recommended sources. Ninety-five percent of the informants exercised at least 3 times a week and 56% had 4 to 5 meals a day. The data show preoccupation with eating patterns and dieting, suggesting the need for nutritional education programs and diet changes monitored by professionals.

  11. Parental Country of Birth and Childhood Vaccination Uptake in Washington State.

    Science.gov (United States)

    Wolf, Elizabeth; Rowhani-Rahbar, Ali; Tasslimi, Azadeh; Matheson, Jasmine; DeBolt, Chas

    2016-07-01

    Underimmunization of certain immigrant populations can place them at high risk of experiencing vaccine-preventable disease outbreaks. We conducted a retrospective cohort study between January 1, 2008, and May 1, 2013, among children included in the Washington State Immunization Information System. We assessed receipt of 1 or more doses of measles-containing, hepatitis A, pneumococcal, and diphtheria-tetanus-acellular pertussis-containing vaccines between 12 and 23 months of age. We compared children with 1 or more parents born in Somalia, Ukraine, Russia, Mexico, or India to children with 2 parents born in the United States. Poisson regression models with robust SEs were used to provide prevalence ratios adjusted for maternal education and number of prenatal visits. We identified 277 098 children, including 65 466 with foreign-born parents. Children of Somali-born parents were less likely to be immunized against measles than children of US-born parents (prevalence ratio: 0.82; 95% confidence interval: 0.80-0.84); this decrease became more pronounced over time (P < .01). No such disparity between these groups was observed with other vaccines. Compared with children of US-born parents, children of Ukrainian-born and Russian-born parents were less likely to be immunized, whereas children of Mexican-born and Indian-born parents were more likely to be immunized with any of the specified vaccines. We found country-specific patterns of immunization that may reflect underlying cultural or other beliefs. Certain immigrant communities with higher rates of immunization refusal may be at risk for vaccine-preventable diseases and require new forms of public health outreach. Copyright © 2016 by the American Academy of Pediatrics.

  12. Rural and Small-City Elderly. An Information Paper. United States Senate, 98th Congress, 2d Session.

    Science.gov (United States)

    Pressler, Larry; Swenson, Diane

    Responses from 27 State offices on aging revealed 8 recurring problems of rural and small-town elderly: a need for a uniform legislative definition of rural; the need for a complete rural strategy to reverse discrimination against rural and small-city elderly; a need to streamline Federal regulations; the need for changes in the Older Americans…

  13. An Analysis and Critique of the Comptroller's Report "A Survey of School System Characteristics in 22 United States Cities."

    Science.gov (United States)

    New York City Board of Education, Brooklyn, NY. Office of the Deputy Chancellor.

    In criticizing the New York City Comptroller's Report on selected school systems in the United States, this analysis cites methodological errors in the design and execution of that work which, it is indicated here, invalidate many of the conclusions reached therein. According to this critique, the Comptroller's Report possessed a conceptually weak…

  14. The Cebu State College of Science and Technology, College of Agriculture Herbarium, Lahug, Cebu City, The Philippines

    NARCIS (Netherlands)

    Bout, I.E.

    1992-01-01

    Recognizing the vital role that a herbarium plays in instruction, research, and public service, the Cebu State College of Science and Technology College of Agriculture (CSCSTCA) in Lahug, Cebu City, the Philippines, founded a herbarium in June 1987. It is a very humble scientific project of the

  15. MONODOMINANCE CHARACTERIZATION OF AROEIRA (Myracrodruon urundeuva Fr. All. IN THE CITY OF TUMIRITINGA, MINAS GERAIS STATE

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    Felipe Pinho de Oliveira

    2014-06-01

    Full Text Available http://dx.doi.org/10.5902/1980509814568Myracrodruon urundeuva Fr.All. forest species is scientifically recognized by the set of ecological and utilitarian features that characterize it as a “noble” species of the Brazilian flora. Although the species has appeared since 1992, until the present dayit has been in the list of species of the endangered Brazilian flora, the same behavior manifests monodominant behavior in some regions of Minas Gerais state, especially in the central Rio Doce area. Many studies have been conducted in order to describe and understand monodominated tropical forests. However, there is not so much information that clarifies the structure of forest fragments mono-dominated by Myracrodruon urundeuva. In this context, this study aimed to: a characterize parameters through floristic, phytosociological and parametric to the monodominance of Myracrodruon urundeuvain in the city of Tumiritinga, MG; b estimate the biomass and carbon stocks accumulated in these environments; c characterize the stage of regeneration of forest fragments mono-dominated by aroeira in Tumiritinga, in MG state based on the resolution 392 from CONAMA; d evaluate the correlation between canopy cover and stage of regeneration in fragmentes mono-dominated by aroeira. We randomly sampled 16 plots of400m² around the city of Tumiritinga, representing 6.400m² of “Aroeirais” that were sampled. The diversity analysis of the mono-dominated fragments that were studied showed Shannon-Weaver index equal to 0.25. Myracrodruon urundeuva represented 96% of the 678 sampled individuals, 96% of total basal area measured and 96% of the total volume stored in the inventory plots. In addition to the species Myracrodruon urundeuva, the floristic study showed only 10 other forest species representing even plant families. The estimates of aroeira biomass reached the average value of 81 m3.ha-1 of wood volume, 62.8 MgB.Ha-1, 35.2 MgC.ha-1 and 129.1 MgCO2.ha-1. The

  16. Breech birth

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000623.htm Breech birth To use the sharing features on this page, ... safer for your baby to pass through the birth canal. In the last weeks of pregnancy, your ...

  17. Prevalence of Hospitalized Live Births Affected by Alcohol and Drugs and Parturient Women Diagnosed with Substance Abuse at Liveborn Delivery: United States, 1999–2008

    Science.gov (United States)

    Pan, I-Jen; Yi, Hsiao-ye

    2015-01-01

    Objective To describe prevalence trends in hospitalized live births affected by placental transmission of alcohol and drugs, as well as prevalence trends among parturient women hospitalized for liveborn delivery and diagnosed with substance abuse problems in the United States from 1999 to 2008. Comparison of the two sets of trends helps determine whether the observed changes in neonatal problems over time were caused by shifts in maternal substance abuse problems. Methods This study independently identified hospitalized live births and maternal live born deliveries from discharge records in the Nationwide Inpatient Sample, one of the largest hospital administrative databases. Substance-related diagnosis codes on the records were used to identify live births affected by alcohol and drugs and parturient women with substance abuse problems. The analysis calculated prevalence differences and percentage changes over the 10 years, with Loess curves fitted to 10-year prevalence estimates to depict trend patterns. Linear and quadratic trends in prevalence were simultaneously tested using logistic regression analyses. The study also examined data on costs, primary expected payer, and length of hospital stays. Results From 1999 to 2008, prevalence increased for narcotic- and hallucinogen-affected live births and neonatal drug withdrawal syndrome but decreased for alcohol- and cocaine-affected live births. Maternal substance abuse at delivery showed similar trends, but prevalence of alcohol abuse remained relatively stable. Substance-affected live births required longer hospital stays and higher medical expenses, mostly billable to Medicaid. Conclusions The findings highlight the urgent need for behavioral intervention and early treatment for substance-abusing pregnant women to reduce the number of substance-affected live births. PMID:22688539

  18. Prevalence of hospitalized live births affected by alcohol and drugs and parturient women diagnosed with substance abuse at liveborn delivery: United States, 1999-2008.

    Science.gov (United States)

    Pan, I-Jen; Yi, Hsiao-ye

    2013-05-01

    To describe prevalence trends in hospitalized live births affected by placental transmission of alcohol and drugs, as well as prevalence trends among parturient women hospitalized for liveborn delivery and diagnosed with substance abuse problems in the United States from 1999 to 2008. Comparison of the two sets of trends helps determine whether the observed changes in neonatal problems over time were caused by shifts in maternal substance abuse problems. This study independently identified hospitalized live births and maternal live born deliveries from discharge records in the Nationwide Inpatient Sample, one of the largest hospital administrative databases. Substance-related diagnosis codes on the records were used to identify live births affected by alcohol and drugs and parturient women with substance abuse problems. The analysis calculated prevalence differences and percentage changes over the 10 years, with Loess curves fitted to 10-year prevalence estimates to depict trend patterns. Linear and quadratic trends in prevalence were simultaneously tested using logistic regression analyses. The study also examined data on costs, primary expected payer, and length of hospital stays. From 1999 to 2008, prevalence increased for narcotic- and hallucinogen-affected live births and neonatal drug withdrawal syndrome but decreased for alcohol- and cocaine-affected live births. Maternal substance abuse at delivery showed similar trends, but prevalence of alcohol abuse remained relatively stable. Substance-affected live births required longer hospital stays and higher medical expenses, mostly billable to Medicaid. The findings highlight the urgent need for behavioral intervention and early treatment for substance-abusing pregnant women to reduce the number of substance-affected live births.

  19. Perfil de nascimentos no Município do Rio de Janeiro: uma análise espacial Birth profile for the city of Rio de Janeiro: a spatial analysis

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    Eleonora d'Orsi

    1998-04-01

    Full Text Available Neste artigo analisou-se o perfil de nascimentos por bairros do Município do Rio de Janeiro, utilizando-se os dados do Sistema de Informações sobre Nascidos Vivos de 1994. Foram empregados mapas de padrão e o teste estatístico I de Moran para detecção de cluster espacial. As proporções de nascidos vivos com Apgar entre oito e dez, de cesáreas, de mães com escolaridade acima de segundo grau e de mães adolescentes apresentaram padrão espacial visualmente identificável e autocorrelação espacial significativa. O baixo peso apresentou padrão espacial aleatório, demonstrando que, nesta escala de análise, este indicador não discrimina grupos de risco, apesar do seu inquestionável valor preditivo para morbi-mortalidade infantil em nível individual. O Apgar, apesar do elevado número de não-resposta em alguns bairros, apresenta padrão mais consistente com a distribuição dos bairros, devendo, por isso, ser mais utilizado. Esta metodologia permitiu aprofundar o conhecimento sobre o perfil de nascimentos no Município, apresentando potencial no direcionamento de ações voltadas para áreas específicas.This article analyzes the birth profile by neighborhood in the city of Rio de Janeiro, using data for 1994 from the Data Base on Live Births. Pattern maps were employed in addition to the Moran I statistical test to detect spatial clustering. Proportions of live newborns with an Apgar score of 8-10, cesareans, mothers with greater than a secondary school education, and teenage mothers displayed visually identifiable spatial patterns and significant spatial self-correlation. Low birth weight displayed a random pattern, indicating that on this scale of analysis, this indicator does not distinguish risk groups, despite its unquestionable predictive value for child morbidity/mortality at the individual level. The Apgar score, despite the high number of non-responses in some neighborhoods, showed a pattern more consistent with the

  20. Prevalence of hypothyroidism in pregnancy: An epidemiological study from 11 cities in 9 states of India

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    Dinesh Kumar Dhanwal

    2016-01-01

    Full Text Available Background: A previous hospital based study from Delhi revealed a high prevalence of hypothyroidism in pregnant women. Several other studies with small sample size also indicate a rising trend of prevalence of hypothyroidism during pregnancy in India. Objective: To assess prevalence of hypothyroidism in pregnant women from various states/cities across India. Materials and Methods: This was a cross-sectional multicenter study conducted at Allahabad (Uttar Pradesh, Bengaluru (Karnataka, Chennai (Tamil Nadu, Kolkata (West Bengal, Hyderabad (Telangana, Nasik (Maharashtra, Rohtak (Haryana, Pune (Maharashtra, New Delhi (Delhi, Srinagar (Kashmir, and Vizag (Andhra Pradesh enrolling 2599 pregnant women. Estimation of thyroid stimulating hormone (TSH, free T4, and antithyroid peroxidase (TPO antibodies was carried out using Roche modular kit using ECLIA technology in a central laboratory. Results: We found in our study population that 13.13% of pregnant women have hypothyroidism (n = 388, using a cutoff TSH level of 4.5 μIU/ml. This prevalence was much higher using the American Thyroid Association criteria. Anti-TPO antibodies were positive in 20.74% of all pregnant women (n = 613, whereas 40% (n = 155 of hypothyroid pregnant women were positive for anti-TPO antibodies. Conclusion: This study concludes that there is a high prevalence of hypothyroidism (13.13%, majority being subclinical in pregnant women during the first trimester from India and universal screening of hypothyroidism may be desirable in our country.

  1. Knowledge of Abortion Laws and Services Among Low-Income Women in Three United States Cities.

    Science.gov (United States)

    Lara, Diana; Holt, Kelsey; Peña, Melanie; Grossman, Daniel

    2015-12-01

    Low-income women and women of color are disproportionately affected by unintended pregnancy. Lack of knowledge of abortion laws and services is one of several factors likely to hinder access to services, though little research has documented knowledge in this population. Survey with convenience sample of 1,262 women attending primary care or full-scope Ob/Gyn clinics serving low-income populations in three large cities and multivariable analyses with four knowledge outcomes. Among all participants, 53% were first-generation immigrants, 25% identified the correct gestational age limit, 41% identified state parental consent laws, 67% knew partner consent is not required, and 55% knew where to obtain abortion services. In multivariable analysis, first-generation immigrants and primarily Spanish speakers were significantly less likely than higher-generation or primarily English speakers to display correct knowledge. Design and evaluation of strategies to improve knowledge about abortion, particularly among migrant women and non-primary English speakers, is needed.

  2. Convergence of microclimate in residential landscapes across diverse cities in the United States

    Science.gov (United States)

    Sharon J. Hall; J. Learned; B. Ruddell; K.L. Larson; J. Cavender-Bares; N. Bettez; P.M. Groffman; Morgan Grove; J.B. Heffernan; S.E. Hobbie; J.L. Morse; C. Neill; K.C. Nelson; Jarlath O' Neil-Dunne; L. Ogden; D.E. Pataki; W.D. Pearse; C. Polsky; R. Roy Chowdhury; M.K. Steele; T.L.E. Trammell

    2016-01-01

    The urban heat island (UHI) is a well-documented pattern of warming in cities relative to rural areas. Most UHI research utilizes remote sensing methods at large scales, or climate sensors in single cities surrounded by standardized land cover. Relatively few studies have explored continental-scale climatic patterns within common urban microenvironments such as...

  3. The effect of air pollutants on birth weight in medium-sized towns in the state of São Paulo

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    Veridiana de Paula Santos

    2014-12-01

    Full Text Available OBJECTIVE: To investigate the effect of air pollution on birth weight in a medium-sized town in the State of São Paulo, Southeast Brazil.METHODS: Cross-sectional study using data from live births of mothers residing in São José dos Campos from 2005 to 2009. Data was obtained from the Department of Information and Computing of the Brazilian Unified Health System. Air pollutant data (PM10, SO2, and O3 and daily averages of their concentrations were obtained from the Environmental Sanitation & Technology Company. Statistical analysis was performed by linear and logistic regressions using the Excel and STATA v.7 software programs.RESULTS: Maternal exposure to air pollutants was not associated with low birth weight, with the exception of exposure to SO2 within the last month of pregnancy (OR=1.25; 95% CI=1.00-1.56. Maternal exposure to PM10 and SO2 during the last month of pregnancy led to lower weight at birth (0.28g and 3.15g, respectively for each 1mg/m3 increase in the concentration of these pollutants, but without statistical significance.CONCLUSIONS: This study failed to identify a statistically significant association between the levels of air pollutants and birth weight, with the exception of exposure to SO2 within the last month of pregnancy.

  4. Determinants of cord care practices among mothers in Benin City, Edo State, Nigeria.

    Science.gov (United States)

    Abhulimhen-Iyoha, B I; Ibadin, M O

    2012-01-01

    Mothers care for their infants' umbilical cord stump in various ways. Different cord care practices have been documented; some are beneficial while others are harmful. Who and what influence the cord care practiced by mothers have, however, not been fully explored particularly in the study locale. The objective of this study was to determine the factors that influence cord care practices among mothers in Benin City. The study subjects included 497 mothers who brought their babies to Well Baby/Immunization Clinic at the University of Benin Teaching Hospital (UBTH), Benin City, Edo State, between July and August 2009. A structured questionnaire served as an instrument to extract information on their biodata and possible determinants of cord care practices. Significantly older women (P=0.023), educated mothers (P=0.029), and those who had male babies (P=0.013) practiced beneficial cord stump care practices. Beneficial cord care practice increased with increasing maternal educational status. The best predictors of beneficial cord care practices are maternal level of education (P=0.029) and infant's sex (P=0.013). The use of harmful cord care practices was more common among mothers who delivered outside the Teaching hospitals. Most (71.2%) of the mothers were aware of hygienic/beneficial cord care. The choices of cord care methods eventually practiced by mothers were influenced mainly by the disposition of nurses (51.3%), participants' mothers (32.0%), and their mothers-in-law (5.8%). There was no significant relationship between cord care practice on one hand and maternal parity, tribe, and socioeconomic classes on the other. The need for female education is again emphasized. The current findings strongly justify the need for public enlightenment programs, using the mass media and health talks in health facilities, targeting not only women of reproductive age but also secondary audience like their mothers, mothers-in-law, nurses, and attendants at health facilities

  5. Toward a Multi-City Framework for Urban GHG Estimation in the United States: Methods, Uncertainties, and Future Goals

    Science.gov (United States)

    Mueller, K. L.; Callahan, W.; Davis, K. J.; Dickerson, R. R.; Duren, R. M.; Gurney, K. R.; Karion, A.; Keeling, R. F.; Kim, J.; Lauvaux, T.; Miller, C. E.; Shepson, P. B.; Turnbull, J. C.; Weiss, R. F.; Whetstone, J. R.

    2017-12-01

    City and State governments are increasingly interested in mitigating greenhouse gas (GHG) emissions to improve sustainability within their jurisdictions. Estimation of urban GHG emissions remains an active research area with many sources of uncertainty. To support the effort of improving measurement of trace gas emissions in city environments, several federal agencies along with academic, research, and private entities have been working within a handful of domestic metropolitan areas to improve both (1) the assessment of GHG emissions accuracy using a variety of measurement technologies, and (2) the tools that can better assess GHG inventory data at urban mitigation scales based upon these measurements. The National Institute of Standards and Technology (NIST) activities have focused on three areas, or testbeds: Indianapolis (INFLUX experiment), Los Angeles (the LA Megacities project), and the Northeastern Corridor areas encompassing Washington and Baltimore (the NEC/BW GHG Measurements project). These cities represent diverse meteorological, terrain, demographic, and emissions characteristics having a broad range of complexities. To date this research has involved multiple measurement systems and integrated observing approaches, all aimed at advancing development of a robust, science-base upon which higher accuracy quantification approaches can rest. Progress toward such scientifically robust, widely-accepted emissions quantification methods will rely upon continuous performance assessment. Such assessment is challenged by the complexities of cities themselves (e.g., population, urban form) along with the many variables impacting a city's technological ability to estimate its GHG emissions (e.g., meteorology, density of observations). We present the different NIST testbeds and a proposal to initiate conceptual development of a reference framework supporting the comparison of multi-city GHG emissions estimates. Such a reference framework has potential to provide

  6. Influenza and Pneumonia Mortality in 66 Large Cities in the United States in Years Surrounding the 1918 Pandemic

    Science.gov (United States)

    Acuna-Soto, Rodolfo; Viboud, Cécile; Chowell, Gerardo

    2011-01-01

    The 1918 influenza pandemic was a major epidemiological event of the twentieth century resulting in at least twenty million deaths worldwide; however, despite its historical, epidemiological, and biological relevance, it remains poorly understood. Here we examine the relationship between annual pneumonia and influenza death rates in the pre-pandemic (1910–17) and pandemic (1918–20) periods and the scaling of mortality with latitude, longitude and population size, using data from 66 large cities of the United States. The mean pre-pandemic pneumonia death rates were highly associated with pneumonia death rates during the pandemic period (Spearman ρ = 0.64–0.72; Pcities experienced worst outcomes during the pandemic. A linear relationship was observed for all other years. Our study suggests that mortality associated with the 1918–20 influenza pandemic was in part predetermined by pre-pandemic pneumonia death rates in 66 large US cities, perhaps through the impact of the physical and social structure of each city. Smaller cities suffered a disproportionately high per capita influenza mortality burden than larger ones in 1918, while city size did not affect pneumonia mortality rates in the pre-pandemic and pandemic periods. PMID:21886792

  7. VSRR - Provisional monthly and 12-month ending number of live births, deaths and infant deaths: United States

    Data.gov (United States)

    U.S. Department of Health & Human Services — https://www.cdc.gov/nchs/products/vsrr/provisional-tables.htm Monthly and 12 month-ending provisional counts of births, deaths and infant deaths are provided for the...

  8. Determinants of preterm birth: Pelotas, Rio Grande do Sul State, Brazil, 2004 birth cohort Determinantes de nascimento pré-termo na coorte de nascimentos de 2004, Pelotas, Rio Grande do Sul, Brasil

    Directory of Open Access Journals (Sweden)

    Mariângela F. Silveira

    2010-01-01

    Full Text Available Prematurity is a leading cause of neonatal mortality and a global health problem that affects high, middle and low-income countries. Several factors may increase the risk of preterm birth. In this article, we test the hypothesis that different risk factors determine preterm birth in different income groups by investigating whether risk factors for preterm deliveries in the 2004 Pelotas (Rio Grande do Sul State, Brazil birth cohort vary among those groups. A total of 4,142 women were included in the analysis. Preterm births were equally common among women who had spontaneous vaginal deliveries as for those with induced or operative births. In the multivariate analysis the factors that remained significantly associated with preterm birth were black skin color, low education, poverty, young maternal age, primiparity, previous preterm birth, inadequacy of prenatal care and reported hypertension. In the analyses repeated after stratification by family income terciles, there was no evidence of effect modification by income and no clear difference between the socioeconomic groups. No association between cesarean section and preterm delivery was found. Further studies are required to understand the causes of the epidemic of preterm births in Brazil.A prematuridade é uma grande causa de morte neonatal e um problema de saúde global, afetando países de alta, média e baixa renda. Vários fatores podem aumentar o risco de parto pré-termo. Neste artigo, testamos a hipótese de que diferentes fatores de risco determinem o parto pré-termo em diferentes grupos de renda, investigando como fatores de risco para prematuridade na coorte de nascimentos de 2004 de Pelotas, Rio Grande do Sul, Brasil, variam entre estes grupos. Foram incluídas na análise 4.142 mulheres. Os nascimentos pretermo foram igualmente comuns entre mulheres com partos vaginais e com partos induzidos ou cesáreas. Na análise multivariada, a cor negra, baixa educação, baixa renda, idade

  9. Prevention of birth defects in the pre-conception period: knowledge and practice of health care professionals (nurses and doctors in a city of Southern Brazil

    Directory of Open Access Journals (Sweden)

    Flávia Romariz Ferreira

    2015-10-01

    Full Text Available Background: Some congenital defects can be prevented in the pregestational stage. However, many health professionals are not prepared to provide counselling to couples regarding the same. Objective: This study aimed to assess the performance of doctors and nurses from a primary health-care unit in Florianopolis, Brazil, in preventing birth defects in the preconception period based on the recommendations of the Control Center of Disease Prevention. Materials and Methods: This descriptive cross sectional study was performed at a tertiary referral center. In this study, a semi-structured questionnaire was provided to 160 health professionals comprising doctors and nurses who were actively involved in providing primary health care in family health programs. The non-parametric Chi-square (χ2 test was used to analyse the data obtained through multiple choice questions. Results: Our results showed that although 81.9% of health professionals provided health-care assistance based on protocols, and only 46.2% professionals were aware of the presence of the topic in the protocol. Of the recommendations provided by the Control Center of Disease Prevention, the use of folic acid was the most prescribed. However, this prescription was not statistically different between nurses and doctors (P=0.85. Conclusion: This study identified the fragile nature in these professional’s knowledge about the prevention of birth defects in pre-conception period, as evidenced by the inconsistency in their responses.

  10. Tuberculosis recurrence in a priority city in the state of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Amadeu Antonio Vieira

    Full Text Available ABSTRACT Objective: To describe cases of tuberculosis recurrence (TBR, stratified by temporal classification (early or late TBR, and to identify possible predictors of such recurrence. Methods: This was an analytical retrospective observational epidemiological study involving a cohort of 963 new cases of pulmonary tuberculosis, reported and treated via the Tuberculosis Control Program in the city of Carapicuíba, Brazil. The study period was from 2000 to 2010. All of the pulmonary tuberculosis patients who successfully completed the treatment (with or without confirmation of cure were selected and followed until December 31, 2012. Results: Of the 963 cases, TBR occurred in 47 (4.88%. The mean time between the first and second tuberculosis episodes was 36.12 months. Of the 47 TBR cases, 16 (34.04% occurred within the first 18 months after the completion of the initial treatment (early TBR and 31 (65.96% occurred thereafter (late TBR. There were statistically significant differences between the early and late TBR groups only regarding level of education (≤ 3 vs. > 3 years of schooling; p < 0.004 and weight gain at completion of the initial treatment (1.78 kg vs. 5.31 kg; p < 0.045-not regarding any of the other variables studied. Conclusions: A low level of education might translate to poor treatment adherence, which impedes the killing of bacilli and facilitates their survival in a latent state, making it appear as if the treatment was effective. Minimal or no weight gain at completion of the initial treatment might be a reliable biomarker to be used by health care facilities that provide tuberculosis treatment.

  11. The United States Army and Large Cities Prior to the Global War on Terror

    Science.gov (United States)

    2013-05-23

    of the U.S. Government has provided guidelines to the force for operations in large cities. The frequency with which those strategists and...civilization and these ideas are reducing earth to a brain. See how by telegraph and steam…the earth is anthropized,” meaning that cities are merely a...88Stephanie Kern, "Japan’s Killer Quake ," in NOVA, ed. Alan Ritsko (London, UK: PBS, 2011). 23

  12. Ground-based and aircraft measurements of volatile organic compounds in United States and Mexico City urban atmospheres

    Science.gov (United States)

    Baker, Angela K.

    This study presents measurements made from ground-based samples collected in 28 cities in the United States and in Mexico City, as well as data from aircraft measurements made of outflow from these urban areas. Urban samples are used to identify and quantify the major volatile organic compounds (VOCs) present in the cities studied, while aircraft samples are used for comparison and to examine both local and transported pollutants. Between 1999 and 2005 whole air canister samples were collected in 28 United States cities during the summertime (August/September) and in 8 cities during November, February and May. Samples were analyzed for methane, carbon monoxide (CO), NMHCs and halocarbons. Mixing ratios of NMHCs exhibited high inter- and intra-city variability, so ratios of individual NMHCs to CO, a combustion tracer, were examined to facilitate comparison between cities. Most NMHCs were found to have correlation coefficients (r2 ) greater than 0.6, highlighting the influence of vehicular emissions on NMHC mixing ratios. Notable exceptions were the C2-C 4 alkanes, which generally had poor correlations with CO. Mixing ratios of halocarbons regulated by the Montreal Protocol highlighted the success of regulatory efforts in the United States, while measurements of unregulated species identified strong urban sources. In Mexico City samples were collected at two fixed sites (T0 and T1) and throughout the central urban area. The T0 site was at an urban/industrial location while T1 was a suburban location. All samples were analyzed for methane, CO, NMHCs, halocarbons and alkyl nitrates. The most abundant NMHC at all sites was propane, the major component of liquefied petroleum gas (LPG). For nearly all species, mixing ratios were the greatest at the T0 site, where mean values of many NMHCs were in excess of 10 ppbv and where halocarbons were up to an order of magnitude greater than background values. Simple calculations of OH loss frequencies at each site show ethene and

  13. Violence-related firearm deaths among residents of metropolitan areas and cities---United States, 2006--2007.

    Science.gov (United States)

    2011-05-13

    Violence-related firearm deaths remain an important public health concern in the United States. During 2006--2007, a total of 25,423 firearm homicides and 34,235 firearm suicides occurred among U.S. residents. These national totals include 4,166 firearm homicides and 1,446 firearm suicides among youths aged 10--19 years; the rate of firearm homicides among youths slightly exceeded the rate among persons of all ages. This report presents statistics on firearm homicides and firearm suicides for major metropolitan areas and cities, with an emphasis on youths aged 10--19 years in recognition of the importance of early prevention efforts. It integrates analyses conducted by CDC in response to requests for detailed information, arising from a heightened focus on urban violence by the media, the public, and policymakers over the past year. Firearm homicides and suicides and annual rates were tabulated for the 50 largest U.S. metropolitan statistical areas (MSAs) and their central cities for 2006--2007, using data from the National Vital Statistics System and the U.S. Census Bureau. Firearm homicide rates in approximately two thirds of the MSAs exceeded the national rate, and 86% of cities had rates higher than those of their MSAs. The youth firearm homicide rate exceeded the all-ages rate in 80% of the MSAs and in 88% of the cities. Firearm suicide rates in just over half of the MSAs were below the national rate, and 55% of cities had rates below those of their MSAs. Youth firearm suicide rates in the MSAs and cities were collectively low compared with all-ages rates. Such variations in firearm homicide and firearm suicide rates, with respect to both urbanization and age, should be considered in the continuing development of prevention programs directed at reducing firearm violence.

  14. Black:White disparities in lung cancer mortality in the 50 largest cities in the United States.

    Science.gov (United States)

    Hunt, Bijou; Balachandran, Banujan

    2015-12-01

    This paper presents race-specific lung cancer mortality rates and the corresponding rate ratios for the 50 largest U.S. cities for the 5-year intervals 1990-1994 and 2005-2009. The 50 largest cities in the U.S. were the units of analysis. Numerator data were abstracted from national death files where the cause was malignant neoplasms of trachea, bronchus, and lung (lung cancer) (ICD-9=162 and ICD-10=C33-C34). Population-based denominators were obtained from the U.S. Census Bureau for 1990, 2000, and 2010. To measure the racial disparity, we calculated non-Hispanic Black:non-Hispanic White rate ratios (RRs) and confidence intervals for each 5-year period. We calculated correlation coefficients for 12 ecological variables and the RRs. At the final time point (2005-2009), 15RRs were less than 1, but only 8 significantly so while 29RRs were greater than 1, 16 of them significantly so. Of the 45 cities included in the analysis, 21 saw an increase in the Black:White RR between the first and second time points. Measures of socioeconomic status (SES) and inequalities therein were found to be associated with the RRs. This analysis revealed large disparities in Black:White lung cancer mortality in the U.S. and many of its largest cities during the period 1990-2009. The data demonstrate considerable variation in the degree of disparity across cities, even among cities within the same state. These data can inform and motivate local health officials to implement targeted prevention and treatment strategies where they are needed most, ultimately contributing to a reduction in the disparity in lung cancer mortality rates. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Stated preference analysis for new public transport in a medium-sized asian city: A case study in Malang, Indonesia

    OpenAIRE

    坂東, 徹; Bando, Tetsu; 福田, 大輔; FUKUDA, DAISUKE

    2015-01-01

    This study analyzes citizens' travel choice behavior in a medium-sized Southeast Asian city to observe their intention to use new public transport. We selected Malang in Indonesia as a case study. A travel behavior and intention survey including stated preference questions was conducted with university students. The results of the latent-class model of commute mode choices show that respondents could be divided into “cost and delay time” and “travel and access time” oriented classes. Responde...

  16. Evaluation of the clinical risk index in very low birth weight newborns at a public tertiary maternity in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Pedro Alexandre Breuel

    2007-12-01

    Full Text Available Objective: To evaluate the clinical risk index in very low birthweight newborns at a public maternity hospital, its associationwith mortality, some selected neonatal respiratory diseases andsurfactant therapy. Methods: A cohort prospective study carriedout at the Hospital Municipal Vila Nova Cachoeirinha e MaternidadeEscola, in São Paulo, Brazil. All newborns with gestational age< 31 weeks and birth weight < 1500 g were evaluated for theapplication of the clinical risk index for babies (CRIB. Newbornswho died in the first 12 hours of life or were referred from othermaternities were excluded from this study. Statistical analysesused logistic regression, Spearman correlation test and Student’st test. Results: Seventy-one cases were studied. The meangestational age was 27.30 ± 2.61 weeks; the mean weight was1032.61 ± 280.62 g. Birth weight and gestational age showedbetter predictive values for neonatal mortality than the clinicalrisk index for babies (80.30%, 76.10%, 73.20%. Twins showed nosignificant index differences (t = 0.601; p = 0.748. The scorewas inversely related to Apgar scores at 1 and 5 minutes and wasassociated with the respiratory distress syndrome, pneumothoraxand the use of surfactants. There was no significant correlation withchronic lung disease. Conclusion: The clinical risk index for babieswas not the best predictor for neonatal mortality as compared toweight and gestational age, but showed a significant associationwith 1 and 5-minute Apgar scores, respiratory distress syndrome,extrapulmonary air and the use of surfactants. It was not predictivefor chronic lung disease. Twins were not associated with CRIB.

  17. ANTIBODY TITER AGAINST HBSAGIN CHILDREN ENTERING ELEMENTARY SCHOOL WHO WERE VACCINATED AGAINST HEPATITIS B AT BIRTH: SBAHR.E.KORD CITY

    Directory of Open Access Journals (Sweden)

    K MOSTAFAVIZADEH

    2001-09-01

    Full Text Available Introduction. Regarding the fact that hepatitis B and its complications is a serious problem routine vaccination against it is recommended at birth. Fortunately, since 1991 all infants in our country are vaccinated against the disease. This study was designed to evaluate hepatitis B vaccine induced immunity 5-6 years after vaccination. If antibody titer is below the protective level booster dose should be considered. Methods. This study is a cross-sectional one which 394 cases selected randomly. After filling up questionnaires sampling was performed and sample sera were checked out for anti HBsAg antibody by ELISA method.Results were announced as positive and negative. Some variables Such as age, gender, growth and development and time of vaccination also were evaluated. Results. From the total number of 394 cases, 142 (36 percent had antibody title less than (10 MIU which is not protective. Rate of negative response was 32.2 percent for girls and 39 percent for boys. The same rate for children of 2-2.5, 2.5-3.5and over 3 kg weight at birth was 44 percent 36.percent and 34.8 percent respectively. Regarding the time, 16 cases had delayed vaccination with 44 percent negative response. Rate of negative response in children who received regular vaccination was 35.7 percent. Negative response rate for 25 cases above the acceptable level of growth was 8 percent and for 6 cases below the level was 17 percent. In rural and urban population negative response rate was 35.4 percent and 36.7 percent respectively. Discussion. Cases with negative response are suscoptible to infection so it is recommended to 1: Carryout investigations to determine causes of decline in antibody titer. 2: Carryout investigations in other parts of country to recheck the results of this study. 3: administer booster dose to high-risk cases with negative response.

  18. Analysis on Green Agriculture Policy during the Development of Eco-city in European Countries and United States and Policy Recommendations

    OpenAIRE

    QIN, Li; QI, Yang

    2014-01-01

    Ecological agriculture is the important industrial foundation for building eco-cities, while green agriculture policy plays an essential role in promoting sustainable development of ecological agriculture. This paper analyzed the relationship between green agriculture policy and developing eco-cities and characteristics of green agriculture policies in European countries and the United States developing ecological cities. Besides, it summarized experience, in hope of providing beneficial refe...

  19. Racial/ethnic differences in survival of United States children with birth defects: a population-based study.

    Science.gov (United States)

    Wang, Ying; Liu, Gang; Canfield, Mark A; Mai, Cara T; Gilboa, Suzanne M; Meyer, Robert E; Anderka, Marlene; Copeland, Glenn E; Kucik, James E; Nembhard, Wendy N; Kirby, Russell S

    2015-04-01

    To examine racial/ethnic-specific survival of children with major birth defects in the US. We pooled data on live births delivered during 1999-2007 with any of 21 birth defects from 12 population-based birth defects surveillance programs. We used the Kaplan-Meier method to calculate cumulative survival probabilities and Cox proportional hazards models to estimate mortality risk. For most birth defects, there were small-to-moderate differences in neonatal (<28 days) survival among racial/ethnic groups. However, compared with children born to non-Hispanic white mothers, postneonatal infant (28 days to <1 year) mortality risk was significantly greater among children born to non-Hispanic black mothers for 13 of 21 defects (hazard ratios [HRs] 1.3-2.8) and among children born to Hispanic mothers for 10 of 21 defects (HRs 1.3-1.7). Compared with children born to non-Hispanic white mothers, a significantly increased childhood (≤ 8 years) mortality risk was found among children born to Asian/Pacific Islander mothers for encephalocele (HR 2.6), tetralogy of Fallot, and atrioventricular septal defect (HRs 1.6-1.8) and among children born to American Indian/Alaska Native mothers for encephalocele (HR 2.8), whereas a significantly decreased childhood mortality risk was found among children born to Asian/Pacific Islander mothers for cleft lip with or without cleft palate (HR 0.6). Children with birth defects born to non-Hispanic black and Hispanic mothers carry a greater risk of mortality well into childhood, especially children with congenital heart defect. Understanding survival differences among racial/ethnic groups provides important information for policy development and service planning. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Birthing Classes

    Science.gov (United States)

    ... management options. Breastfeeding basics. Caring for baby at home. Birthing classes are not just for new parents, though. ... midwife. Postpartum care. Caring for your baby at home, including baby first aid. Lamaze One of the most popular birthing techniques in the U.S., Lamaze has been around ...

  1. Ciprofloxacin Resistance and Gonorrhea Incidence Rates in 17 Cities, United States, 1991–2006

    Science.gov (United States)

    Kirkcaldy, Robert D.; Gift, Thomas L.; Owusu-Edusei, Kwame; Weinstock, Hillard S.

    2014-01-01

    Antimicrobial drug resistance can hinder gonorrhea prevention and control efforts. In this study, we analyzed historical ciprofloxacin resistance data and gonorrhea incidence data to examine the possible effect of antimicrobial drug resistance on gonorrhea incidence at the population level. We analyzed data from the Gonococcal Isolate Surveillance Project and city-level gonorrhea incidence rates from surveillance data for 17 cities during 1991–2006. We found a strong positive association between ciprofloxacin resistance and gonorrhea incidence rates at the city level during this period. Their association was consistent with predictions of mathematical models in which resistance to treatment can increase gonorrhea incidence rates through factors such as increased duration of infection. These findings highlight the possibility of future increases in gonorrhea incidence caused by emerging cephalosporin resistance. PMID:24655615

  2. EVALUATION OF THE FINAL DISPOSAL OF MUNICIPAL SOLID WASTE IN CIANORTE CITY – PARANA STATE

    Directory of Open Access Journals (Sweden)

    Ricardo Massulo Albertin

    2011-08-01

    Full Text Available In environmental management urban systems, one main problems being faced by municipalities is final disposal of municipal solid waste. Some them managed to find solutions to these problems and implemented for MSW landfills that meet the environmental and health criteria and are considered examples. In this context, this paper presents an evaluation the landfill of Cianorte City, Paraná administered by Companhia de Saneamento do Parana (SANEPAR. For this evaluation was applied the Index of Quality of Waste Landfill (IQW which is used by the Companhia Ambiental of São Paulo (CETESB. The results showed that landfill Cianorte City presents adequate conditions to get index 9.4. However, some problems were observed regarding the site characteristics, infrastructure and operational conditions, for which some proposals in order to adapt the current system final disposal of Cianorte City.

  3. Creative industries in the capital cities of the Baltic States: Are there innovations in urban policy?

    Directory of Open Access Journals (Sweden)

    Tafel-Viia Külliki

    2015-12-01

    Full Text Available The transformation of urban policy, resulting from ‘creative industries’ policy developments, is explored in this article, with respect to the Baltic capitals. Policy initiatives in the creative industries in Central and Eastern European cities have predominantly developed through policy transfers from Western Europe, with its long-term market economy experience. How adaptable are such policies for post-socialist cities? Using the concept of social innovation, this article describes mechanisms that facilitate policy acceptance and examines whether and how the development of creative industries has resulted in urban policy renewal in the Baltic capitals.

  4. Organizing population data into complex family pedigrees: application of a second-order data linkage to state birth defects registries.

    Science.gov (United States)

    Tu, Shihfen; Mason, Craig A

    2004-09-01

    Researchers and health officials are increasingly using electronic linkage of large-scale health data systems as a tool for assembling a comprehensive picture of birth defects at a population level. Current linkage and database techniques are limited to first-order linkage--linking information on a single individual in one database with information on that same individual in another database. For example, while current strategies may indicate whether a child with a certain birth defect also has a specific metabolic disorder or risk factor, they are unable to readily determine whether he or she also has any siblings or other relatives with the same pattern. In contrast, the current manuscript proposes a second-order linkage--one that organizes data so that individual-level data can readily be organized into families or extended family pedigrees across an entire population. The ability to link and organize population data into family pedigrees can have significant, broad impact upon health research and service delivery. This can lead to large-scale analysis of genetic factors and, with the linking of environmental data, the potential for large-scale studies of gene-environment interactions. In addition, it expands the potential for epidemiological research by readily allowing the examination of familial effects upon population rates of birth defects, and provides valuable information that can assist in applied public health. An example of a second order database incorporating an electronic birth defects registry is presented. Copyright 2004 Wiley-Liss, Inc.

  5. The Fragility of Turf: The Neighborhoods of New York City. New York State History Themes #1.

    Science.gov (United States)

    Winkleman, Michael

    People continue to define themselves, their lifestyles, and their beliefs through their neighborhoods--their turf. In studying the history of New York City neighborhoods, it is important to consider the developmental trends and constraints (geography, economic structure, transportation, and technological advances) that contributed to the growth of…

  6. Negotiating Urban Citizenship: The Urban Poor, Brokers and The State in Mexico City and Khartoum

    NARCIS (Netherlands)

    Denissen, I.N.M.

    2014-01-01

    This study is about citizenship and informality in megacities. The percentage of the world population living in cities is expected to further increase in the coming decades. Urbanisation is characterised by informality in large parts of the globe. Despite urban dwellers formally having the right to

  7. Water conservation and hydrological transitions in cities in the United States

    Science.gov (United States)

    Hornberger, George M.; Hess, David J.; Gilligan, Jonathan

    2015-06-01

    Cities across the world have had to diversify and expand their water supply systems in response to demand growth, groundwater depletion and pollution, and instability and inadequacy of regional surface freshwater sources. In the U.S., these problems plague not only the arid Western cities but increasingly also cities in the Eastern portions of the country. Although cities continue to seek out new sources of water via Promethean projects of long-distance supply systems, desalinization plants, and the recharge of aquifers with surface water, they also pursue water conservation because of its low cost and other benefits. We examine water conservation as a complex sociotechnical system comprising interactions of political, sociodemographic, economic, and hydroclimatological factors. We provide quantitative data on the factors that affect more and less advanced transitions in water conservation regimes, and we show that water stress and other hydrological data can only partially predict the transition. We also provide qualitative case studies to identify institutional and political barriers to more advanced water conservation regimes. This interdisciplinary, mixed methods approach typifies the need for knowledge that informs hydrologists about how their research may or may not be adopted by decision-makers.

  8. Study of the nature of urban flood in Benin City, Edo State; Nigeria ...

    African Journals Online (AJOL)

    In consonance with dominance of the clay soil in the study area, bulk density is high. It is therefore concluded that the soil condition is a major determinant of flooding in Benin City. The flooding problems has resulted in traffic congestion and lost of man-hours giving rise to lopsided concentration of vehicular traffic.

  9. Beyond Texas City: the state of process safety in the unionized U.S. oil refining industry.

    Science.gov (United States)

    McQuiston, Thomas H; Lippin, Tobi Mae; Bradley-Bull, Kristin; Anderson, Joseph; Beach, Josie; Beevers, Gary; Frederick, Randy J; Frederick, James; Greene, Tammy; Hoffman, Thomas; Lefton, James; Nibarger, Kim; Renner, Paul; Ricks, Brian; Seymour, Thomas; Taylor, Ren; Wright, Mike

    2009-01-01

    The March 2005 British Petroleum (BP) Texas City Refinery disaster provided a stimulus to examine the state of process safety in the U.S. refining industry. Participatory action researchers conducted a nation-wide mail-back survey of United Steelworkers local unions and collected data from 51 unionized refineries. The study examined the prevalence of highly hazardous conditions key to the Texas City disaster, refinery actions to address those conditions, emergency preparedness and response, process safety systems, and worker training. Findings indicate that the key highly hazardous conditions were pervasive and often resulted in incidents or near-misses. Respondents reported worker training was insufficient and less than a third characterized their refineries as very prepared to respond safely to a hazardous materials emergency. The authors conclude that the potential for future disasters plagues the refining industry. In response, they call for effective proactive OSHA regulation and outline ten urgent and critical actions to improve refinery process safety.

