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  1. Seismic ground motion and hazard assessment of the Greater Accra Metropolitan Area, southeastern Ghana

    International Nuclear Information System (INIS)

    Amponsah, P.E.; Banoeng-Yakubo, B.K.; Asiedu, D.; Vaccari, F.; Panza, G.F.

    2008-08-01

    The seismic ground motion of the Greater Accra Metropolitan area has been computed and the hazard zones assessed using a deterministic hybrid approach based on the modal summation and finite difference methods. The seismic ground motion along four profiles located in the Greater Accra Metropolitan Area has been modelled using the 1939 earthquake of magnitude 6.5(M L ) as the scenario earthquake. Synthetic seismic waveforms from which parameters for engineering design such as peak ground acceleration, velocity and spectral amplifications have been produced along the geological cross sections. From the seismograms computed, the seismic hazard of the metropolis, expressed in terms of peak ground acceleration and peak ground velocity have been estimated. The peak ground acceleration estimated in the study ranges from 0.14 - 0.57 g and the peak ground velocity from 9.2 - 37.1cms -1 . The presence of low velocity sediments gave rise to high peak values and amplifications. The maximum peak ground accelerations estimated are located in areas with low velocity formations such as colluvium, continental and marine deposits. Areas in the metropolis underlain by unconsolidated sediments have been classified as the maximum damage potential zone and those underlain by highly consolidated geological materials are classified as low damage potential zone. The results of the numerical simulation have been extended to all areas in the metropolis with similar geological formation. (author)

  2. Vs30 mapping at selected sites within the Greater Accra Metropolitan Area

    Science.gov (United States)

    Nortey, Grace; Armah, Thomas K.; Amponsah, Paulina

    2018-06-01

    A large part of Accra is underlain by a complex distribution of shallow soft soils. Within seismically active zones, these soils hold the most potential to significantly amplify seismic waves and cause severe damage, especially to structures sited on soils lacking sufficient stiffness. This paper presents preliminary site classification for the Greater Accra Metropolitan Area of Ghana (GAMA), using experimental data from two-dimensional (2-D) Multichannel Analysis of Surface Wave (MASW) technique. The dispersive characteristics of fundamental mode Rayleigh type surface waves were utilized for imaging the shallow subsurface layers (approx. up to 30 m depth) by estimating the 1D (depth) and 2D (depth and surface location) shear wave velocities at 5 selected sites. The average shear wave velocity for 30 m depth (Vs30), which is critical in evaluating the site response of the upper 30 m, was estimated and used for the preliminary site classification of the GAM area, as per NEHRP (National Earthquake Hazards Reduction Program). Based on the Vs30 values obtained in the study, two common site types C, and D corresponding to shallow (>6 m Lower velocity profiles are inferred for the residual soils (sandy to silty clays), derived from the Accraian Formation that lies mainly within Accra central. Stiffer soil sites lie to the north of Accra, and to the west near Nyanyano. The seismic response characteristics over the residual soils in the GAMA have become apparent using the MASW technique. An extensive site effect map and a more robust probabilistic seismic hazard analysis can now be efficiently built for the metropolis, by considering the site classes and design parameters obtained from this study.

  3. Seismological and geological investigation for earthquake hazard in the Greater Accra Metropolitan Area

    International Nuclear Information System (INIS)

    Doku, M. S.

    2013-07-01

    A seismological and geological investigation for earthquake hazard in the Greater Accra Metropolitan Area was undertaken. The research was aimed at employing a methematical model to estimate the seismic stress for the study area by generating a complete, unified and harmonized earthquake catalogue spanning 1615 to 2012. Seismic events were souced from Leydecker, G. and P. Amponsah, (1986), Ambraseys and Adams, (1986), Amponsah (2008), Geological Survey Department, Accra, Ghana, Amponsah (2002), National Earthquake Information Service, United States Geological Survey, Denver, Colorado 80225, USA, the International Seismological Centre and the National Data Centre of the Ghana Atomic Energy Commission. Events occurring in the study area were used to create and Epicentral Intensity Map and a seismicity map of the study area after interpolation of missing seismic magnitudes. The least square method and the maximum likelihood estimation method were employed to evaluate b-values of 0.6 and 0.9 respectively for the study area. A thematic map of epicentral intensity superimposed on the geology of the study area was also developed to help understand the relationship between the virtually fractured, jointed and sheared geology and the seismic events. The results obtained are indicative of the fact that the stress level of GAMA has a telling effect on its seismicity and also the events are prevalents at fractured, jointed and sheared zones. (au)

  4. Myiasis in Dogs in the Greater Accra Region of Ghana.

    Science.gov (United States)

    Johnson, Sherry A M; Gakuya, Daniel W; Mbuthia, Paul G; Mande, John D; Afakye, Kofi; Maingi, Ndichu

    2016-01-01

    Myiasis is the infestation of tissues of live vertebrate animals and humans with dipterous larvae. In sub-Saharan Africa, Cordylobia anthropohaga and Cordylobia rodhaini are known to be responsible for cutaneous myiasis in animals and humans. Human cases of myiasis, purportedly acquired in Ghana but diagnosed in other countries, have been reported; however, published data on its occurrence in animals in Ghana is unavailable. This study assessed the prevalence of canine myiasis among owned dogs in the Greater Accra region (GAR) of Ghana. A cross-sectional study was conducted in the Greater Accra region of Ghana, selected for being the region with the highest estimated population density of owned dogs. Physical examination and demographic characteristics of the study dogs were assessed. Management of the dogs was assessed through a questionnaire administered to the dog owners. A total of 392 owned dogs were sampled. Twenty-nine (7.4%) had cutaneous myiasis caused by C. rodhaini. In addition, one (0.2%) of the dogs had intestinal myiasis, with Dermatobia hominis as the offending larvae. Among the breeds of dogs with myiasis, the mongrel was most affected, with 24 (82.8%) out of the 29 cases. The mongrels, majority of which (24; 82.8%) were males, were left to roam freely in the community. Results from this study demonstrate that C. rodhaini and D. hominis are important causes of myiasis in owned dogs in the GAR of Ghana. Dogs could play a role in the spread of myiasis to humans, with its attendant public health implications.

  5. Epidemiological link of a major cholera outbreak in Greater Accra region of Ghana, 2014.

    Science.gov (United States)

    Ohene-Adjei, Kennedy; Kenu, Ernest; Bandoh, Delia Akosua; Addo, Prince Nii Ossah; Noora, Charles Lwanga; Nortey, Priscillia; Afari, Edwin Andrew

    2017-10-11

    Cholera remains an important public health challenge globally. Several pandemics have occurred in different parts of the world and have been epidemiologically linked by different researchers to illustrate how the cases were spread and how they were related to index cases. Even though the risk factors associated with the 2014 cholera outbreak were investigated extensively, the link between index cases and the source of infection was not investigated to help break the transmission process. This study sought to show how the index cases from various districts of the Greater Accra Region may have been linked. We carried out a descriptive cross sectional study to investigate the epidemiological link of the 2014 cholera outbreak in the Greater Accra region of Ghana. An extensive review of all district records on cholera cases in the Greater Accra region was carried out. Index cases were identified with the help of line lists. Univariate analyses were expressed as frequency distributions, percentages, mean ± Standard Deviation, and rates (attack rates, case-fatality rates etc.) as appropriate. Maps were drawn using Arc GIS and Epi info software to describe the pattern of transmission. Up to 20,199 cholera cases were recorded. Sixty percent of the cases were between 20 and 40 years and about 58% (11,694) of the total cases were males. Almost 50% of the cases occurred in the Accra Metro district. Two-thirds of the index cases ate food prepared outside their home and had visited the Accra Metropolis. The 2014 cholera outbreak can be described as a propagated source outbreak linked to the Accra Metropolis. The link between index cases and the source of infection, if investigated earlier could have helped break the transmission process. Such investigations also inform decision-making about the appropriate interventions to be instituted to prevent subsequent outbreaks.

  6. Environment, wealth, inequality and the burden of disease in the Accra metropolitan area, Ghana.

    Science.gov (United States)

    Boadi, Kwasi Owusu; Kuitunen, Markku

    2005-06-01

    The study examines environmental problems and adverse impacts on the health of urban households in the Accra metropolitan area, Ghana. Accra is faced with severe inadequacy of urban infrastructure in the face of rapid population growth in the metropolis. More than half of the city's population do not have access to solid waste collection services. Only 39.8% of households have indoor pipe and over 35.0% of households depend on unsanitary public latrines whilst 2.5% do not have access to toilet facilities. Human excrement, garbage and wastewater are usually deposited in surface drains, open spaces and streams in poor neighbourhoods. The resultant poor sanitation has serious health impacts as more than half of reported diseases are related to poor environmental sanitation. The majority of households depend on solid fuels for cooking and this leads to indoor air pollution and high incidence of respiratory infections. Poor households bear a disproportionately large share of the burden of environmental health hazards than their wealthy counterparts, due to their particular vulnerability resulting from inadequate access to environmental health facilities and services.

  7. Sachet drinking water in Ghana’s Accra-Tema metropolitan area: past, present, and future

    Science.gov (United States)

    Weeks, John R.; Fink, Günther

    2013-01-01

    Population growth in West Africa has outpaced local efforts to expand potable water services, and private sector sale of packaged drinking water has filled an important gap in household water security. Consumption of drinking water packaged in plastic sachets has soared in West Africa over the last decade, but the long-term implications of these changing consumption patterns remain unclear and unstudied. This paper reviews recent shifts in drinking water, drawing upon data from the 2003 and 2008 Demographic and Health Surveys, and provides an overview of the history, economics, quality, and regulation of sachet water in Ghana’s Accra-Tema Metropolitan Area. Given the pros and cons of sachet water, we suggest that a more holistic understanding of the drinking water landscape is necessary for municipal planning and sustainable drinking water provision. PMID:24294481

  8. Sachet drinking water in Ghana's Accra-Tema metropolitan area: past, present, and future.

    Science.gov (United States)

    Stoler, Justin; Weeks, John R; Fink, Günther

    2012-01-01

    Population growth in West Africa has outpaced local efforts to expand potable water services, and private sector sale of packaged drinking water has filled an important gap in household water security. Consumption of drinking water packaged in plastic sachets has soared in West Africa over the last decade, but the long-term implications of these changing consumption patterns remain unclear and unstudied. This paper reviews recent shifts in drinking water, drawing upon data from the 2003 and 2008 Demographic and Health Surveys, and provides an overview of the history, economics, quality, and regulation of sachet water in Ghana's Accra-Tema Metropolitan Area. Given the pros and cons of sachet water, we suggest that a more holistic understanding of the drinking water landscape is necessary for municipal planning and sustainable drinking water provision.

  9. Radioactivity concentrations and their radiological significance in sediments of the Tema Harbour (Greater Accra, Ghana)

    OpenAIRE

    Benjamin O. Botwe; Antonio Schirone; Ivana Delbono; Mattia Barsanti; Roberta Delfanti; Peter Kelderman; Elvis Nyarko; Piet N.L. Lens

    2017-01-01

    Studies on environmental radioactivity in tropical Africa are scarce. Therefore, a baseline study of natural (238U, 210Pb, 226Ra, 232Th, 228Ra, 228Th, 40K) and anthropogenic (137Cs) radionuclides was carried out on Tema Harbour (Greater Accra, Ghana) surface sediments and on their radiological significance. Grab surface sediment samples were collected from 21 stations within the Tema Harbour and their radioactivity concentrations measured by gamma spectrometry. The mean sediment radioactivity...

  10. Pharmaceutical consumption and residuals potentially relevant to nutrient cycling in Greater Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Evren Sinar

    2010-04-01

    Full Text Available Recycling nutrients form sanitary wastes back into agricultural ecosystems offers an option to alleviate soil depletion in regions where the use of mineral fertiliser is limited. Exemplary nutrient and water cycling approaches, including collection, treatment and use of human urine, are established at Valley View University (VVU in Greater Accra, Ghana.Concerns have been recently raised in regard to fate and impact of pharmaceutical residues in soils and interlinked environment. To evaluate in how far emerging knowledge can be transposed onto VVU, urban and rural environments in Greater Accra, spatial disease occurrence and drug consumption patterns were studied. Malaria has been found to represent the most severe health burden in Ghana, but there is also a high prevalence of infectious diseases. Drugs consumed in great quantities and in respect to their residual loads potentially problematic in the environment belong to therapeutic groups of: antibiotics, analgesics, drugs for diabetes, antimalarials, cardiovascular drugs and anthelmintics. Drug consumption revealed to be highest in urban and lowest in rural areas. At VVU the range of consumed drugs is comparable to urban areas except for the negligible use of diabetes and cardiovascular medication as well as contraceptives.

  11. Prevalence of gastrointestinal helminths and management practices for dogs in the Greater Accra region of Ghana

    Directory of Open Access Journals (Sweden)

    Sherry Ama Mawuko Johnson

    2015-09-01

    Full Text Available Toxocariosis and ancylostomosis remain the most important parasitic infections affecting companion animals worldwide and pose a risk to animal and human health. Information on these infections in dogs in Ghana is inadequate. A cross sectional study was undertaken to determine the occurrence of gastrointestinal helminths infections and management practices of dogs in the Greater Accra Region (GAR of Ghana. Faecal samples were obtained from 380 dogs from communities in 11 out of 16 districts in the GAR. Coprological examination of the samples was performed using the modified McMaster technique. Management practices for control of helminths in dogs were assessed through questionnaire interviews of the dog owners. Most dogs (70.7% were kept for security reasons and were not housed (61.8%. Prevalence of gastrointestinal helminths was 62.6%. Hookworm eggs were found in 178 (46.8% dogs, Toxocara canis eggs in 22 (5.8% and mixed infections of hookworms and T. canis in 38 (10.0%. Dipylidium caninum was found in 51 (13.4% dogs, while Isospora species was in 33 (8.5% dogs. Most households (68%; 133/194 of the sampled dogs had at least a child below the age of 5 years. Hookworm, T. canis and D. caninum were the zoonotic gastrointestinal helminths prevalent in dogs in the study area. Lack of housing for dogs creates ideal conditions for infection and spread of the zoonotic parasites.

  12. Radioactivity concentrations and their radiological significance in sediments of the Tema Harbour (Greater Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Benjamin O. Botwe

    2017-01-01

    Full Text Available Studies on environmental radioactivity in tropical Africa are scarce. Therefore, a baseline study of natural (238U, 210Pb, 226Ra, 232Th, 228Ra, 228Th, 40K and anthropogenic (137Cs radionuclides was carried out on Tema Harbour (Greater Accra, Ghana surface sediments and on their radiological significance. Grab surface sediment samples were collected from 21 stations within the Tema Harbour and their radioactivity concentrations measured by gamma spectrometry. The mean sediment radioactivity concentrations (Bq kg−1 dw were 34 for 238U, 210 for 210Pb, 14 for 226Ra, 30 for 232Th, 29 for 228Ra, 31 for 228Th, 320 for 40K, and 1.5 for 137Cs. Large 238U/226Ra disequilibria were observed in the harbour sediments and a complex dynamics of several mixed sources of sediments within the Tema Harbour can be inferred from the spatial variations in the radioactivity concentrations. The estimated total absorbed dose rate in air (D, radium equivalent activity (Raeq, external hazard index (Hex, annual gonadal dose equivalent (AGDE and annual effective dose equivalent (AEDE indicated no significant radiological risks from the sediment radioactivity concentrations. Application of the Environmental Risk from Ionising Contaminants Assessment and Management tool (ERICA confirmed that the potential dose rates to biota from the sediment radioactivity concentrations are unlikely to pose appreciable ecological risks. The radioactivity levels are compared with levels reported in sediments from other coastal areas of the world.

  13. Radiation preservation of cut cabbage (Brassica oleracea): a case study in the Greater Accra Region

    International Nuclear Information System (INIS)

    Frimpong, K.G.

    2011-01-01

    Low fruit and vegetable intake is estimated to cause about 31% of ischaemic heart disease and 11% of stroke worldwide. It is estimated that up to 2.7 million lives could potentially be saved each year if fresh fruits and vegetables such as cabbage consumption was sufficiently increased. However, fresh or ready-to-eat vegetables have been found to be a potential cause of foodborne diseases due to their association with human pathogens. More so, some of these pathogens are resident in the vegetables. The application of ionizing irradiation has been identified as a promising technology that may be used to control spoilage or pathogenic microorganisms in order to increase shelf life, improve the safety of ready-to-eat fruits and vegetables and as a substitute for the use of chemical sterilants. The main objective of this research was to assess impact of gamma radiation in reducing microbial load on cut cabbage and how it helps to extend shelf life. Standard plate count method was used in the determination of total viable and coliform counts (TVC and TCC). Redox titration with iodine method was used in determining the total ascorbic acid content while antioxidant activity, total flavonoid and phenolic content were determined by DPPH, Folin-Ciocalteu and Aluminium chloride colorimetric method respectively. Nine-point Hedonic scale was also used for the sensory evaluation. The studies revealed that microbial numbers of E.coli, total viable and coliform counts on 'ready-to-eat' cut cabbage in most supermarkets in the Accra metropolitan area were beyond the acceptable national food legislations. Total viable and coliform counts record showed a combination treatment of irradiation doses (1 to 3kGy) and refrigeration temperature (8 ± 2degrees Celcius) reduced microbial growth by 3 to 5 log cycles. Fungal species like Mucor spp, Penicillium digitatum, and Rhizopus spp. Which are spoilage organisms were isolated from all unirradiated control samples but not irradiated (1-3k

  14. Use of renewable energy in the greater metropolitan area

    International Nuclear Information System (INIS)

    Arias Garcia, Rocio; Castro Gomez, Gustavo; Fallas Cordero, Kenneth; Grant Chaves, Samuel; Mendez Parrales, Tony; Parajeles Fernandez, Ivan

    2012-01-01

    A study is conducted on different renewable energy within the larger metropolitan area, selecting the most suitable for the area and the implementation for distributed generation. A research methodology is practiced type pretending gather the necessary information to make proposals selected of different type of energy. The geography of the greater metropolitan area is studied along with the different existing renewable energy: distributed generation, remote measurement of energy which is one of the elements of the concept of intelligent networks (Smart Grid) in the electricity sector, legislation of Costa Rica regarding the generation of renewable energy and environmental impact. An analysis of economic feasibility is covered for each of the proposals estimating current rates for leading distributors of a future value, concluding with the viability of projects for possible execution of the same. (author) [es

  15. Impact Of anthropogenic activities on the water quality of Songor Lagoon, Ada, Greater Accra Region

    International Nuclear Information System (INIS)

    Sackey, Justice

    2014-06-01

    Wetlands are vital ecosystems with important social, economic and environmental functions. The Ada Songor lagoon (located in the Dangbe East district, Greater Accra Region), is an internationally designated wetland (Ramsar site). Intense anthropogenic activities have impacted negatively on the quality of water and sediment in the lagoon. The study assessed the extent of heavy metal, pesticide residues and nutrients contamination of surface water and sediment in the Ada Songor Lagoon. The objective of the study was achieved through the determination of physico-chemical parameters [pH, temperature, electrical conductivity (EC), salinity, total dissolved solids (TDS), alkalinity, turbidity, biological oxygen demand (BOD), total hardness)]; the nutrients load (SO_4"2"- , PO_4"3"- , NO_3"- ) using UV-Visible Spectrophotometry; major ions (Na"+, K"+, Ca"2"+, HCO_3 "-); trace metals (Cd, Cr, Ni, Pb, Co, Zn, Cu, As and Hg) using Atomic Absorption Spectrometry (AAS); and pesticides residues [organochlorines (OC’s), and synthetic pyrethroids by gas chromatography-electron capture detection (GC-ECD) and organophosphorus (OP’s) by gas chromatography-pulse flame photometric detection (G C-PFPD)]. Na and K contents were determined by Flame Emission Photometry. The water temperature (25.7 to 26.6 "oC), fall in the range of 25 to 30 "oC suitable for sustainability fish and aquatic organisms. The pH range (8.18 to 9.70) which is typical of coastal waters in Ghana is ideal for aquatic organisms. The TDS range (591 to 1,046 mg/L) is not ideal for water birds spawning since it makes it harder for them to find food. BOD ranges from 1.19 to 5.35 mg/L. The pattern of ionic dominance in the lagoon during the present study was K"+ > Na"+ > Ca"2"+ > Mg"2"+. The cationic dominance pattern was similar to that of seawater as observed by other works. Nitrate levels ranges from 0.83 to 0.92 mg/L. PO_4"3"- in this study varied from 0.05 to 2.92 mg/L which exceeds the levels in most natural

  16. Geophysical borehole logging in selected areas in the Greater Accra plains and the Densu river basin

    International Nuclear Information System (INIS)

    Amartey, E. A.

    2009-06-01

    Geophysical borehole logging was complemented by Vertical Electrical Sounding (VES) method to study fractured bedrock aquifer systems on the compounds of Ghana Atomic Energy Commission (GAEC), Water Research Institute (WRI) in the Accra Plains and the Hydrometric Station of the Department of Geology, University of Ghana at Buokrom in the Densu River Basin. Single-point resistance, resistivity and natural gamma logging in a total of nine boreholes were conducted to identify and characterize the various aquifers in the study areas. Results obtained from the single-point resistance and resistivity logs showed clearly the characteristics of water-bearing fracture zones in the various rock formations. The gamma logs obtained for each area were correlated to form hydrostratigraphic units to establish potential zones of high water-bearing fractures. VES modeled curves shows hydrogeological units of the geological formation which compares well with features obtained on the logs. The investigation identified fractured zone thicknesses of <1 m to 2 m at GAEC area, <1 m to 9 m at WRI area and <1 m to 10 m thicknesses at the Buokrom area. The fractured bedrock aquifers identified have been characterized based on their thicknesses as follows. Five minor (thickness < 5 m), two medium (thickness 5 m to 14 m) and three major (thickness ⩾15 m) fractures were identified at the GAEC area. At the WRI area three minor and five medium fractures were identified. Also four minor and five medium fractures were identified for the Buokrom area boreholes. (au)

  17. Factors influencing use of analgesics among construction workers in the Ga-Eastmunicipality of the Greater Accra region, Ghana.

    Science.gov (United States)

    Badzi, Caroline D; Ackumey, Mercy M

    2017-12-01

    Analgesics also known as painkillers are widely used for pain relief. There are severe health implications associated with excessive use of analgesics. This paper examines factors influencing the use of analgesics among construction workers in the Ga-East Municipality (GEM) of the Greater Accra region of Ghana. This is a cross-sectional study involving 206 construction workers randomly sampled from 7 construction sites in the GEM. A structured questionnaire was used to elicit responses on knowledge of analgesics, types of analgesics used and factors influencing the use of analgesics. Chi-square test analysis was used to examine factors influencing analgesic use. The majority of workers were aged between 15 to 44 years (89.8%) and 51.9 percent of respondents had completed Junior high school. Many respondents (68.0%) used Brand 1 a locally manufactured analgesic with paracetamol, aspirin and caffeine as the active ingredients and 31.6 percent of respondents had no knowledge of possible side effects of continuous use of analgesics. Chi square analysis showed that age was significantly associated with use of analgesics (peffects did not influence use (p>0.05). Television and radio advertisements influenced use of analgesics (peffects was inadequate. Pharmacists and chemists involvement in education of clients of the side effects of analgesics is highly recommended to minimise misuse. The Food and Drugs Authority should regulate the proliferation of advertisements for analgesics in the media. None declared.

  18. Assessment of the structural shielding integrity of some selected computed tomography facilities in the Greater Accra Region of Ghana

    International Nuclear Information System (INIS)

    Nkansah, A.

    2010-01-01

    The structural shielding integrity was assessed for four of the CT facilities at Trust Hospital, Korle-Bu Teaching Hospital, the 37 Military Hospital and Medical Imaging Ghana Ltd. in the Greater Accra Region of Ghana. From the shielding calculations, the concrete wall thickness computed are 120, 145, 140 and 155mm, for Medical Imaging Ghana Ltd. 37 Military, Trust Hospital and Korle-Bu Teaching Hospital respectively using Default DLP values. The wall thickness using Derived DLP values are 110, 110, 120 and 168mm for Medical Imaging Ghana Ltd, 37 Military Hospital, Trust Hospital and Korle-Bu Teaching Hospital respectively. These values are within the accepted standard concrete thickness of 102- 152mm prescribed by the National Council of Radiological Protection and measurement. The ultrasonic pulse testing indicated that all the sandcrete walls are of good quality and free of voids since pulse velocities estimated were approximately equal to 3.45km/s. an average dose rate measurement for supervised areas is 3.4 μSv/wk and controlled areas is 18.0 μSv/wk. These dose rates were below the acceptable levels of 100 μSv per week for the occupationally exposed and 20 μSv per week for members of the public provided by the ICRU. The results mean that the structural shielding thickness are adequate to protect members of the public and occupationally exposed workers (au).

  19. Care decision making of frontline providers of maternal and newborn health services in the greater Accra region of Ghana.

    Directory of Open Access Journals (Sweden)

    Ebenezer Oduro-Mensah

    Full Text Available To explore the "how" and "why" of care decision making by frontline providers of maternal and newborn services in the Greater Accra region of Ghana and determine appropriate interventions needed to support its quality and related maternal and neonatal outcomes.A cross sectional and descriptive mixed method study involving a desk review of maternal and newborn care protocols and guidelines availability, focus group discussions and administration of a structured questionnaire and observational checklist to frontline providers of maternal and newborn care.Tacit knowledge or 'mind lines' was an important primary approach to care decision making. When available, protocols and guidelines were used as decision making aids, especially when they were simple handy tools and in situations where providers were not sure what their next step in management had to be. Expert opinion and peer consultation were also used through face to face discussions, phone calls, text messages, and occasional emails depending on the urgency and communication medium access. Health system constraints such as availability of staff, essential medicines, supplies and equipment; management issues (including leadership and interpersonal relations among staff, and barriers to referral were important influences in decision making. Frontline health providers welcomed the idea of interventions to support clinical decision making and made several proposals towards the development of such an intervention. They felt such an intervention ought to be multi-faceted to impact the multiple influences simultaneously. Effective interventions would also need to address immediate challenges as well as more long-term challenges influencing decision-making.Supporting frontline worker clinical decision making for maternal and newborn services is an important but neglected aspect of improved quality of care towards attainment of MDG 4 & 5. A multi-faceted intervention is probably the best way to make a

  20. Studies on organochlorine pesticide residues in human breast milk of primparae mothers from selected areas in the Greater Accra Region

    International Nuclear Information System (INIS)

    Osei Tutu, A.

    2009-06-01

    A study was conducted to determine the types and levels of organochlorine pesticide residuals in the human milk samples of 42 nursing mothers from Ada and Accra. The milk samples were analyzed for 14 different organochlorine pesticides residue (Aldrin, Dieldrin, p,p'-DDT, p,p'-DDE, Endrin, Endrin Aldehyde, Endrin Ketone, Endosulphan sulfate,' Alpha Endosulphan, Gamma-HCH, Delta-HCH, Gamma Chlordane, Heptachlor and Methoxychlor) using Gas chromatography with electron capture detector. The mean concentrations for the organochlorine pesticide residues detected in the human milk samples from Accra are; Gamma-HCH (4.207µg/kg fat), Delta-HCH (13.855µg/kg fat), Heptachlor (11.791µg/kg fat), Aldrin (2.962µg/kg fat), Gamma- Chlordane (1.839µg/kg fat), Alpha-Endosulfan (4.740µg/kg fat), p,p'-DDE (23.367µg/kg fat), Dieldrin (2.407µg/kg fat), p,p'-DDT (3.085µg/kg fat), Endrin (7.669µg/kg fat), Endrin Aldehyde (7.769µg/kg fat), Endosulfan-Sulphate (99.052µg/kg fat), Endrin Ketone (63.846µg/kg fat), and Methoxychlor (20.116µg/kg fat). The mean concentrations of the various organochlorine pesticide residues detected in the human milk samples from Ada are; Gamma-HCH (5.438µg/kg fat), DeIta-HCH (6.728µg/kg fat), Heptachlor (0.682µg/kg fat), Aldrin (2.38µg/kg fat), Gamma- Chlordane (1.304µg/kg fat), Alpha-Endosulfan (2.588µg/kg fat), p,p'-DDE (24.165µg/kg fat), Dieldrin (2.222µg/kg fat), p,p'-DDT (3.468µg/kg fat), Endrin (6.339 µg/kg fat), Endosulfan-Sulphate (63.803)µg/kg fat), Endrin Ketone (11.167)µg/kg fat), and Methoxychlor (0.703µg/kg fat). The mean concentration of Endosulfan Sulfate was (99.052Iµ g/kg fat) was highest for the milk samples from Accra. Gamma chlordane recorded the least mean concentration (1.839 µg/kg fat) in the milk samples from Accra. The mean concentration of Endosulfan sulfate (63.803 µg/kg fat) was still the highest as compared to the other organochlorines analyzed for in the milk samples from Ada. Endrin Aldehyde was not

  1. Health risk assessment of pesticides and polychlorinated biphenyls contaminations in dairy products from selected farms in Greater Accra Region - Ghana

    International Nuclear Information System (INIS)

    Amoako, D.

    2013-07-01

    The residual concentrations of synthetic chemicals such as organochlorines pesticides (OCPs), pyrethroids and polychlorinated biphenyls (PCBs) in dairy products (milk, yoghurt, cheese) from selected farms in Greater Accra were analyzed using Gas Chromatography (GC). A total of 50 samples of dairy products (9 cheese, 25 cow milk and 16 yogourt) were analyzed for OCPs, prethroids and PCBs. Of the numerious pesticides evaluated, detectable levels of OCPs (β-HCH, endrin, heptachlor, endosulfan, p ' p-DDT and methoxchlor); synthetic prethroids (permathrin, allethrin, cypermethrin and deltamethrin) and PCBs (18, 28, 52, 101, 153, 138, and 180) were found in all the dairy product samples analysed. Milk samples were found to be the most contaminated with respect to the OCPs and the levels ranged between 0.0001µg/ml and 0.0407µg/ml. ß-HCH was the highest OCP with concentration of 0.0407µg/ml while cyfluthrin was the highest synthetic prethroids recorded in yoghurt sample (0.0318µg/ml). The highest PCB 18 (2,2,5-Trichlorobiphenyl) recorded (0.2668µg/ml) in yoghurt samples. (Data obtained from the field survey regarding safe use of pesticides, toxicity awareness and symptoms among farmers indicated that a very high proportion of animal farmers were at a high risk of pesticide poisoning from occupational exposure. More than 70% of farm workers did not practise safety precaution during pesticide mixing and application leading to considerable prevalence of pesticide related illness including nausea, vomiting, blurred vision, abdominal cramps, dizziness, diarrhoea and headaches in this agricultural community. The presence of pesticide residues in dairy products was of further concern because milk is the main protein diet for infants. The estimated dose for γ-chlordane(8.5x10 5 µ/ml), endrin(0.0114 µg/ml) p ' p ' -DDT(8.5x10 5 µg/ml), DDE(8.5x10 5 µg/ml),heptachlor(2.5x10 5 µg/ml), dieldrin(6.8x10 5 µg/ml) do not pose a direct hazard to human health, although present

  2. Sachet water quality and brand reputation in two low-income urban communities in greater Accra, Ghana.

    Science.gov (United States)

    Stoler, Justin; Tutu, Raymond A; Ahmed, Hawa; Frimpong, Lady Asantewa; Bello, Mohammed

    2014-02-01

    Sachet water has become an important primary source of drinking water in western Africa, but little is known about bacteriologic quality and improvements to quality control given the recent, rapid evolution of this industry. This report examines basic bacteriologic indicators for 60 sachet water samples from two very low-income communities in Accra, Ghana, and explores the relationship between local perceptions of brand quality and bacteriologic quality after controlling for characteristics of the vending environment. No fecal contamination was detected in any sample, and 82% of total heterotrophic bacteria counts were below the recommended limit for packaged water. Sachets from brands with a positive reputation for quality were 90% less likely to present any level of total heterotrophic bacteria after controlling for confounding factors. These results contrast with much of the recent sachet water quality literature and may indicate substantial progress in sachet water regulation and quality control.

  3. Determination of levels of organochlorine pesticides in plastic resin pellets on selected beaches in the Greater Accra region of Ghana

    International Nuclear Information System (INIS)

    Amoatey, A. E.

    2012-07-01

    The levels of organochlorine pesticides (OCPs) in beached plastic resin pellets were determined with the objective of assessing the status of OCP pollution in the marine ecosystem in selected beaches in Ghana. Samples of plastic resin pellets were collected at seven beaches in Accra (namely Art centre, Sakumono, Osu castle, Labadi, Korle-Gonno, Independence Square and Tema Mighty beaches) and analyzed for organochlorine pesticides, total chlorine and extractable chlorine. The plastic pellets were subjected to Soxhlet extraction and the extracts analyzed using Gas chromatograph coupled with electron capture detector. The detected compounds were alpha-HCH, beta-HCH, gamma-HCH, delta-HCH, hexachlorobenzene, o, p' -DDE, p, p'-DDE, o,p'-DDD, o, p'-DDT, heptachlor, trans-heptachlor epoxy, trans-chlordane, trans-nanochlor, aldrin, dieldrin, endrin, alpha-endosulphan, beta-endosulphan, endosulphan sulphate and methoxychlor. Analysis of the virgin pellets recorded no organochlorine pesticides present. However, plastics pellets collected from all seven beaches were found to contain OCPs with the highest recorded on the Art Centre beach with a total concentration of 106.26 ng/g. Plastic pellets collected on the Labadi beach recorded the lowest OCPs with a concentration of 20.2 ng/g. Total chlorine and extractable organochlorine (EOCI) were also determined in the plastic resin pellets by using the Instrumental Neutron Activation Analysis (INAA). The concentrations of total chlorine analyzed by INAA were between 2.82 and 50.25 mg/kg whereas the EOCR concentrations ranged from 1.67 to 30.90 mg/kg. EOCR accounted for 48.05% of the total chlorine in plastic pellets, suggesting that chlorine in the beached pellet relatively existed as organic and are extractable. The relative proportion of known or identified organochlorines (such as HCHs, DDT s, chlordane compounds, endosulphans, HCB and methoxychlor) to the total extractable organochlorine(EOCI) was averagely 7.4% which suggested

  4. Polychlorinated biphenyls (PCB's) levels in transformer oils from selected transformers in sensitive areas in the Greater Accra Region

    International Nuclear Information System (INIS)

    Buah-Kwofie, A.

    2009-02-01

    Knowledge of PCBs and the adverse effects on humans and the environment have been assessed among Electricity Company of Ghana (ECG) staff members, Volta River Authority (VRA) staff members and the general public. Evidence obtained shows that, Staff members of the technical departments of ECG/VRA (71.4 %) as well as a few welders (16.7 %) have come in contact with the transformer oil that may possibly contain PCBs. About fifty six percent (55.6 %) of the ECG/VRA staff members do not wear any protective gears when working on these transformers thus exposing themselves to PCBs. About twenty seven percent (27.3 %) of the management staff members of ECG/VRA are not aware of the adverse health effects caused by PCBs. Using PCB test kits (CLOR-N-OIL) developed by Dexsil Company of USA, 17 out of the 80 transformers screened for PCB contaminated oils, tested positive as containing PCBs levels greater than 50 ppm. Neutron Activation Analysis and gamma ray spectroscopy using Canberra HPGe detector coupled to MAESTRO 32 software has been used to determine the total chlorine content in 22 of the transformer oil samples screened using the test kits, including the 17 samples that tested positive using the test kits. The total chlorine content measured in the transformer oils that tested positive by the test kit was in the range of 71.34 ± 8.63 with 6 - 7.5 % accuracy. This being deduced that using NAA, total chlorine greater than 71.34 ppm is an indication of PCB contamination. NAA thus provides a faster and efficient way of analyzing transformer oil samples for possible PCB contamination

  5. Radiation Preservation of fresh pork from semi-intensive and intensive pig production systems. A case study in the Greater Accra Region

    International Nuclear Information System (INIS)

    Amoakoaa, T. L

    2011-07-01

    The Ministry of Food and Agriculture estimates that about 40,000 Ghanaians suffer from several food borne diseases yearly and this poses a great drain on the economy. Meat contains 75% water and is a good substrate for organisms to grow. There are many food microorganisms and parasites associated with pigs, making it practically impossible to be used by many as a main source of protein even though it contains a lot of nutrients and less harmful fat. There is also the problem of recontamination of pork after packaging. Irradiation of food is one method of food preservation that can reduce microbial and parasitic load, prevent recontamination of food and increase its shelf life. The main objective of this study was to use radiation to make pork from semi-intensive and intensive pig production systems safe for human consumption and extend its shelf life. Questionnaires were administrate to 20 farmers and 10 pork samples were collected from 10 different locations within the Greater Accra Region, for both pig production systems. One location in each pig production systems with the least microbial count was selected for pork sampling for irradiation and shelf life studies. The pork samples were irradiated with irradiation doses of 0, 1.5 and 3kGy and stored at 4°C for 28 days. Statistical tools used were Microsoft Excel and Stat Graphics. Means were separated using tukey test and Duncan's Multiple Range Test. The study observed that most farmers did not have any measures in place to control microbial contamination. However the total mean count of total aerobic mesophillic bacteria and the coliform for pork samples from differentiated locations within Greater Accra in both pig production systems were 4.958 ± 0.90 log 10 cfu/g and ranged from 2.9 to 6.0 and 3.277 ± 1.066 log 10 cfu/g which ranged from 2.0 to 5.67 respectively. Results from the pooled means of total aerobic mesophilic bacteria and total coliform count indicated that a combination treatment of irradiation

  6. Management of groundwater in urban centers: A case study; Greater Dammam Metropolitan Area

    International Nuclear Information System (INIS)

    Abderrahman, Walid A.; Elamin, Abdalla S.; Al-Harazin, Ibrahim M.; Eqnaibi, Badie S.

    2007-01-01

    Effective management of groundwater resources in urban centers of arid regions is vital for sustainable development and groundwater protection especially with rapid growth of water demands under water stress conditions. Greater Dammam Metropolitan Area is a good example of rapid growing urban center due to comprehensive development and population growth. The water demand has increased by many times during the last three decades. Groundwater from local aquifers namely Dammam and Umm Er Radhuma, supplies more than 85% of the total water demands. The aquifers have been subjected to extensive and increasing groundwater pumping especially during last three decades. Negative impacts such as significant decline in water levels have been experienced in the area. A new groundwater management scheme in terms of improving the long-term water pumping policies is required for protection of the aquifers groundwater productivity. A special numerical simulation model of the multi-aquifer system including Dammam and Umm Er Radhuma aquifers has been developed to assess the behavior of the aquifer system under long term water stresses in Dammam Metropolitan Area. The developed numerical simulation model has been utilized to predict the responses of the aquifer system in terms of decline in terms of water level under different pumping schemes from the two aquifers during the next 30 years. The model results have postulated the importance of Umm Er Radhuma (UER) aquifer as a major water supply source to Dammam Metropolitan Area, as well as potential recharge source of more than 30% of the total water pumped from Dammam aquifer. These findings have been utilized in improving present and future groundwater management and conservation for the study area. Similar techniques can be used to improve the groundwater management in other parts of the country as well as other arid regions. (author)

  7. The evaluation of the performance of the automatic exposure control system of some selected mammography facilities in the Greater Accra Region, Ghana

    International Nuclear Information System (INIS)

    Amesimenu, R.

    2013-07-01

    Mammography aids in the early detection of breast cancer. X-rays has an associated risk of inducing cancer though very useful and as such mammography procedures should be optimized through the appropriate processes such as the selection of exposure factors for an optimum image and minimal dose to patients. The automatic exposure control (AEC) aids in the selection of exposure factors thus controlling the amount of radiation to the breast and automatically compensates for differences in the breast thickness and density. The performance of the automatic exposure control system of mammography equipment and the status of quality management systems including quality assurance and quality controls of four (4) mammography facilities within the Greater Accra Region were assessed. In assessing the performance of the automatic exposure control system, the short term reproducibility test, thickness and voltage compensation test were carried out using breast equivalent phantom of various thicknesses. Half value layer test, film reject analysis and patient dose assessment were also performed. Analysis of the responses of the questionnaire administered to radiographers and supervisors of the selected facilities revealed that three (3) of the facilities have some aspect of quality management system programme in place but not effectively implemented. Measured optical densities from the various tests performed to evaluate the performance of the automatic exposure control systems revealed that the AEC compensates for the different phantom thickness and tube voltage (KV) by producing comparable optical densities for the various phantom thickness and tube voltages. Some of the measured optical densities were within the recommended optical density range of 1.5 OD - 1.9 OD. The highest optical density value was 0.13 OD above the highest limit of 1.9 OD. The film reject analysis showed that patient motion accounted for the large part (28%) of film rejects. Other factors such as too light

  8. Patient-specific radiation dose and cancer risk in computed tomography examinations in some selected CT facilities in the Greater Accra Region of Ghana

    International Nuclear Information System (INIS)

    Osei, R. K.

    2012-01-01

    The effective dose and cancer risk were determined for patients undergoing seven different types of CT examinations in two CT facilities in the Greater Accra region of Ghana. The two facilities, namely; the Diagnostic Centre Ltd and Cocoa Clinic were chosen because of their significant patient throughput. The effective dose was from patient data namely age, sex, height, weight and technique factors; namely scan length, KVp (Kilovolts peak), mAs (milliamperes per second) and CTDIv from the control console of the CT machines. The effective dose was also estimated using the dose length product (DLP) and k Coefficients which is the anatomic region specific conversion factors. The cancer risk for each patient for a particular examination was determined from the effective dose, age and sex of each patient with the help of BEIR VII. In all, a total number of 800 adult patients with 400 from each of the two CT facilities were compiled. From Diagnostic Centre Ltd, the average effective dose was 5.61mSv in the range of 1.41mSv to 13.34mSv with average BMI of 26.19kg/m 2 in the range of 16.90kg/m 2 to 48.28kg/m 2 for all types of examinations. The average cancer risk was 0.0458 Sv - 1 for 400 patients in the range of 0.0001 Sv - 1 to 0.3036 Sv -1 compared with a population of 900 patients undergoing CT examination per year. From Cocoa Clinic, the average effective dose was 3.91MSv in the range of 0.54mSv to 27.32mSv with an average BMI of 25.59 kg/m 2 in the range of 17.18kg/m 2 to 35.34kg/m 2 and the average cancer risk was 0.0371 Sv - 1 in the range of 0.0001 Sv - 1 and 0.7125 Sv -1 . Some of the values were within the range of values of typical for typical effective dose for CT examinations reported by the ICRP. It was evident from this study that the variations in scanning parameters had significant impact on the effective doses to patient for similar CT examinations among the two facilities.(au)

  9. Assessment of levels of occupational exposure to extremely low frequency electric and magnetic fields in data centres in Greater Accra Region-Ghana

    International Nuclear Information System (INIS)

    Kalognia, Joshua

    2016-07-01

    Data centres use a lot of power, consumed by two main usages: power required to run the actual equipment and power required to cool the equipment. Usage of electricity results in the production of electric and magnetic fields (EMF). Even though electricity is useful in human lives, there have been reported cases of adverse health effects from EMF generated from its use. Because the use of electricity is ubiquitous and plays a vital role in society’s economy, the possibility of harm from EMF to electric utility customers and workers deserves attention.The Electric and Magnetic fields for workers in data center in the Greater Accra Region have been assessed. The fundamental objective was to determine the levels of the electric and magnetic fields and to assess the extent of exposure of workers in the data centre to these fields. The results obtained for the electric field intensities in the data centre ranged from 6.03E-03 ± 7.54E-04 kVm"-"1 to 2.33E-04 ± 8.82E-05 kVm"-"1.The results obtained for the resultant field strength in the data centre ranged from 3.12E-01± 8.77E-03 μT to 6.57E-02 ± 7.38E-03 μT. The results obtained for the magnetic flux density ranged from 3.9E-07 ± 8.77E-03 μT to 7.27E-08 ± 7.31E-03 μT. The results obtained for the induced current density ranged from 2.37E-06 ± 1.50E-02 mA/m"2 to 2.46E-07 ± 9.99E-03 mA/m"2. Data obtained are below the basic restrictions for induced current density and reference levels for electric field and magnetic flux density set by the International. (au)

  10. Studies of the effects of gamma irradiation on the microbial load and physicochemical properties of Ghanaian honey from the Ashanti, Brong Ahafo and Greater Accra regions

    International Nuclear Information System (INIS)

    Ansah Larbi, D.

    2015-01-01

    Honey is a universal product with a wide usage throughout the life spectrum. It is a substitute for sugar for many people, an energy booster, helps maintain the blood sugar level and research has shown that it has the potential for cancer prevention. The high sugar concentration of honey and its low pH gives honey antimicrobial properties and makes it difficult for microorganisms to grow. However, research has provided evidence of the presence of microbes in honey. The microbes are introduced into honey through primary and secondary sources. The primary sources are due to honeybee foraging activities resulting in the transfer of pollen and other microbial species in the air, soil and plants into the product before it matures. The secondary sources of contamination are due to the harvesting process, materials used for harvesting and storage of the honey; as well as the method used in extracting and treating honey before it is sold to the consumer. Accordingly, it is imperative that the quality of honey on the Ghanaian market is monitored regularly to provide data on the microbial load. This study endeavours to ascertain the presence of microorganisms in Ghanaian honey, the sources of microbial contamination and the effect of gamma radiation on the microbial load as well as the physico-chemical properties of honey. Ninety (90) honey samples were collected from three regions; Brong Ahafo, Ashanti, and Greater Accra [Thirty (30) from each region]. Sampling was conducted using the farmer-to-retailer route, that is, honey was sampled directly from the beehive with the comb before the farmer harvested, samples were taken after the farmer had harvested and treated and finally honey was sampled from retailers who buy directly from the farmer. The effect of gamma radiation on the microbial load was studied using a 60 Co source gamma irradiation facility at doses of 20 kGy, 30 kGy and 40 kGy on the presence of microbes and the physicochemical properties (pH, Reducing Sugar

  11. [Hearing loss in urban transportation workers in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil].

    Science.gov (United States)

    Medeiros, Adriane Mesquita de; Assunção, Ada Ávila; Santos, Juliana Nunes

    2015-09-01

    This study analyzed the association between self-reported diagnosis of hearing loss and individual and occupational factors among urban transportation workers in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. The sample size was calculated by quotas and stratified by occupation (drivers and fare collectors) in the urban transportation companies in Belo Horizonte, Betim, and Contagem. Data were collected with face-to-face interviews and recorded by the interviewers on netbooks. The dependent variable was defined as an affirmative response to the question on prevailing medical diagnosis of hearing loss. The independent variables were organized in three blocks: social and demographic characteristics, lifestyle, and work aspects. Diagnosis of hearing loss was reported by 213 of the 1,527 workers and was associated with age and diagnosis of tinnitus. At the occupational level, hearing loss was associated with history of sick leave, time-on-the-job, and two environmental risks, unbearable noise and whole-body vibration. Measures to prevent hearing loss are needed for urban transportation workers.

  12. Studies on the terrestrial background gamma radiation in and around the metropolitan area of Accra. Part 1: radioactivity in soils and rocks

    International Nuclear Information System (INIS)

    Yeboah, J.; Assiamah, M.; Darko, E.O.

    1998-01-01

    A preliminary study of soil and rock samples from selected locations within the Accra Metropolis and its immediate hinterlands has been conducted to determine the concentration of naturally occurring radionuclides and the exposure to the population. Representative areas were selected based on the geology and population density. The results so far obtained indicate that the exposure of the population living in the vicinity to naturally occurring radionuclides of potassium-40, uranium-238 and thorium-232 series is quite significant compared with natural radioactivity levels in soils and rocks reported by a number of researchers. The highest concentration of radionuclides in soil and rock were recorded in samples from Dodowa with the lowest concentration in soils from Shai Hills and rocks from Weija. (author). 14 refs.; 6 tabs

  13. Race and the Metropolitan Origins of Postsecondary Access to Four Year Colleges: The Case of Greater Boston

    Science.gov (United States)

    Berger, Joseph B.; Smith, Suzanne M.; Coelen, Stephen P.

    2004-01-01

    The inequities of residential segregation and their impact on educational opportunity are a national problem, but greater metropolitan Boston has a particularly problematic history in terms of the extent to which racial segregation has deeply divided the city into separate and unequal systems of opportunity. Despite decades of policy efforts to…

  14. Resistance patterns among multidrug-resistant tuberculosis patients in greater metropolitan Mumbai: trends over time.

    Science.gov (United States)

    Dalal, Alpa; Pawaskar, Akshay; Das, Mrinalini; Desai, Ranjan; Prabhudesai, Pralhad; Chhajed, Prashant; Rajan, Sujeet; Reddy, Deepesh; Babu, Sajit; Jayalakshmi, T K; Saranchuk, Peter; Rodrigues, Camilla; Isaakidis, Petros

    2015-01-01

    While the high burden of multidrug-resistant tuberculosis (MDR-TB) itself is a matter of great concern, the emergence and rise of advanced forms of drug-resistance such as extensively drug-resistant TB (XDR-TB) and extremely drug-resistant TB (XXDR-TB) is more troubling. The aim of this study was to investigate the trends over time of patterns of drug resistance in a sample of MDR-TB patients in greater metropolitan Mumbai, India. This was a retrospective, observational study of drug susceptibility testing (DST) results among MDR-TB patients from eight health care facilities in greater Mumbai between 2005 and 2013. We classified resistance patterns into four categories: MDR-TB, pre-XDR-TB, XDR-TB and XXDR-TB. A total of 340 MDR-TB patients were included in the study. Pre-XDR-TB was the most common form of drug-resistant TB observed overall in this Mumbai population at 56.8% compared to 29.4% for MDR-TB. The proportion of patients with MDR-TB was 39.4% in the period 2005-2007 and 27.8% in 2011-2013, while the proportion of those with XDR-TB and XXDR-TB was changed from 6.1% and 0% respectively to 10.6% and 5.6% during the same time period. During the same periods, the proportions of patients with ofloxacin, moxifloxacin and ethionamide resistance significantly increased from 57.6% to 75.3%, from 60.0% to 69.5% and from 24.2% to 52.5% respectively (pMumbai highlight the need for individualized drug regimens, designed on the basis of DST results involving first- and second-line anti-TB drugs and treatment history of the patient. A drug-resistant TB case-finding strategy based on molecular techniques that identify only rifampicin resistance will lead to initiation of suboptimal treatment regimens for a significant number of patients, which may in turn contribute to amplification of resistance and transmission of strains with increasingly advanced resistance within the community.

  15. The impact of heat on mortality and morbidity in the Greater Metropolitan Sydney Region: a case crossover analysis

    OpenAIRE

    Wilson, Leigh Ann; Gerard Morgan, Geoffrey; Hanigan, Ivan Charles; Johnston, Fay H; Abu-Rayya, Hisham; Broome, Richard; Gaskin, Clive; Jalaludin, Bin

    2013-01-01

    Background This study examined the association between unusually high temperature and daily mortality (1997?2007) and hospital admissions (1997?2010) in the Sydney Greater Metropolitan Region (GMR) to assist in the development of targeted health programs designed to minimise the public health impact of extreme heat. Methods Sydney GMR was categorized into five climate zones. Heat-events were defined as severe or extreme. Using a time-stratified case-crossover design with a conditional logisti...

  16. Effect of gamma irradiation on microbial quality of minimally processed carrot and lettuce: A case study in Greater Accra region of Ghana

    International Nuclear Information System (INIS)

    Frimpong, G.K.; Kottoh, I.D.; Ofosu, D.O.; Larbi, D.

    2015-01-01

    The effect of ionizing radiation on the microbiological quality on minimally processed carrot and lettuce was studied. The aim was to investigate the effect of irradiation as a sanitizing agent on the bacteriological quality of some raw eaten salad vegetables obtained from retailers in Accra, Ghana. Minimally processed carrot and lettuce were analysed for total viable count, total coliform count and pathogenic organisms. The samples collected were treated and analysed for a 15 day period. The total viable count for carrot ranged from 1.49 to 14.01 log 10 cfu/10 g while that of lettuce was 0.70 to 8.5 7 log 10 cfu/10 g. It was also observed that total coliform count for carrot was 1.46–7.53 log 10 cfu/10 g and 0.14–7.35 log 10 cfu/10 g for lettuce. The predominant pathogenic organisms identified were Bacillus cereus, Cronobacter sakazakii, Staphylococcus aureus, and Klebsiella spp. It was concluded that 2 kGy was most effective for medium dose treatment of minimally processed carrot and lettuce. - Highlights: • The microbial load on the cut-vegetables was beyond acceptable level for consumption. • The microbial contamination of carrot was found to be higher than that of lettuce. • 2 kGy was most appropriate in treating cut-vegetables for microbial safety

  17. Effect of gamma irradiation on microbial quality of minimally processed carrot and lettuce: A case study in Greater Accra region of Ghana

    Science.gov (United States)

    Frimpong, G. K.; Kottoh, I. D.; Ofosu, D. O.; Larbi, D.

    2015-05-01

    The effect of ionizing radiation on the microbiological quality on minimally processed carrot and lettuce was studied. The aim was to investigate the effect of irradiation as a sanitizing agent on the bacteriological quality of some raw eaten salad vegetables obtained from retailers in Accra, Ghana. Minimally processed carrot and lettuce were analysed for total viable count, total coliform count and pathogenic organisms. The samples collected were treated and analysed for a 15 day period. The total viable count for carrot ranged from 1.49 to 14.01 log10 cfu/10 g while that of lettuce was 0.70 to 8.5 7 log10 cfu/10 g. It was also observed that total coliform count for carrot was 1.46-7.53 log10 cfu/10 g and 0.14-7.35 log10 cfu/10 g for lettuce. The predominant pathogenic organisms identified were Bacillus cereus, Cronobacter sakazakii, Staphylococcus aureus, and Klebsiella spp. It was concluded that 2 kGy was most effective for medium dose treatment of minimally processed carrot and lettuce.

  18. Replacing car trips by increasing bike and public transport in the greater Barcelona metropolitan area: a health impact assessment study.

    Science.gov (United States)

    Rojas-Rueda, D; de Nazelle, A; Teixidó, O; Nieuwenhuijsen, M J

    2012-11-15

    Estimate the health risks and benefits of mode shifts from car to cycling and public transport in the metropolitan area of Barcelona, Spain. We conducted a health impact assessment (HIA), creating 8 different scenarios on the replacement of short and long car trips, by public transport or/and bike. The primary outcome measure was all-cause mortality and change in life expectancy related to two different assessments: A) the exposure of travellers to physical activity, air pollution to particulate matter car trips, starting and ending in Barcelona City, to cycling (n=141,690) would be for the travellers who shift modes 1.15 additional deaths from air pollution, 0.17 additional deaths from road traffic fatality and 67.46 deaths avoided from physical activity resulting in a total of 66.12 deaths avoided. Fewer deaths would be avoided annually if half of the replaced trips were shifted to public transport (43.76 deaths). The annual health impact in the Barcelona City general population (n=1,630,494) of the 40% reduction in car trips would be 10.03 deaths avoided due to the reduction of 0.64% in exposure to PM2.5. The deaths (including travellers and general population) avoided in Barcelona City therefore would be 76.15 annually. Further health benefits would be obtained with a shift of 40% of the car trips from the Greater Barcelona Metropolitan which either start or end in Barcelona City to public transport (40.15 deaths avoided) or public transport and cycling (98.50 deaths avoided).The carbon dioxide reduction for shifting from car to other modes of transport (bike and public transport) in Barcelona metropolitan area was estimated to be 203,251t/CO₂ emissions per year. Interventions to reduce car use and increase cycling and the use of public transport in metropolitan areas, like Barcelona, can produce health benefits for travellers and for the general population of the city. Also these interventions help to reduce green house gas emissions. Copyright © 2012

  19. The mortality effect of ship-related fine particulate matter in the Sydney greater metropolitan region of NSW, Australia.

    Science.gov (United States)

    Broome, Richard A; Cope, Martin E; Goldsworthy, Brett; Goldsworthy, Laurie; Emmerson, Kathryn; Jegasothy, Edward; Morgan, Geoffrey G

    2016-02-01

    This study investigates the mortality effect of primary and secondary PM2.5 related to ship exhaust in the Sydney greater metropolitan region of Australia. A detailed inventory of ship exhaust emissions was used to model a) the 2010/11 concentration of ship-related PM2.5 across the region, and b) the reduction in PM2.5 concentration that would occur if ships used distillate fuel with a 0.1% sulfur content at berth or within 300 km of Sydney. The annual loss of life attributable to 2010/11 levels of ship-related PM2.5 and the improvement in survival associated with use of low-sulfur fuel were estimated from the modelled concentrations. In 2010/11, approximately 1.9% of the region-wide annual average population weighted-mean concentration of all natural and human-made PM2.5 was attributable to ship exhaust, and up to 9.4% at suburbs close to ports. An estimated 220 years of life were lost by people who died in 2010/11 as a result of ship exhaust-related exposure (95% CIβ: 140-290, where CIβ is the uncertainty in the concentration-response coefficient only). Use of 0.1% sulfur fuel at berth would reduce the population weighted-mean concentration of PM2.5 related to ship exhaust by 25% and result in a gain of 390 life-years over a twenty year period (95% CIβ: 260-520). Use of 0.1% sulfur fuel within 300 km of Sydney would reduce the concentration by 56% and result in a gain of 920 life-years over twenty years (95% CIβ: 600-1200). Ship exhaust is an important source of human exposure to PM2.5 in the Sydney greater metropolitan region. This assessment supports intervention to reduce ship emissions in the GMR. Local strategies to limit the sulfur content of fuel would reduce exposure and will become increasingly beneficial as the shipping industry expands. A requirement for use of 0.1% sulfur fuel by ships within 300 km of Sydney would provide more than twice the mortality benefit of a requirement for ships to use 0.1% sulfur fuel at berth. Copyright © 2015 Elsevier

  20. Quantifying the Driving Forces of Informal Urbanization in the Western Part of the Greater Cairo Metropolitan Region

    Directory of Open Access Journals (Sweden)

    Taher Osman

    2016-06-01

    Full Text Available This paper discusses the driving forces (DFs of informal urbanization (IU in the greater Cairo metropolitan region (GCMR using the Analytic Hierarchy Process (AHP. The IU patterns in the GCMR have been extremely influenced by seven DFs: geographical characteristics, availability of life facilities, economic incentives, land demand and supply, population increase, administrative function, and development plans. This research found that these forces vary significantly in how they influence urban growth in the three study sectors, namely, the middle, north, and south areas in the western part of the GCMR. The forces with the highest influence were economic incentives in the middle sector, population increase in the north sector, and the administrative function in the south sector. Due to the lower availability of buildable land in the middle sector, the land demand and supply force had a lesser influence in this sector compared to in the north and south sectors. The development plans force had medium influence in all sectors. The geographical characteristics force had little influence in both the middle and the north sectors, but higher influence than economic incentives, availability of life facilities, and development plans in the south sector. Because of the spatial variances in life facilities organizations in the GCMR, the life facilities availability force had little effect on IU in the south sector.

  1. Perceptions of clients regarding family planning service delivery in a clinic of the Greater Johannesburg Metropolitan Council

    Directory of Open Access Journals (Sweden)

    A. Kellner

    2010-09-01

    Full Text Available Unwanted pregnancies with their negative impact on both women and children occur on an ongoing basis in Gauteng, South Africa. One way to prevent unwanted pregnancies is to use a reliable contraceptive method available free of charge from primary health care clinics providing family planning services throughout Gauteng Province. A literature review was completed on women and access to family planning services and an interview schedule (questionnaire was developed. The purpose of this study was to describe guidelines to meet the expectations of clients accessing family planning services provided by a clinic in Region F, Area 28 of the Greater Johannesburg metropolitan council. This quantitative, exploratory, descriptive and comparative study measured the gaps between the expectations of participants on service delivery and the extent to which these expectations were met. A convenience sample was conducted and consisted of 50 women of reproductive age (ages 15 to 49 attending the family planning clinic. Pre-testing of the instrument was conducted. Structured interviews with a interview schedule were conducted before and after women attended a family planning service. Inferential statistics indicated that there was a significant gap between the client expectations of family planning service delivery and the extent to which these expectations were met. Of the sixty-four items where women indicated the extent of their expectations the findings on only three items were not statistically significant. These gaps were addressed by proposing managerial guidelines to be implemented by the nurse manager in charge of the facility, on which this article will focus. Validity and reliability principles were ensured in the study. Ethical principles were adhered to during the research process.

  2. The impact of heat on mortality and morbidity in the Greater Metropolitan Sydney Region: a case crossover analysis.

    Science.gov (United States)

    Wilson, Leigh Ann; Morgan, Geoffrey Gerard; Hanigan, Ivan Charles; Johnston, Fay H; Abu-Rayya, Hisham; Broome, Richard; Gaskin, Clive; Jalaludin, Bin

    2013-11-15

    This study examined the association between unusually high temperature and daily mortality (1997-2007) and hospital admissions (1997-2010) in the Sydney Greater Metropolitan Region (GMR) to assist in the development of targeted health programs designed to minimise the public health impact of extreme heat. Sydney GMR was categorized into five climate zones. Heat-events were defined as severe or extreme. Using a time-stratified case-crossover design with a conditional logistic regression model we adjusted for influenza epidemics, public holidays, and climate zone. Odds ratios (OR) and 95% confidence intervals were estimated for associations between daily mortality and hospital admissions with heat-event days compared to non-heat event days for single and three day heat-events. All-cause mortality overall had similar magnitude associations with single day and three day extreme and severe events as did all cardiovascular mortality. Respiratory mortality was associated with single day and three day severe events (95th percentile, lag0: OR = 1.14; 95%CI: 1.04 to 1.24). Diabetes mortality had similar magnitude associations with single day and three day severe events (95th percentile, lag0: OR = 1.22; 95%CI: 1.03 to 1.46) but was not associated with extreme events. Hospital admissions for heat related injuries, dehydration, and other fluid disorders were associated with single day and three day extreme and severe events. Contrary to our findings for mortality, we found inconsistent and sometimes inverse associations for extreme and severe events with cardiovascular disease and respiratory disease hospital admissions. Controlling for air pollutants did not influence the mortality associations but reduced the magnitude of the associations with hospital admissions particularly for ozone and respiratory disease. Single and three day events of unusually high temperatures in Sydney are associated with similar magnitude increases in mortality and hospital admissions. The trend

  3. Measuring unemployment persistence of different labor force groups in the Greater São Paulo Metropolitan Area

    Directory of Open Access Journals (Sweden)

    Cleomar Gomes da Silva

    2009-12-01

    Full Text Available This article makes use of ARFIMA models and unit root tests with structural breaks to examine the unemployment persistence of different labor forces in the Greater Metropolitan Area of São Paulo. To this purpose, not only is the region's open unemployment rate analyzed but it is also disaggregated by gender, age, color and position within the household. The period ranges from January 1985 to November 2008 and, despite using a range of estimation methods, the presence of a unit root cannot be rejected in general. The exceptions are the series related to Age 15-17 and over 40. But even in these cases the parameter "d" lies above 0.5. This is an indication that the unemployment rates in São Paulo can be defined as non stationary and the majority of the series are not mean-reverting. Therefore, the disinflation policies implemented by the Brazilian policymakers in the last two decades, as well as changes in real variables, have had long-lasting effects on the unemployment rates in São Paulo.Este artigo usa modelos ARFIMA e testes de raiz unitária com quebra estrutural para examinar o grau de persistência do desemprego de diferentes estratos da força de trabalho na Região Metropolitana de São Paulo. Para tanto, a taxa agregada desta região é examinada, como também sua desagregação por gênero, idade, raça e posição dentro da família. O período de análise vai de janeiro de 1985 a novembro 2008 e, apesar do uso de diferentes métodos de estimação, a hipótese de raiz unitária não é rejeitada em geral. As duas exceções são as séries relacionadas aos trabalhadores entre 15 e 17 anos e acima dos 40 anos. Mas, mesmo nestes dois casos, o parâmetro "d" fica acima de 0,5. Isso indica que não há estacionariedade e também não há reversão a uma média de longo prazo para a maioria das séries analisadas. Portanto, as políticas econômicas de combate à inflação das últimas duas décadas, assim como mudanças em vari

  4. [Prenatal patient cards and quality of prenatal care in public health services in Greater Metropolitan Vitória, Espírito Santo State, Brazil].

    Science.gov (United States)

    Santos Neto, Edson Theodoro dos; Oliveira, Adauto Emmerich; Zandonade, Eliana; Gama, Silvana Granado Nogueira da; Leal, Maria do Carmo

    2012-09-01

    This study aimed to assess the completeness of prenatal care information on the patients' prenatal care cards, according to coverage by various public health services: Family Health Strategy (FHS), Community-Based Health Workers' Program (CBHWP), and traditional Primary Care Units (PCU) in Greater Metropolitan Vitória, Espírito Santo State, Brazil. In a cross-sectional study, 1,006 prenatal cards were randomly selected from postpartum women at maternity hospitals in the metropolitan area. Completeness of the cards was assessed according to the criteria proposed by Romero & Cunha, which measure the quality on a scale from excellent ( 50% incomplete cards). In general, completion of information on the cards was bad (> 20% incomplete), but cards were filled out better in the FHS than in the CBHWP and PCU, especially for tetanus vaccination (p = 0.016) and gestational weight (p = 0.039). In conclusion, the quality of prenatal care in the public health system in Greater Metropolitan Vitória fails to meet the Brazilian national guidelines for maternal and child health.

  5. Foodborne illness among school children in Ga east, Accra | Malm ...

    African Journals Online (AJOL)

    Background: A food borne illness was reported in Ga- East district of Greater Accra Region among school children in May, 2007 after eating food provided at school. The objective of the investigation was to determine the source, mode of contamination and the causative agent. Methods: A case-control study was conducted, ...

  6. Socio-demographic and health conditions associated with paid work in adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil

    OpenAIRE

    de Castro, CMS; Mambrini, JVDM; Sampaio, RF; Macinko, J; Lima-Costa, MF

    2015-01-01

    © 2015 Fundacao Oswaldo Cruz. All rights reserved. Factors associated with paid work were examined in a probabilistic sample of 3,320 adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Prevalence of paid work was 62.8% in men and 35.8% in women. For both men and women, paid work was positively associated with schooling and negatively associated with self-rated health. The probability of having paid work was higher for single women and those who knew someo...

  7. Mood Sensitivity to Seasonal Changes in African College Students Living in the Greater Washington D.C. Metropolitan Area

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    Alvaro Guzman

    2007-01-01

    Full Text Available The purpose of this study was to estimate the degree of seasonality and prevalence of winter- and summer-type seasonal affective disorder (SAD in African immigrant college students in comparison with African American peers. A convenience sample of 246 African immigrants and 599 African Americans studying in Washington, D.C. completed the Seasonal Pattern Assessment Questionnaire (SPAQ, which was used to calculate a global seasonality score (GSS and to estimate the prevalence of winter- and summer-type SAD. Degree of seasonality was related to a complex interaction between having general awareness of SAD, ethnicity, and gender. A greater percentage of African students reported experiencing a problem with seasonal changes relative to African American students, and had summer SAD, but the groups did not differ on GSS and winter SAD. African students reported more difficulties with seasonal changes than their African American peers, which could represent a manifestation of incomplete acclimatization to a higher latitude and temperate climate. As Africans also had a greater rate of summer SAD, this argues against acclimatization to heat.

  8. Independent Planning System and Public Administration in Metropolitan Development: Agglomeration Strategies of Greater Chaoshan in Southern China

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    Tian Guang

    2017-04-01

    Full Text Available This paper examines independent planning system as a means of public administration in regional economic development. It proposes a new strategy based on the theories of public administrative resources, to agglomerate and unify the cities of Shantou, Jieyang, and Chaozhou into a new administrative entity as a metropolis with the status of independent planning and the preferred policies of a Special Economic Region to lead regional development. The optimal allocation of public administrative resources has played a key role in the fundamental economic development in China in recent years. The new administrative system of large cities (metropolises with independent planning has become an innovative format to utilize the renewable soft resources of administration, which in fact is a new attempt to reform the economic system by the Chinese government. The greater Chaoshan area needs to be agglomerated and unified to further develop the regional economy with the implementation of independent planning system. The current research conducted from a practical and political point of view is of significant value to the overall planning and strategic layout of the economic and social development of the whole eastern Guangdong region.

  9. Minimizing Surface Exposure to Climate Extremity in Coastal Megacities by Structure Remodelling using Integral Geographic Information System: Lessons from Greater Mumbai Metropolitan

    Science.gov (United States)

    Tiwari, A.

    2016-12-01

    Coastal metropolitans in South Asia represent the most densely populated and congested urban spaces ranking among the largest urban settlements of the planet. These megacities are characterized by inadequate infrastructure, lack of mitigation tools, and weak resilience of urban ecosystems. Additionally, climate change has increased vulnerability of poor and marginalized population living in rapidly growing coastal megacities to increased frequency, severity and intensity of extreme weather events. This has adversely affected local counter strategies and adaptation tools, transforming such events into hazards with the inability to respond and mitigate. Study aimed to develop a participatory framework for risk reduction in Greater Mumbai Metropolitan by Structure Remodeling (SR) in integral GIS. Research utilized terrain analysis tools and vulnerability mapping, and identified risk susceptible fabric and checked its scope for SR without: 1.adding to its (often) complex fragmentation, and 2.without interference with the ecosystem services accommodated by it. Surfaces available included paved ground, streetscapes commercial facades, rooftops,public spaces, open as well as dark spaces. Remodeling altered certain characteristics in the intrinsic or extrinsic cross-section profile or in both (if suitable) with infrastructure measures (grey, green, blue) that collectively involved ecosystem services and maintained natural hydrological connection. This method fairly reduced exposure of vulnerable surface and minimized risk to achieve extremity-neutral state. Harmonizing with public perception and incorporating priorities of local authorities, the method is significant as it rises above the fundamental challenges arising during management of (often) conflicting perspectives and interests of multiplicity of stakeholders involved at various levels in urban climate governance while ensuring inclusive solutions with reduced vulnerability and increased resilience. Additionally

  10. Simulated effects of projected ground-water withdrawals in the Floridan aquifer system, greater Orlando metropolitan area, east-central Florida

    Science.gov (United States)

    Murray, Louis C.; Halford, Keith J.

    1999-01-01

    Ground-water levels in the Floridan aquifer system within the greater Orlando metropolitan area are expected to decline because of a projected increase in the average pumpage rate from 410 million gallons per day in 1995 to 576 million gallons per day in 2020. The potential decline in ground-water levels and spring discharge within the area was investigated with a calibrated, steady-state, ground-water flow model. A wetter-than-average condition scenario and a drought-condition scenario were simulated to bracket the range of water-levels and springflow that may occur in 2020 under average rainfall conditions. Pumpage used to represent the drought-condition scenario totaled 865 million gallons per day, about 50 percent greater than the projected average pumpage rate in 2020. Relative to average 1995 steady-state conditions, drawdowns simulated in the Upper Floridan aquifer exceeded 10 and 25 feet for wet and dry conditions, respectively, in parts of central and southwest Orange County and in north Osceola County. In Seminole County, drawdowns of up to 20 feet were simulated for dry conditions, compared with 5 to 10 feet simulated for wet conditions. Computed springflow was reduced by 10 percent for wet conditions and by 38 percent for dry conditions, with the largest reductions (28 and 76 percent) occurring at the Sanlando Springs group. In the Lower Floridan aquifer, drawdowns simulated in southwest Orange County exceeded 20 and 40 feet for wet and dry conditions, respectively.

  11. Persistent organic pollutants in breast milk of primiparae and multiparae Mothers sampled from three health facilities in the Greater Accra and Central Regions of Ghana: Levels of Contamination, Influencing factors and infant risk assessment

    International Nuclear Information System (INIS)

    Blankson-Arthur, Sarah

    2016-07-01

    Human Breast milk is the optimal source of nutrition for babies and infants during the first six (6) months following birth. Breast milk protects the infants against diseases and infections. Interestingly, because breast milk is a lipid-rich tissue, it attracts, retains and accumulates lipophilic contaminants like persistent organic pollutants (POPs) from the ambient environment. The lipophilic contaminant load of the mother’s breast milk is subsequently, transferred to the breast-fed child. This makes breast milk an important biological matrix for the monitoring of the lactating mother’s body burden of persistent organic pollutants (POPs). The study, assessed the levels of persistent organic pollutants (POPs) [polychlorinated biphenyls (PCBs) and organochlorine pesticide (OCPs)] in the breast milk of lactating mothers (primiparae and multiparae) who reside within the catchment areas and attend child welfare clinic at one of three health facilities in Southern Ghana [Princess Marie Louis (PML) Children Hospital (Korle Wokon, Accra Central); GAEC Hospital (Kwabenya, Accra); and Gomoa Brofo Community based Health and Planning Services, (Gomoa Brofo, Gomoa West district, Central region)]. The study also evaluated the factors (age of lactating mothers, parity and area of residence) influencing the accumulation of the POPs; and, in addition, assessed the potential health risk associated with the ingestion of breast milk by the infants through estimation of the infant’s daily intakes and hazard quotient. A total of two hundred and eighty-eight (288) healthy lactating mothers between the ages of 17-38 years from the three sampling locations [PML (135), GAEC (112), CHPS (41)] were selected for the study based on questionnaires administered to obtain information on the mothers [personal characteristics, number of births (parity), age, weight, height and body mass index (BMI)]. The non-invasive sampling technique was used for the collection of breast milk samples. Gas

  12. Breast cancer in Accra, Ghana

    African Journals Online (AJOL)

    User

    Most can- cers (97.1%) were found in women with only 24. (2.9%) in males, giving a female:male ratio of. 33.2:1. Figure 1: Age characteristics of breast cancers in Accra. Ductal type represents the most common (90.1%) breast cancer cases followed by lobular carcinomas. (3.9%) (Table 1). The ductal to lobular ratio is.

  13. [Avoidable perinatal deaths and the environment outside the health care system: a case study in a city in Greater Metropolitan Rio de Janeiro].

    Science.gov (United States)

    Rosa, Maria L G; Hortale, Virginia Alonso

    2002-01-01

    This paper focuses on the role of environmental factors external to the health care system in the occurrence of perinatal deaths in maternity hospitals belonging to the local health system in a city in Greater Metropolitan Rio de Janeiro in 1994. Elements from the political and administrative context that contribute to an understanding of the relationship between failures in health care and structural deficiencies in these maternity hospitals were divided into four groups of variables: distribution of resources, spatial and temporal factors, organizational and managerial features, and action by interest groups. Semi-structured interviews were conducted. The study concluded that poor performance in four groups of variables may have contributed to perinatal mortality: distribution of resources was insufficient to provide quality in health care, especially in private maternity hospitals; there was no formal or informal regional or hierarchical organization of obstetric care in the city; Ministry of Health guidelines were ignored in all four maternity hospitals, while in three of the hospitals there were no admissions procedures and delivery and fetal follow-up listed in their own rules; and the level of actual participation was low.

  14. [Socio-demographic and health conditions associated with paid work in adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil].

    Science.gov (United States)

    Castro, Camila Menezes Sabino de; Mambrini, Juliana Vaz de Melo; Sampaio, Rosana Ferreira; Macinko, James; Lima-Costa, Maria Fernanda

    2015-08-01

    Factors associated with paid work were examined in a probabilistic sample of 3,320 adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Prevalence of paid work was 62.8% in men and 35.8% in women. For both men and women, paid work was positively associated with schooling and negatively associated with self-rated health. The probability of having paid work was higher for single women and those who knew someone that had suffered discrimination at the workplace. For men, prevalence of paid work varied from 67.2% in those with ≥ 8 years of schooling and better self-rated health, as compared to 37.8% in those with less schooling and poor self-rated health (PR = 0.56; 95%CI: 0.37-0.87). In women, the corresponding prevalence rates were 42.1% and 3.6% (PR = 0.09; 95%CI: 0.03-0.26). For women with little schooling and poor self-rated health, the likelihood of having paid work was ten times lower than for their male counterparts.

  15. Weaknesses and capacities affecting the Prehospital emergency care for victims of road traffic incidents in the greater Kampala metropolitan area: a cross-sectional study.

    Science.gov (United States)

    Balikuddembe, Joseph Kimuli; Ardalan, Ali; Khorasani-Zavareh, Davoud; Nejati, Amir; Raza, Owais

    2017-10-03

    Pre-hospital emergency care is a vital and integral component of health systems particularly in the resource constrained countries like Uganda. It can help to minimize deaths, injuries, morbidities, disabilities and trauma caused by the road traffic incidents (RTIs). This study identifies the weaknesses and capacities affecting the pre-hospital emergency care for the victims of RTIs in the Greater Kampala Metropolitan Area (GKMA). A cross-sectional study was conducted in the GKMA using a three-part structured questionnaire. Data related to the demographics, nature of RTIs and victims' pre-hospital experience and existing Emergency Medical Services (EMS) were collected from victims and EMS specialists in 3 hospitals and 5 EMS institutions respectively. Data was descriptively analyzed, and after the principal component analysis was employed to identify the most influential weaknesses and capacities affecting the pre-hospital emergency care for the victims of RTI in the GKMA. From 459 RTI victims (74.7% males and 25.3% females) and 23 EMS specialists (91.3% males and 8.7% females) who participated in the study between May and June 2016, 4 and 5 key weaknesses and capacities respectively were identified to affect the pre-hospital emergency care for RTI victims in the GKMA. Although some strengths exist like ambulance facilitation, EMS structuring, coordination and others), the key weaknesses affecting the pre-hospital care for victims were noted to relate to absence of predefined EMS systems particularly in the GKMA and Uganda as a whole. They were identified to involve poor quality first aid treatment; insufficient skills/training of the first responders; inadequate EMS resources; and avoidable delays to respond and transport RTI victims to medical facilities. Though some strengths exist, the weaknesses affecting prehospital care for RTI victims primarily emanate from the absence of predefined and well-organized EMS systems in the GKMA and Uganda as a whole.

  16. obesity and systemic hypertension in accra communities

    African Journals Online (AJOL)

    SUMMARY. Thc stildy was carried out to deterninine the preva-. Icncc of obesity associated with systemic hypcr- tcnsion in four comn~unities in Accra. A total of. 598 persons, of \\\\ll~om 257 were Inale and 341 fe- male agcd 15ycar and above werc examined. Their blood prcssurc, weight, and height were measuretl; and liom ...

  17. SEXUAL AND REPRODUCTIVE HEALTH IN ACCRA, GHANA

    African Journals Online (AJOL)

    David Ofori-Adjei

    2012-06-01

    Jun 1, 2012 ... sexual and reproductive ill health; one in ten women reported menstrual irregularities and almost one quarter ... and fertility from the Women's Health Study of Accra. II (WHSA-II) survey conducted in 2008-9. ..... breast exams (46%), nutrition education (29%) and. HIV tests (25%) were the most commonly ...

  18. MRSA Causing Infections in Hospitals in Greater Metropolitan New York: Major Shift in the Dominant Clonal Type between 1996 and 2014.

    Directory of Open Access Journals (Sweden)

    Maria Pardos de la Gandara

    Full Text Available A surveillance study in 1996 identified the USA100 clone (ST5/SCCmecII-also known as the "New York/Japan" clone-as the most prevalent MRSA causing infections in 12 New York City hospitals. Here we update the epidemiology of MRSA in seven of the same hospitals eighteen years later in 2013/14. Most of the current MRSA isolates (78 of 121 belonged to the MRSA clone USA300 (CC8/SCCmecIV but the USA100 clone-dominant in the 1996 survey-still remained the second most frequent MRSA (25 of the 121 isolates causing 32% of blood stream infections. The USA300 clone was most common in skin and soft tissue infections (SSTIs and was associated with 84.5% of SSTIs compared to 5% caused by the USA100 clone. Our data indicate that by 2013/14, the USA300 clone replaced the New York/Japan clone as the most frequent cause of MRSA infections in hospitals in Metropolitan New York. In parallel with this shift in the clonal type of MRSA, there was also a striking change in the types of MRSA infections from 1996 to 2014.

  19. Perception, experience, and indigenous knowledge of climate change and variability: the case of Accra, a sub-Saharan African city

    Science.gov (United States)

    Codjoe, Samuel N.A.; Owusu, George; Burkett, Virginia

    2014-01-01

    Several recent international assessments have concluded that climate change has the potential to reverse the modest economic gains achieved in many developing countries over the past decade. The phenomenon of climate change threatens to worsen poverty or burden populations with additional hardships, especially in poor societies with weak infrastructure and economic well-being. The importance of the perceptions, experiences, and knowledge of indigenous peoples has gained prominence in discussions of climate change and adaptation in developing countries and among international development organizations. Efforts to evaluate the role of indigenous knowledge in adaptation planning, however, have largely focused on rural people and their agricultural livelihoods. This paper presents the results of a study that examines perceptions, experiences, and indigenous knowledge relating to climate change and variability in three communities of metropolitan Accra, which is the capital of Ghana. The study design is based on a three-part conceptual framework and interview process involving risk mapping, mental models, and individual stressor cognition. Most of the residents interviewed in the three communities of urban Accra attributed climate change to the combination of deforestation and the burning of firewood and rubbish. None of the residents associated climate change with fossil fuel emissions from developed countries. Numerous potential adaptation strategies were suggested by the residents, many of which have been used effectively during past drought and flood events. Results suggest that ethnic residential clustering as well as strong community bonds in metropolitan Accra have allowed various groups and long-settled communities to engage in the sharing and transmission of knowledge of weather patterns and trends. Understanding and building upon indigenous knowledge may enhance the design, acceptance, and implementation of climate change adaptation strategies in Accra and

  20. Theological remarks on the Accra Confession

    Directory of Open Access Journals (Sweden)

    Hans-Wilfried Haase

    2009-11-01

    Full Text Available This article provides a critical evaluation of the Accra Confession (WARC 2004. The misery in various regions of the southern hemisphere poses an extreme ethical challenge for the Christian faith; the outcry for justice should not be left unheeded. It is necessary that the causes of this misery should be clearly described before viable strategies for overcoming it can be developed. The Accra Confession seems to be rather one-dimensional in its evaluation of reality. The ethical charge implied by the term ‘confession’ is of little use when dealing with complex global fields of action that only rarely allow a simple equation of cause and reaction. It is not so much a ‘confession’ (or Bekenntnis that is needed but rather a renewed discussion among all concerned on the best ways to achieve more justice.

  1. Preliminary approach to the construction of a Scale of Adherence to the Principles of Criminal Law (SAPCL. A pilot study in the Greater Metropolitan area of Concepción, Chile

    Directory of Open Access Journals (Sweden)

    Pablo Javier Fuentealba Carrasco

    2017-05-01

    Full Text Available The article presents the psychometric properties of the “Scale of adherence to the principles of Criminal Law” of a pilot study applied to a consecutive sample of 369 cases in the Greater Metropolitan Area of Concepción, Chile. The logic behind the construction of the instrument and its structure is described, focusing on exposing the properties of construct validity through EFA and convergent validity through an inverse correlation with a scale of perceived insecurity. In terms of reliability, we present Cronbach’s Alpha for the General Scale and for each subscale generated. It concludes with the scope, limitations and projections of the scale, as well as suggestions for its expansion and potential for application in other contexts.

  2. Classification and categorization of treatment methods for ash generated by municipal solid waste incineration: a case for the 2 greater metropolitan regions of Greece.

    Science.gov (United States)

    Karagiannidis, A; Kontogianni, St; Logothetis, D

    2013-02-01

    The primary goal of managing MSW incineration residues is to avoid any impact on human health or the environment. Incineration residues consist of bottom ash, which is generally considered as rather harmless and fly ash which usually contains compounds which are potentially harmful for public health. Small quantities of ash (both bottom and fly) are produced currently in Greece, mainly from the healthcare waste incineration facility in Attica region. Once incineration plants for MSW (currently under planning) are constructed in Greece, the produced ash quantities will increase highly. Thus, it is necessary to organize, already at this stage, a roadmap towards disposal/recovery methods of these ash quantities expected. Certain methods, related to the treatment of the future generated ash which are more appropriate to be implemented in Greece are highlighted in the present paper. The performed analysis offers a waste management approach, having 2016 as a reference year for two different incineration rates; 30% and 100% of the remaining MSW after recycling process. The results focus on the two greater regions of Greece: Attica and Central Macedonia. The quantity of potential future ash generation ranges from 137 to 459 kt for Attica region and from 62 to 207 kt for central Macedonia region depending on the incineration rate applied. Three alternative scenarios for the treatment of each kind of ash are compiled and analysed. Metal recovery and reuse as an aggregate in concrete construction proved to be the most advantageous -in terms of economy-bottom ash management scenario. Concerning management of the fly ash, chemical treatment with phosphoric solution addition results to be the lowest total treatment cost and is considered as the most profitable solution. The proposed methodology constitutes a safe calculation model for operators of MSW incineration plants regardless of the region or country they are located in. Crown Copyright © 2012. Published by Elsevier Ltd

  3. Childbearing and Economic Work: The Health Balance of Women in Accra, Ghana.

    Science.gov (United States)

    Waterhouse, Philippa; Hill, Allan G; Hinde, Andrew

    2016-02-01

    This study aims to investigate (1) whether the health of working women with young children differs from that of working women without young children, and (2) which social factors mediate the relationship between economic and maternal role performance and health among mothers with young children. The analyses uses panel data from 697 women present in both waves of the Women's Health Study for Accra (WHSA-I and WHSA-II); a community based study of women aged 18 years and older in the Accra Metropolitan Area of Ghana conducted in 2003 and 2008-2009. Change in physical and mental health between the survey waves is compared between women with a biological child alive at WHSA-II and born since WHSA-I and women without a living biological child at WHSA-II born in the interval. To account for attrition between the two survey waves selection models were used with unconditional change score models being used as the outcome model. We found in our sample of working women that those who had a child born between WHSA-I and WHSA-II who was still alive at WHSA-II did not experience a change in mental or physical health different from other women. Among working women with young children, educational status, relationship to the household head and household demography were associated with change in mental health at the 5 % level, whilst migration status and household demography was associated with change in physical health scores. The results suggest there are no health penalties of combining work and childbearing among women with young children in Accra, Ghana.

  4. Clinical treatment outcomes of tuberculosis treated with the basic regimen recommended by the Brazilian National Ministry of Health using fixed-dose combination tablets in the greater metropolitan area of Goiânia, Brazil.

    Science.gov (United States)

    Ferreira, Anna Carolina Galvão; Silva Júnior, José Laerte Rodrigues da; Conde, Marcus Barreto; Rabahi, Marcelo Fouad

    2013-01-01

    To describe the rates of cure, treatment failure, and treatment abandonment obtained with the basic regimen recommended by the Brazilian National Ministry of Health (rifampin, isoniazid, pyrazinamide, and ethambutol for two months, followed by isoniazid and rifampin for four months) involving the use of fixed-dose combination tablets (self-administered treatment), as well as to describe adverse events and their potential impact on treatment outcomes. This was a descriptive study based on prospective data obtained from the medical records of tuberculosis patients (> 18 years of age) treated with the basic regimen at either of two primary health care facilities in the greater metropolitan area of Goiânia, Brazil. The study sample comprised 40 tuberculosis patients. The rate of cure was 67.5%, the rate of treatment abandonment was 17.5%, and there were no cases of treatment failure. Of the 40 patients in the sample, 19 (47%) reported adverse reactions, which were mild and moderate, respectively, in 87% and 13% of the cases. It was not necessary to alter the regimen or discontinue the treatment in any of the cases evaluated. The rate of cure obtained with the self-administered, fixed-dose combination tablet form of the new basic regimen was similar to the historical rates of cure obtained with the previous regimen. The rate of treatment abandonment in our sample was much higher than that considered appropriate (up to 5%).

  5. Clinical treatment outcomes of tuberculosis treated with the basic regimen recommended by the Brazilian National Ministry of Health using fixed-dose combination tablets in the greater metropolitan area of Goiânia, Brazil *

    Science.gov (United States)

    Ferreira, Anna Carolina Galvão; da Silva, José Laerte Rodrigues; Conde, Marcus Barreto; Rabahi, Marcelo Fouad

    2013-01-01

    OBJECTIVE: To describe the rates of cure, treatment failure, and treatment abandonment obtained with the basic regimen recommended by the Brazilian National Ministry of Health-rifampin, isoniazid, pyrazinamide, and ethambutol for two months, followed by isoniazid and rifampin for four months-involving the use of fixed-dose combination tablets (self-administered treatment), as well as to describe adverse events and their potential impact on treatment outcomes. METHODS: This was a descriptive study based on prospective data obtained from the medical records of tuberculosis patients (≥ 18 years of age) treated with the basic regimen at either of two primary health care facilities in the greater metropolitan area of Goiânia, Brazil. RESULTS: The study sample comprised 40 tuberculosis patients. The rate of cure was 67.5%, the rate of treatment abandonment was 17.5%, and there were no cases of treatment failure. Of the 40 patients in the sample, 19 (47%) reported adverse reactions, which were mild and moderate, respectively, in 87% and 13% of the cases. It was not necessary to alter the regimen or discontinue the treatment in any of the cases evaluated. CONCLUSIONS: The rate of cure obtained with the self-administered, fixed-dose combination tablet form of the new basic regimen was similar to the historical rates of cure obtained with the previous basic regimen. The rate of treatment abandonment in our sample was much higher than that considered appropriate (up to 5%). PMID:23503489

  6. Cervical human papillomavirus infection in accra, Ghana | Domfeh ...

    African Journals Online (AJOL)

    ) prevalence and its determinants among a sample of Ghanaian women. Design: Cross-sectional observational study. Setting: Gynaecology outpatient clinic of the Korle-Bu Teaching Hospital, Accra, Ghana; the largest tertiary care ...