  10. Constitutional osteochondrodysplasias identifiable a birth. A short review on the state of the art in radiodiagnostic in the late 20. century

    International Nuclear Information System (INIS)

    Gugliantini, P.; Maragliano, G.; Piscione, M.; Licata, G.

    1999-01-01

    The value of a systematic radiologic analysis in constitutional osteochondrodysplasias remains underestimated by both neonatologists and radiologists. The authors report the clinical experience of the Department of Neonatology and Neonatal Intensive Cure Unit of St. John Hospital in Rome with constitutional osteochondrodysplasias identifiable at birth. The authors justify the relatively high incidence of constitutional osteochondrodysplasias in this study (66% versus an average incidence of 0,076% reported in the world population) on the basis of: a) an increasing number of high-risk newborns in the intensive cure; b) an improvement in our clinical and radiologic diagnostic skill. They conclude that the state of the art of diagnostic of constitutional osteochondrodysplasiasin still based on the first plain X-ray examination performed at birth because of cardiorespiratory and/or abdominal diseases in the newborn [it

  11. Secular trends in the rate of low birth weight in Brazilian State Capitals in the period 1996 to 2010 Tendencia secular de la tasa de bajo peso al nacer en las capitales brasileñas de 1996 a 2010 Tendência secular da taxa de baixo peso ao nascer nas capitais brasileiras de 1996 a 2010

    Directory of Open Access Journals (Sweden)

    Helma Jane Ferreira Veloso

    2013-01-01

    Full Text Available Secular trends in rates of low birth weight in Brazilian state capital cities were evaluated for the period 1996 to 2010 using joinpoint regression models. The rates were calculated using data from the Live Births Information System. Newborns weighing less than 500g were excluded. Only data for capital cities was included since under-registration of births in these cities is lower and new trends can be detected earlier. There was a significant increase in the rate of low birth weight in the Brazilian capitals of the North Region, Northeast Region, South Region and Southeast Region up to 2003/2004, stabilizing thereafter. In the capitals of the Center-west Region the rate increased throughout the whole study period. The rate of low birth weight was higher in the capitals of the more developed regions. The rate of multiple births increased significantly in all Brazilian capitals, while the stillbirth rate decreased and showed a negative correlation with the rate of low birth weight. The increase in the rate of low birth weight may be partially explained by the increase in multiple births, an increase in the birth of infants weighing 500 to 999g and by the reduction in the stillbirth rate.La tendencia secular de la tasa de bajo peso al nacer de 1996 a 2010 en las capitales brasileñas se evaluó utilizando modelos de regresión joinpoint. Las tasas se calcularon a partir del Sistema de Información sobre Nacidos Vivos, excluyéndose recién nacidos con un peso A tendência secular da taxa de baixo peso ao nascer de 1996 a 2010 nas capitais brasileiras foi avaliada utilizando-se modelos de regressão joinpoint. As taxas foram calculadas a partir do Sistema de Informações sobre Nascidos Vivos, excluindo-se recém-nascido com peso < 500g. Foram incluídos apenas dados das capitais, onde o sub-registro é menor e novas tendências podem ser detectadas mais precocemente. A taxa de baixo peso ao nascer aumentou significantemente nas capitais

  12. Birth Weight

    Science.gov (United States)

    ... may become sick in the first days of life or develop infections. Others may suffer from longer-term problems such as delayed motor and social development or learning disabilities. High birth weight babies are often big because ...

  13. Birth Plans

    Science.gov (United States)

    ... licensed to handle low-risk births and whose philosophy emphasizes educating expectant parents about the natural aspects ... Partner Message About Us Contact Us Partners Editorial Policy Permissions Guidelines Privacy Policy & Terms of Use Notice ...

  14. Occupational risks in professionals of health in barreiras city, state of Bahia

    Directory of Open Access Journals (Sweden)

    Luciane Cristina Joia

    2009-01-01

    Full Text Available During work activities, the professional of health is exposed to occupational risks in their work place. This compromises directly or indirectly in health condition. The aims of the study were to report the main concern and vulnerability of occupational risks, and to describe the main conducts adopted by the professionals of health in Barreiras city/ BA. It was done a descriptive and exploratory field research with and hospital workers (public and privates that were exposure to work accidents. An interview was done to data collection, and a semi-structured script (adapted to Barreiras city/BA was used. It was observed that the most of interviewees had difficult to understand the safe equipments importance, however the most of them reported knowledge about procedures, use and conduct. It is necessary to highlight that everyday contact with risks in work place; it could be a decrease of perception in the necessity to adopt safety behavior

  15. [Hygienic estimation a state of nutrition of infant and preschool children age of city of Murmansk].

    Science.gov (United States)

    Dmitrievskaia, S V; Istomin, A V; Korolev, A A; Lukicheva, L A; Nikitenko, E I

    2004-01-01

    The present research was directed on study of an actual meal and status of nutrition of children in the age of from birth till 5 years living in Murmansk (region of Far North). 998 children were surveyed. At an estimation of an actual meal of children the data about breast feeding are received, the basic nutrients misbalance of structure of diets of children are established, and their reasons are analyzed. On the basis of the received data the regional recommendations for organization of a healthy meal in children's preschool establishments and program of hygienic training of the parents to skills of a balanced diet of children of early and junior age were developed.

  16. Planned Out-of-Hospital Birth and Birth Outcomes

    Science.gov (United States)

    Snowden, Jonathan M.; Tilden, Ellen L.; Snyder, Janice; Quigley, Brian; Caughey, Aaron B.; Cheng, Yvonne W.

    2016-01-01

    Background The frequency of planned out-of-hospital birth in the United States has increased in recent years. The value of studies assessing the perinatal risks of planned out-of-hospital birth versus hospital birth has been limited by cases in which transfer to a hospital is required and a birth that was initially planned as an out-of-hospital birth is misclassified as a hospital birth. Methods We performed a population-based, retrospective cohort study of all births that occurred in Oregon during 2012 and 2013 using data from newly revised Oregon birth certificates that allowed for the disaggregation of hospital births into the categories of planned in-hospital births and planned out-of-hospital births that took place in the hospital after a woman’s intrapartum transfer to the hospital. We assessed perinatal morbidity and mortality, maternal morbidity, and obstetrical procedures according to the planned birth setting (out of hospital vs. hospital). Results Planned out-of-hospital birth was associated with a higher rate of perinatal death than was planned in-hospital birth (3.9 vs. 1.8 deaths per 1000 deliveries, P = 0.003; odds ratio after adjustment for maternal characteristics and medical conditions, 2.43; 95% confidence interval [CI], 1.37 to 4.30; adjusted risk difference, 1.52 deaths per 1000 births; 95% CI, 0.51 to 2.54). The odds for neonatal seizure were higher and the odds for admission to a neonatal intensive care unit lower with planned out-of-hospital births than with planned in-hospital birth. Planned out-of-hospital birth was also strongly associated with unassisted vaginal delivery (93.8%, vs. 71.9% with planned in-hospital births; P<0.001) and with decreased odds for obstetrical procedures. Conclusions Perinatal mortality was higher with planned out-of-hospital birth than with planned in-hospital birth, but the absolute risk of death was low in both settings. (Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human

  17. [Birth hypoxia].

    Science.gov (United States)

    Větr, M

    2015-03-01

    Evaluation of the commonly used laboratory and clinical parameters of the newborn shortly after birth. Check thresholds acidemia, and in relation to the method of termination of pregnancy. Retrospective epidemiological study. Department of Obstetrics and Gynecology, University Hospital, Olomouc. Of the 26,869 children born in the years 2000 to 2013 Inclusion criteria (complete clinical and laboratory findings after birth) fulfill 23,471 (87.4%) neonates. Methods for evaluation of newborns included Apgar score calculation and arterial umbilical cord blood pH and lactate analysis. A total of 0.7% (157) of the neonates had severe acidosis pH below 7.00 arterial umbilical cord blood, its prevalence varies annually between 0.1 to 1.1%. Cutoff lactate in relation to pH reserves. Operating cesarean births in particular accounts for more than half of those with worse clinical findings Apgar and pH <7.00, but only 30% supratreshold lactate values. Also worse clinical evaluation after caesarean section is not in accordance with the laboratory findings. Vaginal surgery, especially forceps have a significant share of severe acidosis than cesarean, regardless of their frequency. Risk factor of forceps to pH less 7.00,OR = 9.28 (5.39 -15.77), P = 0.0000000, while caesarean to pH less 7,00 had OR = 1.52 (1.08 to 2.14), P = 0.01408156. The results obtained confirm that acidosis after birth is quite common, although they may not have response on the clinical condition of the newborn after birth. Evaluation of Apgar is little objective for the detection of hypoxia during birth and is influenced by the immaturity of newborn and method of delivery. Lactate levels may contribute to an objective assessment of hypoxia during birth. Values above 6.3 mmol/l can be considered an important indicator of newborn acidosis and birth hypoxia.

  18. Poluição do ar e baixo peso ao nascer no Município do Rio de Janeiro, Brasil, 2002 Air pollution and low birth weight in the city of Rio de Janeiro, Brazil, 2002

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    Washington Leite Junger

    2007-01-01

    Full Text Available O objetivo deste trabalho é avaliar o efeito da poluição do ar sobre o peso ao nascer de recém-nascidos a termo e de gestação única no Município do Rio de Janeiro, Brasil. O desenho deste estudo foi o de corte transversal tendo como base o ano de 2002. Os dados sobre os nascimentos foram obtidos do Sistema de Informações de Nascidos Vivos (SINASC do Ministério da Saúde. Baixo peso foi definido como menos de 2.500g. A exposição das mães foi estimada como a média do poluente para cada trimestre de gestação. Razões de odds (RO ajustadas foram estimadas para cada fator de risco em potencial. Para PM10, CO e NO2 foram encontrados aumentos não significativos. Para SO2, a RO do quarto intervalo interquartil de exposição no terceiro trimestre de gestação foi 1,149 (IC95%: 1,016;1,301. Para o O3, a RO estimada foi 0,830 (IC95%: 0,750;0,987. Quando a variável de exposição foi introduzida no modelo como uma medida contínua, as RO para PM10, CO e SO2 no terceiro trimestre foram não significativas e iguais a 1,089, 2,223 e 1,259, respectivamente.The objective of this study was to evaluate the effect of air pollution on low birth weight in full term singleton newborns in the city of Rio de Janeiro, Brazil. The study adopted a cross-sectional design based on the year 2002. Data on live births were obtained from the Live Birth Information System of the Brazilian Ministry of Health. Low birth weight was defined as less than 2,500g. Maternal exposure to air pollution was defined as the mean for a given pollutant over each trimester of pregnancy and was assessed taking birth date into account. Adjusted odds ratios (OR were estimated for each potential risk factor. For PM10, CO, and NO2, no significant increases were detected. For SO2, the OR of the fourth interquartile range of exposure in the third trimester of pregnancy was 1.149 (95%CI: 1.016-1.301. For O3, the estimated OR was 0.830 (95%CI: 0.750-0.987. When exposure variable was

  19. EFFECT OF PRENATAL EXPOSURE TO FINE PARTICULATE MATTER ON VENTILATORY LUNG FUNCTION OF PRESCHOOL CHILDREN OF NONSMOKING MOTHERS. KRAKOW INNER CITY BIRTH COHORT PROSPECTIVE STUDY

    Science.gov (United States)

    Jedrychowski, Wieslaw A.; Perera, Frederica P.; Maugeri, Umberto; Mroz, Elzbieta; Klimaszewska-Rembiasz, Maria; Flak, Elzbieta; Edwards, Susan; Spengler, John D.

    2013-01-01

    SUMMARY Impaired fetal development is associated with a number of adult chronic diseases and it is believed that these associations arise as a result of the phenomenon of “epigenetic programming”, which involves persisting changes in structure and function of various body organs caused by ambient factors during critical and vulnerable periods of early development. The main goal of the study was to assess the association between lung function in early childhood and prenatal exposure to fine particulate matter (PM2.5 ), which represents a wide range of chemical compounds potentially hazardous for fetal development. Among pregnant women recruited prenatally to the study personal measurements of PM2.5 was performed over 48 hours in the second trimester of pregnancy. After delivery, infants were followed over five years and the interviewers visited participants at their homes to record children’s respiratory symptoms every three months in the child’s first two years of life and every 6 months later. In the fifth year of the follow-up, children were invited for standard lung function testing and quantified by FVC, FEV1 and FEV05 levels. Material consisted of 176 children of nonsmoking mothers, who performed at least two acceptable spirometry measurements. Multivariable linear regression model showed a significant deficit of FVC at the highest quartile of PM2.5 exposure (beta coefficient = − 91.9 , P = 0.008), after adjustment for covariates (age, gender, birth weight, height and wheezing). Also FEV1 level in children was inversely correlated with prenatal exposure to PM2.5, and the average FEV1 deficit amounted to 87.7 ml (P = 0.008) at the higher level of exposure. Although the effect of PM2.5 exposure on FEV05 was proportionally weaker (−72.7, P = 0.026) it was significant as well. The lung function level was inversely and significantly associated with the wheezing recorded over the follow-up. The findings showed that significant lung function deficits in

  20. Vatican City.

    Science.gov (United States)

    1984-11-01

    Vatican City, the administrative and spiritual capital of the Roman catholic Church, has a population of 1000. Citizenship is generally accorded only to those who reside in Vatican City for reasons of office of employment. Supreme legislative, executive, and judicial power is currentily exercised by Pope John Paul II, the 1st non-italian pope in 5 centuries. The State of Vatican City is recognized by many nations as an independent sovereign state under the temporal jurisdiction of the Pope. By 1984, 108 countries had established diplomatic relations with the Holy See, most of which are not Roman Catholic. Third World countries comprise a large proportion of countries that have recently established relations with the Holy See. The US re-established relations with the Vatican in 1984 and there is frequent contact and consultation between the 2 states on key international issues.

  1. Smoke in the City: How Often and Where Does Smoke Impact Summertime Ozone in the United States?

    Science.gov (United States)

    Brey, S. J.; Fischer, E. V.

    2015-12-01

    The mechanisms and magnitude of the contribution of fires to ozone (O3) production is poorly understood. In this work we investigate the influence of fire on O3 abundances over the contiguous United States. Using co-located observations of particulate matter (PM2.5) and the National Weather Service Hazard Mapping System smoke data, we identify summertime days between 2005 and 2014 that Environmental Protection Agency (EPA) Air Quality System (AQS) O3 monitors are influenced by smoke. We then compare O3 mixing ratio distributions for smoke-free and smoke-impacted days for each O3 monitor. We observe that the mean O3 abundance measured on smoke-impacted days is higher than on smoke-free days. The magnitude of the effect varies by location with a range of 0 to 37 parts per billion by volume (ppbv). We find that smoke is present on a non-negligible proportion of days when the 8-hour average O3 mixing ratio exceeds the EPA limit of 75 ppbv in regions and locations with significant O3 issues, including the Northeast urban corridor, Dallas, Houston, Atlanta, Birmingham, and Kansas City. Most U.S. cities maintain a similar proportion of smoke-impacted exceedence days when they are held against a more stringent limit of 65 ppbv for an 8-hour average. We show that smoke-impacted O3 mixing ratios are most elevated in U.S. cities with the highest emissions of nitrogen oxides (NOX).

  2. Effect of previous utilization and out-of-pocket expenditure on subsequent utilization of a state led public-private partnership scheme "Chiranjeevi Yojana" to promote facility births in Gujarat, India.

    Science.gov (United States)

    Yasobant, Sandul; Shewade, Hemant Deepak; Vora, Kranti Suresh; Annerstedt, Kristi Sidney; Isaakidis, Petros; Dholakia, Nishith B; Mavalankar, Dileep V

    2017-04-25

    In Gujarat, India, a state led public private partnership scheme to promote facility birth named Chiranjeevi Yojana (CY) was implemented in 2005. Institutional birth is provided free of cost at accredited private health facilities to women from socially disadvantaged groups (eligible women). CY has contributed in increasing facility birth and providing substantially subsidized (but not totally free) birth care; however, the retention of mothers in this scheme in subsequent child birth is unknown. Therefore, we conducted a study aimed to determine the effect of previous utilization of the scheme and previous out of pocket expenditure on subsequent child birth among multiparous eligible women in Gujarat. This was a retrospective cohort study of multiparous eligible women (after excluding abortions and births at public facility). A structured questionnaire was administered by trained research assistant to those with recent delivery between Jan and Jul 2013. Outcome of interest was CY utilization in subsequent child birth (Jan-Jul 2013). Explanatory variables included socio-demographic characteristics (including category of eligibility), pregnancy related characteristics in previous child birth, before Jan 2013, (including CY utilization, out of pocket expenditure) and type of child birth in subsequent birth. A poisson regression model was used to assess the association of factors with CY utilization in subsequent child birth. Of 997 multiparous eligible women, 289 (29%) utilized and 708 (71%) did not utilize CY in their previous child birth. Of those who utilized CY (n = 289), 182 (63%) subsequently utilized CY and 33 (11%) gave birth at home; whereas those who did not utilize CY (n = 708) had four times higher risk (40% vs. 11%) of subsequent child birth at home. In multivariable models, previous utilization of the scheme was significantly associated with subsequent utilization (adjusted Relative Risk (aRR): 2.7; 95% CI: 2.2-3.3), however previous out of pocket

  3. Assessing the state of environmental quality in cities – A multi-component urban performance (EMCUP) index

    International Nuclear Information System (INIS)

    Stossel, Zeev; Kissinger, Meidad; Meir, Avinoam

    2015-01-01

    Urban environmental quality indices can provide policy makers and the public with valuable information. However, common assessment tools have several shortcomings: most indices do leave out some important components of the state of urban environmental quality; they use a relative assessment in which urban environmental performance is evaluated relative to other cities, not against established environmental benchmarks; and only a few assessment tools compare urban performance to environmental quality standards. This paper presents a new multi component urban performance (EMCUP) index aiming to tackle those shortcomings. It analyses the overall state of urban environmental quality by using a list of indicators to evaluate key urban environmental quality topics such as air, water, open space, sanitation and solid waste. It presents an absolute score calculated in relation to both the standard and desired optimum levels. The use of the index is demonstrated by three Israeli cities. - Highlights: • The index provides a new framework for analyzing the overall urban environmental quality. • The index scores are calculated based on environmental standards and desired optimum benchmark values. • The paper demonstrates the gap between the state of existing urban environmental quality and the desired goals. - Introducing a multi component urban performance (EMCUP) index, which measures urban environmental quality related to environmental benchmarks.

  4. Predicting the effect of maternal docosahexaenoic acid (DHA) supplementation to reduce early preterm birth in Australia and the United States using results of within country randomized controlled trials.

    Science.gov (United States)

    Yelland, L N; Gajewski, B J; Colombo, J; Gibson, R A; Makrides, M; Carlson, S E

    2016-09-01

    The DHA to Optimize Mother Infant Outcome (DOMInO) and Kansas DHA Outcomes Study (KUDOS) were randomized controlled trials that supplemented mothers with 800 and 600mg DHA/day, respectively, or a placebo during pregnancy. DOMInO was conducted in Australia and KUDOS in the United States. Both trials found an unanticipated and statistically significant reduction in early preterm birth (ePTB; i.e., birth before 34 weeks gestation). However, in each trial, the number of ePTBs were small. We used a novel Bayesian approach to estimate statistically derived low, moderate or high risk for ePTB, and to test for differences between the DHA and placebo groups. In both trials, the model predicted DHA would significantly reduce the expected proportion of deliveries in the high risk group under the trial conditions of the parent studies. Among the next 300,000 births in Australia we estimated that 1112 ePTB (95% credible interval 51-2189) could be avoided by providing DHA. And in the USA we estimated that 106,030 ePTB (95% credible interval 6400 to 175,700) could be avoided with DHA. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Constitutional osteochondrodysplasias identifiable at birth. A short review on the state of the art in radiodiagnosis in the late 20th century.

    Science.gov (United States)

    Gugliantini, P; Maragliano, G; Piscione, M; Licata, G

    1999-03-01

    The value of a systematic radiologic analysis in constitutional osteochondrodysplasias remains underestimated by both neonatologists and radiologists. We report the clinical experience of the Department of Neonatology and Neonatal Intensive Care Unit of St. John Hospital in Rome with constitutional osteochondrodysplasias identifiable at birth. We reviewed 2120 cases of newborns hospitalized in our unit from January 1996 to August 1998 and here submitted to at least one direct radiograph of chest and abdomen (the so-called "babygram"). All the newborns were clinically assisted by the same three neonatologists and radiologically followed by the only pediatric radiologist, the external consultant for diagnostic imaging of the Intensive Care Unit of the Neonatology Department. We diagnosed 14 cases of constitutional osteochondrodysplasias (.66%): 4 of them (28.27%) belong to the group considered by the European Society of Pediatric Radiology (ESPR) as lethal before or immediately after birth, while the other 10 (71.43%) belong to different groups of the ESPR classification. Thus, we arbitrarily grouped them into a single pathologic condition, based on their two main features: being generally not lethal and always or very often identifiable at birth. These 10 cases were: 1 campomelic dysplasia, 3 achondroplasias, 2 asphyxiant thoracic dysplasias type Jeune, 1 cherubinic dysplasia, 2 osteogenesis imperfectae, 1 osteopetrosis. We justify the relatively high incidence of constitutional osteochondrodysplasias in our study (.66% versus an average incidence of .076% reported in the world population) on the basis of: a) an increasing number of high-risk newborns in our intensive care unit; b) an improvement in our clinical and radiologic diagnostic skills. We conclude that the state of the art of the diagnosis of constitutional osteochondrodysplasias is still based on the first plain X-ray examination performed at birth because of cardiorespiratory and/or abdominal diseases in

  6. Evaluation of radiodiagnostic equipment in the city of Recife, Pernambuco State, Brazil

    International Nuclear Information System (INIS)

    Passos, Robson S.; Khoury, Helen J.; Antonino, Paulo D.; Hazin, Clovis A.

    1996-01-01

    The preliminary results of a survey aiming to determine the working conditions of X-ray units operating in hospitals and clinics in the city of Recife, Pernambuco (Brazil) are presented. The results show the discrepancy between the light field and X-ray field - from 1 to 2% in 78% of the equipment tested. The results also show that there is only a fair accuracy regarding to kilo voltage and irradiation time. The discrepancy between the pre-set time and the actual irradiation time was higher than 10% in 84.6% of the cases

  7. Monitoring of Ecological and Geochemical State of the Soil Cover in the City of Voronezh

    Directory of Open Access Journals (Sweden)

    Sereda Lyudmila Olegovna

    2015-09-01

    Full Text Available Soil cover in the city of Voronezh accumulates a lot of pollutants and indicates the centers of technological pollution. The high rates of housing construction, functioning and development of urban infrastructure cause infringement to the soil cover. The paper contains main results of an ecological and geochemical research of the soil cover in Voronezh, its characteristics, properties of the horizons of the different types of soils. During spring and summer of 2014 75 samples of soil were collected in special points of monitoring (according to GOST 17.4.3.01-83 and GOST 17.4.4.02-84. During the research the following methods were applied – volt-ampermetric method was used for detecting the concentration of heavy metals, the method of cholophorm-hexan extraction – for petrochemicals, the method of I.V. Tyurin – for humus concentration, potentiometric method and biotesting methods (analysis of seedlings of the following indicating plants – Lepidium sativum, Avena sativa, as well as defining the phytotoxic effect – for actual acidity detection. The obtained results are used for creating an overview soil map of Voronezh. Urbanozems are dominating in the soil cover of Voronezh. There era large areas of them in the majority of the city districts. A smaller part of a total urban area is presented by soils, which are slightly touched by human economic activity. Urban soils of industrial and transport city zones have disadvantageous properties – low rate of humus and alkali reaction of soil environment, high rate of pollution by petrochemicals and heavy metals. The least rate of pollution of a soil cover by heavy metals is detected in residential areas, situated far from industrial objects and highways. We have detected dependence between accumulation of polluting substances in soil cover and functional and planning peculiarities of the city. For example, accumulation of zinc takes place in soils with alkali reaction of soil and low

  8. INTEGRATED ASSESSMENT AND GISMAPPING OF THE ENVIRONMENTAL STATE OF THE CITY OF VORONEZH (RUSSIA

    Directory of Open Access Journals (Sweden)

    Semen A. Kurolap

    2015-01-01

    Full Text Available The authors have created a geoinformation-analytical system (GIS for integratedassessment and mapping of the ecological conditions of the territory according to the criteria of anthropogenic impact and quality of the urban environment, as well as the response of woody plants and the health of the child population (on the example of Voronezh – the largest industrial city of the Central Chernozem region.It has been identified that anthropogenic pollution is formed by the industrial-transportsector and varies with regard to the features of the functional planning infrastructure; near the industrial facilities of the petrochemical profile in the left-Bank sector of the city, conditions for the existence of woody plants significantly worsen, which is manifested in the inhibition of their development; child morbidity rate is significantly higher in industrially polluted neighborhoods with high load of pollutant emissions from industry and transport. The diseases primarily associated with pollution are congenital anomalies, neoplasms, endocrine pathology and diseases of the urogenital area.The industrial zone is the main contributor to the total pollution of air, but the transport zoneis the main contributor to the total pollution of soil and snow cover.

  9. The idea of the perfect city in the state of prince Lazar and despotes Stefan Lazarević

    Directory of Open Access Journals (Sweden)

    Radojčić Svetozar

    2008-01-01

    Full Text Available In the beginning, Serb settlers were hostile towards the Greek and Romanic towns they came into contact with. They did not become accustomed to city life until the end of the twelfth century. First of all, this process evolved through the monasteries that were erected as urban ensembles, which, in the Middle Ages were considered to be ideal towns. The Serbs became acquainted with the monastery-city through the monastic settlements on the Holy Mount, from which they also accepted the form and name of the lavra. With them they also accepted the old belief that the monastery was a city and the symbol of the Church and the Heavenly Jerusalem. In the Byzantine world these concepts were connected with Constantinople, which through the laudes Constantinopolitanae was initially hailed as the New Jerusalem, the New Zion and the Heavenly Jerusalem. Such a Constantinople as the image of the earthly and heavenly Jerusalem and the exemplary city of the Orthodox Christian rulers would be emulated by the Slav peoples of Russia, Bulgaria and Serbia. The old Serbian authors particularly extol Constantinople and Thessalonica, calling them imperial cities, safeguarded by God, and cities of God. The ancient ideas about the perfect city, conveyed from Byzantium in the eleventh and twelfth century to Russia, began their renewed life in the Serbian state from the second half of the fourteenth century. In keeping with sources of a literary and religious nature, the author links the course of those complex and ambitious ideas, whereby they wished to explain the ultimate meaning of the construction and existence of the city. The ideas of the similarity of the heavenly and earthly palace and of the similarity of the Heavenly Jerusalem and the earthly city acquired certain clarity in the mentality of the Serbian late feudal society. However, they did not arise from the dynastic concept of the Nemanjić family, which had more realistic economic, military and political

  10. THE DYNAMICS OF ISLAMIC COUNSELING IN THE STATE ISLAMIC SENIOR HIGH SCHOOL (MAN AT MEDAN CITY, NORTH SUMATRA

    Directory of Open Access Journals (Sweden)

    Abdurrahman

    2018-03-01

    Full Text Available This study aims to determine the dynamics of Islamic counseling practices throughout State Islamic Senior High School (MAN in the city of Medan. This study, using a qualitative approach, which attempts to explore the phenomena that occur in the four research sites in question, then reduced and describe using descriptive explanation. This research was conducted in the State Islamic Senior High School (MAN all over Medan City (MAN 1, MAN 2 Model, MAN 3, MAPN 4 Medan. The findings obtained that the practice of implementing Islamic counseling uses several services, including: Orientation services, Information services, placement and distribution services, content mastery services, group counseling services, individual counseling services, mediation services, consulting services, referrals, data sets and others. Those are elaborated with the values of Islamic teachings, both attitudes and materials (counselor attitudes / BK teachers who do not distinguish the background of counselees / students violate or not violate, Islamic content material, and soft speech. So it can attract counselees / students to explore the problems encountered and the settlement step of triadic communication (God, Counselor, Counselee / student.

  11. Birth Cohort Differences in Sexual Identity Development Milestones among HIV-Negative Gay and Bisexual Men in the United States.

    Science.gov (United States)

    Grov, Christian; Rendina, H Jonathon; Parsons, Jeffrey T

    2017-10-12

    The coming-out process for gay and bisexual men (GBM) involves crossing sexual identity development (SID) milestones: (1) self-awareness of sexual attraction to the same sex, (2) self-acceptance of an identity as gay or bisexual, (3) disclosure of this sexual identity to others, and (4) having sex with someone of the same sex. We examined trends in SID milestones by birth cohort in a 2015 U.S. national sample of GBM (n = 1,023). Birth cohort was independent of when men first felt sexually attracted to someone of the same sex (median age 11 to 12). However, with the exception of age of first same-sex attraction, older cohorts tended to pass other milestones at later ages than younger cohorts. Latent class analysis (LCA) of SID milestone patterns identified three subgroups. The majority (84%) began sexual identity development with same-sex attraction around the onset of puberty (i.e., around age 10) and progressed to self-identification, same-sex sexual activity, and coming out-in that order. The other two classes felt same-sex attraction during teen years (ages 12.5 to 18.0) but achieved the remaining SID milestones later in life. For 13% of men, this was during early adulthood; for 3% of men, this was in middle adulthood. Findings highlight the need to monitor ongoing generational differences in passing SID milestones.

  12. Births and deaths including fetal deaths

    Data.gov (United States)

    U.S. Department of Health & Human Services — Access to a variety of United States birth and death files including fetal deaths: Birth Files, 1968-2009; 1995-2005; Fetal death file, 1982-2005; Mortality files,...

  13. The State of Ambient Air Quality of a Mega City in Southeast Asia (Karachi, Pakistan)

    Science.gov (United States)

    Khwaja, H. A.; Hussain, M. M.; Naqvi, I.; Malik, A.; Siddiqui, S. A.; Khan, A.

    2016-12-01

    Outdoor air pollution is a serious public health problem. Studies indicate that in recent years exposure levels have increased considerably in some parts of the world, particularly in developing countries of Asia with large populations. Simultaneous measurements of PM2.5 and gaseous pollutants NO, NO2 , SO2 , O3 , HONO, HNO3, HF, and HCl were carried out in the city of Karachi. This is the first systematic study of this kind carried out in a mega city of Pakistan. Mean concentration of PM2.5 was 186 µg/m3. Concentrations of NO, NO2 , SO2 , O3 , HONO , HNO3, HF, and HCl varied from 8.6 - 194 ppb, 15.7 - 131 ppb, 7.9 - 60 ppb, 5.0 - 218 ppb, 0.05 - 6.6 ppb, 0.1 - 10.8 ppb, 0.1 - 2.8 ppb, and 0.3 - 568 ppb, respectively. Daily patterns were observed. The 24 h mean PM2.5 on weekdays was significantly higher than the weekend value, indicating that vehicular pollution is one of the important source of PM2.5. The diurnal variations of both NO and NO2 showed higher concentrations during morning and evening rush-hours and lower concentrations at night, indicating that vehicular traffic is the principal source of NOx . Peak HONO concentration of 6.6 ppb was observed in the morning hours. The highest SO2 , HNO3 , HF, and HCl values occurred during the daytime when general pollution levels, particularly those of suspended particulate matter, were also high. Concentrations of O3 are observed to increase during the daytime, consistent with its formation by photochemical reactions. The present findings are compared with similar measurements worldwide. Results have demonstrated that WHO air quality standard for PM2.5 (20 µg/m3) were exceeded by a factor of 5 - 13. Concentrations of NO2 , SO2 and O3 were found to be significantly higher than the WHO air quality guidelines. The reported high levels were attributed to vehicular traffic and industrial activity. It has been concluded that air pollution levels in Karachi are extremely high and can be considered an alarming indicator

  14. 500 Cities: City Boundaries

    Data.gov (United States)

    U.S. Department of Health & Human Services — This city boundary shapefile was extracted from Esri Data and Maps for ArcGIS 2014 - U.S. Populated Place Areas. This shapefile can be joined to 500 Cities...

  15. City state institutions under municipal or family rule in 13th-century Alessandria

    Directory of Open Access Journals (Sweden)

    Alberto Luongo

    2011-11-01

    Full Text Available In the 13th century many attempts were made to set up personal rule over Alessandria, with varying degrees of success. The first was Manfredi II Lancia, viceroy of Emperor Frederick II. This was followed by Guglielmo VII of Monferrato, whose plans were opposed initially by Oberto Pelavicino and subsequently by Carlo of Angiò. Dominion over Alessandria actively involved the population and the dignitaries of the city (divided by loyalty to the rival Lanzavecchia and Del Pozzo families. They were able to establish or end the rule of one family or another. Hence, the political élite of Alessandria took advantage of the aspirations of foreign rulers to solve internal problems, by according them with different powers as the situation demanded and as the loyalties of the rival factions changed.

  16. Participation and Neutrality of State Civil Apparatus in Direct Regional Election: Surabaya City Case

    Directory of Open Access Journals (Sweden)

    Catur Wibowo Budi Santoso

    2016-05-01

    Full Text Available In relation to the existence of State Civil Apparatus, at least there are two issues that must be observed in the implementation of Regional elections, namely the issues of participation and neutrality of State Civil Apparatus. The phenomenon that occurs during this time is the involvement of the State Civil Apparatus in attendance is still minimum (low. Moreover, it is believed that there are many Civil Apparatus State who is not neutral in the organization of Regional Elections. In this regard, this study aims to analyze the participation and neutrality of State Civil Apparatus. The method utilized in this study is qualitative. The result of the study shows that in general the participation of State Civil Apparatus in Surabaya is adequately good, but the neutrality of State Civil Apparatus has not implemented well enough. There are at least three (3 main factors influencing the participation of Civil State Apparatus, namely the factors of leadership exemplary, commitment to employees, and employee development. As for the neutrality of the State Civil Apparatus, among others, is influenced by the factors of the ambition of employee, primordialism, and working environment of employees.

  17. Getting a piece of the pie? The economic boom of the 1990s and declining teen birth rates in the United States.

    Science.gov (United States)

    Colen, Cynthia G; Geronimus, Arline T; Phipps, Maureen G

    2006-09-01

    In the United States, the 1990s was a decade of dramatic economic growth as well as a period characterized by substantial declines in teenage childbearing. This study examines whether falling teen fertility rates during the 1990s were responsive to expanding employment opportunities and whether the implementation of the Personal Responsibility and Work Opportunities Act (PRWORA), increasing rates of incarceration, or restrictive abortion policies may have affected this association. Fixed-effects Poisson regression models were estimated to assess the relationship between age-specific birth rates and state-specific unemployment rates from 1990 to 1999 for Black and White females aged 10-29. Falling unemployment rates in the 1990s were associated with decreased childbearing among African-American women aged 15-24, but were largely unrelated to declines in fertility for Whites. For 18-19 year-old African-Americans, the group for whom teen childbearing is most normative, our model accounted for 85% of the decrease in rates of first births. Young Black women, especially older teens, may have adjusted their reproductive behavior to take advantage of expanded labor market opportunities.

  18. Prenatal Care in Combination with Maternal Educational Level Has a Synergetic Effect on the Risk of Neonatal Low Birth Weight: New Findings in a Retrospective Cohort Study in Kunshan City, China

    Science.gov (United States)

    Luo, Xiao-Ming; Shen, Yue-Ping

    2014-01-01

    Objectives To investigate the dose-response relationship and synergetic effect of the maternal educational level and two measures of prenatal care on neonatal low birth weight (LBW) risk. Methods Data were derived from the Perinatal Health Care Surveillance System (PHCSS) from January 2001 to September 2009 in Kunshan City, Jiangsu province, eastern China, which included data on 31412 women with a normal birth weight delivery and 640 women with a LBW delivery. Logistic modelling was performed to estimate the association including the joint effects with odds ratio (OR) and 95% confidence interval (CI) between the prenatal care measures and LBW risk after adjusting for the potential confounders. The dose-response relationship between the number of prenatal care visits and the risk of LBW was investigated by modeling the quantitative exposure with restricted cubic splines (RCS). Results There was a significant synergetic effect on the LBW risk between maternal educational attainment and the number of prenatal care visits (χ2 = 4.98, P = 0.0257), whereas no significant maternal educational attainment interaction was found with the week of initiation of prenatal care after adjusting for relevant confounding factors (χ2 = 2.04, P = 0.1530), and the LBW risk displayed a ‘U-shape’ curve tendency among the different number of prenatal care visits (P for nonlinearity = 0.0002) using RCS. In particular, the ORs were approaching the curve’s bottom when the women had 9 or 10 prenatal care visits. Comparing with 5 prenatal care visits, the ORs and 95%CI of LBW risk for 7, 9, 11 and ≥13 visits were 0.92 (0.82–1.03), 0.50 (0.38–0.66), 0.62 (0.47–0.82), and 0.99 (0.61–1.60), respectively. Conclusions Our findings suggest that appropriate prenatal care, in combination with a higher maternal educational level, can produce a protective interaction effect on LBW risk. Reasonable health resource assignment for different social statuses should be

  19. Prenatal care in combination with maternal educational level has a synergetic effect on the risk of neonatal low birth weight: new findings in a retrospective cohort study in Kunshan City, China.

    Directory of Open Access Journals (Sweden)

    Lin-Lin Dai

    Full Text Available OBJECTIVES: To investigate the dose-response relationship and synergetic effect of the maternal educational level and two measures of prenatal care on neonatal low birth weight (LBW risk. METHODS: Data were derived from the Perinatal Health Care Surveillance System (PHCSS from January 2001 to September 2009 in Kunshan City, Jiangsu province, eastern China, which included data on 31412 women with a normal birth weight delivery and 640 women with a LBW delivery. Logistic modelling was performed to estimate the association including the joint effects with odds ratio (OR and 95% confidence interval (CI between the prenatal care measures and LBW risk after adjusting for the potential confounders. The dose-response relationship between the number of prenatal care visits and the risk of LBW was investigated by modeling the quantitative exposure with restricted cubic splines (RCS. RESULTS: There was a significant synergetic effect on the LBW risk between maternal educational attainment and the number of prenatal care visits (χ(2 = 4.98, P = 0.0257, whereas no significant maternal educational attainment interaction was found with the week of initiation of prenatal care after adjusting for relevant confounding factors (χ(2 = 2.04, P = 0.1530, and the LBW risk displayed a 'U-shape' curve tendency among the different number of prenatal care visits (P for nonlinearity = 0.0002 using RCS. In particular, the ORs were approaching the curve's bottom when the women had 9 or 10 prenatal care visits. Comparing with 5 prenatal care visits, the ORs and 95%CI of LBW risk for 7, 9, 11 and ≥ 13 visits were 0.92 (0.82-1.03, 0.50 (0.38-0.66, 0.62 (0.47-0.82, and 0.99 (0.61-1.60, respectively. CONCLUSIONS: Our findings suggest that appropriate prenatal care, in combination with a higher maternal educational level, can produce a protective interaction effect on LBW risk. Reasonable health resource assignment for different social statuses should be taken into account by

  20. Birth cohorts

    DEFF Research Database (Denmark)

    Andersen, Anne-Marie Nybo; Madsen, Mia

    2009-01-01

    ; provides practical guidance on how to set-up and maintain birth cohorts for completing family-based studies in life course epidemiology; describes how to undertake appropriate statistical analyses of family-based studies and correctly interpret results from these analyses; and provides examples...

  1. Genetic structure of the invasive tree Ailanthus altissima in eastern United States cities

    Science.gov (United States)

    Preston R. Aldrich; Joseph S. Briguglio; Shyam N. Kapadia; Minesh U. Morker; Ankit Rawal; Preeti Kalra; Cynthia D. Huebner; Gary K. Greer

    2010-01-01

    Ailanthus altissima is an invasive tree from Asia. It now occurs in most US states, and although primarily an urban weed, it has become a problem in forested areas especially in the eastern states. Little is known about its genetic structure. We explore its naturalized gene pool from 28 populations, mostly of the eastern US where infestations are...

  2. Rapid screening for co-infection of HIV and HCV in pregnant women in Benin City, Edo State, Nigeria.

    Science.gov (United States)

    Duru, M U; Aluyi, H S A; Anukam, K C

    2009-09-01

    Human Immunodeficiency virus (HIV) and Hepatitis C virus (HCV) are both major global health concerns as they cause high mortality and morbidity in the developing countries. However, while data exists for the co-infection in other countries, little or no information can be found with regard to the sero-prevalence of HIV and HCV co-infection in Nigeria, albeit in pregnant women attending antenatal care clinics in Benin City, Nigeria. The objective of the study was to determine the sero-prevalence of HIV and HCV among pregnant women seeking antenatal care in Benin City. In determining the sero-prevalence in a cross-sectional study, 200 pregnant women, aged between 15 and 49 years were screened for HIV and HCV using rapid screening test kits. Using closed ended structured questionnaires; the respondents volunteered socio-demographic information associated with risk factors of HIV and HCV acquisition. Results indicated sero-prevalence of HIV and HCV in the sampled population was 3% and 5% respectively. Thirty three percent of the pregnant women that were HCV positive were co-infected with HIV-1 infection. HIV sero-prevalence was highest in the age group, 25-29 representing 5.1%, while HCV sero-prevalence was noted highest among the women in the age group 30-34 years, representing 7.9%. Two percent of the pregnant women had equivocal (ambivalent) HIV-1 results. The study has shown a prevalence of HIV-HCV co-infection among the tested pregnant women in Benin City and more epidemiological surveys are needed in larger scale to decipher the prevalence in other states of Nigeria.

  3. Cerebral oxygenation after birth

    DEFF Research Database (Denmark)

    Hessel, Trine W; Hyttel-Sorensen, Simon; Greisen, Gorm

    2014-01-01

    AIM: To compare absolute values of regional cerebral tissue oxygenation (cStO2 ) during haemodynamic transition after birth and repeatability during steady state for two commercial near-infrared spectroscopy (NIRS) devices. METHODS: In a prospective observational study, the INVOS 5100C and FORE......: The INVOS and FORE-SIGHT cStO2 estimates showed oxygenation-level-dependent difference during birth transition. The better repeatability of FORE-SIGHT could be due to the lower response to change in saturation....

  4. Integrating Health into Local Climate Response: Lessons from the U.S. CDC Climate-Ready States and Cities Initiative.

    Science.gov (United States)

    Sheehan, Mary C; Fox, Mary A; Kaye, Charlotte; Resnick, Beth

    2017-09-20

    Public health has potential to serve as a frame to convey the urgency of behavior change needed to adapt to a changing climate and reduce greenhouse gas emissions. Local governments form the backbone of climate-related public health preparedness. Yet local health agencies are often inadequately prepared and poorly integrated into climate change assessments and plans. We reviewed the climate health profiles of 16 states and two cities participating in the U.S. Centers for Disease Control and Prevention (CDC)'s Climate-Ready States and Cities Initiative (CRSCI) that aims to build local capacity to assess and respond to the health impacts of climate change. Following recommendations from a recent expert panel strategic review, we present illustrations of emerging promising practice and future directions. We found that CRSCI has strengthened climate preparedness and response in local public health agencies by identifying critical climate-health impacts and vulnerable populations, and has helped integrate health more fully into broader climate planning. Promising practice was found in all three recommendation areas identified by the expert panel (leveraging partnerships, refining assessment methodologies and enhancing communications), particularly with regard to health impacts of extreme heat. Vast needs remain, however, suggesting the need to disseminate CRSCI experience to non-grantees. In conclusion, the CRSCI program approach and selected activities illustrate a way forward toward robust, targeted local preparedness and response that may serve as a useful example for public health departments in the United States and internationally, particularly at a time of uncertain commitment to climate change agreements at the national level. https://doi.org/10.1289/EHP1838.

  5. Knowledge and practice of food hygiene and safety among food handlers in fast food restaurants in Benin City, Edo State.