  7. Psychosocial aspects of breast cancer treatement in Accra, Ghana ...

    African Journals Online (AJOL)

    Objectives: To evaluate psychosocial influences and effects of breast cancer treatment. Design: Cohort questionnaire survey. Setting: Surgical Outpatient Department, Korle Bu Teaching Hospital (KBTH), Accra, Ghana. Subjects: Women previously treated for breast cancer, including those still on hormonal therapy.

  8. Caracterización de los Servicios de Atención en Violencia Familiar del área metropolitana de Buenos Aires, Argentina Analysis of Services Targeting Family Violence Against Women in Greater Metropolitan Buenos Aires, Argentina

    Directory of Open Access Journals (Sweden)

    Roxana Cecilia Ynoub

    1998-01-01

    Full Text Available Se presentan, en este trabajo, un diagnóstico y evaluación de la disponibilidad de servicios existentes en la región metropolitana de Buenos Aires para la atención en Violencia Familiar Contra la Mujer. De ellos se describen las redes existentes y las articulaciones intersectoriales. Asimismo se evaluan su desarrollo institucional, los enfoques teóricos, las modalidades de intervención y la producción de información e investigaciones. Entre los resultados, se destaca la presencia de distintas perspectivas teóricas ­ particularmente entre quienes incluyen o no la temática de género ­, a las que corresponden distintas modalidades de intervención; y las conexiones ­ más informales que formales ­ entre distintos sectores y áreas oficiales y las organizaciones no gubernamentales. Finalmente se proponen las experiencias institucionales desarrolladas en esta tema como un modelo de nuevas modalidades en el diseño de políticas públicas y de salud.This study presents a diagnosis and evaluation of the availability of services related to family violence against women in Greater Metropolitan Buenos Aires, Argentina. The paper focuses on institutional development, theoretical foci, intervention modalities, and production of information and research. Existing networks and interprofessional relationships are also described. Results point to several noteworthy theoretical perspectives. Some programs include gender as an issue, while others do not. The relationship (more informal than formal between governmental and nongovernmental organizations is also a relevant issue. The paper concludes by proposing these institutional experiences as a model for the design of new public health policies.

  9. Measuring accessibility and congestion in Accra

    DEFF Research Database (Denmark)

    Møller-Jensen, Lasse; Kofie, Richard Y.; Allotey, Albert N.M.

    2012-01-01

    Based on extensive gps-measurements, the paper addresses the level of intra-urban accessibility and provides indications of the level of congestion in Accra, Ghana. Traffic flows within the urban area are analyzed with respect to speed, time-of-day, direction, road type and land cover type. The s...... and less during off-peak hours. Delays are frequently found within the inner fringe areas. The paper discusses the methodological potentials and barriers for applying gps tracklog points for analysing traffic flows within an urban road network........ The speed information is extrapolated to cover the total mapped urban road net¬work with time- and direction-specific data. A series of time-distance maps are created using network analysis to illustrate the level of accessibility at different times of the day and at different directions relative...... to the city centre. Peak hour traffic speeds are compared with off-peak levels and theoretical free-flow estimations to provide an indica-tion of the level of congestion. It is found that the core areas are somewhat congested during the day period, while the fringe areas are more congested during peak hours...

  10. Health insurance and care-seeking behaviours of female migrants in Accra, Ghana.

    Science.gov (United States)

    Lattof, Samantha R

    2018-05-01

    People working in Ghana's informal sector have low rates of enrolment in the publicly funded National Health Insurance Scheme. Informal sector workers, including migrant girls and women from northern Ghana working as head porters (kayayei), report challenges obtaining insurance and seeking formal health care. This article analyses how health insurance status affects kayayei migrants' care-seeking behaviours. This mixed-methods study involved surveying 625 migrants using respondent-driven sampling and conducting in-depth interviews with a sub-sample of 48 migrants. Analyses explore health status and health seeking behaviours for recent illness/injury. Binary logistic regression modelled the effects of selected independent variables on whether or not a recently ill/injured participant (n = 239) sought health care. Although recently ill/injured participants (38.4%) desired health care, less than half (43.5%) sought care. Financial barriers overwhelmingly limit kayayei migrants from seeking health care, preventing them from registering with the National Health Insurance Scheme, renewing their expired health insurance policies, or taking time away from work. Both insured and uninsured migrants did not seek formal health services due to the unpredictable nature of out-of-pocket expenses. Catastrophic and impoverishing medical expenses also drove participants' migration in search of work to repay loans and hospital bills. Health insurance can help minimize these expenditures, but only 17.4% of currently insured participants (58.2%) reported holding a valid health insurance card in Accra. The others lost their cards or forgot them when migrating. Access to formal health care in Accra remains largely inaccessible to kayayei migrants who suffer from greater illness/injury than the general female population in Accra and who are hindered in their ability to receive insurance exemptions. With internal migration on the rise in many settings, health systems must recognize the

  11. Municipal Solid Waste Incineration For Accra Brewery Limited (Ghana)

    OpenAIRE

    Akoore, Alfred Akelibilna

    2016-01-01

    Waste incineration is a common practice of waste management tool in most developed countries, for the purpose of converting mass and volumes of waste into a very useful energy content. The aim of this study was to compare the costs benefits of waste incineration for Accra Brewery boiler plant and to investigate also the availability of waste and it´s compositions in Accra, as well as to determine the feasibility of using this waste as a source of fuel to the waste incineration plant. T...

  12. Assessment of the municipal solid waste management system in Accra, Ghana: A 'Wasteaware' benchmark indicator approach.

    Science.gov (United States)

    Oduro-Appiah, Kwaku; Scheinberg, Anne; Mensah, Anthony; Afful, Abraham; Boadu, Henry Kofi; de Vries, Nanne

    2017-11-01

    This article assesses the performance of the city of Accra, Ghana, in municipal solid waste management as defined by the integrated sustainable waste management framework. The article reports on a participatory process to socialise the Wasteaware benchmark indicators and apply them to an upgraded set of data and information. The process has engaged 24 key stakeholders for 9 months, to diagram the flow of materials and benchmark three physical components and three governance aspects of the city's municipal solid waste management system. The results indicate that Accra is well below some other lower middle-income cities regarding sustainable modernisation of solid waste services. Collection coverage and capture of 75% and 53%, respectively, are a disappointing result, despite (or perhaps because of) 20 years of formal private sector involvement in service delivery. A total of 62% of municipal solid waste continues to be disposed of in controlled landfills and the reported recycling rate of 5% indicates both a lack of good measurement and a lack of interest in diverting waste from disposal. Drains, illegal dumps and beaches are choked with discarded bottles and plastic packaging. The quality of collection, disposal and recycling score between low and medium on the Wasteaware indicators, and the scores for user inclusivity, financial sustainability and local institutional coherence are low. The analysis suggests that waste and recycling would improve through greater provider inclusivity, especially the recognition and integration of the informal sector, and interventions that respond to user needs for more inclusive decision-making.

  13. Highly active antiretroviral therapy and employment status in Accra ...

    African Journals Online (AJOL)

    Demographic charac-teristics were tested as predictors of immunological response while on HAART using hierarchical linear models. Setting: Fevers Unit, Korle-Bu Teaching Hospital, Accra, Ghana Participants: Subjects comprised a convenience sam-ple of adult HAART patients receiving therapy for at least 9 months.

  14. The historical context of the Accra confession | Rust | HTS ...

    African Journals Online (AJOL)

    This article places the Accra Confession, accepted at the 24th General Assembly of the World Alliance of Reformed Churches (WARC) (2004), within the historical context of the WARC's struggle for economic justice in the face of globalisation. It moves beyond addressing such issues merely as ethical issues to rather ...

  15. Pattern of Breast Diseases in Accra: Review of Mammography Reports

    African Journals Online (AJOL)

    Setting: The radiology departments of Korle-Bu Teaching Hospital, the Trust Hospital and Medical Imaging Ghana, all located in Accra. Results: One hundred and eighty radiologic request forms for mammographic evaluations and their corresponding reports from the study period were reviewed. The mean age of the study ...

  16. Metropolitan migration and population growth in selected developing countries.

    Science.gov (United States)

    1983-01-01

    The purpose of this article is to estimate the components of metropolitan population growth in selected developing countries during 1960-1970 period. The study examines population growth in 26 cities: 5 are in Africa, 8 in Asia, and 13 in Latin America, using data from national census publications. These cities in general are the political capitals of their countries, but some additional large cities were selected in Brazil, Mexico, and South Africa. All cities, at the beginning of the 1960-1970 decade had over 500,000 population; Accra, the only exception, reached this population level during the 1960s. Some cities had over 4 million residents in 1970. Net migration contributed about 37% to total metropolitan population growth; the remainder of the growth is attributable to natural increase. Migration has a much stronger impact on metropolitan growth than suggested by the above figure: 1) Several metropolitan areas, for various reasons, are unlikely to receive many migrants; without those cities, the share of metropolitan growth from net migration is 44%. 2) Estimates of the natural increase of migrants after their arrival in the metropolitan areas, when added to migration itself, changes the total contribution of migration to 49% in some metropolitan areas. 3) Even where net migration contributes a smaller proportion to metropolitan growth than natural increase, the rates of net migration are generally high and should be viewed in the context of rapid metropolitan population growth from natural increase alone. Finally, the paper also compares the components of metropolitan growth with the components of growth in the remaining urban areas. The results show that the metropolitan areas, in general, grow faster than the remaining urban areas, and that this more rapid growth is mostly due to a higher rate of net migration. Given the significance of migration for metropolitan growth, further investigations of the effects of these migration streams, particularly with

  17. Street foods in Accra, Ghana: how safe are they?

    OpenAIRE

    Mensah, Patience; Yeboah-Manu, Dorothy; Owusu-Darko, Kwaku; Ablordey, Anthony

    2002-01-01

    OBJECTIVE: To investigate the microbial quality of foods sold on streets of Accra and factors predisposing to their contamination. METHODS: Structured questionnaires were used to collect data from 117 street vendors on their vital statistics, personal hygiene, food hygiene and knowledge of foodborne illness. Standard methods were used for the enumeration, isolation, and identification of bacteria. FINDINGS: Most vendors were educated and exhibited good hygiene behaviour. Diarrhoea was defined...

  18. Age of Menarche among basic level school girls in Madina, Accra ...

    African Journals Online (AJOL)

    The current study was designed to determine the age at which menarche occurs among school girls in Madina, Accra. A survey was conducted among 529 girls selected using multi-stage sampling from basic schools in Madina, Accra. Respondents completed a questionnaire that recorded age-at-first menstruation by recall, ...

  19. Fast Food in the Greater Accra Region of Ghana: Characteristics, Availability and the Cuisine Concept

    NARCIS (Netherlands)

    Omari, R.; Jongerden, J.P.; Essegbey, G.; Frempong, G.; Ruivenkamp, G.T.P.

    2013-01-01

    Fast food has been extensively debated but most studies have focused on one or two of its characteristics. Using the cuisine concept, we propose a more comprehensive approach to the study of fast food characteristics and availability, while taking cultural context into account. The objectives of

  20. Nutritional status of alcoholics in Peri-urban areas of the greater ...

    African Journals Online (AJOL)

    Alcoholism is a common problem in developing countries. Epidemiological studies on the relationship among excessive alcohol consumption, malnutrition and anaemia are inconclusive. The present study examined the association between alcohol intake and nutritional status of alcoholics in the Greater Accra Region of ...

  1. Contaminación fecal en varios ríos de la Gran Área Metropolitana y la Península de Osa Fecal contamination in several rivers of the Greater Metropolitan Area and the Osa Peninsula

    Directory of Open Access Journals (Sweden)

    Guillermo Calvo Brenes

    2012-12-01

    contaminados. Los ríos María Aguilar, Torres y Segundo, que poseen alta densidad poblacional, muestran altos niveles de contaminación prácticamente durante todo el año. El resto de los ríos estudiados muestra niveles no aptos para actividades recreativas durante el periodo de invierno, mientras que en el verano presentan niveles aceptables.Contamination of rivers in Costa Rica is an issue that requires special attention. The term “river con- tamination” means the incorporation of strange matter such as microorganisms (total and fecal coliforms, chemical products (soaps, fertilizers, pesti- cides, heavy metals (such as chrome, lead, mercury, or organic matter, the last one coming from soil through superficial water runoff as well as domestic wastewaters. All of them deteriorate the water qua- lity and reduce the different water usage of rivers. Water resources are important not only for pre- servation of human life but also for animal and plant preservation. Costa Rica is worldwide known as a country with an outstanding biodiversity. Even though, the Great Metropolitan Area has most of its rivers severely contaminated, according to the water quality classification Holland index. In this research, the fecal coliform content was analy- zed in 10 different rivers located in the provinces of San José, Alajuela, Heredia, Cartago, as well as Península de Osa. For the purpose of correlating fecal coliforms content with population density, tres different sampling areas were added to each river: the high level zone close to the river origin, the middle sampling area, and the lower level area closer to the river mouth. It was found that middle and high population density areas are highly contaminated with fecal coliforms. Some of them surpass the permissible maximum level permitted for recreational primary contact activities, according to national regulations. It was also determined that lower population den- sity zones, such as Tigre and Rincón rivers of the Península de

  2. Evaluation of cholera surveillance system in Osu Klottey District, Accra, Ghana (2011-2013).

    Science.gov (United States)

    Adjei, Eric Yirenkyi; Malm, Keziah Laurencia; Mensah, Kofi Nyarko; Sackey, Samuel Oko; Ameme, Donne; Kenu, Ernest; Abdulai, Marijanatu; Mills, Richael; Afari, Edwin

    2017-01-01

    Cholera is an acute illness characterized by profuse watery diarrhea. It is caused by vibrio cholera subgroup 01 and 0139. Rapid administration of fluid replacement therapy and supportive treatment can reduce mortality to around 1%. By the close of 2011, 10,628 cases and 100 deaths were reported in Ghana with a case fatality rate of 0.99. It is important to evaluate the cholera surveillance system in Ghana to determine if it is meeting its objective. The study was conducted in Osu Klottey district in the Accra Metropolitan area in January 2014. We assessed the operations (attributes and performance) of the surveillance system for cholera using CDC guidelines (2001). Surveillance data records at the district level from 2011-2013 were extracted and analyzed for frequency using Microsoft excel. Stakeholders and key informants were interviewed using structured questionnaire. Records were also reviewed at some health facilities and at district levels. In 2011 and 2012, case fatality rates (1.3% and 0.65%) respectively. Males were mostly affected. The most affected age group was 20-29. In 2011, Predictive value positive was 69.2% and 50% in 2012.Cholera peaked in March 2011 and April 2012. The Government of Ghana funded the system. The system is sensitive, simple, stable, flexible, acceptable and representative. It was also useful and data quality was relatively good. Predictive Value Positive was also good. The surveillance system is achieving its set out objectives. The system is sensitive, simple, stable, flexible, and acceptable. Predictive value positive was good.

  3. Greater Melbourne.

    Science.gov (United States)

    Wulff, M; Burke, T; Newton, P

    1986-03-01

    With more than a quarter of its population born overseas, Melbourne, Australia, is rapidly changing from an all-white British outpost to a multicultural, multilingual community. Since the "white" Australian policy was abandoned after World War II, 3 million immigrants from 100 different countries have moved to Australia. Most of the immigrants come from New Zealand, Rhodesia, South Africa, Britain, Ireland, Greece, Turkey, Yugoslavia, Poland, and Indochina. Melbourne is Australia's 2nd largest city and houses 1 out of 5 Australians. Its 1984 population was 2,888,400. Melbourne's housing pattern consists of subdivisions; 75% of the population live in detached houses. Between 1954 and 1961 Melbourne grew at an annual rate of 3.5%; its growth rate between 1961 and 1971 still averaged 2.5%. In the 1970s the growth rate slowed to 1.4%. Metropolitan Melbourne has no central government but is divided into 56 councils and 8 regions. Both Australia's and Melbourne's fertility rates are high compared to the rest of the developed world, partly because of their younger age structure. 41% of Melbourne's population was under age 24 in 1981. Single-person households are growing faster than any other type. 71% of the housing is owner-occupied; in 1981 the median sized dwelling had 5.2 rooms. Public housing only accounts for 2.6% of all dwellings. Fewer students graduate from high school in Australia than in other developed countries, and fewer graduates pursue higher education. Melbourne's suburban sprawl promotes private car travel. In 1980 Melbourne contained more than 28,000 retail establishments and 4200 restaurants and hotels. Industry accounts for 30% of employment, and services account for another 30%. Its largest industries are motor vehicles, clothing, and footware. Although unemployment reached 10% after the 1973 energy crisis, by 1985 it was down to 6%.

  4. Metropolitan Lima: area profile.

    Science.gov (United States)

    Hakkert, R

    1986-11-01

    This profile of metropolitan Lima, Peru, covers administrative divisions; population growth; age distribution; ethnicity and religion; housing and households; education and health care; economic activity, income, and consumption; transport and communication; and sources of information. Nearly 30% of Peru's entire population and 42% of its urban population live in Lima. The trend continues, yet Lima's urban primacy is waning due to the growth of some regional centers like Trujillo and Chimbote. Lima is still almost 10 times as large as the country's next ranking cities, Trujillo on the northern coast and Arequipa in the south. Peru's main administrative divisions are the 24 departments, of which the Department of Lima is one. These departments are further divided into 156 provinces. Greater Lima consists of 2 such provinces, the province of Lima and the constitutional province of Callao. Although the population of Lima continues to grow, its rate of growth slowed from about 5.5% during the 1960s to about 3.9% in the 1970s. Current projections estimate a metropolitan population of 6.7 million by 1990. On the whole, Lima's age structure is somewhat older than that of the rest of Peru. The median age of the population is 22.3 years, compared to a national figure of 20.4. The proportion of persons over age 65 is only 3.6%, lower than the national average of 4.1%, due to the tendency of in-migration to concentrate people of intermediate ages in the cities. Almost 400,000 inhabitants of greater Lima are bilingual in Spanish and an indigenous language. As elsewhere in Peru, the dominant religion is Roman Catholicism. Lima is a spread out city with few high rise buildings due to the danger of earthquakes. Only 12% of Lima's households are found in apartment buildings. As in other cities of Latin America, the formal housing market is beyond the reach of a major segment of the population. Consequently, much of the urban settlement has occurred through informal self

  5. Modeling Metropolitan Detroit transit.

    Science.gov (United States)

    2010-10-01

    "The seven-county Southeast Michigan region, that encompasses the Detroit Metropolitan Area, : ranks fifth in population among top 25 regions in the nation. It also ranks among bottom five in : the transit service provided, measured in miles or hours...

  6. Metropolitan water management

    National Research Council Canada - National Science Library

    Milliken, J. Gordon; Taylor, Graham C

    1981-01-01

    This monograph is intended to inform interested and capable pesons, who happen not to be specialists in water resources planning, of the issues and alternative strategies related to metropolitan water supply...

  7. Inflammatory bowel disease in Accra: what new trends.

    Science.gov (United States)

    Archampong, T N; Nkrumah, K N

    2013-01-01

    Inflammatory bowel disease (IBD) has been more common in Western Europe and North America. Initially IBD had been thought to be low in incidence among Sub-Saharan Africans. However, it is now being increasingly recognised in patients of African descent. A comparative assessment of the patterns of IBD in Accra from 1997 to 2011. This study used a retrospective design to access clinical details of follow-up patients attending the Gastroenterology Unit of the Korle-Bu Teaching Hospital, Accra between February, 1997 and May, 2011. It was a comparative seven-year review of clinical presentations of IBD between April, 2004 -August, 2011 (t2) and February, 1997 - March, 2004 (t1) for changing patterns of disease in tertiary care. Twenty-eight (28) new IBD patients were seen in the Gastroenterology Clinic, KBTH with IBD during 2004 - 2011 (t2) in comparison to 17 patients over 1997 - 2004 (t1). Presentations of severe diarrhoea were 70.4% and 55.6% in (t1) and (t2) respectively. Eighty-two percent (82%) of patients with IBD in (t2) had a severely inflamed colon on the index colonoscopy. Most patients (70-80%) responded to medical therapy (steroids, sulfasalazine) with no colon resections for steroid-refractory colitis. Although relatively uncommon, IBD recorded a 65% rise in incidence over the study periods with a male preponderance. Most patients with IBD were presenting late with severe clinical and endoscopic features of disease yet medically responsive. Non-specific (indeterminate) colitis gained prominence in (t2).

  8. Assessment of heavy metal contamination of dust at some selected fuel filling stations in Accra

    International Nuclear Information System (INIS)

    Afrifa, C. G.

    2011-07-01

    Heavy metal contaminated dust particles of fuel filling stations can be re-suspended into the ambient air and serve as a source of atmospheric pollution since the fine particles are aerodynamic and have longer life time in ambient air. This can cause ill-health effect on the fuel attendants and residents within the neighbourhood especially infants and the aged who are more vulnerable. In spite of this, not much research has been done on heavy metal contamination of dust at fuel filling stations. In this study, 55 dust samples were collected from six fuel filling stations in the Ga-East district and Accra Metropolitan assembly, both in Accra, in order to assess the levels of contamination of heavy metals; their possible sources and the human health risk associated with them. The dust samples were divided into two parts with one part sieved into four fractions using metric mesh sizes 500 µm, 200µm, 100µm and 45 µm, and pulverised. Total concentrations of heavy metals (Si, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, Br, Rb, Sr, Y, Zr and Pb) were determined in the dust samples using energy dispersive X-ray fluorescence analysis. The pollution indices; enrichment factors (EF), index of geoaccumulation (Igeo), contamination factor (CF) and pollution load index (PLI) were used to identify possible levels of pollution from anthropogenic sources. The possible sources of metals were also identified with principal component analysis. Noncancer effect of children and adults due to exposure to dust from these fuel filling stations were also estimated. For the three fuelling areas, the average concentrations of V, Cr, Ni and Cu exceeded the acceptable values in common soil in the <45 µm fraction. The average concentration of Zn however exceeded the acceptable value only at the mixed-fuel fuelling area whereas the average concentration of Pb was within the acceptable value for all three fuelling areas. The dust samples showed moderate to significant enrichments for V, Cu, Br

  9. Public health facility resource availability and provider adherence to first antenatal guidelines in a low resource setting in Accra, Ghana.

    Science.gov (United States)

    Amoakoh-Coleman, Mary; Agyepong, Irene Akua; Kayode, Gbenga A; Grobbee, Diederick E; Klipstein-Grobusch, Kerstin; Ansah, Evelyn K

    2016-09-21

    Lack of resources has been identified as a reason for non-adherence to clinical guidelines. Our aim was to describe public health facility resource availability in relation to provider adherence to first antenatal visit guidelines. A cross-sectional analysis of the baseline data of a prospective cohort study on adherence to first antenatal care visit guidelines was carried out in 11 facilities in the Greater Accra Region of Ghana. Provider adherence was studied in relation to health facility resource availability such as antenatal workload for clinical staffs, routine antenatal drugs, laboratory testing, protocols, ambulance and equipment. Eleven facilities comprising 6 hospitals (54.5 %), 4 polyclinics (36.4 %) and 1 health center were randomly sampled. Complete provider adherence to first antenatal guidelines for all the 946 participants was 48.1 % (95 % CI: 41.8-54.2 %), varying significantly amongst the types of facilities, with highest rate in the polyclinics. Average antenatal workload per month per clinical staff member was higher in polyclinics compared to the hospitals. All facility laboratories were able to conduct routine antenatal tests. Most routine antenatal drugs were available in all facilities except magnesium sulphate and sulphadoxine-pyrimethamine which were lacking in some. Antenatal service protocols and equipment were also available in all facilities. Although antenatal workload varies across different facility types in the Greater Accra region, other health facility resources that support implementation of first antenatal care guidelines are equally available in all the facilities. These factors therefore do not adequately account for the low and varying proportions of complete adherence to guidelines across facility types. Providers should be continually engaged for a better understanding of the barriers to their adherence to these guidelines.

  10. Efficient Metropolitan Resource Allocation

    Directory of Open Access Journals (Sweden)

    Richard Arnott

    2016-05-01

    Full Text Available Over the past 30 years Calgary has doubled in size, from a population of 640,645 in 1985 to 1,230,915 in 2015. During that time the City has had five different mayors, hosted the Winter Olympics, and expanded the C-Train from 25 platforms to 45. Calgary’s Metropolitan Area has grown too, with Airdrie, Chestermere, Okotoks and Cochrane growing into full-fledged cities, ripe with inter-urban commuters.* And with changes to provincial legislation in the mid-’90s, rural Rocky View County and the Municipal District of Foothills are now real competitors for residential, commercial and industrial development that in the past would have been considered urban. In this metropolitan system, where people live, their household structure, and their place of work informs the services they need to conduct their daily lives, and directly impacts the spatial character of the City and the broader region. In sum, Metropolitan Calgary is increasingly complex. Calgary and the broader metropolitan area will continue to grow, even with the current economic slowdown. Frictions within Calgary, between the various municipalities in the metropolitan area, and the priorities of other local authorities (such as the School Boards and Alberta Health Services will continue to impact the agendas of local politicians and their ability to answer to the needs of their residents. How resources – whether it is hard infrastructure, affordable housing, classrooms, or hospital beds – are allocated over space and how these resources are funded, directly impacts these relationships. This technical paper provides my perspective as an urban economist on the efficient allocation of resources within a metropolitan system in general, with reference to Calgary where appropriate, and serves as a companion to the previously released “Reflections on Calgary’s Spatial Structure: An Urban Economists Critique of Municipal Planning in Calgary.” It is hoped that the concepts reviewed

  11. Impact of urban agriculture on malaria vectors in Accra, Ghana.

    Science.gov (United States)

    Klinkenberg, Eveline; McCall, Pj; Wilson, Michael D; Amerasinghe, Felix P; Donnelly, Martin J

    2008-08-04

    To investigate the impact of urban agriculture on malaria transmission risk in urban Accra larval and adult stage mosquito surveys, were performed. Local transmission was implicated as Anopheles spp. were found breeding and infected Anopheles mosquitoes were found resting in houses in the study sites. The predominant Anopheles species was Anopheles gambiae s.s.. The relative proportion of molecular forms within a subset of specimens was 86% S-form and 14% M-form. Anopheles spp. and Culex quinquefasciatus outdoor biting rates were respectively three and four times higher in areas around agricultural sites (UA) than in areas far from agriculture (U). The annual Entomological Inoculation Rate (EIR), the number of infectious bites received per individual per year, was 19.2 and 6.6 in UA and U sites, respectively. Breeding sites were highly transitory in nature, which poses a challenge for larval control in this setting. The data also suggest that the epidemiological importance of urban agricultural areas may be the provision of resting sites for adults rather than an increased number of larval habitats. Host-seeking activity peaked between 2-3 am, indicating that insecticide-treated bednets should be an effective control method.

  12. MPLS for metropolitan area networks

    CERN Document Server

    Tan, Nam-Kee

    2004-01-01

    METROPOLITAN AREA NETWORKS AND MPLSRequirements of Metropolitan Area Network ServicesMetropolitan Area Network OverviewThe Bandwidth DemandThe Metro Service Provider's Business ApproachesThe Emerging Metro Customer Expectations and NeedsSome Prevailing Metro Service OpportunitiesService Aspects and RequirementsRoles of MPLS in Metropolitan Area NetworksMPLS PrimerMPLS ApplicationsTRAFFIC ENGINEERING ASPECTS OF METROPOLITAN AREA NETWORKSTraffic Engineering ConceptsNetwork CongestionHyper Aggregation ProblemEasing CongestionNetwork ControlTactical versus Strategic Traffic EngineeringIP/ATM Overl

  13. Measurement of air pollutant emissions from Lome, Cotonou and Accra

    Science.gov (United States)

    Lee, James; Vaughan, Adam; Nelson, Bethany; Young, Stuart; Evans, Mathew; Morris, Eleanor; Ladkin, Russel

    2017-04-01

    High concentrations of airborne pollutants (e.g. the oxides of nitrogen, sulphur dioxide and carbon monoxide) in existing and evolving cities along the Guinea Coast cause respiratory diseases with potentially large costs to human health and the economic capacity of the local workforce. It is important to understand the rate of emission of such pollutants in order to model current and future air quality and provide guidance to the potential outcomes of air pollution abatement strategies. Often dated technologies and poor emission control strategies lead to substantial uncertainties in emission estimates calculated from vehicle and population number density statistics. The unreliable electrical supply in cities in the area has led to an increased reliance on small-scale diesel powered generators and these potentially present a significant source of emissions. The uncontrolled open incineration of waste adds a further very poorly constrained emission source within the cities. The DACCIWA (Dynamics-Aerosol-Chemistry-Cloud Interactions in West Africa) project involved a field campaign which used highly instrumented aircraft capable of in situ measurements of a range of air pollutants. Seven flights using the UK British Antarctic Survey's Twin Otter aircraft specifically targeted air pollution emissions from cities in West Africa (4 x Accra, Ghana; 2 x Lome, Togo and 1 x Cotonou, Benin). Measurements of NO, NO2, SO2, CO, CH4 and CO2 were made at multiple altitudes upwind and downwind of the cities, with the mass balance technique used to calculate emission rates. These are then compared to the Emissions Database for Global Atmospheric Research (EDGAR) estimates. Ultimately the data will be used to inform on and potentially improve the emission estimates, which in turn should lead to better forecasting of air pollution in West African cities and help guide future air pollution abatement strategy.

  14. Menstrual characteristics in some adolescent girls in Accra, Ghana.

    Science.gov (United States)

    Gumanga, S K; Kwame-Aryee, R A

    2012-03-01

    Menstruation has a variable pattern within a few years of menarche which may not be well understood by many adolescent girls. Providing accurate information on menstruation is necessary to reduce anxiety, menstrual morbidity and improve reproductive health of these adolescents. To determine the age at menarche, duration of menstruation, length of menstrual cycle, regularity of menstrual cycle, prevalence of dysmenorrhoea and sources of information on menstruation. S(T) Mary's Senior Secondary School, Accra. Cross-sectional descriptive study using self-administered questionnaire. Four hundred and fifty six girls whose ages ranged from 14-19 years with mean and median ages of 16 ± 0.93 years and 16 years respectively were surveyed. Their ages at menarche ranged from 9 years to 16 years and the mean age at menarche was 12.5 ±1.28 years. Their menstrual cycle lengths ranged from 21-35 days with mean menstrual cycle length of 27.9± 0.9 days; the mode and median were both 28 days. The mean duration of menstrual flow was 4.9 days with mode and median of 5 days. Seventy one percent (n=449) had menses lasting 3-5 days while 27.2% had menses lasting over 5 days. Some 24% (n=409) had irregular menses six months after their menarche and 59.6% (n=453) were experiencing menses with clots. The prevalence of dysmenorrhoea was 74.4% (n=453). Some 80.2% (n=378) of the girls got counselling and education on care for their menses from their parents. The age at menarche and other menstrual characteristics observed in this study are similar to adolescent menstrual characteristics described by studies in other populations in the world.

  15. Street foods in Accra, Ghana: how safe are they?

    Science.gov (United States)

    Mensah, Patience; Yeboah-Manu, Dorothy; Owusu-Darko, Kwaku; Ablordey, Anthony

    2002-01-01

    OBJECTIVE: To investigate the microbial quality of foods sold on streets of Accra and factors predisposing to their contamination. METHODS: Structured questionnaires were used to collect data from 117 street vendors on their vital statistics, personal hygiene, food hygiene and knowledge of foodborne illness. Standard methods were used for the enumeration, isolation, and identification of bacteria. FINDINGS: Most vendors were educated and exhibited good hygiene behaviour. Diarrhoea was defined as the passage of > or =3 stools per day) by 110 vendors (94.0%), but none associated diarrhoea with bloody stools; only 21 (17.9%) associated diarrhoea with germs. The surroundings of the vending sites were clean, but four sites (3.4%) were classified as very dirty. The cooking of food well in advance of consumption, exposure of food to flies, and working with food at ground level and by hand were likely risk factors for contamination. Examinations were made of 511 menu items, classified as breakfast/snack foods, main dishes, soups and sauces, and cold dishes. Mesophilic bacteria were detected in 356 foods (69.7%): 28 contained Bacillus cereus (5.5%), 163 contained Staphylococcus aureus (31.9%) and 172 contained Enterobacteriaceae (33.7%). The microbial quality of most of the foods was within the acceptable limits but samples of salads, macaroni, fufu, omo tuo and red pepper had unacceptable levels of contamination. Shigella sonnei and enteroaggregative Escherichia coli were isolated from macaroni, rice, and tomato stew, and Salmonella arizonae from light soup. CONCLUSION: Street foods can be sources of enteropathogens. Vendors should therefore receive education in food hygiene. Special attention should be given to the causes of diarrhoea, the transmission of diarrhoeal pathogens, the handling of equipment and cooked food, hand-washing practices and environmental hygiene. PMID:12163918

  16. Street foods in Accra, Ghana: how safe are they?

    Science.gov (United States)

    Mensah, Patience; Yeboah-Manu, Dorothy; Owusu-Darko, Kwaku; Ablordey, Anthony

    2002-01-01

    To investigate the microbial quality of foods sold on streets of Accra and factors predisposing to their contamination. Structured questionnaires were used to collect data from 117 street vendors on their vital statistics, personal hygiene, food hygiene and knowledge of foodborne illness. Standard methods were used for the enumeration, isolation, and identification of bacteria. Most vendors were educated and exhibited good hygiene behaviour. Diarrhoea was defined as the passage of > or =3 stools per day) by 110 vendors (94.0%), but none associated diarrhoea with bloody stools; only 21 (17.9%) associated diarrhoea with germs. The surroundings of the vending sites were clean, but four sites (3.4%) were classified as very dirty. The cooking of food well in advance of consumption, exposure of food to flies, and working with food at ground level and by hand were likely risk factors for contamination. Examinations were made of 511 menu items, classified as breakfast/snack foods, main dishes, soups and sauces, and cold dishes. Mesophilic bacteria were detected in 356 foods (69.7%): 28 contained Bacillus cereus (5.5%), 163 contained Staphylococcus aureus (31.9%) and 172 contained Enterobacteriaceae (33.7%). The microbial quality of most of the foods was within the acceptable limits but samples of salads, macaroni, fufu, omo tuo and red pepper had unacceptable levels of contamination. Shigella sonnei and enteroaggregative Escherichia coli were isolated from macaroni, rice, and tomato stew, and Salmonella arizonae from light soup. Street foods can be sources of enteropathogens. Vendors should therefore receive education in food hygiene. Special attention should be given to the causes of diarrhoea, the transmission of diarrhoeal pathogens, the handling of equipment and cooked food, hand-washing practices and environmental hygiene.

  17. Prevalência de hipertensão arterial e fatores associados em estudantes de Ensino Médio de escolas públicas da Região Metropolitana do Recife, Pernambuco, Brasil, 2006 Prevalence of high blood pressure and associated factors in students from public schools in Greater Metropolitan Recife, Pernambuco State, Brazil, 2006

    Directory of Open Access Journals (Sweden)

    Betânia da Mata Ribeiro Gomes

    2009-02-01

    Full Text Available O objetivo deste estudo foi identificar a prevalência de hipertensão arterial sistêmica e fatores associados à saúde em adolescentes, por meio de estudo epidemiológico transversal de base populacional, realizado no período de abril a setembro de 2006, empregando amostragem estratificada segundo porte da escola e turnos. Utilizando-se o questionário Global School-based Student Health Survey, 1.878 estudantes de 29 escolas públicas da Região Metropolitana do Recife, Pernambuco, Brasil, foram investigados quanto a: idade; sexo; índice de massa corporal; consumo de frutas, verduras, álcool e tabaco; e pressão arterial, admitindo os parâmetros da Task Force Report on High Blood Pressure in Children and Adolescent, de 1996, para pressão arterial, do Centers for Disease Control and Prevention para estado nutricional. As prevalências de hipertensão arterial (medida apenas uma vez, sobrepeso e obesidade igualaram-se a 17,3%, 6,9% e 3,7%, respectivamente. Comportaram-se como fatores associados para hipertensão arterial: sexo masculino, obesidade, sobrepeso e falta de atividade física. Concluiu-se que o conhecimento dos fatores associados para hipertensão arterial em adolescentes poderá subsidiar campanhas de educação para a saúde.The aim of this study was to identify the prevalence of systemic arterial hypertension (high blood pressure and associated health factors in adolescents, using a cross-sectional, population-based, epidemiological design from April to September 2006, within a stratified sample according to school size and shift. Using the Portuguese version of the Global School-Based Student Health Survey questionnaire, 1,878 students from 29 public schools in Greater Metropolitan Recife, Pernambuco State, Brazil, were analyzed for: age, gender, body mass index, fruit, vegetable, alcohol, and tobacco consumption, as well as blood pressure, adopting the 1996 Task Force Report on High Blood Pressure in Children and

  18. Óbitos perinatais evitáveis e ambiente externo ao sistema de assistência: estudo de caso em município da Região Metropolitana do Rio de Janeiro Avoidable perinatal deaths and the environment outside the health care system: a case study in a city in Greater Metropolitan Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Maria L. G. Rosa

    2002-06-01

    Full Text Available Este artigo visa compreender a contribuição de fatores do ambiente externo ao sistema de assistência na ocorrência de óbitos perinatais em maternidades, que em 1994, compunham a rede de atendimento obstétrico em um município da região metropolitana do Rio de Janeiro. Dividiram-se os elementos em quatro grupos de variáveis, para entender a relação entre falhas no atendimento e deficiências no ambiente externo e institucionalizado: repasse de recursos para custeio, fatores geográficos e temporais, características organizacionais e administrativas e ação/participação de grupos de interesse. Entrevistas semi-estruturadas foram realizadas. Os resultados indicaram as seguintes falhas: repasses de recursos para custeio insuficientes para manter cuidados de qualidade, sobretudo nos casos das maternidades privadas; nenhuma regionalização ou hierarquização formal ou informal dos cuidados obstétricos no município; desconhecimento das normas do Ministério da Saúde nas maternidades estudadas e as adotadas em três das quatro maternidades não faziam referência nem aos procedimentos para a admissão, nem ao seguimento do trabalho de parto, nem ao seguimento fetal e o nível de participação não era o efetivamente implementado.This paper focuses on the role of environmental factors external to the health care system in the occurrence of perinatal deaths in maternity hospitals belonging to the local health system in a city in Greater Metropolitan Rio de Janeiro in 1994. Elements from the political and administrative context that contribute to an understanding of the relationship between failures in health care and structural deficiencies in these maternity hospitals were divided into four groups of variables: distribution of resources, spatial and temporal factors, organizational and managerial features, and action by interest groups. Semi-structured interviews were conducted. The study concluded that poor performance in four groups

  19. 'That is how the real mad people behave': Beliefs about and treatment of mental disorders by traditional medicine-men in Accra, Ghana.

    Science.gov (United States)

    Kpobi, Lily; Swartz, Leslie

    2018-06-01

    Traditional healing methods are considered central to mental health care in low-income countries such as Ghana, because they are perceived to be more easily accessible, more affordable and generally ascribe similar causal beliefs to those of the patients. However, not much is known about the work of traditional healers largely because their methods are shrouded in mysticism and secrecy. There is a need to understand the ideology and beliefs of traditional healers surrounding mental disorders, including knowledge about their practices in mental health care. In this article, we discuss the causal beliefs and treatment methods of traditional medicine-men from Accra, Ghana. We also describe their diagnostic and treatment methods for mental disorders. Eight medicine-men, indigenous to the Greater Accra Region, were interviewed through individual semi-structured interviews. The data were analysed through thematic analysis. The medicine-men's beliefs about mental illness were dominated by supernatural ideas. Mental illness was also seen as a form of punishment or resulting from envy, and there was a strong reliance on spiritual direction from the gods for diagnosis and treatment. These themes are discussed with emphasis on their potential implications for patients, as well as for collaborative efforts.

  20. European descriptions of the art and architecture of early Accra ca ...

    African Journals Online (AJOL)

    European descriptions of the art and architecture of early Accra ca. ... The fifteenth to nineteenth centuries produced some interesting art works in the coastal ... art and craft production, and acquisition of new skills by Ga craftsmen and women. ... The history of the Ga has therefore not only been determined by their natural ...

  1. What motivates single women to migrate from northern Ghana to Accra?

    NARCIS (Netherlands)

    Tufuor, Theresa; Sato, Chizu

    2017-01-01

    In recent decades there has been a large migration stream of single women from the north to Accra in Ghana. Existing studies have focused on young migrant women’s livelihood strategies in their place of destination. However, once-married women – divorced and widowed women and neglected wives – also

  2. Food and its preparation conditions in hotels in Accra, Ghana: A ...

    African Journals Online (AJOL)

    Although a lot of work has been done on the safety of street foods in most developing countries, not much has been done with regards to the hotel industry. A pilot study to investigate food and its preparation conditions in ten selected hotels in Accra, the capital of Ghana with respect to food safety was therefore initiated in ...

  3. Examining Work and Family Conflict among Female Bankers in Accra Metropolis, Ghana

    Science.gov (United States)

    Kissi-Abrokwah, Bernard; Andoh-Robertson, Theophilus; Tutu-Danquah, Cecilia; Agbesi, Catherine Selorm

    2015-01-01

    This study investigated the effects and solutions of work and family conflict among female bankers in Accra Metropolis. Using triangulatory mixed method design, a structured questionnaire was randomly administered to 300 female bankers and 15 female Bankers who were interviewed were also sampled by using convenient sampling technique. The…

  4. Public's Perception of the Phenomenon of Street Children: A Qualitative Study of Students and Shopkeepers in Accra, Ghana

    OpenAIRE

    Quarshie, Emmanuel Nii-Boye

    2011-01-01

    Drawing on recorded interviews and focus group discussions with shopkeepers, and junior and senior high school children respectively in Accra Central, this study explores the public's perceptions of the phenomenon of street children in Accra, Ghana. A semi-structured interview guide was used. Qualitative analyses of the data indicated that both shopkeepers and school children who participated in this study generally have positive and supportive perception of street children. However, the scho...

  5. non-metropolitan stars

    Directory of Open Access Journals (Sweden)

    Elena Grigoryeva

    2017-06-01

    Full Text Available Capitals gather constellations of bright and creative people, attracting them from the peripheries. Tchekhov’s sisters were anxious to get to Moscow, d’Artagnan – to Paris. Evtushenko, Shukshin and Gaidai ascended to the climax of their glory, having moved to the capital. Vampilov, Rasputin and Astafiev became internationally famous without leaving their home grounds, but having joined in the metropolitan whirl. In this regard, the architectural profession differs greatly from the literary and cinematographic ones. The destinies of the masters who fulfilled themselves far from the capital are different but equally bright and unique. The Irkutsk “Varangians”of the sixtieth – Voronezhsky, Bukh and Pavlov – built up their relations with geography in a different way:someone came from the capitals just for a few years that became the brightest, the most fruitful and the most interesting years of his creative life. But someone stayed in the non-metropolitan city for a long time and even forever. This subsection contains certain examples of self-fulfillment in the cities distant from the capitals: Khabarovsk, Irkutsk, Bratsk, Krasnoyarsk, Kemerovo and Anzhero-Sudzhensk.