    Science.gov (United States)

    Isara, A R; Isah, E C

    2009-09-01

    To assess the knowledge and practice of food hygiene and safety among food handlers in fast food restaurants in Benin City, Edo State. A descriptive cross-sectional study was carried out among 350 respondents who were selected by means of a systematic sampling method and interviewed using a semi-structured researcher-administered questionnaire. An observational checklist was thereafter used to inspect their personal hygiene status. The mean age of the food handlers was 26.4 +/- 6.1 years. Two hundred and twenty eight (65.1%) were females while 34.9% were males. A majority (98%) of the respondents had formal education. There was good knowledge and practice of food hygiene and safety among the respondents. Knowledge was significantly influenced by previous training in food hygiene and safety (p = 0.002). Food handlers who had worked for longer years in the fast food restaurants had better practice of food hygiene and safety (p = 0.036). The level of education of respondents did not significantly influenced their practice of food hygiene and safety (p = 0.084). Although, 299 (85.4%) food handlers were generally clean, skin lesions was seen in 4 (7.3%) of them. This study showed good knowledge and practice of food hygiene and safety by food handlers in the fast food restaurants in Benin City, but there is need for improvement through training and retraining of food handlers by the management of the restaurants and the local government authorities.

  6. Size distribution and mixing state of refractory black carbon aerosol from a coastal city in South China

    Science.gov (United States)

    Wang, Qiyuan; Huang, Ru-Jin; Zhao, Zhuzi; Zhang, Ningning; Wang, Yichen; Ni, Haiyan; Tie, Xuexi; Han, Yongming; Zhuang, Mazhan; Wang, Meng; Zhang, Jieru; Zhang, Xuemin; Dusek, Uli; Cao, Junji

    2016-11-01

    An intensive measurement campaign was conducted in the coastal city of Xiamen, China to investigate the size distribution and mixing state of the refractory black carbon (rBC) aerosol. The average rBC concentration for the campaign, measured with a ground-based single particle soot photometer (SP2), was 2.3 ± 1.7 μg m- 3, which accounted for ~ 4.3% of the PM2.5 mass. A potential source contribution function model indicated that emissions from coastal cities to the southwest were the most important source for the rBC and that shipping traffic was another likely source. The mass size distribution of the rBC particles was mono-modal and approximately lognormal, with a mass median diameter (MMD) of ~ 185 nm. Larger MMDs (~ 195 nm) occurred during polluted conditions compared with non-polluted times (~ 175 nm) due to stronger biomass burning activities during pollution episodes. Uncoated or thinly-coated particles composed the bulk of the rBC aerosol, and on average ~ 31% of the rBC was internally-mixed or thickly-coated. A positive matrix factorization model showed that organic materials were the predominant component of the rBC coatings and that mixing with nitrate increased during pollution conditions. These findings should lead to improvements in the parameterizations used to model the radiative effects of rBC.

  7. Car Licensing Trends of the Babyboomer Cohort (b. 1946-1965) Compared to Earlier Birth Cohorts: Effects on the Driving Population in the State of Victoria, Australia.

    Science.gov (United States)

    Koppel, Sjaan; Berecki-Gisolf, Janneke

    2015-01-01

    The objective of this article was to explore trends in licensing among babyboomer older drivers in the state of Victoria, Australia. The study aims were to (1) compare the car licensing trends of the babyboomer cohort to that of previous birth cohorts and (2) predict the number of babyboomers licensed to drive a car in 2021 when the babyboomer cohort reaches an average age of 65 years. The residential population of Victoria, Australia, for 2001-2013 was obtained from the Australian Bureau of Statistics; car licensing statistics were obtained from VicRoads. Birth cohorts from 1916 to 1975 were defined in 10-year birth-year intervals. Population size was modeled using logistic regression. License prevalence was modeled using a logit model. The babyboomer cohort (1946-1965) in Victoria is 1.7 times larger than the cohort before them. At age 60 years, license prevalence among babyboomers was higher than in previous cohorts: 88% in the 1936-1945 cohort vs. 96% in the 1946-1955 cohort. When the babyboomers reach 65 years (average) in 2021, we estimate there to be over twice as many license holders among them than in the preceding cohort (n = 1,300,094 vs. 630,830, respectively). Aging of the babyboomer cohort will have a greater impact on the driving population than on the general population, due to the multiplicative effect of cohort size and license prevalence. The impact of road user aging on burden of injury can be minimized by focusing prevention at crashes typical to older drivers, such as intersection crashes, and promoting car safety features among older drivers.

  8. Diferenciais intra-urbanos de peso ao nascer no município de São Paulo Diferencias intra-urbanas de peso al nacer en el município de São Paulo Birth weight intra-urban differentials in the city of São Paulo

    Directory of Open Access Journals (Sweden)

    Elaine Garcia Minuci

    2009-04-01

    .OBJECTIVE: To identify intra-urban differentials and risk factors in low birth weight prevalence. METHODS: Information was gathered in the live birth declarations made by mothers residing in the city of São Paulo (Southern Brazil, and obtained through the Live Birth Information System and the Seade Foundation, for the period between 2002 and 2003, totaling 388,980 live births. The addresses were georeferenced in census tracts and classified into six vulnerability groups according to the São Paulo State Social Vulnerability Index. To identify potential risk factor logistic regression analysis was performed. RESULTS: A positive growth trend was observed in the prevalence of low birth weight with an increase in the vulnerability rate (from 6.8% to 8.1%. There were significant differences among groups in terms of mothers' demographics, prenatal care and the proportion of non-preterm low weight births. In the low birth weight non-preterm group, a proxy measure to estimate intra-uterine growth delay, residing in vulnerable areas (1.29;1.17-1.43 and unfavorable mothers' demographics, such as teenage mothers (1.13;1.04-1.22, low schooling (1.26;1.17-1.35 and high number of children (1.10;1.01-1.20 were considered risk factors, as were older mothers (1.38;1.30-1.47, and single mothers (1.15;1.11-1.20. The lack of prenatal care produced the highest risk of low weight at birth in preterm (3.39;2.86-4.02 and non-preterm births (2.12;1.87-2.41. There was a decrease in the risk for low birth weight with an increase in prenatal care appointments in preterm and non-preterm births. CONCLUSIONS: There are low birth weight prevalence differences across vulnerability groups. Prenatal care proved to be unequal across vulnerability groups and its high risk in terms of low birth weight shows the importance of increasing the access to and the quality of healthcare services.

  9. Non-state security governances and the implications for local-level citizenship in Danish semi-public city spaces

    DEFF Research Database (Denmark)

    Jensen, Thomas Søgaard

    in Denmark I explore how local non-state notions of ´safety´, ´insecurity´, and ´intimidating categories of persons´ are central to and embodied in security guards surveillance and governing practices. In the first part I outline recent empirical changes in the field of security provision - most noteworthy......Security is both in academic and popular discourses often depicted as the opposition to violence, fear of violence and insecurity in general. In this paper I intent to focus on the politics of as well as the social implications of security governance - that is governing and surveillance practices...... directed at promoting peace and restoring the feel good factor - in public city space in Denmark. What precisely "security" is, what it should mean, and what should be done to guarantee it, has always been contested on an empirically level. The reason for this is that security often deals with social order...

  10. Endoparasites of horses from the Formiga city, located in center-west region of the state of Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Weslen Fabricio Pires Teixeira

    2014-12-01

    Full Text Available With the aim of studying the endoparasite fauna of horses from the Formiga city, located in center-west region of the state of Minas Gerais, 25 animals that were naturally infected with helminths were evaluated. By means of parasitological necropsies, different endoparasites were found. The subfamily Cyathostominae presented the highest incidence, followed by Trichostrongylus axei, Oxyuris equi, Triodontophorus serratus, Strongyloides westeri, Strongylus edentatus, Habronema muscae, Parascaris equorum, Probstmayria vivipara, Strongylus vulgaris, Gasterophilus nasalis, Anoplocephala magna and Anoplocephala perfoliata. In the present study, if the species Probstmayria vivipara was not considered in the prevalence, the frequency of Cyathostominae was equivalent to 94.85%. The results obtained in this study allowed us to detect and identify different species of helminths in horses, and confirmed the high incidence of nematodes belonging to the subfamily Cyathostominae in the center-west region of Minas Gerais.

  11. Title: The Impact of 2006-2012 CReSIS Summer Research Programs that Influence Student's Choice of a STEM Related Major in College Authors: Dr. Darnell Johnson Djohnson@mail.ecsu.edu Elizabeth City State University, Elizabeth City, North Carolina 27909 Dr. Linda Hayden Haydenl@mindspring.com Elizabeth City State University, Elizabeth City, North Carolina, 27909

    Science.gov (United States)

    Johnson, D.

    2013-12-01

    Abstract: Researchers, policymakers, business, and industry have indicated that the United States will experience a future shortage of professionals in the Science, Technology, Engineering, and Mathematics (STEM) fields. Several strategies have been suggested to address this impending shortage, one of which includes increasing the representation of females and minorities in the STEM fields. In order to increase the representation of underrepresented students in the STEM fields, it is important to understand the motivational factors that impact underrepresented students' interest in STEM academics and extracurricular programs. Research indicates that greater confidence leads to greater interest and vice versa (Denissen et al., 2007). In this paper, the mathematics research team examined the role of practical research experience during the summer for talented minority secondary students studying in STEM fields. An undergraduate research mathematics team focused on the link between summer research and the choice of an undergraduate discipline. A Chi Square Statistical Test was used to examine Likert Scale results on the attitude of students participating in the 2006-2012 Center for Remote Sensing of Ice Sheets (CReSIS) Summer Research Programs for secondary students. This research was performed at Elizabeth City State University located in northeastern North Carolina about the factors that impact underrepresented students' choices of STEM related majors in college. Results can be used to inform and guide educators, administrators, and policy makers in developing programs and policy that support and encourage the STEM development of underrepresented students. Index Terms: Science, Technology, Engineering, and Mathematics (STEM), Underrepresented students

  12. Water sustainability of large cities in the United States from the perspectives of population increase, anthropogenic activities, and climate change

    Science.gov (United States)

    Yigzaw, Wondmagegn; Hossain, Faisal

    2016-12-01

    Balancing water demand and supply with depleting sources and increasing demand needs a multi-dimensional approach given the pace at which the world is urbanizing. This study selected the contiguous United States (CONUS), 42 specific cities and their river basins to determine: Which basins and cities are more susceptible to increased water shortage? Population, water use, hydrologic model and climate model data from CMIP5 were used. Representative Concentration Pathways scenarios: RCP2.6, RCP4.5, RCP6, and RCP8.5 represented different climate change conditions. Period 1 (1950-2004) showed that more areas are affected by monthly runoff and streamflow than annual averages. In some cases, significant decreasing trends in water availability were observed during the summer (June-July-August) and spring (March-April-May) seasons. The second period (2005-2049) indicated an annual increasing trend (more water available) with higher intensity for the RCP6 scenario. Summer and spring showed areas of decreasing trend (less water available) for RCP4.5 and RCP6. Period 3 (2050-2099) exhibited a decreasing trend for the RCP2.6 (Western and Central CONUS, Great Lakes, and FL), RCP4.5 (Southwest CONUS), RCP6 (Western United States), and Central CONUS (RCP8.5). The Mississippi River has a mixed sensitivity to future climate change. The Central Valley of California, Los Angeles, Phoenix, and Tucson can face further challenges as the Colorado River becomes depleted. Seawater desalination and inter-basin water transfer can be considered in future and present policies and structural developments. The West, Southeastern Coast, and FL may consider desalination, while the West and Central CONUS can use the Mississippi for inter-basin transfer.

  13. Utilization of the state led public private partnership program "Chiranjeevi Yojana" to promote facility births in Gujarat, India: a cross sectional community based study.

    Science.gov (United States)

    Yasobant, Sandul; Vora, Kranti Suresh; Shewade, Hemant Deepak; Annerstedt, Kristi Sidney; Isaakidis, Petros; Mavalankar, Dileep V; Dholakia, Nishith B; De Costa, Ayesha

    2016-07-15

    "Chiranjeevi Yojana (CY)", a state-led large-scale demand-side financing scheme (DSF) under public-private partnership to increase institutional delivery, has been implemented across Gujarat state, India since 2005. The scheme aims to provide free institutional childbirth services in accredited private health facilities to women from socially disadvantaged groups (eligible women). These services are paid for by the state to the private facility with the intention of service being free to the user. This community-based study estimates CY uptake among eligible women and explores factors associated with non-utilization of the CY program. This was a community-based cross sectional survey of eligible women who gave birth between January and July 2013 in 142 selected villages of three districts in Gujarat. A structured questionnaire was administered by trained research assistant to collect information on socio-demographic details, pregnancy details, details of childbirth and out-of-pocket (OOP) expenses incurred. A multivariable inferential analysis was done to explore the factors associated with non-utilization of the CY program. Out of 2,143 eligible women, 559 (26 %) gave birth under the CY program. A further 436(20 %) delivered at free public facilities, 713(33 %) at private facilities (OOP payment) and 435(20 %) at home. Eligible women who belonged to either scheduled tribe or poor [aOR = 3.1, 95 % CI:2.4 - 3.8] or having no formal education [aOR = 1.6, 95 % CI:1.1, 2.2] and who delivered by C-section [aOR = 2.1,95 % CI: 1.2, 3.8] had higher odds of not utilizing CY program. Of births at CY accredited facilities (n = 924), non-utilization was 40 % (n = 365) mostly because of lack of required official documentation that proved eligibility (72 % of eligible non-users). Women who utilized the CY program overall paid more than women who delivered in the free public facilities. Uptake of the CY among eligible women was low after almost a decade

  14. Similarities and Differences in Behavioral State Organization during Sleep Periods in the Perinatal Infant before and after Birth.

    Science.gov (United States)

    Groome, Lynne J.; And Others

    1997-01-01

    Examined consistency in behavioral state organization for 30 fetuses and neonates. Assessed heart rate pattern and presence or absence of eye and gross body movements during sleep, finding quiet sleep (QS), active sleep (AS), and indeterminate states in nearly identical proportions. Duration of enclosed QS epochs provided only stable measure of…

  15. Clean Energy in City Codes: A Baseline Analysis of Municipal Codification across the United States

    Energy Technology Data Exchange (ETDEWEB)

    Cook, Jeffrey J. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Aznar, Alexandra [National Renewable Energy Lab. (NREL), Golden, CO (United States); Dane, Alexander [National Renewable Energy Lab. (NREL), Golden, CO (United States); Day, Megan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Mathur, Sivani [National Renewable Energy Lab. (NREL), Golden, CO (United States); Doris, Elizabeth [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-12-01

    Municipal governments in the United States are well positioned to influence clean energy (energy efficiency and alternative energy) and transportation technology and strategy implementation within their jurisdictions through planning, programs, and codification. Municipal governments are leveraging planning processes and programs to shape their energy futures. There is limited understanding in the literature related to codification, the primary way that municipal governments enact enforceable policies. The authors fill the gap in the literature by documenting the status of municipal codification of clean energy and transportation across the United States. More directly, we leverage online databases of municipal codes to develop national and state-specific representative samples of municipal governments by population size. Our analysis finds that municipal governments with the authority to set residential building energy codes within their jurisdictions frequently do so. In some cases, communities set codes higher than their respective state governments. Examination of codes across the nation indicates that municipal governments are employing their code as a policy mechanism to address clean energy and transportation.

  16. Water and Wastewater Annual Price Escalation Rates for Selected Cities across the United States

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2017-10-27

    Pacific Northwest National Laboratory conducted this study for the Federal Energy Management Program to identify trends in annual water and wastewater price escalation rates across the United States. This study can be used to inform the selection of an appropriate escalation rates for inclusion in LCCA.

  17. Teen Childbearing in America's Largest Cities. A KIDS COUNT Working Paper.

    Science.gov (United States)

    O'Hare, William P.

    This paper examines teen births during the period from 1991 to 1996, a period chosen because teen births started to decline in 1991 and 1996 was the most recent data year available. In most cities, the number of births to teens decreased in this period, but in a small number of cities, the number of births to teenagers increased. It is not clear…

  18. Tuberculosis recurrence in a priority city in the state of São Paulo, Brazil.

    Science.gov (United States)

    Vieira, Amadeu Antonio; Leite, Danila Torres; Adreoni, Solange

    2017-01-01

    To describe cases of tuberculosis recurrence (TBR), stratified by temporal classification (early or late TBR), and to identify possible predictors of such recurrence. This was an analytical retrospective observational epidemiological study involving a cohort of 963 new cases of pulmonary tuberculosis, reported and treated via the Tuberculosis Control Program in the city of Carapicuíba, Brazil. The study period was from 2000 to 2010. All of the pulmonary tuberculosis patients who successfully completed the treatment (with or without confirmation of cure) were selected and followed until December 31, 2012. Of the 963 cases, TBR occurred in 47 (4.88%). The mean time between the first and second tuberculosis episodes was 36.12 months. Of the 47 TBR cases, 16 (34.04%) occurred within the first 18 months after the completion of the initial treatment (early TBR) and 31 (65.96%) occurred thereafter (late TBR). There were statistically significant differences between the early and late TBR groups only regarding level of education (≤ 3 vs. > 3 years of schooling; p tuberculosis treatment. Descrever os casos de recorrência de tuberculose (RTB) e identificar possíveis preditores segundo a classificação RTB recente ou tardia. Estudo epidemiológico observacional analítico retrospectivo a partir de uma coorte de 963 casos novos de tuberculose pulmonar notificados e tratados no Programa de Controle de Tuberculose de Carapicuíba (SP). O período de estudo foi de 2000 a 2010. Todos os casos novos de tuberculose pulmonar que completaram com sucesso o tratamento (com ou sem cura confirmada) foram selecionados e seguidos até 31 de dezembro de 2012. Dos 963 casos, RTB ocorreu em 47 (4,88%). O tempo médio transcorrido até o segundo episódio foi de 36,12 meses. Dos 47 casos de RTB, 16 (34,04%) ocorreram em até 18 meses da alta do primeiro tratamento (RTB recente), e 31 (65,96%) ocorreram após 18 meses (RTB tardia). Entre as variáveis investigadas, somente houve diferen

  19. A study of indoor radon levels and radon effective dose in dwellings of some cities of Gezira State in Sudan

    Directory of Open Access Journals (Sweden)

    Elzain Abd-Elmoniem Ahmed

    2014-01-01

    Full Text Available Exposure to natural sources of radiation, especially 222Rn and its short-lived daughter products has become an important issue throughout the world because sustained exposure of humans to indoor radon may cause lung cancer. The indoor radon concentration level and radon effective dose rate were carried out in the dwellings of Medani, El Hosh, Elmanagil, Haj Abd Allah, and Wad Almahi cities, Gezira State - Central Sudan, in 393 measurements, using passive integrated solid-state nuclear track devices containing allyl diglycol carbonate plastic detectors. The radon concentration in the corresponding dwellings was found to vary from (57 ± 8 Bq/m3 in Medani to 41 ± 9 Bq/m3 in Wad Almahi, with an average of 49 ± 10 Bq/m3. Assuming an indoor occupancy factor of 0.8 and 0.4 for the equilibrium factor of radon indoors, we found that the annual effective dose rate from 222Rn in the studied dwellings ranges from 1.05 to 1.43 mSv per year and the relative lung cancer risk for radon exposure was 1.044%. In this research, we also correlated the relationship of radon concentration and building age. From our study, it is clear that the annual effective dose rate is larger than the “normal” background level as quoted by UNSCEAR, lower than the recommended action level of ICRP, and less than the maximum permissible dose defined by the International Atomic Energy Agency.

  20. Local knowledge of traditional fishermen on economically important crabs (Decapoda: Brachyura) in the city of Conde, Bahia State, Northeastern Brazil.

    Science.gov (United States)

    de Magalhães, Henrique Fernandes; Costa Neto, Eraldo Medeiros; Schiavetti, Alexandre

    2012-07-02

    This article records the traditional knowledge of crab gatherers in the city of Conde, in the North Coast Region of Bahia State, Northeastern Brazil. Data on biological and ecological aspects of economically important brachyuran crustaceans have been obtained from semi-structured interviews and in loco observations conducted from September 2007 to December 2009. A total of 57 fishermen of both genders, aged between 10 and 78 years have been interviewed (individually or collectively) in different contexts; interviewees were asked about aspects such as external morphology, life cycle, trophic ecology, and spatial and temporal distribution of the major economically important brachyuran crustaceans in the region. Seven fishing communities were visited: Siribinha, Sítio do Conde, Poças, Ilha das Ostras, Cobó, Buri and Sempre Viva. Data were analyzed by comparing the information provided by participants with those from the specialized academic literature. The results show that artisanal fishermen have a wide ranging and well-grounded knowledge on the ecological and biological aspects of crustaceans. Crab gatherers of Conde know about growth and reproductive behavior of the animals they interact with, especially with regard to the three major biological aspects: "molt", "walking dance" and "spawning". This knowledge constitutes an important source of information that should be considered in studies of management and sustainable use of fishery resources in the North Coast Region of Bahia State.

  1. Seroprevalence of and risk factors for leptospirosis in the City of Manaus, State of Amazonas, Brazil.

    Science.gov (United States)

    Silva, Luciete Almeida; Lima, Kátia Maria da Silva; Fernandes, Ormezinda Celeste Cristo; Balassiano, Ilana Teruszkin; Avelar, Kátia Eliane Santos; Jesus, Michele Silva de

    2016-01-01

    Leptospirosis is caused by a bacterium of the genus Leptospira. This study aimed at investigating the seroprevalence of and risk factors for leptospirosis in humans in Manaus, State of Amazonas. Interviews were performed, and 1,000 blood serum samples were examined using a microscopic agglutination test. Forty-three cases were positive; there were 10 serotypes, with coagglutination in 8 cases. The most frequently occurring serotypes were Icterohaemorrhagiae (20.7%), Cynopteri (20.7%), Australis (18.8%), and Copenhageni (16.9%), and the Midwest (54.7%) and South (23.8%) had the most cases; these areas lack basic sanitation. Disease occurrence might be reduced through improved basic infrastructural conditions.

  2. [Hygiene practices in a street market in the city of Salvador, Bahia State].

    Science.gov (United States)

    Minnaert, Ana Cláudia de Sá Teles; Freitas, Maria do Carmo Soares

    2010-06-01

    The main objective of this research is to understand the meaning of the practices concerning food hygiene in a street market in Salvador, the capital of Bahia State in Brazil. The ethnographic study presents two main categories for symbolic production related to hygiene practices: cleanliness as order and dirtiness as disorder. These cultural codes make correspondence with the studies of Mary Douglas and Nobert Elias. The codes present particularities to decode everyday life, in which concept and hygiene practices are aspects normalized, in daily activity, for persons who share the space of street market: vendors, consumers, street cleaners and official inspectors. The techno-scientific knowledge and sanitary legislation are strange to the symbolic system of street market vendors. The laws are ineffective and their influence is of little importance in the creation of hygiene practices. Official inspectors' attitudes are coercive and punitive and do not take into account any cultural values when enforcing new hygiene practices.

  3. Birth rights.

    Science.gov (United States)

    Hawkin, R

    1980-06-01

    Despite the marked decline in Singapore's crude birth rate from 42.7/1000 population to 22.1/1000 population from 1957 to 1970, the government adopted a policy of sterilization by coercion with the passage in 1970 of the Voluntary Sterilisation Act. Although sterilization is supposedly voluntary, various regulations make it extremely difficult for couples who wish to retain their fertility. Couples under 40 years of age with more than 2 children must agree to accept sterilization or their children are assigned to a low priority category in regard to primary school admittance. An individual who wishes to marry a non-Singaporean cannot obtain a marriage application unless one of the parties to the marriage agrees to have a sterilization after the birth of their 2nd child. Singapore, with a population density of almost 4000/square kilometer, needs to be concerned about population growth; however, since the population had for the most part already adopted a 2 child family norm, these coercive policies appear to be blatantly excessive.

  4. City 2020+

    Science.gov (United States)

    Schneider, C.; Buttstädt, M.; Merbitz, H.; Sachsen, T.; Ketzler, G.; Michael, S.; Klemme, M.; Dott, W.; Selle, K.; Hofmeister, H.

    2010-09-01

    This research initiative CITY 2020+ assesses the risks and opportunities for residents in urban built environments under projected demographic and climate change for the year 2020 and beyond, using the City of Aachen as a case study. CITY 2020+ develops scenarios, options and tools for planning and developing sustainable future city structures. We investigate how urban environment, political structure and residential behavior can best be adapted, with attention to the interactions among structural, political, and sociological configurations and with their consequences on human health. Demographers project that in the EU-25-States by 2050, approximately 30% of the population will be over age 65. Also by 2050, average tem¬peratures are projected to rise by 1 to 2 K. Combined, Europe can expect enhanced thermal stress and higher levels of particulate matter. CITY 2020+ amongst other sub-projects includes research project dealing with (1) a micro-scale assessment of blockages to low-level cold-air drainage flow into the city centre by vegetation and building structures, (2) a detailed analysis of the change of probability density functions related to the occurrence of heat waves during summer and the spatial and temporal structure of the urban heat island (UHI) (3) a meso-scale analysis of particulate matter (PM) concentrations depending on topography, local meteorological conditions and synoptic-scale weather patterns. First results will be presented specifically from sub-projects related to vegetation barriers within cold air drainage, the assessment of the UHI and the temporal and spatial pattern of PM loadings in the city centre. The analysis of the cold air drainage flow is investigated in two consecutive years with a clearing of vegetation stands in the beginning of the second year early in 2010. The spatial pattern of the UHI and its possible enhancement by climate change is addressed employing a unique setup using GPS devices and temperature probes fixed to

  5. Parasitism of Ixodes (Multidentatus auritulus Neumann (Acari: Ixodidae on birds from the city of Curitiba, state of Paraná, southern Brazil

    Directory of Open Access Journals (Sweden)

    Márcia Arzua

    1999-09-01

    Full Text Available The tick-bird relationship of 56 specimens of birds (Passeriformes and Columbiformes collected in the city of Curitiba, State of Paraná, between 1990 and 1995, among which 102 specimens of Ixodes (Multidentatus auritulus were found and analyzed. New host records were also produced including the first report of I. auritulus on a Columbiformes bird in Brazil.

  6. Parasitism of Ixodes (Multidentatus) auritulus Neumann (Acari: Ixodidae) on birds from the city of Curitiba, state of Paraná, southern Brazil

    OpenAIRE

    Arzua,Márcia; Barros-Battesti,Darci Moraes

    1999-01-01

    The tick-bird relationship of 56 specimens of birds (Passeriformes and Columbiformes) collected in the city of Curitiba, State of Paraná, between 1990 and 1995, among which 102 specimens of Ixodes (Multidentatus) auritulus were found and analyzed. New host records were also produced including the first report of I. auritulus on a Columbiformes bird in Brazil.

  7. Characterization of isolated communities: application in the city of Ubatuba, Sao Paulo state, Brazil; Caracterizacao de comunidades isoladas: aplicacao em comunicade de Ubatura/SP

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Maria Julita Guerra [Secretaria de Estado de Energia, Recursos Hidricos e Saneamento (SERHS), Sao Paulo, SP (Brazil)], e-mail: mjulita@sp.gov.br; Pilla, Adelina Teixeira Fonseca de [Equilibrio, Desenvolvimento Ambiental Ltda., Sao Paulo, SP (Brazil)], e-mail: adelina.fonseca@uol.com.br

    2004-07-01

    This paper presents a methodology for characterization of isolated communities, developed on a consultant work for the Ministry of Mines and Energy - MME. It still presents the application of this methodology of analysis on a isolated community in the city of Ubatuba, Sao Paulo state. (author)

  8. Agriculture and Food Supply in a City State (Original papers in Kobe Symposium on Agriculture, Food and Environment in Asia : Towards the 21st Century)

    OpenAIRE

    Goh, Chong jin

    1997-01-01

    Singapore is a small island state with a population of three million people in a total area of 646 square kilometers. This gives a high density of more than 4,500 residents per square kilometer. Land is very limited and precious. Can Singapore, as a city

  9. Ready4Work "In Brief": Update on Outcomes; Reentry May Be Critical for States, Cities. P/PV In Brief. Issue 6

    Science.gov (United States)

    Farley, Chelsea; McClanahan, Wendy S.

    2007-01-01

    This issue of "P/PV In Brief" provides updated data from the Ready4Work prisoner reentry initiative, with a focus on the prison crisis occurring in many cities and states. While much more research is needed to understand the true, long-term impact of prisoner reentry initiatives, outcomes from Ready4Work were extremely promising in terms of…

  10. Femicides: a study in Brazilian state capital cities and large municipalities.

    Science.gov (United States)

    Meneghel, Stela Nazareth; Rosa, Bruna Alexandra Rocha da; Ceccon, Roger Flores; Hirakata, Vania Naomi; Danilevicz, Ian Meneghel

    2017-09-01

    This study analyses the relationship between femicides and indicators of socio-economic condition, demography, access to communications, and health situation, in Brazilian state capitals and large-population municipalities. It is an ecological study using the standardized mean coefficient of female mortality due to aggression as a marker for femicide in the years 2007-09 and 2011-13. The Pearson Correlation test was used for the statistical analysis between the outcome and 17 independent variables, and those that were statistically significant (p femicide was 4.5 deaths per 100,000 women, and in the second period it was 4.9/100,000. Poverty (β = -0.330; p = 0.006), Pentecostalism (β = 0.237; p = 0.002) and male mortality by aggression (β = 0.841; p = 0.000) were associated with femicides. The negative association between poverty and feminine deaths indicates a paradoxical relationship, in that women who die in the richer regions are mostly poor. A relationship was also found between gender violence, fundamentalist religious beliefs, and urban violence.

  11. Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun State, Nigeria

    Directory of Open Access Journals (Sweden)

    Asekun–Olarinmoye EO

    2013-10-01

    Full Text Available EO Asekun-Olarinmoye,1 WO Adebimpe,1 JO Bamidele,2 OO Odu,2 IO Asekun-Olarinmoye,3 EO Ojofeitimi41Department of Community Medicine, Faculty of Clinical Sciences, Osun State University, Osogbo, Osun State, Nigeria; 2Department of Community Medicine, Faculty of Clinical Sciences, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria; 3Department of Community Health, School of Public and Allied Health, Babcock University, Ilishan-Remo, Ogun State, Nigeria; 4Department of Community Medicine, Faculty of Clinical Sciences, Ladoke Akintola University of Technology, Osogbo, Osun State, NigeriaObjectives: To determine the knowledge and attitudes on modern contraceptive use of women living in an inner city area of Osogbo.Materials and methods: Three hundred and fifty nine women of childbearing age were studied utilizing a community-based, descriptive, cross-sectional study design. A multistage random sampling technique was used in recruiting respondents to the study. A four-part questionnaire was applied dually, by interviewers and by respondents' self administration, and the data was analyzed using the SPSS software version 17.0.Results: The mean age of respondents was 28.6 ± 6.65 years. The majority (90.3% of respondents were aware of modern methods of family planning (FP, 76.0% claimed awareness of where to obtain FP services, and 74.9% knew of at least five methods. However, only 30.6% had ever used contraceptives, while only 13.1% were current users. The most frequently used method was the male condom. The commonly perceived barriers accounting for low use of FP methods were fear of perceived side effects (44.0%, ignorance (32.6%, misinformation (25.1%, superstition (22.0%, and culture (20.3%. Some reasons were proffered for respondents' nonuse of modern contraception. Predictors of use of modern contraceptives include the awareness of a place of FP service provision, respondents' approval of the use of contraceptives, higher education status, and

  12. The Male-female Birth Ratio in California and the 1992 April Riots in Los Angeles.

    Science.gov (United States)

    Grech, V

    2015-06-01

    Male live births slightly exceed female live births. This is usually expressed as M/F, the ratio of male to total live births. A multitude of external influences have been shown to reduce this ratio, including stress provoked through witnessing violent events; M/F dips occur three to four months later. The April 1992 Los Angeles riots constituted six days of extreme civil unrest in the city of Los Angeles. This study was carried out in order to ascertain whether M/F dipped in California following this event. Monthly male and female live births for California were obtained from the Centers for Disease Control and Prevention for the State of California for 1992 and for January 1993. This study analysed 649 073 live births; M/F was lowest in August 1992 (0.5085). This was significantly lower than for the period after (September 1992 to January 1993, p = 0.044). The ratio of male to total live births was higher in January to July 1992 than in August 1992, but this difference was not statistically significant. Stress has been shown to reduce M/F through an excess of male fetal loss during gestation and/or from gender-biased conception favouring females. Only the former mechanism is supported by these findings. This is the first time that violent events at state level have been shown to have potentially influenced M/F.

  13. Prevalence of behavior problems and associated factors in preschool children from the city of Salvador, state of Bahia, Brazil

    Directory of Open Access Journals (Sweden)

    Letícia M. dos Santos

    2015-01-01

    Full Text Available Objective:To identify the prevalence of internalizing and externalizing behavior problems among preschoolers from the city of Salvador, state of Bahia, Brazil, and their associations with maternal mental health and family characteristics.Methods:This was a cross-sectional study of 349 children aged 49 to 72 months, randomly selected from 20,000 households representing the range of socioeconomic and environmental conditions in Salvador. In 1999, we assessed sociodemographic variables and family environment characteristics. In 2001, we used the Child Behavior Checklist to measure and describe the frequencies of behavior problems. We conducted bivariate and multivariate analysis to estimate associations between family and maternal factors and prevalence of behavior problems.Results:The overall prevalence of behavior problems was 23.5%. The prevalence of internalizing problems was 9.7%, and that of externalizing problems, 25.2%. Behavior problems were associated with several maternal mental health variables, namely: presence of at least one psychiatric diagnosis (odds radio [OR] 3.01, 95%CI 1.75-5.18, anxiety disorder (OR 2.06, 95%CI 1.20-3.46, affective disorder (OR 2.10, 95%CI 1.21-3.65, and mental health disorders due to use of psychoactive substances (OR 2.31, 95%CI 1.18-4.55.Conclusion:The observed prevalence of child behavior problems fell within the range reported in previous studies. Maternal mental health is an important risk factor for behavior problems in preschool-aged children.

  14. Flavors of the city: access to regional fruit and fruit consumption in the State of Acre, Brazil

    Directory of Open Access Journals (Sweden)

    Ana Carolina Barbosa de Lima

    Full Text Available In 2010 more than 70% of the population in the Brazilian Amazon was living in urban centers. This article looks at the effect of urbanization on market availability and consumption of regional fruits in the state of Acre. The east and west region were used as proxies for urbanization, and quantitative and qualitative methods were combined in interviews with regional fruit vendors and consumers. Open markets in large cities provided a greater variety of regional fruits for purchase, yet fruit consumption was more diverse in the less urbanized west, than in the east. This pattern reveals the importance of fruit tree diversity in home gardens and urban forested fragments, as well as of non-monetary exchanges of goods as promoters of variety in fruit consumption. Findings suggest that children may be benefiting the most from this consumption. Also, certain regional fruits have gained a 'cultural marker' status and are widely consumed regardless of the urbanization rates. Nevertheless, this article demonstrates how urbanization affects the diversity of fruit consumption in different social groups, and how this process is mediated by access, income level, and health concerns.

  15. Food contamination in fast food restaurants in Benin City, Edo State, Nigeria: Implications for food hygiene and safety.

    Science.gov (United States)

    Isara, A R; Isah, E C; Lofor, P V O; Ojide, C K

    2010-08-01

    To determine the prevalence of food contamination in the fast food restaurants operating in Benin City, Edo State, Nigeria. Three hundred and fifty food handlers were selected by means of a systematic sampling method and interviewed using a semi-structured researcher-administered questionnaire. One hundred and sixty-eight samples of ready-to-eat food and 45 stool samples were collected and analysed in the laboratory for the presence of bacteria (excluding anaerobic bacteria). More than half of the respondents (n=184, 52.6%) had no training in food hygiene and safety. Only 149 (42.6%) respondents knew that micro-organisms can contaminate food. The prevalence of food contamination in the fast food restaurants was found to be 37.5%. Bacillus cereus and Staphylococcus aureus were the most commonly isolated bacteria, while salad, meat pie and fried rice were the most commonly contaminated foods. There is need for the relevant local authorities to ensure that the food sold to consumers in fast food restaurants is safe, wholesome and fit for human consumption in order to prevent outbreaks of food-borne illnesses. Also, there should be regular training/retraining and health education of these food handlers in all aspects of food hygiene and safety. Copyright 2010 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  16. The Relationship between Natural Park Usage and Happiness Does Not Hold in a Tropical City-State.

    Science.gov (United States)

    Saw, Le E; Lim, Felix K S; Carrasco, Luis R

    2015-01-01

    Previous studies have shown that contact with urban green spaces can produce positive effects on people's stress, health and well-being levels. However, much of this research has been conducted in the temperate regions of Europe or North America. Additionally, most studies have only compared the effects of urban and natural areas on health and well-being, but not made a finer distinction between different types of urban green spaces. We tested the relationship between well-being and the access or use of different types of green spaces among young adults in Singapore, a tropical city-state. The results showed that extraversion and emotional stability increased subjective well-being, positive affect and life satisfaction and decreased stress and negative affect. In addition, we found that level of physical activity increased positive affect and health problems increased negative affect. Neither access to green spaces nor the use of green spaces in Singapore significantly affected the well-being metrics considered, contradicting findings in the temperate regions of the world. We hypothesize that the differences in temperature and humidity and the higher greenery and biodiversity levels outside parks in Singapore could explain this phenomenon. Our results thus question the universality of the relationship between well-being and park usage and highlight the need for more research into the multifaceted effects of green spaces on well-being in the tropics.

  17. The Relationship between Natural Park Usage and Happiness Does Not Hold in a Tropical City-State.

    Directory of Open Access Journals (Sweden)

    Le E Saw

    Full Text Available Previous studies have shown that contact with urban green spaces can produce positive effects on people's stress, health and well-being levels. However, much of this research has been conducted in the temperate regions of Europe or North America. Additionally, most studies have only compared the effects of urban and natural areas on health and well-being, but not made a finer distinction between different types of urban green spaces. We tested the relationship between well-being and the access or use of different types of green spaces among young adults in Singapore, a tropical city-state. The results showed that extraversion and emotional stability increased subjective well-being, positive affect and life satisfaction and decreased stress and negative affect. In addition, we found that level of physical activity increased positive affect and health problems increased negative affect. Neither access to green spaces nor the use of green spaces in Singapore significantly affected the well-being metrics considered, contradicting findings in the temperate regions of the world. We hypothesize that the differences in temperature and humidity and the higher greenery and biodiversity levels outside parks in Singapore could explain this phenomenon. Our results thus question the universality of the relationship between well-being and park usage and highlight the need for more research into the multifaceted effects of green spaces on well-being in the tropics.

  18. Strongyloides stercoralis and other Enteroparasites in Children at Uberlândia City, State of Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Rodrigues Machado Eleuza

    1998-01-01

    Full Text Available To evaluate the rate of infection by Strongyloides stercoralis and other enteroparasites a survey was conducted in the city of Uberlândia, State of Minas Gerais, Brazil. A total of 900 stool samples from 300 children aging from four months to seven years, randomly selected in ten nursery schools from September 1994 to December 1995, were examined, both by the Baermann-Moraes and Lutz methods. Thirty nine children (13% were found to be infected by S. stercoralis, 64.1% were boys and 35.9% were girls. Taking all the enteroparasites as a whole the results of the survey pointed out that 265 (88.4% of the 300 children were infected by the following: Giardia lamblia, 78.3%; Ascaris lumbricoides, 15.3%; S. stercoralis, 13%; Hymenolepis nana, 6.7%; hookworms, 6%; Enterobius vermicularis, 4%; Hymenole-pis diminuta, 4% and Trichuris trichiura, 0.7%. From 265 infected children 64.5% were mono-infected, 27.2% were infected by two parasites and 8.3% had a poly-specific parasite burden. It was concluded that strongyloidiasis is hyperendemic in this area

  19. The Changing Face of World Cities. Young Adult Children of Immigrants in Europe and the United States.

    NARCIS (Netherlands)

    Crul, M.R.J.; Mollenkopf, J.

    2012-01-01

    A seismic population shift is taking place as many formerly racially homogeneous cities in the West attract a diverse influx of newcomers seeking economic and social advancement. In The Changing Face of World Cities, a distinguished group of immigration experts presents the first systematic,

  20. A changing epidemiology of suicide? The influence of birth cohorts on suicide rates in the United States.

    Science.gov (United States)

    Phillips, Julie A

    2014-08-01

    The increases in suicide among middle-aged baby boomers (born between 1946 and 1964) in the United States since 1999 suggest a changing epidemiology of suicide. Using data from 1935 to 2010, this paper conducts age-period-cohort analyses to determine the impact of cohorts in shaping temporal patterns of suicide in the United States. The analysis demonstrates that age, period and cohort effects are all important in determining suicide trends. Net of age and period effects, the cohort pattern of suicide rates is U-shaped, with cohorts born between 1915 and 1945 possessing among the very lowest suicide rates. Suicide rates begin to rise with boomers and subsequent cohorts exhibit increasingly higher rates of suicide. The general pattern exists for both men and women but is especially pronounced among males. The average suicide rate over the entire period for males is about 28 per 100,000, 95% CI [27.4, 28.7]. For males born in 1930-34, the suicide rate is estimated to be 17.4 per 100,000, 95% CI [15.9, 18.8]; for males born between 1955 and 1959, the rate is essentially the same as the average for the period while for males born between 1985 and 1989, the suicide rate is estimated to be 37.8 per 100,000, 95% CI [33.1, 43.4]. The results dispute popular claims that boomers exhibit an elevated suicide rate relative to other generations, but boomers do appear to have ushered in new cohort patterns of suicide rates over the life course. These patterns are interpreted within a Durkheimian framework that suggests weakened forms of social integration and regulation among postwar cohorts may be producing increased suicide rates. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Evaluation of Vienna’s World Economic Position Based on Global and World City Rankings

    Directory of Open Access Journals (Sweden)

    Andrea Uszkai

    2016-12-01

    Full Text Available Metropolitan areas play a dominant role in today’s economic, social and environmental processes; therefore the scientific interest has also increased related to the global and world cities. They can be considered as key players of the world economy and a very complex competition takes place among them, which crosses the national state borders. Every city tries to reach the most favorable position and this rivalry has helped the birth of several city rankings. This paper has two important aims. Firstly, it explains the term of the world and global city based on the international literature and it is also looking for the answer, whether the Austrian capital belongs to which category. Secondly, it examines the position of Vienna in the different world and global city rankings.

  2. Population-Based Surveillance of Birth Defects Potentially Related to Zika Virus Infection - 15 States and U.S. Territories, 2016.

    Science.gov (United States)

    Delaney, Augustina; Mai, Cara; Smoots, Ashley; Cragan, Janet; Ellington, Sascha; Langlois, Peter; Breidenbach, Rebecca; Fornoff, Jane; Dunn, Julie; Yazdy, Mahsa; Scotto-Rosato, Nancy; Sweatlock, Joseph; Fox, Deborah; Palacios, Jessica; Forestieri, Nina; Leedom, Vinita; Smiley, Mary; Nance, Amy; Lake-Burger, Heather; Romitti, Paul; Fall, Carrie; Prado, Miguel Valencia; Barton, Jerusha; Bryan, J Michael; Arias, William; Brown, Samara Viner; Kimura, Jonathan; Mann, Sylvia; Martin, Brennan; Orantes, Lucia; Taylor, Amber; Nahabedian, John; Akosa, Amanda; Song, Ziwei; Martin, Stacey; Ramlal, Roshan; Shapiro-Mendoza, Carrie; Isenburg, Jennifer; Moore, Cynthia A; Gilboa, Suzanne; Honein, Margaret A

    2018-01-26

    Zika virus infection during pregnancy can cause serious birth defects, including microcephaly and brain abnormalities (1). Population-based birth defects surveillance systems are critical to monitor all infants and fetuses with birth defects potentially related to Zika virus infection, regardless of known exposure or laboratory evidence of Zika virus infection during pregnancy. CDC analyzed data from 15 U.S. jurisdictions conducting population-based surveillance for birth defects potentially related to Zika virus infection.* Jurisdictions were stratified into the following three groups: those with 1) documented local transmission of Zika virus during 2016; 2) one or more cases of confirmed, symptomatic, travel-associated Zika virus disease reported to CDC per 100,000 residents; and 3) less than one case of confirmed, symptomatic, travel-associated Zika virus disease reported to CDC per 100,000 residents. A total of 2,962 infants and fetuses (3.0 per 1,000 live births; 95% confidence interval [CI] = 2.9-3.2) (2) met the case definition. † In areas with local transmission there was a non-statistically significant increase in total birth defects potentially related to Zika virus infection from 2.8 cases per 1,000 live births in the first half of 2016 to 3.0 cases in the second half (p = 0.10). However, when neural tube defects and other early brain malformations (NTDs) § were excluded, the prevalence of birth defects strongly linked to congenital Zika virus infection increased significantly, from 2.0 cases per 1,000 live births in the first half of 2016 to 2.4 cases in the second half, an increase of 29 more cases than expected (p = 0.009). These findings underscore the importance of surveillance for birth defects potentially related to Zika virus infection and the need for continued monitoring in areas at risk for Zika.

  3. Birth control pills - combination

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000655.htm Birth control pills - combination To use the sharing features ... contain both progestin and estrogen. What Are Combination Birth Control Pills? Birth control pills help keep you ...

  4. Birth Control Explorer

    Science.gov (United States)

    ... Relationships STIs Media Facebook Twitter Tumblr Shares · 582 Birth Control Explorer Sort by all methods most effective ... MORE You are here Home » Birth Control Explorer Birth Control Explorer If you’re having sex —or ...

  5. Accredited Birth Centers

    Science.gov (United States)

    ... Administrative Staff Donate Contact MENU CLOSE back Accredited Birth Centers You are here: Home Accredited Birth Centers ... not CABC-accredited. How do you find a birth center here? Skip Instructions! Get to the Map… ...

  6. Essure Permanent Birth Control

    Science.gov (United States)

    ... and Prosthetics Essure Permanent Birth Control Essure Permanent Birth Control Share Tweet Linkedin Pin it More sharing ... Email Print Essure is a a permanently implanted birth control device for women (female sterilization). Implantation of ...

  7. Warning Signs After Birth

    Science.gov (United States)

    ... care > Warning signs after birth Warning signs after birth E-mail to a friend Please fill in ... health problems new moms may have after giving birth? Chances are that you’ll be healthy after ...

  8. Plans of Implementation and Methods for Increasing Student Enrollment in the Earth Systems Science Course at Elizabeth City State University

    Science.gov (United States)

    Porter, W.

    2001-12-01

    This presentation reviews the experience of Elizabeth City State University (ECSU) in offering the Earth Systems Science (ESS) online course sponsored the Earth System Science Education Alliance (ESSEA) and how it relates to our plans to offer the course in the Spring Semester of 2002. The course was offered for the first time at ECSU during the Fall semester 2000. Eight students were enrolled in the course, which may not be considered a large number; however, we felt the administration of the course was successful because of the staff's learning experience. The small number is also a reflection of the nature of ECSU's primary recruitment region of northeastern North Carolina; this area is extremely rural with a smaller population, lower economic development, and fewer cultural amenities than most regions of the state. Our approach to this project is for a long-term effective offering of a course that is much needed, especially in this area of the state. The ultimate goal is to develop ESS as our online offering of courses in the Geoscience Department curriculum as to recruit students who might not have the opportunity to take college-level courses because of daytime work commitments and/or inaccessibility to a local college or university. A major component of ESS is its focus on problem-based learning built upon the life experiences of participating students. Having learned from the previous offering of the course, the following are objectives related to the Spring Semester 2002: 1. To get ESS to become a part of the Geoscience curriculum so that it will be listed on the schedule of classes for the Spring Semester 2002 and each succeeding semester; 2. To aggressively reach out to the public school teachers, especially in the recruitment region of ECSU in northeastern North Carolina, by using effective recruitment strategies; 3. To have an active and continuous communication with prospective students prior to and immediately after the enrollment, as well as being

  9. Natural radioactivity in soils of the main cities of the State of Chihuahua; Radiactividad natural en suelos de las principales ciudades del Estado de Chihuahua

    Energy Technology Data Exchange (ETDEWEB)

    Colmenero S, L.; Montero C, M.E.; Villalba, L. [CIMAV, Av. Miguel de Cervantes Saavedra 120, 31109 Chihuahua (Mexico)]. e-mail: luis.colmenero@cimav.edu.mx

    2003-07-01

    The state of Chihuahua counts with at least 56 uranium zones or of minerals associated to this, being Pena Blanca the greatest and more important deposit of the country. Some of the main cities of the state are near to these deposits, as Aldama and Chihuahua. Its were took samples of soil of 11 cities of the state to determine the natural activity of radionuclides. It was determined the specific activity attributable to the parents of the series of {sup 238} U, {sup 232} Th, and of the {sup 40} K isotopes, as well as effective dose rate H{sub E} in the soil samples. It was used the high resolution gamma spectrometry of a high purity Ge detector in the laboratory of Environmental Radiological Surveillance of the CIMAV. The measure of the activity of the uranium series carries out by means of the lines of 351 KeV of the {sup 214} Pb and of 609 keV of the {sup 214} Bi, while the thorium series it was deduced of the lines of 238 keV of the {sup 212} Pb and of 912 keV of the {sup 228} Ac. Its were carried out copies and replies for the quality control. Its were found high values of specific activity of some radionuclides, in the near cities to uranium deposits like Aldama and Chihuahua. For the cities that are not near to deposits, as Ciudad Juarez and Ojinaga, the found values were normal. Also the effective dose rate was high for the near cities to deposits like Aldama, Bocoyna, Chihuahua, Jimenez and Nuevo Casas Grandes, it is also necessary to determine, the radon in air levels and of radionuclides in consumption water to obtain the dose that the population of those populations receives. (Author)

  10. Catholics vs. Protestants - Birth and Tax

    DEFF Research Database (Denmark)

    Gøtze, Michael

    2008-01-01

    Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July......Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July...

  11. Analysis of birth-death fluid queues

    NARCIS (Netherlands)

    van Doorn, Erik A.; Scheinhardt, Willem R.W.

    1996-01-01

    We present a survey of techniques for analysing the performance of a reservoir which receives and releases fluid at rates which are determined by the state of a background birth-death process. The reservoir is assumed to be infinitely large, but the state space of the modulating birth-death process

  12. The State of Ambient Air Quality in Two Ugandan Cities : A Pilot Cross-Sectional Spatial Assessment

    NARCIS (Netherlands)

    Kirenga, Bruce J.; Meng, Qingyu; van Gemert, Frederik; Aanyu-Tukamuhebwa, Hellen; Chavannes, Niels; Katamba, Achilles; Obai, Gerald; van der Molen, Thys; Schwander, Stephan; Mohsenin, Vahid

    Air pollution is one of the leading global public health risks but its magnitude in many developing countries' cities is not known. We aimed to measure the concentration of particulate matter with aerodynamic diameter

  13. Contraception and Birth Control

    Science.gov (United States)

    ... Facebook Twitter Pinterest Email Print About Contraception and Birth Control Contraception is the prevention of pregnancy. Contraception, or birth control, also allows couples to plan the timing ...

  14. Heat and Humidity in the City: Neighborhood Heat Index Variability in a Mid-Sized City in the Southeastern United States.

    Science.gov (United States)

    Hass, Alisa L; Ellis, Kelsey N; Reyes Mason, Lisa; Hathaway, Jon M; Howe, David A

    2016-01-11

    Daily weather conditions for an entire city are usually represented by a single weather station, often located at a nearby airport. This resolution of atmospheric data fails to recognize the microscale climatic variability associated with land use decisions across and within urban neighborhoods. This study uses heat index, a measure of the combined effects of temperature and humidity, to assess the variability of heat exposure from ten weather stations across four urban neighborhoods and two control locations (downtown and in a nearby nature center) in Knoxville, Tennessee, USA. Results suggest that trees may negate a portion of excess urban heat, but are also associated with greater humidity. As a result, the heat index of locations with more trees is significantly higher than downtown and areas with fewer trees. Trees may also reduce heat stress by shading individuals from incoming radiation, though this is not considered in this study. Greater amounts of impervious surfaces correspond with reduced evapotranspiration and greater runoff, in terms of overall mass balance, leading to a higher temperature, but lower relative humidity. Heat index and relative humidity were found to significantly vary between locations with different tree cover and neighborhood characteristics for the full study time period as well as for the top 10% of heat index days. This work demonstrates the need for high-resolution climate data and the use of additional measures beyond temperature to understand urban neighborhood exposure to extreme heat, and expresses the importance of considering vulnerability differences among residents when analyzing neighborhood-scale impacts.

  15. Eye care infrastructure and human resources for managing diabetic retinopathy in India: The India 11-city 9-state study

    Directory of Open Access Journals (Sweden)

    Clare E Gilbert

    2016-01-01

    Full Text Available Background: There is a paucity of information on the availability of services for diagnosis and management of diabetic retinopathy (DR in India. Objectives: The study was undertaken to document existing healthcare infrastructure and practice patterns for managing DR. Methods: This cross-sectional study was conducted in 11 cities and included public and private eye care providers. Both multispecialty and stand-alone eye care facilities were included. Information was collected on the processes used in all steps of the program, from how diabetics were identified for screening through to policies about follow-up after treatment by administering a semistructured questionnaire and by using observational checklists. Results: A total of 86 eye units were included (31.4% multispecialty hospitals; 68.6% stand-alone clinics. The availability of a dedicated retina unit was reported by 68.6% (59 facilities. The mean number of outpatient consultations per year was 45,909 per responding facility, with nearly half being new registrations. A mean of 631 persons with sight-threatening-DR (ST-DR were registered per year per facility. The commonest treatment for ST-DR was laser photocoagulation. Only 58% of the facilities reported having a full-time retina specialist on their rolls. More than half the eye care facilities (47; 54.6% reported that their ophthalmologists would like further training in retina. Half (51.6% of the facilities stated that they needed laser or surgical equipment. About 46.5% of the hospitals had a system to track patients needing treatment or for follow-up. Conclusions: The study highlighted existing gaps in service provision at eye care facilities in India.

  16. HIV infection and awareness among men who have sex with men-20 cities, United States, 2008 and 2011.

    Science.gov (United States)

    Wejnert, Cyprian; Le, Binh; Rose, Charles E; Oster, Alexandra M; Smith, Amanda J; Zhu, Julia

    2013-01-01

    Over half of HIV infections in the United States occur among men who have sex with men (MSM). Awareness of infection is a necessary precursor to antiretroviral treatment and risk reduction among HIV-infected persons. We report data on prevalence and awareness of HIV infection among MSM in 2008 and 2011, using data from 20 cities participating in the 2008 and 2011 National HIV Behavioral Surveillance System (NHBS) among MSM. Venue-based, time-space sampling was used to recruit men for interview and HIV testing. We analyzed data for men who reported ≥ 1 male sex partner in the past 12 months. Participants who tested positive were considered to be aware of their infection if they reported a prior positive HIV test. We used multivariable analysis to examine differences between results from 2011 vs. 2008. HIV prevalence was 19% in 2008 and 18% in 2011 (p = 0.14). In both years, HIV prevalence was highest among older age groups, blacks, and men with lower education and income. In multivariable analysis, HIV prevalence did not change significantly from 2008 to 2011 overall (p = 0.51) or in any age or racial/ethnic category (p>0.15 in each category). Among those testing positive, a greater proportion was aware of their infection in 2011 (66%) than in 2008 (56%) (pHIV awareness was higher for older age groups, whites, and men with higher education and income. In multivariable analysis, HIV awareness increased from 2008 to 2011 overall (pHIV prevalence and the lowest awareness among racial/ethnic groups. These findings suggest that HIV-positive MSM are increasingly aware of their infections.

  17. HIV Infection and Awareness among Men Who Have Sex with Men–20 Cities, United States, 2008 and 2011

    Science.gov (United States)

    Wejnert, Cyprian; Le, Binh; Rose, Charles E.; Oster, Alexandra M.; Smith, Amanda J.; Zhu, Julia

    2013-01-01

    Over half of HIV infections in the United States occur among men who have sex with men (MSM). Awareness of infection is a necessary precursor to antiretroviral treatment and risk reduction among HIV-infected persons. We report data on prevalence and awareness of HIV infection among MSM in 2008 and 2011, using data from 20 cities participating in the 2008 and 2011 National HIV Behavioral Surveillance System (NHBS) among MSM. Venue-based, time-space sampling was used to recruit men for interview and HIV testing. We analyzed data for men who reported ≥1 male sex partner in the past 12 months. Participants who tested positive were considered to be aware of their infection if they reported a prior positive HIV test. We used multivariable analysis to examine differences between results from 2011 vs. 2008. HIV prevalence was 19% in 2008 and 18% in 2011 (p = 0.14). In both years, HIV prevalence was highest among older age groups, blacks, and men with lower education and income. In multivariable analysis, HIV prevalence did not change significantly from 2008 to 2011 overall (p = 0.51) or in any age or racial/ethnic category (p>0.15 in each category). Among those testing positive, a greater proportion was aware of their infection in 2011 (66%) than in 2008 (56%) (pHIV awareness was higher for older age groups, whites, and men with higher education and income. In multivariable analysis, HIV awareness increased from 2008 to 2011 overall (pHIV prevalence and the lowest awareness among racial/ethnic groups. These findings suggest that HIV-positive MSM are increasingly aware of their infections. PMID:24194848

  18. Preliminary United States-Mexico border watershed analysis, twin cities area of Nogales, Arizona and Nogales, Sonora

    Science.gov (United States)

    Brady, Laura Margaret; Gray, Floyd; Castaneda, Mario; Bultman, Mark; Bolm, Karen Sue

    2002-01-01

    The United States - Mexico border area faces the challenge of integrating aspects of its binational physical boundaries to form a unified or, at least, compatible natural resource management plan. Specified geospatial components such as stream drainages, mineral occurrences, vegetation, wildlife, and land-use can be analyzed in terms of their overlapping impacts upon one another. Watersheds have been utilized as a basic unit in resource analysis because they contain components that are interrelated and can be viewed as a single interactive ecological system. In developing and analyzing critical regional natural resource databases, the Environmental Protection Agency (EPA) and other federal and non-governmental agencies have adopted a ?watershed by watershed? approach to dealing with such complicated issues as ecosystem health, natural resource use, urban growth, and pollutant transport within hydrologic systems. These watersheds can facilitate the delineation of both large scale and locally important hydrologic systems and urban management parameters necessary for sustainable, diversified land-use. The twin border cities area of Nogales, Sonora and Nogales, Arizona, provide the ideal setting to demonstrate the utility and application of a complete, cross-border, geographic information systems (GIS) based, watershed analysis in the characterization of a wide range of natural resource as well as urban features and their interactions. In addition to the delineation of a unified, cross-border watershed, the database contains sewer/water line locations and status, well locations, geology, hydrology, topography, soils, geomorphology, and vegetation data, as well as remotely sensed imagery. This report is preliminary and part of an ongoing project to develop a GIS database that will be widely accessible to the general public, researchers, and the local land management community with a broad range of application and utility.

  19. Frequency of ocular conditions in native Brazilians from Avaí City, São Paulo State

    Directory of Open Access Journals (Sweden)

    Renato Antunes Schiave Germano

    Full Text Available Abstract Purpose: To perform an epidemiological study of eye diseases in the population of four indigenous communities in the City of Avai in the state of São Paulo - Brazil: Ekeruá, Kopenoti, Nimuendaju and Tereguá. Methods: This is a prospective, cross-sectional, population-based study performed by the Medical Residency Program of the Center of Excellence in Ophthalmology (CEO-Bauru, including all the inhabitants of four indigenous tribes, between the months of March and April 2016. All participants were submitted to a complete eye examination that included refraction test and best-corrected visual acuity, external ocular motility and strabismus, measurement of intraocular pressure (IOP, color vision test, slit lamp examination and a complete evaluation of the fundus. Results: From a total of 584 natives from four villages, 377 (64.55% attended the project. 283 appointments were performed at CEO - Bauru and 94 evaluations in the health center of Kopenoti village using a mobile ophthalmology unit. 48.54% of the participants were male and 51.46% female. The mean age was 32.03 ± 21.45 years. Our study found prevalence of pterygium of 14.05%, cataract of 6.63%, glaucoma of 1.85% and diabetic retinopathy of 1.59%. These numbers are higher than found in other epidemiological studies. Regarding refractive errors, 36.99% presented astigmatism, 4.24% simple myopia and 8.35% simple hyperopia. Conclusion: These information are extremely important because they show higher rates of eye diseases in a needy and remote population of urban health centers, and in need of medical care. It is noteworthy that all patients from this study who presented refractive errors, received glasses with the corrected refractive lenses.

  20. The basic and ultrabasic dikes from the coast region between the Sao Sebastiao and Ubatuba cities, Sao Paulo State, SP, Brazil

    International Nuclear Information System (INIS)

    Garda, Gianna Maria

    1995-01-01

    The coastline between Sao Sebastiao and Ubatuba cities and the shores of Sao Sebastiao, Anchieta and Mar Virado islands (Sao Paulo State, Brazil) are crosscut by several small swarms and isolated dykes trending N55E. The main rock types range from basic to intermediate, but also a conspicuous variety of alkaline lamprophyres occur side by side with the main group. The thickness of the basic to intermediate dykes vary widely, from a few centimeters to several metres, while the lamprophyres are a few tens of centimeters thick. The objective of this thesis is the petrographic, mineralogic, petrochemical and isotopic characterization of the basic and ultrabasic dykes that occur between the Sao Sebastiao and Ubatuba cities (State of Sao Paulo), also including some occurrences from the Sao Sebastiao, Mar Virado and Anchieta islands and from the Bairro Alto region (Folha de Natividade da Serra). The petrogenetic model presented is based in the national and international bibliography. (author)

  1. Helmet "tang" from the Metropolitan Museum of Art (New York City, United States. Features of Construction, Design and Operational Use

    Directory of Open Access Journals (Sweden)

    Leonid A. Bobrov

    2016-12-01

    Full Text Available The article discusses iron helmet (No. 36.25.115, which is stored in the Metropolitan Museum of art (New York City, United States. For the first time this helmet was published and analyzed by American scientists G. C. Stone and D.G. Alexander. The analysis showed that the Bowl was made by Turkish masters of the XVII century and backplate and the hoop is added to the helmet in 1781–1782 D.G. Alexander speculated that the helmet belonged to the Warrior of the Crimean Khanate. Dating the helmet does not raise objections. However, the attribution of a helmet requires some clarification. Analysis of the design of the helmet and decoration revealed that backplate, hoop and Aventail from iron rings added to Bowl in 1781–1782, were manufactured by Circassian craftsmen living in the Northern Caucasus or in Crimea. For the decoration of the helmet has been used typical Circassian ornaments: "sieve", cherkessian floral pattern, geometric shapes, triangular in shape, "gear", etc. During Assembly of the helmet were applied characteristic of Circassian gunsmiths technological solutions: using as a basis the bowl old-style helmet, tapered Finial with a ring for a decorative plume, hoop with four plates, ringed with aventail lip to protect the forehead, etc. In Circassia similar headgear worn were known as tang (from the Arabic. "Taj", i.e., the "Crown". In the XVII–XVIII centuries. they willingly purchased representatives of Crimean Tatar nobility. Similar in design and system design helmets Circassian production belonged to the highest aristocracy of the Crimean Khanate, are stored in Museum and private collections in Poland, Turkey and the United States. The inscription "Bekmurun" on the hoop from the Metropolitan helmet suggests that it was manufactured on request of Kabardian Bekmur princely heir (Bekmurziny, which moved from Circassia in Crimea, 1737. The popularity of tang type helmets among the aristocracy of North Caucasus and Crimea were due not

  2. Heat and Humidity in the City: Neighborhood Heat Index Variability in a Mid-Sized City in the Southeastern United States

    Directory of Open Access Journals (Sweden)

    Alisa L. Hass

    2016-01-01

    Full Text Available Daily weather conditions for an entire city are usually represented by a single weather station, often located at a nearby airport. This resolution of atmospheric data fails to recognize the microscale climatic variability associated with land use decisions across and within urban neighborhoods. This study uses heat index, a measure of the combined effects of temperature and humidity, to assess the variability of heat exposure from ten weather stations across four urban neighborhoods and two control locations (downtown and in a nearby nature center in Knoxville, Tennessee, USA. Results suggest that trees may negate a portion of excess urban heat, but are also associated with greater humidity. As a result, the heat index of locations with more trees is significantly higher than downtown and areas with fewer trees. Trees may also reduce heat stress by shading individuals from incoming radiation, though this is not considered in this study. Greater amounts of impervious surfaces correspond with reduced evapotranspiration and greater runoff, in terms of overall mass balance, leading to a higher temperature, but lower relative humidity. Heat index and relative humidity were found to significantly vary between locations with different tree cover and neighborhood characteristics for the full study time period as well as for the top 10% of heat index days. This work demonstrates the need for high-resolution climate data and the use of additional measures beyond temperature to understand urban neighborhood exposure to extreme heat, and expresses the importance of considering vulnerability differences among residents when analyzing neighborhood-scale impacts.

  3. Clinical and epidemiological characterization of patients receiving home care in the city of Maceió, in the state of Alagoas, Brazil

    OpenAIRE

    Carnaúba, Carla Montenegro Dâmaso; Silva, Thaysa Dayse Alves e; Viana, Juliana Felizardo; Alves, Júlia Badra Nogueira; Andrade, Natália Lima; Trindade Filho, Euclides Maurício

    2017-01-01

    Abstract Objective: To clinically and epidemiologically characterize patients receiving home care in the city of Maceio, in the state of Alagoas, Brazil. Methods: An observational, cross-sectional study with a sample of 859 patients was carried out, based on data obtained from the medical records of institutions that provide a home care service. A total of 445 patients were from a public service and 414 were from a private service. Descriptive analysis was used for the demographic, clinic...

  4. Age, relationship status, and the planning status of births

    Directory of Open Access Journals (Sweden)

    Sarah Hayford

    2010-08-01

    Full Text Available In the United States historically, births to older mothers have been more likely to be planned than births to younger mothers, and births to unmarried women have been less likely to be planned than births to married women. As the average age of mothers has increased and more births have occurred outside of marriage in the United States, the intersection of these trends may have weakened the traditional linkage between age and birth planning status. In this article, we examine differences by maternal age in planning status of births using The 2002 National Survey of Family Growth. We find that age is strongly associated with planning status, but the association is reduced in magnitude when controlling for relationship status and is stronger for first and second births than for higher-parity births. Further, the association between union status and the planning status of births varies by race-ethnicity.

  5. Armut im Wohlstand: Zunehmende soziale Disparitäten in Singapur [Poverty in a State of Wealth: Social Disparities in the City-State of Singapore

    Directory of Open Access Journals (Sweden)

    Rolf Jordan

    2008-01-01

    Full Text Available Der folgende Beitrag zeigt, ausgehend von der aktuellen sozialen und wirtschaftlichen Situation,wichtige Aspekte sozialer Ungleichheit in Singapur auf und diskutiert die seit Jahren sich verschärfenden Einkommensdisparitäten vor dem Hintergrund der nur unzureichend entwickelten sozialstaatlichen Strukturen. Die Argumentation wird dabei von der These geleitet, dass die fehlende oder nur mangelhafte soziale Unterstützung wesentlich zu den sozialen Problemen eines wachsenden Teils der Bevölkerung in dem von großem Wohlstand geprägten Stadtstaat beitragen und ein Ausbau sozialstaatlicher Strukturen eine Voraussetzung darstellen sowohl für die Lösung der aktuellen sozialen Probleme als auch für eine längst überfällige Demokratisierung Singapurs. ----- Singapore is the wealthiest nation in South-East Asia today. But behind its high-rise buildings and modern shopping malls rising social disparities and a growing number of poor households cast a shadow on an otherwise successful economic development. Shrinking incomes and rising prices for housing and energy have increased the number of those who are struggling life in one of the most expensive cities in Pacific Asia. The situation is further complicated by a just rudimentary social security system that is not adequately designed for the needs of poor households. The following paper gives a brief insight into the current state of economic and social development in Singapore and its impact on the social fabric of the Singapore society. The lack of an adequately structured social security system for those households and the lower end of the income strata in general contribute most to the rising social disparities is what characterises Singapore’s social development today.

  6. PCBs and PAHs in surficial sediments from aquatic environments of Mexico City and the coastal states of Sonora, Sinaloa, Oaxaca and Veracruz (Mexico)

    Science.gov (United States)

    Piazza, Rossano; Ruiz-Fernández, Ana Carolina; Frignani, Mauro; Zangrando, Roberta; Bellucci, Luca Giorgio; Moret, Ivo; Páez-Osuna, Federico

    2008-06-01

    Concentrations of polychlorinated biphenyls (PCBs) and polycyclic aromatic hydrocarbons (PAHs) were measured in 13 surficial sediment samples collected at three lacustrine locations in the surroundings of Mexico City and four coastal areas of the States of Sinaloa, Sonora, Oaxaca and Veracruz. Total PCB concentrations span the interval 3.18 621 ng g-1. The highest values (63.7 621 ng g-1) were found in Mexico City, which is a highly anthropogenically impacted area, whereas low concentrations (3.18 12.9 ng g-1) were characteristic of seven places, some of them subject to intense hydrodynamics. In these latter cases, values increase by 18 73 times if normalised against the fine fraction (silt plus clay) content in sediment. Two samples from Mexico City exceed the ERM (Effect Range Median) guidelines and are likely to cause adverse effects. Samples contain only lower chlorinated PCBs (mainly 2-, 3- and 4-CB), thus suggesting that the most used PCB commercial mixture was Aroclor 1242. The homologue composition of the sample taken close to the nuclear power plant of Laguna Verde is identical to this commercial mixture. PAHs in the same samples have relatively low concentrations (14.9 287 ng g-1), well below ERL (Effect Range Low) guidelines. The composition of PAH mixtures accounts for the influence of both petrogenic and pyrolitic sources, with these latter prevailing at some places in Mexico City.

  7. A Study Of Risk Factors For Low Birth Weight

    Directory of Open Access Journals (Sweden)

    Deswal B S

    1999-01-01

    Full Text Available Research question: What is the extent of low weight babies born in hospitals and its association with some maternal factors? Objectives: 1. To find an overall prevalence of low birth weight babies amongst hospital births in Meerut city. 2. To identify and quantify the effects of some risk factors for low birth weight. Setting: District women Hospital of Meerut city of western U.P. Study Design: Hospital based matched case-control study. Sample size: 491 low birth weight babies as ‘cases’ and an equal number of babies of normal birth weight in ‘control’ group matched for maternal age, sex of baby, birth order and institution of delivery. Study variables: Socio-economic Status: maternal biological factors including obstetric history: antenatal factors: nutritional factors: history of abortion: toxaemia of pregnancy etc. Results: Overall proportion of low birth weight babies was found to be 21.8% amongst hospital live births and 30.9% born to mothers aged below 30 years of age. Low maternal weight, under nutrition, lack of antenatal care, short inter-pregnancy interval, toxacmia of pregnancy were independent factors increasing the risk of low birth weight significantly. Conclusions: The study suggested that a substantial proportion of low birth weight babies can be averted by improving maternal nutritional status including anemic condition, birth spacing and proper antenatal care.

  8. Big City Education: Its Challenge to Governance.

    Science.gov (United States)

    Haskew, Laurence D.

    This chapter traces the migration from farms to cities and the later movement from cities to suburbs and discusses the impact of the resulting big city environment on the governance of big city education. The author (1) suggests how local, State, and Federal governments can improve big city education; (2) discusses ways of planning for the future…

  9. Image city

    DEFF Research Database (Denmark)

    2003-01-01

    Image city exhibition explores a condition of mediation, through a focus on image and sound narratives with a point of departure on a number of Asian cities.......Image city exhibition explores a condition of mediation, through a focus on image and sound narratives with a point of departure on a number of Asian cities....

  10. Education Cities

    Science.gov (United States)

    Shaked, Haim

    2014-01-01

    In recent years, several cities in Israel have labeled themselves "Education Cities," concentrating on education as their central theme. Employing qualitative techniques, this article aims to describe, define, and conceptualize this phenomenon as it is being realized in three such cities. Findings show that Education Cities differ from…

  11. From Warfare to Welfare. Postwar Homelessness, Dislocation, and the Birth of the Welfare State in Europe: The Case of Berlin 1945–1949

    Directory of Open Access Journals (Sweden)

    Clara M. Oberle

    2010-11-01

    Full Text Available This article examines the origins of what for years has been characterized as a European welfare consensus. It asks whether, indeed, there was a convergence of ideas, and if so, what led to it. Based on public health records from governmental, municipal, and international agencies in immediate postwar Europe, but also on sources reflecting public opinion, Allied military government discourses and policies, urban planners, medical professionals, and others, it argues that indeed there was a period in European history which generated something of a postwar convergence of ideas regarding public health and welfare. The postwar period witnessed a remarkable consensus about the importance of public planning, spending, and state involvement in the health and welfare sector. By examining the case of Berlin as one immediate postwar city and situating it in the larger European context of the time, one can point to common motivations and even actors involved. The root of this consensus was not any optimistic humanitarian ideology, nor even only a concern about public health or the spread of epidemics, though the latter was prominent. Equally important, it grew out of a shared setting marked by physical destruction and political instability. As a result, concerns about governability, social order, and political legitimacy came to the forefront, even of health and housing debates. In the case of Berlin, the public health debate was driven furthermore by a fear of the return of National Socialism.

  12. Home birth matters-for all women.

    Science.gov (United States)

    Armstrong, Elizabeth Mitchell

    2010-01-01

    Although it remains rare in the United States, planned home birth has drawn increasing attention and criticism in the mainstream media and has come under attack from organized medicine. Yet, recent peer-reviewed studies contribute to the evidence base supporting home birth as a safe option for low-risk women attended by skilled midwives. The author of this editorial argues that home birth is an important cultural touchstone in the landscape of American maternity care.

  13. Incomplete childhood immunization with new and old vaccines and associated factors: BRISA birth cohort, São Luís, Maranhão State, Northeast Brazil.

    Science.gov (United States)

    Silva, Francelena de Sousa; Barbosa, Yonna Costa; Batalha, Mônica Araújo; Ribeiro, Marizélia Rodrigues Costa; Simões, Vanda Maria Ferreira; Branco, Maria Dos Remédios Freitas Carvalho; Thomaz, Érika Bárbara Abreu Fonseca; Queiroz, Rejane Christine de Sousa; Araújo, Waleska Regina Machado; Silva, Antônio Augusto Moura da

    2018-03-12

    This study estimated the percentages of incomplete immunization with new vaccines and old vaccines and associated factors in children 13 to 35 months of age belonging to a birth cohort in São Luís, the capital of Maranhão State, Brazil. The sample was probabilistic, with 3,076 children born in 2010. Information on vaccination was obtained from the Child's Health Card. The new vaccines, namely those introduced in 2010, were meningococcal C and 10-valent pneumococcal, and the old vaccines, or those already on the childhood immunization schedule, were BCG, hepatitis B, human rotavirus, polio, tetravalent (diphtheria, tetanus, pertussis, Haemophilus influenzae b), yellow fever, and triple viral (measles, mumps, rubella). The study used hierarchical modeling and Poisson regression with robust variance. Prevalence ratios (PR) and 95% confidence intervals (95%CI) were calculated. Incomplete immunization was higher with new vaccines (51.1%) than with old vaccines (33.2%). Children 25 to 35 months of age (PR = 1.27; 95%CI: 1.14-1.41) and those in economic classes D/E (PR = 1.20; 95%CI: 1.06-1.35) were only significantly associated with new vaccines; low maternal schooling (PR = 1.58; 95%CI: 1.21-2.06), unavailability of outpatient and/or hospital care for the child (PR = 1.20; 95%CI: 1.04-1.38), and unavailability of the vaccine in health services (PR: 1.28; 95%CI: 1.12-1.46) were only associated with old vaccines. Immunization strategies should consider the vulnerability of older preschool-age children and those belonging to classes D and E, especially when new vaccines are introduced, as well as children of mothers with low schooling. Strategies should also address problems with the availability of health services and vaccines.

  14. Optimization of multipollutant air quality management strategies: A case study for five cities in the United States.

    Science.gov (United States)

    Liao, Kuo-Jen; Hou, Xiangting

    2015-06-01

    Developing regional air quality management strategies is a difficult task because formation of air pollutants is interdependent and air quality at different locations may have different responses to emissions from common sources. We developed an optimization-based model, OPtimal integrated Emission Reduction Alternatives (OPERA), which allows for identifications of least-cost control strategies for attaining multipollutant air quality targets at multiple locations simultaneously. To implement OPERA, first, sensitivities of air quality to precursor emission changes are quantified. Second, cost functions of emission reductions are estimated using a cost analysis tool that includes a pool of available control measures. The third step is to determine desired reductions in concentrations of air pollutants. The last step is to identify the optimal control strategies by minimizing costs of emission controls using the sensitivities of air pollutants to emission changes, cost functions, and constraints for feasible emission reduction ratios. A case study that investigates ozone and PM2.5 air quality in the summer of 2007 for five major cities in the eastern United States is presented in this paper. The results of the OPERA calculations show that reductions in regional NOx and VOC as well as local primary PM2.5 emissions were more cost-effective than SO2 controls for decreasing ozone and total PM2.5 concentrations in the summer of 2007. This was because reductions in SO2 emissions would only decrease PM2.5 concentrations, and reductions in primary PM2.5 emissions were more cost-effective than SO2 emission controls. We developed an optimization-based model, OPtimal integrated Emission Reduction Alternatives (OPERA), which allows for identification of least-cost emission control strategies for attaining multipollutant air quality targets at multiple locations simultaneously. A major strength of OPERA is its flexibility, which allows for changes in air quality regulations

  15. Trends in characteristics of women choosing contraindicated home births.

    Science.gov (United States)

    Zafman, Kelly B; Stone, Joanne L; Factor, Stephanie H

    2018-04-12

    To characterize the American College of Obstetricians and Gynecologists (ACOG) contraindicated home births and the women who are receiving these births in hopes of identifying venues for intervention. The National Center for Health Statistics (NCHS) birth certificate records from 1990 to 2015 were used. "Planned home births" were defined as those births in which birthplace was coded as "residence" and birth attendant was coded as "certified nurse midwife (CNM)" or "other midwife". Contraindicated home births were defined as "planned home births" from 1990 to 2015 that had one or more of the ACOG risk factors for home births, which include vaginal birth after prior cesarean delivery (VBAC), breech presentation and multiple gestations. A review of trends in contraindicated home births from 1990 to 2015 suggests that they are increasing in number (481-1396) and as a percentage of total births (0.01%-0.04%, P95%), which is most frequently initiated in the first trimester. The majority of home births were paid out-of-pocket (65%-69%). The increasing number of contraindicated home births in the United States requires public health action. Home births are likely a matter of choice rather than a lack of resources. It is unclear if women choose home births while knowing the risk or due to a lack of information. Prenatal education about contraindicated home births is possible, as almost all women receive prenatal care.

  16. The tobacco industry's role in the 16 Cities Study of secondhand tobacco smoke: do the data support the stated conclusions?

    Science.gov (United States)

    Barnes, Richard L; Hammond, S Katharine; Glantz, Stanton A

    2006-12-01

    Since 1996, the tobacco industry has used the 16 Cities Study conclusions that workplace secondhand tobacco smoke (SHS) exposures are lower than home exposures to argue that workplace and other smoking restrictions are unnecessary. Our goal was to determine the origins and objectives of the 16 Cities Study through analysis of internal tobacco industry documents and regulatory agency and court records, and to evaluate the validity of the study's conclusions. The tobacco industry's purpose in conducting the 16 Cities Study was to develop data showing that workplace SHS exposures were negligible, using these data to stop smoking restrictions by the U.S. Occupational Safety and Health Administration. The extensive involvement of R.J. Reynolds Tobacco Company and the tobacco industry's Center for Indoor Air Research in controlling the study was not fully disclosed. The study's definition of "smoking workplace" included workplaces where smoking was restricted to designated areas or where no smoking was observed. This definition substantially reduced the study's reported average SHS concentrations in "smoking workplaces" because SHS levels in unrestricted smoking workplaces are much greater than in workplaces with designated smoking areas or where no smoking occurred. Stratifying the data by home smoking status and comparing exposures by workplace smoking status, however, indicates that smoke-free workplaces would halve the total SHS exposure of those living with smokers and virtually eliminate SHS exposure for most others. Data in the 16 Cities Study reveal that smoke-free workplaces would dramatically reduce total SHS exposure, providing significant worker and public health benefits.

  17. Increasing Black:White disparities in breast cancer mortality in the 50 largest cities in the United States.

    Science.gov (United States)

    Hunt, Bijou R; Whitman, Steve; Hurlbert, Marc S

    2014-04-01

    This paper presents race-specific breast cancer mortality rates and the corresponding rate ratios for the 50 largest U.S. cities for each of the 5-year intervals between 1990 and 2009. The 50 largest cities in the U.S. were the units of analysis. Numerator data were abstracted from national death files where the cause was malignant neoplasm of the breast (ICD-9=174 and ICD-10=C50) for women. Population-based denominators were obtained from the U.S. Census Bureau for 1990, 2000, and 2010. To measure the racial disparity, we calculated non-Hispanic Black:non-Hispanic White rate ratios (RRs) and confidence intervals for each 5-year period. At the final time point (2005-2009), two RRs were less than 1, but neither significantly so, while 39 RRs were >1, 23 of them significantly so. Of the 41 cities included in the analysis, 35 saw an increase in the Black:White RR between 1990-1994 and 2005-2009. In many of the cities, the increase in the disparity occurred because White rates improved substantially over the 20-year study period, while Black rates did not. There were 1710 excess Black deaths annually due to this disparity in breast cancer mortality, for an average of about 5 each day. This analysis revealed large and growing disparities in Black:White breast cancer mortality in the U.S. and many of its largest cities during the period 1990-2009. Much work remains to achieve equality in breast cancer mortality outcomes. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Birth Order and the Aviator.

    Science.gov (United States)

    1987-02-17

    research on birth order. His book, Family Constellation , has been the basis for many subsequent studies. Toman states, ’We proceed from the assumption...patterns would do well to familiarize themselves with chapter 16 of Walter Toman’s Family Constellation . Procedures for conducting this type of

  19. Gender-based discrimination as reflected in the laws of urinary segregation: Comparing facilities in South Africa’s major cities with those in East Coast cities in the United States of America

    Directory of Open Access Journals (Sweden)

    Renier Steyn

    2014-01-01

    Full Text Available International treaties, national legislation and local by-laws advocate the equal treatment of people of different genders, but there are still claims of gender-based discrimination. However, indicators of discrimination against women, including employment ratios and differences in income, show that great strides have been made in the recent past. These measures are, however, often biased. In this study a different, more exact and tangible method of detecting and describing discrimination is presented, based on the difference between the number of ablution facilities provided for each gender group in public spaces. Ablution facilities at airports, train stations and shopping centres in four major South African cities (N=128 were inspected. The same was done at six East Coast cities in the United States of America (USA; N=124. Medium to large differences in the respective number of facilities were found (eta2 .05 to .13 in South Africa, with women receiving fewer services than those for men. The same tendency was not found in the USA. These results suggest that, despite the progressive legislation and vigorous affirmative action applied in South Africa, South African women are still being discriminated against on a very concrete, tangible level.

  20. The city of the merchant

    DEFF Research Database (Denmark)

    Barnow, Niels Finn

    The City of the Merchant deals with cities, towns and villages in the European medieval period - i.e. in post-antique and pre-industrial Europe. In actual fact, the book mainly deals with Denmark and Northern Italy (the City States), with digressions to other "feudal" localities in France on Sicily...

  1. Births resulting from assisted reproductive technology: comparing birth certificate and National ART Surveillance System Data, 2011.

    Science.gov (United States)

    Thoma, Marie E; Boulet, Sheree; Martin, Joyce A; Kissin, Dmitry

    2014-12-10

    This report compares data on births resulting from assisted reproductive technology (ART) procedures from 2011 birth certificates with data from the 2011 National ART Surveillance System (NASS) among the subset of jurisdictions that adopted the 2003 revised birth certificate as of January 1, 2011, with information on ART. Birth certificate data are based on 100% of births registered in 27 states and the District of Columbia. NASS data included all ART cycles initiated in 2010 or 2011 for which a live birth in 2011 was reported. The same reporting area was used for both data sources and represents 67% of all births in the United States in 2011. A ratio was computed by dividing the percentage of births resulting from ART procedures for NASS data by the percentage for birth certificate data. A ratio of 1.0 represents equivalent levels of reporting. Because this reporting area is not a random sample of births, the results are not generalizable to the United States as a whole. Overall, the percentage of births resulting from ART procedures was 2.06 times higher for NASS data (1.44%) compared with birth certificate data (0.70%). The ratio for each jurisdiction varied from 1.04 for Utah and Wisconsin to 7.50 for Florida. Higher-risk groups had more consistent reporting. between data sources [e.g., triplet or higher-order multiples (1.36) compared with singletons (2.11)]. Births resulting from ART procedures appear to be underreported on the birth certificate; however, the magnitude of underreporting varied by jurisdiction and maternal-infant health characteristics.

  2. Racial/Ethnic Inequities in Low Birth Weight and Preterm Birth: The Role of Multiple Forms of Stress.

    Science.gov (United States)

    Almeida, Joanna; Bécares, Laia; Erbetta, Kristin; Bettegowda, Vani R; Ahluwalia, Indu B

    2018-02-13

    Introduction Racial/ethnic inequities in low birth weight (LBW) and preterm birth (PTB) persist in the United States. Research has identified numerous risk factors for adverse birth outcomes; however, they do not fully explain the occurrence of, or inequalities in PTB/LBW. Stress has been proposed as one explanation for differences in LBW and PTB by race/ethnicity. Methods Using the Pregnancy Risk Assessment Monitoring System (PRAMS) data from 2012 to 2013 for 21 states and one city (n = 15,915) we used Poisson regression to estimate the association between acute, financial and relationship stressors and LBW and PTB, and to examine the contribution of these stressors individually and simultaneously to racial/ethnic differences in LBW and PTB. Results Adjusting for age and race/ethnicity, acute (p < 0.001), financial (p < 0.001) and relationship (p < 0.05) stressors were associated with increased risk of LBW, but only acute (p < 0.05) and financial (p < 0.01) stress increased risk of PTB. Across all models, non-Hispanic blacks had higher risk of LBW and PTB relative to non-Hispanic whites (IRR 1.87, 95% CI 1.55, 2.27 and IRR 1.46, 95% CI 1.18, 1.79). Accounting for the effects of stressors attenuated the risk of LBW and PTB by 17 and 22% respectively, but did not fully explain the increased likelihood of LBW and PTB among non-Hispanic blacks. Discussion Results of this study demonstrate that stress may increase the risk of LBW and PTB. While stressors may contribute to racial/ethnic differences in LBW and PTB, they do not fully explain them. Mitigating stress during pregnancy may help promote healthier birth outcomes and reduce racial/ethnic inequities in LBW and PTB.

  3. Planned hospital birth versus planned home birth

    DEFF Research Database (Denmark)

    Olsen, O.; Clausen, J.A.

    2012-01-01

    Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications. This is an update of a Cochrane review first published in 1998....

  4. The role of the welfare state and housing policies as a medium and outcome of rising inequality in the cities

    DEFF Research Database (Denmark)

    Alves, Sonia; Andersen, Hans Thor

    of inequality in the city. In order to capture the complex chain of factors that influence the social geography of cities and their patterns and trends of inequality, this paper seeks to engage with key thinkers such as Pierre Bourdieu, Gosta Esping-Andersen, and Jim Kemeny. In doing so, we raise several......In recent decades economic, social, and political changes have aggravated social inequality in most European countries, accelerating differences in living conditions between social groups and neighbourhoods alike. In this context, far from being seen as fixed entities measured only...... by their functional and morphological qualities, residential districts have come to be seen as an expression of socio-economic and symbolic differences and inequalities. From this perspective, the relative position of social groups in the occupational class structure and in the spatial structure becomes a privileged...

  5. Redevelopment through rehabilitation : The role of historic preservation in revitalizing deindustrialized cities: Lessons from the United States and Sweden

    OpenAIRE

    Legnér, Mattias

    2007-01-01

    The rehabilitation of urban environments by giving old buildings new functions is an old practice, but policies meant for encouraging rehabilitation trace their American origins back to the 1960s with the growing criticism of urban renewal plans and the rise of historic preservation values. In the U.S., historic rehabilitation has proven to be a way of revitalizing cities which have faced deindustrialization, disinvestment and shrinking tax revenues. Built heritage is especially vulnerable in...

  6. Prevalence and determinants of low birth weight: the situation in a ...

    African Journals Online (AJOL)

    Background: The traditional birth attendant delivers majority of pregnant women in Nigeria. Objective: This study aimed at determining the prevalence and associated risk factors for delivery of low birth weight (LBW) neonates in a Traditional Birth Home (TBH)in Benin City, Nigeria. Methods: A total of 780 pregnant women ...