  6. Morte neonatal precoce segundo complexidade hospitalar e rede SUS e não-SUS na Região Metropolitana de São Paulo, Brasil Early neonatal mortality according to level of hospital complexity in Greater Metropolitan São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Zilda Pereira da Silva

    2010-01-01

    Full Text Available O objetivo foi analisar o perfil dos recém-nascidos, mães e mortalidade neonatal precoce, segundo complexidade do hospital e vínculo com o Sistema Único de Saúde (SUS, na Região Metropolitana de São Paulo, Brasil. Estudo baseado em dados de nascidos vivos, óbitos e cadastro de hospitais. Para obter a tipologia de complexidade e o perfil da clientela, empregaram-se análise fatorial e de clusters. O SUS atende mais recém-nascidos de risco e mães com baixa escolaridade, pré-natal insuficiente e adolescentes. A probabilidade de morte neonatal precoce foi 5,6‰ nascidos vivos (65% maior no SUS, sem diferenças por nível de complexidade do hospital, exceto nos de altíssima (SUS e média (não-SUS complexidade. O diferencial de mortalidade neonatal precoce entre as duas redes é menor no grupo de recém-nascidos 2.500g. Há uma concentração de nascimentos de alto risco na rede SUS, contudo a diferença de mortalidade neonatal precoce entre a rede SUS e não-SUS é menor nesse grupo de recém-nascidos. Novos estudos são necessários para compreender melhor a elevada mortalidade de recém-nascidos > 2.500g no SUS.The aim of this study was to analyze the profile of newborns, mothers, and early neonatal mortality according to the hospital's complexity and affiliation (or lack thereof with the Unified National Health System (SUS in Greater Metropolitan São Paulo, Brazil. The study was based on data for live births, deaths, and hospital registries. Factor and cluster analysis were used to obtain the typology of hospital complexity and user profile. The SUS treats more high-risk newborns and mothers with low schooling, insufficient prenatal care, and teenage mothers. The probability of early neonatal death was 5.6‰ live births (65% higher in the SUS, with no significant differences by level of hospital complexity, except those with extremely high (SUS and medium (non-SUS complexity. The difference in early neonatal mortality between the

  7. Ecological aspects of phlebotomine fauna (Diptera, Psychodidae of Serra da Cantareira, Greater São Paulo Metropolitan region, state of São Paulo, Brazil Aspectos ecológicos da fauna flebotomínea (Diptera, Psychodidae da Serra da Cantareira, Região metropolitana da Grande São Paulo, Estado de São Paulo, Brasil

    Directory of Open Access Journals (Sweden)

    José Carlos Moschin

    2013-03-01

    Full Text Available Human cases of American cutaneous leishmaniasis (ACL have been recorded in Serra da Cantareira, in the Greater São Paulo Metropolitan Region, where two conservation units are situated, the Parque Estadual da Cantareira and the Parque Estadual Alberto Löfgren. The present study aimed to identify the sandfly fauna and some of its ecological aspects in these two parks and their surrounding area to investigate Leishmania sp. vectors. The captures were undertaken monthly from January to December 2009, from 6:00 p.m. to 6:00 a.m., with automatic light traps installed in forests and peridomicile areas and with modified black/white Shannon traps in the peridomicile. A total of 12 species and 5,436 sandflies were captured: with automatic light traps (141, Shannon traps (5,219 and attempting to bite the researchers while they were conducting the collection in Shannon traps (76. Pintomyia fischeri and Migonemyia migonei were the most abundant species. Pi. fischeri predominated in all three kinds of captures (49%, 88.8% and 65.8%, respectively. Mg. migonei was the second most prevalent in Shannon traps (10.0% and attempting to bite the researchers (22.4%. Pi. fischeri females were significantly more attracted to black and those of Mg. migonei to white Shannon traps. A positive and significant correlation was observed between the numbers of Pi. fischeri and the mean of minimum relative humidity values on the fifteen days prior to capture, while there was a negative and significant correlation between the relative humidity on the capture day and the two most abundant species. The anthropophilia and high frequencies of Pi. fischeri and Mg. migonei suggest that both species may be transmitting ACL agents in this region.Casos humanos de leishmaniose tegumentar americana (LTA têm sido registrados na Serra da Cantareira, região da Grande São Paulo, onde se situam o Parque Estadual da Cantareira e o Parque Estadual Alberto Löfgren. O estudo teve como objetivo

  8. Completeness and accuracy of data transfer of routine maternal health services data in the greater Accra region

    NARCIS (Netherlands)

    Amoakoh-Coleman, Mary; Kayode, Gbenga A.; Brown-Davies, Charles; Agyepong, Irene Akua; Grobbee, DE; Klipstein-Grobusch, Kerstin; Ansah, Evelyn K.

    2015-01-01

    Background: High quality routine health system data is essential for tracking progress towards attainment of the Millennium Development Goals 4 & 5. This study aimed to determine the completeness and accuracy of transfer of routine maternal health service data at health facility, district and

  9. Computed Tomography (CT) radiation dose in children: A survey to propose regional diagnostic reference levels in Greater Accra-Ghana

    International Nuclear Information System (INIS)

    Addo, Patience

    2016-07-01

    The aim of this work was to assess the doses delivered to paediatric patients during computed tomography (CT) examinations of the head, chest and abdomen, and establishing regional diagnostic reference levels (RDRLs) for four age groups. The patient data, technique parameters and dose descriptors collected include: age, sex, tube voltage, tube current, rotation time, slice thickness, scan length, volume CT dose index (CTDI_v_o_l) and dose length product (DLP). Currently, paediatric CT examinations account for 11% of radiation exposure. For the paediatric age groups; < 1 year, (1-5 years), (6-10 years) and (11-15 years), the proposed RDRLs for head in terms of CTDI_v_o_l are (28, 38, 48 and 86 mGy) and in terms of DLP; (395, 487, 601, 1614 mGy cm) respectively. For Chest examinations, proposed RDRLs in terms of CTDI_v_o_l are (1 and 5 mGy) and in terms of DLP; (18 and 110 mGy cm) for age groups; < 1 year and (1-5 years) respectively. For Abdomino-pelvic examinations, proposed RDRLs in terms of CTDI_v_o_l are (3, 3 and 10 mGy) and in terms of DLP; (71, 120 and 494 mGy cm) for age groups; < 1 year, (1-5 years) and (6-10 years) respectively. For abdomen examinations, proposed RDRLs in terms of CTDI_v_o_l are (3, 5 and 5 mGy) and in terms of DLP; (83, 124 and 233 mGy cm) for age groups; < 1 year, (1-5 years) and (11-15 years) respectively. RDRLs have been proposed for CTDI_v_o_l and DLP for head, chest, abdomen and Abdomino-pelvic paediatric CT examinations in this study. An optimisation is required for 11-15 years age group for the DLP values which was higher than their corresponding international DRLs. For an effective optimization of patient protection a trade-off between image quality and patients doses studies should be investigated. (au)

  10. Assessment of the integrity of structural shielding of four computed tomography facilities in the greater Accra region of Ghana

    International Nuclear Information System (INIS)

    Nkansah, A.; Schandorf, C.; Boadu, M.; Fletcher, J. J.

    2013-01-01

    The structural shielding thicknesses of the walls of four computed tomography (CT) facilities in Ghana were re-evaluated to verify the shielding integrity using the new shielding design methods recommended by the National Council on Radiological Protection and Measurements (NCRP). The shielding thickness obtained ranged from 120 to 155 mm using default DLP values proposed by the European Commission and 110 to 168 mm using derived DLP values from the four CT manufacturers. These values are within the accepted standard concrete wall thickness ranging from 102 to 152 mm prescribed by the NCRP. The ultrasonic pulse testing of all walls indicated that these are of good quality and free of voids since pulse velocities estimated were within the range of 3.496±0.005 km s -1 . An average dose equivalent rate estimated for supervised areas is 3.4±0.27 μSv week -1 and that for the controlled area is 18.0±0.15 μSv week -1 , which are within acceptable values. (authors)

  11. Radiological study of soil, fertilizers and foodstuffs in some selected farming communities in the Greater Accra Region

    International Nuclear Information System (INIS)

    Adjirackor, T.

    2010-01-01

    Radioactivity concentrations of natural radionuclides, namely 226 Ra, 232 Th and 40 K, in fertilized and non-fertilized soils and vegetables from some agricultural areas were investigated using gamma spectrometry in order to assess the radiological implications of the extended use of phosphate fertilizers in agriculture. The mean activity concentrations of 226 Ra, 232 Th and 40 K in the fertilized soils were 23.84±2.52Bqkg -1 , 43.64±2.19Bqkg -1 and 199.69±3.67Bqkg -1 respectively. For the non-fertilized soils, mean activity concentrations were found to be 14.01 ± 5.90Bqkg -1 for 226 Ra, 29.40 ± 2.03Bqkg -1 for 232 Th and 120.92 ± 4.67Bqkg -1 for 40 K. The study has shown that fertilized soils contain slightly higher concentrations of the three radionuclides than non-fertilized soils. The measured activity concentrations of the five most frequently utilized agricultural fertilizers showed highest levels of 226 Ra (139.37±11.15kg -1 ) and 232 Th (47.58±3.81kg -1 ) were measured in NPK 151515 and the highest level of 40 K (8383.47±6.70) was measured in Super master. It was also found that Sulphate of Ammonia recorded the lowest levels of 226 Ra, 232 Th and 40 K. The average value of 226 Ra cq was 93.32 Bqkg -1 for fertilized soils and 63.30 Bqkg -1 for non-fertilized soil. The calculated mean values of the internal hazard index (H IN ) and external hazard index (H EX ) for all samples were less than unity. The average absorbed dose rate (D γ ) values were 37.55nGyh -1 for fertilized soil and 31.64 nGyh -1 for non -fertilized soils. The calculated mean annual effective dose due to ingestion of vegetables by the general public was 0.67 mSv/y for 226 Ra, 0.28 mSv/y for 232 Th and 3.9mSv/y for 40 K. The result from the study indicates that radiation exposure from consumption of vegetables from the selected farming communities does not pose significant radiological hazard with the exception of 40 K which was above the permissible limit of 1mSv for the general public. (au)

  12. Assessment of radiation dose due to fluoroscopic procedures in patients at some selected facilities in the Greater Accra Region, Ghana

    International Nuclear Information System (INIS)

    Gyasi, E.

    2013-07-01

    Radiation doses to 182 adults patients who underwent barium enema, barium meal, barium swallow, myelogram, hysterosalpingography and urethrogram examination collectively at facilities A and B were investigated. Radiation dose was measured using kerma-area-product (KAP) meter. From the KAP readings, patient's data and other relevant information from the control console, effective dose and selective organ doses were estimated using Monte Carlo program software (PCXMC version 1.5). Quality control tests performed on the two fluoroscopy machines were found to be within the acceptance criteria. Mean effective doses were found to be 8.45 ± 0.38mSv, 7.628 ± 0.42 mSv, 1.46 ± 0.13 mSv, 2.02 ± 0.16 mSv, 0.32 ± 0.03 mSv for barium enema, barium meal, barium swallow, myelogram and urethrogram examinations respectively at Facility A. At Facility B the mean effective dose were found to be 4.12 ± 0.15 mSv, 1.83 ± 0.10 mSv, 0.81 ± 0.04 mSv, 0.53 ± 0.036 mSv and 0.27 ± 0.01 mSv for barium enema, barium meal, barium swallow, myelogram, hysterosalpingography and urethrogram examination respectively. Thymus received the highest organ dose of 29.19± 2.07mGy during barium meal studies at Facility A of all the procedures in the two hospitals. Magnitude of organ doses was observed to to be in relation with the closeness to or in the direction of the primary beam of radiation. Organ and effective doses from Facility A were relatively higher than those from Facility B in comparison by a factor of a about 2 with the exception of the barium meal examination at Facility A which was by a factor of about 4. The measured KAP readings fro the two facilities were below the international accepted reference levels with the exception of barium meal examination at Facility A which recorded a higher value of 25.96 ± 1.83 Gy.cm 2 as compared to ICRP (2001) reference value of 25 Gy.cm 2 . Longer radiation beam on time, high number of radiographs taken per patient, wide exposure beam area on the surface of the patients and other factors contribute to increased doses to patients. These KAP values suggest that the selected facilities in Ghana are adopting a procedure which ensures patients dose optimisation. Optimisation of patients dose during barium meal examination at Facility A is recommended. Inter institutional variations in patients doses require that effort be put in place to ensure standardisation of protocols for fluoroscopy examination in Ghana. (au)

  13. Comparison of daytime and night-time populations adjacent to interstate highways in metropolitan areas

    International Nuclear Information System (INIS)

    Mills, G.S.; Neuhauser, K.S.

    1999-01-01

    Daytime and night-time population densities bordering Interstate highway routes in metropolitan areas are compared at the traffic analysis zone level. In three of the metropolitan areas studied, histograms of daytime to night-time population density ratios are peaked at 1.0. In a smaller metropolitan area, the peak of the histogram moves to values greater than 1.0 but less than 2.0. In view of the typical uncertainties in calculating radiological transport effects (∼2), this study indicates that a distinction between daytime and night-time transport is not warranted, especially since a typical route includes extensive transport outside metropolitan areas. (author)

  14. Impact of rapid urbanization on mosquitoes and their disease transmission potential in Accra and Tema, Ghana.

    Science.gov (United States)

    Chinery, W A

    1995-06-01

    The total of 75 mosquito species recorded in Accra have declined to 28 species. Contributing factors to this decline and the reduction in prevalence of malaria and bancroftian filariasis in Accra presently include extensive water pollution and a fairly high daily mosquito mortality due to several factors including loss of natural adult resting places, use of mosquito repellents and the probable increase of Anopheles arabiensis population. Presently low yellow fever incidence is due inter alia to loss of its feral vectors and reduced intradomiciliary breeding of Aedes aegypti (L) although more common species like A. gambiae s.l., A. aegypti and C. p. quinquefasciatus could between them transmit many other arboviruses. However because of ready availability of human blood, spill-over of viruses from reservoir hosts to man will be rare. Ipso factor, malaria is the most common mosquito-borne disease with centripetal distribution of prevalence.

  15. Income and health in Accra, Ghana: results from a time use and health study.

    Science.gov (United States)

    Fink, Günther; Weeks, John R; Hill, Allan G

    2012-10-01

    This paper uses newly collected household survey data from Accra, Ghana, to investigate whether incomes affect acute and chronic health outcomes in settings that can be considered representative for the large and rapidly growing urban centers of sub-Saharan Africa. The Time Use and Health Study in Accra collected information on incomes, current health status, and health care use from 5,484 persons in 1,250 households, each repeatedly sampled on a rolling basis for a period of 13 weeks. Data collection took place during September 2008-March 2010 to capture seasonal variations. The study found that incomes varied widely between households, and that a high fraction of persons lived below the poverty line. Despite this level of income poverty and an overall remarkably high burden of treatable disease, no systematic differences in self-reported and objectively measured health conditions were detected across socioeconomic groups.

  16. Living with Familiar Hazards: Flood Experiences and Human Vulnerability in Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Dacosta Aboagye

    2012-10-01

    Full Text Available The paper explores demographic characteristics, migration history, and impact of flooding on households and communities. The main objective is to explore the different ways in which floods impact households and communities in Accra. Specifically, the paper analyzes how floods alter the set of resources available to households and communities. The results indicate that urbanization and governmental policies have rendered more people, especially the poor and recent migrants, homeless. These homeless people have become more vulnerable to flooding than the average Accra resident. The results also show that the homeless community contrast with the fixed community in terms of socio-economic characteristics, degree of social cohesion, and physical location. The paper concludes that the unchanging pattern of vulnerability shows the inability of a society to cope and adjust to familiar hazards.

  17. Heavy metals concentration and distribution in soils and vegetation at Korle Lagoon area in Accra, Ghana

    DEFF Research Database (Denmark)

    Fosu-Mensah, Benedicta Yayra; Addae, Emmanuel; Yirenya-Tawiah, Dzidzo

    2017-01-01

    The call for reclamation of land around Korle Lagoon in Accra, Ghana, where burning of E-waste and cultivation of vegetables takes place, make risk assessment of heavy metal contaminations important. This study aimed at evaluating the levels and risk of heavy metal contamination in soils...... and vegetation around the Korle lagoon area in Accra. Geoaccumulation index, enrichment factor and pollution load index were determined to assess the risk of contamination. The levels and distribution of nine heavy metals (Pb, Hg, Cd, As, Zn, Sn, Ni, Cu and Cr) in soil (0 – 20 cm) and common vegetation (Panicum...... was significantly different (p burning of e-waste should be enforced and animals...

  18. Listeria abortions in sheep on the Accra plains: A case report | Osei ...

    African Journals Online (AJOL)

    Listeria abortions in sheep on the Accra plains: A case report. ... Fifteen (19.2 per cent) of the 78 ewes were affected. Serological tests ... L'organisme était également isolé des prélèvements vaginaux et préputiaux des moutons à Achimota et Kade, d'où les animaux de reproduction avaient transférés à Pokoase et Achimota.

  19. INDUSTRIAL LAND DEVELOPMENT AND MANUFACTURING DECONCENTRATION IN GREATER JAKARTA

    NARCIS (Netherlands)

    Hudalah, Delik; Viantari, Dimitra; Firman, Tommy; Woltjer, Johan

    2013-01-01

    Industrial land development has become a key feature of urbanization in Greater Jakarta, one of the largest metropolitan areas in Southeast Asia. Following Suharto's market-oriented policy measures in the late 1980s, private developers have dominated the land development projects in Greater Jakarta.

  20. Gestational diabetes mellitus among women attending prenatal care at Korle-Bu Teaching Hospital, Accra, Ghana.

    Science.gov (United States)

    Oppong, Samuel A; Ntumy, Michael Y; Amoakoh-Coleman, Mary; Ogum-Alangea, Deda; Modey-Amoah, Emefa

    2015-12-01

    To determine the burden of gestational diabetes mellitus (GDM) among pregnant women in Accra, Ghana. The present cross-sectional study enrolled women at 20-24 weeks of pregnancy attending their first prenatal clinic at Korle-Bu Teaching Hospital, Accra, between March and November 2013. Participants underwent a 2-hour, 75-g oral glucose tolerance test between 24 and 28 weeks. The odds of GDM among different body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) groupings were calculated in a multiple logistic regression model. Among 399 women screened, 37 (9.3%) had GDM. Compared with women with a BMI in the normal range (18.50-24.99), obese women (BMI >30.0) had an increased risk of GDM (odds ratio [OR] 2.98, 95% confidence interval [CI] 1.08-8.20; P=0.034]; overweight women (BMI 25.00-29.99) had a slightly elevated risk (OR 1.20, 95% CI 0.41-3.55; P=0.742). Maternal age, parity, education, employment status, place of residence, and previous pregnancy complications did not affect the risk of GDM. GDM was found in 10% of pregnant women in Accra. Women who were obese by 20-24 weeks of pregnancy had a significantly increased risk of GDM. Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  1. Drinking Water in Transition: A Multilevel Cross-sectional Analysis of Sachet Water Consumption in Accra.

    Science.gov (United States)

    Stoler, Justin; Weeks, John R; Appiah Otoo, Richard

    2013-01-01

    Rapid population growth in developing cities often outpaces improvements to drinking water supplies, and sub-Saharan Africa as a region has the highest percentage of urban population without piped water access, a figure that continues to grow. Accra, Ghana, implements a rationing system to distribute limited piped water resources within the city, and privately-vended sachet water-sealed single-use plastic sleeves-has filled an important gap in urban drinking water security. This study utilizes household survey data from 2,814 Ghanaian women to analyze the sociodemographic characteristics of those who resort to sachet water as their primary drinking water source. In multilevel analysis, sachet use is statistically significantly associated with lower overall self-reported health, younger age, and living in a lower-class enumeration area. Sachet use is marginally associated with more days of neighborhood water rationing, and significantly associated with the proportion of vegetated land cover. Cross-level interactions between rationing and proxies for poverty are not associated with sachet consumption after adjusting for individual-level sociodemographic, socioeconomic, health, and environmental factors. These findings are generally consistent with two other recent analyses of sachet water in Accra and may indicate a recent transition of sachet consumption from higher to lower socioeconomic classes. Overall, the allure of sachet water displays substantial heterogeneity in Accra and will be an important consideration in planning for future drinking water demand throughout West Africa.

  2. Drinking Water in Transition: A Multilevel Cross-sectional Analysis of Sachet Water Consumption in Accra.

    Directory of Open Access Journals (Sweden)

    Justin Stoler

    Full Text Available Rapid population growth in developing cities often outpaces improvements to drinking water supplies, and sub-Saharan Africa as a region has the highest percentage of urban population without piped water access, a figure that continues to grow. Accra, Ghana, implements a rationing system to distribute limited piped water resources within the city, and privately-vended sachet water-sealed single-use plastic sleeves-has filled an important gap in urban drinking water security. This study utilizes household survey data from 2,814 Ghanaian women to analyze the sociodemographic characteristics of those who resort to sachet water as their primary drinking water source. In multilevel analysis, sachet use is statistically significantly associated with lower overall self-reported health, younger age, and living in a lower-class enumeration area. Sachet use is marginally associated with more days of neighborhood water rationing, and significantly associated with the proportion of vegetated land cover. Cross-level interactions between rationing and proxies for poverty are not associated with sachet consumption after adjusting for individual-level sociodemographic, socioeconomic, health, and environmental factors. These findings are generally consistent with two other recent analyses of sachet water in Accra and may indicate a recent transition of sachet consumption from higher to lower socioeconomic classes. Overall, the allure of sachet water displays substantial heterogeneity in Accra and will be an important consideration in planning for future drinking water demand throughout West Africa.

  3. Waste management in Greater Vancouver

    Energy Technology Data Exchange (ETDEWEB)

    Carrusca, K. [Greater Vancouver Regional District, Burnaby, BC (Canada); Richter, R. [Montenay Inc., Vancouver, BC (Canada)]|[Veolia Environmental Services, Vancouver, BC (Canada)

    2006-07-01

    An outline of the Greater Vancouver Regional District (GVRD) waste-to-energy program was presented. The GVRD has an annual budget for solid waste management of $90 million. Energy recovery revenues from solid waste currently exceed $10 million. Over 1,660,00 tonnes of GVRD waste is recycled, and another 280,000 tonnes is converted from waste to energy. The GVRD waste-to-energy facility combines state-of-the-art combustion and air pollution control, and has processed over 5 million tonnes of municipal solid waste since it opened in 1988. Its central location minimizes haul distance, and it was originally sited to utilize steam through sales to a recycle paper mill. The facility has won several awards, including the Solid Waste Association of North America award for best facility in 1990. The facility focuses on continual improvement, and has installed a carbon injection system; an ammonia injection system; a flyash stabilization system; and heat capacity upgrades in addition to conducting continuous waste composition studies. Continuous air emissions monitoring is also conducted at the plant, which produces a very small percentage of the total air emissions in metropolitan Vancouver. The GVRD is now seeking options for the management of a further 500,000 tonnes per year of solid waste, and has received 23 submissions from a range of waste energy technologies which are now being evaluated. It was concluded that waste-to-energy plants can be located in densely populated metropolitan areas and provide a local disposal solution as well as a source of renewable energy. Other GVRD waste reduction policies were also reviewed. refs., tabs., figs.

  4. A Systems Dynamics Approach to Explore Traffic Congestion and Air Pollution Link in the City of Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Alex A. N. M. Pappoe

    2010-01-01

    Full Text Available Economic development and urbanization poses myriad challenges to transportation systems in relation to negative externalities such as traffic congestion and environmental health risks. Accra, the capital of Ghana, faces mounting urban planning problems, for example traffic congestion, air pollution, traffic safety, and land use planning, among others. The paper aims to provide a system dynamics perspective of the problems. Most of the drivers and cause-effect relationships of traffic congestion and its attendant air pollution are investigated and analyzed using causal loop diagrams. The paper further suggests mechanisms by which the negative externalities associated with road transport in the city of Accra can be addressed.

  5. Coastal erosion management in Accra: Combining local knowledge and empirical research

    Directory of Open Access Journals (Sweden)

    Kwasi Appeaning Addo

    2016-11-01

    Full Text Available Coastal erosion along the Accra coast has become a chronic phenomenon that threatens both life and property. The issue has assumed a centre stage of national debate in recent times because of its impact on the coastal communities. Lack of reliable geospatial data hinders effective scientific investigations into the changing trends in the shoreline position. However, knowledge about coastal erosion, by the local people, and how far the shoreline has migrated inland over time is high in the coastal communities in Accra. This opens a new chapter in coastal erosion research to include local knowledge of the local settlers in developing sustainable coastal management. This article adopted a scientific approach to estimate rate of erosion and tested the results against perceived erosion trend by the local settlers. The study used a 1974 digital topographic map and 1996 aerial photographs. The end point rate statistical method in DSAS was used to compute the rates of change. The short-term rate of change for the 22-year period under study was estimated as -0.91 m/annum ± 0.49 m/annum. It was revealed that about 79% of the shoreline is eroding, while the remaining 21% is either stabilised or accreting. It emerged, from semi-structured interviews with inhabitants in the Accra coastal communities, that an average of about 30 m of coastal lands are perceived to have been lost to erosion for a period of about 20 years. This translates to a historic rate of change of about 1.5 m/year, which corroborates the results of the scientific study. Again this study has established that the local knowledge of the inhabitants, about coastal erosion, can serve as reliable information under scarcity of scientific data for coastal erosion analyses in developing countries.

  6. Metropolitan City: the Italian experience

    Directory of Open Access Journals (Sweden)

    Giuseppe Franco Ferrari

    2013-12-01

    Full Text Available Due to the fact that the definitions of territorial organization are no longer adequate, the concept of “metropolitan areas” arises as a solution to resolve such deficit. This study shows the beginnings of this figure in Italy and the problems of identification and delimitation caused by the abstraction of the norms, therefore entailing a difficult implementation of the concept of metropolitan cities. By identifying these obstacles, this paper presents an analysis where it is possible to ensure compliance with this new reality in the near future.

  7. Fibreoptic gastro-intestinal endoscopy at the Korle Bu Teaching Hospital, Accra, Ghana: a historical perspective.

    Science.gov (United States)

    Nkrumah, Kofi N; Archampong, Emmanuel Q

    2017-12-01

    Fibreoptic (or Flexible) endoscopy has revolutionized and completely transformed practice of gastroenterology, and many other medical specialties, over the past half century or so. At the Korle Bu Teaching Hospital, Accra the development of this facility has evolved gradually, especially involving specialists from the Departments of Medicine and Surgery since the 1970s. This article is an attempt to trace and record this journey and to highlight some of the problems and challenges yet to be overcome. It is an anecdotal account based on the authors' recollection with attempts at verification of important dates.

  8. Urban development, and emerging relations of informal property and land based authority in Accra

    DEFF Research Database (Denmark)

    Stacey, Paul Austin

    2018-01-01

    Rural–urban migration leads to ever increasing numbers of Africans living in informal settlements. In Accra's largest informal settlement, Old Fadama, residents by definition have no statutory rights to the land and their building activities undermine formal state law and state-recognized customary......, building and development in the settlement that involve a variety of local, national and global actors. Their actions show the contemporaneous making and unmaking of different relations of property and land-based control and authority in the densely populated urban site. Important features of urban...

  9. Cultural objects as objects: materiality, urban space, and the interpretation of AIDS campaigns in Accra, Ghana.

    Science.gov (United States)

    McDonnell, Terence E

    2010-05-01

    AIDS media lead unexpected lives once distributed through urban space: billboards fade, posters go missing, bumper stickers travel to other cities. The materiality of AIDS campaign objects and of the urban settings in which they are displayed structures how the public interprets their messages. Ethnographic observation of AIDS media in situ and interview data reveal how the materiality of objects and places shapes the availability of AIDS knowledge in Accra, Ghana. Significantly for AIDS organizations, these material conditions often systematically obstruct access to AIDS knowledge for particular groups. Attending to materiality rethinks how scholars assess the cultural power of media.

  10. Determinação da infecção por Entamoeba histolytica em residentes da área metropolitana de Belém, Pará, Brasil, utilizando ensaio imunoenzimático (ELISA para detecção de antígenos Determination of Entamoeba histolytica infection in patients from Greater Metropolitan Belém, Pará, Brazil, by enzyme-linked immunosorbent assay (ELISA for antigen detection

    Directory of Open Access Journals (Sweden)

    Mônica Cristina de Moraes Silva

    2005-06-01

    Full Text Available O status epidemiológico da amebíase está sendo reavaliado desde que a Entamoeba histolytica (patogênica foi considerada espécie distinta de Entamoeba dispar (não patogênica. Em nosso estudo, realizamos pesquisa de antígenos de E. histolytica em amostras fecais de pacientes residentes na cidade de Belém, Pará, Brasil, utilizando ensaio imunoenzimático (E. histolytica Test, TechLab Inc., Blacksburg, Estados Unidos disponível comercialmente. Foram analisadas 845 amostras, com positividade em 248 (29,35%. A infecção por E. histolytica foi maior no grupo etário acima de 14 anos (30,36% que no grupo de 0-14 anos (28,28%, porém sem significância estatística (p The epidemiological status of amebiasis has been reevaluated since Entamoeba histolytica (pathogenic was considered a distinct species from Entamoeba dispar (non-pathogenic. We investigated E. histolytica antigens in stool samples from residents of Belém, Pará State, Brazil, with commercially available enzyme-linked immunosorbent assay (E. histolytica Test, TechLab Inc., Blacksburg, USA. A total of 845 samples were analyzed, of which 248 were positive (29.35%. E. histolytica infection was more frequent in the over-14-year age group (30.36% than in the 0-14-year group (28.28%, but the difference was not statistically significant (p < 0.05. Of all the samples, 334 were also submitted to parasitological methods (direct, Hoffman, and Faust et al.. There were discordant results between ELISA and parasitological methods in 83 samples (24.85%, with more positive results using ELISA. Our results thus suggest that intestinal amebiasis is an important public health problem in Greater Metropolitan Belém.

  11. Metropolitan siting: a historical perspective

    International Nuclear Information System (INIS)

    Bunch, D.F.

    1978-09-01

    The paper discusses the development and implementation of the Reactor Site Criteria and particularly the evolving posture of the agency on the subject of metropolitan siting. The review actions on nine sites are described to illustrate the various issues and positions and to clarify at least some of the bases for current practices of the NRC staff

  12. Assessing Worker and Environmental Chemical Exposure Risks at an e-Waste Recycling and Disposal Site in Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Jack Caravanos

    2011-01-01

    Conclusions. The Agbogbloshie e-waste recycling/disposal site in Accra, Ghana revealed an area with extensive lead contamination in both ambient air and topsoil. Given the urban nature of this site e as well as the large adjacent food distribution market, the potential for human health impact is substantial both to workers and local residents.

  13. The 2nd Generation Street Children (SGSC) in Accra: Developing Teaching Strategies to Enhance Positive Learning Outcomes in Schools

    Science.gov (United States)

    Kuyini, Alhassan Abdul-Razak; Abosi, Okechuwu

    2011-01-01

    Ghana is witnessing an increasing number of 2nd generation street children (SGSC) living in the street of Accra, the capital city as a result of many factors including teenage pregnancy among street girls, ethnic conflicts and rural-urban migration. Street presents enormous risks to street children; they are excluded from safe-family environment,…

  14. Suburbanization and sustainability in metropolitan Moscow.

    Science.gov (United States)

    Mason, Robert J; Nigmatullina, Liliya

    2011-01-01

    Although Soviet-era urban-growth controls produced relatively sustainable metropolitan development patterns, low-density suburban sprawl has accelerated markedly in modern Russia. Distinctive features of Moscow's development history are its greenbelt, which dates from 1935 and is becoming increasingly fragmented, proliferation of satellite cities at the urban fringe, conversion of seasonal dachas into full-time residences, the very exclusive Rublevo Uspenskoe Highway development, and today's crippling traffic congestion. The recent economic crisis has slowed development and actually increased the supply of “economy-class” single-family homes, for which there is much pent-up desire but insufficient credit availability to meet the demand. A renewed commitment to sustainability's triple bottom line—environmental quality, equity, and economic prosperity—will require greater government transparency and fairness, stronger planning controls, and an expanded public transportation system.

  15. Trends in Urbanization and Implications for Peri-Urban Livelihoods in Accra, Ghana

    Science.gov (United States)

    Adom, Cynthia

    Urbanization is a common occurrence in both developed and developing worlds. Similar to occurrences in other developing world cities, Accra's urbanization is marked by fast, unplanned and uneven growth into mostly peripheral lands (Grant and Yankson 2002; Yeboah 2001; Ghana Statistical Service (GSS) 2002). Such trends in urbanization in places where data on the urbanization process is seriously inadequate and infrequent, (Rakodi 1997a; Ohadika 1991; Fasona and Omojola 2004) pose a major challenge to urban planning and management (Henderson 2002), and affect the livelihood base of several peri-urban households. Properly monitoring the urbanization process in the developing world and understanding its effects on people's lives depends on the availability of useful and up-to- date data (Weber and Puissant 2003; Mundia and Aniya 2006) that could be obtained using new and robust analytical techniques (Yang 2003). In addition, in the urban environment, differences in rates of urbanization, income, employment status, and gender dynamics across neighborhoods suggest that the impacts of increasing urbanization on peri-urban livelihoods are likely to vary across peoples and places. Against this backdrop, this dissertation uses Accra as a case study to, first, measures the nature and extent of urban expansion using a non-conventional technique, and then analyzes neighborhood - and gender-differentiated impacts of increasing urbanization on household livelihoods in peri-urban Accra. Study findings reveal: 1) major conversion of vegetated land to urban lands uses and support the effectiveness of the Self-Organizing Map and Landsat data to map complex and hazy urban tropical environments; 2) that the impacts of urbanization on peri-urban livelihoods are structured along the lines of neighborhood-level urbanization; changes brought by a higher rate of urbanization are more beneficial than harmful to household livelihoods; 3) that positive livelihood outcomes in high

  16. Anti-malarial drug quality in Lagos and Accra - a comparison of various quality assessments

    Directory of Open Access Journals (Sweden)

    Bate Roger

    2010-06-01

    Full Text Available Abstract Background Two major cities in West Africa, Accra, the capital of Ghana, and Lagos, the largest city of Nigeria, have significant problems with substandard pharmaceuticals. Both have actively combated the problem in recent years, particularly by screening products on the market using the Global Pharma Health Fund e.V. Minilab® protocol. Random sampling of medicines from the two cities at least twice over the past 30 months allows a tentative assessment of whether improvements in drug quality have occurred. Since intelligence provided by investigators indicates that some counterfeit producers may be adapting products to pass Minilab tests, the results are compared with those from a Raman spectrometer and discrepancies are discussed. Methods Between mid-2007 and early-2010, samples of anti-malarial drugs were bought covertly from pharmacies in Lagos on three different occasions (October 2007, December 2008, February 2010, and from pharmacies in Accra on two different occasions (October 2007, February 2010. All samples were tested using the Minilab® protocol, which includes disintegration and active ingredient assays as well as visual inspection, and most samples were also tested by Raman spectrometry. Results In Lagos, the failure rate in the 2010 sampling fell to 29% of the 2007 finding using the Minilab® protocol, 53% using Raman spectrometry, and 46% using visual inspection. In Accra, the failure rate in the 2010 sampling fell to 54% of the 2007 finding using the Minilab® protocol, 72% using Raman spectrometry, and 90% using visual inspection. Conclusions The evidence presented shows that drug quality is probably improving in both cities, especially Lagos, since major reductions of failure rates over time occur with all means of assessment. Many more samples failed when examined by Raman spectrometry than by Minilab® protocol. The discrepancy is most likely caused by the two techniques measuring different aspects of the medication

  17. Improving urban visibility through fractal analysis of street edges: The case of John Evans Atta Mills High Street in Accra, Ghana

    OpenAIRE

    R.A. Oppong; A.B. Marful; E.S. Asare

    2017-01-01

    Streets are a representation of cities, and the image of a city is a reflection of its home country. Although attempts to ensure harmonious spatial and environmental development in Ghanaian settlements date back to the colonial era, these efforts have minimal physical manifestation in the urban fabric of the city of Accra. The Independence Arch of Ghana, an important landmark in the urban fabric and history of Accra, lacks the striking vista and approach it deserves. This paper introduces the...

  18. Tourists' perceptions of the quality of public transportation services in the Accra metropolis: a Servqual approach

    Directory of Open Access Journals (Sweden)

    R. Y. Nutsugbodo

    2013-01-01

    Full Text Available All over the world, commuters (tourists are entreating public transport service providers to ensure that they provide quality service to their clienteles and not to be interested in only the financial gains. This study sought to examine tourists’ perception of the quality of public transportation services within the Accra Metropolis, Ghana using a SERVQUAL approach. The SERVQUAL scale was modified to aid in evaluating how tourists perceive public transportation services within this jurisdiction. Accidental sampling procedure was used to collect samples from 200 tourists at selected transport terminals. The study concluded that the tourists had a negative perception of public transport services within the metropolis. The implication for this study is that it is intended to provide strong basis for more in-depth studies into this phenomenon.

  19. Geographic object-based delineation of neighborhoods of Accra, Ghana using QuickBird satellite imagery.

    Science.gov (United States)

    Stow, Douglas A; Lippitt, Christopher D; Weeks, John R

    2010-08-01

    The objective was to test GEographic Object-based Image Analysis (GEOBIA) techniques for delineating neighborhoods of Accra, Ghana using QuickBird multispectral imagery. Two approaches to aggregating census enumeration areas (EAs) based on image-derived measures of vegetation objects were tested: (1) merging adjacent EAs according to vegetation measures and (2) image segmentation. Both approaches exploit readily available functions within commercial GEOBIA software. Image-derived neighborhood maps were compared to a reference map derived by spatial clustering of slum index values (from census data), to provide a relative assessment of potential map utility. A size-constrained iterative segmentation approach to aggregation was more successful than standard image segmentation or feature merge techniques. The segmentation approaches account for size and shape characteristics, enabling more realistic neighborhood boundaries to be delineated. The percentage of vegetation patches within each EA yielded more realistic delineation of potential neighborhoods than mean vegetation patch size per EA.

  20. Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010

    Directory of Open Access Journals (Sweden)

    Mariana Brussoni

    2016-05-01

    Full Text Available Abstract Background Disparities in injury rates between Aboriginal and non-Aboriginal populations in British Columbia (BC are well established. Information regarding the influence of residence on disparities is scarce. We sought to fill these gaps by examining hospitalization rates for all injuries, unintentional injuries and intentional injuries across 24 years among i Aboriginal and total populations; ii populations living in metropolitan and non-metropolitan areas; and iii Aboriginal populations living on- and off-reserve. Methods We used data spanning 1986 through 2010 from BC’s universal health care insurance plan, linked to vital statistics databases. Aboriginal people were identified by insurance premium group and birth and death record notations, and their residence was determined by postal code. “On-reserve” residence was established by postal code areas associated with an Indian reserve or settlement. Health Service Delivery Areas (HSDAs were classified as “metropolitan” if they contained a population of at least 100,000 with a density of 400 or more people per square kilometre. We calculated the crude hospitalization incidence rate and the Standardized Relative Risk (SRR of hospitalization due to injury standardizing by gender, 5-year age group, and HSDA. We assessed cumulative change in SRR over time as the relative change between the first and last years of the observation period. Results Aboriginal metropolitan populations living off-reserve had the lowest SRR of injury (2.0, but this was 2.3 times greater than the general British Columbia metropolitan population (0.86. For intentional injuries, Aboriginal populations living on-reserve in non-metropolitan areas were at 5.9 times greater risk than the total BC population. In general, the largest injury disparities were evident for Aboriginal non-metropolitan populations living on-reserve (SRR 3.0; 2.5 times greater than the general BC non-metropolitan population (1

  1. Levels of electric field strength within the immediate vicinity of FM radio stations in Accra, Ghana.

    Science.gov (United States)

    Azah, C K; Amoako, J K; Fletcher, J J

    2013-10-01

    Heightened awareness of the ever-expanding use of radiofrequency (RF) techniques and technology has led to mounting concerns from the general public and the scientific community regarding the possible health effects that may arise as a consequence of exposure to RF radiations and has drawn the attention of many researchers the world over. A survey of the RF electromagnetic radiation at public access points in the vicinity of 20 frequency-modulated (FM) radio stations has been made in Accra, Ghana. The fundamental object was to determine the levels of RF fields from FM broadcast antennae within 10-200 m radius about the foot of the FM base station and at a height of 1.5 m above the ground at selected locations. A spectrum analyser and a bi-conical antenna element sensitive and effective within the frequency band of 30-300 MHz were used. Results obtained indicated that the levels of electric field strength ranged from 5.4E-04 V m(-1) at FM station 'O' to 7.4E-08 V m(-1) at FM station 'D'. At a transmission frequency range of 88-108 MHz, the variation of power densities is from 2.5E-10 to 1.5E-17 Wm(-2). These values are very low and are far below the reference level set by the International Commission on Non-Ionizing Radiation Protection and therefore do not pose any known hazard to the inhabitants of Accra, Ghana. The electric field levels presented in this work are comparable with those reported from epidemiological studies conducted elsewhere.

  2. Food beliefs and practices in urban poor communities in Accra: implications for health interventions.

    Science.gov (United States)

    Boatemaa, Sandra; Badasu, Delali Margaret; de-Graft Aikins, Ama

    2018-04-02

    Poor communities in low and middle income countries are reported to experience a higher burden of chronic non-communicable diseases (NCDs) and nutrition-related NCDs. Interventions that build on lay perspectives of risk are recommended. The objective of this study was to examine lay understanding of healthy and unhealthy food practices, factors that influence food choices and the implications for developing population health interventions in three urban poor communities in Accra, Ghana. Thirty lay adults were recruited and interviewed in two poor urban communities in Accra. The interviews were audio-taped, transcribed and analysed thematically. The analysis was guided by the socio-ecological model which focuses on the intrapersonal, interpersonal, community, structural and policy levels of social organisation. Food was perceived as an edible natural resource, and healthy in its raw state. A food item retained its natural, healthy properties or became unhealthy depending on how it was prepared (e.g. frying vs boiling) and consumed (e.g. early or late in the day). These food beliefs reflected broader social food norms in the community and incorporated ideas aligned with standard expert dietary guidelines. Healthy cooking was perceived as the ability to select good ingredients, use appropriate cooking methods, and maintain food hygiene. Healthy eating was defined in three ways: 1) eating the right meals; 2) eating the right quantity; and 3) eating at the right time. Factors that influenced food choice included finances, physical and psychological state, significant others and community resources. The findings suggest that beliefs about healthy and unhealthy food practices are rooted in multi-level factors, including individual experience, family dynamics and community factors. The factors influencing food choices are also multilevel. The implications of the findings for the design and content of dietary and health interventions are discussed.

  3. Conhecimento da disponibilidade e sobre o uso da ventilação não invasiva em unidades de terapia intensiva de hospitais públicos, privados e de ensino da região metropolitana de São Paulo Availability and use of noninvasive ventilation in the intensive care units of public, private and teaching hospitals in the greater metropolitan area of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Lara Maris Nápolis

    2006-02-01

    physiotherapists with noninvasive positive-pressure ventilation in the intensive care units of public, private and teaching hospitals in the greater metropolitan area of São Paulo, Brazil. METHODS: On-site administration of questionnaires. RESULTS: Noninvasive positive-pressure ventilation equipment was widely available and was more commonly found in private hospitals than in teaching hospitals. Such equipment was least available in public hospitals, in which the predominant method was the use of mechanical ventilators designed for invasive ventilation and adapted to noninvasive positive-pressure ventilation. In private hospitals, continuous flow ventilators were more common, whereas, in teaching hospitals, ventilators specifically designed for noninvasive ventilation were typically employed. All physiotherapists felt themselves capable of initiating noninvasive positive pressure ventilation, compared with 72.6% of physicians and 33.3% of nurses. Physicians and physiotherapists presented high percentages of correct answers when asked about the indications and contraindications for the use of noninvasive positive-pressure ventilation. Over a one year period, more physiotherapists read articles about noninvasive positive-pressure ventilation and participated in related classes than did physicians, who in turn did so more than did nurses. CONCLUSION: Noninvasive positive-pressure ventilation equipment is widely available in the greater metropolitan area of São Paulo, although differences exist among public, private and teaching hospitals in terms of the type of equipment used. Physicians and physiotherapists exhibited considerable knowledge regarding the indications and contraindications for the use of noninvasive positive-pressure ventilation. More physiotherapists felt themselves able to initiate noninvasive positive-pressure ventilation, and their knowledge of the subject was more current than was that of physicians or nurses.

  4. Earthquake Risk Mitigation in the Tokyo Metropolitan area

    Science.gov (United States)

    Hirata, N.; Sakai, S.; Kasahara, K.; Nakagawa, S.; Nanjo, K.; Panayotopoulos, Y.; Tsuruoka, H.