  7. City PLANTastic

    DEFF Research Database (Denmark)

    , any attempt to create a green city is motivated by certain ecological, political and esthetical perspectives. Therefore the role of plants in tomorrows cities is everything but straightforward. Rather, a broad range of possibilities unfolds. City PLANTastic is the title of the 8th World in Denmark...... and urbanism, who reflect upon the multiple roles of plants in the future city through their most recent projects. The theme for the 2012 World in Denmark conference is City PLANTastic, which will also be explored by researchers through their works.......The city is going green. From New York to Copenhagen vegetables are enthusiastically planted on city squares, and buildings are turning green everywhere . The word “plant” is on everyone’s lips, reflecting a growing desire to solve ecological, technical and social challenges in the city. Hovever...

  8. EU Smart City Governance

    Directory of Open Access Journals (Sweden)

    Carmela Gargiulo

    2013-11-01

    Full Text Available In recent years European Commission has developed a set of documents for Members States tracing, directly or indirectly, recommendations for the transformation of the European city. The paper wants to outline which future EU draws for the city, through an integrated and contextual reading of addresses and strategies contained in the last documents, a future often suggested as Smart City. Although the three main documents (Cohesion Policy 2014-2020 of European Community, Digital Agenda for Europe and European Urban Agenda face the issue of the future development of European cities from different points of view, which are respectively cohesion social, ICT and urban dimension, each of them pays particular attention to urban and territorial dimension, identified by the name of Smart City. In other words, the paper aims at drawing the scenario of evolution of Smart Cities that can be delineated through the contextual reading of the three documents. To this end, the paper is divided into three parts: the first part briefly describes the general contents of the three European economic plan tools; the second part illustrates the scenarios for the future of the European city contained in each document; the third part seeks to trace the evolution of the Smart Cities issue developed by the set of the three instruments, in order to provide the framework of European Community for the near future of our cities

  9. Resource allocation for mitigating regional air pollution-related mortality: A summertime case study for five cities in the United States.

    Science.gov (United States)

    Liao, Kuo-Jen; Hou, Xiangting; Strickland, Matthew J

    2016-08-01

    An important issue of regional air quality management is to allocate air quality management funds to maximize environmental and human health benefits. In this study, we use an innovative approach to tackle this air quality management issue. We develop an innovative resource allocation model that allows identification of air pollutant emission control strategies that maximize mortality avoidances subject to a resource constraint. We first present the development of the resource allocation model and then a case study to show how the model can be used to identify resource allocation strategies that maximize mortality avoidances for top five Metropolitan Statistical Areas (MSAs) (i.e., New York, Los Angeles, Chicago, Dallas-Fort Worth, and Philadelphia) in the continental United States collectively. Given budget constraints in the U.S. Environmental Protection Agency's (EPA) Clean Air Act assessment, the results of the case study suggest that controls of sulfur dioxide (SO2) and primary carbon (PC) emissions from EPA Regions 2, 3, 5, 6, and 9 would have significant health benefits for the five selected cities collectively. Around 30,800 air pollution-related mortalities could be avoided during the selected 2-week summertime episode for the five cities collectively if the budget could be allocated based on the results of the resource allocation model. Although only five U.S. cities during a 2-week episode are considered in the case study, the resource allocation model can be used by decision-makers to plan air pollution mitigation strategies to achieve the most significant health benefits for other seasons and more cities over a region or the continental U.S. Effective allocations of air quality management resources are challenging and complicated, and it is desired to have a tool that can help decision-makers better allocate the funds to maximize health benefits of air pollution mitigation. An innovative resource allocation model developed in this study can help

  10. Spatial distribution of trachoma cases in the City of Bauru, State of São Paulo, Brazil, detected in 2006: defining key areas for improvement of health resources

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Macharelli

    2013-04-01

    Full Text Available Introduction The objective of this study was to analyze the spatial behavior of the occurrence of trachoma cases detected in the City of Bauru, State of São Paulo, Brazil, in 2006 in order to use the information collected to set priority areas for optimization of health resources. Methods the trachoma cases identified in 2006 were georeferenced. The data evaluated were: schools where the trachoma cases studied, data from the 2000 Census, census tract, type of housing, water supply conditions, distribution of income and levels of education of household heads. In the Google Earth® software and TerraView® were made descriptive spatial analysis and estimates of the Kernel. Each area was studied by interpolation of the density surfaces exposing events to facilitate to recognize the clusters. Results Of the 66 cases detected, only one (1.5% was not a resident of the city's outskirts. A positive association was detected of trachoma cases and the percentage of heads of household with income below three minimum wages and schooling under eight years of education. Conclusions The recognition of the spatial distribution of trachoma cases coincided with the areas of greatest social inequality in Bauru City. The micro-areas identified are those that should be prioritized in the rationalization of health resources. There is the possibility of using the trachoma cases detected as an indicator of performance of micro priority health programs.

  11. Spatial distribution of trachoma cases in the City of Bauru, State of São Paulo, Brazil, detected in 2006: defining key areas for improvement of health resources

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Macharelli

    2013-02-01

    Full Text Available Introduction The objective of this study was to analyze the spatial behavior of the occurrence of trachoma cases detected in the City of Bauru, State of São Paulo, Brazil, in 2006 in order to use the information collected to set priority areas for optimization of health resources. Methods the trachoma cases identified in 2006 were georeferenced. The data evaluated were: schools where the trachoma cases studied, data from the 2000 Census, census tract, type of housing, water supply conditions, distribution of income and levels of education of household heads. In the Google Earth® software and TerraView® were made descriptive spatial analysis and estimates of the Kernel. Each area was studied by interpolation of the density surfaces exposing events to facilitate to recognize the clusters. Results Of the 66 cases detected, only one (1.5% was not a resident of the city's outskirts. A positive association was detected of trachoma cases and the percentage of heads of household with income below three minimum wages and schooling under eight years of education. Conclusions The recognition of the spatial distribution of trachoma cases coincided with the areas of greatest social inequality in Bauru City. The micro-areas identified are those that should be prioritized in the rationalization of health resources. There is the possibility of using the trachoma cases detected as an indicator of performance of micro priority health programs.

  12. [Predominant Leptospira spp. serovars in serological diagnosis of canines and humans in the City of Uberlândia, State of Minas Gerais, Brazil].

    Science.gov (United States)

    Castro, Jacqueline Ribeiro de; Salaberry, Sandra Renata Sampaio; Souza, Mariana Assunção de; Lima-Ribeiro, Anna Monteiro Correia

    2011-01-01

    This study aimed to verify the occurrence of the principal Leptospira spp. serovars in domestic dogs and humans, notified in 2008, and the main risk factors in a geographic approach to the disease in the City of Uberlândia, State of Minas Gerais, Brazil. Canine blood serum samples (n=268) from different districts, belonging to the Northern, Southern, Eastern, Western and Central Sanitary Districts of Uberlandia, were collected during an animal vaccination campaign against rabies, in August 2008. A geographic approach to the city was conducted, including evaluation of locations in peripheral areas, waste landfills, garbage collection, rodent notification, human leptospirosis cases and overflow flood areas, during 2008. Leptospirosis was diagnosed using the microscopic agglutination test (MAT), the gold standard for animal and human leptospirosis diagnosis. Dogs mainly reacted to Autumnalis (34.2%) and Tarassovi (23.7%) serovars, while in humans, predominance of Tarassovi serovars occurred in the cases registered. The occurrence of these serovars could be related to an infection source common to both species, or dogs could be the infection source for humans. The Eastern Sanitary District showed a greater number of reactive dogs. Leptospirosis occurred in dogs and humans of the City of Uberlandia in 2008. This often neglected disease must be prevented because represents a public health risk and resembles other endemic illness like dengue.

  13. Cost-effectiveness analysis of risk-factor guided and birth-cohort screening for chronic hepatitis C infection in the United States.

    Directory of Open Access Journals (Sweden)

    Shan Liu

    Full Text Available No consensus exists on screening to detect the estimated 2 million Americans unaware of their chronic hepatitis C infections. Advisory groups differ, recommending birth-cohort screening for baby boomers, screening only high-risk individuals, or no screening. We assessed one-time risk assessment and screening to identify previously undiagnosed 40-74 year-olds given newly available hepatitis C treatments.A Markov model evaluated alternative risk-factor guided and birth-cohort screening and treatment strategies. Risk factors included drug use history, blood transfusion before 1992, and multiple sexual partners. Analyses of the National Health and Nutrition Examination Survey provided sex-, race-, age-, and risk-factor-specific hepatitis C prevalence and mortality rates. Nine strategies combined screening (no screening, risk-factor guided screening, or birth-cohort screening and treatment (standard therapy-peginterferon alfa and ribavirin, Interleukin-28B-guided (IL28B triple-therapy-standard therapy plus a protease inhibitor, or universal triple therapy. Response-guided treatment depended on HCV genotype. Outcomes include discounted lifetime costs (2010 dollars and quality adjusted life-years (QALYs. Compared to no screening, risk-factor guided and birth-cohort screening for 50 year-olds gained 0.7 to 3.5 quality adjusted life-days and cost $168 to $568 per person. Birth-cohort screening provided more benefit per dollar than risk-factor guided screening and cost $65,749 per QALY if followed by universal triple therapy compared to screening followed by IL28B-guided triple therapy. If only 10% of screen-detected, eligible patients initiate treatment at each opportunity, birth-cohort screening with universal triple therapy costs $241,100 per QALY. Assuming treatment with triple therapy, screening all individuals aged 40-64 years costs less than $100,000 per QALY.The cost-effectiveness of one-time birth-cohort hepatitis C screening for 40-64 year olds

  14. Tick-borne agents in domesticated and stray cats from the city of Campo Grande, state of Mato Grosso do Sul, midwestern Brazil.

    Science.gov (United States)

    André, Marcos Rogério; Herrera, Heitor Miraglia; Fernandes, Simone de Jesus; de Sousa, Keyla Cartens Marques; Gonçalves, Luiz Ricardo; Domingos, Iara Helena; de Macedo, Gabriel Carvalho; Machado, Rosangela Zacarias

    2015-09-01

    Anaplasmataceae agents, piroplasmids and Hepatozoon spp. have emerged as important pathogens among domestic and wild felines. The present work aimed to detect the presence of species belonging to the Anaplasmataceae family, piroplasmas and Hepatozoon spp. DNA in blood samples of domesticated and stray cats in the city of Campo Grande, state of Mato Grosso do Sul, midwestern Brazil. Between January and April 2013, whole blood samples were collected from 151 cats (54 males, 95 females and two without gender registration) in the city of Campo Grande, state of Mato Grosso do Sul, Brazil. DNA extracted from cat blood samples was submitted to conventional PCR assays for Theileria/Babesia/Cytauxzoon spp. (18S rRNA, ITS-1), Ehrlichia spp. (16S rRNA, dsb, groESL), Anaplasma spp. (16S rRNA, groESL) and Hepatozoon spp. (18S rRNA) followed by phylogenetic reconstructions. Out of 151 sampled cats, 13 (8.5%) were positive for Ehrlichia spp. closely related to Ehrlichia canis, 1 (0.66%) for Hepatozoon spp. closely related to Hepatozoon americanum and Hepatozoon spp. isolate from a wild felid, 1 (0.66%) for Cytauxzoon sp. closely related do Cytauxzoon felis, and 18 (11.9%) for Babesia/Theileria (one sequence was closely related to Babesia bigemina, eight for Babesia vogeli, five to Theileria spp. from ruminants [Theileria ovis, Theileria lestoquardi] and four to Theileria sp. recently detected in a cat). The present study showed that Ehrlichia spp., piroplasmids (B. vogeli, Theileria spp. and Cytauxzoon spp.) and, more rarely, Hepatozoon spp. circulate among stray and domesticated cats in the city of Campo Grande, state of Mato Grosso do Sul, midwestern Brazil. Copyright © 2015 Elsevier GmbH. All rights reserved.

  15. Birth control pills - overview

    Science.gov (United States)

    ... from taking birth control pills include: Blood clots Heart attack High blood pressure Stroke Birth control pills without estrogen are much less likely to cause these problems. The risk is higher for women ...

  16. Preterm Labor and Birth

    Science.gov (United States)

    ... Facebook Twitter Pinterest Email Print Preterm Labor and Birth In general, a normal human pregnancy lasts about ... is called preterm labor (or premature labor). A birth that occurs before 37 weeks is considered a ...

  17. Birth control pill - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100108.htm Birth control pill - series—Normal female anatomy To use ... to produce a successful pregnancy. To prevent pregnancy, birth control pills affect how these organs normally function. ...

  18. Vaginal birth - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100198.htm Vaginal birth - series—Normal anatomy To use the sharing features ... vaginal delivery. Please keep in mind that every birth is unique, and your labor and delivery may ...

  19. Sin City?

    DEFF Research Database (Denmark)

    Svarer, Michael; Gautier, Pieter A.; Teulings, Coen n.

    , the ones who stay in the city have significant higher divorce rates. Similarly, for the couples who married outside the city, the ones who move to the city are more likely to divorce. This correlation can be explained by both a causal and a sorting effect. We disentangle them by using the timing...

  20. Local level epidemiological analysis of TB in people from a high incidence country of birth

    Directory of Open Access Journals (Sweden)

    Massey Peter D

    2013-01-01

    Full Text Available Abstract Background The setting for this analysis is the low tuberculosis (TB incidence state of New South Wales (NSW, Australia. Local level analysis of TB epidemiology in people from high incidence countries-of-birth (HIC in a low incidence setting has not been conducted in Australia and has not been widely reported. Local level analysis could inform measures such as active case finding and targeted earlier diagnosis. The aim of this study was to use a novel approach to identify local areas in an Australian state that have higher TB rates given the local areas’ country of birth profiles. Methods TB notification data for the three year period 2006–2008 were analysed by grouping the population into those from a high-incidence country-of-birth and the remainder. Results During the study period there were 1401 notified TB cases in the state of NSW. Of these TB cases 76.5% were born in a high-incidence country. The annualised TB notification rate for the high-incidence country-of-birth group was 61.2/100,000 population and for the remainder of the population was 1.8/100,000. Of the 152 Local Government Areas (LGA in NSW, nine had higher and four had lower TB notification rates in their high-incidence country-of-birth populations when compared with the high-incidence country-of-birth population for the rest of NSW. The nine areas had a higher proportion of the population with a country of birth where TB notification rates are >100/100,000. Those notified with TB in the nine areas also had a shorter length of stay in Australia than the rest of the state. The areas with higher TB notification rates were all in the capital city, Sydney. Among LGAs with higher TB notification rates, four had higher rates in both people with a high-incidence country of birth and people not born in a high-incidence country. The age distribution of the HIC population was similar across all areas, and the highest differential in TB rates across areas was in the 5–19

  1. The Joint Cities

    Directory of Open Access Journals (Sweden)

    Romano Fistola

    2010-04-01

    Full Text Available The new connections, which high speed train allows to activate among the metropolitan systems, seem to be able to give life to new urban macro-structures for which the transfer time, among the main poles of the railway segment, becomes comparable to an inside moving into the city and therefore considered as an inter-functional mobility. The tunnel effect generated by the high speed connection seems to be able to allow a new temporal and functional joint among the metropolitan systems consequently supporting the possibility, for the users, to move themselves among the different urban functions belonging to the different cities. The birth of these urban aggregations seems to drive towards new megalopolis, which we can define for the first time with the term: joint-city. For this new metropolitan settlement it seems to be very interesting to investigate the constitutive peculiarities, the systemic articulation, its relational structures, the evolutionary scenarios, and so on. The urban functions (activities can be considered as structures of relationships between people that allows to define "organizational links" inside the community; the urban functions are located in specific places inside urban container or in open spaces. The urban functions represent the urban engines and the functional system can be thought as the “soul of the city", abstract but essential to its survival. In the definition set out here the analysis is carried out for many interconnected urban functional system points (specifically those in Rome and Naples. The new high speed railway has to be considered not only as a new channel of mobility between cities, but as a real possibility of joint between the functional systems of the two centres. A final consideration can be carried out in relation to the possibility of implementing new measures of governance of urban transformations considering the new macro-city: the "Joint City".

  2. Cranial birth trauma

    International Nuclear Information System (INIS)

    Papanagiotou, P.; Roth, C.; Politi, M.; Zimmer, A.; Reith, W.; Rohrer, T.

    2009-01-01

    Injuries to an infant that result during the birth process are categorized as birth trauma. Cranial injuries due to mechanical forces such as compression or traction include caput succedaneum, cephalhematoma, subgaleal hematoma and intracranial hemorrhaging. Hypoxic ischemic encephalopathy is the consequence of systemic asphyxia occurring during birth. (orig.) [de

  3. Encyclopedia of Birth Control.

    Science.gov (United States)

    Rengel, Marian

    This encyclopedia brings together in more than 200 entries, arranged in A-to-Z format, a portrait of the complex modern issue that birth control has become with advances in medicine and biochemistry during the 20th century. It is aimed at both the student and the consumer of birth control. Entries cover the following topics: birth control…

  4. Birth Control Shot

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Shot KidsHealth / For Teens / Birth Control Shot What's in this article? What Is ... español La inyección anticonceptiva What Is It? The birth control shot is a long-acting form of ...

  5. Birth Control Pill

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Pill KidsHealth / For Teens / Birth Control Pill What's in this article? What Is ... español La píldora anticonceptiva What Is It? The birth control pill (also called "the Pill") is a ...

  6. Birth Control Ring

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Birth Control Ring KidsHealth / For Teens / Birth Control Ring What's in this article? What Is ... español Anillo vaginal anticonceptivo What Is It? The birth control ring is a soft, flexible, doughnut-shaped ...

  7. Sobrevida e fatores de risco para mortalidade neonatal em uma coorte de nascidos vivos de muito baixo peso ao nascer, na Região Sul do Município de São Paulo, Brasil Survival and risk factors for neonatal mortality in a cohort of very low birth weight infants in the southern region of São Paulo city, Brazil

    Directory of Open Access Journals (Sweden)

    Marcia Furquim de Almeida

    2011-06-01

    Full Text Available Estudos populacionais sobre mortalidade neonatal de nascimentos de muito baixo peso ao nascer contribuem para identificar sua complexa rede de fatores de risco. Foi estudada uma coorte de 213 recém-nascidos com peso inferior a 1.500g (112 óbitos neonatais e 101 sobreviventes na Região Sul do Município de São Paulo, Brasil, em 2000/2001. Foram realizadas entrevistas domiciliares e obtidos dados de prontuários hospitalares. Foi realizada análise de sobrevida e empregada regressão múltipla de Cox. A elevada mortalidade na sala de parto, no primeiro dia de vida e ausência de sobreviventes Population studies can help identify the complex set of risk factors for neonatal mortality among very low birth weight infants. A cohort (2000-2001 of 213 live newborns with birth weight < 1,500g in the southern region of São Paulo city, Brazil, was studied (112 neonatal deaths and 101 survivors. Data were obtained from home interviews and hospital records. Survival analysis and multiple Cox regression were performed. The high mortality in the delivery room and in the first day of life among neonates < 1,000g and < 28 weeks gestational age and the absence of survival in neonates < 700g suggest that care was actively oriented towards newborns with better prognosis. Increased risk of neonatal mortality was associated with maternal residence in slum areas, history of previous cesarean(s, history of induced abortion(s, adolescent motherhood, vaginal bleeding, and lack of prenatal care. Cesarean section and referral of the newborn to the hospital nursery showed protective effects. Birth weight less than 1,000g and Apgar index < 7 were associated with increased risk. The high mortality was due to poor living conditions and to maternal and neonatal characteristics. Improvement in prenatal and neonatal care could reduce neonatal mortality in these infants.

  8. Reduced Disparities in Birth Rates Among Teens

    Science.gov (United States)

    ... at CDC Reduced Disparities in Birth Rates among Teens Aged 15–19 Years in the United States ... Do To Address Disparities Community-wide Initiatives Preventing teen pregnancy: Remarkable progress for many teens, but challenges ...

  9. City PLANTastic

    DEFF Research Database (Denmark)

    The city is going green. From New York to Copenhagen vegetables are enthusiastically planted on city squares, and buildings are turning green everywhere . The word “plant” is on everyone’s lips, reflecting a growing desire to solve ecological, technical and social challenges in the city. Hovever......, any attempt to create a green city is motivated by certain ecological, political and esthetical perspectives. Therefore the role of plants in tomorrows cities is everything but straightforward. Rather, a broad range of possibilities unfolds. City PLANTastic is the title of the 8th World in Denmark...... conference, which invites you to discuss the contemporary tendencies for a greener city. Come and listen to five international key note speakers, whose projects have showed new directions for planting in urban spaces: The conference presents key note speakers from landscape architecture, urban design...

  10. Saving lives at birth

    DEFF Research Database (Denmark)

    Daysal, N. Meltem; Trandafir, Mircea; van Ewijk, Reyn

    2015-01-01

    Many developed countries have recently experienced sharp increases in home birth rates. This paper investigates the impact of home births on the health of low-risk newborns using data from the Netherlands, the only developed country where home births are widespread. To account for endogeneity...... in location of birth, we exploit the exogenous variation in distance from a mother’s residence to the closest hospital. We find that giving birth in a hospital leads to substantial reductions in newborn mortality. We provide suggestive evidence that proximity to medical technologies may be an important...

  11. Early discharge following birth

    DEFF Research Database (Denmark)

    Nilsson, Ingrid M. S.; Kronborg, Hanne; Knight, Christopher H.

    2017-01-01

    of discharge after birth. Results In total 34% mothers were discharged within 12 hours (very early) and 25% between 13 and 50 hours (early), respectively. Vaginal birth and multiparity were the most influential predictors, as Caesarean section compared to vaginal birth had an OR of 0.35 (CI 0....... Smoking, favourable social support and breastfeeding knowledge were significantly associated with discharge within 12 hours. Finally time of discharge varied significantly according to region and time of day of birth. Conclusions Parity and birth related factors were the strongest predictors of early...

  12. The prevalence of overweight and its risk factors among adolescents in an urban city in Edo State.

    Science.gov (United States)

    Omuemu, V O; Omuemu, C E

    2010-06-01

    The prevalence of overweight is rising even in countries with significant rates of undernutrition. This is exacerbated by westernization of lifestyles and the image of prosperity associated with overweight. Children are not spared and the health consequences may become apparent in the near future. This study assessed the prevalence of overweight among adolescents in an urban city in a developing country. This cross-sectional study conducted from September to December 2005 involved 300 adolescents selected by cluster sampling in Benin-city, Nigeria. Overweight and risk of overweight were defined as Body mass index (BMI)-for-age > or = 95th percentile and BMI-for-age 85th to overweight while 52.7% were at risk of overweight. Risk factors of overweight identified were consumption of snacks (64.3%), soft drinks (85.7%) and physical inactivity (69.7%). Being overweight was significantly associated with consumption of snacks, soft drinks, physical inactivity and positive family history of obesity, (p overweight suggests that the already high prevalence of overweight will increase in the near future. Preventive measures are required to forestall this increase.

  13. Understanding Pregnancy and Birth Issues

    Science.gov (United States)

    ... Home Current Issue Past Issues Understanding Pregnancy and Birth Issues Past Issues / Winter 2008 Table of Contents ... about NICHD preeclampsia research in the sidebar.) Preterm Birth Preterm (premature) birth is birth before the baby ...

  14. Entry into Marriage and the Transition to Adulthood among Recent Birth Cohorts of Young Adults in the United States and the Federal Republic of Germany

    OpenAIRE

    James C. Witte

    1990-01-01

    Pattems of entry into first marriage among recent birth cohorts (1952 - 1967) of young adults are examined based upon the U.S. Census Bureau 's Survey of Income and Program Participation (SIPP) and the German Socio-Economic Panel (SOEP). This paper attempts to illustrate the manner in which young adults' educational and employmeni histories influence the timing oftheir entry into marriage. Labor force integration - concluding one's education and entering the labor force - is treated as the do...

  15. Planned place of birth

    DEFF Research Database (Denmark)

    Overgaard, Charlotte; Coxon, Kirstie; Stewart, Mary

    in Denmark Coxon K et al: Planned place of birth in England: perceptions of accessing obstetric units, midwife led units and home birth amongst women and their partners. How these papers interrelate These papers draw upon recent research in maternity care, undertaken in Denmark and in England. In both......Title Planned place of birth: issues of choice, access and equity. Outline In Northern European countries, giving birth is generally safe for healthy women with uncomplicated pregnancies, and their babies. However, place of birth can affect women’s outcomes and experiences of birth. Whilst tertiary...... centres provide appropriate medical supervision to women with complex pregnancies, the likelihood of receiving interventions including surgical birth is increased for low risk women in these settings. In this symposium, we consider issues of choice, access and equitable care for women in the context...

  16. Waist circumference, BMI and the prevalence of self-reported diabetes among the elderly of the United States and six cities of Latin America and the Caribbean.

    Science.gov (United States)

    Barceló, A; Gregg, E W; Pastor-Valero, M; Robles, S C

    2007-12-01

    Using data from the Salud Bienestar y Envejecimiento (SABE) project and the U.S. National Health and Nutrition Examination Survey (NHANES 1999-2004), we examined the prevalence of obesity and diagnosed diabetes among older adults in the Americas; we also examined the association of age, sex, level of education, weight status, waist circumference, smoking, and race/ethnicity with diabetes among older adults. The prevalence of diagnosed diabetes was highest in the US Blacks and Mexican Americans, followed by Bridgetown and Mexico City (22% for each) and lowest in Santiago, Montevideo, Havana, and US Whites (13-15%). Diagnosed diabetes was significantly associated with BMI among participants from Bridgetown, Sao Paulo, and the three US ethnic groups, while it was associated with waist circumference in all sites except Mexico City. Our findings suggest major geographical and ethnic variation in the prevalence of diagnosed diabetes among older adults. Waist circumference was more consistently associated with the prevalence of diagnosed diabetes than BMI. Higher prevalences of diabetes are found among the elderly of African or Mexican descent in the United States and in other countries of the Americas when compared to the prevalence among whites in the United States and in other Latin American countries with populations of predominant Western European descent.

  17. Birth prevalence of cleft lip and palate in Sucre, Bolivia.

    Science.gov (United States)

    McLeod, Niall M H; Urioste, Marcelo L Arana; Saeed, Nadeem R

    2004-03-01

    To determine the birth prevalence of cleft lip and palate (CL +/- P) in the municipality of Sucre, Bolivia. To ascertain whether the birth prevalence in this region differs significantly from birth prevalence reported in similar populations and other racial groups. Twenty-eight clefts were identified among 22,746 live births between the years 1995 and 2001 in three maternity hospitals in the city. The total birth prevalence of CL +/- P was 1.23/1000 live births per year. There were 12 clefts of the lip alone (birth prevalence 0.53/1000 per year), 15 cleft lip and palate (0.66/1000 per year), and one cleft palate only (0.04/1000 per year). The birth prevalence was not significantly different from birth prevalence published previously in South American populations, although it is lower than previously published data from Bolivia. The birth prevalence of CL +/- P in this South American population was similar to published data in white subjects and between those found in black and oriental groups. The sex ratio and birth prevalence of simultaneous congenital malformations also did not differ from previously published figures.

  18. Analysis of potential for reducing emissions of greenhouse gases in municipal solid waste in Brazil, in the state and city of Rio de Janeiro.

    Science.gov (United States)

    Loureiro, S M; Rovere, E L L; Mahler, C F

    2013-05-01

    This paper examines potential changes in solid waste policies for the reduction in GHG for the country of Brazil and one of its major states and cities, Rio de Janeiro, from 2005 to 2030. To examine these policy options, trends in solid waste quantities and associated GHG emissions are derived. Three alternative policy scenarios are evaluated in terms of effectiveness, technology, and economics and conclusions posited regarding optimal strategies for Brazil to implement. These scenarios are been building on the guidelines for national inventories of GHG emissions (IPCC, 2006) and adapted to Brazilian states and municipalities' boundaries. Based on the results, it is possible to say that the potential revenue from products of solid waste management is more than sufficient to transform the current scenario in this country into one of financial and environmental gains, where the negative impacts of climate change have created a huge opportunity to expand infrastructure for waste management. Copyright © 2013 Elsevier Ltd. All rights reserved.

  19. Between defense and social intervention: State, citizenship and poverty in the city of Concepción (Chile, 1890-1930

    Directory of Open Access Journals (Sweden)

    Marco León León

    2016-11-01

    Full Text Available This research seeks to understand the Chilean state from three perspectives: regional, relational and constructive. Taking the specific case of the city of Concepción in the period between 1890 and 1930, we observe the particularities of a state model that has not yet been properly studied, namely Social Defense, which differs from its nineteenth-century predecessor, the ‘Guardian State’, and its natural successor, the ‘Welfare State’ . The features and the policy and institutional manifestations of this model can, we believe, be seen both in the area of mental health and the asylum, and in the complementary role of surveillance and protection adopted by the Administration, Police Security Service and Labor Office.

  20. Making the Experience City

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2009-01-01

    This paper describes the latest research into cultural planning and architectural branding in Denmark based on the ‘Experience City' research project located at Aalborg University. The paper explores the implication of the turn towards culture and experience in the contemporary Danish city. It thus...... makes an investigation into the complex relationship between the words and policies of the ‘Experience Economy' and the actual urban transformations made in cities with reference to these changes. The paper discusses the cases researched in relation to the state, market, civil society framework as well...

  1. Birth weight and exposure to kitchen wood smoke during pregnancy in rural Guatemala.

    OpenAIRE

    Boy, Erick; Bruce, Nigel; Delgado, Hernán

    2002-01-01

    In this study, we aimed to establish whether domestic use of wood fuel is associated with reduced birth weight, independent of key maternal, social, and economic confounding factors. We studied 1,717 women and newborn children in rural and urban communities in rural Guatemala. We identified subjects through home births reported by traditional birth attendants in six rural districts (n = 572) and all public hospital births in Quetzaltenango city during the study period (n = 1,145). All were se...

  2. The Distinctiveness of Nordic Welfare States in the Transformation to the Projective City and the New Spirits of Capitalism

    DEFF Research Database (Denmark)

    Hull Kristensen, Peer

    2013-01-01

    of autonomy and income that are achieved by the successful in this system are, they argue, dependent on the exploitation of those who cannot move around. This chapter shows that immobility is not a fixed characteristic but the outcome of political and social processes. Thus the Nordic countries seem to have...... found templates for the development of conditions under which large sections of the population can be mobile and the sphere of the immobile and exploited is reduced. They had begun from the 1990s to construct the projective city in ways which met the tests such a mode of organizing set for itself...... — in terms of providing opportunities for all groups to participate on a relatively equal basis and resisting the effort to exclude a substantial section of society and to exploit this group in order to maximize the gains of the mobile. Nordic countries in different and diverse ways had been able to increase...

  3. WHO Healthy Cities Programme.

    Science.gov (United States)

    Goldstein, G; Kickbusch, I

    1996-03-01

    This article identifies some urban health challenges and discusses World Health Organization (WHO) concepts of public health, a Municipal Health Plan, and the WHO Healthy Cities Program (HCP). A healthy city is defined as one that continually creates and improves the physical and social environment and expands community resources for enabling the mutual support among population groups for living. Urbanization is advancing rapidly, but government resources are not keeping pace with people's needs. By 1990, at least 600 million urban people in developing countries faced life and health threats. There is poverty, inadequate food and shelter, insecure tenure, physical crowding, poor waste disposal, unsafe working conditions, inadequate local government services, overuse of harmful substances, and environmental pollution. Poor people in cities frequently must satisfy all their basic needs in health, welfare, and employment. There is exposure to early sexual activity of adolescents, transient relationships, high levels of prostitution, and limited birth control. Unsustainable use of natural resources and environmental destruction pose threats to urban productivity and restrict future development options. The WHO launched a "Health for All" campaign in 1978, based on 4 basic principles. The HCP, which is based on these principles, has expanded to many cities. It measures the health burden and makes health issues relevant and understandable to local agencies through analysis and policy advocacy. The Municipal Health Plan facilitates awareness of environmental and health problems in schools, work and marketplaces, health services, and among other organizations.

  4. Birth of Identity: Understanding the Value and Policy Considerations of Using Birth Certificates for Identity Resolution

    Science.gov (United States)

    Duncan, Jeffrey Dean

    2015-01-01

    Exchanging patient-specific information across heterogeneous information systems is a critical but increasingly complex and expensive challenge. Lacking a universal unique identifier for healthcare, patient records must be linked using combinations of identity attributes such as name, date of birth, and sex. A state's birth certificate registry…

  5. Variation in Safe Sleep and Breastfeeding Practices Among Non-Hispanic Black Mothers in the United States According to Birth Country.

    Science.gov (United States)

    Parker, Margaret G K; Colson, Eve R; Provini, Lauren; Rybin, Denis V; Kerr, Stephen M; Heeren, Timothy; Corwin, Michael J

    To examine variation in safe sleep and breastfeeding practices among US non-Hispanic black (NHB) mothers according to birth country. We analyzed NHB mothers who were surveyed regarding safe sleep and breastfeeding practices when their infants were 2 to 6 months of age in 2011 to 2014, as part of a larger national study. We examined prevalences of safe sleep and breastfeeding practices according to birth country and examined odds of adherence to American Academy of Pediatrics recommended safe sleep and breastfeeding practices in foreign-born NHB mothers, compared with US-born NHB mothers. Our multivariate models included adjustment for maternal age, education, income, and US geographic region, and infant age at the time of the survey. Among 828 NHB mothers, 690 (83%) were US-born, 42 (5%) were African-born, 47 (6%) were Haitian-born, 24 (3%) were Jamaican-born, and 25 (3%) were born elsewhere. In the analysis of 803 US, African-, Haitian-, and Jamaican-born mothers, we found that Jamaican-born mothers had a lower rate of supine sleep compared with US-born mothers (40% vs 66%; adjusted odds ratio, 0.34; 95% confidence interval, 0.18-0.63). African-born mothers had lower rates of bedsharing compared with US-born mothers (11% vs 25% adjusted odds ratio, 0.22; 95% confidence interval, 0.11-0.46). Foreign-born mothers had higher rates of any and exclusive breastfeeding, compared with US-born mothers (85% and 40% vs 23% and 13%, respectively). Safe sleep and breastfeeding practices vary among US NHB mothers according to birth country. These data illustrate the importance of recognizing heterogeneity of safe sleep and breastfeeding practices within racial/ethnic groups. Copyright © 2017. Published by Elsevier Inc.

  6. Shrinking Cities in Poland: Demographic Perspective

    Directory of Open Access Journals (Sweden)

    Musiał-Malago Monika

    2017-01-01

    This paper purports to present the issue of “shrinking” cities in Poland. The author has included a general characteristics of the process, considering only the aspect of changes in the population. A typology of population movements was introduced on the basis of a relation between the actual birth rate and the migration balance, whereas the typology was based on Webb’s procedure. The author has also made an attempt to classify the shrinking cities based on the definition adopted by the Shrinking Cities International Research Network (SCIRN. A detailed analysis was conducted on large cities with more than 100 thousand inhabitants and covered the period from 2000 to 2016.

  7. O impacto do baixo peso ao nascer relacionado à depressão gestacional para o financiamento federal da saúde pública: uma análise do Município de Pelotas, Rio Grande do Sul, Brasil The impact of low birth weight related to gestational depression on Federal funding of public health: a study in Pelotas, Rio Grande do Sul State, Brazil

    Directory of Open Access Journals (Sweden)

    Leticia Oliveira de Menezes

    2012-10-01

    Full Text Available O baixo peso ao nascer está relacionado com morbimortalidade e sequelas no desenvolvimento infantil, impactando nos custos dos sistemas de saúde, por isso é importante avaliar fatores que o influenciam, estimando seu impacto no Sistema Único de Saúde (SUS. Este é um estudo prospectivo aninhado a uma coorte de gestantes que realizaram pré-natal e parto exclusivamente pelo SUS nos hospitais com UTI da cidade de Pelotas, Rio Grande do Sul, Brasil. Entre os resultados, concluiu-se que mães com episódios de depressão gestacional apresentam quase quatro vezes mais chances de ter um filho com baixo peso ao nascer (RP = 3,94; IC: 1,49-10,36. Valendo-se do cálculo da fração atribuível na população, estima-se que, na população geral, 36,17% dos bebês com baixo peso ao nascer são filhos de mães que tiveram episódio depressivo, estimando-se um custo que pode chegar a mais de R$ 76 milhões no Brasil. Sugere-se que se ampliem as ações preventivas e curativas para as gestantes na área da saúde mental, possibilitando melhor desfecho de saúde dos recém-nascidos, e que se utilizem adequadamente os recursos do SUS.Low birth weight is related to morbidity and mortality and sequelae during infant development, thereby impacting health system costs. It is thus important to evaluate factors that influence low birth weight and to estimate their impact on the Brazilian Unified National Health System (SUS. This was a nested prospective study in a cohort of pregnant women who received prenatal care and gave birth in the National Health System in hospitals with ICUs in the city of Pelotas, Rio Grande do Sul State, Brazil. Gestational depression was associated with a fourfold risk of low birth weight (PR = 3.94; CI: 1.49-10.36. Based on the population-attributable fraction, in the overall population an estimated 36.17% of low birth weight infants are born to mothers with an episode of depression during pregnancy, with an estimated cost of more

  8. Analysis of the State of the Network of Restaurant Facilities in the Districts of the Kharkiv City

    Directory of Open Access Journals (Sweden)

    Genadiy Anisimov

    2018-01-01

    Full Text Available The analysis of the state of the network of restaurants in the regions of Kharkiv (Ukraine based on the data from 2014-2017 years has been carried out. The dynamics of such characteristic indicators of the network as the number of facilities, the total network capacity, the number of facilities by types, their capacity, and the average number of places in facilities are considered. The basic tendencies of research objects dynamics are formulated. A comparison of the state of the network with regulatory requirements and data on the state of the networks in the European Union has been made.

  9. Tendencias de cesáreas en relación con factores no clínicos en un centro de educación para el parto en la Ciudad de México Trends in caesarean sections associated with non-clinical factors in a Birthing Educational Center in Mexico City

    Directory of Open Access Journals (Sweden)

    Lourdes Campero

    2007-04-01

    Full Text Available OBJETIVOS: Describir las tendencias de la operación cesárea (OC asociadas con factores no clínicos en mujeres que asistieron al Centro de Educación para el Parto (CEPAPAR en la Ciudad de México. MATERIAL Y MÉTODOS: Se analizó información de 992 nacimientos de 847 mujeres, ocurridos entre 1988 y 2000. Se utilizó el método de regresión lineal para identificar el comportamiento de factores no clínicos con respecto a la tendencia de OC. RESULTADOS: La incidencia global de OC fue de 32.8%, con 8% de incremento promedio anual. El porcentaje de OC se mantuvo por debajo de 30% hasta 1994; durante los siguientes años se incrementó hasta 40%. Al analizar la tendencia de OC en relación con factores no clínicos se encontró que, a lo largo del periodo 1988-2000, el aumento en la incidencia de la OC fue mayor en nacimientos sin instructora presente, entre mujeres primigestas y en hospitales grandes (con más de 50 camas. CONCLUSIONES: Los resultados muestran que el aumento en la incidencia de OC está asociado a factores no clínicos, como el tamaño del hospital y la presencia de una instructora. Un modelo de apoyo a mujeres, que cuente con asesoría, información y presencia de una instructora durante el trabajo de parto, puede contribuir a disminuir el riesgo de tener una OC innecesaria en poblaciones como la estudiada.OBJECTIVES: To describe the trends in caesarian sections (CS associated with non-clinical factors in women who attended a birthing educational facility, also known as 'Centro de Educación,' (CEPAPAR in Mexico City. METHODS: Data from 992 births of 847 women that occurred from 1988-2000 were analyzed using linear regression to identify the association between non-clinical factors and time-trends in CS. RESULTS: The overall incidence of CS was 32.8%, with an 8% average annual increase. Until 1994 the percentage of CS remained relatively steady at 30%, increasing to 40% in subsequent years. In analyzing trends in CS and their

  10. Eating Cities

    DEFF Research Database (Denmark)

    Mikkelsen, Bent Egberg; Fisker, Anna Marie; Clausen, Katja Seerup

    2016-01-01

    This paper analyzed the development of a city based sustainable food strategy for the city of Aalborg. It’s based on 3 cases of food service: food for the elderly as operated by the Municipality, food the hospital patients as operated by the region and food for defense staff as operated...

  11. Atypical Cities

    Science.gov (United States)

    DiJulio, Betsy

    2011-01-01

    In this creative challenge, Surrealism and one-point perspective combine to produce images that not only go "beyond the real" but also beyond the ubiquitous "imaginary city" assignment often used to teach one-point perspective. Perhaps the difference is that in the "atypical cities challenge," an understanding of one-point perspective is a means…

  12. HIV-1 subtypes among intravenous drug users from two neighboring cities in São Paulo State, Brazil

    Directory of Open Access Journals (Sweden)

    M.A.A. Rossini

    2001-01-01

    Full Text Available In order to assess the molecular epidemiology of HIV-1 in two neighboring cities located near the epicenter of the HIV-1 epidemics in Brazil (Santos and São Paulo, we investigated 83 HIV-1 strains obtained from samples collected in 1995 from intravenous drug users. The V3 through V5 region of the envelope of gp 120 was analyzed by heteroduplex mobility analysis. Of the 95 samples, 12 (12.6% were PCR negative (6 samples from each group; low DNA concentration was the reason for non-amplification in half of these cases. Of the 42 typed cases from São Paulo, 34 (81%, 95% confidence limits 74.9 to 87.0% were B and 8 (19%, 95% confidence limits 12.9 to 25.0% were F, whereas of the 41 typed cases from Santos, 39 (95%, 95% confidence limits 91.6 to 98.4% were B and 2 (5%, 95% confidence limits 1.6 to 8.4% were C. We therefore confirm the relationship between clade F and intravenous drug use in São Paulo, and the presence of clade C in Santos. The fact that different genetic subtypes of HIV-1 are co-circulating indicates a need for continuous surveillance for these subtypes as well as for recombinant viruses in Brazil.

  13. Radon measurement by Solid States Nuclear Tracks Detectors (SSNTD/LR-115) in the city of Cocody (Abidjan)

    International Nuclear Information System (INIS)

    Agba, Dabo Salif Ignace

    2011-02-01

    Radon as natural gas is permanently present in our environment. It is the main natural radiological exposure source for human beings. So, the study of the concentration of this rare gas is essential in order to evaluate the risks incured by the population and the environment. The results of different studies will guide as to take the appropriate protection decisions as recommended by the World Health Organization (WHO). The present work consists in measuring the concentration of radon (Rn 222 isotope) in seven (7) pre-selected sites in the city of Cocody (Abidjan) using SSNTD/LR-115 (photographic film detectors). Our measurements showed some variations in the concentration of radon according to seasons and the influence of main factors such as the porosity, humidity and the diameter of the specks of soil. We noticed that our measured values remain very low compared to international standards. This work is the first step for more important measurements throughout the whole ivorian territory. The aim is to draw a national cartography of radon in Cote d'Ivoire. [fr

  14. Human immunodeficiency virus (HIV) seropositivity and hepatitis B surface antigenemia (HBSAG) among blood donors in Benin city, Edo state, Nigeria.

    Science.gov (United States)

    Umolu, Patience Idia; Okoror, Lawrence Ehis; Orhue, Philip

    2005-03-01

    Human Immunodeficiency Virus and Hepatitis B virus are blood borne pathogens that can be transmitted through blood transfusion and could pose a huge problem in areas where mechanisms of ensuring blood safety are suspect. This study became necessary in a population where most of the blood for transfusion is from commercial blood donors. A total of 130 donors comprising 120 commercial donors and 10 voluntary donors were tested for antibodies to human immunodeficiency virus and hepatitis B surface antigen in Benin city using Immunocomb HIV - 1 and 2 Biospot kit and Quimica Clinica Aplicada direct latex agglutination method respectively. Thirteen (10%) samples were HIV seropositive and 7(5.8%) were HBsAg positive. The age bracket 18 - 25years had the highest numbers of donors and also had the highest number of HBsAg positive cases (7.8%) while the age group 29 - 38years had highest number of HIV seropositive cases. High prevalence of HIV antibodies and Hepatitis B surface antigen was found among commercial blood donors. Appropriate and compulsory screening of blood donors using sensitive methods, must be ensured to prevent post transfusion hepatitis and HIV.