    2010-12-01

    Seismic disaster risk mitigation in urban areas constitutes a challenge through collaboration of scientific, engineering, and social-science fields. Examples of collaborative efforts include research on detailed plate structure with identification of all significant faults, developing dense seismic networks; strong ground motion prediction, which uses information on near-surface seismic site effects and fault models; earthquake resistant and proof structures; and cross-discipline infrastructure for effective risk mitigation just after catastrophic events. Risk mitigation strategy for the next greater earthquake caused by the Philippine Sea plate (PSP) subducting beneath the Tokyo metropolitan area is of major concern because it caused past mega-thrust earthquakes, such as the 1703 Genroku earthquake (magnitude M8.0) and the 1923 Kanto earthquake (M7.9) which had 105,000 fatalities. A M7 or greater (M7+) earthquake in this area at present has high potential to produce devastating loss of life and property with even greater global economic repercussions. The Central Disaster Management Council of Japan estimates that the M7+ earthquake will cause 11,000 fatalities and 112 trillion yen (about 1 trillion US$) economic loss. This earthquake is evaluated to occur with a probability of 70% in 30 years by the Earthquake Research Committee of Japan. In order to mitigate disaster for greater Tokyo, the Special Project for Earthquake Disaster Mitigation in the Tokyo Metropolitan Area (2007-2011) was launched in collaboration with scientists, engineers, and social-scientists in nationwide institutions. The results that are obtained in the respective fields will be integrated until project termination to improve information on the strategy assessment for seismic risk mitigation in the Tokyo metropolitan area. In this talk, we give an outline of our project as an example of collaborative research on earthquake risk mitigation. Discussion is extended to our effort in progress and

  5. Greater autonomy at work

    NARCIS (Netherlands)

    Houtman, I.L.D.

    2004-01-01

    In the past 10 years, workers in the Netherlands increasingly report more decision-making power in their work. This is important for an economy in recession and where workers face greater work demands. It makes work more interesting, creates a healthier work environment, and provides opportunities

  6. Desfechos clínicos do tratamento de tuberculose utilizando o esquema básico recomendado pelo Ministério da Saúde do Brasil com comprimidos em dose fixa combinada na região metropolitana de Goiânia Clinical treatment outcomes of tuberculosis treated with the basic regimen recommended by the Brazilian National Ministry of Health using fixed-dose combination tablets in the greater metropolitan area of Goiânia, Brazil

    Directory of Open Access Journals (Sweden)

    Anna Carolina Galvão Ferreira

    2013-02-01

    years of age treated with the basic regimen at either of two primary health care facilities in the greater metropolitan area of Goiânia, Brazil. RESULTS: The study sample comprised 40 tuberculosis patients. The rate of cure was 67.5%, the rate of treatment abandonment was 17.5%, and there were no cases of treatment failure. Of the 40 patients in the sample, 19 (47% reported adverse reactions, which were mild and moderate, respectively, in 87% and 13% of the cases. It was not necessary to alter the regimen or discontinue the treatment in any of the cases evaluated. CONCLUSIONS: The rate of cure obtained with the self-administered, fixed-dose combination tablet form of the new basic regimen was similar to the historical rates of cure obtained with the previous regimen. The rate of treatment abandonment in our sample was much higher than that considered appropriate (up to 5%.

  7. Perfil de risco: método multivariado de classificação sócio-econômica de microáreas urbanas - os setores censitários da região metropolitana do Rio de Janeiro Risk profile: multivariate cluster analysis of urban small areas based on socioeconomic indicators - census tracts from the Greater Rio de Janeiro Metropolitan Area

    Directory of Open Access Journals (Sweden)

    Marilia Sá Carvalho

    1997-10-01

    Full Text Available Visando desenvolver métodos de estudo de microáreas urbanas, que permitam a integração de variáveis em um perfil sócio-econômico, foi analisado o censo demográfico de 1991, por setor censitário. Estudaram-se aspectos de: saneamento, ocupação do terreno, escolaridade, domicílio, demografia e renda. A análise de componentes principais para cada tema permitiu selecionar 15 indicadores com maior poder de explicação da variância observada, com base nos quais, em nova análise, foram escolhidos os sete indicadores finais. A classificação multivariada por partição gerou cinco tipos diferentes de setores censitários, assim descritos: (A alta renda, (B renda mais baixa, (C pobre, com predomínio de casas alugadas, (D baixa escolaridade e renda, (E precariedade no saneamento básico. A análise segundo a divisão geopolítica tradicional permitiu identificar as desigualdades dentro de cada área. O método proposto permitiu a criação de índices compostos de avaliação de qualidade de vida, valendo-se de informações de fácil acesso e ampla cobertura. Além disso, contribuiu para detectar a desigualdade sócio-econômica, identificando não só as grandes regiões de pobreza, mas as microáreas de exclusão em meio à relativa riqueza.A method based on small area data analysis was developed to build a health risk classification for the Greater Rio de Janeiro Metropolitan Area. The approach uses 1991 census data and studies data pertaining to sanitation, ownership and type of housing, size and occupancy of the household, demography, schooling, and income. Principal component analysis applied over each dimension allowed for the choice of 15 variables, which summarized most of the observed variances. Additional analysis with these variables suggested that just six variables are sufficient for the construction of a classification using k-means method of multivariate cluster analysis. Five classes were obtained: (A high income; (B

  8. Premises for Shaping Metropolitan Areas in Romania

    Directory of Open Access Journals (Sweden)

    RAULARIAN RUSU

    2012-01-01

    Full Text Available The setting up of metropolitan areas is a process which is still in progress in Romania. The legislative framework for the creation of these areas has been built up only since 2001, and there are still a number of juridical inconsistencies concerning the association of administrative units to form metropolitan areas. On the other hand, political reasons and the fear of losing a certain degree of authority and to become subordinates of the large cities (in the case of rural municipalities also hindered the development of metropolitan areas in Romania. Nevertheless, the metropolitan areas already in existence are running a number of projects that are beneficial for most members of the association. Such positive examples may trigger the creation of the other metropolitan areas. Although the existing metropolitan areas did not yield spectacular results, the time passed since their foundation is yet too short to correctly assess their usefulness and territorial meaning. For the moment, the following metropolitan areas exist in Romania: Iaşi, Oradea, Braşov, Constanţa, Bacău, Cluj-Napoca, Târgu Mureş and Craiova. Bucharest, Timişoara, Ploieşti and Galaţi-Brăila metropolitan areas are still in process of setting up.

  9. Is Urban Planning in Australia Hindered by Poor Metropolitan Governance?

    Directory of Open Access Journals (Sweden)

    Paul Burton

    2017-11-01

    Full Text Available There are many calls for urban planning in Australia to be reformed, although often in contradictory ways. For example, some argue it should be capable of delivering greater certainty to developers while others call for more flexibility in processes of urban development regulation; some would like to roll back its regulatory impact while others argue for a renewal of planning’s commitment to promoting social and spatial justice. The Australian planning system is also held to be hindered by a comparative lack of planning at and for the metropolitan scale. This is connected to the absence of well-developed structures of metropolitan governance in what is a three-tier federal system, with most power over planning concentrated at the State and Territory government scale. The paper explores this putative hindrance by considering three important issues in Australian urban policy debates about the efficacy of contemporary multi-level governance arrangements: spatial scale; identity and legitimacy; and efficiency and effectiveness. It includes some analysis of the case made for a more explicit and rigorous national urban policy and how this might relate to lower level planning regimes. The paper focuses on recent urban policy and planning initiatives in South East Queensland, one of Australia’s fastest growing metropolitan regions, and concludes that while incremental but nonetheless significant improvements in planning policy and practice are possible, these are unlikely to satisfy those calling for more radical changes to improve the Australian planning system.

  10. Greater-confinement disposal

    International Nuclear Information System (INIS)

    Trevorrow, L.E.; Schubert, J.P.

    1989-01-01

    Greater-confinement disposal (GCD) is a general term for low-level waste (LLW) disposal technologies that employ natural and/or engineered barriers and provide a degree of confinement greater than that of shallow-land burial (SLB) but possibly less than that of a geologic repository. Thus GCD is associated with lower risk/hazard ratios than SLB. Although any number of disposal technologies might satisfy the definition of GCD, eight have been selected for consideration in this discussion. These technologies include: (1) earth-covered tumuli, (2) concrete structures, both above and below grade, (3) deep trenches, (4) augered shafts, (5) rock cavities, (6) abandoned mines, (7) high-integrity containers, and (8) hydrofracture. Each of these technologies employ several operations that are mature,however, some are at more advanced stages of development and demonstration than others. Each is defined and further described by information on design, advantages and disadvantages, special equipment requirements, and characteristic operations such as construction, waste emplacement, and closure

  11. More features, greater connectivity.

    Science.gov (United States)

    Hunt, Sarah

    2015-09-01

    Changes in our political infrastructure, the continuing frailties of our economy, and a stark growth in population, have greatly impacted upon the perceived stability of the NHS. Healthcare teams have had to adapt to these changes, and so too have the technologies upon which they rely to deliver first-class patient care. Here Sarah Hunt, marketing co-ordinator at Aid Call, assesses how the changing healthcare environment has affected one of its fundamental technologies - the nurse call system, argues the case for wireless such systems in terms of what the company claims is greater adaptability to changing needs, and considers the ever-wider range of features and functions available from today's nurse call equipment, particularly via connectivity with both mobile devices, and ancillaries ranging from enuresis sensors to staff attack alert 'badges'.

  12. Greater oil investment opportunities

    International Nuclear Information System (INIS)

    Arenas, Ismael Enrique

    1997-01-01

    Geologically speaking, Colombia is a very attractive country for the world oil community. According to this philosophy new and important steps are being taken to reinforce the oil sector: Expansion of the exploratory frontier by including a larger number of sedimentary areas, and the adoption of innovative contracting instruments. Colombia has to offer, Greater economic incentives for the exploration of new areas to expand the exploratory frontier, stimulation of exploration in areas with prospectivity for small fields. Companies may offer Ecopetrol a participation in production over and above royalties, without it's participating in the investments and costs of these fields, more favorable conditions for natural gas seeking projects, in comparison with those governing the terms for oil

  13. Chemical composition and sources of particle pollution in affluent and poor neighborhoods of Accra, Ghana

    International Nuclear Information System (INIS)

    Zhou, Zheng; Dionisio, Kathie L; Verissimo, Thiago G; Kerr, Americo S; Coull, Brent; Arku, Raphael E; Koutrakis, Petros; Spengler, John D; Vallarino, Jose; Hughes, Allison F; Agyei-Mensah, Samuel; Ezzati, Majid

    2013-01-01

    The highest levels of air pollution in the world now occur in developing country cities, where air pollution sources differ from high-income countries. We analyzed particulate matter (PM) chemical composition and estimated the contributions of various sources to particle pollution in poor and affluent neighborhoods of Accra, Ghana. Elements from earth’s crust were most abundant during the seasonal Harmattan period between late December and late January when Saharan dust is carried to coastal West Africa. During Harmattan, crustal particles accounted for 55 μg m −3 (37%) of fine particle (PM 2.5 ) mass and 128 μg m −3 (42%) of PM 10 mass. Outside Harmattan, biomass combustion, which was associated with higher black carbon, potassium, and sulfur, accounted for between 10.6 and 21.3 μg m −3 of fine particle mass in different neighborhoods, with its contribution largest in the poorest neighborhood. Other sources were sea salt, vehicle emissions, tire and brake wear, road dust, and solid waste burning. Reducing air pollution in African cities requires policies related to energy, transportation and urban planning, and forestry and agriculture, with explicit attention to impacts of each strategy in poor communities. Such cross-sectoral integration requires emphasis on urban environment and urban poverty in the post-2015 Development Agenda. (letter)

  14. Explanatory models of diabetes in urban poor communities in Accra, Ghana.

    Science.gov (United States)

    de-Graft Aikins, Ama; Awuah, Raphael Baffour; Pera, Tuula Anneli; Mendez, Montserrat; Ogedegbe, Gbenga

    2015-01-01

    The objective of the study was to examine explanatory models of diabetes and diabetes complications among urban poor Ghanaians living with diabetes and implications for developing secondary prevention strategies. Twenty adults with type 2 diabetes were recruited from three poor communities in Accra. Qualitative data were obtained using interviews that run between 40 and 90 minutes. The interviews were audio-taped, transcribed and analysed thematically, informed by the 'explanatory model of disease' concept. Respondents associated diabetes and its complications with diet, family history, lifestyle factors (smoking, excessive alcohol consumption and physical inactivity), psychological stress and supernatural factors (witchcraft and sorcery). These associations were informed by biomedical and cultural models of diabetes and disease. Subjective experience, through a process of 'body-listening,' constituted a third model on which respondents drew to theorise diabetes complications. Poverty was an important mediator of poor self-care practices, including treatment non-adherence. The biomedical model of diabetes was a major source of legitimate information for self-care practices. However, this was understood and applied through a complex framework of cultural theories of chronic disease, the biopsychological impact of everyday illness experience and the disempowering effects of poverty. An integrated biopsychosocial approach is proposed for diabetes intervention in this research community.

  15. Urban Household Characteristics and Dietary Diversity: An Analysis of Food Security in Accra, Ghana.

    Science.gov (United States)

    Codjoe, Samuel Nii Ardey; Okutu, David; Abu, Mumuni

    2016-06-01

    The world's population is increasingly becoming urbanized. If the current urban growth rate is to continue, new and unprecedented challenges for food security will be inevitable. Dietary diversity has been used to ascertain food security status albeit at the multicountry and country levels. Thus, household-level studies in urban settings, particularly in sub-Sahara African, are few. Yet, it is imperative that assessments of food security are undertaken particularly in urban settings, due to the projected fast rate of urbanization and the challenges of attaining food security. To examine household characteristics and dietary diversity. The study uses data from 452 households from the second round of the Regional Institute for Population Studies (RIPS) EDULINK urban poverty and health study. Bivariate and multivariate analyses are undertaken. Mean dietary diversity for all households is 6.8. Vegetables have the highest diversity, followed by cereal-based and grain products. Household characteristics that have statistically significant associations with dietary diversity include sex and level of education of household head, household wealth quintile, and source of food. There is high dietary diversity in the study communities of Accra but low consumption of foods rich in micronutrient, such as fruits and milk/dairy products. The study brings to fore issues related to resource-disadvantaged entities of the urban system, namely, females, poor households, and the non-educated who have food insecurity problems. © The Author(s) 2016.

  16. Facilitators and barriers of herbal medicine use in Accra, Ghana: an inductive exploratory study.

    Science.gov (United States)

    Aziato, Lydia; Antwi, Hannah Ohemeng

    2016-05-26

    The use of complementary and alternative medicine including herbal medicine is increasing in many countries including Ghana. However, there is paucity of research on the perspectives of patrons of herbal medicine regarding the facilitators and barriers of herbal medicine use. This study sought to investigate the facilitators and barriers of herbal medicine among Ghanaian adults who use one form of herbal medicine or the other. The study employed an inductive exploratory qualitative approach. It was conducted at a private herbal clinic in Accra. Purposive sampling was employed to recruit 16 participants. Data collection was through individual face-to-face interviews and these were transcribed and analysed using content analysis procedures. It was realized that the factors that enhanced the use of herbal medicine included use of convincing information to enhance the initiation of herbal medicine use, effectiveness of herbal medicine, personal preference for herbal medicine, perceived ineffectiveness of western medicine and integration of spirituality in herbal medicine. The factors that hindered herbal medicine use included negative perceptions and attitudes about herbal medicine, poor vending environment, poor knowledge of vendors, high cost of herbal products at credible herbal clinics and inconsistent effectiveness of some herbal products. Participants desired that the national health insurance scheme will cover the cost of herbal medicine to alleviate the financial burden associated with herbal medicine use. Although some Ghanaians patronize herbal medicine, the negative perceptions about herbal medicine resulting from deceitful producers and vendors call for enhanced education and monitoring to ensure that effective herbal products are used.

  17. Broadband availability in metropolitan and non-metropolitan Pennsylvania

    Directory of Open Access Journals (Sweden)

    Lawrence E. Wood

    2016-09-01

    Full Text Available Over the past few years having a broadband connection has become essential for many Internet activities. As broadband increases in importance, it becomes imperative to assess how its use and availability may vary, especially in relation to issues such as geographic location. For rural areas in particular, the availability of broadband service is especially important. This research assesses broadband service availability in rural areas of Pennsylvania, USA. In particular, it examines the extent to which Digital Subscriber Line (DSL and broadband cable modem services are being deployed throughout rural Pennsylvania. It compares this deployment with the availability of such services in the state’s urban and metropolitan areas. The results of this research suggest that there is a “digital divide” in terms of broadband availability between rural and urban areas of Pennsylvania. However, this “divide” is perhaps not as wide as might be expected. Thus, as broadband is becoming increasingly available in rural areas of the U.S. and throughout much of the rest of the world, this research concludes that while research must remain vigilant in terms of assessing advanced telecommunications availability in rural areas, future research should also be sure to focus on how such technologies can be used to promote economic and social concerns, including in relation to building online networks and diminishing social and professional isolation in rural areas.

  18. A survey of joint activities and travel of household members in the Greater Copenhagen Metropolitan Region

    DEFF Research Database (Denmark)

    Thorhauge, Mikkel; Vuk, Goran; Kaplan, Sigal

    2012-01-01

    and family quality time, within a daily schedule. The current study unveils the joint activity and travel patterns of household members in the Copenhagen area, as part of the ACTUM research project, funded by the Danish Strategic Research Council, for the development of a new generation of activity......The traditional approach for modeling transport-related choices in Denmark refers to individual decision makers. However, in daily activities and travel choices individuals function according to the commitments as family members, and thus their choices derive from the welfare needs of other family...... members. A family-based approach enables to capture intra-household interactions and the priorities of household members in scheduling their daily activities, thus adding to the realism and the predictive strength of transport models. Joint activities and travel occur in order to maximize efficiency...

  19. Fecal contamination in several rivers of the Greater Metropolitan Area and the Osa Peninsula

    OpenAIRE

    Calvo-Brenes, Guillermo; Mora-Molina, Jesús

    2012-01-01

    Contamination of rivers in Costa Rica is an issue that requires special attention. The term “river con- tamination” means the incorporation of strange matter such as microorganisms (total and fecal coliforms), chemical products (soaps, fertilizers, pesti- cides), heavy metals (such as chrome, lead, mercury), or organic matter, the last one coming from soil through superficial water runoff as well as domestic wastewaters. All of them deteriorate the water qua- lity and reduce the different wat...

  20. Decentralized Development Planning and Fragmentation of ...

    African Journals Online (AJOL)

    Using the Greater Accra Metropolitan Area (GAMA) as a case study, this paper argues that the proliferation of autonomous local government areas within the context of urban sprawl and other challenges have inhibited metropolitan-wide development planning. Keywords: Decentralization; local government; urban growth; ...

  1. Metropolitan Optical Networks 1995 Annual Report

    DEFF Research Database (Denmark)

    Kristensen, Martin; Jouanno, Jean-Marc; Malone, Kevin

    1996-01-01

    The annual report describes the research carried out in the ACTS-project METON (Metropolitan Optical Networks) in 1995. L.M. Ericsson is prime contractor and 12 partners including DTU is involved in the project.......The annual report describes the research carried out in the ACTS-project METON (Metropolitan Optical Networks) in 1995. L.M. Ericsson is prime contractor and 12 partners including DTU is involved in the project....

  2. Metropolitan Optical Networks 1996 Annual Report

    DEFF Research Database (Denmark)

    Kristensen, Martin; Jouanno, Jean-Marc; Malone, Kevin

    1997-01-01

    The report desribes the reasearch carried out in the ACTS-project METON (Metropolitan Optical Networks) in 1996. L.M. Ericsson is prime contractor and 12 partners are involved in the project including DTU, i.e. EMI and MIC.......The report desribes the reasearch carried out in the ACTS-project METON (Metropolitan Optical Networks) in 1996. L.M. Ericsson is prime contractor and 12 partners are involved in the project including DTU, i.e. EMI and MIC....

  3. A computerized model for integrating the physical environmental factors into metropolitan landscape planning

    Science.gov (United States)

    Julius Gy Fabos; Kimball H. Ferris

    1977-01-01

    This paper justifies and illustrates (in simplified form) a landscape planning approach to the environmental management of the metropolitan landscape. The model utilizes a computerized assessment and mapping system, which exhibits a recent advancement in computer technology that allows for greater accuracy and the weighting of different values when mapping at the...

  4. Climate change impacts on extreme temperature mortality in select metropolitan areas of the United States

    Science.gov (United States)

    Projected mortality from climate change-driven impacts on extremely hot and cold days increases significantly over the 21st century in a large group of United States Metropolitan Statistical Areas. Increases in projected mortality from more hot days are greater than decreases in ...

  5. Agency, access, and Anopheles: neighborhood health perceptions and the implications for community health interventions in Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Marta M. Jankowska

    2015-05-01

    Full Text Available Background: Social and environmental factors are increasingly recognized for their ability to influence health outcomes at both individual and neighborhood scales in the developing urban world. Yet issues of spatial heterogeneity in these complex environments may obscure unique elements of neighborhood life that may be protective or harmful to human health. Resident perceptions of neighborhood effects on health may help to fill gaps in our interpretation of household survey results and better inform how to plan and execute neighborhood-level health interventions. Objective: We evaluate differences in housing and socioeconomic indicators and health, environment, and neighborhood perceptions derived from the analysis of a household survey and a series of focus groups in Accra, Ghana. We then explore how neighborhood perceptions can inform survey results and ultimately neighborhood-level health interventions. Design: Eleven focus groups were conducted across a socioeconomically stratified sample of neighborhoods in Accra, Ghana. General inductive themes from the focus groups were analyzed in tandem with data collected in a 2009 household survey of 2,814 women. In-depth vignettes expand upon the three most salient emergent themes. Results: Household and socioeconomic characteristics derived from the focus groups corroborated findings from the survey data. Focus group and survey results diverged for three complex health issues: malaria, health-care access, and sense of personal agency in promoting good health. Conclusion: Three vignettes reflecting community views about malaria, health-care access, and sense of personal agency in promoting good health highlight the challenges facing community health interventions in Accra and exemplify how qualitatively derived neighborhood-level health effects can help shape health interventions.

  6. Consumer attitudes towards vegetable attributes: potential buyers of pesticide-free vegetables in Accra and Kumasi, Ghana.

    Science.gov (United States)

    Probst, Lorenz; Aigelsperger, Lisa; Hauser, Michael

    2010-01-01

    Considering the inappropriate use of synthetic pesticides on vegetables in West Africa, the rationale behind this research was to assess the extent to which consumers can function as demanders of risk reduced vegetables and hence act as innovators towards vegetable safety. Using the cases of Kumasi and Accra in Ghana, the study examined possible consumer responses to product certification that communicates freedom from pesticides (e.g., organic certification). Generally, search attributes such as the fresh and healthy appearance of a vegetable were found to be central to consumer choice. While consumers stress the importance of health value, they are mostly unaware of agro-chemical risks related to vegetable consumption.

  7. Cultural Understanding of Wounds, Buruli Ulcers and Their Management at the Obom Sub-district of the Ga South Municipality of the Greater Accra Region of Ghana.

    Directory of Open Access Journals (Sweden)

    Eric Koka

    2016-07-01

    Full Text Available This study was conducted with the aim to understand some of the cultural belief systems in the management of wounds and patients practices that could contaminate wounds at the Obom sub-district of the Ga South Municipality of Ghana.This was an ethnographic study using in-depth interviews, Focus Group Discussions and participant observation techniques for data collection. Observations were done on Buruli ulcer patients to document how they integrate local and modern wound management practices in the day-to-day handling of their wounds. Content analysis was done after the data were subjected to thematic coding and representative narratives selected for presentation.It was usually believed that wounds were caused by charms or spirits and, therefore, required the attention of a native healer. In instances where some patients' wounds were dressed in the hospital by clinicians whose condition/age/sex contradict the belief of the patient, the affected often redress the wounds later at home. Some of the materials often used for such wound dressing include urine and concoctions made of charcoal and gunpowder with the belief of driving out evil spirits from the wounds.Clinicians must therefore be aware of these cultural beliefs and take them into consideration when managing Buruli ulcer wounds to prevent redressing at home after clinical treatment. This may go a long way to reduce secondary infections that have been observed in Buruli ulcer wounds.

  8. Evaluation of some varieties and breeding lines of tomato (Lycopersison sp) against tomato yellow leaf curl disease in the Greater Accra Region (Ghana)

    International Nuclear Information System (INIS)

    Kusi-Adjei, R.

    2011-01-01

    A series of experiments were conducted to evaluate ten (10) tomato varieties and breeding lines against tomato yellow leaf curl virus disease in Ghana. The research was undertaken at the research farm of the Biotechnology and Nuclear Agriculture Research Institute of the Ghana Atomic Energy Commission. Ten tomato varieties and breeding lines were evaluated in the field under natural whitefly inoculation in insect-proof cages. The field trial was done in the dry season from October, 2010 to February, 2011 and wet season from March, 2011 to July, 2011. Plants in the fields and in the cage exhibited varied symptoms such as leaf curling, leaf yellowing and reduced leaf sizes. Assessment of disease incidence and symptom severity using a four point scale (0-4) showed that, in the field there was higher disease incidence in the dry season as compared to the wet season. This was attributed to the higher number of whiteflies in the dry season as demonstrated through a whitefly population survey conducted in the field. Differences among means for disease incidence and whitefly surveys on the ten tomato varieties and breeding lines were statistically significant (p≤ 0.05). Wild Tomato (Solanum pimpinellifollium) and two hybrids, Wosowoso x Wild Tomato and Cherry Red x Wild Tomato exhibited signs of resistance in the field and did not show any symptoms of TYLCV disease symptoms. All the commercial varieties were highly susceptible and showed severe symptoms. Evaluation of fruit yield in the field revealed that the commercial variety Tomato Advanta had the heaviest fruit weight (42 g/ fruit) whilst Wosowoso had the highest total fruit yield (5.74 t/ha) in the wet season. Wild Tomato and the hybrids produced higher number of fruits compared to the commercial varieties. There were highly significant differences in the means of number of fruits, fruit weight (g) and total fruit yield (t/ha) among the ten tomato varieties and breeding lines in both the wet and dry seasons. Comparison of natural whitefly inoculation in the field to controlled whitefly inoculation in insect-proof cages showed there was a higher disease incidence in the field than in the cage. Wild Tomato and the hybrids did not show any symptoms of TYLCVD after controlled whitefly inoculation in insect-proof cages. Mechanically (sap) inoculated Nicotiana benthamiana, Nicotiana glutinosa and Phaseolus vulgaris showed characteristic TTLCVD symptoms such as yellowing and leaf distortion. TAS-ELISA and PCR confirmed the presence of TYLCV in Wild Tomato, Roma x Wild Tomato and Wosowoso x Wild Tomato plants evaluated in the field indicating that they were symptomless carriers of TYLCV and in Roma, Wosowoso and Navrongo indicating that TYLCV-like symptoms observed on the plants were due to transmission of TYLCV by whiteflies in the field and in the cage. PCR detected TYLCV in mechanically inoculated Nicotiana nethamiana test plants showing the TYLCV is sap transmissible to Nicotiana benthamiana. This study has shown that the hybrids Cherry Red x Wild Tomato and Wosowoso x Wild Tomato are resistant to TYLCV while Roma x Wild Tomato was only mildly susceptible in the dry season. These three hybrids could therefore be selected for improvement in future breeding programmes, aimed at breeding high-yielding and TYLCVD resistant varieties. (au)

  9. Determination of levels of polychlorinated biphenyl in transformers oil from some selected transformers in parts of the Greater Accra Region of Ghana.

    Science.gov (United States)

    Buah-Kwofie, Archibold; Yeboah, Philip O; Pwamang, John

    2011-01-01

    Although polychlorinated biphenyls have never been manufactured in Ghana, it has been used extensively as dielectric fluid in electric transformers and capacitors. However, very little is known of its health and environmental impacts by both managers of these transformers and capacitors and also the general public. This work therefore seeks to explore INAA as a possible alternative to screening transformer oils for PCBs by determining the total chlorine content. The total chlorine content of transformer oil samples from Ghana that tested positive and some randomly selected samples that tested negative from screening using CLOR-N-OIL test kits, have had their total chlorine estimated. INAA using the Research Reactor located at the Ghana Atomic Energy Commission was used to estimate the total chlorine content of the oil samples. Neutron Activation and gamma ray spectroscopy using HPGe detector coupled to MAESTRO 32 software was used to determine the total chlorine content by integrating the peak area of the spectrum into a simplified program that was developed from the activation equation. Instrumental Neutron Activation Analysis was able to validate the result obtained from the test kits screening with accuracy 7.5%. The minimum total chlorine content of the positive samples determined by NAA was 71.34 μg g⁻¹. Copyright © 2010 Elsevier Ltd. All rights reserved.

  10. Counselling Needs of Pupils with Special Educational Needs and Disabilities in the Greater Accra Region of Ghana: Implications for Inclusive Education in Ghana

    Science.gov (United States)

    Ocansey, S. K.; Gyimah, E. K.

    2016-01-01

    In this fast changing world, pupils all over the world have developed severe social and psychological needs that affect their interactions with others and subsequently, the achievement of their life goals. Essentially, the social and psychological needs of school pupils have manifested in diverse mal-adjusted behaviours that hinder their academic…

  11. A Farm to Fork Risk Assessment for the Use of Wastewater in Agriculture in Accra, Ghana.

    Directory of Open Access Journals (Sweden)

    Prince Antwi-Agyei

    Full Text Available The need to minimise consumer risk, especially for food that can be consumed uncooked, is a continuing public health concern, particularly in places where safe sanitation and hygienic practices are absent. The use of wastewater in agriculture has been associated with disease risks, though its relative significance in disease transmission remains unclear. This study aimed at identifying key risk factors for produce contamination at different entry points of the food chain. Over 500 produce and ready-to-eat salad samples were collected from fields, markets, and kitchens during the dry and wet seasons in Accra, Ghana, and over 300 soil and irrigation water samples were collected. All samples were analysed for E. coli, human adenovirus and norovirus using standard microbiological procedures, and real time RT-PCR. Finally, critical exposures associated with microbial quality of produce were assessed through observations and interviews. The study found that over 80% of produce samples were contaminated with E. coli, with median concentrations ranging from 0.64 to 3.84 Log E. coli/g produce. Prepared salad from street food vendors was found to be the most contaminated (4.23 Log E. coli/g, and that consumption of salad exceeded acceptable health limits. Key risk factors identified for produce contamination were irrigation water and soil at the farm level. Storage duration and temperature of produce had a significant influence on the quality of produce sold at markets, while observations revealed that the washed water used to rinse produce before sale was dirty. The source of produce and operating with a hygiene permit were found to influence salad microbial quality at kitchens. This study argues for a need to manage produce risk factors at all domains along the food chain, though it would be more effective to prioritise at markets and kitchens due to cost, ease of implementation and public health significance.

  12. Access to health in city slum dwellers: The case of Sodom and Gomorrah in Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Frances E. Owusu-Ansah

    2016-03-01

    Full Text Available Background: Rapid rural-urban migration of people to cities is a reality around the globe that has increased city slum dwellers. Sodom and Gomorrah is a city slum located in the heart of Accra, Ghana. Like other slums, it lacks basic amenities necessary for dwellers’ quality of life. This study describes residents’ access to health and factors associated with the use of healthcarefacilities. Methods: Questionnaires were administered in systematically selected shacks across the entire slum. Data on demographic characteristics, existent health facilities and number of users, health-insured residents and knowledge of common diseases were collected. Results: Majority of the residents were from the northern parts of Ghana, relative to the south and a few of them come from other parts of West Africa. Seventy-one percent of residents had never visited a health facility in the last 5 years. When necessary, they access health care from drug stores (61.1% or hospitals (33.1%. Residents’ age, educational status, income, health knowledge and membership of National Health Insurance Scheme were significantly (p < 0.05 associated with the use of healthcare facilities. Younger residents and those without National Health Insurance Scheme membership, formal education, no knowledge of common illnesses and regular income were significantly less likely to use a healthcare facility. For most residents, neither distance (73.2% nor transportation to health facilities was a problem (74.1%. Conclusion: Conditions of profound environmental hazards, overcrowding, poor-quality housing and lack of health care in Sodom and Gomorrah pose grave threats to the health of the inhabitants. Multisectoral interventions and resource mobilisation championed by the Ministry of Local Government and Rural Development are needed to alter the trend. Keywords: Slum dwellers, health, access, Sodom and Gomorra, Ghana

  13. Access to health in city slum dwellers: The case of Sodom and Gomorrah in Accra, Ghana.

    Science.gov (United States)

    Owusu-Ansah, Frances E; Tagbor, Harry; Togbe, Mabel Afi

    2016-03-29

    Rapid rural-urban migration of people to cities is a reality around the globe that has increased city slum dwellers. Sodom and Gomorrah is a city slum located in the heart of Accra, Ghana. Like other slums, it lacks basic amenities necessary for dwellers' quality of life. This study describes residents' access to health and factors associated with the use of healthcarefacilities. Questionnaires were administered in systematically selected shacks across the entire slum. Data on demographic characteristics, existent health facilities and number of users, health-insured residents and knowledge of common diseases were collected. Majority of the residents were from the northern parts of Ghana, relative to the south and a few of them come from other parts of West Africa. Seventy-one percent of residents had never visited a health facility in the last 5 years. When necessary, they access health care from drug stores (61.1%) or hospitals (33.1%). Residents' age, educational status, income, health knowledge and membership of National Health Insurance Scheme were significantly (p < 0.05) associated with the use of healthcare facilities. Younger residents and those without National Health Insurance Scheme membership, formal education, no knowledge of common illnesses and regular income were significantly less likely to use a healthcare facility. For most residents, neither distance (73.2%) nor transportation to health facilities was a problem (74.1%). Conditions of profound environmental hazards, overcrowding, poor-quality housing and lack of health care in Sodom and Gomorrah pose grave threats to the health of the inhabitants. Multisectoral interventions and resource mobilisation championed by the Ministry of Local Government and Rural Development are needed to alter the trend.

  14. Cause of death among Ghanaian adolescents in Accra using autopsy data

    Directory of Open Access Journals (Sweden)

    Tettey Yao

    2011-09-01

    Full Text Available Abstract Background There is limited data on adolescent mortality particularly from developing countries with unreliable death registration systems. This calls for the use of other sources of data to ascertain cause of adolescent mortality. The objective of this study was to describe the causes of death among Ghanaian adolescents 10 to 19 years in Accra, Ghana utilizing data from autopsies conducted in Korle Bu Teaching Hospital (KBTH. Findings Out of the 14,034 autopsies carried out from 2001 to 2003 in KBTH, 7% were among adolescents. Of the 882 deaths among adolescents analyzed, 402 (45.6% were females. There were 365 (41.4% deaths from communicable disease, pregnancy related conditions and nutritional disorders. Non-communicable diseases accounted for 362 (41% cases and the rest were attributable to injuries and external causes of morbidity and mortality. Intestinal infectious diseases and lower respiratory tract infections were the most common communicable causes of death collectively accounting for 20.5% of total deaths. Death from blood diseases was the largest (8.5% among the non-communicable conditions followed by neoplasms (7%. Males were more susceptible to injuries than females (χ2 = 13.45, p = .000. At least five out of ten specific causes of death were as a result of infections with pneumonia and typhoid being the most common. Sickle cell disease was among the top three specific causes of death. Among the females, 27 deaths (6.7% were pregnancy related with most of them being as a result of abortion. Conclusions The autopsy data from the Korle-Bu Teaching Hospital can serve as a useful source of information on adolescent mortality. Both communicable and non-communicable diseases accounted for most deaths highlighting the need for health care providers to avoid complacency in their management of adolescents presenting with these diseases.

  15. Assessment of heavy metal contamination, levels in topsoil at selected auto-workshops in Accra, Ghana

    International Nuclear Information System (INIS)

    Ziblim, M. Y.

    2015-07-01

    The research was conducted to assess the levels of contamination of heavy metals in the topsoil at selected auto-workshops in Accra to determine the anthropogenic and crustal contributions and the human heath risk associated with them. Soil samples collected from four auto-workshops were analysed using Atomic Absorption Spectrometer. Eleven (11) elements: Co, Fe, Cu, Mn, Cr, As, Hg, Zn, Pb, Ni, and Cd were identified in each sample collected from the auto-workshops. Pollution indices; contamintion factor (Cf) index of geoaccumulation (Igeo) and pollution load index (PLI) were used to assess the contamination levels. It revealed the extent of contamination at the auto-workshops for most of the elements which range from low to considerate contamintion. Lead (Pb) recorded the greatest contamination levels at the auto-electrical location. The results from the index of geoccumulation showed no pollution to highly pollution indicting high variations of pollution levels at different locations. The results of the PLI in almost all locations ranged from moderately to extremely polluted. Noncancer effect on children and adults due to exposure to the topsoil were also estimated with some selected metal elements. The hazard quotient (HQ) evaluation, showed ingestion to be the route of exposure to soil dust that results in a higher risk for heavy metals, followed by dermal contact. The effect due to inhalation of resuspended dust particles through the mouth and nose is relatively low. It was observed that, the auto-workshops are generally polluted with heavy metals and therefore posing ill-health effect to the humans and the environment. (au)

  16. Occupational hearing loss of market mill workers in the city of Accra, Ghana.

    Science.gov (United States)

    Kitcher, Emmanuel D; Ocansey, Grace; Abaidoo, Benjamin; Atule, Alidu

    2014-01-01

    Noise induced hearing loss (NIHL) is an irreversible sensorineural hearing loss associated with exposure to high levels of excessive noise. Prevention measures are not well established in developing countries. This comparative cross sectional study aims to determine the prevalence of hearing loss in both a group of high risk workers and a control group and to assess their knowledge of the effects of noise on hearing health. A total of 101 market mill workers and 103 controls employed within markets in the city of Accra, Ghana, were evaluated using a structured questionnaire and pure tone audiometry. The questionnaire assessed factors including self-reported hearing loss, tinnitus, knowledge on the effects of noise on hearing health and the use of hearing protective devices. Pure tone audiometric testing was conducted for both mill workers and controls. Noise levels at the work premises of the mill workers and controls were measured. Symptoms of hearing loss were reported by 24 (23.76%) and 8 (7.7%) mill workers and controls respectively. Fifty-five (54.5%) and fifty-four (52.37%) mill workers and controls exhibited knowledge of the effects of noise on hearing health. Five (5.0%) mill workers used hearing protective devices. There was significant sensorineural hearing loss and the presence of a 4 kHz audiometric notch among mill workers when compared with controls for the mean thresholds of 2 kHz, 3 kHz and 4 kHz (P = 0. 001). The prevalence of hearing loss in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively (P hearing loss, which may be characteristic of NIHL in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively. The majority of mill workers did not use hearing protection.

  17. Subsidized Sachet Water to Reduce Diarrheal Disease in Young Children: A Feasibility Study in Accra, Ghana.

    Science.gov (United States)

    Wright, James; Dzodzomenyo, Mawuli; Fink, Günther; Wardrop, Nicola A; Aryeetey, Genevieve C; Adanu, Richard M; Hill, Allan G

    2016-07-06

    Use of drinking water sold in plastic bags (sachet water) is growing rapidly in west Africa. The impact on water consumption and child health remains unclear, and a debate on the taxation and regulation of sachet water is ongoing. This study assessed the feasibility of providing subsidized sachet water to low-income urban households in Accra and measured the resultant changes in water consumption. A total of 86 children, 6-36 months of age in neighborhoods lacking indoor piped water, were randomized to three study arms. The control group received education about diarrhea. The second arm received vouchers for 15 L/week/child of free water sachets (value: $0.63/week) plus education. The third arm received vouchers for the same water sachet volume at half price plus education. Water consumption was measured at baseline and followed for 4 months thereafter. At baseline, 66 of 81 children (82%) drank only sachet water. When given one voucher/child/week, households redeemed an average 0.94 vouchers/week/child in the free-sachet-voucher arm and 0.82 vouchers/week/child in the half-price arm. No change in water consumption was observed in the half-price arm, although the study was not powered to detect such differences. In the free-sachet-voucher arm, estimated sachet water consumption increased by 0.27 L/child/day (P = 0.03). The increase in sachet water consumption by children in the free-sachet-voucher arm shows that provision of fully subsidized water sachets might improve the quality of drinking water consumed by children. Further research is needed to quantify this and any related child health impacts. © The American Society of Tropical Medicine and Hygiene.

  18. Occupational hearing loss of market mill workers in the city of Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Emmanuel D Kitcher

    2014-01-01

    Full Text Available Noise induced hearing loss (NIHL is an irreversible sensorineural hearing loss associated with exposure to high levels of excessive noise. Prevention measures are not well established in developing countries. This comparative cross sectional study aims to determine the prevalence of hearing loss in both a group of high risk workers and a control group and to assess their knowledge of the effects of noise on hearing health. A total of 101 market mill workers and 103 controls employed within markets in the city of Accra, Ghana, were evaluated using a structured questionnaire and pure tone audiometry. The questionnaire assessed factors including self-reported hearing loss, tinnitus, knowledge on the effects of noise on hearing health and the use of hearing protective devices. Pure tone audiometric testing was conducted for both mill workers and controls. Noise levels at the work premises of the mill workers and controls were measured. Symptoms of hearing loss were reported by 24 (23.76% and 8 (7.7% mill workers and controls respectively. Fifty-five (54.5% and fifty-four (52.37% mill workers and controls exhibited knowledge of the effects of noise on hearing health. Five (5.0% mill workers used hearing protective devices. There was significant sensorineural hearing loss and the presence of a 4 kHz audiometric notch among mill workers when compared with controls for the mean thresholds of 2 kHz, 3 kHz and 4 kHz (P = 0. 001. The prevalence of hearing loss in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively (P < 0.5. The prevalence of hearing loss, which may be characteristic of NIHL in the better hearing ears of the mill workers and controls was 24.8% and 4.8% respectively. The majority of mill workers did not use hearing protection.

  19. Participation, politics, and panaceas: exploring the possibilities and limits of participatory urban water governance in Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Cynthia Morinville

    2014-09-01

    Full Text Available Water governance debates have increasingly recognized the importance of adaptive governance for short- and long-term sustainability, especially with respect to increasing climate unpredictability and growing urbanization. A parallel focus on enhancing community participation pervades international development recommendations and policy literature. Indeed, there are often implicit and explicit connections made between the participatory character of water governance institutions and their adaptive capacity. The social-ecological systems literature, however, has also urged caution with respect to embracing panaceas, with increasing calls to be attentive to the limitations of proposed "solutions." We discuss the parallels between the adaptive governance, comanagement, and participatory resource governance literatures and analyze efforts to encourage such participation in urban water governance through Local Water Boards in Accra, Ghana. Drawing on interview data, participant observations, and a survey of 243 individuals, we explored what participatory spaces have been opened or foreclosed as well as the possibilities for adaptive urban water governance in Accra. Applying insights from recent debates about panaceas, we argue that discerning the potential and limits for sustainable resource governance and associated development goals requires that participatory mechanisms be subjected to systematic and contextual analysis.

  20. Microbial Content of “Bowl Water” Used for Communal Handwashing in Preschools within Accra Metropolis, Ghana

    Directory of Open Access Journals (Sweden)

    Patience B. Tetteh-Quarcoo

    2016-01-01

    Full Text Available Objective. This study aimed at determining the microbial content of “bowl water” used for communal handwashing in preschools within the Accra Metropolis. Method. Six (6 preschools in the Accra Metropolis were involved in the study. Water samples and swabs from the hands of the preschool children were collected. The samples were analysed and tested for bacteria, fungi, parasites, and rotavirus. Results. Eight different bacteria, two different parasites, and a fungus were isolated while no rotavirus was detected. Unlike the rest of the microbes, bacterial isolates were found among samples from all the schools, with Staphylococcus species being the most prevalent (40.9%. Out of the three schools that had parasites in their water, two of them had Cryptosporidium parvum. The fungus isolated from two out of the six schools was Aspergillus niger. All bacteria isolated were found to be resistant to cotrimoxazole, ciprofloxacin, and ampicillin and susceptible to amikacin and levofloxacin. Conclusion. Although handwashing has the ability to get rid of microbes, communal handwashing practices using water in bowls could be considered a possible transmission route and may be of public concern.