  15. Fatores de risco para nascimentos pré-termo em Londrina, Paraná, Brasil Risk factors for pre-term birth in Londrina, Paraná State, Brazil

    Directory of Open Access Journals (Sweden)

    Ana Maria Rigo Silva

    2009-10-01

    Full Text Available Objetivou-se identificar fatores de risco para nascimentos pré-termo por meio de estudo caso-controle populacional que envolve nascidos vivos hospitalares de mães residentes em Londrina, Paraná, Brasil. Os casos foram os 328 nascimentos pré-termo e os controles, uma amostra proporcional de 369 nascimentos com 37 semanas ou mais. Realizou-se análise de regressão logística múltipla hierarquizada. Verificou-se associação (p 30kg/m², com filho anterior pré-termo, com tratamento para engravidar; características maternas durante a gestação: com companheiro há no máximo dois anos, preocupações, bebida alcoólica semanal, pré-natal inadequado, prática de caminhada como proteção; agravos na gestação - sangramento, infecção do trato genital, volume alterado do líquido amniótico, hipertensão arterial e internação; gestação múltipla. A identificação de fatores de risco e a melhoria da qualidade da atenção pré-concepcional e pré-natal podem reduzir a prematuridade.The objective of this study was to identify risk factors associated with pre-term birth among live births in a hospital in Londrina, Paraná State, Brazil. Cases consisted of 328 pre-term births, and controls were 369 births with gestational age greater than 37 weeks. A multiple hierarchical logistic regression analysis was carried out. There was a significant correlation (p 30 kg/m2; history of prematurity; history of assisted reproduction; mothers in a relationship for less than two years; maternal stress; weekly maternal alcohol consumption; insufficient prenatal care; gestational complications such as bleeding, genital tract infection, altered amniotic fluid volume, high blood pressure, and hospital admission; and twin pregnancy. Regular walks during pregnancy were a protective factor. Improved quality of prenatal care and the identification of the above factors during pregnancy may help reduce premature birth.

  16. Towards what kind of city?

    Directory of Open Access Journals (Sweden)

    Mario Coletta

    2013-02-01

    Full Text Available The virtual city exists in “time” whereas the real city exists in “space”. The first one is an expression of our imagination, the second one of our ability to create. Time has articulated the images of cities as artisan philosophers, historians, artists, dreamers and even poets have given it to us. Space has generated cities which have been worked upon by geographers, geologists, surveyors, and finally urban planners. Space and time however live together in both cities, even if with alternating states of subordination. The culture of thinking, of decision making and of working is the unifying center of both the cities; it is the generating element both of the crises and the prosperity of the cities and it works towards an overcoming of the first and for the pursuit of the second (prosperity using the experience of the past for the making of a better future.

  17. PRETERM BIRTH AND FETAL GROWTH RESTRICTION IN HIV-INFECTED BRAZILIAN PREGNANT WOMEN

    Science.gov (United States)

    dos REIS, Helena Lucia Barroso; ARAUJO, Karina da Silva; RIBEIRO, Lilian Paula; da ROCHA, Daniel Ribeiro; ROSATO, Drielli Petri; PASSOS, Mauro Romero Leal; de VARGAS, Paulo Roberto Merçon

    2015-01-01

    Introduction: Maternal HIV infection and related co-morbidities may have two outstanding consequences to fetal health: mother-to-child transmission (MTCT) and adverse perinatal outcomes. After Brazilian success in reducing MTCT, the attention must now be diverted to the potentially increased risk for preterm birth (PTB) and intrauterine fetal growth restriction (IUGR). Objective: To determine the prevalence of PTB and IUGR in low income, antiretroviral users, publicly assisted, HIV-infected women and to verify its relation to the HIV infection stage. Patients and Methods: Out of 250 deliveries from HIV-infected mothers that delivered at a tertiary public university hospital in the city of Vitória, state of Espírito Santo, Southeastern Brazil, from November 2001 to May 2012, 74 single pregnancies were selected for study, with ultrasound validated gestational age (GA) and data on birth dimensions: fetal weight (FW), birth length (BL), head and abdominal circumferences (HC, AC). The data were extracted from clinical and pathological records, and the outcomes summarized as proportions of preterm birth (PTB, fetal dimensions than the expected population distribution in this small casuistry of newborn from the HIV-infected, low income, antiretroviral users, and publicly assisted pregnant women. A trend for higher prevalence of PTB, LBW and SGA fetal dimensions was also observed in infants born to mothers with AIDS compared to HIV-infected mothers without AIDS. PMID:25923889

  18. HIV transmission risk behavior among men and women living with HIV in 4 cities in the United States.

    Science.gov (United States)

    Weinhardt, Lance S; Kelly, Jeffrey A; Brondino, Michael J; Rotheram-Borus, Mary Jane; Kirshenbaum, Sheri B; Chesney, Margaret A; Remien, Robert H; Morin, Stephen F; Lightfoot, Marguerita; Ehrhardt, Anke A; Johnson, Mallory O; Catz, Sheryl L; Pinkerton, Steven D; Benotsch, Eric G; Hong, Daniel; Gore-Felton, Cheryl

    2004-08-15

    Determining rates of HIV transmission risk behavior among HIV-positive individuals is a public health priority, especially as infected persons live longer because of improved medical treatments. Few studies have assessed the potential for transmission to the partners of HIV-positive persons who engage in high-risk activities. A total of 3723 HIV-infected persons (1918 men who have sex with men [MSM], 978 women, and 827 heterosexual men) were interviewed in clinics and community-based agencies in Los Angeles, Milwaukee, New York City, and San Francisco from June 2000 to January 2002 regarding sexual and drug use behaviors that confer risk for transmitting HIV. Less than one quarter of women and heterosexual men had 2 or more sexual partners, whereas 59% of MSM reported having multiple partners. Most unprotected vaginal and anal sexual activity took place in the context of relationships with other HIV-positive individuals. Approximately 19% of women, 15.6% of MSM, and 13.1% of heterosexual men engaged in unprotected vaginal or anal intercourse with partners who were HIV-negative or whose serostatus was unknown. The majority of sexually active participants disclosed their serostatus to all partners with whom they engaged in unprotected intercourse. An estimated 30.4 new infections (79.7% as a result of sexual interactions with MSM) would be expected among the sex partners of study participants during the 3-month reporting period. Eighteen percent of 304 participants who injected drugs in the past 3 months reported lending their used injection equipment to others. In addition to the more traditional approaches of HIV test counseling and of focusing on persons not infected, intensive prevention programs for persons with HIV infection are needed to stem the future spread of the virus.

  19. Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria.

    Science.gov (United States)

    Akinbo, Frederick Olusegun; Okaka, Christopher Ehis; Omoregie, Richard

    2012-05-14

    Human co-infection with Plasmodium falciparum and helminthes is ubiquitous throughout Africa. This study aimed to determine the co-infections of Plasmodium falciparum infection in HIV and intestinal parasitic infections, and their immunological distribution, in Benin City, Nigeria. A total of 2,000 stool specimens from HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites using standard procedures. In addition, patients' blood samples were analyzed for CD4 counts by flow cytometry and examined for Plasmodium falciparum by microscopy. The prevalence of single parasitic infection among HIV patients was 18.1% in males and 16.9% among females with no significant difference (p = 0.536) while gender was a risk factor in multiple parasitic infections (male versus female: 4.2% and 1.8% OR = 2.384; 95% CI = 1.371, 4.147) (p = 0.0025). Increasing age was not associated with increased risk of both single and multiple parasitic infections (p = 0.083; p = 0.248). CD4 + T cell count less than 200 cells/µl was a risk factor for acquiring single and multiple parasitic infections among HIV patients (OR = 5.565; 95% CI = 4.136, 7.486; p = 0.0001; OR = 4.283; 95% CI = 2.424, 7.566; p = 0.0001). The most common co-infection observed was between Plasmodium falciparum and Ascaris lumbricoides 43% (10) among HIV patients. This study provides evidence of co-infections between Plasmodium falciparum and intestinal parasites. Diagnosis of parasitic infections among HIV patients is advocated as this will enhance better management of HIV-infected patients.

  20. Pattern of skin diseases at university of Benin teaching hospital, Benin city, Edo State, South-South Nigeria: a 12 month prospective study.

    Science.gov (United States)

    Ukonu, Agwu Bob; Eze, E U

    2012-04-28

    This study aims to look at the pattern and incidence of skin diseases seen in Dermatology/Venereology clinic at the University of Benin Teaching Hospital, Benin City, Edo State, South-South Zone, Nigeria and compare it with other zones of Nigeria. This was a prospective study on pattern and incidence of skin diseases in new patients presenting at the Dermatology/ Venereology outpatient clinic of the University of Benin Teaching Hospital, Benin City, Edo State, South-South, Nigeria, from September 2006 to August 2007. All patients were seen by the researchers. Diagnosis were made clinically and sometimes with the support of histopathology. A total number of 4786 patients were seen during the study period and these comprised 2647 HIV/AIDS patients and 2112 pure Dermatological patients. Out of 4786 patients, 755 (15.8%) were new patients. The new patients comprised 96 (12.7%) children patients (< 15 years) and 659 (83.7%) adult patients (>15years). The ages of the patients ranged from 2 weeks to 80 years and more than two-third were < 40 years. There were 354 males (46.9%) and 401 females (53.1%). This represents female: male ratio of 1.1: 1. Eczematous dermatitis accounted for 20.9% of the skin diseases and was the most common of the skin diseases observed. This is consistent with observation from other zones in Nigeria. Other skin diseases observed in order of frequencies include: Papulosqamous disorder (9.0%), Infectious skin diseases like fungal, viral, bacterial and parasitic infestation, at 7.9%, 7.7%, 2.3% and 2.1% respectively. Pigmentary disorders (5.0%), hair disorders (4.2%) and Benign neoplastic skin disease (6.5%). All the patients that had neurofibromatosis were females (1.9%). HIV-related skin diseases were observed to have increased remarkably (7.9%) with Kaposi's sarcoma, papular pruritic eruptions and drug eruptions being the commonest mode of presentation. The current pattern of skin diseases in Benin City, South-South Nigeria seems to follow a

  1. Trends in newborn umbilical cord care practices in Sokoto and Bauchi States of Nigeria: the where, who, how, what and the ubiquitous role of traditional birth attendants: a lot quality assurance sampling survey.

    Science.gov (United States)

    Abegunde, Dele; Orobaton, Nosa; Beal, Katherine; Bassi, Amos; Bamidele, Moyosola; Akomolafe, Toyin; Ohanyido, Francis; Umar-Farouk, Olayinka; Danladi, Saba'atu

    2017-11-09

    Neonatal infections caused by unsafe umbilical cord practices account for the majority of neonatal deaths in Nigeria. We examined the trends in umbilical cord care practices between 2012 and 2015 that coincided with the introduction of chlorhexidine digluconate 7.1% gel in Bauchi and Sokoto States. We obtained data from three rounds of lot quality assurance samples (LQAS) surveys conducted in 2012, 2013 and 2015. Households were randomly sampled in each round that totaled 1140 and 1311 households in Bauchi and Sokoto States respectively. Mothers responded to questions on cord care practices in the last delivery. Coverage estimates of practice indicators were obtained for each survey period. Local Government Area (LGA) estimates for each indicator were obtained with α ≤ 5%, and β ≤20% statistical errors and aggregated to State-level estimates with finite sample correction relative to the LGA population. Over 75 and 80% of deliveries in Bauchi and Sokoto States respectively took place at home. The proportion of deliveries in public facilities reported by mothers ranged from 19% in 2012 to 22.4% in 2015 in Bauchi State and from 12.9 to 13.2% in 2015 in Sokoto State. Approximately 50% of deliveries in Bauchi and more than 80% in Sokoto States were assisted by traditional birth attendants (TBAs) or relatives and friends, with little change in the survey periods. In Bauchi and in Sokoto States, over 75% and over 80% of newborn cords were cut with razor blades underscoring the pervasive role of the TBAs in the immediate postpartum period. Use of chlorhexidine digluconate 7.1% gel for cord dressing significantly increased to the highest level in 2015 in both States. Health workers who attended deliveries in health facilities switched from methylated spirit to chlorhexidine. There were no observable changes in cord care practices among the TBAs. Unsafe umbilical cord care practices remained prevalent in Bauchi and Sokoto States of Nigeria, although a recent

  2. Birth Control Methods

    Science.gov (United States)

    ... Women can choose from many different types of birth control methods. These include, in order of most effective to least effective at preventing pregnancy: Female and male sterilization (female tubal ligation or occlusion, male vasectomy) — Birth control that prevents pregnancy for the rest of ...

  3. Extremely Preterm Birth

    Science.gov (United States)

    ... Search FAQs Extremely Preterm Birth Page Navigation ▼ ACOG Pregnancy Book Patient Education FAQs Patient Education Pamphlets - Spanish FAQ173, June 2016 ... Labor and Birth (FAQ087) Tobacco, Alcohol, Drugs, and Pregnancy (FAQ170) Patient Education ... Committee Opinions Practice Bulletins Patient ...

  4. Elizabeth Belle's Birth Story.

    Science.gov (United States)

    Boro, Jessica; Boro, Samuel

    2014-01-01

    In this article, Jessica and Samuel Boro share the story of the birth of their daughter, Elizabeth Belle. With the physical and emotional support of her husband and her doula, this mother was able to cope with a long labor and have the natural birth she wanted. Her husband describes how important the doula was for him.

  5. birth-weight infants

    African Journals Online (AJOL)

    hours of life was more strongly associated with death than four traditional risk factors (birth weight, short gestation, male sex and the diagnosis of respiratory distress syndrome). Furthermore, mean pH in the first 12 hours was as strongly associated with death as was birth weight. Previous research in our neonatal population ...

  6. A utilização da Internet na notificação dos defeitos congênitos na Declaração de Nascido Vivo em quatro maternidades públicas do Município de São Paulo, Brasil Use of the Internet to report congenital malformations on birth certificates at four public maternity hospitals in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Pablo Domingos Rodrigues de Nicola

    2010-07-01

    Full Text Available O objetivo foi aumentar a freqüência da notificação de anomalias congênitas no campo 34 da Declaração de Nascido Vivo em quatro maternidades do Município de São Paulo, Brasil, ao longo do ano de 2008. Utilizamos o banco de dados do Sistema de Informações sobre Nascidos Vivos da Secretária Municipal de Saúde de São Paulo para acompanhar a evolução dos registros dos defeitos congênitos. Mediante prontuário eletrônico, via Internet, os casos suspeitos eram enviados para um centro de referência em genética médica. O prontuário eletrônico contém anamnese, exame físico e fotos do recém-nascido. O estudo ocorreu em quatro maternidades com uma amostra total de 10 mil nascimentos no ano e que não apresentam médico geneticista. Houve aumento da notificação dos defeitos congênitos nas quatro maternidades onde o estudo foi realizado quando comparado com os anos anteriores e com o registro do Município de São Paulo. O método de referência e contra-referência utilizando a Internet mostrou-se eficaz.The aim of this study was to improve the completion of item 34 on birth certificates at four maternity hospitals in the city of São Paulo, Brazil, in the year 2008. The database of the Municipal Health Department's Information System on Live Births was used to monitor trends in reporting birth defects. An electronic web-based medical record was used to refer indeterminate cases to a leading medical genetics referral center. The electronic medical record contained the patient history, physical examination, and photographs of the newborn. Four maternity hospitals were assessed, with a total of 10,000 births during the year. None of the four hospitals had a staff geneticist. According to the Information System on Live Births, there was an increase in the number of birth defects reported by the four maternity hospitals when compared to previous years and to records for the city of São Paulo as a whole. Based on the findings, the

  7. Maternal urinary paraben levels and offspring size at birth from a Chinese birth cohort.

    Science.gov (United States)

    Wu, Chuansha; Huo, Wenqian; Li, Yuanyuan; Zhang, Bin; Wan, Yanjian; Zheng, Tongzhang; Zhou, Aifen; Chen, Zhong; Qian, Minzheng; Zhu, Yingshuang; Jiang, Yangqian; Liu, Hongxiu; Hu, Jie; Chen, Xi; Xu, Bing; Xia, Wei; Xu, Shunqing

    2017-04-01

    Parabens are suspected to impair fetal growth because of their endocrine disrupting effects. Epidemiological studies regarding the effects of prenatal exposure to parabens on birth outcomes are limited. Our aim was to evaluate the association between prenatal paraben exposure and size of infants at birth. Within the longitudinal Healthy Baby Cohort (HBC) in Hubei Province, China, we randomly selected 1006 mother-infant pairs recruited in Wuhan City in 2014. Concentrations of parabens were measured in maternal urine collected before delivery. General linear models were used to analyze the associations of maternal parabens exposure levels with birth weight and birth length. The specific gravity adjusted geometric means for urinary concentrations of methyl paraben (MeP), ethyl paraben (EtP), and propyl paraben (PrP) were 5.41, 0.11, and 0.94 ng/mL, respectively. Maternal urinary concentrations of parabens tended to be positively associated with birth weight in boys, while opposite trends were found in girls, though these associations were not significant. Higher maternal urinary levels of MeP were positively associated with birth length in boys (β = 0.30, 95% CI: 0.01, 0.58 for the medium tertile, and β = 0.30, 95% CI: 0.01, 0.58 for the highest tertile compared to the lowest tertile); however, no significant associations with birth length were observed in girls. Maternal urinary levels of MeP were positively associated with length at birth in boys. Besides, we did not find strong associations of the current exposure levels of parabens in Chinese pregnant women with size of infants at birth. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Narcissism and birth order.

    Science.gov (United States)

    Eyring, W E; Sobelman, S

    1996-04-01

    The purpose of this investigation was to clarify the relationship between birth-order position and the development of narcissism, while refining research and theory. The relationship between birth-order status and narcissism was examined with a sample of 79 undergraduate students (55 women and 24 men). These subjects were placed in one of the four following birth-order categories of firstborn, second-born, last-born, and only children. These categories were chosen given their significance in Adlerian theory. Each subject completed the Narcissistic Personality Inventory and a demographic inventory. Based on psychodynamic theory, it was hypothesized that firstborn children were expected to score highest, but statistical significance was not found for an association between narcissism and birth order. Further research is urged to investigate personality theory as it relates to parenting style and birth order.

  9. Urbanization and Access Inequality to Collective Consumption Goods & Services related to Sanitation & Solid Waste in the cities of Sao Paulo State, Brazil

    Science.gov (United States)

    Roig, C. D. A.; Feitosa, F. D. F.; Monteiro, A. M. V.

    2016-12-01

    Cities are mainly a product of collective consumption and there is a pressing need to expand and deepen the discussion about the quality of access to collective goods and services in the urban world: the availability of electricity and potable water and its interrelation with the lack of solid waste management and wastewater treatment leading to pollution of water sources.This study attempts to measure urban stratification through access conditions to collective goods in the metropolitan regions of Sao Paulo State (SPS) by contributing with a research method that incorporates collective consumption as a core component of the population-environment relationship. The use of spatial analysis allows the examination of the structure and distribution of accessibility to sanitation services and basic urban infrastructure.The water stress situation in SPS is dramatic. The average water loss within these distribution systems is 34,3% and a 39% average sewage treatment rate of all wastewater generated. The SPS also imports 60,6% of electricity from other states that use mostly hydroelectric power which imposes greater pressure on the country's water resources. The energy and water crisis has harmed a number of essential rights related mostly to resource access and service continuity as suburban residents of poor municipalities are the ones most affected by disruptions.SPS is the most populous state of Brazil and this region of study is responsible for 75% of total State population with 83% of State GDP. There has been a major increase in water use conflicts such as power generation, urban water supply (including the Rio de Janeiro water demand) and the dilution of urban sewage and solid waste disposal. These collective consumption access problems demonstrate the urgent need for better integrated metropolitan management of natural resources and the urban commons.

  10. Summertime diurnal variations in the isotopic composition of atmospheric nitrogen dioxide at a small midwestern United States city

    Science.gov (United States)

    Walters, Wendell W.; Fang, Huan; Michalski, Greg

    2018-04-01

    The nitrogen and oxygen stable isotopes (δ15N & δ18O) of nitrogen oxides (NOx = nitric oxide (NO) + nitrogen dioxide (NO2)) may be a useful tool for partitioning NOx emission sources and for evaluating NOx photochemical cycling, but few measurements of in situ NOx exist. In this study, we have collected and characterized the diurnal variability in δ15N and δ18O of NO2 from ambient air at a small Midwestern city (West Lafayette, IN, USA, 40.426° N, 86.908° W) between July 7 to August 5, 2016, using an active sampling technique. Large variations were observed in both δ15N(NO2) and δ18O(NO2) that ranged from -31.4 to 0.4‰ and 41.5-112.5‰, respectively. Daytime averages were -9.2 ± 5.7‰ (x̅ ± 1σ) and 86.5 ± 14.1‰ (n = 11), while nighttime averages were -13.4 ± 7.3‰ and 56.3 ± 7.1‰ (n = 12) for δ15N(NO2) and δ18O(NO2), respectively. The large variability observed in δ15N(NO2) is predicted to be driven by changing contributions of local NOx emission sources, as calculated isotope effects predict a minor impact on δ15N(NO2) relative to δ15N(NOx) that is generally less than 2.5‰ under the sample collection conditions of high ozone concentration ([O3]) relative to [NOx]. A statistical δ15N mass-balance model suggests that traffic-derived NOx is the main contributor to the sampling site (0.52 ± 0.22) with higher relative contribution during the daytime (0.58 ± 0.19) likely due to higher traffic volume than during the nighttime (0.47 ± 0.22). The diurnal cycle observed in δ18O(NO2) is hypothesized to be a result of the photochemical cycling of NOx that elevates δ18O(NO2) during the daytime relative to the nighttime. Overall, this data suggests the potential to use δ15N(NO2) for NOx source partitioning under environmental conditions of high [O3] relative to [NOx] and δ18O(NO2) for evaluating VOC-NOx-O3 chemistry.

  11. The Effect of an Increased Minimum Wage on Infant Mortality and Birth Weight.

    Science.gov (United States)

    Komro, Kelli A; Livingston, Melvin D; Markowitz, Sara; Wagenaar, Alexander C

    2016-08-01

    To investigate the effects of state minimum wage laws on low birth weight and infant mortality in the United States. We estimated the effects of state-level minimum wage laws using a difference-in-differences approach on rates of low birth weight (minimum wage above the federal level was associated with a 1% to 2% decrease in low birth weight births and a 4% decrease in postneonatal mortality. If all states in 2014 had increased their minimum wages by 1 dollar, there would likely have been 2790 fewer low birth weight births and 518 fewer postneonatal deaths for the year.

  12. INSTANT CITY

    DEFF Research Database (Denmark)

    Marling, Gitte; Kiib, Hans

    2013-01-01

    This article analyses Roskilde Festival as an Instant City. For more than 40 years, Roskilde Festival has had many thousands participants for a weeklong festival on music, performances and cultural experiences in a layout designed as an urban environment. During the last ten years, in- creasing...... emphasis has been laid on creating a vivid, and engaging social environment in order to create a lab for social, and architectural experi- ments. These goals challenge the city planning as well as the urban sce- nography. The article addresses the research questions: What kind of city life and social...... experiments are taking place in ‘the instant city’, and how can it be characterized? It also emphasizes the relation between city life, urban design, and the aesthetics of architecture and urban spaces. The question here is, in what way architecture and urban scenography are used as tools to support the goal...

  13. TABLE III. Deaths in 122 U.S. cities

    Data.gov (United States)

    U.S. Department of Health & Human Services — TABLE III. Deaths in 122 U.S. cities - 2014.122 Cities Mortality Reporting System. Each week, the vital statistics offices of 122 cities across the United States...

  14. TABLE III. Deaths in 122 U.S. cities

    Data.gov (United States)

    U.S. Department of Health & Human Services — TABLE III. Deaths in 122 U.S. cities - 2014. 122 Cities Mortality Reporting System — Each week, the vital statistics offices of 122 cities across the United States...

  15. TABLE III. Deaths in 122 U.S. cities

    Data.gov (United States)

    U.S. Department of Health & Human Services — TABLE III. Deaths in 122 U.S. cities – 2016. 122 Cities Mortality Reporting System — Each week, the vital statistics offices of 122 cities across the United States...

  16. TABLE III. Deaths in 122 U.S. cities

    Data.gov (United States)

    U.S. Department of Health & Human Services — TABLE III. Deaths in 122 U.S. cities - 2015122 Cities Mortality Reporting System ��� Each week, the vital statistics offices of 122 cities across the United States...

  17. Flying Cities

    DEFF Research Database (Denmark)

    Herbelin, Bruno; Lasserre, Sebastien; Ciger, Jan

    2008-01-01

    Flying Cities is an artistic installation which generates imaginary cities from the speech of its visitors. Thanks to an original interactive process analyzing people's vocal input to create 3D graphics, a tangible correspondence between speech and visuals opens new possibilities of interaction. ...... and a potential application. We believe that it could become a new medium for creativity, and a way to visually perceive a vocal performance in the context of the rehabilitation of people with reduced mobility or language impairments....

  18. Birth control pills - progestin only

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000656.htm Birth control pills - progestin only To use the sharing ... have estrogen in them. What Are Progestin Only Birth Control Pills? Birth control pills help keep you ...

  19. Screening Tests for Birth Defects

    Science.gov (United States)

    ... Advocacy For Patients About ACOG Screening Tests for Birth Defects Home For Patients Search FAQs Screening Tests ... FAQ165, April 2014 PDF Format Screening Tests for Birth Defects Pregnancy What is a birth defect? What ...

  20. Birth outcomes in Colorado's undocumented immigrant population

    Directory of Open Access Journals (Sweden)

    Battaglia Catherine

    2005-10-01

    Full Text Available Abstract Background The birth outcomes of undocumented women have not been systematically studied on a large scale. The growing number of undocumented women giving birth in the United States has important implications for clinical care and public health policy. The objective of this study was to describe birth outcomes of undocumented immigrants in Colorado. Methods Retrospective descriptive study of singleton births to 5961 undocumented women using birth certificate data for 1998–1999. Results Undocumented mothers were younger, less educated, and more likely to be single. They had higher rates of anemia, were less likely to gain enough weight, and less likely to receive early prenatal care. They were much less likely to use alcohol or tobacco. Undocumented women had a lower rate of low birth weight (5.3% v 6.5%, P Conclusion Undocumented women have lower rates of preterm delivery and low birth weight infants, but higher rates of pregnancy related risk factors. Higher prevalence of some risk factors which are amenable to medical intervention reveals the need for improved prenatal care in this group.

  1. Evolução da migração de partos para Aracaju, Sergipe, Brasil, 1970-1996 Shift in demand for childbirth services from rural Sergipe State to the capital city, Aracaju, Brazil, 1970-1996

    Directory of Open Access Journals (Sweden)

    Ricardo Queiroz Gurgel

    2003-02-01

    Full Text Available O objetivo deste estudo é descrever a evolução da migração de partos do interior do Estado de Sergipe para a capital (Aracaju, no período compreendido entre 1970 e 1996. Para tanto utilizou-se a informação "município de residência da mãe" cujo parto ocorreu nas maternidades de Aracaju, nos anos de 1970, 1976, 1986 e 1996. Ao se estudar as proporções de mães não residentes em Aracaju, verificaram-se diferenças significativas, sendo que o período com maiores percentuais de migração ocorreu entre 1976 e 1986. A migração foi estimulada pela melhoria das rodovias que dão acesso à capital (a partir de 1970 e pelo incentivo político com fins eleitoreiros (clientelismo. Assim, a melhoria na estrutura hospitalar do interior não impediu o aumento da migração para a capital. Em Sergipe, no período em estudo, houve um crescimento de 134,6% do número de partos ocorridos na capital, provenientes de outras localidades. Além disso, observa-se intensidades de variação diferenciadas, quando se analisa o fenômeno por regiões, tendo em vista a melhoria das condições de acessibilidade. Faz-se necessária a regionalização e hierarquização da assistência ao parto e ao recém-nascido, para que se possa dar um atendimento adequado às gestantes e aos seus filhos.This study analyzes trends in the migration of childbirth from rural areas of Sergipe State, Brazil, to the capital city, Aracaju, from 1970 to 1996. Data on "mother's place of residence" were obtained from mothers whose children were born in maternity hospitals in Aracaju in 1970, 1976, 1986, and 1996. Significant differences occurred in the proportion of mothers who resided outside of Aracaju but came there to give birth, especially from 1976 to 1986. This shift was stimulated by improvement of State highways and the granting of personal political favors in exchange for votes. Changes in the State hospital structure did not appear to have influenced the childbirth shift

  2. Social policy and out-of-wedlock births to adolescents.

    Science.gov (United States)

    Ozawa, M N

    1990-01-01

    Data on births to single adolescents in all 50 US states were analyzed to examine whether Aid to Families with Dependent Children (AFDC) policies are linked to out of wedlock birth rates and whether poverty and unemployment in a state affect these rates. Overall neither AFDC payment level (p.05) nor its acceptance rate encourage single teenagers to bear children. States with AFDC for families with unemployed fathers (AFDC-U) (p.01) and those that enforce child support payments (p.001) exhibit lower out of wedlock birth rates among all teenagers. The higher the poverty rate in the state, the greater the out of wedlock birth rate (p.001). Yet unemployment rate has no effect on these births. State payment for abortion tends not to foster out of wedlock births among all teenagers. The direction of the results for white single teenagers basically matches those of all teenagers, except for state payment for abortion. The magnitude of the beta weight for most of the variables are much smaller, however. Statistically significant variables among whites are AFDC payment level (p.05), child support enforcement (p.05), and the poverty rate (p.05). State payment for abortion, AFDC-U, child support enforcement, unemployment, and poverty have the opposite effect on out of wedlock births among black teenagers than it does among whites. Yet the intensity is weaker than it was for whites. State payment for abortion is the only variable that is statistically significant (p.05). It tends not to encourage out of wedlock births among blacks. The proportion of the black population in the state has limited or no influence on out of wedlock birth rates for black teenagers, but it is inversely associated with out of wedlock birth rates for white teenagers (p.001). These results refute the conventional belief that AFDC promotes high birth rates among single teenagers.

  3. HIV/AIDS: Awareness and Practice Among Traditional Birth ...

    African Journals Online (AJOL)

    Ebonyi State has an HIV prevalence rate of 11.1%. The state has 2.1 million inhabitants, who are mainly rural dwellers where traditional birth attendants play pivotal role in healthcare delivery. This study assesses the awareness of HIV infection and its route of transmission among the traditional birth attendants in Ebonyi ...

  4. Evolution of the Birth Plan

    OpenAIRE

    Kaufman, Tamara

    2007-01-01

    Many birth professionals are discarding the birth plan as an outdated and ineffectual document. This column discusses the past limitations and present uses of the birth plan in an effort to enhance current teaching on how expectant parents can write and use this important document. Encouraging expectant parents to prepare two separate, but corresponding, birth plans—the “Discussion Birth Plan” and the “Hospital Birth Plan”—is proposed. Teaching suggestions and possible implications are explor...

  5. Inequalities in European cities

    NARCIS (Netherlands)

    Musterd, S.; Ostendorf, W.; Smith, S.J.; Elsinga, M.; Eng, O.S.; Fox O’Mahony, L.; Wachter, S.

    2012-01-01

    The consequences of inequalities in European cities are a big fear for many governments at the state and urban levels. Journalists, as well as many scholars who are dealing with urban issues, express their fears about the development of social, ethnic, and spatial divisions. Population categories

  6. Earth's City Lights

    Science.gov (United States)

    2002-01-01

    This image of Earth's city lights was created with data from the Defense Meteorological Satellite Program (DMSP) Operational Linescan System (OLS). Originally designed to view clouds by moonlight, the OLS is also used to map the locations of permanent lights on the Earth's surface. The brightest areas of the Earth are the most urbanized, but not necessarily the most populated. (Compare western Europe with China and India.) Cities tend to grow along coastlines and transportation networks. Even without the underlying map, the outlines of many continents would still be visible. The United States interstate highway system appears as a lattice connecting the brighter dots of city centers. In Russia, the Trans-Siberian railroad is a thin line stretching from Moscow through the center of Asia to Vladivostok. The Nile River, from the Aswan Dam to the Mediterranean Sea, is another bright thread through an otherwise dark region. Even more than 100 years after the invention of the electric light, some regions remain thinly populated and unlit. Antarctica is entirely dark. The interior jungles of Africa and South America are mostly dark, but lights are beginning to appear there. Deserts in Africa, Arabia, Australia, Mongolia, and the United States are poorly lit as well (except along the coast), along with the boreal forests of Canada and Russia, and the great mountains of the Himalaya. The Earth Observatory article Bright Lights, Big City describes how NASA scientists use city light data to map urbanization. Image by Craig Mayhew and Robert Simmon, NASA GSFC, based on DMSP data

  7. THE CHERNOBYL ACCIDENT, THE MALE TO FEMALE RATIO AT BIRTH AND BIRTH RATES

    Directory of Open Access Journals (Sweden)

    Victor Grech

    2014-01-01

    Full Text Available Introduction: The male:female ratio at birth (male births divided by total live births – M/T has been shown to increase in response to ionizing radiation due to gender-biased fetal loss, with excess female loss. M/T rose sharply in 1987 in central-eastern European countries following the Chernobyl accident in 1986. This study analyses M/T and births for the former Soviet Republics and for the countries most contaminated by the event. Methods: Annual birth data was obtained from the World Health Organisation. The countries with the highest exposure levels (by 137Cs were identified from an official publication of the International Atomic Energy Agency. All of the former Soviet states were also analysed and the periods before and after 1986 were compared. Results: Except for the Baltic States, all regions in the former USSR showed a significant rise in M/T from 1986. There were significant rises in M/T in the three most exposed (Belarus, Ukraine and the Russian Federation. The birth deficit in the post-Soviet states for the ten years following Chernobyl was estimated at 2,072,666, of which 1,087,924 are accounted by Belarus and Ukraine alone. Discussion: Chernobyl has resulted in the loss of millions of births, a process that has involved female even more than male fetuses. This is another and oft neglected consequence of widespread population radiation contamination.

  8. The Chernobyl accident, the male to female ratio at birth and birth rates.

    Science.gov (United States)

    Grech, Victor

    2014-01-01

    The male:female ratio at birth (male births divided by total live births - M/T) has been shown to increase in response to ionizing radiation due to gender-biased fetal loss, with excess female loss. M/T rose sharply in 1987 in central-eastern European countries following the Chernobyl accident in 1986. This study analyses M/T and births for the former Soviet Republics and for the countries most contaminated by the event. Annual birth data was obtained from the World Health Organisation. The countries with the highest exposure levels (by ¹³⁷Cs) were identified from an official publication of the International Atomic Energy Agency. All of the former Soviet states were also analysed and the periods before and after 1986 were compared. Except for the Baltic States, all regions in the former USSR showed a significant rise in M/T from 1986. There were significant rises in M/T in the three most exposed (Belarus, Ukraine and the Russian Federation). The birth deficit in the post-Soviet states for the ten years following Chernobyl was estimated at 2,072,666, of which 1,087,924 are accounted by Belarus and Ukraine alone. Chernobyl has resulted in the loss of millions of births, a process that has involved female even more than male fetuses. This is another and oft neglected consequence of widespread population radiation contamination.

  9. Efficiency of Public Service in Pekangbaru City With E-Government

    Science.gov (United States)

    Zamzami; Fajrizal; Arief Hasan, Mhd

    2017-12-01

    The use of technology in the field of computers today is increasing, along with the development of science and globalization of information that demands the creation of a state of computerization. E-Government is now the right solution for local and central government, it is because it can assist the government in managing government data and able to provide information to the community quickly, precisely and efficiently. The current service system at the Office of Population and Civil Registration of Pekanbaru City still uses a manual system that takes a long time and cost a lot. In this E-Government application will contain application feature profile information of the Office of Population and Civil Registration of Pekanbaru City, public service requirements, office address of Pekanbaru City Sub-district, community complaint, KK (Family Card), and birth certificate online. The general purpose of making E-Government application system is to provide a new alternative for the Office of Population and Civil Registration of Pekanbaru City in improving its public service system. And the specific purpose is to facilitate the delivery of information, the formation of the system of birth certificate and death online and realize the excellent service for the Office of Population and Civil Registration Pekanbaru and the public.

  10. Knowledge and practice of prevention of mother-to-child transmission of HIV among traditional birth attendants in Lagos State, Nigeria

    Directory of Open Access Journals (Sweden)

    Mobolanle Balogun

    2010-04-01

    Full Text Available BACKGROUND:Traditional birth attendants (TBAs assist most deliveries in Nigeria. Knowing and understanding all issues surrounding HIV/AIDS and Prevention of Mother-To-Child Transmission of HIV (PMTCT can help them to protect themselves and others. This study aimed to assess the knowledge and practice of PMTCT amongst TBAs in Lagos, Nigeria. METHODS: This was a cross-sectional survey. Multistage sampling method was used to select 108 registered TBAs in 2 local governments areas who were interviewed using a pre-tested questionnaire. RESULTS: All the respondents were aware of HIV but their awareness of PMTCT specifically was not as high. Only 8.3% of the respondents had good level of knowledge about HIV and PMTCT and up to 13% of them claimed to be able to cure HIV using native remedies. The practices of HIV counseling of patients and referral of patients for HIV testing were low and higher levels of knowledge positively influenced these practices significantly (p < 0.05. They were also deficient in certain measures to prevent infection of patients and themselves. CONCLUSION: Most of the TBAs did not have adequate knowledge and practice of PMTCT illustrating the need for periodic PMTCT training for TBAs.

  11. Body composition assessment using DXA in six-year-old children: the 2004 Pelotas Birth Cohort, Rio Grande do Sul State, Brazil

    Directory of Open Access Journals (Sweden)

    Roberta V. Zanini

    2014-10-01

    Full Text Available The aim of this study was to describe fat (FM and lean body mass (LBM in six-year-old children from the 2004 Pelotas Birth Cohort, stratified by gender. Dual-Energy X-ray Absorptiometry was used to measure FM and LBM, FM and LBM indexes, and percentage (% of FM and LBM. Mean measures of adiposity were higher among girls (6.3kg, 4.2kg/m2 and 23.4% vs. 5kg, 3.3kg/m2 and 18% while LBM measures were higher among boys (19.3kg, 13kg/m2 and 78.5% vs. 17.7kg, 12.2kg/m2 and 73.2%. In both boys and girls mean measures of adiposity increased with socioeconomic status and maternal education. Mean measures of adiposity were higher among white-skinned children while %LBM was higher among black-skinned children. Preterm compared to full-term children showed lower mean measures of adiposity and LBM. Female sex, white skin color and higher socioeconomic conditions are associated with higher adiposity in childhood.

  12. A comparative approach to the economic participation of older adults: the case of the city of Monterrey and Mexico State

    Directory of Open Access Journals (Sweden)

    Raúl E. López

    2012-01-01

    Full Text Available The issue of economic participation of over 65 years in Mexico has attracted particular interest due mainly to high rates of participation that holds this age group. Most national and regional research agrees that the social protection system is a key determinant for the decision to participate or not in the labor market by older adults. However, the comparison of different scenarios is not yet widely used practice in this area and do not know deeply the dynamics of this phenomenon. Using two different data sources, this paper intends to compare the employment status of older adults in the state of Mexico and Monterrey, with the ultimate aim of inquiring about the specifics of the phenomenon.

  13. 8 CFR 324.3 - Women, citizens of the United States at birth, who lost or are believed to have lost citizenship...

    Science.gov (United States)

    2010-01-01

    ... SPECIAL CLASSES OF PERSONS WHO MAY BE NATURALlZED: WOMEN WHO HAVE LOST UNITED STATES CITIZENSHIP BY MARRIAGE AND FORMER CITIZENS WHOSE NATURALIZATION IS AUTHORIZED BY PRlVATE LAW § 324.3 Women, citizens of... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Women, citizens of the United States at...

  14. Birthing postures and birth canal lacerations.

    Science.gov (United States)

    Suzuki, Shunji

    2017-05-01

    This study was performed to assess the differences in the birth canal lacerations following the lateral and fours posture deliveries compared with those following the supine posture deliveries. We examined the birth canal lacerations of our "low risk" pregnant women under the midwife-led delivery care at Japanese Red Cross Katsushika Maternity Hospital between April 2006 and March 2015. There were 3826, 1754 and 719 women who delivered with supine, lateral and fours postures. The rate of no laceration in the women who delivered with lateral posture was significant lower than that in the women who delivered with supine posture (OR 0.630, 95% CI 0.56-0.71, p < 0.01); however, the incidence of perineal laceration in the women who delivered with lateral posture was significant lower than that in the women who delivered with supine posture (OR 0.856, 95% CI 0.76-0.90, p < 0.01). The incidence of perineal laceration of third- or fourth-degree in the women who delivered with fours posture was significant higher than that in the women who delivered with supine posture (OR 2.28, 95% CI 1.2-4.2, p < 0.01). The current results may be to help for self-determination of birthing postures in prenatal women.

  15. Recovering from Birth

    Science.gov (United States)

    ... Know your pregnancy rights Getting ready for baby Birthing, breastfeeding, and parenting classes Breastfeeding Circumcision Health care for baby Making your home safe for baby Last-minute to-dos Childbirth ...

  16. Labor and Birth

    Science.gov (United States)

    ... Know your pregnancy rights Getting ready for baby Birthing, breastfeeding, and parenting classes Breastfeeding Circumcision Health care for baby Making your home safe for baby Last-minute to-dos Childbirth ...

  17. Contraception and Birth Control

    Science.gov (United States)

    ... NICHD Research Information Find a Study More Information Pharmacology Condition Information NICHD Research Information Find a Study ... discuss birth control methods with one’s sexual partner. General methods of contraception include: Barrier —physically interferes with ...

  18. Preterm Labor and Birth

    Science.gov (United States)

    ... NICHD Research Information Find a Study More Information Pharmacology Condition Information NICHD Research Information Find a Study ... Pinterest Email Print Preterm Labor and Birth In general, a normal human pregnancy lasts about 40 weeks, ...

  19. Birth Control Patch

    Science.gov (United States)

    ... Things That Help Feelings Expert Answers Q&A Movies & More for Teens Teens site Sitio para adolescentes ... and effective method of birth control. Most young women who use the patch have no side effects. ...

  20. Drone City

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2016-01-01

    This paper address the phenomenon of drones and their potential relationship with the city from the point of view of the so-called “mobilities turn”. This is done in such a way that turns attention to a recent redevelopment of the “turn” towards design; so the emerging perspective of “mobilities...... design” will be used as a background perspective to reflect upon the future of drones in cities. The other perspective used to frame the phenomenon is the emerging discourse of the “smart city”. A city of proliferating digital information and data communication may be termed a smart city as shorthand...... for a new urban condition where cities are networked and connected (as well as disconnected) from the local block to global digital spheres. In the midst of many of the well-known data-creating devices (e.g. Bluetooth, radio-frequency identification (RFID), GPS, smartphone applications) there is a “new kid...

  1. Hypnotherapy for birth.

    Science.gov (United States)

    Howell, Maggie

    2014-05-01

    There are many misunderstandings about hypnotherapy for birth and how best to support a woman who has chosen to use it. This article brings together experiences of midwives who have attended women in labour using hypnotherapy, and aims to help birth professionals understand a bit more about hypnotherapy and how they can best support women who are using it. It is a personal account from a hypnotherapy trainer reflecting on her encounters with midwives as they share experiences of observing hypnotherapy in action.

  2. The recession of 2008 and its impact on light-duty vehicle emissions in three western United States cities.

    Science.gov (United States)

    Bishop, Gary A; Stedman, Donald H

    2014-12-16

    The global economic recession of 2008-2010 severely depressed light-duty vehicle sales in the United States. On-road fleets observed with a remote vehicle exhaust sensor in 2013 at three historical sampling locations in Denver, Los Angeles, and Tulsa showed large reductions in the fleet fractions of 2009 model year vehicles of 40%, 38%, and 35%, respectively, when compared to prerecession 2007 levels with the light-duty truck category suffering the largest percentage declines. The fleet fraction for these ∼ 5 year old vehicles is normally reserved for vehicles more than twice their age. This resulted in a significant increase in the on-road freeway fleet age, which had been relatively stable. The fleet average age increased by two years in Denver and Los Angeles but only by one year in Tulsa, likely due to its faster economic recovery. Using fleet fractions from previous data sets, we estimated age-adjusted mean emissions increases for the 2013 fleet to be 17-29% higher for carbon monoxide, 9-14% higher for hydrocarbons, 27-30% higher for nitric oxide, and 7-16% higher for ammonia emissions than if historical fleet turnover rates had prevailed.