  1. When urban taps run dry: sachet water consumption and health effects in low income neighborhoods of Accra, Ghana.

    Science.gov (United States)

    Stoler, Justin; Fink, Günther; Weeks, John R; Otoo, Richard Appiah; Ampofo, Joseph A; Hill, Allan G

    2012-03-01

    Intraurban differentials in safe drinking water in developing cities have been exacerbated by rapid population growth that exceeds expansion of local water infrastructure. In Accra, Ghana, municipal water is rationed to meet demand, and the gap in water services is increasingly being filled by private water vendors selling packaged "sachet" water. Sachets extend drinking water coverage deeper into low-income areas and alleviate the need for safe water storage, potentially introducing a health benefit over stored tap water. We explore correlates of using sachets as the primary drinking water source for 2093 women in 37 census areas classified as slums by UN-Habitat, and links between sachet water and reported diarrhea episodes in a subset of 810 children under five. We find that neighborhood rationing exerts a strong effect on a household's likelihood of buying sachet water, and that sachet customers tend to be the poorest of the poor. Sachet use is also associated with higher levels of self-reported overall health in women, and lower likelihood of diarrhea in children. We conclude with implications for sachet regulation in Accra and other sub-Saharan cities facing drinking water shortages. Copyright © 2011 Elsevier Ltd. All rights reserved.

  2. When urban taps run dry: Sachet water consumption and health effects in low income neighborhoods of Accra, Ghana

    Science.gov (United States)

    Stoler, Justin; Fink, Günther; Weeks, John R.; Otoo, Richard Appiah; Ampofo, Joseph A.; Hill, Allan G.

    2011-01-01

    Intraurban differentials in safe drinking water in developing cities have been exacerbated by rapid population growth that exceeds expansion of local water infrastructure. In Accra, Ghana, municipal water is rationed to meet demand, and the gap in water services is increasingly being filled by private water vendors selling packaged “sachet” water. Sachets extend drinking water coverage deeper into low-income areas and alleviate the need for safe water storage, potentially introducing a health benefit over stored tap water. We explore correlates of using sachets as the primary drinking water source for 2,093 women in 37 census areas classified as slums by UN-Habitat, and links between sachet water and reported diarrhea episodes in a subset of 810 children under five. We find that neighborhood rationing exerts a strong effect on a household's likelihood of buying sachet water, and that sachet customers tend to be the poorest of the poor. Sachet use is also associated with higher levels of self-reported overall health in women, and lower likelihood of diarrhea in children. We conclude with implications for sachet regulation in Accra and other sub-Saharan cities facing drinking water shortages. PMID:22018970

  3. Risk Assessment of Heavy Metal Contamination on Vegetables Grown in Long-term Wastewater Irrigated Urban Farming Sites in Accra, Ghana

    DEFF Research Database (Denmark)

    Lente, I.; Keraita, Bernard; Drechsel, P.

    2012-01-01

    Assessment was done of heavy-metal contamination and its related health risks in urban vegetable farming in Accra. Samples of irrigation water (n = 120), soil (n = 144) and five different kinds of vegetable (n = 240) were collected and analyzed for copper, zinc, lead, cadmium, chromium, nickel an...

  4. Levels of Polychlorinated Bihpenyls (PCBs) in plastic resin pellets collected from selected beaches in Accra and Tema

    International Nuclear Information System (INIS)

    Agbo, I.A.

    2012-01-01

    This research seeks to investigate marine pollution along selected beaches in Accra and Tema in Ghana by measuring the levels of PCBs in plastic resin pellets. The PCB congeners identified included PCB numbers; 28, 52, 101, 105, 153, 156, 138 and 180. PCB numbers was deducted in all sample locations. The mean concentrations values were in the range of 0.4-3.23 μg/kg, 3.43-5.67 μg/kg, 0.33-2.73 μg/kg, 0.13-0.93 μg/kg and 0.13-0.2 μg/kg for PCB-28, 52, 101, 153, 180 respectively. The highest concentration of PCBs recorded in the study was that of PCB numbers 52 (5.67μg/kg), from the independence square beach. Generally, it was observed that the white pellets from most of the beaches absorbed higher levels of PCBs followed by the coloured and fouled pellets (white > coloured > discoloured). However, the coloured pellets from Tema Sakumono Beach retained higher levels of PCBs (10.3μg/kg) than the white pellets. The average concentration of PCB congeners detected ranges between 0.02 μg/kg and 2.25 μg/kg. The percentage distribution of the individual congeners are in the decreasing order of PCB 28 (43%) > PCB 52 (28%) > PCB 101 (11%), > PCB 156 (10%) > PCB 153 (5%), > PCB 180 (2%) > PCB 138 (1%) > PCB 105 (0%). The results also show that the sum total concentration of PCSs from the various sample locations ranged from 6.8 μg/kg to 47 μg/kg, with the highest concentration occurring at the Accra Independence Square Beach and the least concentration at Korle Gonno Beach. The pollution level is in the order of AISB> TSB> TMB> AACB> LB> KGB> (Accra Independence Square Beach > Tema Sakumono Beach > Tema Mighty Beach > Accra Art Center Beach Labadi Beach > Korle Gonno Beach). Results from the INAA for chlorine analysis revealed that coloured pellets had more extracted organochlorine than the fouled and the white pellets (Coloured> Fouled> White). The range of EOCI mean concentration in all samples ranged from 2.24mg/kg to 30.90 mg/kg. The range of EOCI mean

  5. Metropolitan planning from an international comparative perspective

    DEFF Research Database (Denmark)

    Galland, Daniel; Grønning, Marius

    2016-01-01

    policies, and thus also to the instrumental orientation within planning. A challenge stemming from this comparison is to understand how similar policies are implemented at a strategic and metropolitan level. Within the institutional framework of Copenhagen, the problem with the Finger Plan directive might...... (Faludi & van der Valk, 1994), thus integrating the archetypal land-use character of municipal plans and the strategic and growth-oriented pursuit of regional plans. A number of questions may be deduced: How explicit is the metropolitan scale? How local and how regional is the knowledge basis? Within......Over the last few years new practices of spatial strategy making at different planning scales have emerged. At the metropolitan level, such spatial strategies are reminiscent of national and supranational competitive strategies (e.g. EU policies) as well as ratifications of international...

  6. Heavy metals in vegetables sampled from farm and market sites in Accra metropolis, Ghana

    International Nuclear Information System (INIS)

    Fordjour, Linda Addae

    2015-07-01

    This study reports for the first time in Ghana long-term monitoring of heavy metal contamination of vegetables. As reliable residue data analysis resulting from monitoring programs in foods is of great value to the general populace; this could address the possible risk of heavy metal exposure to human health. In this study, monitoring of heavy metals (As, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb and Zn) in consumable vegetables was assessed for a period of 2 years, 2013-2014. In all, a total of 479 vegetables (cabbage (Brassica oleracea), carrot (Daucus carota), cucumber (Cucumis sativus), green pepper (Capsicum annuum) and lettuce (Lactuca sativa)) were purchased from farm (production) and market sites within Accra Metropolis, Ghana. Samples were subjected to acid digestion and analyzed with atomic absorption spectrometer (AAS). All the vegetables studied contained at least two (2) or more metals; 18.99% of the samples had metal detections below the European Union (EU) guideline values, whereas 81% were above limits. Vegetables from Mallam Attah market and the Ghana Broadcasting Corporation (GBC) sites registered the highest percentage exceedances (100%) with the largest violation occurring in lettuce (97.41%). Elevated concentrations of these metals were also observed in vegetables from markets compared to the farms except As, Cd, Co and Fe. Ni and Cr were undetected in vegetables from farms, however their maximum concentrations (1.236 and 2.459 mg/kg) were recorded in lettuce at market sites. Additionally, the significant metal increases in vegetables from the markets could be due to atmospheric depositions and mode of handling by both farmers and buyers. On the other hand, studies of the soils from the various farm sites had varying mean concentrations of heavy metals, Fe (189.703), Mn (142.246) and As (9.145 mg/kg). However, all the metal levels in the soil were below EU limits, except As (24.2 mg/kg) found at Dzorwulu site, which exceeded the 20.0 mg/kg limit for As in

  7. Impact of the 2001 Tohoku-oki earthquake to Tokyo Metropolitan area observed by the Metropolitan Seismic Observation network (MeSO-net)

    Science.gov (United States)

    Hirata, N.; Hayashi, H.; Nakagawa, S.; Sakai, S.; Honda, R.; Kasahara, K.; Obara, K.; Aketagawa, T.; Kimura, H.; Sato, H.; Okaya, D. A.

    2011-12-01

    The March 11, 2011 Tohoku-oki earthquake brought a great impact to the Tokyo metropolitan area in both seismological aspect and seismic risk management although Tokyo is located 340 km from the epicenter. The event generated very strong ground motion even in the metropolitan area and resulted severe requifaction in many places of Kanto district. National and local governments have started to discuss counter measurement for possible seismic risks in the area taking account for what they learned from the Tohoku-oki event which is much larger than ever experienced in Japan Risk mitigation strategy for the next greater earthquake caused by the Philippine Sea plate (PSP) subducting beneath the Tokyo metropolitan area is of major concern because it caused past mega-thrust earthquakes, such as the 1703 Genroku earthquake (M8.0) and the 1923 Kanto earthquake (M7.9). An M7 or greater (M7+) earthquake in this area at present has high potential to produce devastating loss of life and property with even greater global economic repercussions. The Central Disaster Management Council of Japan estimates that an M7+ earthquake will cause 11,000 fatalities and 112 trillion yen (about 1 trillion US$) economic loss. In order to mitigate disaster for greater Tokyo, the Special Project for Earthquake Disaster Mitigation in the Tokyo Metropolitan Area was launched in collaboration with scientists, engineers, and social-scientists in nationwide institutions. We will discuss the main results that are obtained in the respective fields which have been integrated to improve information on the strategy assessment for seismic risk mitigation in the Tokyo metropolitan area; the project has been much improved after the Tohoku event. In order to image seismic structure beneath the Metropolitan Tokyo area we have developed Metropolitan Seismic Observation network (MeSO-net; Hirata et al., 2009). We have installed 296 seismic stations every few km (Kasahara et al., 2011). We conducted seismic

  8. Changing Housing Patterns in Metropolitan Washington

    Science.gov (United States)

    Grier, George; Grier, Eunice

    1975-01-01

    This testimony, before a public hearing of the New York City Commission on Human Rights in May 1974, summarizes extensive studies of changing minority residential patterns in metropolitan Washington and less extensive studies of other groups; the prospects for future desegregation and for using the growing economic potential of minority families…

  9. Engaging with sustainability issues in metropolitan Chennai

    NARCIS (Netherlands)

    Kennedy, L.; Varrel, A.; Denis, E.; Dupont, V.; Dhanalakshmi, R.; Roumeau, S.; Baud, I.; Pfeffer, K.; Sridharan, N.; Vijayabaskar, M.; Suresh Babu, M.; Seifelislam, A.; Rouanet, H.; Saharan, T.

    2014-01-01

    Chennai is the largest metropolitan city in South India (8.7 million in 2011) and the provincial capital of the large state of Tamil Nadu (population 72 million in 2011). Before that, under British rule, the city was the capital of the Madras Presidency, and was known as Madras until 1996, when the

  10. Kansas City Metropolitan Community Colleges. Audit Report.

    Science.gov (United States)

    Missouri Office of the State Auditor, Jefferson City.

    This audit report reviews the employment contracts, related compensation, and other benefits provided for the chancellor and other officers of the Kansas City Metropolitan Community Colleges (KCMCC) in Missouri. The chancellor is allowed to either solicit bids or negotiate for contracted services such as architects, construction managers,…

  11. Reconceptualization Sexuality and Rethinking Homophobia in Metropolitan Campus Spaces

    Science.gov (United States)

    Deniz, Caglar

    2017-01-01

    The Metropolitan city gives non-metropolitan students an opportunity to meet new social groups. In this article, the perceptions of sexuality of those students who come from provincial areas to a metropolitan city for university education are examined within a framework of semi-structured interviews. The study on which this article is based used a…

  12. Spatial variations in US poverty: beyond metropolitan and non-metropolitan.

    Science.gov (United States)

    Wang, Man; Kleit, Rachel Garshick; Cover, Jane; Fowler, Christopher S

    2012-01-01

    Because poverty in rural and urban areas of the US often has different causes, correlates and solutions, effective anti-poverty policies depend on a thorough understanding of the ruralness or urbanness of specific places. This paper compares several widely used classification schemes and the varying magnitudes of poverty that they reveal in the US. The commonly used ‘metropolitan/non-metropolitan’ distinction obscures important socioeconomic differences among metropolitan areas, making our understanding of the geography of poverty imprecise. Given the number and concentration of poor people living in mixed-rural and rural counties in metropolitan regions, researchers and policy-makers need to pay more nuanced attention to the opportunities and constraints such individuals face. A cross-classification of the Office of Management and Budget’s metro system with a nuanced RUDC scheme is the most effective for revealing the geographical complexities of poverty within metropolitan areas.

  13. Self-Medication Practices with Antibiotics among Tertiary Level Students in Accra, Ghana: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Patrick Nartey

    2012-10-01

    Full Text Available The study was carried out to estimate the prevalence of self-medication with antibiotics among tertiary level students in Accra (Ghana and evaluate factors associated with the practice. This was a descriptive cross-sectional study and involved face-to-face interviews of 600 respondents selected by convenient sampling. Prevalence of self medication was 70% (95% CI: 66.3–73.7, and the practice was significantly lower among medically inclined students (OR: 0.2, 95% CI: 0.1–0.4, p < 0.001. Among the respondents who practiced self medication, the most common frequency of antibiotic usage was at intervals of one month (30%, 95% CI: 25.6–34.4%, and the most common antibiotic used was amoxacillin (23.9%, 95% CI: 21.0–26.8%. Treatment failure were reported by 35% (95% CI: 30.5–39.6% of the respondents, and the main reasons cited for self medication were that, it was less expensive compared to medical care in the hospital and  secondly, medical care in hospitals were associated with long delays. Forty nine percent (95% CI: 44.2–53.8% of the respondents had poor knowledge about the health implications of irrational use of antibiotics, and 46% (95% CI: 41.2–50.8% did not comply with the completion of the full course of antibiotics. Self medication among tertiary students in Accra is an important public health problem and this may reflect the situation among tertiary students in the whole of Ghana.

  14. Family communication about HIV/AIDS and sexual behaviour among senior secondary school students in Accra, Ghana.

    Science.gov (United States)

    Adu-Mireku, Samuel

    2003-04-01

    Sexually active adolescents in Ghana are increasingly at risk of HIV and other sexually transmitted infections. As a primary agent of socialization, the family can exert a strong influence on adolescent sexual behaviour. Therefore, to aid in the design and implementation of effective prevention programmes, it is important to understand the role of the family in influencing sexual behaviour among school-going adolescents. To evaluate the relationship between family communications about HIV/AIDS and sexual activity and condom use among school-going adolescents in Accra, Ghana. A sample of 894 students (56.9% girls, 43.1% boys; mean age = 17.4 years, SD = 1.40) at two senior secondary schools in Accra completed a modified version of the Youth Risk Behavior Survey (YRBS) questionnaire, a self-administered instrument developed by the Centers for Disease Control and Prevention. Analytical techniques utilized included logistic regression and chi-square. Twenty-five percent of the participants reported being sexually experienced, and 73.6% had talked about HIV/AIDS with parents or other family members. Of the sexually experienced students, 64.7% initiated first sexual intercourse by age 16; and 55.7% did not use a condom at last sexual intercourse. Bivariate analysis showed significant gender differences in sexual activity, condom use, and family communication about HIV/AIDS. Logistic regression analysis showed that student-family communication about HIV/AIDS was not associated with sexual activity. However, communication about HIV/AIDS between students and parents or other family members increased the odds of using a condom at last sexual intercourse. The findings of this study suggest that prevention programmes that seek to educate Ghanaian school-going adolescents about sexual risk behaviour must strongly encourage communication about HIV/AIDS between students and family members.

  15. Characterizing Spatial and Temporal Patterns of Thermal Environment and Air Quality in Taipei Metropolitan Area

    Science.gov (United States)

    Juang, J. Y.; Sun, C. H.; Jiang, J. A.; Wen, T. H.

    2017-12-01

    The urban heat island effect (UHI) caused by the regional-to-global environmental changes, dramatic urbanization, and shifting in land-use compositions has becoming an important environmental issue in recent years. In the past century, the coverage of urban area in Taipei Basin has dramatically increasing by ten folds. The strengthen of UHI effect significantly enhances the frequency of warm-night effect, and strongly influences the thermal environment of the residents in the Greater Taipei Metropolitan. In addition, the urban expansions due to dramatic increasing in urban populations and traffic loading significantly impacts the air quality and causes health issue in Taipei. In this study, the main objective is to quantify and characterize the temporal and spatial distributions of thermal environmental and air quality in the Greater Taipei Metropolitan Area by using monitoring data from Central Weather Bureau, Environmental Protection Administration. In addition, in this study, we conduct the analysis on the distribution of physiological equivalent temperature in the micro scale in the metropolitan area by using the observation data and quantitative simulation to investigate how the thermal environment is influenced under different conditions. Furthermore, we establish a real-time mobile monitoring system by using wireless sensor network to investigate the correlation between the thermal environment, air quality and other environmental factors, and propose to develop the early warning system for heat stress and air quality in the metropolitan area. The results from this study can be integrated into the management and planning system, and provide sufficient and important background information for the development of smart city in the metropolitan area in the future.

  16. Characterization and sources of air particulate matter at Kwabenya, near Accra, Ghana

    International Nuclear Information System (INIS)

    Aboh, I. J. K.

    2009-01-01

    Gravimetric, reflectometric and elemental analyses have been carried out on airborne particulate matter sampled in a semi-rural area of Kwabenya, near Accra-Ghana. The PM 10 aerosols were sampled using a Gent sampler, size segregating the aerosol into coarse (PM 10-2.5 ) and fine (PM 1.5 ) fractions. The data and derived information were generated from 216 days of sampling spanning a period of about 14 months, 28 th December 2005 to 12 th February 2007. The particulate matter (PM) at Kwabenya was dominated by the coarse particulates and showed low levels during the Rainy season and high levels during the Harmattan period. The levels measured during the 2006/07 Harmattan were very high. The mass concentration for the measuring period were in the following ranges; coarse (PM 10-2.5 ) fraction (0.16 - 1794.01 µg/m 3 ); PM 2.5 (fine) fraction (0.50 - 430.23 µg/m 3 ) and PM 10 (0.87 µg/m 3 to 2064.89 µg/m 3 ). Additional information about the ambient air was obtained through the subsequent determination of elemental concentration using energy dispersive x-ray fluorescence (EDXRF) analysis and black carbon (BC) concentration through the b lack smoke method . The elements identified and quantified with the Quantitative X-ray Analysis System (QXAS) package software were: AI, Si, S, CI, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Br, Rb, Sr and Pb in the coarse fraction. The following elements were identified and quantified in the fine fraction: AI, Si, S, K, Ca, Ti, Mn, Fe, Cu, Zn, Br, Rb, Sr and Pb. Validation of the quantitative methods with the standard reference filter SRM2783 gave very good agreement (within ± 15%) for most elements analysed except for Ni (±43%)which was very close to the detection limit. The elemental concentrations in the two fractions vary from season to season. Using simple correlation analysis some elements correlate, the elemental correlations also vary from season to season, for example during the Harmattan S, CI, V, Br and Sr correlated very

  17. E-waste disposal effects on the aquatic environment: Accra, Ghana.

    Science.gov (United States)

    Huang, Jingyu; Nkrumah, Philip Nti; Anim, Desmond Ofosu; Mensah, Ebenezer

    2014-01-01

    The volume of e-waste is growing around the world, and, increasingly, it is being disposed of by export from developed to developing countries. This is the situation in Ghana, and, in this paper we address the potential consequences of such e-waste disposal. Herein, we describe how e-waste is processed in Ghana, and what the fate is of e-waste-chemical contaminants during recycling and storage. Finally, to the extent it is known, we address the prospective adverse effects of e-waste-related contaminants on health and aquatic life downstream from a large e-waste disposal facility in Accra, Ghana.In developing countries, including Ghana, e-waste is routinely disassembled by unprotected workers that utilize rudimentary methods and tools. Once disassembled,e-waste components are often stored in large piles outdoors. These processing and storage methods expose workers and local residents to several heavy metals and organic chemicals that exist in e-waste components. The amount of e-waste dumped in Ghana is increasing annually by about 20,000 t. The local aquatic environment is at a potential high risk, because the piles of e-waste components stored outside are routinely drenched or flooded by rainfall, producing run-off from storage sites to local waterways. Both water and sediment samples show that e-waste-related contaminant shave entered Ghana's water ways.The extent of pollution produced in key water bodies of Ghana (Odaw River and the Korle Lagoon) underscores the need for aquatic risk assessments of the many contaminants released during e-waste processing. Notwithstanding the fact that pollutants from other sources reach the water bodies, it is clear that these water bodies are also heavily impacted by contaminants that are found in e-waste. Our concern is that such exposures have limited and will continue to limit the diversity of aquatic organisms.There have also been changes in the abundance and biomass of surviving species and changes in food chains. Therefore

  18. Metropolitan Quantum Key Distribution with Silicon Photonics

    Directory of Open Access Journals (Sweden)

    Darius Bunandar

    2018-04-01

    Full Text Available Photonic integrated circuits provide a compact and stable platform for quantum photonics. Here we demonstrate a silicon photonics quantum key distribution (QKD encoder in the first high-speed polarization-based QKD field tests. The systems reach composable secret key rates of 1.039 Mbps in a local test (on a 103.6-m fiber with a total emulated loss of 9.2 dB and 157 kbps in an intercity metropolitan test (on a 43-km fiber with 16.4 dB loss. Our results represent the highest secret key generation rate for polarization-based QKD experiments at a standard telecom wavelength and demonstrate photonic integrated circuits as a promising, scalable resource for future formation of metropolitan quantum-secure communications networks.

  19. Metropolitan Quantum Key Distribution with Silicon Photonics

    Science.gov (United States)

    Bunandar, Darius; Lentine, Anthony; Lee, Catherine; Cai, Hong; Long, Christopher M.; Boynton, Nicholas; Martinez, Nicholas; DeRose, Christopher; Chen, Changchen; Grein, Matthew; Trotter, Douglas; Starbuck, Andrew; Pomerene, Andrew; Hamilton, Scott; Wong, Franco N. C.; Camacho, Ryan; Davids, Paul; Urayama, Junji; Englund, Dirk

    2018-04-01

    Photonic integrated circuits provide a compact and stable platform for quantum photonics. Here we demonstrate a silicon photonics quantum key distribution (QKD) encoder in the first high-speed polarization-based QKD field tests. The systems reach composable secret key rates of 1.039 Mbps in a local test (on a 103.6-m fiber with a total emulated loss of 9.2 dB) and 157 kbps in an intercity metropolitan test (on a 43-km fiber with 16.4 dB loss). Our results represent the highest secret key generation rate for polarization-based QKD experiments at a standard telecom wavelength and demonstrate photonic integrated circuits as a promising, scalable resource for future formation of metropolitan quantum-secure communications networks.

  20. Air pollution holiday effect in metropolitan Kaohsiung

    Science.gov (United States)

    Tan, P.; Chen, P. Y.

    2014-12-01

    Different from Taipei, the metropolitan Kaohsiung which is a coastal and industrial city has the major pollution sources from stationary sources such as coal-fired power plants, petrochemical facilities and steel plants, rather than mobile sources. This study was an attempt to conduct a comprehensive and systematical examination of the holiday effect, defined as the difference in air pollutant concentrations between holiday and non-holiday periods, over the Kaohsiung metropolitan area. We documented evidence of a "holiday effect", where concentrations of NOx, CO, NMHC, SO2 and PM10 were significantly different between holidays and non-holidays, in the Kaohsiung metropolitan area from daily surface measurements of seven air quality monitoring stations of the Taiwan Environmental Protection Administration during the Chinese New Year (CNY) and non-Chinese New Year (NCNY) periods of 1994-2010. Concentrations of the five pollutants were lower in the CNY than in the NCNY period, however, that of O3 was higher in the CNY than in the NCNY period and had no holiday effect. The exclusion of the bad air quality day (PSI > 100) and the Lantern Festival Day showed no significant effects on the holiday effects of air pollutants. Ship transportation data of Kaohsiung Harbor Bureau showed a statistically significant difference in the CNY and NCNY period. This difference was consistent with those found in air pollutant concentrations of some industrial and general stations in coastal areas, implying the possible impact of traffic activity on the air quality of coastal areas. Holiday effects of air pollutants over the Taipei metropolitan area by Tan et al. (2009) are also compared.

  1. Convergence of metropolitan house prices in South Africa: a re-examination using efficient unit root tests

    CSIR Research Space (South Africa)

    Das, Sonali

    2010-01-01

    Full Text Available This paper analyzes whether the Law of One Price (LOOP) holds in the housing market of five metropolitan areas of South Africa, namely Cape Town, Durban, Greater Johannesburg, Port Elizabeth/Uitenhage and Pretoria. The authors test the existence...

  2. Green Infrastructure Concept for JABODETABEKJUR Metropolitan Area

    Science.gov (United States)

    Tanuwidjaja, Gunawan; Gates Chang, Bill

    2017-07-01

    Sixty “Mega Cities” would emerge by 2015 catering of 600 million populations, and were threatened by the climate change, because of cyclones, flooding, etc. Jakarta became a metro region covering Jakarta, Bogor, Tangerang, Bekasi, Depok and Cianjur. Jakarta metropolitan faced the very high population growth, urban sprawling, traffic jams, flooding, green open space reduction, environmental degradation, urban slums and illegal street hawkers. Flooding and traffic congestions were the two most important issues to solve. SWOT analysis and urban design solutions were produced to create a sustainable solution. Related to transportation issues, Singapore Mass Rapid Transport (MRT) concept was evaluated. Meanwhile the Netherlands’ polder concept as well as Singapore’s Integrated Water Management were also analyzed. The development of above ground MRT as well as Busway could be developed to connect Jakarta Metropolitan Region. The networks were developed on the main toll road networks. The MRT and Busway would eventually replace the need of automobile use in the future. The Transit - Oriented - Development (TOD) with high density can be suggested to be concentrated nearby the MRT and Busway interchange stations. The Netherlands’ polder and were adopted for urban’ low-lying lands in Jakarta Metropolitan Region, A polder system was defined as the Integrated Man-made Drainage System consisting Dikes, Drains, Retention Ponds, Outfall Structures or Pumping Stations. The polder system was proposed to be extended to Tangerang and Bekasi area.

  3. Fee-based solid waste collection in economically developing countries: The case of Accra metropolis

    Directory of Open Access Journals (Sweden)

    Oduro-Appiah, K.

    2013-06-01

    Full Text Available Fee-based solid waste collection, a system that holds great promise to reducing the financial burden of solid waste management on the municipalities of developing countries is reviewed in this research study. It is to promote financial sustainability through partial or full cost sharing of solid waste collection services and intended to serve as a guide to policy makers and waste management authorities in Ghana and other countries with developing economies. Information through survey and questionnaires from residents across the socio-economic divide was collected to determine willingness and ability to pay for solid waste collection services. A critical assessment of the various capital and operational cost components that come into play in the collection process were considered and computed to determine the economic and social tariff that will be enough to offset the cost of collection, transportation and disposal of solid waste unto landfills. Residents of the metropolis have the ability and are willing to pay an economically affordable user charge of US$1.10 per household per month to offset and remove the financial burden of solid waste collection off the metropolitan assembly. Consistent and efficient collection service is recommended to ensure residents cooperation towards implementation of the system in Ghana.

  4. Evaluation of wind potential for an optimum choice of wind turbine generator on the sites of Lomé, Accra, and Cotonou located in the gulf of Guinea

    Directory of Open Access Journals (Sweden)

    Akim Adekunlé SALAMI

    2016-11-01

    Full Text Available This work presents the characterization and assessment of wind energy potential in annual and monthly levels of the sites of Lomé, Accra and Cotonou located in the Gulf of Guinea, and the optimal characteristics of wind turbines to be installed on these sites. Studies of characterization and the wind potential of these sites from the wind speed data collected over a period of thirteen years at a height of 10 meters above the ground, show an annual average speed of 3.52 m/s for Lomé, 3.99 m/s for Cotonou and 4.16 m/s for Accra. These studies also showed that a monthly average speed exceeding 4 m/s was observed on the sites of Cotonou and Accra during the months of February, March, April, July, August and September and during the months of July, August and September on the site of Lomé. After a series of simulation conducted using the software named PotEol that we have developed in Scilab, we have retained that the wind turbines rated speeds of ~8 to 9 m/s at the sites of Lomé and Cotonou and ~ 9 to 10 m/s on the site of Accra would be the most appropriate speeds for optimal exploitation of electric energy from wind farms at a height of 50 m above the ground. Article History: Received May 26th 2016; Received in revised form August 24th 2016; Accepted August 30th 2016; Available online How to Cite This Article: Salami, A.A., Ajavon, A.S.A , Kodjo, M.K. and Bédja, K. (2016 Evaluation of Wind Potential for an Optimum Choice of Wind Turbine Generator on the Sites of Lomé, Accra, and Cotonou Located in the Gulf of Guinea. Int. Journal of Renewable Energy Development, 5(3, 211-223. http://dx.doi.org/10.14710/ijred.5.3.211-223

  5. African urbanization in metropolitan South Africa--differential urbanization perspectives.

    Science.gov (United States)

    Geyer, H S

    1993-07-01

    "As a potentially important urban development policy consideration, attention is focused in this paper on differential urbanization trends in South Africa at the metropolitan level. Recent informal urban settlement patterns of the African population within the major metropolitan areas are contrasted against these differential urbanization trends to determine the implications of both for residential development in the metropolitan areas during the post-apartheid era." excerpt

  6. [Urban and population development of the city of Puebla and its metropolitan area].

    Science.gov (United States)

    Barbosa Prieto, A

    1991-12-01

    Metropolitanization has been considered an important problem of regional development in developing countries. Attitudes toward the metropolis have been ambivalent in Latin America. On the 1 hand the metropolis is viewed as an obstacle to development that absorbs resources from the zone of influence and incurs high social costs of urbanization, but on the hand it is also viewed as a form of achieving levels of economic efficiency comparable to those of developed countries. Metropolitan areas should not be viewed as isolated, but rather as important points of demographic and manpower attraction, poles of economic growth and technological and cultural innovation. "Urban areas" and "metropolitan zones" are distinct ways of defining and delimiting urban phenomena. Although there is no consensus as to the exact definitions of these 2 urban units, it is generally accepted that the urban area is the city itself as well as the contiguous built up area reaching in all directions to the onset of nonurban land uses such as forests territorial extension that includes the politico-administrative units with urban characteristics such as work places and residences for nonagricultural workers, and that maintain constant and intense socioeconomic interrelations with the central city. The process of urban planning in the metropolitan zone of Puebla, Mexico, began in institutional form in 1980 with master plans for the population centers of Puebla, Amozoc, San Andres and San Pedro Cholula, and Zacatelco in the state of Tlaxcala. In 1987., an attempt was made by the governments of the states of Puebla and Tlaxcala to develop a plan for the metropolitan zone as a single unit. Population growth was greater within the city of Puebla than in the metropolitan zone from 1960-80, but after 1980 growth in the outlying areas exceeded that in the center city. The population density of the city of Puebla declined from 160/hectare in 1950 to 76/hectare in 1990, the result of progressive dispersion

  7. Labor Force Activity of Women in Metropolitan and Nonmetropolitan America. Rural Development Research Report No. 15.

    Science.gov (United States)

    Brown, David L.; O'Leary, Jeanne M.

    Between 1960 and 1970 economic opportunity and progress for women in American non-metropolitan areas was mixed. While women in metropolitan areas were more likely to be labor force members than were non-metropolitan women, the difference in metropolitan and non-metropolitan labor force participation rates narrowed during the period. For women…

  8. Experiences of pregnancy and motherhood among teenage mothers in a suburb of Accra, Ghana: a qualitative study

    Directory of Open Access Journals (Sweden)

    Gyesaw NYK

    2013-11-01

    Full Text Available Nana Yaa Konadu Gyesaw,1 Augustine Ankomah2 1Regional Health Directorate, Ghana Health Service, Koforidua, Eastern Region, 2Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana Background: The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns. Methods: This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling. Results: Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion. Conclusion: Special programs should be initiated by the government and the various

  9. Helsinki Metropolitan Area Climate Change Adaptation Strategy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    The Helsinki Metropolitan Area Climate Change Adaptation Strategy has been prepared in close cooperation with the four cities of the metropolitan area (Helsinki, Espoo, Vantaa and Kauniainen), the Helsinki Region Environmental Services Authority HSY and other municipal, regional and state level organisations. In the strategy, strategic starting points and policies with which the metropolitan area prepares for the consequences of climate change, are compiled. The Helsinki Metropolitan Area adaptation strategy concentrates on the adaptation of the built and urban environment to the changing climate. The vision of the strategy is climate proof city - the future is built now. The strategy aims to (1) assess the impacts of climate change in the area, (2) prepare for the impacts of climate change and to extreme weather events and (3) to reduce the vulnerabilities of the area to climate variability and change. The target is to secure the well-being of the citizens and the functioning of the cities also in the changing climate conditions. The preparation of the adaptation strategy started in 2009 by producing the background studies. They include the regional climate and sea level scenarios, modelling of river floods in climate change conditions and a survey of climate change impacts in the region. Also, existing programmes, legislation, research and studies concerning adaptation were collected. The background studies are published in a report titled 'The Helsinki metropolitan area climate is changing - Adaptation strategy background studies' (in Finnish) (HSY 2010). HSY coordinated the strategy preparation. The work was carried out is close cooperation with the experts of the metropolitan area cities, regional emergency services, Ministry of the Environment, Helsinki Region Transport Authority and other regional organisations. The strategy work has had a steering group that consists of representatives of the cities and other central cooperation partners. The

  10. Self-reported oral health of a metropolitan homeless population in Australia: comparisons with population-level data.

    Science.gov (United States)

    Parker, E J; Jamieson, L M; Steffens, M A; Cathro, P; Logan, R M

    2011-09-01

    There is limited information on self-perceived oral health of homeless populations. This study quantified self-reported oral health among a metropolitan homeless adult population and compared against a representative sample of the metropolitan adult population obtained from the National Survey of Adult Oral Health. A total of 248 homeless participants (age range 17-78 years, 79% male) completed a self-report questionnaire. Data for an age-matched, representative sample of metropolitan-dwelling adults were obtained from Australia's second National Survey of Adult Oral Health. Percentage responses and 95% confidence intervals were calculated, with non-overlapping 95% confidence intervals used to identify statistically significant differences between the two groups. Homeless adults reported poorer oral health than their age-matched general population counterparts. Twice as many homeless adults reported visiting a dentist more than a year ago and that their usual reason for dental attendance was for a dental problem. The proportion of homeless adults with a perceived need for fillings or extractions was also twice that of their age-matched general population counterparts. Three times as many homeless adults rated their oral health as 'fair' or 'poor'. A significantly greater proportion of homeless adults in an Australian metropolitan location reported poorer oral health compared with the general metropolitan adult population. © 2011 Australian Dental Association.

  11. Model LPA Terpadu untuk Wilayah Surabaya Metropolitan

    Directory of Open Access Journals (Sweden)

    Mimien Bt. M. Al Muhdhar a Henie Irawati

    2009-02-01

    Full Text Available The purpose of this research is to establish the integrated LPA model for Surabaya Metropolitan Area. The methods used are literature overviews, comparative studies to well-established areas, and expert assistantships through national seminars. The result shows that the integrated LPA has opportunity to combine some activities such as sorting and classifying, producing, wrapping and containing, selling the compost and decayed materials, and filling residual waste by landfill system. In 25 Ha land area, 14.10 Ha is allocated for waste management, and 10.90 Ha for sanitary landfill.

  12. Metropolitan vision making - using backcasting as a strategic learning process to shape metropolitan futures

    NARCIS (Netherlands)

    Neuvonen, A.; Ache, P.M.

    2014-01-01

    Abstract: The need for new forward looking tools in urban planning is immense: The new functional relations and structures are stretching beyond our capacity to 'rationally' capture modern metropolitan spaces Neuman & Hull 2009). At the same time cities struggle to find tools to help manage a

  13. Going Up? Canada's metropolitan areas and their role as escalators or elevators

    Directory of Open Access Journals (Sweden)

    Bruce Newbold

    2015-10-01

    Full Text Available Canada’s major metropolitan areas offer multiple opportunities for economic and social advancement for in-migrants. As such, young adults may be attracted to these locations. In-migrants to Toronto have been observed to receive a substantial income benefit associated with migration into Toronto that is consistent with a productivity effect. This income effect is greater than the income benefit received by migrants elsewhere in the system or those who did not migrate. However, migration into Toronto did not lead to an acceleration in income gains consistent with the more rapid career progression expected to result from the migration into an escalator region.Consequently, this paper explores the income benefits for young adult migrants by considering the role of other major metropolitan areas within Canada, and whether they function similar to Toronto as escalators, or serve other roles that are unique to employment sector and type.

  14. Impact and management of dual relationships in metropolitan, regional and rural mental health practice.

    Science.gov (United States)

    Endacott, Ruth; Wood, Anita; Judd, Fiona; Hulbert, Carol; Thomas, Ben; Grigg, Margaret

    2006-01-01

    To explore the extent and impact of professional boundary crossings in metropolitan, regional and rural mental health practice in Victoria and identify strategies mental health clinicians use to manage dual relationships. Nine geographically located focus groups consisting of mental health clinicians: four focus groups in rural settings; three in a regional city and two in a metropolitan mental health service. A total of 52 participants were interviewed. Data revealed that professional boundaries were frequently breached in regional and rural settings and on occasions these breaches had a significantly negative impact. Factors influencing the impact were: longevity of the clinician's relationship with the community, expectations of the community, exposure to community 'gossip' and size of the community. Participants reported greater stress when the boundary crossing affected their partner and/or children. Clinicians used a range of proactive and reactive strategies, such as private telephone number, avoidance of social community activities, when faced with a potential boundary crossing. The feasibility of reactive strategies depended on the service configuration: availability of an alternative case manager, requirement for either patient or clinician to travel. The greater challenges faced by rural and regional clinicians were validated by metropolitan participants with rural experience and rural participants with metropolitan experience. No single strategy is used or appropriate for managing dual relationships in rural settings. Employers and professional bodies should provide clearer guidance for clinicians both in the management of dual relationships and the distinction between boundary crossings and boundary violation. Clinicians are clearly seeking to represent and protect the patients' interests; consideration should be given by consumer groups to steps that can be taken by patients to reciprocate.

  15. Organochlorine pesticide residues in sardinella aurita from the coastal waters of Accra-Tema, Ghana and their potential health risks

    International Nuclear Information System (INIS)

    Nyarko, E.; Botwe, B.O.; Bampoe, A.A.; Addo, S.; Armah, A.K.; Ntow, W.J.; Kelderman, P.

    2011-01-01

    Sardinella aurita and seawater samples from the Accra-Tema coast of Ghana were analysed for organochlorine (OC) pesticides using gas chromatography (GC) with electron capture detection (ECD). Residues of DDTs (p,p'-DDT, p'p'-DDE,p,p'-DDD), hexachlorocyclohexane (HCHs - α-HCH, β-HCH and γ-HCH), endosulfan (α-endosulfan, β-endosulfan, endosulfan sulphate) and heptachlor were detected in fish at average concentrations ranging from 3.0 to 1235.0 μg/kg wet wt. These residues were, however, below the detection limit in seawater samples. Significant differences (p < 0.05) in residue levels were also observed across sites, decreasing from Chorkor to Kpone for seven (7) of the residues that were detected in S. aurita. Evaluation of hazard ratios (HRs) and the health risk associated with OC exposure from consumption of sardinellas revealed a probability of adverse health effect due to p,p'-DDT, γ-HCH and heptachlor. Hence, p,p'-DDT, γ-HCH and heptachlor may be of particular health concern. (au)

  16. LEAF ANATOMICAL VARIATION IN RELATION TO STRESS TOLERANCE AMONG SOME WOODY SPECIES ON THE ACCRA PLAINS OF GHANA

    Directory of Open Access Journals (Sweden)

    DZOMEKU BELOVED MENSAH

    2012-12-01

    Full Text Available Leaf anatomical study was conducted on some woody species on the Accra Plains of Ghana. Leaf epidermal strips and transverse sections were mounted in Canada balsam and studied. The anatomical studies revealed numerous stomata on the lower epidermis of Azadirachta indica. The anatomical studies revealed the presence of thick cuticles, double-layered palisade mesophyll in most species and the presence of epidermal hairs in some species. Ficus capensis showed the presence of cystolith in the lower epidermis whereas Zanthoxylum zanthoxyloides showed the presence of mucilage gland in the upper epidermis. Epidermal cell of Chromolaena odorata are very large with undulating cell walls. The species studied had various adaptive anatomical features. The stomatal frequency of Azadirachta indica was very high. With the exception of Chromolaena odorata the stomatal frequencies of the species were relatively high. The stomatal dimensions showed that most of the species maintained constant stomatal length during the study period except Griffonia simplicifolia that increased the stomatal width during the afternoon. Unlike Morinda lucida, Griffonia simplicifolia and Chromolaena odorata, that showed reduction in the breadth of stomata, the other species maintained constant stomatal width.

  17. Distance threshold for the effect of urban agriculture on elevated self-reported malaria prevalence in Accra, Ghana.

    Science.gov (United States)

    Stoler, Justin; Weeks, John R; Getis, Arthur; Hill, Allan G

    2009-04-01

    Irrigated urban agriculture (UA), which has helped alleviate poverty and increase food security in rapidly urbanizing sub-Saharan Africa, may inadvertently support malaria vectors. Previous studies have not identified a variable distance effect on malaria prevalence from UA. This study examines the relationships between self-reported malaria information for 3,164 women surveyed in Accra, Ghana, in 2003, and both household characteristics and proximity to sites of UA. Malaria self-reports are associated with age, education, overall health, socioeconomic status, and solid waste disposal method. The odds of self-reported malaria are significantly higher for women living within 1 km of UA compared with all women living near an irrigation source, the association disappearing beyond this critical distance. Malaria prevalence is often elevated in communities within 1 km of UA despite more favorable socio-economic characteristics than communities beyond 1 km. Neighborhoods within 1 km of UA should be reconsidered as a priority for malaria-related care.

  18. Listening to women's voices: the quality of care of women experiencing severe maternal morbidity, in Accra, Ghana.

    Directory of Open Access Journals (Sweden)

    Ozge Tunçalp

    Full Text Available BACKGROUND: Women who survive severe obstetric complications can provide insight into risk factors and potential strategies for prevention of maternal morbidity as well as maternal mortality. We interviewed 32 women, in an urban facility in Ghana, who had experienced severe morbidity defined using a standardized WHO near-miss definition and identification criteria. Women provided personal accounts of their experiences of severe maternal morbidity and perceptions of the care they received. METHODS AND FINDINGS: The study took place in a referral facility in urban Accra, and semi-structured interviews were conducted with women who had either a maternal near miss (n = 17 or a potentially life-threatening complication (n = 15. The most common themes surrounding the traumatic delivery were the fear of dying and concern over the potential (or actual loss of the baby. For many women, the loss of a baby negatively influenced how they viewed and coped with this experience. Women's perceptions of the quality of the care highlighted several key factors such as the importance of information, good communication and attitudes, and availability of human (i.e., more doctors and physical resources (i.e., more beds, water at the facility. CONCLUSIONS: Our results suggest that experiences of women with severe maternal morbidity may inform different aspects of quality improvement in the facilities, which in turn have a positive impact on future health seeking behavior, service utilization and reduction in maternal morbidity and mortality.

  19. Business profile of metropolitan Las Vegas

    International Nuclear Information System (INIS)

    Boyle, M.R.

    1988-06-01

    This first report describes the present makeup of the Las Vegas metropolitan statistical area (MSA) economy and analyzes the climate for business expansion. The second report contains an assessment of the competitiveness of the area as a location for new or expanded facilities investment by companies in approximately 600 business groups. The third report projects Las Vegas' competitiveness at the start of the next century in the absence of a nuclear waste storage facility and then evaluates the potential impacts of siting that facility near Las Vegas on its ability to attract and retain business investment. The primary purpose of these reports is to contribute to the overall assessment of the environmental impact of the US Department of Energy's proposed action to build and operate an underground nuclear waste storage facility at Yucca Mountain. The first two reports also serve a second purpose -- they can be used by economic development organizations in the Las Vegas metropolitan area in their ongoing efforts to attract new business investment. Information contained in the business climate analysis found in this first report can be incorporated into marketing materials. The competitiveness assessment contained in the second report can be used by these organizations in identifying targets they wish to pursue

  20. Youthification in the Metropolitan Area of Cluj

    Directory of Open Access Journals (Sweden)

    Vlad Cocheci

    2018-06-01

    Full Text Available This research exercise aims to identify all areas affected by what is now known as ‘youthification’ in the Metropolitan Area of Cluj. Broadly speaking, an area touched by youthification witnesses a massive arrival of young adults, who invest in housing, but only remain there until they age. Youthification is usually the second phase within an encompassing process of gentrification. To gain a clearer picture of this phenomenon, we employed a snapshot of the situation recorded by the Population and Housing Census of 2011. Using this image as a starting point, we then applied statistical thresholds aimed at measuring the presence and intensity of youthification within different areas. Thereafter, we looked at areas exhibiting the same level of youthification, in order to find those common traits of their young adult inhabitants that might prove relevant for their choices in matters of housing. Once completed, our efforts resulted in the first map showing the areas affected by youthification within the Metropolitan Area of Cluj. In addition, we reached the following conclusion: Young adults who live in the city are more likely to still be enrolled in a form of education and less likely to be married or to have children than those who live in the suburbs or in rural areas. This observation implies that there might be some hidden dependency relations, which are at work in shaping the choice of housing.

  1. 78 FR 53270 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

    Science.gov (United States)

    2013-08-29

    ... Quality Implementation Plan; California; Sacramento Metropolitan Air Quality Management District... to the Sacramento Metropolitan Air Quality Management District (SMAQMD or District) portion of the..., Sacramento Metropolitan Air Quality Management District, Rule 214 (Federal New Source Review), Rule 203...

  2. 49 CFR 613.100 - Metropolitan transportation planning and programming.

    Science.gov (United States)

    2010-10-01

    ... programming. 613.100 Section 613.100 Transportation Other Regulations Relating to Transportation (Continued... Metropolitan Transportation Planning and Programming § 613.100 Metropolitan transportation planning and programming. The regulations in 23 CFR 450, subpart C, shall be followed in complying with the requirements of...

  3. Influence of Intimate Partner Violence on Domestic Relocation in Metropolitan and Non-Metropolitan Young Australian Women

    NARCIS (Netherlands)

    Dillon, Gina; Hussain, Rafat; Kibele, Eva; Rahman, Saifur; Loxton, Deborah

    2016-01-01

    Data from a national, population-based longitudinal study of Australian women (26-34 years) were analyzed to investigate the association between domestic relocation and multiple explanatory factors, namely intimate partner violence (IPV), metropolitan versus non-metropolitan residence, education,

  4. [Autoerotic fatalities in Greater Dusseldorf].

    Science.gov (United States)

    Hartung, Benno; Hellen, Florence; Borchard, Nora; Huckenbeck, Wolfgang

    2011-01-01

    Autoerotic fatalities in the Greater Dusseldorf area correspond to the relevant medicolegal literature. Our results included exclusively young to middle-aged, usually single men who were found dead in their city apartments. Clothing and devices used showed a great variety. Women's or fetish clothing and complex shackling or hanging devices were disproportionately frequent. In most cases, death occurred due to hanging or ligature strangulation. There was no increased incidence of underlying psychiatric disorders. In most of the deceased no or at least no remarkable alcohol intoxication was found. Occasionally, it may be difficult to reliably differentiate autoerotic accidents, accidents occurring in connection with practices of bondage & discipline, dominance & submission (BDSM) from natural death, suicide or homicide.

  5. Planning for greater confinement disposal

    International Nuclear Information System (INIS)

    Gilbert, T.L.; Luner, C.; Meshkov, N.K.; Trevorrow, L.E.; Yu, C.

    1985-01-01

    A report that provides guidance for planning for greater-confinement disposal (GCD) of low-level radioactive waste is being prepared. The report addresses procedures for selecting a GCD technology and provides information for implementing these procedures. The focus is on GCD; planning aspects common to GCD and shallow-land burial are covered by reference. Planning procedure topics covered include regulatory requirements, waste characterization, benefit-cost-risk assessment and pathway analysis methodologies, determination of need, waste-acceptance criteria, performance objectives, and comparative assessment of attributes that support these objectives. The major technologies covered include augered shafts, deep trenches, engineered structures, hydrofracture, improved waste forms, and high-integrity containers. Descriptive information is provided, and attributes that are relevant for risk assessment and operational requirements are given. 10 refs., 3 figs., 2 tabs

  6. Radon survey in Metropolitan Toronto schools

    International Nuclear Information System (INIS)

    Becker, E.; Moridi, R.

    1992-01-01

    The radon testing survey in Metropolitan Toronto public schools was the most intensive project of its kind ever undertaken in Canadian schools. It also included an extensive public education program on radiation and radon-in-schools. The radon levels at 632 schools were measured using the CAIRS Radon Monitors. Ninety percent of the locations measured were found to have a radon level equal to or less than 2 mWL. Two locations in two different schools were found to have a radon level at or above the Action Level (20 mWL). The remaining results were between the two extremes. Follow-up testing in those schools where more than 10 mWL of radon was found is in progress. (author)

  7. Uranium in underground water public supply of the metropolitan region of Recife

    International Nuclear Information System (INIS)

    Silva, C.M.; Sousa, G.H.; Vasconcelos, W.E.; Hazin, C.A.; Amaral, R.S.

    2001-01-01

    The geologic formation of the metropolitan region of Recife is of sedimentary origin. In the coast area, where the phosphate deposits are located, it is sufficiently rich in underground hydric features. In the superposed layers of the sedimentary basin exists three underground aquifers and 80% of the underground hydric features of public supplying of the metropolitan region of Recife are located in the phosphate deposits, which are rich in uranium. Physiologically the uranian are in the steady state (6+) with bivalent cations U 2+ 2 . The ingestion of uranium by man occurs through foods and water ingestion. The places of the human body where it has greater clamping of this radionuclides are the bones. The uranium is deposited slowly from surface of the bone, redistributing itself in route to the marrow. An important competition between Ca 2+ 2 and the UO 2+ 2 exists in the kidneys, where the Ca 2+ 2 efficiently is absorbed. This work was carried through aiming to determine the concentrations of uranium in waters of the wells of public supplying of the metropolitan region of Recife, collating them with the limits established for the Health Department, that establishes the level of 0.1 Bq/L referring to the total alpha radioactivity in drinking waters

  8. Education for Earthquake Disaster Prevention in the Tokyo Metropolitan Area

    Science.gov (United States)

    Oki, S.; Tsuji, H.; Koketsu, K.; Yazaki, Y.

    2008-12-01

    Japan frequently suffers from all types of disasters such as earthquakes, typhoons, floods, volcanic eruptions, and landslides. In the first half of this year, we already had three big earthquakes and heavy rainfall, which killed more than 30 people. This is not just for Japan but Asia is the most disaster-afflicted region in the world, accounting for about 90% of all those affected by disasters, and more than 50% of the total fatalities and economic losses. One of the most essential ways to reduce the damage of natural disasters is to educate the general public to let them understand what is going on during those desasters. This leads individual to make the sound decision on what to do to prevent or reduce the damage. The Ministry of Education, Culture, Sports, Science and Technology (MEXT), therefore, offered for public subscription to choose several model areas to adopt scientific education to the local elementary schools, and ERI, the Earthquake Research Institute, is qualified to develop education for earthquake disaster prevention in the Tokyo metropolitan area. The tectonic setting of this area is very complicated; there are the Pacific and Philippine Sea plates subducting beneath the North America and the Eurasia plates. The subduction of the Philippine Sea plate causes mega-thrust earthquakes such as the 1703 Genroku earthquake (M 8.0) and the 1923 Kanto earthquake (M 7.9) which had 105,000 fatalities. A magnitude 7 or greater earthquake beneath this area is recently evaluated to occur with a probability of 70 % in 30 years. This is of immediate concern for the devastating loss of life and property because the Tokyo urban region now has a population of 42 million and is the center of approximately 40 % of the nation's activities, which may cause great global economic repercussion. To better understand earthquakes in this region, "Special Project for Earthquake Disaster Mitigation in Tokyo Metropolitan Area" has been conducted mainly by ERI. It is a 4-year

  9. Experiences of pregnancy and motherhood among teenage mothers in a suburb of Accra, Ghana: a qualitative study.

    Science.gov (United States)

    Gyesaw, Nana Yaa Konadu; Ankomah, Augustine

    2013-01-01

    The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns. This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling. Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion. Special programs should be initiated by the government and the various responsible departments to address ignorance on sexual matters, and the challenges and risks associated with pregnancy and parenting by adolescents. Parenting techniques should be taught in sex education programs.

  10. What are the characteristics of 'sexually ready' adolescents? Exploring the sexual readiness of youth in urban poor Accra.

    Science.gov (United States)

    Biney, Adriana A E; Dodoo, F Nii-Amoo

    2016-01-05

    Adolescent sexual activity, especially among the urban poor, remains a challenge. Despite numerous interventions and programs to address the negative consequences arising from early and frequent sexual activity among youth in sub-Saharan Africa, including Ghana, only slight progress has been made. A plausible explanation is that our understanding of what adolescents think about sex and about their own sexuality is poor. In that sense, examining how adolescents in urban poor communities think about their sexual readiness, and identifying characteristics associated with that sexual self-concept dimension, should deepen our understanding of this topical issue. A total of 196 male and female adolescents, ages 12 to 19, were surveyed in the 2011 RIPS Urban Health and Poverty Project in Accra, Ghana. The youth responded to three statements which determined their levels of sexual readiness. Other background characteristics were also obtained enabling the assessment of the correlates of their preparedness to engage in sex. The data were analyzed using ordered logistic regression models. Overall, the majority of respondents did not consider themselves ready for sex. Multivariate analyses indicated that sexual experience, exposure to pornographic movies, gender, ethnicity and household wealth were significantly linked to their readiness for sex. Sexual readiness is related to sexual activity as well as other characteristics of the adolescents, suggesting the need to consider these factors in the design of programs and interventions to curb early sex. The subject of sexual readiness has to be investigated further to ensure adolescents do not identify with any negative effects of this sexual self-view.

  11. Dietary intake and the dynamics of stress, hypertension and obesity in a peri-urban community in Accra.

    Science.gov (United States)

    Mohammed, Husein; Ghosh, Shibani; Vuvor, Fred; Mensah-Armah, Seth; Steiner-Asiedu, Matilda

    2016-03-01

    This study intends to investigate the association between dietary intake, stress and prevalence of chronic diseases. The study was a cross-sectional design conducted in two poor peri-urban communities in Accra. A total of 90 households each with a male and female between the ages of 18 and 45 years were sampled, and their socio-demographic status, anthropometric measurement and fasting blood sugar were assessed. Blood pressure was measured and chronic stress/anxiety was determined using the trait and state inventory (T-stai) questionnaire. Three days repeated 24-hour dietary recall was also done. Analysis of variance and linear regression analysis were used in data analysis. About 28% of the subjects were hypertensive and 55.5% had high chronic stress. Hypertension was higher in males (32.2%) than females (24.4%) (p=.023) whiles stress was higher in females (60.9%) than males (50.0%) (p=.017). Hypertensive subjects recorded higher stress (51.02%) and hypertension was more prevalent in subjects with high stress (32.89%) especially in females (57.14%, p=.036). Hypertension increased with mean age whiles stress decreased with mean age. Hypertensive subjects recorded a significantly higher BMI and sodium intake whiles high stress individuals recorded a lower animal protein but a higher cereal protein intake (pstress was associated with intake of low animal protein and high cereal protein. Increased dietary diversity score was associated with decreased obesity prevalence (pstress, and obesity were linked, and affected by dietary sodium, animal protein, and dietary diversity of subjects respectively.

  12. Determination of radon in soil and water in parts of Accra, and generation of preliminary radon map for Ghana

    International Nuclear Information System (INIS)

    Osei, Peter

    2016-07-01

    The research was focused on determining the radon levels in soil and water in parts of Accra, generate a preliminary radon map for Ghana and estimate a pilot reference level for the country, using the data obtained from this research and collated data from other researchers. The radon gas measurement was done with the passive method, using the SSNTDs which are sensitive to alpha particles emitted by radon. Cellulose nitrate LR – 115 type II alpha particle detectors were used. The detectors were chemically etched in a 2.5 M NaOH solution at a temperature of 60 °C for 90 minutes, after two weeks and two months of exposure to soil and water respectively. The images of the etched detectors were acquired by means of a scanner and then tracks counted with ImageJ software. Inverse Distance Weighing (IDW) method of ArcGIS 10.2 was used to spatially distribute the radon concentration on a map. The average soil radon concentration in the study area ranges from 0.191 kBqm"-"3 to 3.416 kBqm"-"3 with a mean of 1.193 kBqm"-"3. The radon concentration in water from the study area ranges from 0.00346 BqL"-"1 to 0.00538 BqL"-"1 with an average of 0.00456 BqL"-"1. A strong negative correlation has been established between radon in soil and water in the study area. The preliminary national average indoor, water and soil radon concentrations are 137 Bqm"-"3, 361.93 Bqm"-"3 and 3716.74 Bqm"-"3 respectively. The average levels of water and indoor radon exceeded WHO’s reference level of 100 Bqm"-"3. Accordingly, the pilot national indoor radon reference level for Ghana is set as 200 Bqm"-"3. (au)

  13. The Effects of the Soledad Canyon Mine on the Aggregate Industry in the Greater Los Angeles Metropolitan Area

    National Research Council Canada - National Science Library

    Dixon, Lloyd

    2001-01-01

    .... In conducting this study, we assume that the mine operates between 2003 and 2022 and analyze how the mine would affect the costs of transporting aggregate, economic profits in the industry, the price...

  14. A Prospective Longitudinal Study of Seasonality in African Students Living in the Greater Washington, D.C. Metropolitan Area

    Directory of Open Access Journals (Sweden)

    Alvaro Guzman

    2007-01-01

    Full Text Available We conducted a prospective, longitudinal study of seasonality in a vulnerable population, i.e., African students who migrated to a temperate climate. Consistent with previous cross-sectional studies, we hypothesized lower mood and energy, and higher appetite and weight, in fall/winter than in spring/summer. Four cohorts of African students attending a year-long nursing school program without vacation in Washington, D.C., were assessed monthly for 1 year. Forty-three subjects (mean age = 33.46 ± 6.25, consisting of predominantly females (76.7%, completed the study. The cohorts began their academic program in different seasons (one each in winter, spring, summer, and fall, inherently minimizing confounding influences on seasonality, such as academic and immigration stress, as well as allowing adjustment for an order effect. At each assessment, students completed three 100-mm visual analog scales for mood, energy, and appetite, and were weighed on a digital scale. For each standardized dependent variable, a repeated measure ANOVA was used and, if a significant effect of month was identified, averages for spring/summer and fall/winter were compared using paired ttests. In addition, a mixed model for repeated measures was applied to raw (nonstandardized data. Body weight was significantly higher in fall/winter than in spring/summer (p < 0.01. No seasonal differences in mood, energy, or appetite were found. Benefiting from certain unique features of our cohorts allowing adjustment for order effects, this is the first study to identify a seasonal variation in body weight with a peak in winter using longitudinal monthly measurements.

  15. ‘New urbanism' or metropolitan-level centralization?

    DEFF Research Database (Denmark)

    Næss, Petter

    2011-01-01

    Based on a study in Copenhagen Metropolitan Area, this paper compares the influences of macro-level and micro-level urban form characteristics on the respondents' traveling distance by car on weekdays. The Copenhagen study shows that metropolitan-scale urban structural variables generally exert...... stronger influences than neighborhood-scale built environment characteristics on the amount of car travel. In particular, the location of the residence relative to the main city center of the metropolitan region shows a strong effect. Some local scale variables often mentioned in the literature...

  16. Improving urban visibility through fractal analysis of street edges: The case of John Evans Atta Mills High Street in Accra, Ghana

    Directory of Open Access Journals (Sweden)

    R.A. Oppong

    2017-06-01

    Full Text Available Streets are a representation of cities, and the image of a city is a reflection of its home country. Although attempts to ensure harmonious spatial and environmental development in Ghanaian settlements date back to the colonial era, these efforts have minimal physical manifestation in the urban fabric of the city of Accra. The Independence Arch of Ghana, an important landmark in the urban fabric and history of Accra, lacks the striking vista and approach it deserves. This paper introduces the use of fractal analysis of street edges to understand the characteristics of the John Evans Atta Mills (JEAM High Street for developing recommendations to improve visibility along its stretch and the overall image of the city. The box-counting method with visual survey was used in research. The pertinent questions this paper seeks to address are as follows: What factors affect the visibility and imageability of JEAM High Street? What design aspects should be considered to improve urban visibility along JEAM High Street? What is the link of fractals to urban design and architecture? The paper recommends various design considerations and qualities to improve the urban visibility and imageability of JEAM High Street.

  17. Harsh Working Conditions and Poor Eating Habits: Health-Related Concerns of Female Head Porters (Kayayei) in the Mallam Atta Market, Accra, Ghana.

    Science.gov (United States)

    Nyarko, Samuel Harrenson; Tahiru, Abdul Majeed

    2018-01-01

    The kaya business is known to pose significant health-related risks to female migrants. This study sought to explore the health-related concerns of female head porters in the Mallam Atta market, Accra, Ghana. A qualitative study was conducted in which twenty female head porters at the Mallam Atta market in Accra were interviewed. A thematic analysis was performed and the emerging themes were presented and supported with quotations from the respondents. Poor accommodation and eating habits, harsh working conditions, and lack of knowledge about health conditions exposed the respondents to several health-related concerns like neck pains, skin rashes, malaria, cholera, and stomach ache among other infections. The popular means of seeking health care was through purchasing drugs from pharmacies or drug peddlers instead of health facilities. Financial constraints, lack of faith in the National Health Insurance Scheme, and long waiting periods at the health facilities militated against seeking appropriate health care at the hospitals and clinics. Political willpower needs to be strengthened for poverty reduction strategies such as training of hairdressing, dress and soap making, and shea butter processing for women from the Northern regions in order to ameliorate their livelihoods and/or reduce migration to the south.

  18. Harsh Working Conditions and Poor Eating Habits: Health-Related Concerns of Female Head Porters (Kayayei in the Mallam Atta Market, Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Samuel Harrenson Nyarko

    2018-01-01

    Full Text Available Background. The kaya business is known to pose significant health-related risks to female migrants. This study sought to explore the health-related concerns of female head porters in the Mallam Atta market, Accra, Ghana. Methods. A qualitative study was conducted in which twenty female head porters at the Mallam Atta market in Accra were interviewed. A thematic analysis was performed and the emerging themes were presented and supported with quotations from the respondents. Results. Poor accommodation and eating habits, harsh working conditions, and lack of knowledge about health conditions exposed the respondents to several health-related concerns like neck pains, skin rashes, malaria, cholera, and stomach ache among other infections. The popular means of seeking health care was through purchasing drugs from pharmacies or drug peddlers instead of health facilities. Financial constraints, lack of faith in the National Health Insurance Scheme, and long waiting periods at the health facilities militated against seeking appropriate health care at the hospitals and clinics. Conclusion. Political willpower needs to be strengthened for poverty reduction strategies such as training of hairdressing, dress and soap making, and shea butter processing for women from the Northern regions in order to ameliorate their livelihoods and/or reduce migration to the south.

  19. Women's Household Environmental Caring Roles in the Greater ...

    African Journals Online (AJOL)

    Le résultat d'un sondage qualitatif mené à Accra montre que les problèmes liés à l'environnement autour des maisons posent des problèmes sanitaires extrêmement serieux aux femmes et aux enfants. Ces problèmes sont aggravés par la pauvreté. Cette situation demande que l'on se prenne sérieusement aux débats et ...

  20. Intestinal Parasites among Waste-Handlers in Jos Metropolitan Area ...

    African Journals Online (AJOL)

    Intestinal Parasites among Waste-Handlers in Jos Metropolitan Area of Plateau State, Nigeria. ... Solid waste management is associated with health hazards. ... Waste disposal workers are at high risk of infection with different species of ...

  1. Statewide and Metropolitan Transportation Planning Processes : a TPCB Peer Exchange

    Science.gov (United States)

    2016-04-20

    This report highlights key recommendations and noteworthy practices identified at Statewide and Metropolitan Transportation Planning Processes Peer Exchange held on September 9-10, 2015 in Shepherdstown, West Virginia. This event was sponsored ...

  2. Towards a Metropolitan Fundamental Diagram Using Travel Survey Data

    Science.gov (United States)

    2016-01-01

    Using travel diary data from 2000–2001 and 2010–2012 this research examines fundamental traffic relationships at the metropolitan level. The results of this paper can help to explain the causes of some traffic phenomena. Network average speed by time of day can be explained by trip length and cumulative number of vehicles on the road. A clockwise hysteresis loop is found in the Metropolitan Fundamental Diagram in the morning period and a reverse process happens in the afternoon. PMID:26866913

  3. Understanding metropolitan patterns of daily encounters.

    Science.gov (United States)

    Sun, Lijun; Axhausen, Kay W; Lee, Der-Horng; Huang, Xianfeng

    2013-08-20

    Understanding of the mechanisms driving our daily face-to-face encounters is still limited; the field lacks large-scale datasets describing both individual behaviors and their collective interactions. However, here, with the help of travel smart card data, we uncover such encounter mechanisms and structures by constructing a time-resolved in-vehicle social encounter network on public buses in a city (about 5 million residents). Using a population scale dataset, we find physical encounters display reproducible temporal patterns, indicating that repeated encounters are regular and identical. On an individual scale, we find that collective regularities dominate distinct encounters' bounded nature. An individual's encounter capability is rooted in his/her daily behavioral regularity, explaining the emergence of "familiar strangers" in daily life. Strikingly, we find individuals with repeated encounters are not grouped into small communities, but become strongly connected over time, resulting in a large, but imperceptible, small-world contact network or "structure of co-presence" across the whole metropolitan area. Revealing the encounter pattern and identifying this large-scale contact network are crucial to understanding the dynamics in patterns of social acquaintances, collective human behaviors, and--particularly--disclosing the impact of human behavior on various diffusion/spreading processes.

  4. Planning Assignments of the Italian Metropolitan Cities. Early Trends

    Directory of Open Access Journals (Sweden)

    Giuseppe Mazzeo

    2017-04-01

    Full Text Available The last stage of the process of establishment of the Italian Metropolitan Cities, which took place in 2014, follows of a few decades the start of this institutional reform. In 1990, in fact, the Act 142 (Local Autonomies Reform had planned metropolitan areas as the administrative organization more suitable to provide these territories of structures for the management and the strategic development alike the best international models. The paper proposes to analyse the first activities taken by the Italian Metropolitan Cities in the sector of territorial government, three years after the enactment in 2014 of Act nr. 56.  Focal point of the analysis is the jurisdiction in the formation of two plans (the Strategic Plan and the Metropolitan Territorial Plan and the following relationships among them, in the logical assumption that between them a necessary and strict consistency there should be. In the first part, the paper analyses some factors characterizing the metropolitan areas and the functions that the law assigns to the new institution in the territorial government sector. The second part outlines the updated situation with regard to the formation of the sectoral tools (Strategic Plan, Territorial Plan and homogeneous zones. The third part analyses the progresses in three Metropolitan Cities taken as sample (Milan, Genoa and Bologna and, in general, to those of Southern Italy. In the last part, the paper exposes some considerations regarding the issues raised in the article, particularly about the innovativeness of the tools and the timeline for the implementation of the act.

  5. Initiatives towards Carbon Neutrality in the Helsinki Metropolitan Area

    Directory of Open Access Journals (Sweden)

    Karna Dahal

    2016-07-01

    Full Text Available Carbon neutrality represents one climate strategy adopted by many cities, including the city of Helsinki and the Helsinki metropolitan area in Finland. This study examines initiatives adopted by the Helsinki metropolitan area aimed at reducing energy-related carbon emissions and achieving carbon neutrality through future actions. Various sectorial energy consumption rates per year and carbon emissions from various sectors within the city of Helsinki and the metropolitan area were extracted from an online database and re-calculated (in GWh, MWh/inhabitant and MtCO2e, KtCO2e/inhabitant. We employed a backcasting scenario method to explore the various carbon reduction measures in the Helsinki metropolitan area. About 96% of the emissions produced in the Helsinki metropolitan area are energy-based. District heating represents the primary source of emissions, followed by transportation and electricity consumption, respectively. We also found that accomplishing the carbon reduction strategies of the Helsinki metropolitan area by 2050 remains challenging. Technological advancement for clean and renewable energy sources, smart policies and raising awareness resulting in behavioral changes greatly affect carbon reduction actions. Thus, strong political commitments are also required to formulate and implement stringent climate actions.

  6. Cooking fuel choices and garbage burning practices as determinants of birth weight: a cross-sectional study in Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Amegah Adeladza K

    2012-10-01

    Full Text Available Abstract Background Effect of indoor air pollution (IAP on birth weight remains largely unexplored but yet purported as the most important environmental exposure for pregnant women in developing countries due to the effects of second-hand smoke. We investigated the associations between the determinants of indoor air quality in households and birth weight. Methods A cross-sectional study of 592 mothers and their newborns using postnatal services at the Korle Bu Teaching Hospital located in Accra, Ghana was conducted in 2010 to collect information on characteristics of indoor environment and other potential determinants of fetal growth. Birth weight was recorded from hospital records. Results Household cooking fuel choices and garbage burning practices were determinants of birth weight. Multivariate linear regression analysis adjusting for age, social class, marital status and gravidity of mothers, and sex of neonate resulted in a 243g (95% CI: 496, 11 and 178g (95% CI: 421, 65 reduction in birth weight for use of charcoal, and garbage burning respectively compared with use of LPG only. The estimated reductions in birth weight was not statistically significant. Applying the ordinal scale exposure parameter nonetheless revealed a significant exposure-response relationship between maternal exposures from charcoal use and garbage burning, and birth weight. Generalized linear models adjusting for confounders resulted in a 41% (risk ratio [RR] = 1.41; 95% CI: 0.62, 3.23 and 195% (RR=2.95; 95% CI: 1.10, 7.92 increase in the risk of low birth weight (LBW for use of charcoal, and garbage burning respectively compared with use of LPG only. A combination of charcoal use and household garbage burning during pregnancy on fetal growth resulted in a 429g (95% CI: 259, 599 reduction in birth weight and 316% (RR=4.16; 95% CI: 2.02, 8.59 excess risk of LBW. Sensitivity analysis performed by restricting the analysis to term births produced similar results

  7. Signatures of vehicular emissions and human health risk assessment of road dust in selected roads of Accra, Ghana

    International Nuclear Information System (INIS)

    Manukure, A.S.

    2009-06-01

    Street dust samples were collected from Mallam Junction-Weija road, John Teye-Pokuase road, Tema Motorway (near Ashiaman overhead) and Tetteh Quarshie interchange in Accra. The samples were segregated into grain sizes between 250μm-100μm and less than 100μm. Energy dispersive X-ray florescence technique was used to determine the elemental compositions. In all twenty (20) elements were identified: K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, Ge, As, Se, Br, Rb, Sr, Y, Zr and Pb. The results show significant concentration levels of K, Ca, Ti Pb, Zn, Cu, Mn, Fe, Rb, Sr, Y, Zr and Cr in all the samples. Ultra violet visible spectrophotometer was used to determine the concentrations of SO 4 2- and NO 3 - . Enrichment factors calculated for the elements show high enrichment of Pb, V, Zn, Cu, Zr, Cr, Br and Pb from the sample sites. There was no indication of significant anthropogenic contribution of manganese (Mn) which gave enrichment factor values in the range of 0.57- 1.00 in the road dust. The average SO 4 2- and NO 3 - concentration ranged between 17.69mg/kg-28.86mg/kg and 14.76mg/kg-23.70mg/kg respectively. The principal component analysis was used to identify sources and their contributions. The sources identified were natural crust, brake wear, tyre wear and vehicle exhaust emission. The results show high levels of vehicle non-exhaust emission than vehicular exhaust emission. A risk assessment of selected heavy metal contaminants from all sites indicate that Pb which is the most toxic among the elements gave Hazard Index (H-I) value in the range of 0.14 - 0.62 which is less than the safe level of one (1). It was also observed that ingestion pathway which gave HI value in the range of 1.1- 2.3 showed the highest risk of exposure. Tetteh Quarshie Interchange gave the highest cumulative risk exposure. (au)

  8. Designing Freshwater Resilience for the Mexico City Metropolitan Area

    Science.gov (United States)

    Freeman, S.; Wi, S.; Brown, C.

    2017-12-01

    There are few places in the world where the water management challenges associated with global urbanization are as fully visible as in the Greater Mexico City Metropolitan Area (MCMA). MCMA has a population of 22 million of which only 82% have daily water provision and this figure is projected by local agencies to decrease drastically in the next decade due to population growth, infrastructure degradation and climate change. The city is served by a massive water delivery system, consisting of complex network of infrastructure in the surrounding basins that provides about 40% of the supply for MCMA and is characterized by increasing land use change and competition for water. The remaining 60% of MCMA's water is sourced internally from already depleted groundwater resources whose exploitation also results in significant subsidence throughout the city, further damaging already degraded infrastructure. Consequently, there is interest and need for investments that improve the performance of the freshwater delivery system, including local resources and connected basins, in the face of change and shocks that can be only partially anticipated. The quest for such resilience is a common theme in urban infrastructure design yet practical approaches for achieving it remain nascent. In this study, we use MCMA and the Cutzamala Water supply system to demonstrate a quantitative framework to evaluate investment strategies which seek resilience for the water supply system of MCMA. Multiobjective optimization and decisions under deep uncertainty approaches are used to evaluate the best performing investment portfolios across different resilience performance metrics which encompass social equity, environmental and economic objectives. This analysis shows dynamic system responses that result from different investment portfolios, elucidating difficult planning and management decisions around tradeoffs between allocations as well as performance metrics (e.g short period of total failure

  9. Household dust metal levels in The Sao Paulo metropolitan area

    International Nuclear Information System (INIS)

    Scapin, Valdirene O.; Scapin, Marcos A.; Sato, Ivone M.

    2007-01-01

    A study about household dust is being conducted to determine the level of metal contamination in the Sao Paulo Metropolitan Area (SPMA). The SPMA, with 18 million inhabitants, is one of the largest urban areas of the world, with serious environmental problems, due to the great amount of industries, heavy traffic and the disordered growth of population. The pollutants originate from a multiplicity of indoor and outdoor sources. Indoor sources are originated from residual (hair, skin scales), pets, human activities, construction materials, and furnishings as well as biological material (pollen, insect parts).and outdoor pollution, usually from the urban traffic. The pollutant mixture involved in numerous physical and chemical processes and changes its characteristics with time. Its composition and concentration depend on the strengths of indoor sources, the concentration of pollutants outside and the properties of ventilation and air-conditioning systems. It is well recognized that many metals have chronic effects on humans, in particular toddlers, who are at an higher risk compared to adults because they engage in greater hand to-mouth activity and their neurological systems are still developing. The household dust samples were collected from different localities, using vacuum cleaner, and sieved up to particle size -1 ; Mn, 119-369 μg g -1 ; Fe, 372-1464 μg g -1 ; Ni, 33-85 μg g -1 ; Cu, 42-303 μg g -1 ; Zn, 156-1369 μg g -1 and Pb, 26-160 μg g -1 . (author)

  10. Biogenic volatile organic compounds from the urban forest of the Metropolitan Region, Chile

    International Nuclear Information System (INIS)

    Préndez, Margarita; Carvajal, Virginia; Corada, Karina; Morales, Johanna; Alarcón, Francis; Peralta, Hugo

    2013-01-01

    Tropospheric ozone is a secondary pollutant whose primary sources are volatile organic compounds and nitrogen oxides. The national standard is exceeded on a third of summer days in some areas of the Chilean Metropolitan Region (MR). This study reports normalized springtime experimental emissions factors (EF) for biogenic volatile organic compounds from tree species corresponding to approximately 31% of urban trees in the MR. A Photochemical Ozone Creation Index (POCI) was calculated using Photochemical Ozone Creation Potential of quantified terpenes. Ten species, natives and exotics, were analysed using static enclosure technique. Terpene quantification was performed using GC-FID, thermal desorption, cryogenic concentration and automatic injection. Observed EF and POCI values for terpenes from exotic species were 78 times greater than native values; within the same family, exotic EF and POCI values were 28 and 26 times greater than natives. These results support reforestation with native species for improved urban pollution management. -- First experimental determination of the emission factors of biogenic volatile organic compounds in the urban forest of the Metropolitan Region, Chile

  11. Internal audit risk management in metropolitan municipalities

    Directory of Open Access Journals (Sweden)

    Christo Ackermann

    2016-07-01

    Full Text Available Internal audit functions (IAFs of organisations are regarded as crucial components of the combined assurance model, alongside the audit committee, management and external auditors. The combined assurance model aims at having integrated and aligned assurance in organisations with the overall aim of maximising risk and governance oversight and control efficiencies. In this regard, internal audit plays a crucial role, insofar as it consists of experts in risk, governance and control consultancy who provide assurance to senior management and the audit committee. Audit committees are dependent on internal audit for information and their effectiveness revolves around a strong and well-resourced internal audit function which is able to aid audit committees to meet their oversight responsibilities. There is thus a growing demand for managing risk through the process of risk management and internal audit is in a perfect position to assist with the improvement of such processes. If internal auditors wish to continue being an important aspect of the combined assurance model, they need to address the critical area, amongst others, of risk management as part of their work. If not, it follows that the board, audit committees and other levels of management will remain uninformed on the status of these matters which, in turn, will negatively impact the ability of these stakeholders to discharge their responsibilities. This study therefore focuses on analysing the functioning of IAFs, with specific reference to their risk management mandate. The study followed a mixed method approach to describe internal audits risk management functioning in the big eight metropolitan municipalities in South Africa. The results show that internal audit provide a broad scope of risk management work which assist senior management in the discharge of their responsibilities. However, in the public eye, internal audits risk management functioning is scant

  12. Comparative studies of the ITU-T prediction model for radiofrequency radiation emission and real time measurements at some selected mobile base transceiver stations in Accra, Ghana

    International Nuclear Information System (INIS)

    Obeng, S. O

    2014-07-01

    Recent developments in the electronics industry have led to the widespread use of radiofrequency (RF) devices in various areas including telecommunications. The increasing numbers of mobile base station (BTS) as well as their proximity to residential areas have been accompanied by public health concerns due to the radiation exposure. The main objective of this research was to compare and modify the ITU- T predictive model for radiofrequency radiation emission for BTS with measured data at some selected cell sites in Accra, Ghana. Theoretical and experimental assessment of radiofrequency exposures due to mobile base station antennas have been analysed. The maximum and minimum average power density measured from individual base station in the town was 1. 86µW/m2 and 0.00961µW/m2 respectively. The ITU-T Predictive model power density ranged between 6.40mW/m 2 and 0.344W/m 2 . Results obtained showed a variation between measured power density levels and the ITU-T predictive model. The ITU-T model power density levels decrease with increase in radial distance while real time measurements do not due to fluctuations during measurement. The ITU-T model overestimated the power density levels by a factor l0 5 as compared to real time measurements. The ITU-T model was modified to reduce the level of overestimation. The result showed that radiation intensity varies from one base station to another even at the same distance. Occupational exposure quotient ranged between 5.43E-10 and 1.89E-08 whilst general public exposure quotient ranged between 2.72E-09 and 9.44E-08. From the results, it shows that the RF exposure levels in Accra from these mobile phone base station antennas are below the permitted RF exposure limit to the general public recommended by the International Commission on Non-Ionizing Radiation Protection. (au)

  13. Envisioning a metropolitan foodshed: potential environmental consequences of increasing food-crop production around Chicago

    Science.gov (United States)

    Bowen, E. E.; Martin, P. A.; Schuble, T. J.

    2009-12-01

    Nationwide, cities are increasingly developing policies aimed at greater sustainability, particularly focusing on reducing environmental impact. Such policies commonly emphasize more efficiently using energy to decrease the greenhouse gas (GHG) footprint of the city. However, most plans ignore the food system as a factor in regional energy use and GHG emissions. Yet, the food system in the United States accounts for ~20% of per capita greenhouse gas emissions. Local, sustainable food production is cited as one strategy for mitigating GHG emissions of large metropolitan areas. “Sustainable” for regional agriculture is often identified as small-scale, diversified food crop production using best practices management. Localized food production (termed “foodshed”) using sustainable agriculture could mitigate climate change in multiple ways: (1) energy and therefore CO2-intensive portions of the conventional food system might be replaced by local, lower-input food production resulting in carbon offsets; (2) increased regional carbon storage might result from well-managed food crop production vs. commodity crop production; and (3) averted N2O emissions might result from closing nutrient cycles on agricultural lands following changes in management practices. The broader implications for environmental impact of widespread conversion to sustainable food crop agriculture, however, remain largely unknown. We examine the Chicago metropolitan region to quantify the impact of increased local food production on regional energy efficiency and GHG emissions. Geospatial analysis is used to quantify the resource potential for establishing a Chicago metropolitan foodshed. A regional foodshed is defined by minimizing cost through transportation mode (road, rail, or water) and maximizing the production potential of different soil types. Simple biogeochemical modeling is used to predict changes in N2O emissions and nutrient flows following changes in land management practices

  14. Land use scenarios for greater Copenhagen

    DEFF Research Database (Denmark)

    Fertner, Christian; Jørgensen, Gertrud; Nielsen, Thomas Alexander Sick

    2012-01-01

    Urban planning and development in Denmark can be characterised by a relatively strong planning framework. Land use scenarios based on empirically derived dynamics of urban growth are practically never applied. However, modelling approaches do offer a methodology to explore the pressures in an urban...... region, as well as an approach to understand urban development patterns outside the ‘spatial masterplan’. In this context we will present the results of a modelling exercise addressing future land use change in the metropolitan area of Copenhagen, Denmark, and the impact of the current regional planning...... short period of time. The set-up and the results were discussed with a few experts from the Danish Ministry of the Environment and its value as discussion input recognized. The approach offers a lot of possibilities to discuss urban growth and spatial planning policies, even in a country with a strong...

  15. The food environment and adult obesity in US metropolitan areas.

    Science.gov (United States)

    Michimi, Akihiko; Wimberly, Michael C

    2015-11-26

    This research examines the larger-scale associations between obesity and food environments in metropolitan areas in the United States (US). The US Census County Business Patterns dataset for 2011 was used to construct various indices of food environments for selected metropolitan areas. The numbers of employees engaged in supermarkets, convenience stores, full service restaurants, fast food restaurants, and snack/coffee shops were standardised using the location quotients, and factor analysis was used to produce two uncorrelated factors measuring food environments. Data on obesity were obtained from the 2011 Behavioral Risk Factor Surveillance System. Individual level obesity measures were linked to the metropolitan area level food environment factors. Models were fitted using generalised estimating equations to control for metropolitan area level intra-correlation and individual level sociodemographic characteristics. It was found that adults residing in cities with a large share of supermarket and full-service restaurant workers were less likely to be obese, while adults residing in cities with a large share of convenience store and fast food restaurant workers were more likely to be obese. Supermarkets and full-service restaurant workers are concentrated in the Northeast and West of the US, where obesity prevalence is relatively lower, while convenience stores and fast-food restaurant workers are concentrated in the South and Midwest, where obesity prevalence is relatively higher. The food environment landscapes measured at the metropolitan area level explain the continental-scale patterns of obesity prevalence. The types of food that are readily available and widely served may translate into obesity disparities across metropolitan areas.

  16. Printing activity of the Metropolitan Gavriil Banulescu Bodoni

    Directory of Open Access Journals (Sweden)

    Nicolae Fustei

    2013-07-01

    Full Text Available The present study is dedicated to the printing activity of the Metropolitan Gavriil Bănulescu-Bodoni’s activity. The religious and secular prints made from Chisinau’s Diocesan typography by Metropolitan Gavriil promote the idea of national unity of people from Moldavia, Wallachia and Transylvania. Due to the new documents from archives, more evidences and „more light” are being spread over the activity of famous hierarch, whose life is linked with the history of culture of three nations – Romanians, Ukrainians and Russians.

  17. Tracking the deployment of the integrated metropolitan ITS infrastructure in Orlando : FY99 results

    Science.gov (United States)

    2000-01-01

    In January 1996, Secretary Pea set a goal of deploying the integrated metropolitan Intelligent Transportation System (ITS) infrastructure in 75 of the nations largest metropolitan areas by 2006. In 1997, the U.S. Department of Transportation ini...

  18. 75 FR 40726 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Science.gov (United States)

    2010-07-14

    ... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District and South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION... Metropolitan Air Quality Management District (SMAQMD) and South Coast Air Quality Management District (SCAQMD...

  19. 75 FR 40762 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Science.gov (United States)

    2010-07-14

    ... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District and South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the Sacramento Metropolitan Air Quality...

  20. 2009 Melbourne metropolitan sewerage strategy: a portfolio of decentralised and on-site concept designs.

    Science.gov (United States)

    Brown, V; Jackson, D W; Khalifé, M

    2010-01-01

    The bulk and retail water companies of the greater Melbourne area are developing the 2009 Metropolitan Sewerage Strategy to provide sustainable sewerage services to 2060. The objective of the strategy is to establish long term principles and near term actions to produce a robust sewage management system for Melbourne. Melbourne's existing sewerage system is largely centralised and discharges to two major treatment plants. Several small satellite treatment plants service local urban areas generally more distant from the centralised system. Decentralised and on-site wastewater systems are options for future sewage management and could play a role in local recycling. A portfolio of 18 on-site and decentralised concept designs was developed, applicable to the full range of urban development types in Melbourne. The concepts can be used in evaluation of metropolitan system configurations as part of future integrated water cycle planning. The options included secondary and tertiary treatment systems incorporating re-use of water for non potable uses, urine separation, black and greywater separation and composting toilets. On-site and cluster treatment systems were analysed. Each option is described by its indicative capital and operating costs, energy use and water and nutrient balances. This paper summarises and compares the portfolio mix of decentralized and on-site options in Melbourne's context.

  1. New Metropolitan Spaces and Metropolitan Strategies in the Face of Modernisation

    Directory of Open Access Journals (Sweden)

    Willem Salet

    2007-10-01

    Full Text Available Au début du xxie siècle, les espaces urbains traversent une période de croissance et de transformation radicale. Les villes s’étendent de plus en plus. Leur configuration spatiale devient de plus en plus décentralisée et fragmentée. La dichotomie traditionnelle entre hiérarchie urbaine et périphérie est en train de disparaître. Les nouveaux espaces métropolitains sont caractérisés par des processus de segmentation et de spécialisation à distance ainsi que par des polarisations sociales qui structurent l’espace. Les tentatives de planification des villes-régions essaient de rééquilibrer ces processus qui font éclater la ville. Cet article explore brièvement les transformations métropolitaines actuelles en utilisant une approche générique. Il se focalise également sur les stratégies des métropoles pour affronter ces défis dans le cadre de situations institutionnelles variées, un peu partout en Europe. En troisième lieu, cet article interroge les effets potentiels des projets urbains sur un rééquilibrage des transformations urbaines. Comment les grands projets urbains sont-ils conceptuellement élaborés ? Comment les alliances d’acteurs qui les soutiennent se forgent-elles ? Comment les citoyens et les groupes sociaux sont-ils impliqués de manière à produire de nouveaux espaces plus intégrés ?At the beginning of the 21st century, urban spaces can be said to be in a stage of growth and radical transformation. Cities are highly expansive, both in scale and scope. The spatial configuration of urban spaces is, however, becoming more and more decentralised and fragmentary. The traditional dichotomy between urban hierarchy and periphery is disappearing. New metropolitan spaces are characterised by distance related processes of social and economic specialisation and segmentation, and often also by splitting social polarisation. The planning agendas in city regions are trying to make add more balance to the

  2. A highly attennuative zone beneath the Tokyo Metropolitan area.

    Science.gov (United States)

    Panayotopoulos, Y.; Hirata, N.; Sakai, S.; Nakagawa, S.; Kasahara, K.