  3. PSYCHOTROPIC MEDICINE PRESCRIPTIONS IN A PRIMARY CARE UNIT IN A BIG CITY OF SÃO PAULO STATE

    Directory of Open Access Journals (Sweden)

    Tatiana Oliveira da Silva

    2013-03-01

    Full Text Available Aiming toknowthe consumptionprofileof psychotropic drugs inpopulation ofperipheral region of abig cityof São Paulo State, 800 prescriptionsfromaPrimary CareUnitareassessedaccordingto344/98-SVS/MS.In that timethecontrolof these drugs were mademanually.The results showed1371 drugsdispensedandamong those1134were psychotropic.Thetotal was64,513pillunits, an average of 107 units with 1.7 drugs per prescription, while82.1% came from public services. The total number of drugs prescribed per prescription had themajority (60.0% onedrug, 20.3%, two drugs, three drugs 11.6%, 6.6% four or moremedications, including those not controlled (14% . Twenty drugswerenot on the standard list.Of controlled, 78.4% belonged to theclassC1 and21.6% toB1.There is a large consumption ofpsychotropic medications for thispoorpopulation, with a prevalence of antidepressants. Thesubsequent implementation of the computerized system significantly reduced the units dispensed,indicating that forms of management are factors to be considered in the rational use of drugs,such as the use of technologies and also the wide range of approaches to health education, such astraining of health professionals, including prescribers

  4. Screening of the state of urban ecosystem with the use of bioindication method (on the example of Kazan city)

    Science.gov (United States)

    Minakova, E. A.; Shlychkov, A. P.; Arinina, A. V.

    2018-01-01

    The urban environment is a complex of natural, natural-anthropogenic and socioeconomic factors that exert a large and diverse impact on urban residents. In addition to traditional environmental monitoring, we propose to use a new bioindication method based on the evaluation of morphological changes in the leaves of Betula pendula Roth by fluctuating asymmetry (FA) to assess the quality of recreational areas. Such screening for the purpose of assessing of the environment state is very informative, since the bioindication assessment is an integral characteristic of the quality of the environment which is under the influence of all the abundance of chemical, physical and other factors. The two-sided symmetry of a leaf was calculated on the sites in the middle of the park zone, on the border of the park and on a roadside strip. The results of the study showed a connection between the FA values and the distance to the highway, and also revealed the absence of significant differences in FA indicators at the surveyed sites, which may indicate insufficient sizes of recreational areas and their insufficient potential to contribute to improving the quality of the environment.

  5. Homicides among teenagers in the city of Porto Alegre, Rio Grande do Sul State, Brazil: vulnerability, susceptibility, and gender cultures

    Directory of Open Access Journals (Sweden)

    Sant'Anna Ana Rosária

    2002-01-01

    Full Text Available The authors present a quantitative and qualitative study on homicides among teenagers in Porto Alegre, Rio Grande do Sul State, Brazil, based on a historical series during the 1990s and the life and death histories in this group, with a special focus on 1997. In that year there were 68 homicides in which the victims were from 10 to 19 years old. Of the 68, 62 were males and only 6 females, or a ratio of 10:1, showing that young males are more vulnerable and susceptible to being murdered. The data indicate that cause of death is influenced by gender culture and that homicides are based on power and status symbols characterizing a kind of virility. This expression of virility in the shaping of violence also appears in the domination of the female body observed in homicides with young women as the victims. The life and death histories of these teenagers highlight the pertinence of the gender-based analysis as a theoretical-analytical category, in addition to analyses considering socioeconomic aspects and social inequity.

  6. Cryptosporidium sp. in children suffering from acute diarrhea at Uberlândia City, State of Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Margareth Leitão Gennari-Cardoso

    1996-10-01

    Full Text Available This study's objective was to search for Cryptosporidium sp. in diarrheic feces from children aged zero to 12 years and cared for at medical units within Universidade Federal de Uberlândia or at a private practice in Uberlândia, State of Minas Gerais, Brazil, from September 1992 to August 1993. Three fecal samples preserved in 10% formalin, were collected from 94 children. Oocyst concentration was performed through Ritchie's (modified method and staining of fecal smears for each sample (total of 1128 slides was done by the "Safranin/Methylene Blue" and the "Kinyoun (modified" techniques. The Hoffmann, Pons & Janer method was also employed to look for other enteroparasites. From 94 children, 4.26% excreted fecal Cryptosporidium oocysts. The infection seemed to vary according to age: 5.08% of patients aged zero to two years old; 33.33% of those aging eight to ten years (P>0.05. Cryptosporidium appeared in November, December and March, during the rainy season. 20.21% of the children harbored at least one enteroparasite different from Cryptosporidium, mainly Giardia intestinalis (12.77%. From Cryptosporidium infected patients, two had only this kind, another harbored Giardia intestinalis; the last one hosted Strongyloides stercoralis.

  7. Harm Reduction Unit of the City of Santo André, São Paulo State, Brazil: An Evaluation

    Directory of Open Access Journals (Sweden)

    Silvia Moreira da Silva

    2010-12-01

    Full Text Available The Harm Reduction Unit (HRU in Santo André (São Paulo State was created to improve the health of people who either live or work on the streets: drug users, commercial sex workers (male and female, men who have sex with men, sexually exploited adolescents, transsexuals, transvestites, lesbians, and women working in brothels. This project was undertaken to evaluate the HRU from the perspective of its users. A semi-structured interview was administered to nineteen users from different segments of the populations served by the unit. The major weaknesses of the HRU were felt to be its inconsistent presence in some areas and the absence of psychologists to provide follow-up care. The unit was seen as promoting better health, increased use of condoms, reduction in drug usage, increased access and use of health care services, and less sharing of equipment used in drug consumption. Users see the HRU as a sympathetic presence whose ongoing work provides them with a sense of security and protection. The impact of the HRU went beyond harm reduction; users reported transformative changes such as increased awareness of their social rights and knowledge about how those rights can be demanded. Users had been given new tools to face their problems and seek access to education, work, and housing. Key words: harm reduction, illegal drugs, health service evaluation, social problems

  8. Expanding cities

    DEFF Research Database (Denmark)

    Møller-Jensen, Lasse

    A number of cities in Africa experience very rapid spatial growth without the benefit of a systematic process of planning and implementation of planning decisions. This process has challenged the road and transport system, created high levels of congestion, and hampered mobility and accessibility...... to both central and new peripheral areas. This paper reports on studies carried out in Accra and Dar es Salaam to address and link 1) mobility practices of residents, 2) local strategies for ‘post-settlement’ network extension, and 3) the city-wide performance of the transport system. The studies draw...... in advance. However, such solutions are often impeded by costly and cumbersome land-acquisition processes, and because of the reactive and often piecemeal approach to infrastructure extensions, the development will often be more costly. Moreover, the lack of compliance to a city-wide development plan...

  9. Flying Cities

    DEFF Research Database (Denmark)

    Ciger, Jan

    2006-01-01

    of providing a tangible correspondence between the two spaces. This interaction mean has proved to suit the artistic expression well but it also aims at providing anyone with a pleasant and stimulating feedback from speech activity, a new medium for creativity and a way to visually perceive a vocal performance......The Flying Cities artistic installation brings to life imaginary cities made from the speech input of visitors. In this article we describe the original interactive process generating real time 3D graphics from spectators' vocal inputs. This example of cross-modal interaction has the nice property...

  10. Vacant city

    Directory of Open Access Journals (Sweden)

    Nicola Marzot

    2013-06-01

    Full Text Available Abandoned places that the crisis has multiplied, unaware wrecks of a project of civilization that has consumed its thrust and life-giving function, are waiting for new desirable interpretations, they are an expression of a possible city in opposition to the existing, even if  not recognized by any instrument. It is the Vacant city, magmatic, formless, pervasive and widespread, marginal and interstitial. Its spaces express, in their programmatic essence, those conditions of re-colonization of the territory intended to minimum investment  of financial capital and maximum return in terms of social value as a result of a transformation. 

  11. Birth of a new galaxy

    CERN Multimedia

    Rodgers, L

    2001-01-01

    Scientists using the Hubble telescope have been amazed by the number of stars being created in galaxy NGC 3310. But while some scientists are observing the birth of new stars, others are predicting the end of the universe. According to supersymmetry it is possible that the universe could spontaneously change to a state where the electric force is switched off, resulting in the disintegration of all matter. Called 'vacuum fluctuation', this event is even less likely than winning the lottery jackpot twice in the same day however (1/2 page).

  12. Notes from the Field: Zika Virus-Associated Neonatal Birth Defects Surveillance - Texas, January 2016-July 2017.

    Science.gov (United States)

    Hall, Noemi Borsay; Broussard, Kelly; Evert, Nicole; Canfield, Mark

    2017-08-11

    On November 28, 2016, the Texas Department of State Health Services (Texas DSHS) reported its first confirmed case of local mosquitoborne Zika virus transmission in the city of Brownsville, located in south Texas along the U.S.-Mexico border. Zika virus infection during pregnancy has been linked to adverse congenital outcomes including microcephaly, neural tube defects, early brain malformations, structural eye abnormalities, congenital deafness, and limb contractures (1). On January 1, 2016, Texas DSHS established enhanced surveillance to identify women with laboratory evidence of possible Zika virus infection during pregnancy and suspected cases of Zika virus-associated birth defects among completed pregnancies.

  13. Linkage of Maternity Hospital Episode Statistics data to birth registration and notification records for births in England 2005-2014: methods. A population-based birth cohort study.

    Science.gov (United States)

    Dattani, Nirupa; Macfarlane, Alison

    2018-02-15

    Maternity Hospital Episode Statistics (HES) data for 2005-2014 were linked to birth registration and birth notification data (previously known as NHS Numbers for Babies or NN4B) to bring together some key demographic and clinical data items not otherwise available at a national level. The linkage algorithm that was previously used to link 2005-2007 data was revised to improve the linkage rate and reduce the number of duplicate HES records. Birth registration and notification linked records from the Office for National Statistics ('ONS birth records') were further linked to Maternity HES delivery and birth records using the NHS Number and other direct identifiers if the NHS Number was missing. For the period 2005-2014, over 94% of birth registration and notification records were correctly linked to HES delivery records. Two per cent of the ONS birth records were incorrectly linked to the HES delivery record and 5% of ONS birth records were linked to more than one HES delivery record. Therefore, a considerable amount of time was spent in quality assuring these files. The linkage rate for birth registration and notification records to HES delivery records steadily improved from 2005 to 2014 due to improvement in the quality and completeness of patient identifiers in both HES and birth notification data. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  14. Multilevel factors influencing preterm birth in an urban setting

    Directory of Open Access Journals (Sweden)

    Saba W. Masho

    2014-01-01

    Full Text Available Racial disparity in preterm is a major problem in the US. Although significant strides have been made in identifying some of the risk factors, the complexities between community and individual factors are not understood. This study examines the influence of individual and community level factors affecting preterm birth among Black and White women in an urban setting. A 10-year live birth registry dataset from a mid-sized, racially diverse city was analyzed (N = 30,591. Data were geocoded and merged with block group level Census data. Five hierarchical models were examined using PROC GLIMMIX. Education, illicit drug use, pregnancy complications, previous preterm birth, paternal presence, inadequate and adequate plus prenatal care, and poverty were associated with preterm births in both Blacks and Whites. In Black women, increasing maternal age, maternal smoking, and a previous infant death were significant predictors of preterm births, which was not the case for White women. Residing in medium or high poverty neighborhoods resulted in 19% and 28% higher odds, respectively, of preterm birth for Black women. In addition to individual level factors, neighborhood poverty is an important risk factor influencing preterm birth. It is essential to engage multisectoral agencies in addressing factors influencing preterm birth.

  15. The New Rich and Their Unplanned Births: Stratified Reproduction under China's Birth-planning Policy.

    Science.gov (United States)

    Shi, Lihong

    2017-12-01

    This article explores the creation and ramifications of a stratified reproductive system under China's state control of reproduction. Within this system, an emerging group of "new rich" are able to circumvent birth regulations and have unplanned births because of their financial capabilities and social networks. While China's birth-planning policy is meant to be enforced equally for all couples, the unequal access to wealth and bureaucratic power as a result of China's widening social polarization has created disparate reproductive rights and experiences. This article identifies three ways in which reproductive privileges are created. It further explores how a stratified reproductive system under state population control reinforces social polarization. While many socially marginalized couples are unable to register their unplanned children for citizenship status and social benefits, the new rich are able to legitimate their births and transfer their privilege and status to their children, thus reproducing a new generation of elites. © 2016 by the American Anthropological Association.

  16. [Implementation and impact of the National Iron Supplementation Program in the city of Viçosa, State of Minas Gerais].

    Science.gov (United States)

    Cotta, Rosângela Minardi Mitre; Azeredo, Catarina Machado; Silva, Luciana Saraiva da; Franceschini, Sylvia do Carmo Castro; Sant'ana, Luciana Ferreira da Rocha; Cássia Lanes Ribeiro, Rita de

    2011-10-01

    The scope of this work was to evaluate the implementation of the National Iron Supplementation Program (NISP) in Viçosa in the State of Minas Gerais and its impact on 6- to 18-month-old non-anemic infants assisted by the Family Health Teams. Interviews were conducted with the professionals and with the children's mothers/guardians. The non-anemic children who didn't receive the earlier supplementation (n=133) were given ferrous sulphate syrup for six months. Hemoglobin dosage, anthropometric evaluation and a socioeconomic survey were conducted before and after the six-month period. Children who ingested 75% or more of the prescribed dosage were classified as high adhesion, while the others were classified as low adhesion, according to the mothers' testimonials. With respect to the implementation in the city, the distribution system was not always available to the priority group and there was a lack of training and motivation on the part of most Community Health Agents. The lack of promotion of NISP among the priority group was detected, apart from a mothers' awareness drive. Regarding diet supplementation, children showed low adhesion and the dosage wasn't effective in preventing anemia. Therefore, important operational barriers to implementation were observed.

  17. [Organization of primary health care in cities belonging to project for expansion and consolidation of the family health strategy in Mato Grosso State, Brazil].

    Science.gov (United States)

    Melo, Elza Machado de; Paiva, Lúcia; Alvares, Juliana; Flecha, André Luiz Dumont

    2008-01-01

    This article presents part of the results from the Baseline Study on the PROESF. The objective was to evaluate primary health care in the cities of Cuiabá, Várzea Grande, and Rondonópolis, Mato Grosso State, Brazil, based on the inter-subjectivity in human relations (among health workers, users of health services, and the public at large and within institutionalized levels of social control). A qualitative and quantitative methodology was used, including interviews with key informants; short meetings with managers; focal groups with managers; and interviews with users and health professionals from pre-selected health units. Scores were assigned to all the questions that indicated participatory processes in primary care practices in the various municipalities. Despite the geopolitical identity among the municipalities and their similar access to the same public policies, there was a significant difference in their performance of the functions pertaining to the organization of primary care and the Family Health Program, in terms of portal of entry into the system, longitudinality, comprehensiveness, and coordination. Differences were observed in the type of relations that were established (participatory versus non-participatory), corresponding to the previous difference.

  18. GIS as a Tool for Education Decision Support System: A Demonstration with Public Primary Schools in Zaria City Kaduna State Nigeria

    Directory of Open Access Journals (Sweden)

    U. Wali

    2015-07-01

    Full Text Available This paper aimed at demonstrating the use of GIS in the display of data about primary schools in the walled part of Zaria city, Kaduna State. It is hoped that the database and its graphic display in maps will guide decision making at the primary education level in the study area. Coordinates of the schools were obtained with a handheld GPS receiver, while their attribute data were obtained from the local education authority and triangulated with questionnaires administered to the headmasters of the schools. ArcGIS 9.2 version software was used for buffer zone (1 km. The result indicates that there are 31 public primary schools in the study area. The oldest was established in 1921 and the latest in 2007. Graphic displays of some attributes of the schools were produced. The buffer zones produced suggest no pupil walks more than a kilometer to reach school. It is recommended that in the future, GIS tools should be applied when managing school data. Capacities to achieve this should be developed.

  19. FUN CITY

    DEFF Research Database (Denmark)

    down the consquences of these developments, to elocidate the interplay between funscapes and fear culture, and to account for the meaning of new concepts and new phenomena such as "event culture", "urban scenography", "experience economy","city branding" and "cultural planning"....

  20. Fun City

    DEFF Research Database (Denmark)

    down the consquences of these developments, to elocidate the interplay between funscapes and fear culture, and to account for the meaning of new concepts and new phenomena such as "event culture", "urban scenography", "experience economy","city branding" and "cultural planning"....

  1. City Branding

    DEFF Research Database (Denmark)

    Frimann, Søren; Stigel, Jørgen

    2006-01-01

    with their relatively concrete dimensions are absent when the main question is one of values. Furthermore, when  the relatively straightforward identification and power structures of corporations and consumers are replaced by the more diversified structures of city government, their poplulations, and potential visitors...

  2. Excite City

    DEFF Research Database (Denmark)

    Marling, Gitte; Kiib, Hans; Jensen, Ole B.

    This paper takes its point of departure in the pressure of the experience economy on European cities - a pressure which in recent years has found its expression in a number of comprehensive transformations of the physical and architectural environments, and new eventscapes related to fun and cult......This paper takes its point of departure in the pressure of the experience economy on European cities - a pressure which in recent years has found its expression in a number of comprehensive transformations of the physical and architectural environments, and new eventscapes related to fun...... and cultural experience are emerging. The physical, cultural and democratic consequences of this development are discussed in the paper, which concludes with a presentation of a new field of research that highlights the problems and the new opportunities with which "the experience city" is faced. Special...... attention is put on a new research project called "Experience City - hybrid cultural projects and performative urban spaces". The thesis and research themes are presented and related to the general framework of present cultural planning and post industrial urban transformation....

  3. Vacant city

    NARCIS (Netherlands)

    Marzot, N.

    2013-01-01

    Abandoned places that the crisis has multiplied, unaware wrecks of a project of civilization that has consumed its thrust and life-giving function, are waiting for new desirable interpretations, they are an expression of a possible city in opposition to the existing, even if not recognized by any

  4. Anthropometry and body composition of south Indian babies at birth.

    Science.gov (United States)

    Muthayya, S; Dwarkanath, P; Thomas, T; Vaz, M; Mhaskar, A; Mhaskar, R; Thomas, A; Bhat, S; Kurpad, Av

    2006-10-01

    To assess the consequences on body composition of increasing birth weight in Indian babies in relation to reported values in Western babies, and to assess the relationship between maternal and neonatal anthropometry and body composition. Prospective observational study. Bangalore City, India. A total of 712 women were recruited at 12.5+/-3.1 weeks of gestation (mean+/-standard deviation, SD) and followed up until delivery; 14.5% were lost to follow-up. Maternal body weight, height, mid upper-arm circumference and skinfold thicknesses were measured at recruitment. Weight and body composition of the baby (skinfold thicknesses, mid upper-arm circumference, derived arm fat index and arm muscle index; AFI and AMI, respectively) were measured at birth in hospital. The mean+/-SD birth weight of all newborns was 2.80+/-0.44 kg. Birth weight was significantly related to the triceps and subscapular skinfold thickness of the baby. In a small number of babies with large birth weight for gestational age, there was a relatively higher normalised AFI relative to AMI than for babies with lower or appropriate birth weight for gestational age. Maternal height and fat-free mass were significantly associated with the baby's length at birth. Skinfold thicknesses in Indian babies were similar to those reported in a Western population with comparable birth weights, and the relationship of AFI to birth weight appeared to be steeper in Indian babies. Thus, measures to increase birth weight in Indian babies should take into account possible adverse consequences on body composition. There were no significant relationships between maternal anthropometry and body composition at birth on multivariate analysis, except for sum of the baby's skinfold thicknesses and maternal fat-free mass (P<0.02).

  5. Ethics and "normal birth".

    Science.gov (United States)

    Lyerly, Anne Drapkin

    2012-12-01

    The concept of "normal birth" has been promoted as ideal by several international organizations, although debate about its meaning is ongoing. In this article, I examine the concept of normalcy to explore its ethical implications and raise a trio of concerns. First, in its emphasis on nonuse of technology as a goal, the concept of normalcy may marginalize women for whom medical intervention is necessary or beneficial. Second, in its emphasis on birth as a socially meaningful event, the mantra of normalcy may unintentionally avert attention to meaning in medically complicated births. Third, the emphasis on birth as a normal and healthy event may be a contributor to the long-standing tolerance for the dearth of evidence guiding the treatment of illness during pregnancy and the failure to responsibly and productively engage pregnant women in health research. Given these concerns, it is worth debating not just what "normal birth" means, but whether the term as an ideal earns its keep. © 2012, Copyright the Authors Journal compilation © 2012, Wiley Periodicals, Inc.

  6. Meeting Report: Institute for Social Security and Services for State Workers (ISSSTE on Acute Lymphoblastic Leukaemia, Mexico City, Mexico, 3rd to 4th October 2016

    Directory of Open Access Journals (Sweden)

    Alvarado Ibarra Martha

    2017-06-01

    Full Text Available From October 3 to 4, 2016, the fourth meeting of haematologists who belonged to the institute for social security and services for state workers (ISSSTE was held, the meeting was held in Mexico City, Mexico. Attending this working meeting, medical fellows of the specialty of Haematology and Paediatric Haematology, as well as attached doctors of both specialties that work in different hospitals in Mexico City and the rest of the country, the purpose of the attendees to this consensus was discuss, update, and homogenize the protocols of diagnostic and therapeutic approach in patients with acute lymphoblastic leukaemia of all ages. All participants appreciated the opportunity to participate in one of the most important cooperation projects of the ISSSTE and to be able to offer updated treatment protocols to this population or, failing that, to send them a Medical Center that can provide hospital care as soon as possible. Physicians took advantage of this meeting for the scientific exchange, the discussion on projects in course and were planned the development of other consensuses being the closest the one of lymphomas. As in the previous consensuses that were published in a National magazine. The coordinator of this project raised to the attendees the possibility of a publication in magazines of greater prestige international since in countries like Mexico the cooperative work is not frequent and the group of haematologists belonging to ISSSTE are working towards this goal. This consensus was considered as a very well-organized platform to support the research of young fellows in the specialty to stimulate the team work in protocols of the different haematological pathologies and to inform the world the results achieved in a population of patients attended by the ISSSTE. In agreement with the main objective of this consensus on acute lymphoblastic leukaemia once finished and discussed throughout the haematological group, the coordinator for the

  7. Evaluation of underground water contamination of tubular wells, by fuels oil in Santo Andre City, Sao Paulo state: a contribution to the environmental management

    International Nuclear Information System (INIS)

    Mindrisz, Ana Copat

    2006-01-01

    The contamination of underground waters by hydrocarbons originated from gas stations has been object of increasing preoccupation in environmental organization all over the world. The organic compounds Benzene, Toluene, Ethylbenzene and Xylene (BTEX), present in these fuels, are extremely toxic to human health and could make impracticable the exploration of these contaminated waters by these kinds of pollutants and consequently the gasoline wells used for this purpose. In this work, it was carried out a diagnosis of the water quality with information and analyses, with the goals to snap shot the situation of the wells destined to domestic and commercial supply of water in the urban area of Santo Andre city, Sao Paulo state. There have been evaluated the presence of micron pollutants BTEX, after contamination due to leaks in fuel storage tanks close to the wells, in different places of the city. The physical chemistry parameters like color, turbidity and residual chlorine were also evaluated as well as trace elements, metals, anions like fluorine, sulphates, chlorine, nitrates and phosphates and bacteriological (total coliforms, thermo stable coliforms, heterotrophic bacteria). On definition of the sampling area, it was sought, at first, the evaluation of environmental contaminations historical series by gas stations, evaluating the set of information available at government environmental organizations and spatial representatively of the problem. For administration of the underground water quality it was adopted the methodology used by Companhia de Tecnologia de Saneamento Ambiental (CETESB), being accomplished a previous identification of contaminated potential areas and organizing a data base on landfills disposal and neglected places; registration of gas station services and, wells used by the population, industrial inventory with active and neglected maps taking into consideration the size and residues generation (such as SEMASA), prioritizing in this way the

  8. Birth Order and Child Health

    OpenAIRE

    Lundberg, Evelina; Svaleryd, Helena

    2017-01-01

    Previous research has established that birth order affects outcomes such as educational achievements, IQ and earnings. The mechanisms behind these effects are, however, still largely unknown. In this paper, we examine birth-order effects on health, and whether health at young age could be a transmission channel for birth-order effects observed later in life. We find no support for the birth-order effect having a biological origin; rather firstborns have worse health at birth. This disadvantag...

  9. Prevention of preterm birth.

    LENUS (Irish Health Repository)

    Flood, Karen

    2012-02-01

    Preterm birth (delivery before 37 completed weeks of gestation) is common and rates are increasing. In the past, medical efforts focused on ameliorating the consequences of prematurity rather than preventing its occurrence. This approach resulted in improved neonatal outcomes, but it remains costly in terms of both the suffering of infants and their families and the economic burden on society. Increased understanding of the pathophysiology of preterm labor has altered the approach to this problem, with increased focus on preventive strategies. Primary prevention is a limited strategy which involves public education, smoking cessation, improved nutritional status and avoidance of late preterm births. Secondary prevention focuses on recurrent preterm birth which is the most recognisable risk factor. Widely accepted strategies include cervical cerclage, progesterone and dedicated clinics. However, more research is needed to explore the role of antibiotics and anti-inflammatory treatments in the prevention of this complex problem.

  10. Birth room images

    DEFF Research Database (Denmark)

    Bowden, Calida; Sheehan, Athena; Foureur, Maralyn Jean

    2016-01-01

    and implications for practice: as images on the Internet inform and persuade society about stereotypical behaviours, the trends of our time and sociocultural norms, it is important to recognise images of the technological birth room on the Internet may be influential in dictating women's attitudes, choices......Objective: this study examined images of birth rooms in developed countries to analyse the messages and visual discourse being communicated through images. Design: a small qualitative study using Kress and van Leeuwen's (2006) social semiotic theoretical framework for image analysis, a form...... of discourse analysis. Setting/participants: forty images of birth rooms were collected in 2013 from Google Images, Flickr, Wikimedia Commons and midwifery colleagues. The images were from obstetric units, alongside and freestanding midwifery units located in developed countries (Australia, Canada, Europe, New...

  11. Genomics of Preterm Birth

    Science.gov (United States)

    Swaggart, Kayleigh A.; Pavlicev, Mihaela; Muglia, Louis J.

    2015-01-01

    The molecular mechanisms controlling human birth timing at term, or resulting in preterm birth, have been the focus of considerable investigation, but limited insights have been gained over the past 50 years. In part, these processes have remained elusive because of divergence in reproductive strategies and physiology shown by model organisms, making extrapolation to humans uncertain. Here, we summarize the evolution of progesterone signaling and variation in pregnancy maintenance and termination. We use this comparative physiology to support the hypothesis that selective pressure on genomic loci involved in the timing of parturition have shaped human birth timing, and that these loci can be identified with comparative genomic strategies. Previous limitations imposed by divergence of mechanisms provide an important new opportunity to elucidate fundamental pathways of parturition control through increasing availability of sequenced genomes and associated reproductive physiology characteristics across diverse organisms. PMID:25646385

  12. A FRAMEWORK FOR STRUCTURING CITY LOGISTICS INITIATIVES

    OpenAIRE

    Snežana Tadić; Slobodan Zečević

    2016-01-01

    Interest in the problems and conceptual solutions for city logistics is increasing each year. City is the place of largest concentration of economic and social activities, and logistics is very important for the sustainability and the economy of the city. Numerous research projects indicate that the state of urban logistics is quite critical. City logistics system is extremely complex, with a large number of participants with different roles, problems, interests and goals. They all want an at...

  13. City-States of Science

    CERN Multimedia

    Perricone, Mike

    2005-01-01

    Tomorrow's particle physics experiments are redrawing the map for scientific collaboration. Although the field has long been accustomed to large groups of scientists, life in the new CERN collaborations will surely be different (3 pages)

  14. German-Iowan Strategies in Celebrating the Centennial of Alexander von Humboldt’s Birth

    Directory of Open Access Journals (Sweden)

    Bill Roba

    2014-12-01

    Full Text Available The two largest cities of Eastern Iowa on the shore of the Mississippi River are Dubuque and Davenport. In each city, an elite group of German-Iowan leaders emerged by the late 1850s. Bill Roba describes and examines their strategies in celebrating the Centennial of Alexander von Humboldt’s Birth.

  15. Sustainable Cities

    DEFF Research Database (Denmark)

    Georg, Susse; Garza de Linde, Gabriela Lucía

    Judging from the number of communities and cities striving or claiming to be sustainable and how often eco-development is invoked as the means for urban regeneration, it appears that sustainable and eco-development have become “the leading paradigm within urban development” (Whitehead 2003......), urban design competitions are understudied mechanisms for bringing about field level changes. Drawing on actor network theory, this paper examines how urban design competitions may bring about changes within the professional field through the use of intermediaries such as a sustainable planning....../assessment tool. The context for our study is urban regeneration in one Danish city, which had been suffering from industrial decline and which is currently investing in establishing a “sustainable city”. Based on this case study we explore how the insights and inspiration evoked in working with the tool...

  16. Sharing City

    DEFF Research Database (Denmark)

    This magazine offers an insight into the growing commercial innovation, civic movements, and political narratives surrounding sharing economy services, solutions and organisational types. It presents a cross-section of the manifold sharing economy services and solutions that can be found in Denmark....... Solutions of sharing that seeks to improve our cities and local communities in both urban and rural environments. 24 sharing economy organisations and businesses addressing urban and rural issues are being portrayed and seven Danish municipalities that have explored the potentials of sharing economy....... Moreover, 15 thought leading experts - professionals and academic - have been invited to give their perspective on sharing economy for cities. This magazine touches upon aspects of the sharing economy as mobility, communities, sustainability, business development, mobility, and urban-rural relation....

  17. Alcohol Taxes and Birth Outcomes

    Directory of Open Access Journals (Sweden)

    Ning Zhang

    2010-04-01

    Full Text Available This study examines the relationships between alcohol taxation, drinking during pregnancy, and infant health. Merged data from the US Natality Detailed Files, as well as the Behavioral Risk Factor Surveillance System (1985–2002, data regarding state taxes on beer, wine, and liquor, a state- and year-fixed-effect reduced-form regression were used. Results indicate that a one-cent ($0.01 increase in beer taxes decreased the incidence of low-birth-weight by about 1–2 percentage points. The binge drinking participation tax elasticity is −2.5 for beer and wine taxes and −9 for liquor taxes. These results demonstrate the potential intergenerational impact of increasing alcohol taxes.

  18. Influence of exposure differences on city-to-city heterogeneity ...

    Science.gov (United States)

    Multi-city population-based epidemiological studies have observed heterogeneity between city-specific fine particulate matter (PM2.5)-mortality effect estimates. These studies typically use ambient monitoring data as a surrogate for exposure leading to potential exposure misclassification. The level of exposure misclassification can differ by city affecting the observed health effect estimate. The objective of this analysis is to evaluate whether previously developed residential infiltration-based city clusters can explain city-to-city heterogeneity in PM2.5 mortality risk estimates. In a prior paper 94 cities were clustered based on residential infiltration factors (e.g. home age/size, prevalence of air conditioning (AC)), resulting in 5 clusters. For this analysis, the association between PM2.5 and all-cause mortality was first determined in 77 cities across the United States for 2001–2005. Next, a second stage analysis was conducted evaluating the influence of cluster assignment on heterogeneity in the risk estimates. Associations between a 2-day (lag 0–1 days) moving average of PM2.5 concentrations and non-accidental mortality were determined for each city. Estimated effects ranged from −3.2 to 5.1% with a pooled estimate of 0.33% (95% CI: 0.13, 0.53) increase in mortality per 10 μg/m3 increase in PM2.5. The second stage analysis determined that cluster assignment was marginally significant in explaining the city-to-city heterogeneity. The health effe

  19. Metropolitanization and Forest Recovery in Southern Brazil: a Multiscale Analysis of the Florianópolis City-Region, Santa Catarina State, 1970 to 2005

    Directory of Open Access Journals (Sweden)

    Sandra R. Baptista

    2008-12-01

    Full Text Available Within the contexts of globalization and the Atlantic Forest ecoregion, I present a multiscale analysis of anthropogenic landscape dynamics in the Florianópolis city-region, Santa Catarina, southern Brazil. Drawing on field research conducted between 2000 and 2004 and a review of the literature, I examined Brazilian demographic and agricultural census data for the period of 1970 to 1995-1996. I hypothesized that economic restructuring, new institutional arrangements, and the valuation of environmental amenities and ecosystem services have contributed to forest recovery trends and thus a forest transition in the city-region. My results indicate that along with rapid urbanization, in-migration, socioeconomic polarization, and segregation, the city-region has experienced the contraction of private agricultural land area, expansion of protected areas, recovery of forests, and conversion of coastal plain ecosystems to built environments. Future analyses of forest transition dynamics should consider the spatial configurations of socioeconomic inequality in city-regions.

  20. Can Knowledge of Client Birth Order Bias Clinical Judgment?

    Science.gov (United States)

    Stewart, Allan E.

    2004-01-01

    Clinicians (N = 308) responded to identical counseling vignettes of a male client that differed only in the client's stated birth order. Clinicians developed different impressions about the client and his family experiences that corresponded with the prototypical descriptions of persons from 1 of 4 birth orders (i.e., first, middle, youngest, and…

  1. Mechanical Birth Trauma – An Evaluation of Predisposing Factors at ...

    African Journals Online (AJOL)

    Fifty neonates were identified in a study carried out to determine the factors predisposing to mechanical birth trauma in neonates at the Ogun State University Teaching Hospital, Sagamu. Data were collected retrospectively from 1989 to 1990 and prospectively from 1991 to 1994. The incidence of mechanical birth trauma ...

  2. Barriers to Skilled Birth Attendance: A Survey among Mothers in ...

    African Journals Online (AJOL)

    Barriers to Skilled Birth Attendance: A Survey among Mothers in Rural Gambia. ... The majority of the women (83%) stated that they preferred having a health worker attending their childbirth. More than seventy ... Keywords: Childbirth, maternal health services, access, barriers, birth preparedness, complication readiness ...

  3. Birth Defects in the Newborn Population: Race and Ethnicity

    Directory of Open Access Journals (Sweden)

    Alexander C. Egbe

    2015-06-01

    Conclusion: This is a comprehensive description of racial differences in the risk of birth defects in the United States. Observed racial differences in the risk of birth defects may be related to genetic susceptibilities, to cultural or social differences that could modify exposures, or to the many potential combinations between susceptibilities and exposures.

  4. Solar cities

    International Nuclear Information System (INIS)

    Roaf, S.; Fuentes, M.; Gupta, R.

    2005-01-01

    Over the last decade, climate change has moved from being the concern of few to a widely recognized threat to humanity itself and the natural environment. The 1990s were the warmest decade on record, and ever-increasing atmospheric levels of greenhouse gases such as carbon dioxide (CO/sub 2/), could, if left unchecked lead to serious consequences globally, including increased risks of droughts, floods and storms, disruption to agriculture, rising sea levels and the spread of disease. The contribution of anthropogenic emissions of carbon dioxide has been recognized as the principal cause of the atmospheric changes that drive these climate trends. Globally, buildings are the largest source of indirect carbon emissions. In 2000, the UK Royal Commission on Environmental Pollution estimated that in order to stabilise carbon emissions at levels, which avoid catastrophic alterations in the climate, we would have to reduce emissions from the built environment by at least 60% by 2050 and 80% by 2100 relative to 1997 levels. Studies of the Oxford Ecohouse have demonstrated that it is not difficult to reduce carbon emissions from houses by 60% or more through energy efficiency measures, but it is only possible to reach the 90% level of reductions required by using renewable energy technologies. Solar energy technologies have been the most successfully applied of all renewable to date largely because they are the only systems that can be incorporated easily into the urban fabric. In addition, the short fossil fuel horizons that are predicted (c. 40 years left for oil and 65 years for gas) will drive the markets for solar technologies. For these reasons, the cities of the future will be powered by solar energy, to a greater or lesser extent, depending on the city form and location. In recognition of the need to move rapidly towards a renewable energy future, a group of international cities, including Oxford, have started the Solar City Network. In this paper we outline the

  5. Progression of Mycoplasma hyosynoviae infection in three pig herds. Development of tonsillar carrier state, arthritis and antibodies in serum and synovial fluid in pigs from birth to slaughter

    DEFF Research Database (Denmark)

    Hagedorn-Olsen, T.; Nielsen, N.C.; Friis, N.F.

    1999-01-01

    In this investigation, natural infection with Mycoplasma hyosynoviae was followed in groups of individual pigs in three different herds with regard to occurrence of tonsillar carrier state, clinical arthritis and development of antibodies in serum and in synovial fluid. Antibodies were detected...... by a polyclonal enzyme-linked immunosorbent assay (ELISA) developed for experimental use. The infection with M hyosynoviae progressed very differently in the three herds investigated. In one herd, the infection was apparently limited to adult Figs. In a second herd, all pigs became tonsillar carriers of M....... hyosynoviae, but no mycoplasma-related arthritis nor any serological response was demonstrated within the growing-finishing period. In the third herd investigated, tonsillar infection was detected in all pigs, clinical cases of M. hyosynoviae arthritis followed and a moderate serological response was observed...

  6. Clinical and epidemiological aspects of human parvovirus B19 infection in an urban area in Brazil (Niterói city area, State of Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Solange Artimos de Oliveira

    2002-10-01

    Full Text Available This study was designed to analyse the clinical and epidemiological data from human parvovirus B19 cases in a six-year study of rash diseases conduct in an urban area in Brazil (Niterói city area, State of Rio de Janeiro. A total of 673 patients with acute rash diseases were seen at two primary health care units and at a general hospital. A clotted blood sample was collected from all subjects at the time of consultation. Forty-nine per cent (330 cases of the patients were negative for dengue, rubella and measles IgM or for low avidity IgG to HHV-6. Of these 330, 105 (31.8% were identified as IgM positive to parvovirus B19 by using an antibody capture EIA. During the study period, three distinct peaks of parvovirus infection were detected, suggesting that the disease appears to cycle in approximately 4-5 years. B19 infection was characterized by variable combinations of fever, flu-like symptoms, arthropathy, and gastrointestinal symptoms. Frequency of fever and arthropathy was substantially higher in adults, 75% [chi2 (1 D.F. = 11.39, p = 0.0007] and 62.5% [chi2 (1 D.F. = 29.89, p = 0.0000], respectively. "Slapped-cheek" appearance and reticular or lace-like rash were seen in only 30.1% of the children. No adult presented this typical rash. The lack of the typical rash pattern in a large proportion of parvovirus B19 and the similarity of clinical manifestations to other rash diseases, specially to rubella, highlight the difficulty of diagnosing B19 infection on clinical grounds alone.

  7. Eimeria species in young and adult sheep raised under intensive and / or semi-intensive systems of a herd from Umuarama city, Parana State, Brazil

    Directory of Open Access Journals (Sweden)

    Welber Daniel Zanetti Lopes

    2013-11-01

    Full Text Available The present study aimed to identify Eimeria species in young and adult sheep raised under intensive and / or semi-intensive systems of a herd from Umuarama city, Parana State, Brazil using the traditional diagnostic methods and to correlate the infection level/types of infection in the different age/system in this herd. Fecal samples were collected from the rectum of 210 sheep and were subjected to laboratory analysis to differentiate the species. Furthermore, animals were observed to determine the occurrences of the clinical or subclinical forms of eimeriosis. Out of the 210 collected fecal samples, 147 (70% were positive for Eimeria oocysts, and 101 (47.86% belonged to young animals that were raised under intensive and / or semi-intensive farming systems. Oocysts from 9 species of Eimeria parasites were identified in the sheep at the following prevalence rates: E. crandallis, 50.0%; E. parva, 21.6%; E. faurei, 8.1%; E. ahsata, 8.1%; E. intricata, 5.4%; E. granulosa , 2.7%; E. ovinoidalis , 2.0%; E. ovina , 1.3%; and E. bakuensis , 0.6%. There were no differences regarding the more frequent Eimeria species among the different ages of animals or between the different farming management systems. Based on these data, E. crandallis was the most prevalent, followed by E. parva and E. faurei species, regardless of the age. Higher parasitism was diagnosed in the young animals that were raised in a confinement regime, and the disease found in the herd was classified as subclinical. Further studies should be conducted in this herd, to verify if the eimeriosis subclinical can cause damage especially in young animals with a high level of infection.

  8. Estimation of the daily intake of nitrates and nitrites which children one to six years old, who attend State Nurseries in the City of Havanna, may consume.

    Science.gov (United States)

    García Roché, M O; Bécquer, A; Arcia, J

    1983-01-01

    The knowledge of the amounts of nitrates and nitrites consumed by the child population is of great importance due to three fundamental aspects: Reduction of nitrates to nitrites. Relation of these to methemoglobinemia. Carcinogenicity of the N-nitroso compounds, of which nitrites are the precursors. In the present article information is given as to the estimated amounts of nitrates and nitrites, which about 10 000 children between one and six years of age, who attend State Nurseries in the City of Havanna, may consume through the daily intake of food, milk and water offered by the Centralized Kitchen "Cuba-Finland Friendship". The method of analysis used to determine nitrates and nitrites is that reported by the Mixed Committee FAO/OMS in 1976, using a reducing column containing cadmium described by FOLLET et al. in 1963. The statistical method employed is the t-Test of the comparison of media. Estimated quantities of nitrates and nitrites, which these children may consume according to the offer of food, milk and water they receive, are: 25.6 mg of NaNO3 and 1.04 mg of NaNO2 for children one to three years of age, and 36.1 mg of NaNO3 and 1.48 mg of NaNO2 for children four to six. These values lie under those recommended as admissible daily intake reported by the Mixed Committee FAO/OMS. Therefore, there does not seem to exist a risk to health through consumption of nitrates and nitrites by the population under investigation.

  9. Birth Order Debate Resolved?

    Science.gov (United States)

    Zajonc, R. B.

    2001-01-01

    Critiques Rodgers et al.'s June 2000 research on the relation between birth order and intelligence, which suggests that it is a methodological illusion. Explains how the intellectual environment and the teaching function (whereby older children tutor younger ones) contribute to the growth of intellectual maturity, the first negatively and the…

  10. Finding Autonomy in Birth*

    Science.gov (United States)

    Kukla, Rebecca; Kuppermann, Miriam; Little, Margaret; Lyerly, Anne Drapkin; Mitchell, Lisa M; Armstrong, Elizabeth M.; Harris, Lisa

    2009-01-01

    Over the last several years, as cesarean deliveries have grown increasingly common, there has been a great deal of public and professional interest in the phenomenon of women ‘choosing’ to deliver by cesarean section in the absence of any specific medical indication. The issue has sparked intense conversation, as it raises questions about the nature of autonomy in birth. Whereas mainstream bioethical discourse is used to associating autonomy with having a large array of choices, this conception of autonomy does not seem adequate to capture concerns and intuitions that have a strong grip outside of this discourse. An empirical and conceptual exploration of how delivery decisions ought to be negotiated must be guided by a rich understanding of women’s agency and its placement within a complicated set of cultural meanings and pressures surrounding birth. It is too early to be ‘for’ or ‘against’ women’s access to cesarean delivery in the absence of traditional medical indications - and indeed, a simple pro- or con- position is never going to do justice to the subtlety of the issue. The right question is not whether women ought to be allowed to choose their delivery approach, but rather, taking the value of women’s autonomy in decision-making around birth as a given, what sorts of guidelines, practices, and social conditions will best promote and protect women’s full inclusion in a safe and positive birth process. PMID:19076937

  11. Better Births Initiative

    African Journals Online (AJOL)

    Ensuring that health professionals practise according to evidence-based standards is important since it affects the quality and cost of care patients receive. The purpose of this research was to use a focused change programme (the Better Births Initiative) to influence obstetric practice at 10 hospitals in Gauteng, South Africa.

  12. Practicing the Generic (City)

    DEFF Research Database (Denmark)

    Hansen, Lone Koefoed

    2010-01-01

    Flanagan proposes that most locative media artworks neglect the particularities of spaces, their historical and political layers. Koolhaas, on the other hand, states that all urban areas are alike, that we are facing a global Generic City. The paper analyses digital media artist Esther Polak......’s NomadicMILK project in light of the generic and particular properties of space as laid out by Flanagan and Koolhaas in order to discuss the possible reconfiguring practices of locative media....

  13. Planned home births: the need for additional contraindications.

    Science.gov (United States)

    Grünebaum, Amos; McCullough, Laurence B; Sapra, Katherine J; Arabin, Birgit; Chervenak, Frank A

    2017-04-01

    Planned home births in the United States are associated with fewer interventions but with increased adverse neonatal outcomes such as perinatal and neonatal deaths, neonatal seizures or serious neurologic dysfunction, and low 5-minute Apgar scores. The American College of Obstetricians and Gynecologists' Committee on Obstetric Practice states that, to reduce perinatal death and to improve outcomes at planned home births, strict criteria are necessary to guide the selection of appropriate candidates for planned home birth. The committee lists 3 absolute contraindications for a planned home birth: fetal malpresentation, multiple gestations, and a history of cesarean delivery. The aim of this study was to evaluate whether there are risk factors that should be considered contraindications to planned home births in addition to the 3 that are listed by the American College of Obstetricians and Gynecologists. We conducted a population-based, retrospective cohort study of all term (≥37 weeks gestation), normal weight (≥2500 grams), singleton, nonanomalous births from 2009-2013 using the Centers for Disease Control and Prevention's period-linked birth-infant death files that allowed for identification of intended and unintended home births. We examined neonatal deaths (days 0-27 after birth) across 3 groups (hospital-attended births by certified nurse midwives, hospital-attended births by physicians, and planned home births) for 5 risk factors: 2 of the 3 absolute contraindications to home birth listed by the American College of Obstetricians and Gynecologists (breech presentation and previous cesarean delivery) and 3 additional risk factors (parity [nulliparous and multiparous], maternal age [women delivery [37-40 and ≥41 weeks]). The overall risk of neonatal death was significantly higher in planned home births (12.1 neonatal death/10,000 deliveries; Pbirths by certified nurse midwives (3.08 neonatal death/10,000 deliveries) or physicians (5.09 neonatal death/10

  14. A Research of Construction Mechanism of Vassal State's City Group during Spring and Autumn Period Based on the Analyzation of Geographic Image - Take south region of Shandong as example

    Science.gov (United States)

    Gao, X.; Li, B.; Zhou, X.

    2015-08-01

    Spring and Autumn period, the vassal states began to carry out country defense construction actively, brought changes to building the ideological. At that time, the south region of Shandong, as an independent unit of geography, seldom affected by external factors, and had striking cultural characteristics. Vassal states there constructed their capital mainly to defense the neighboring countries and cope with small scale mergers war, not involving the nationwide military deployment. Therefore, the region reflect the construction thought changes during the Spring and Autumn Period, and consistent with the research purpose. Based on this judgment, the author analyzed each capital's location and terrain feature by topographic map. In brief, the Spring and Autumn Period, feudal states acted of one's own free will, the relationship between cities contained the one within and between vassal states. Within vassal state relationships included economic support, entrenching each other and protecting the country together. Meanwhile, strategic defensing, scrambling for resources and geographical location comprised of the competition between vassal states. In the agrarian age, the political centers and agricultural areas were interdependent, giving priority to the development of political cities. Transformation of capitals' space layout was actually the process of carving up farming plains, the powerful states occupy favorable geographical position, and the small countries would be encroached and annexed gradually.

  15. Whose city?

    DEFF Research Database (Denmark)

    Die Stadt als Beute. But where most of these films follow the money and dissect the power relations in today’s urban planning, Whose city? instead moves back in time to the almost forgotten, but defining architectural disputes of the 1990s. With the fall of the Berlin Wall and the rest of the Iron...... the fundamental question was no longer asked: Who are we building for? The film represents a meditative journey through Berlin, from Potsdamer Platz in the West to Alexanderplatz in the East, and from the male-dominated conservative urban planning of the early 1990s to the more open-minded, women-led urban...

  16. The city of the merchant

    DEFF Research Database (Denmark)

    Barnow, Niels Finn

    The City of the Merchant deals with cities, towns and villages in the European medieval period - i.e. in post-antique and pre-industrial Europe. In actual fact, the book mainly deals with Denmark and Northern Italy (the City States), with digressions to other "feudal" localities in France on Sici......, in the middle East, the Crusades, in Germany (the Hansatic League) and, finally, as far a field as the Danish West Indies. The book is part of a larger project that comprises other historical environments....

  17. Births: Final Data for 2012

    Science.gov (United States)

    ... characteristics. Data are presented for maternal age, live-birth order, race and Hispanic origin, marital status, attendant at ... and fertility rates are presented by age, live-birth order, race and Hispanic origin, and marital status. Selected ...

  18. Birth control - slow release methods

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007555.htm Birth control - slow release methods To use the sharing features on this page, please enable JavaScript. Certain birth control methods contain man-made forms of hormones. ...

  19. Smart cities of the future

    Science.gov (United States)

    Batty, M.; Axhausen, K. W.; Giannotti, F.; Pozdnoukhov, A.; Bazzani, A.; Wachowicz, M.; Ouzounis, G.; Portugali, Y.

    2012-11-01

    Here we sketch the rudiments of what constitutes a smart city which we define as a city in which ICT is merged with traditional infrastructures, coordinated and integrated using new digital technologies. We first sketch our vision defining seven goals which concern: developing a new understanding of urban problems; effective and feasible ways to coordinate urban technologies; models and methods for using urban data across spatial and temporal scales; developing new technologies for communication and dissemination; developing new forms of urban governance and organisation; defining critical problems relating to cities, transport, and energy; and identifying risk, uncertainty, and hazards in the smart city. To this, we add six research challenges: to relate the infrastructure of smart cities to their operational functioning and planning through management, control and optimisation; to explore the notion of the city as a laboratory for innovation; to provide portfolios of urban simulation which inform future designs; to develop technologies that ensure equity, fairness and realise a better quality of city life; to develop technologies that ensure informed participation and create shared knowledge for democratic city governance; and to ensure greater and more effective mobility and access to opportunities for urban populations. We begin by defining the state of the art, explaining the science of smart cities. We define six scenarios based on new cities badging themselves as smart, older cities regenerating themselves as smart, the development of science parks, tech cities, and technopoles focused on high technologies, the development of urban services using contemporary ICT, the use of ICT to develop new urban intelligence functions, and the development of online and mobile forms of participation. Seven project areas are then proposed: Integrated Databases for the Smart City, Sensing, Networking and the Impact of New Social Media, Modelling Network Performance

  20. INAA and ICP-MSHS: Metal pollutants in fish tissues Nile tilapia (Oreochromic niloticus) in Pampulha Lake, Belo Horizonte city, Minas, Gerais State, Brazil

    International Nuclear Information System (INIS)

    Veado, M.A.R.V.; Heeren, A.O.; Arantes, I.A.; Severo, M.I.; Grenier-Loustalot, M.F.; Cabaleiro, H.L.; Almeida, M.R.M.G.

    2005-01-01

    Intense mining activities in Minas Gerais State, Brazil. Iron Quadrangle, the central region of Minas Gerais State- Brazil, has important mineral reserves of Fe (the World's second largest iron ore producer), Mn, Cu, Sb, As, Au, Al, and U. The intense mining activities in Minas Gerais State throw out tons of waste in the open air, water, sediment and soil. The considerable accumulated concentrations of heavy metals and toxic elements penetrate the soil, underground waters, rivers, and lakes jeopardizing the environment quality. A great amount of heavy metals enter Pampulha Reservoir via it's main tributaries (Sarandi and Ressaca). Although no water quality classification has been carried out for these tributaries, the reservoir is expected to be in class 2 of the CONAMA-86 system. The Pampulha Lake is a depth of 8 m and an area of 43 km 2 , in a hot, humid climate with a summer rainy season, >18 degree C in the coldest months. A great number of persons use the water for fishing and swimming in the contaminated water. The figure l localizes the Pampulha Lake in Brazil. Instrumental Neutron Activation Analysis, INAA, and Inductively Coupled Plasma-Mass Spectrometry-High Resolution, ICP-MSHR, were applied to determine Al, As, B, Ba, Co, Cr, Cs, Cu, Fe, K, Mg, Mn, Mo, Na, P, Pb, Rb, Zn and Ti. Instrumental Neutron Activation Analysis - INAA is based in a simultaneous irradiation compareson between standard and studied samples in a nuclear reactor. The irradiation characteristics are chosen to determine the isotopes in the best conditions. In this work the INAA, was applied using the TRIGA MARK I IPR - Rl reactor at the Nuclear Technology Development Center from the National Committee of Nuclear Energy (CDTN/CNEN), in Belo Horizonte city, Minas Gerais State, Brazil. At 100 kW of potency the flux of neutrons is 6.6 1011 ri.cm -2 .s -l . After the necessary decay time for the interfering radioisotopes, the gamma spectrometry was applied in the high-purity germanium (HPGe

  1. Primate pelvic anatomy and implications for birth.

    Science.gov (United States)

    Trevathan, Wenda

    2015-03-05

    The pelvis performs two major functions for terrestrial mammals. It provides somewhat rigid support for muscles engaged in locomotion and, for females, it serves as the birth canal. The result for many species, and especially for encephalized primates, is an 'obstetric dilemma' whereby the neonate often has to negotiate a tight squeeze in order to be born. On top of what was probably a baseline of challenging birth, locomotor changes in the evolution of bipedalism in the human lineage resulted in an even more complex birth process. Negotiation of the bipedal pelvis requires a series of rotations, the end of which has the infant emerging from the birth canal facing the opposite direction from the mother. This pattern, strikingly different from what is typically seen in monkeys and apes, places a premium on having assistance at delivery. Recently reported observations of births in monkeys and apes are used to compare the process in human and non-human primates, highlighting similarities and differences. These include presentation (face, occiput anterior or posterior), internal and external rotation, use of the hands by mothers and infants, reliance on assistance, and the developmental state of the neonate. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

  2. Primate pelvic anatomy and implications for birth

    Science.gov (United States)

    Trevathan, Wenda

    2015-01-01

    The pelvis performs two major functions for terrestrial mammals. It provides somewhat rigid support for muscles engaged in locomotion and, for females, it serves as the birth canal. The result for many species, and especially for encephalized primates, is an ‘obstetric dilemma’ whereby the neonate often has to negotiate a tight squeeze in order to be born. On top of what was probably a baseline of challenging birth, locomotor changes in the evolution of bipedalism in the human lineage resulted in an even more complex birth process. Negotiation of the bipedal pelvis requires a series of rotations, the end of which has the infant emerging from the birth canal facing the opposite direction from the mother. This pattern, strikingly different from what is typically seen in monkeys and apes, places a premium on having assistance at delivery. Recently reported observations of births in monkeys and apes are used to compare the process in human and non-human primates, highlighting similarities and differences. These include presentation (face, occiput anterior or posterior), internal and external rotation, use of the hands by mothers and infants, reliance on assistance, and the developmental state of the neonate. PMID:25602069

  3. 77 FR 51101 - 60-Day Notice of Proposed Information Collection: Application for Consular Report of Birth Abroad...

    Science.gov (United States)

    2012-08-23

    ...: Application for Consular Report of Birth Abroad of a Citizen of the United States of America ACTION: Notice of... Collection: Application for Consular Report of Birth Abroad of a Citizen of the United States of America. OMB...-2029, Application for Consular Report of Birth Abroad of a Citizen of the United States of America, is...

  4. Geography of breast cancer incidence according to age & birth cohorts.

    Science.gov (United States)

    Gregorio, David I; Ford, Chandler; Samociuk, Holly

    2017-06-01

    Geographic variation in breast cancer incidence across Connecticut was examined according to age and birth cohort -specific groups. We assigned each of 60,937 incident breast cancer cases diagnosed in Connecticut, 1986-2009, to one of 828 census tracts around the state. Global and local spatial statistics estimated rate variation across the state according to age and birth cohorts. We found the global distribution of incidence rates across places to be more heterogeneous for younger women and later birth cohorts. Concurrently, the spatial scan identified more locations with significantly high rates that pertained to larger proportions of at-risk women within these groups. Geographic variation by age groups was more pronounced than by birth cohorts. Geographic patterns of cancer incidence exhibit differences within and across age and birth cohorts. With the continued insights from descriptive epidemiology, our capacity to effectively limit spatial disparities in cancer will improve. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Screening for spontaneous preterm birth

    NARCIS (Netherlands)

    van Os, M.A.; van Dam, A.J.E.M.

    2015-01-01

    Preterm birth is the most important cause of perinatal morbidity and mortality worldwide. In this thesis studies on spontaneous preterm birth are presented. The main objective was to investigate the predictive capacity of mid-trimester cervical length measurement for spontaneous preterm birth in a

  6. Analysis of Maternal and Child Health Indicators in an Area at Paraná State, Brazil

    Directory of Open Access Journals (Sweden)

    Emiliana Cristina Melo

    2013-01-01

    Full Text Available The aim of this study was to analyze maternal and child health indicators and infant mortality rate (IMR at the cities located at the 18th Health Division (HD in Parana State, Brazil. In this ecological study we analyzed all live births and infant deaths which occurred from 2000 to 2009 at the 18th HD, collecting data from the Mortality Information Database and the Live Births Information Database. The variables assessed were grouped into maternal, pregnancy and delivery, and neonatal variables. The analysis was conducted using the mean percentage of each variable and the IMR calculated for both periods: from 2000 to 2004 and from 2005 to 2009. The IMR was reduced considerably, following Brazil's and Paraná State's trend. Maternal indicators went down regarding the mean percentage of teenage mothers and low education, whereas they went up regarding mother with 35 years old or older and mothers without a partner. Pregnancy indicators showed increased prematurity and cesarean birth. Neonatal indicators raised in black/brown skin color and low birth weights percentages. This study provides a better understanding of maternal and child health in the cities located at the 18th HD, supplying grounds to plan actions regarding the real needs of each specific city.

  7. Analysis of maternal and child health indicators in an area at paraná state, Brazil.

    Science.gov (United States)

    Melo, Emiliana Cristina; Ribeiro, Ana Beatriz Guedes; de Oliveira, Rosana Rosseto; Zurita, Robsmeire Calvo Melo; Mathias, Thais Aidar de Freitas

    2013-01-01

    The aim of this study was to analyze maternal and child health indicators and infant mortality rate (IMR) at the cities located at the 18th Health Division (HD) in Parana State, Brazil. In this ecological study we analyzed all live births and infant deaths which occurred from 2000 to 2009 at the 18th HD, collecting data from the Mortality Information Database and the Live Births Information Database. The variables assessed were grouped into maternal, pregnancy and delivery, and neonatal variables. The analysis was conducted using the mean percentage of each variable and the IMR calculated for both periods: from 2000 to 2004 and from 2005 to 2009. The IMR was reduced considerably, following Brazil's and Paraná State's trend. Maternal indicators went down regarding the mean percentage of teenage mothers and low education, whereas they went up regarding mother with 35 years old or older and mothers without a partner. Pregnancy indicators showed increased prematurity and cesarean birth. Neonatal indicators raised in black/brown skin color and low birth weights percentages. This study provides a better understanding of maternal and child health in the cities located at the 18th HD, supplying grounds to plan actions regarding the real needs of each specific city.

  8. New Delhi Birth Cohort

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. New Delhi Birth Cohort. In childhood Less than 1% were obese (IOTF 30 kg/m2). Mean BMI SD ranged from –0.4 to –1.0 (CDC). At 26-32 years 10% were obese (BMI >30 kg/m2). ~50% overweight (BMI > 25 kg/m2);. ~65% overweight (BMI > 23 kg/m2). 10% had IGT.

  9. Sexual risk factors for HIV and violence among Puerto Rican women in New York City.

    Science.gov (United States)

    Moreno, Claudia L; Morrill, Allison C; El-Bassel, Nabila

    2011-05-01

    The authors examined sexual factors for HIV risk in 1,003 women of Puerto Rican heritage who attended a community-based NewYork City hospital clinic. Participants' ages ranged from 18 to 73 years. Half were born in the continental United States, and half were born in the Commonwealth of Puerto Rico. All were sexually active within the past 90 days with a male partner.The authors compared sociodemographic characteristics, experience of intimate partner violence (IPV), and HIV sexual risk factors (number of partners, history of sexually transmitted infections [STIs],condom use, and so on).Multiple regression analyses considering sociodemographic characteristics were a predictor for IPV and sexual risk behaviors. The authors found differences in sexual risk behaviors by place of birth (continental United States versus Commonwealth of Puerto Rico) and language chosen for the interview (Spanish or English).Puerto Rican women reported fewer sexual partners and STIs. Mainland-born and English-preference women reported more IPV, risky partners, and condom use. Birth in the continental United States and preference for English appear to be indicators of greater risk for IPV, risky sexual practices, and risky partners. HIV prevention intervention strategies for Puerto Rican women must address differences in heterosexual risk according to language and place of birth.

  10. State of the Art, Trends and Future of Bluetooth Low Energy, Near Field Communication and Visible Light Communication in the Development of Smart Cities.

    Science.gov (United States)

    Cerruela García, Gonzalo; Luque Ruiz, Irene; Gómez-Nieto, Miguel Ángel

    2016-11-23

    The current social impact of new technologies has produced major changes in all areas of society, creating the concept of a smart city supported by an electronic infrastructure, telecommunications and information technology. This paper presents a review of Bluetooth Low Energy (BLE), Near Field Communication (NFC) and Visible Light Communication (VLC) and their use and influence within different areas of the development of the smart city. The document also presents a review of Big Data Solutions for the management of information and the extraction of knowledge in an environment where things are connected by an "Internet of Things" (IoT) network. Lastly, we present how these technologies can be combined together to benefit the development of the smart city.

  11. Birth defects surveillance in China.

    Science.gov (United States)

    Dai, Li; Zhu, Jun; Liang, Juan; Wang, Yan-Ping; Wang, He; Mao, Meng

    2011-11-01

    Birth defects are a global public health problem because of their large contribution to infant mortalities and disabilities. It is estimated that 4%-6% of Chinese newborns are affected by birth defects every year. Surveillance is a basic approach to understanding the occurrence and associated factors of birth defects. The Ministry of Health of China initiated a national hospital-based birth defects monitoring system 20 years ago. Nearly every province in this country has established its own surveillance system in the past. The authors reviewed the result of the monitoring system at different administrative levels in China. Available publications on the surveillance of birth defects and data from national and provincial birth defects surveillance systems were reviewed to evaluate the effectiveness of the surveillance systems. According to the 2009 data, the national hospital-based birth defects surveillance system monitored over 1.3 million births, which accounted for more than 8% of births in China. In addition, 30 provincial hospital-based surveillance programs covered a birth population of more than 3.6 million (22% of births in China). Great achievements have been made in terms of case ascertainment, data quality control, and online reporting. But the surveillance systems in China still have some limitations. A short ascertainment period may miss some internal anomalies, inherited metabolic diseases, and malformed fetus aborted before the 28th gestational week. Discrepancies in antenatal or postnatal diagnosis of birth defects between surveillance institutes may affect the detection rate and introduce biases. Absence of baseline data and lack of integrated database systems limit the application of surveillance data to etiological studies and affect the process of decision-making. The surveillance system for birth defects is prerequisite to propose, conduct and assess any interventions for the disease. To meet the need of study and prevention of birth defects

  12. Partnership Opportunities In Earth System Science Education Between Historically Black and Historically White Universities: Elizabeth City State University and the University of New Hampshire

    Science.gov (United States)

    Williams, J. E.; Hayden, L. B.; Wake, C. P.; Varner, R. K.; Graham, K.; Rock, B. N.; Hale, S.; Hurtt, G. C.; Porter, W.; Blackmon, R.; Bryce, J. G.; Branch, B. D.; Johnson, J. E.

    2009-12-01

    Federal efforts to promote the participation of underrepresented students in the science, technology, engineering and mathematics disciplines (STEM) in higher education have been in effect over several decades. The Science and Engineering Equal Opportunities Act of 1980 aimed to create equal opportunity in the STEM disciplines by promoting and broadening the participation of underrepresented talent in science and engineering. Since that time, federal agencies such as the National Science Foundation, NOAA and NASA, scientific organizations such as the American Geophysical Union, and other organizations such as the Educational Testing Service have created programs, diversity plans and cutting edge reports designed to further explicate the need to broaden the participation of underrepresented student talent in these disciplines. Despite increases in the degrees awarded to underrepresented students in the STEM disciplines, enhancing diversity in these disciplines continues to remain a significant challenge. This paper describes a strategic approach to this challenge via the development of a collaborative partnership model between two universities: the historically black Elizabeth City State University (ESCU) and the historically white University of New Hampshire (UNH). The alliance, built on a mutually-agreed upon set of partnership principles, strives to enhance opportunities for underrepresented students to pursue careers in STEM disciplines, specifically those in Earth system science and remote sensing. In examining the partnership, six promising practices that help advance its success come to the forefront. These practices include institutional commitment and faculty engagement, mutual respect and shared time commitment, identifying engaged leadership, engaging critical change agents, initiating difficult dialogues, and preparing for growth and evolution. Outcomes of the partnership to date include the successful submission and funding of four collaborative

  13. Enteroparasitas em alfaces (Lactuca sativa comercializadas na cidade de Guarapuava (PR / Enteroparasites on commercial lettuce (Lactuca sativa in Guarapuava City, Paraná State

    Directory of Open Access Journals (Sweden)

    Silvia Cristina Osaki

    2010-08-01

    Full Text Available O consumo de hortaliças cruas constitui importante meio de transmissão de enteroparasitoses. O objetivo deste trabalho foi avaliar a contaminação parasitária em alfaces (Lactuca sativa comercializadas na cidade de Guarapuava (PR. No período de julho/2005 a junho/2006, 52 supermercados foram visitados, com colheita de um pé de alface. A análise parasitológica foi realizada após duas lavagens, filtragem em gaze e sedimentação. O sedimento, corado pelo lugol, foi analisado microscopicamente por exame direto e após centrífugo-flutuação em sulfato de zinco. Das 52 amostras de alface avaliadas, 18 (34,6% apresentaram uma ou mais estruturas parasitárias como cistos de Giardia spp. (7,7%, de Entamoeba spp. (11,5% e de Balantidium coli (3,8%, oocistos de coccídios (7,7% e ovos de Capillaria spp. (3,8%. Esse alto número de amostras contaminadas aponta deficiências na cadeia produtiva dessas hortaliças, indicando a necessidade de adequada higienização antes de seu consumo. AbstractThe ingestion of raw vegetables is an important mode of enteroparasites transmission. The aim of this study was to evaluate the parasitological contamination of lettuce (Lactuca sativa commercialized in Guarapuava City, Parana State. Fifty-two samples of lettuce were collected from supermarkets during the period of July 2005 and June 2006. Parasitological analysis was realized by the sedimentation technique. Lugol-stained sediments were microscopically analyzed by direct exam and after centrifugation-fluctuation in zinc sulfate. A total of 18 out of 52 lettuce samples analyzed (34.6% were positive for one or more parasitic structures. The parasites found in the analysis were Giardia spp. (7.7%, Entamoeba spp. (11.5%, Balantidium coli (3.8%, coccidian oocysts (7.7% and Capillaria spp. eggs (3.8%. Such high occurrence of contaminated samples revealed deficiencies in the chain of lettuce cultivation, which suggests a need for improvement in the current

  14. Comparação da mortalidade neonatal em recém-nascidos de muito baixo peso ao nascimento, em maternidades do Município do Rio de Janeiro, Brasil Comparison of neonatal mortality in very low birth weight newborns at maternity hospitals in the city of Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    José Luiz Muniz Bandeira Duarte

    2005-10-01

    Full Text Available Foi realizada a comparação das taxas de mortalidade neonatal em quatro maternidades do Município do Rio de Janeiro, Brasil. A população estudada foi de recém-nascidos com peso inferior a 1.500g. O instrumento utilizado foi um questionário com dados informados pela mãe e o prontuário médico. Foram calculados, para cada instituição, as Razões Padronizadas de Mortalidade (RPM com o método direto e indireto, tendo como padrão a distribuição por peso do National Institute of Child Health and Human Development Neonatal Research. A amostra final apresentou 487 recém-nascidos. As padronizações pelo método direto e indireto mostraram elevadas taxas de mortalidade em todas as instituições; as que apresentaram a maior quantidade de recém-nascidos nas faixas com os menores pesos, foram aquelas que mostraram os menores valores de RPM. A menor razão de mortalidade por faixa de peso foi encontrada na faixa de peso entre 500 e 749g. Os resultados da RPM estão inversamente associados ao quantitativo populacional de recém-nascidos nas faixas com os menores pesos. Os coeficientes de mortalidade mostraram taxas altas, principalmente nas faixas de peso mais elevados. Os resultados apontam para uma qualidade deficiente na atenção perinatal.This study was a comparison of neonatal mortality rates in four maternity hospitals in the city of Rio de Janeiro, Brazil. The study population consisted of newborns with birth weight below 1,500g. The research instrument was a questionnaire with data reported by the mother and collected from the patient record. For each maternity hospital the standardized mortality ratio (SMR was calculated using the direct and indirect method, using the weight distribution of the National Institute of Child Health and Human Development Neonatal Research as the standard. The final sample consisted of 487 newborns. Standardizations by the direct and indirect method showed high mortality rates in all four institutions

  15. Learning Cities as Healthy Green Cities: Building Sustainable Opportunity Cities

    Science.gov (United States)

    Kearns, Peter

    2012-01-01

    This paper discusses a new generation of learning cities we have called EcCoWell cities (Economy, Community, Well-being). The paper was prepared for the PASCAL International Exchanges (PIE) and is based on international experiences with PIE and developments in some cities. The paper argues for more holistic and integrated development so that…

  16. Dietary patterns in pregnancy and birth weight.

    Science.gov (United States)

    Coelho, Natália de Lima Pereira; Cunha, Diana Barbosa; Esteves, Ana Paula Pereira; Lacerda, Elisa Maria de Aquino; Theme Filha, Mariza Miranda

    2015-01-01

    OBJECTIVE To analyze if dietary patterns during the third gestational trimester are associated with birth weight.METHODS Longitudinal study conducted in the cities of Petropolis and Queimados, Rio de Janeiro (RJ), Southeastern Brazil, between 2007 and 2008. We analyzed data from the first and second follow-up wave of a prospective cohort. Food consumption of 1,298 pregnant women was assessed using a semi-quantitative questionnaire about food frequency. Dietary patterns were obtained by exploratory factor analysis, using the Varimax rotation method. We also applied the multivariate linear regression model to estimate the association between food consumption patterns and birth weight.RESULTS Four patterns of consumption - which explain 36.4% of the variability - were identified and divided as follows: (1) prudent pattern (milk, yogurt, cheese, fruit and fresh-fruit juice, cracker, and chicken/beef/fish/liver), which explained 14.9% of the consumption; (2) traditional pattern, consisting of beans, rice, vegetables, breads, butter/margarine and sugar, which explained 8.8% of the variation in consumption; (3) Western pattern (potato/cassava/yams, macaroni, flour/farofa/grits, pizza/hamburger/deep fried pastries, soft drinks/cool drinks and pork/sausages/egg), which accounts for 6.9% of the variance; and (4) snack pattern (sandwich cookie, salty snacks, chocolate, and chocolate drink mix), which explains 5.7% of the consumption variability. The snack dietary pattern was positively associated with birth weight (β = 56.64; p = 0.04) in pregnant adolescents.CONCLUSIONS For pregnant adolescents, the greater the adherence to snack pattern during pregnancy, the greater the baby's birth weight.

  17. Dietary patterns in pregnancy and birth weight

    Directory of Open Access Journals (Sweden)

    Natália de Lima Pereira Coelho

    2015-01-01

    Full Text Available OBJECTIVE To analyze if dietary patterns during the third gestational trimester are associated with birth weight.METHODS Longitudinal study conducted in the cities of Petropolis and Queimados, Rio de Janeiro (RJ, Southeastern Brazil, between 2007 and 2008. We analyzed data from the first and second follow-up wave of a prospective cohort. Food consumption of 1,298 pregnant women was assessed using a semi-quantitative questionnaire about food frequency. Dietary patterns were obtained by exploratory factor analysis, using the Varimax rotation method. We also applied the multivariate linear regression model to estimate the association between food consumption patterns and birth weight.RESULTS Four patterns of consumption – which explain 36.4% of the variability – were identified and divided as follows: (1 prudent pattern (milk, yogurt, cheese, fruit and fresh-fruit juice, cracker, and chicken/beef/fish/liver, which explained 14.9% of the consumption; (2 traditional pattern, consisting of beans, rice, vegetables, breads, butter/margarine and sugar, which explained 8.8% of the variation in consumption; (3 Western pattern (potato/cassava/yams, macaroni, flour/farofa/grits, pizza/hamburger/deep fried pastries, soft drinks/cool drinks and pork/sausages/egg, which accounts for 6.9% of the variance; and (4 snack pattern (sandwich cookie, salty snacks, chocolate, and chocolate drink mix, which explains 5.7% of the consumption variability. The snack dietary pattern was positively associated with birth weight (β = 56.64; p = 0.04 in pregnant adolescents.CONCLUSIONS For pregnant adolescents, the greater the adherence to snack pattern during pregnancy, the greater the baby’s birth weight.

  18. Branding Cities, Changing Societies

    DEFF Research Database (Denmark)

    Ooi, Can-Seng

    Societal changes are seldom discussed in the literature on city branding. The time element is important because it highlights the fluctuating reality of society. The city brand message freezes the place but in fact, the city branding exercise is a continuous process. Society emerges too. City...... brands are supposed to accentuate the uniqueness of the city, be built from the bottom-up and reflect the city's identity. This paper highlights three paradoxes, pointing out that city branding processes can also make cities more alike, bring about societal changes and forge new city identities. A city...... branding campaign does not just present the city, it may change the city. The relationships between the branding exercise and the city are intertwined in the evolution of the place....

  19. Branding Cities, Changing Societies

    DEFF Research Database (Denmark)

    Ooi, Can-Seng

    brands are supposed to accentuate the uniqueness of the city, be built from the bottom-up and reflect the city's identity. This paper highlights three paradoxes, pointing out that city branding processes can also make cities more alike, bring about societal changes and forge new city identities. A city......Societal changes are seldom discussed in the literature on city branding. The time element is important because it highlights the fluctuating reality of society. The city brand message freezes the place but in fact, the city branding exercise is a continuous process. Society emerges too. City...... branding campaign does not just present the city, it may change the city. The relationships between the branding exercise and the city are intertwined in the evolution of the place....

  20. 22 CFR 50.5 - Application for registration of birth abroad.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Application for registration of birth abroad... for registration of birth abroad. Upon application by the parent(s) or the child's legal guardian, a... Consular Report of Birth Abroad of a Citizen of the United States of America for a child born in their...

  1. Birth Outcomes across Three Rural-Urban Typologies in the Finger Lakes Region of New York

    Science.gov (United States)

    Strutz, Kelly L.; Dozier, Ann M.; van Wijngaarden, Edwin; Glantz, J. Christopher

    2012-01-01

    Purpose: The study is a descriptive, population-based analysis of birth outcomes in the New York State Finger Lakes region designed to determine whether perinatal outcomes differed across 3 rural typologies. Methods: Hospital birth data for the Finger Lakes region from 2006 to 2007 were used to identify births classified as low birthweight (LBW),…

  2. Biennial Survey of Education in the United States, 1932-1934. Bulletin, 1935, No. 2. Chapter III: Statistics of City School Systems, 1933-34

    Science.gov (United States)

    Foster, Emery M.; Herlihy, Lester B.; Comstock, Lula M.; Isdell, Julia E.; Choate, Blache K.; Smith, Rose Marie; Deffenbaugh, Walter S.

    1936-01-01

    This report presents statistics of city public-school systems for the year 1933-34. It also presents, in connection with the text, data on certain points to show trends within the past 10 years, and especially within the past 4 years when the effects of the depression were being felt by the schools. In previous reports statistics for cities…

  3. Continued urbanization of the United States is causing the deterioration of the central city; costly suburban developments; and increases in congestion, pollution, crime, violence and alienation

    Science.gov (United States)

    1975-01-01

    It is shown that urban sprawl and the abuses of technological industries result in substantial environmental and economic costs at the expense of center city locations and populations. Socioeconomic deterioration and modification of the biosphere triggers climatic and environmental changes leading to ecosystem damage and destruction, health consequences and international conflict.

  4. No Room for the Inn. A Report on Local Opposition to Housing and Social Services Facilities for Homeless People in 36 United States Cities.

    Science.gov (United States)

    National Law Center on Homelessness and Poverty, Washington, DC.

    In December 1994 the National Law Center on Homelessness and Poverty published an analysis of antihomeless laws and policies in 42 American cities. This report draws on those findings to focus on attempts to shut down or exclude service providers. Searches of the media, telephone interviews with service providers and public interest groups and…

  5. Smart City project

    KAUST Repository

    Al Harbi, Ayman

    2018-01-24

    A \\'smart city\\' is an urban region that is highly advanced in terms of overall infrastructure, sustainable real estate, communications and market viability. It is a city where information technology is the principal infrastructure and the basis for providing essential services to residents. Yanbu Industrial City- Smart City Project - First large scale smart city in The kingdom.

  6. Levantamento etnobotânico de plantas medicinais na cidade de Ipameri - GO Ethnobotanical survey of medicinal plants in Ipameri City - Goiás State

    Directory of Open Access Journals (Sweden)

    M.R. Zucchi

    2013-01-01

    of these plants; and to diagnose the gender profile and the age and wage ranges of users. Thus, structured interviews were conducted with 200 families in the city and plants were collected for their correct identification. The material was herborized, identified and deposited in the Herbarium of "Universidade Estadual de Goiás" (HUEG. Of the 200 families interviewed, 75 said they did not make use of plants for medicinal purposes (37.5%, while 125 said they do use them (62.5%. The latter group reported the 35 most used species: "hortelã-rasteira" (Mentha x villosa L., "boldo-sete-dores" (Plectranthus barbatus Andrews., lemon grass (Cymbopogon citratus (DC. Stapf., "quebra-pedra" (Phyllanthus niruri L., chamomile (Chamomilla recutita (L. Rauschert., pennyroyal (Mentha pulegium L., guaco (Mikania glomerata Spreng., mentrasto (Ageratum conyzoides L., clove basil (Ocimum gratissimum L., wormwood (Artemisia canphorata Vill., balm (Eysenhardtia platycarpa Mich., broom (Baccharis trimera (Less. DC., fennel (Foeniculum vulgare Mill., aloe (Aloe vera L. and mallow (Althaea officinalis L.. All consumer families (100% stated to prefer plants grown organically, to select the plants based on their good appearance (68% families and to eat them in natura (unprocessed, 100%. The use of medicinal plants in Ipameri is independent of gender (54% womem and 46% men and extends to several age and socioeconomic ranges, configuring thus a good consumer market.

  7. Criminal victimization in childhood and adolescence according to official records: the Pelotas (Brazil) birth cohort study.

    Science.gov (United States)

    Gallo, Erika Alejandra Giraldo; Menezes, Ana Maria B; Murray, Joseph; Silva, Luciana Anselmi Duarte da; Wehrmeister, Fernando César; Gonçalves, Helen; Barros, Fernando

    2016-08-29

    This article describes different types of officially recorded victimization among 5,249 children in the 1993 birth cohort in the city of Pelotas, Rio Grande do Sul State, Brazil. Official data were obtained from the Secretariat for Public Security and the Special Court for Children and Youth. Victimization was registered for in 1,150 cohort members, with 1,396 incidents recorded as of December 31, 2012. The total incidence of victimization was 15.7 ocorrences per 1,000 person-years, with the majority involving violent victimization (12.7 per 1,000 person-years). Victimization increased gradually in childhood and rapidly throughout adolescence. The highest incidence rates were among females (p crimes against personal freedom; non-violent victimization mainly involved theft. Studies like this help identify lifetime risk and protective factors for victimization, highlighting the importance of surveillance and control measures against violence.

  8. India's Conditional Cash Transfer Programme (the JSY to Promote Institutional Birth: Is There an Association between Institutional Birth Proportion and Maternal Mortality?

    Directory of Open Access Journals (Sweden)

    Bharat Randive

    Full Text Available India accounts for 19% of global maternal deaths, three-quarters of which come from nine states. In 2005, India launched a conditional cash transfer (CCT programme, Janani Suraksha Yojana (JSY, to reduce maternal mortality ratio (MMR through promotion of institutional births. JSY is the largest CCT in the world. In the nine states with relatively lower socioeconomic levels, JSY provides a cash incentive to all women on birthing in health institution. The cash incentive is intended to reduce financial barriers to accessing institutional care for delivery. Increased institutional births are expected to reduce MMR. Thus, JSY is expected to (a increase institutional births and (b reduce MMR in states with high proportions of institutional births. We examine the association between (a service uptake, i.e., institutional birth proportions and (b health outcome, i.e., MMR.Data from Sample Registration Survey of India were analysed to describe trends in proportion of institutional births before (2005 and during (2006-2010 the implementation of the JSY. Data from Annual Health Survey (2010-2011 for all 284 districts in above- mentioned nine states were analysed to assess relationship between MMR and institutional births.Proportion of institutional births increased from a pre-programme average of 20% to 49% in 5 years (p<0.05. In bivariate analysis, proportion of institutional births had a small negative correlation with district MMR (r = -0.11.The multivariate regression model did not establish significant association between institutional birth proportions and MMR [CI: -0.10, 0.68].Our analysis confirmed that JSY succeeded in raising institutional births significantly. However, we were unable to detect a significant association between institutional birth proportion and MMR. This indicates that high institutional birth proportions that JSY has achieved are of themselves inadequate to reduce MMR. Other factors including improved quality of care at

  9. City Revenues and Expenses

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — City Revenues and Expenses from the Operating Budget from 2012 to Present, updated every night from the City's JD Edwards ledger.

  10. Pittsburgh City Facilities

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Pittsburgh City FacilitiesIncludes: City Administrative Buildings, Police Stations, Fire Stations, EMS Stations, DPW Sites, Senior Centers, Recreation Centers, Pool...

  11. Birth weight and stuttering: Evidence from three birth cohorts.

    Science.gov (United States)

    McAllister, Jan; Collier, Jacqueline

    2014-03-01

    Previous studies have produced conflicting results with regard to the association between birth weight and developmental stuttering. This study sought to determine whether birth weight was associated with childhood and/or adolescent stuttering in three British birth cohort samples. Logistic regression analyses were carried out on data from the Millenium Cohort Study (MCS), British Cohort Study (BCS70) and National Child Development Study (NCDS), whose initial cohorts comprised over 56,000 individuals. The outcome variables were parent-reported stuttering in childhood or in adolescence; the predictors, based on prior research, were birth weight, sex, multiple birth status, vocabulary score and mother's level of education. Birth weight was analysed both as a categorical variable (low birth weight, stuttering during childhood (age 3, 5 and 7 and MCS, BCS70 and NCDS, respectively) or at age 16, when developmental stuttering is likely to be persistent. None of the multivariate analyses revealed an association between birth weight and parent-reported stuttering. Sex was a significant predictor of stuttering in all the analyses, with males 1.6-3.6 times more likely than females to stutter. Our results suggest that birth weight is not a clinically useful predictor of childhood or persistent stuttering. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. The Birth of Matter

    CERN Multimedia

    2005-01-01

    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create 'cosmic music'. The fourth lecture in the series, entitled 'The Birth of Matter', will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Auditorium...

  13. The Birth of Matter

    CERN Multimedia

    2005-01-01

    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create "cosmic music". The fourth lecture in the series, entitled "The Birth of Matter", will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Audito...

  14. Extinction probability in a birth-death process with killing

    NARCIS (Netherlands)

    van Doorn, Erik A.; Zeifman, Alexander I.

    2005-01-01

    We study birth-death processes on the nonnegative integers, where {1,2,...} is an irreducible class and 0 an absorbing state, with the additional feature that a transition to state 0 may occur from any state. We give a condition for absorption (extinction) to be certain and obtain the eventual

  15. Extinction probability in a birth-death process with killing

    NARCIS (Netherlands)

    van Doorn, Erik A.; Zeifman, A.I.

    2004-01-01

    We study birth-death processes on the non-negative integers where $\\{1,2,\\ldots\\}$ is an irreducible class and $0$ an absorbing state, with the additional feature that a transition to state $0$ may occur from any state. We give a condition for absorption (extinction) to be certain and obtain the

  16. The Tobacco Industry’s Role in the 16 Cities Study of Secondhand Tobacco Smoke: Do the Data Support the Stated Conclusions?

    Science.gov (United States)

    Barnes, Richard L.; Hammond, S. Katharine; Glantz, Stanton A.

    2006-01-01

    Background Since 1996, the tobacco industry has used the 16 Cities Study conclusions that workplace secondhand tobacco smoke (SHS) exposures are lower than home exposures to argue that workplace and other smoking restrictions are unnecessary. Objectives Our goal was to determine the origins and objectives of the 16 Cities Study through analysis of internal tobacco industry documents and regulatory agency and court records, and to evaluate the validity of the study’s conclusions. Results The tobacco industry’s purpose in conducting the 16 Cities Study was to develop data showing that workplace SHS exposures were negligible, using these data to stop smoking restrictions by the U.S. Occupational Safety and Health Administration. The extensive involvement of R.J. Reynolds Tobacco Company and the tobacco industry’s Center for Indoor Air Research in controlling the study was not fully disclosed. The study’s definition of “smoking workplace” included workplaces where smoking was restricted to designated areas or where no smoking was observed. This definition substantially reduced the study’s reported average SHS concentrations in “smoking workplaces” because SHS levels in unrestricted smoking workplaces are much greater than in workplaces with designated smoking areas or where no smoking occurred. Stratifying the data by home smoking status and comparing exposures by workplace smoking status, however, indicates that smoke-free workplaces would halve the total SHS exposure of those living with smokers and virtually eliminate SHS exposure for most others. Conclusions Data in the 16 Cities Study reveal that smoke-free workplaces would dramatically reduce total SHS exposure, providing significant worker and public health benefits. PMID:17185281

  17. City Development Strategy for Can Tho

    OpenAIRE

    National Institute for Urban and Rural Planning

    2012-01-01

    This report, City Development Strategy for Can Tho, was completed to portray the long term development strategy for the city of Can Tho in the Republic of Vietnam. The report states that within the next 20 years, Can Tho city will be a dynamic development for the whole Mekong Delta Region. As a centerpiece of the Mekong delta region, the southern part of Vietnam and the adjacent internatio...

  18. The birth of joseph gabriel.

    Science.gov (United States)

    Cantine, Anne Touhill

    2013-01-01

    In this column, a mother shares the story of the birth of her first child. With confidence in the process of birth and in her ability to give birth, and with the support, confidence, and encouragement of her mother and sisters, Anne manages to cope with strong contractions through a busy day. Finally, her husband realizes how fast labor is progressing. Baby Joseph was born less than 2 hours after arrival at the hospital.

  19. Roentgenodiagnosis of vertebrae birth injury

    International Nuclear Information System (INIS)

    Mikhajlov, M.K.

    1983-01-01

    Birth injuries of vertebrae and spinal cord is the new problem of child neutropathology. Basic roentgenological symptoms of birth injuries of vertebrae and spinal cord of different localizations have been described for the first time. These data are compared with neurological, electrophysiological, and Morphological data, that enables not only to describe each symptom, but also to evaluate its clinical significance. Roeptgenological classification of birth injuries of vertebrae and spinal cord in children is suggested

  20. Ethics and professional responsibility: Essential dimensions of planned home birth.

    Science.gov (United States)

    McCullough, Laurence B; Grünebaum, Amos; Arabin, Birgit; Brent, Robert L; Levene, Malcolm I; Chervenak, Frank A

    2016-06-01

    Planned home birth is a paradigmatic case study of the importance of ethics and professionalism in contemporary perinatology. In this article we provide a summary of recent analyses of the Centers for Disease Control database on attendants and birth outcomes in the United States. This summary documents the increased risks of neonatal mortality and morbidity of planned home birth as well as bias in Apgar scoring. We then describe the professional responsibility model of obstetric ethics, which is based on the professional medical ethics of two major figures in the history of medical ethics, Drs. John Gregory of Scotland and Thomas Percival of England. This model emphasizes the identification and careful balancing of the perinatologist's ethical obligations to pregnant, fetal, and neonatal patients. This model stands in sharp contrast to one-dimensional maternal-rights-based reductionist model of obstetric ethics, which is based solely on the pregnant woman's rights. We then identify the implications of the professional responsibility model for the perinatologist's role in directive counseling of women who express an interest in or ask about planned home birth. Perinatologists should explain the evidence of the increased, preventable perinatal risks of planned home birth, recommend against it, and recommend planned hospital birth. Perinatologists have the professional responsibility to create and sustain a strong culture of safety committed to a home-birth-like experience in the hospital. By routinely fulfilling these professional responsibilities perinatologists can help to prevent the documented, increased risks planned home birth. Copyright © 2016 Elsevier Inc. All rights reserved.