    2014-12-01

    The intensities of seismic waves observed at the dense seismic array of the Tokyo Metropolitan Seismic Observation network (MeSO-net) inside the Kanto basin, display unusual distribution patterns. In several occasions, the highest intensities are not observed in the area above an earthquakes hypocenter but appear sifted more than 20 km away. In order to understand the source of this unusual intensity distribution pattern, it is crucial to understand how the waves attenuate before they reach the surface. The attenuation of seismic waves along their path is represented by the t∗ attenuation operator that can be obtained by fitting the observed seismic wave spectrum to a theoretical spectrum using an ω2 model. In order to create a high quality dataset, only 1449 earthquakes that are recorded with intensity greater than 0 in the Japan Meteorological Agency (JMA) intensity scale are selected from the JMA unified earthquake list from April 1st 2008 to October 2nd 2013. A grid search method is applied to determine the t∗ values by matching the observed and theoretical spectra. The t∗ data where then inverted to estimate a 3D Q structure with grid points set at a 10 km spacing. We implemented the 3D velocity model estimated by Nakagawa et al., 2012 and in addition we set the initial Q values at 100 for the 0 km grids and to 400 for the grids below them. The obtained model suggests average Q values of 50˜100 inside the Kanto basin. Furthermore, a low Q zone is observed in the area where the Philippine Sea plate meets the upper part of the Pacific sea plate. This area is located at approximately 40 km depth, beneath the north-east Tokyo and west Chiba prefectures and is represented by Q values Earthquakes occurring on the Pacific plate pass through this low Q area inside the Philippine sea plate and are attenuated significantly. The estimated attenuation distribution at the MeSO-net station for these earthquakes implementing our 3D Q model greatly coincides with the

  3. Implications of urban structure on carbon consumption in metropolitan areas

    International Nuclear Information System (INIS)

    Heinonen, Jukka; Junnila, Seppo

    2011-01-01

    Urban structure influences directly or indirectly the majority of all green house gas (GHG) emissions in cities. The prevailing belief is that dense metropolitan areas produce less carbon emissions on a per capita basis than less dense surrounding rural areas. Consequently, density targets have a major role in low-carbon urban developments. However, based on the results of this study, the connection seems unclear or even nonexistent when comprehensive evaluation is made. In this letter, we propose a hybrid life cycle assessment (LCA) method for calculating the consumption-based carbon footprints in metropolitan areas, i.e. carbon consumption, with the emphasis on urban structures. The method is input-output-based hybrid LCA, which operates with the existing data from the region. The study is conducted by performing an analysis of the carbon consumption in two metropolitan areas in Finland, including 11 cities. Both areas consist of a dense city core and a less dense surrounding suburban area. The paper will illustrate that the influence of urban density on carbon emissions is insignificant in the selected metropolitan areas. In addition, the utilized consumption-based method links the climate effects of city-level development to the global production of emissions.

  4. Governing metropolitan green infrastructure in the United States

    Science.gov (United States)

    Robert F. Young; E. Gregory McPherson

    2013-01-01

    In this paper we explore whether the enhancement of urban ecosystem services through largescale metropolitan treeplanting initiatives is being planned and executed as a component of traditional municipal government or represents new transdisciplinary strategies in environmental governance Drawing on qualitative interviews with...

  5. Disparities in Salaries: Metropolitan versus Nonmetropolitan Community College Faculty

    Science.gov (United States)

    Glover, Louis C.; Simpson, Lynn A.; Waller, Lee Rusty

    2009-01-01

    This article explores disparities in faculty salaries between metropolitan and nonmetropolitan Texas community colleges. The analysis reveals a significant difference in faculty salaries for the 2000 and 2005 academic years respectively. The study found no significant difference in the rate of change in faculty salaries from 2000 to 2005.…

  6. Is There a Global Role for Metropolitan City Libraries?

    Science.gov (United States)

    Mason, Marilyn Gell

    1994-01-01

    Discusses the potential for linking large metropolitan public libraries to international interlibrary loan networks. Issues involved in international networking, including funding, standards, network connectivity, and protectionism, are discussed. Examples of libraries capable of participating and brief descriptions of their collections are given.…

  7. Designing metropolitan landscapes for biodiversity: deriving guidelines from metapopulation ecology

    NARCIS (Netherlands)

    Opdam, P.F.M.; Steingröver, E.G.

    2008-01-01

    The decentralization of planning is giving local planning groups more power in decision making on the spatial development of metropolitan landscapes. However, because scientific knowledge is rarely used in these decision-making processes, there is a risk of discrepancies between the conservation

  8. The Tshwane metropolitan municipality and strategic partnerships in ...

    African Journals Online (AJOL)

    ... Tshwane Metropolitan Municipality commissioned research to investigate the potential of strategic partnerships for the optimal facilitation and co-operative governance of sport and recreation. The aim of this project was to identify the possible structure and nature of partnerships in order to facilitate effective management, ...

  9. Residential fencing in a metropolitan area and three small towns.

    Science.gov (United States)

    Edwin Kallio; Jerry A. Sesco

    1967-01-01

    Many types of fences were found on residential lots in the metropolitan-suburban area of St. Louis County, Missouri, and three small towns in southern Illinois. Wire fences predominated. More wooden fences were found on village lots than on city lots. In general, the more expensive homes had the most wooden fencing. Homes over 5 years old had more fencing of all...

  10. OXYGEN TRANSFER STUDIES AT THE MADISON METROPOLITAN SEWERAGE DISTRICT FACILITIES

    Science.gov (United States)

    Field studies at the Madison Metropolitan Sewerage District facilities were conducted over a 3-year period to obtain long-term data on the performance of fine pore aeration equipment in municipal wastewater. The studies were conducted on several basins in the East Plant containi...

  11. 40 CFR 81.17 - Metropolitan Los Angeles Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Regions § 81.17 Metropolitan Los Angeles Air Quality Control Region. The Metropolitan Los Angeles Air Quality Control Region consists of the following territorial area (including the territorial... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Los Angeles Air Quality...

  12. 23 CFR 450.336 - Applicability of NEPA to metropolitan transportation plans and programs.

    Science.gov (United States)

    2010-04-01

    ... the Secretary concerning a metropolitan transportation plan or TIP developed through the processes... 23 Highways 1 2010-04-01 2010-04-01 false Applicability of NEPA to metropolitan transportation... TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and...

  13. 40 CFR 81.38 - Metropolitan Houston-Galveston Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Houston-Galveston... Designation of Air Quality Control Regions § 81.38 Metropolitan Houston-Galveston Intrastate Air Quality Control Region. The Metropolitan Houston-Galveston Intrastate Air Quality Control Region (Texas) has been...

  14. 40 CFR 81.63 - Metropolitan Fort Smith Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Fort Smith Interstate Air... Air Quality Control Regions § 81.63 Metropolitan Fort Smith Interstate Air Quality Control Region. The Metropolitan Fort Smith Interstate Air Quality Control Region (Arkansas-Oklahoma) has been revised to consist...

  15. Revenues for Education in Metropolitan Areas. Chapter VI, Metropolitanism: Its Challenge to Education, 1968. Sixty-seventh Yearbook, Part I.

    Science.gov (United States)

    Alkin, Marvin C.

    For local school districts to provide equal educational opportunities throughout a metropolitan area, a school organization plan should distribute populations among districts in such a manner as to maximize the aggregate expressed demand for educational services and to provide relatively equal financial support. Consolidation of contiguous…

  16. Exposure level and distribution characteristics of airborne bacteria and fungi in Seoul metropolitan subway stations.

    Science.gov (United States)

    Kim, Ki Youn; Kim, Yoon Shin; Kim, Daekeun; Kim, Hyeon Tae

    2011-01-01

    The exposure level and distribution characteristics of airborne bacteria and fungi were assessed in the workers' activity areas (station office, bedroom, ticket office and driver's seat) and passengers' activity areas (station precinct, inside the passenger carriage, and platform) of the Seoul metropolitan subway. Among investigated areas, the levels of airborne bacteria and fungi in the workers' bedroom and station precincts were relatively high. No significant difference was found in the concentration of airborne bacteria and fungi between the underground and above ground activity areas of the subway. The genera identified in all subway activity areas with a 5% or greater detection rate were Staphylococcus, Micrococcus, Bacillus and Corynebacterium for airborne bacteria and Penicillium, Cladosporium, Chrysosporium, Aspergillus for airborne fungi. Staphylococcus and Micrococcus comprised over 50% of the total airborne bacteria and Penicillium and Cladosporium comprised over 60% of the total airborne fungi, thus these four genera are the predominant genera in the subway station.

  17. Greater trochanteric pain syndrome diagnosis and treatment.

    Science.gov (United States)

    Mallow, Michael; Nazarian, Levon N

    2014-05-01

    Lateral hip pain, or greater trochanteric pain syndrome, is a commonly seen condition; in this article, the relevant anatomy, epidemiology, and evaluation strategies of greater trochanteric pain syndrome are reviewed. Specific attention is focused on imaging of this syndrome and treatment techniques, including ultrasound-guided interventions. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Assessment of flood risk in Tokyo metropolitan area

    Science.gov (United States)

    Hirano, J.; Dairaku, K.

    2013-12-01

    Flood is one of the most significant natural hazards in Japan. The Tokyo metropolitan area has been affected by several large flood disasters. Therefore, investigating potential flood risk in Tokyo metropolitan area is important for development of adaptation strategy for future climate change. We aim to develop a method for evaluating flood risk in Tokyo Metropolitan area by considering effect of historical land use and land cover change, socio-economic change, and climatic change. Ministry of land, infrastructure, transport and tourism in Japan published 'Statistics of flood', which contains data for flood causes, number of damaged houses, area of wetted surface, and total amount of damage for each flood at small municipal level. By using these flood data, we estimated damage by inundation inside a levee for each prefecture based on a statistical method. On the basis of estimated damage, we developed flood risk curves in the Tokyo metropolitan area, representing relationship between damage and exceedance probability of flood for the period 1976-2008 for each prefecture. Based on the flood risk curve, we attempted evaluate potential flood risk in the Tokyo metropolitan area and clarify the cause for regional difference of flood risk. By analyzing flood risk curves, we found out regional differences of flood risk. We identified high flood risk in Tokyo and Saitama prefecture. On the other hand, flood risk was relatively low in Ibaraki and Chiba prefecture. We found that these regional differences of flood risk can be attributed to spatial distribution of entire property value and ratio of damaged housing units in each prefecture.We also attempted to evaluate influence of climate change on potential flood risk by considering variation of precipitation amount and precipitation intensity in the Tokyo metropolitan area. Results shows that we can evaluate potential impact of precipitation change on flood risk with high accuracy by using our methodology. Acknowledgments

  19. The influence of socio-cultural interpretations of pregnancy threats on health-seeking behavior among pregnant women in urban Accra, Ghana.

    Science.gov (United States)

    Dako-Gyeke, Phyllis; Aikins, Moses; Aryeetey, Richmond; McCough, Laura; Adongo, Philip Baba

    2013-11-19

    Although antenatal care coverage in Ghana is high, there exist gaps in the continued use of maternity care, especially utilization of skilled assistance during delivery. Many pregnant women seek care from different sources aside the formal health sector. This is due to negative perceptions resulting from poor service quality experiences in health facilities. Moreover, the socio-cultural environment plays a major role for this care-seeking behavior. This paper seeks to examine beliefs, knowledge and perceptions about pregnancy and delivery and care-seeking behavior among pregnant women in urban Accra, Ghana. A qualitative study with 6 focus group discussions and 13 in-depth interviews were conducted at Taifa-Kwabenya and Madina sub-districts, Accra. Participants included mothers who had delivered within the past 12 months, pregnant women, community members, religious and community leaders, orthodox and non-orthodox healthcare providers. Interviews and discussions were audio-taped, transcribed and coded into larger themes and categories. Evidence showed perceived threats, which are often given socio-cultural interpretations, increased women's anxieties, driving them to seek multiple sources of care. Crucially, care-seeking behavior among pregnant women indicated sequential or concurrent use of biomedical care and other forms of care including herbalists, traditional birth attendants, and spiritual care. Use of multiple sources of care in some cases disrupted continued use of skilled provider care. Furthermore, use of multiple forms of care is encouraged by a perception that facility-based care is useful only for antenatal services and emergencies. It also highlights the belief among some participants that care from multiple sources are complementary to each other. Socio-cultural interpretations of threats to pregnancy mediate pregnant women's use of available healthcare services. Efforts to encourage continued use of maternity care, especially skilled birth

  20. ELECTRICITY DEMAND IN A NORTHERN MEXICO METROPOLITAN ECONOMY

    Directory of Open Access Journals (Sweden)

    Thomas M. Fullerton

    2014-10-01

    Full Text Available Using an error correction framework, this study analyzes the long- and short-run dynamics of electricity demand in Ciudad Juarez, a large metropolitan economy on Mexico’s northern border. Demand is decomposed into the total number of electricity accounts and electricity usage per customer, each of which is modeled separately. A two-stage least squares approach is used to estimate the per customer electricity demand equations due to the endogeneity of the average price variable. The results indicate sustained growth in population, employment, and income can be expected to exert substantial upward pressure on regional electric power demand. Furthermore, demand is found to be price-inelastic in this metropolitan area, suggesting that rate increases can help raise the revenues necessary to fund expansion of the electrical grid.

  1. Analysis of Solid Waste Management and Strategies for Bangkok Metropolitan

    Directory of Open Access Journals (Sweden)

    Palika Wannawilai

    2017-04-01

    Full Text Available This study aimed to examine and analyze strategic gaps and the environment of waste management of Bangkok Metropolitan Administration (BMA in order to suggest suitable waste management strategies for Bangkok Metropolitan. The study was conducted by interviewing BMA and districts’ administrators and officers, local leaders and people, and private sectors, conducting a focus group, as well as reviewing relevant documents. The data was analyzed by applying Gap analysis and SWOT analysis. The proposed five strategies are: 1 enhancement of efficiency in solid waste and hazardous waste management; 2 discipline, participation and responsibility of citizens and all sectors related to waste management; 3 appropriate and integrated waste management; 4 capacity building for BMA’s staff and improvement of solid waste management system; and 5 research and development of knowledge and technology in waste management. The study also suggested driving approaches for effective implementation of the strategies.

  2. Urbanisation, urban growth and planning in the Copenhagen Metropolitan Region

    DEFF Research Database (Denmark)

    Fertner, Christian

    pressure. Growth management strategies are necessary to secure future balanced and sustainable development throughout the whole urban region. The analysis of urbanisation and urban growth in peri-urban areas is at the core of this study, including socio-demographic and functional dynamics, land use impacts...... and options for spatial planning. The main case was the metropolitan region of Copenhagen, Denmark. Other cases from Europe and the USA were used as reference studies. The methods included quantitative analyses of register and land use data as well as general case study work to investigate options for spatial...... planning. The study shows that, while the most visible impacts of land use changes can be found at the close urban fringe, many other dynamics have a much longer reach into the rural-urban region. In the Copenhagen metropolitan region, we can observe migration to peri-urban areas and to the urban core...

  3. FINANCING FARMLAND PRESERVATION: THE TWIN CITIES METROPOLITAN AREA EXPERIENCE

    OpenAIRE

    Greden, Leah R.; Taff, Steven J.

    1994-01-01

    Two farmland protection programs in the Twin Cities (Minnesota) Metropolitan Area--Green Acres and Agricultural Preserves-- together enrolled 608,331 acres in 1992. The principal financing tool was a provision common to both programs under which participating landowners paid reduced property taxes in exchange for certain non- development assurances. The resulting shift in property tax obligations to other taxpayers amounted to $7.6 million for the 1993 tax year, an average shift of $12.50 per...

  4. Skinner boxes for psychotics: Operant conditioning at Metropolitan state hospital

    OpenAIRE

    Rutherford, Alexandra

    2003-01-01

    Between 1953 and 1965, Ogden Lindsley and his associates conducted free-operant research with psychiatric inpatients and normal volunteers at Metropolitan State Hospital in Waltham, Massachusetts. Their project, originally named “Studies in Behavior Therapy,” was renamed “Harvard Medical School Behavior Research Laboratory” in 1955. This name change and its implications were significant. The role of the laboratory in the history of the relationship between the experimental analysis of behavio...

  5. SPATIAL SEGMENTATION WITHIN METROPOLITAN LABOUR MARKET: MAPPING THE GENDER DIMENSION

    OpenAIRE

    DEBNATH, TANIA

    2017-01-01

    Spatial segmentation of the labour market of informal workers within the metropolitan is observed globally. InIndia it is not only compartmentalised on gender, caste, ethnic lines but also geographically segmented by thecreation of spatially disjoined markets. The differential impact of this limited mobility on female and malelabour remains largely unexplored. The present paper argues that the labour market for informal workers issegmented into smaller labour markets separated by commuting (h...

  6. Factors Influencing Patronage Of Medical Tourism In Metropolitan Lagos Nigeria

    OpenAIRE

    Omisore; E.O.; Agbabiaka; H. I.

    2015-01-01

    Since medical tourism attract patient from various origin to seek medical services at different destinations it is paramount to consider the factors that motivate patrons decision on medical tourism. Hence this study assesses the factors influencing patronage of medical tourism in Lagos metropolis Nigeria. Lagos State is situated in the southwestern corner of Nigeria it lies within Latitudes 62N to 64N of the Equator and Longitudes 245E to 420E of the Greenwich meridian. Metropolitan Lagos is...

  7. The determinants of part-time work in Metropolitan Lima

    OpenAIRE

    Manuel Enrique Saavedra Martinez

    2011-01-01

    The following paper examines the part-time work in Metropolitan Lima in 2008. The overall objective is to identify the determinants of the incidence of part-time work in Lima. We worked with one Probit econometric model, measured by the National Survey of Households (NSH), which explores the job characteristics of people. This will determine the presence of part-time workers in the areas of trade, health, education and communication; also realized that this group has completed university stud...

  8. The determinants of part-time work in Metropolitan Lima

    OpenAIRE

    Saavedra Martinez, Manuel Enrique

    2012-01-01

    The following paper examines the part-time work in Metropolitan Lima in 2008. The overall objective is to identify the determinants of the incidence of part-time work in Lima. We worked with one Probit econometric model, measured by the National Survey of Households (NSH), which explores the job characteristics of people. This will determine the presence of part-time workers in the areas of trade, health, education and communication; also realized that this group has completed university stud...

  9. The 1987 Whittier Narrows, California, earthquake: A Metropolitan shock

    OpenAIRE

    Hauksson, Egill; Stein, Ross S.

    1989-01-01

    Just 3 hours after the Whittier Narrows earthquake struck, it became clear that a heretofore unseen geological structure was seismically active beneath metropolitan Los Angeles. Contrary to initial expectations of strike-slip or oblique-slip motion on the Whittier fault, whose north end abuts the aftershock zone, the focal mechanism of the mainshock showed pure thrust faulting on a deep gently inclined surface [Hauksson et al., 1988]. This collection of nine research reports spans the spectru...

  10. Mapeando Programas de Redução de Danos da Região Metropolitana de Porto Alegre / Mapping harm reduction programs in the metropolitan region of Porto Alegre

    NARCIS (Netherlands)

    R. Quadros Rigoni (Rafaela); H.C. Nardi (Henrique)

    2009-01-01

    textabstractThis study mapped and described 11 harm reduction interventions/programs in Greater Metropolitan Porto Alegre, Rio Grande do Sul State, Brazil, in 2004-2006. Mapping was based on interviews and analysis of available documents and comparison with a previous study with data from 2003. We

  11. Green Urbanism for the Greener Future of Metropolitan Areas

    Science.gov (United States)

    Zaręba, Anna; Krzemińska, Alicja; Widawski, Krzysztof

    2016-10-01

    Intensive urbanization is swallowing municipal green areas which causes intensification of erosion, decrease in biodiversity and permanent fragmentation of habitats. In the face of these changes, a risk of irreversible damages to urban ecosystems is growing. That is why planning of solutions within the framework of Green Urbanism in metropolitan areas inhabited by over 55% of the global population is of extraordinary importance. The task of the paper is to present patterns of the Green Urbanism using selected examples of metropolitan areas as case studies. The main goal of the research is to make comparison between GU practices in different countries, in various spatial settings. The principles of triple zero framework: zero fossil-fuel energy use, zero waste, zero emissions (from low-to-no-carbon emissions) introduce not only the contemporary trends in theoretical urban planning but are dictated by practical considerations to create a healthy environment for a healthy society with a minimized environmental footprint. The research results help to identify Green Urbanism techniques used for multiple functions, including ecological, recreational, cultural, aesthetic and other uses and present opportunities for implementation of Green Urbanism solutions in metropolitan areas. To achieve healthier society and environment, highly congested and polluted cities have to be recreated through working with the existing landscape, topography and natural resources particular to the site.

  12. Uber and Metropolitan Traffic Fatalities in the United States.

    Science.gov (United States)

    Brazil, Noli; Kirk, David S

    2016-08-01

    Uber and similar rideshare services are rapidly dispersing in cities across the United States and beyond. Given the convenience and low cost, Uber has been characterized as a potential countermeasure for reducing the estimated 121 million episodes of drunk driving and the 10,000 resulting traffic fatalities that occur annually in the United States. We exploited differences in the timing of the deployment of Uber in US metropolitan counties from 2005 to 2014 to test the association between the availability of Uber's rideshare services and total, drunk driving-related, and weekend- and holiday-specific traffic fatalities in the 100 most populated metropolitan areas in the United States using negative binomial and Poisson regression models. We found that the deployment of Uber services in a given metropolitan county had no association with the number of subsequent traffic fatalities, whether measured in aggregate or specific to drunk-driving fatalities or fatalities during weekends and holidays. © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  13. Twelve metropolitan carbon footprints. A preliminary comparative global assessment

    International Nuclear Information System (INIS)

    Sovacool, Benjamin K.; Brown, Marilyn A.

    2010-01-01

    A dearth of available data on carbon emissions and comparative analysis between metropolitan areas make it difficult to confirm or refute best practices and policies. To help provide benchmarks and expand our understanding of urban centers and climate change, this article offers a preliminary comparison of the carbon footprints of 12 metropolitan areas. It does this by examining emissions related to vehicles, energy used in buildings, industry, agriculture, and waste. The carbon emissions from these sources - discussed here as the metro area's partial carbon footprint - provide a foundation for identifying the pricing, land use, help metropolitan areas throughout the world respond to climate change. The article begins by exploring a sample of the existing literature on urban morphology and climate change and explaining the methodology used to calculate each area's carbon footprint. The article then depicts the specific carbon footprints for Beijing, Jakarta, London, Los Angeles, Manila, Mexico City, New Delhi, New York, Sao Paulo, Seoul, Singapore, and Tokyo and compares these to respective national averages. It concludes by offering suggestions for how city planners and policymakers can reduce the carbon footprint of these and possibly other large urban areas. (author)

  14. Chlorine treatment effectiveness and physico-chemical and bacteriological characteristics of treated water supplies in distribution networks of Accra-Tema Metropolis, Ghana

    Science.gov (United States)

    Karikari, A. Y.; Ampofo, J. A.

    2013-06-01

    Drinking water quality from two major treatment plants in Ghana; Kpong and Weija Plants, and distribution networks in the Accra-Tema Metropolis were monitored monthly for a year at fifteen different locations. The study determined the relationship between chlorine residual, other physico-chemical qualities of the treated water, and, bacteria regrowth. Results indicated that the treated water at the Kpong and Weija Treatment Plants conformed to WHO guidelines for potable water. However, the water quality deteriorated bacteriologically, from the plants to the delivery points with high numbers of indicator and opportunistic pathogens. This could be due to inadequate disinfection residual, biofilms or accidental point source contamination by broken pipes, installation and repair works. The mean turbidity ranged from 1.6 to 2.4 NTU; pH varied from 6.8 to 7.4; conductivity fluctuated from 71.1 to 293 μS/cm. Chlorine residual ranged from 0.13 to 1.35 mg/l. High residual chlorine was observed at the treatment plants, which decreased further from the plants. Results showed that additional chlorination does not take place at the booster stations. Chlorine showed inverse relationship with microbial counts. Total coliform bacteria ranged from 0 to 248 cfu/100 ml, and faecal coliform values varied from 0 to 128 cfu/100 ml. Other microorganisms observed in the treated water included Aeromonas spp., Clostridium spp. and Pseudomonas spp. Boiling water in the household before consumption will reduce water-related health risks.

  15. Factors associated with gastro-duodenal disease in patients undergoing upper GI endoscopy at the Korle-Bu Teaching Hospital, Accra, Ghana.

    Science.gov (United States)

    Archampong, Timothy N A; Asmah, Richard H; Wiredu, Edwin K; Gyasi, Richard K; Nkrumah, Kofi N

    2016-06-01

    There is a high prevalence of gastro-duodenal disease in sub-Saharan Africa. Peptic ulcer disease in dyspeptic patients, 24.5%, was comparable to prevalence of gastro-duodenal disease among symptomatic individuals in developed countries (12 - 25%). Limited data exists regarding its associated risk factors despite accumulating evidence indicating that gastroduodenal disease is common in Ghana. This study investigates risk factors associated with gastro-duodenal disease at the Korle-Bu Teaching Hospital, Accra, Ghana. This study utilized a cross-sectional design to consecutively recruit patients referred with upper gastro-intestinal symptoms for endoscopy. The study questionnaire was administered to study participants. Helicobacter pylori infection was confirmed by rapid-urease examination at endoscopy. Of 242 patients sampled; 64 had duodenal ulcer, 66 gastric ulcer, 27gastric cancer and 64 non-ulcer dyspepsia. Nineteen (19) had duodenal and gastric ulcer while 2 had gastric ulcer and cancer. A third (32.6%) of patients had history of NSAID-use. H. pyloriwas associated with gastric ulcer (p=0.033) and duodenal ulcer (p=0.001). There was an increased prevalence of duodenal ulcer in H. pylori-infected patients taking NSAIDs, P=0.003. H. pylori was a major risk factor for peptic ulcer disease. However, NSAID-related gastro-duodenal injury has been shown to be common in H. pylori infected patients. It highlights the need for awareness of the adverse gastro-intestinal effects in a H. pylori endemic area.

  16. Determination of heavy metals and human health risk assessment of road dust on the Tema motor way and Tetteh Quarshie interchange in Accra, Ghana

    International Nuclear Information System (INIS)

    Atiemo, S.M.; Ofosu, F.G.; Aboh, I.J.K.; Yeboah, P.O.

    2010-01-01

    Street dust samples were collected from Tema Motor way (near Ashiaman overhead) and Tetteh Quarshie interchange in Accra. The samples were segregated into two groups of grain sizes between 100 um - 250 um and the other being less than 100 um. Energy dispersive X-ray florescence technique was used to determine their elemental compositions. In all twenty (20) elements were identified: K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Ga, Ge, As, Se, Br, Rb, Sr, Y, Zr and Pb. The results show significant concentrations levels of K, Ca, Ti, Pb, Zn, Cu, Mn, Fe, Rb, Sr, Y, Zr and Cr in all the samples. Enrichment factors determined for the elements show high enrichment of V, Zn, Cu, Zr, Cr, Br and Pb from the sample sites. There was no indication of significant anthropogenic contribution of manganese (Mn) which gave average enrichment factor values of 0.60 and 0.78 in the road dust at the Tema motor way and Tetteh Quarshie Interchange respectively. Risk assessment of selected heavy metal contaminants from both sites indicate that Pb gave Hazard Index (HI) values of 0.56 and 0.62 which falls below the safe level of one (1). It was also observed that ingestion which gave HI values of 2.1 and 2.3 was the highest risk of exposure pathway. Tetteh Quarshie Interchange gave the highest cumulative risk of exposure. (author)

  17. Application of Quantitative Microbial Risk Assessment to analyze the public health risk from poor drinking water quality in a low income area in Accra, Ghana.

    Science.gov (United States)

    Machdar, E; van der Steen, N P; Raschid-Sally, L; Lens, P N L

    2013-04-01

    In Accra, Ghana, a majority of inhabitants lives in over-crowded areas with limited access to piped water supply, which is often also intermittent. This study assessed in a densely populated area the risk from microbial contamination of various sources of drinking water, by conducting a Quantitative Microbiological Risk Assessment (QMRA) to estimate the risk to human health from microorganism exposure and dose-response relationships. Furthermore the cost-effectiveness in reducing the disease burden through targeted interventions was evaluated. Five risk pathways for drinking water were identified through a survey (110 families), namely household storage, private yard taps, communal taps, communal wells and water sachets. Samples from each source were analyzed for Escherichia coli and Ascaris contamination. Published ratios between E. coli and other pathogens were used for the QMRA and disease burden calculations. The major part of the burden of disease originated from E. coli O157:H7 (78%) and the least important contributor was Cryptosporidium (0.01%). Other pathogens contributed 16% (Campylobacter), 5% (Rotavirus) and 0.3% (Ascaris). The sum of the disease burden of these pathogens was 0.5 DALYs per person per year, which is much higher than the WHO reference level. The major contamination pathway was found to be household storage. Disinfection of water at household level was the most cost-effective intervention (Water supply network improvements were significantly less cost-effective. Copyright © 2013 Elsevier B.V. All rights reserved.

  18. Simultaneous bilateral isolated greater trochanter fracture

    Directory of Open Access Journals (Sweden)

    Maruti Kambali

    2013-01-01

    Full Text Available A 48-year-old woman sustained simultaneous isolated bilateral greater trochanteric fracture, following a road traffic accident. The patient presented to us 1 month after the injury. She presented with complaints of pain in the left hip and inability to walk. Roentgenograms revealed displaced comminuted bilateral greater trochanter fractures. The fracture of the left greater trochanter was reduced and fixed internally using the tension band wiring technique. The greater trochanter fracture on the right side was asymptomatic and was managed conservatively. The patient regained full range of motion and use of her hips after a postoperative follow-up of 6 months. Isolated fractures of the greater trochanter are unusual injuries. Because of their relative rarity and the unsettled controversy regarding their etiology and pathogenesis, several methods of treatment have been advocated. Furthermore, the reports of this particular type of injury are not plentiful and the average textbook coverage afforded to this entity is limited. In our study we discuss the mechanism of injury and the various treatment options available.

  19. Tokyo Metropolitan Earthquake Preparedness Project - A Progress Report

    Science.gov (United States)

    Hayashi, H.

    2010-12-01

    Munich Re once ranked that Tokyo metropolitan region, the capital of Japan, is the most vulnerable area for earthquake disasters, followed by San Francisco Bay Area, US and Osaka, Japan. Seismologists also predict that Tokyo metropolitan region may have at least one near-field earthquake with a probability of 70% for the next 30 years. Given this prediction, Japanese Government took it seriously to conduct damage estimations and revealed that, as the worst case scenario, if a7.3 magnitude earthquake under heavy winds as shown in the fig. 1, it would kill a total of 11,000 people and a total of direct and indirect losses would amount to 112,000,000,000,000 yen(1,300,000,000,000, 1=85yen) . In addition to mortality and financial losses, a total of 25 million people would be severely impacted by this earthquake in four prefectures. If this earthquake occurs, 300,000 elevators will be stopped suddenly, and 12,500 persons would be confined in them for a long time. Seven million people will come to use over 20,000 public shelters spread over the impacted area. Over one millions temporary housing units should be built to accommodate 4.6 million people who lost their dwellings. 2.5 million people will relocate to outside of the damaged area. In short, an unprecedented scale of earthquake disaster is expected and we must prepare for it. Even though disaster mitigation is undoubtedly the best solution, it is more realistic that the expected earthquake would hit before we complete this business. In other words, we must take into account another solution to make the people and the assets in this region more resilient for the Tokyo metropolitan earthquake. This is the question we have been tackling with for the last four years. To increase societal resilience for Tokyo metropolitan earthquake, we adopted a holistic approach to integrate both emergency response and long-term recovery. There are three goals for long-term recovery, which consists of Physical recovery, Economic

  20. A Full-Wave Seismic Tomography for the Crustal Structure in the Metropolitan Beijing Region

    Science.gov (United States)

    Sun, A.; Zhao, L.; Chen, Q.

    2008-12-01

    The greater Beijing metropolitan region is located in an old cratonic block in northeast China with complex geology and several large historic earthquakes, such as the Sanhe-Pinggu earthquake (~M8.0) in 1679, the Xingtai earthquake (M7.2) in 1966, and the Tangshan earthquake (M7.8) in 1976. To enhance our understanding of the crustal structure and the seismotectonics under this region, we conduct a full-wave three-dimensional (3D) tomographic study of this region using the waveforms recorded by the newly established Beijing metropolitan digital seismic network. Since the Beijing network was put into operation in October 2001, there have been 89 local earthquakes of magnitude 3.0 and above. From these, we selected 23 events of magnitude 3.2 and above and obtained their waveform records at 50 stations within our area of interest. The types of instruments at these stations include broadband, short-period and very broadband. First-motion focal mechanisms were determined for these events. We used a regional 3D model obtained by seismic reflection surveys as the reference model and calculated the synthetic seismograms by the finite-difference method. In this first attempt at finite- frequency tomography for the Beijing region, we focus on the variation of the P-wave speed using the first- arriving P waves. We measure the frequency-dependent traveltime anomalies of the P waves by the cross- correlation between observed and synthetic P waveforms within several discrete frequency bands between 20-sec and 5-sec periods. The sensitivity or Frechet kernels of these measurements for the perturbations in P-wave speed were computed by the same finite-difference method. We will present the preliminary result in our full-wave seismic tomography for the Beijing region.

  1. The burden of healthcare-associated Clostridium difficile infection in a non-metropolitan setting.

    Science.gov (United States)

    Bond, S E; Boutlis, C S; Yeo, W W; Pratt, W A B; Orr, M E; Miyakis, S

    2017-04-01

    Healthcare-associated Clostridium difficile infection (HCA-CDI) remains a major cause of morbidity and mortality in industrialized countries. However, few data exist on the burden of HCA-CDI in multi-site non-metropolitan settings. This study examined the introduction of an antimicrobial stewardship programme (ASP) in relation to HCA-CDI rates, and the effect of HCA-CDI on length of stay (LOS) and hospital costs. A comparative before-and-after intervention study of patients aged ≥16 years with HCA-CDI from December 2010 to April 2016 across the nine hospitals of a non-metropolitan health district in New South Wales, Australia was undertaken. The intervention comprised a multi-site ASP supported by a clinical decision support system, with subsequent introduction of email feedback of HCA-CDI cases to admitting medical officers. HCA-CDI rates, comparative LOS and hospital costs, prior use of antimicrobials and proton pump inhibitors, and appropriateness of CDI treatment. HCA-CDI rates rose from 3.07 to 4.60 cases per 10,000 occupied bed-days pre-intervention, and remained stable at 4 cases per 10,000 occupied bed-days post-intervention (P=0.24). Median LOS (17 vs six days; P<0.01) and hospital costs (AU$19,222 vs $7861; P<0.01) were significantly greater for HCA-CDI cases (N=91) than for matched controls (N=172). Half of the patients with severe HCA-CDI (4/8) did not receive initial appropriate treatment (oral vancomycin). HCA-CDI placed a significant burden on the regional and rural health service through increased LOS and hospital costs. Interventions targeting HCA-CDI could be employed to consolidate the effects of ASPs. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  2. Advanced time and wavelength division multiplexing for metropolitan area optical data communication networks

    Science.gov (United States)

    Watford, M.; DeCusatis, C.

    2005-09-01

    With the advent of new regulations governing the protection and recovery of sensitive business data, including the Sarbanes-Oxley Act, there has been a renewed interest in business continuity and disaster recovery applications for metropolitan area networks. Specifically, there has been a need for more efficient bandwidth utilization and lower cost per channel to facilitate mirroring of multi-terabit data bases. These applications have further blurred the boundary between metropolitan and wide area networks, with synchronous disaster recovery applications running up to 100 km and asynchronous solutions extending to 300 km or more. In this paper, we discuss recent enhancements in the Nortel Optical Metro 5200 Dense Wavelength Division Multiplexing (DWDM) platform, including features recently qualified for data communication applications such as Metro Mirror, Global Mirror, and Geographically Distributed Parallel Sysplex (GDPS). Using a 10 Gigabit/second (Gbit/s) backbone, this solution transports significantly more Fibre Channel protocol traffic with up to five times greater hardware density in the same physical package. This is also among the first platforms to utilize forward error correction (FEC) on the aggregate signals to improve bit error rate (BER) performance beyond industry standards. When combined with encapsulation into wide area network protocols, the use of FEC can compensate for impairments in BER across a service provider infrastructure without impacting application level performance. Design and implementation of these features will be discussed, including results from experimental test beds which validate these solutions for a number of applications. Future extensions of this environment will also be considered, including ways to provide configurable bandwidth on demand, mitigate Fibre Channel buffer credit management issues, and support for other GDPS protocols.

  3. Greater trochanteric fracture with occult intertrochanteric extension.

    Science.gov (United States)

    Reiter, Michael; O'Brien, Seth D; Bui-Mansfield, Liem T; Alderete, Joseph

    2013-10-01

    Proximal femoral fractures are frequently encountered in the emergency department (ED). Prompt diagnosis is paramount as delay will exacerbate the already poor outcomes associated with these injuries. In cases where radiography is negative but clinical suspicion remains high, magnetic resonance imaging (MRI) is the study of choice as it has the capability to depict fractures which are occult on other imaging modalities. Awareness of a particular subset of proximal femoral fractures, namely greater trochanteric fractures, is vital for both radiologists and clinicians since it has been well documented that they invariably have an intertrochanteric component which may require surgical management. The detection of intertrochanteric or cervical extension of greater trochanteric fractures has been described utilizing MRI but is underestimated with both computed tomography (CT) and bone scan. Therefore, if MRI is unavailable or contraindicated, the diagnosis of an isolated greater trochanteric fracture should be met with caution. The importance of avoiding this potential pitfall is demonstrated in the following case of an elderly woman with hip pain and CT demonstrating an isolated greater trochanteric fracture who subsequently returned to the ED with a displaced intertrochanteric fracture.

  4. Butterfly valves: greater use in power plants

    International Nuclear Information System (INIS)

    McCoy, M.

    1975-01-01

    Improvements in butterfly valves, particularly in the areas of automatic control and leak tightness are described. The use of butterfly valves in nuclear power plants is discussed. These uses include service in component cooling, containment cooling, and containment isolation. The outlook for further improvements and greater uses is examined. (U.S.)

  5. Greater Somalia, the never-ending dream?

    DEFF Research Database (Denmark)

    Zoppi, Marco

    2015-01-01

    This paper provides an historical analysis of the concept of Greater Somalia, the nationalist project that advocates the political union of all Somali-speaking people, including those inhabiting areas in current Djibouti, Ethiopia and Kenya. The Somali territorial unification project of “lost...

  6. Metropolitan social environments and pre-HAART/HAART era changes in mortality rates (per 10,000 adult residents among injection drug users living with AIDS.

    Directory of Open Access Journals (Sweden)

    Samuel R Friedman

    Full Text Available Among the largest US metropolitan areas, trends in mortality rates for injection drug users (IDUs with AIDS vary substantially. Ecosocial, risk environment and dialectical theories suggest many metropolitan areas characteristics that might drive this variation. We assess metropolitan area characteristics associated with decline in mortality rates among IDUs living with AIDS (per 10,000 adult MSA residents after highly active antiretroviral therapy (HAART was developed.This is an ecological cohort study of 86 large US metropolitan areas from 1993-2006. The proportional rate of decline in mortality among IDUs diagnosed with AIDS (as a proportion of adult residents from 1993-1995 to 2004-2006 was the outcome of interest. This rate of decline was modeled as a function of MSA-level variables suggested by ecosocial, risk environment and dialectical theories. In multiple regression analyses, we used 1993-1995 mortality rates to (partially control for pre-HAART epidemic history and study how other independent variables affected the outcomes.In multivariable models, pre-HAART to HAART era increases in 'hard drug' arrest rates and higher pre-HAART income inequality were associated with lower relative declines in mortality rates. Pre-HAART per capita health expenditure and drug abuse treatment rates, and pre- to HAART-era increases in HIV counseling and testing rates, were weakly associated with greater decline in AIDS mortality.Mortality among IDUs living with AIDS might be decreased by reducing metropolitan income inequality, increasing public health expenditures, and perhaps increasing drug abuse treatment and HIV testing services. Given prior evidence that drug-related arrest rates are associated with higher HIV prevalence rates among IDUs and do not seem to decrease IDU population prevalence, changes in laws and policing practices to reduce such arrests while still protecting public order should be considered.

  7. Environmental Scan of the Greater Sacramento Area, 1999.

    Science.gov (United States)

    Los Rios Community Coll. District, Sacramento, CA. Office of Planning and Research.

    This report provides a comprehensive look at the external environment impacting Los Rios Community College District (LRCCD) (California). It summarizes the social, economic, and political changes at the state and national levels, in general, and in the Sacramento-Yolo Consolidated Metropolitan Statistical Area (CMSA) served by LRCCD, more…

  8. Utilization of wind energy in greater Hanover

    International Nuclear Information System (INIS)

    Sahling, U.

    1993-01-01

    Since the beginning of the Eighties, the association of communities of Greater Hanover has dealt intensively with energy and ecopolitical questions in the scope of regional planning. Renewable energy sources play a dominant role in this context. This brochure is the third contribution to the subject ''Energy policy and environmental protection''. Experts as well as possibly interested parties are addressed especially. For all 8 contributions contained, separate entries have been recorded in this database. (BWI) [de

  9. Small cities face greater impact from automation

    OpenAIRE

    Frank, Morgan R.; Sun, Lijun; Cebrian, Manuel; Youn, Hyejin; Rahwan, Iyad

    2017-01-01

    The city has proven to be the most successful form of human agglomeration and provides wide employment opportunities for its dwellers. As advances in robotics and artificial intelligence revive concerns about the impact of automation on jobs, a question looms: How will automation affect employment in cities? Here, we provide a comparative picture of the impact of automation across U.S. urban areas. Small cities will undertake greater adjustments, such as worker displacement and job content su...

  10. Heterogeneous Structure and Seismicity beneath the Tokyo Metropolitan Area

    Science.gov (United States)

    Nakagawa, S.; Kato, A.; Sakai, S.; Nanjo, K.; Panayotopoulos, Y.; Kurashimo, E.; Obara, K.; Kasahara, K.; Aketagawa, T.; Kimura, H.; Hirata, N.

    2010-12-01

    Beneath the Tokyo metropolitan area, the Philippine Sea Plate (PSP) subducts and causes damaged mega-thrust earthquakes. Sato et al. (2005) revealed the geometry of upper surface of PSP, and Hagiwara et al. (2006) estimated the velocity structure beneath Boso peninsula. However, these results are not sufficient for the assessment of the entire picture of the seismic hazards beneath the Tokyo metropolitan area including those due to an intra-slab M7+ earthquake. So, we launched the Special Project for Earthquake Disaster Mitigation in the Tokyo Metropolitan area (Hirata et al., 2009). Proving the more detailed geometry and physical properties (e.g. velocities, densities, attenuation) and stress field within PSP is very important to attain this issue. The core item of this project is a dense seismic array called Metropolitan Seismic Observation network (MeSO-net) for making observations in the metropolitan area (Sakai and Hirata, 2009; Kasahara et al., 2009). We deployed the 249 seismic stations with a spacing of 5 km. Some parts of stations construct 5 linear arrays at interval of 2 km such as Tsukuba-Fujisawa (TF) array, etc. The TF array runs from northeast to southwest through the center of Tokyo. In this study, we applied the tomography method to image the heterogeneous structure under the Tokyo metropolitan area. We selected events from the Japan Meteorological Agency (JMA) unified earthquake list. All data of MeSO-net were edited into event data by the selected JMA unified earthquake list. We picked the P and S wave arrival times. The total number of stations and events are 421 and 1,256, respectively. Then, we applied the double-difference tomography method (Zhang and Thurber, 2003) to this dataset and estimated the fine-scale velocity structure. The grid nodes locate 10 km interval in parallel with the array, 20 km interval in perpendicular to the array; and on depth direction, 5 km interval to a depth of less than 50 km and 10 km interval at a depth of more

  11. The Greater Sekhukhune-CAPABILITY outreach project.

    Science.gov (United States)

    Gregersen, Nerine; Lampret, Julie; Lane, Tony; Christianson, Arnold

    2013-07-01

    The Greater Sekhukhune-CAPABILITY Outreach Project was undertaken in a rural district in Limpopo, South Africa, as part of the European Union-funded CAPABILITY programme to investigate approaches for capacity building for the translation of genetic knowledge into care and prevention of congenital disorders. Based on previous experience of a clinical genetic outreach programme in Limpopo, it aimed to initiate a district clinical genetic service in Greater Sekhukhune to gain knowledge and experience to assist in the implementation and development of medical genetic services in South Africa. Implementing the service in Greater Sekhukhune was impeded by a developing staff shortage in the province and pressure on the health service from the existing HIV/AIDS and TB epidemics. This situation underscores the need for health needs assessment for developing services for the care and prevention of congenital disorders in middle- and low-income countries. However, these impediments stimulated the pioneering of innovate ways to offer medical genetic services in these circumstances, including tele-teaching of nurses and doctors, using cellular phones to enhance clinical care and adapting and assessing the clinical utility of a laboratory test, QF-PCR, for use in the local circumstances.

  12. Operational technology for greater confinement disposal

    International Nuclear Information System (INIS)

    Dickman, P.T.; Vollmer, A.T.; Hunter, P.H.

    1984-12-01

    Procedures and methods for the design and operation of a greater confinement disposal facility using large-diameter boreholes are discussed. It is assumed that the facility would be located at an operating low-level waste disposal site and that only a small portion of the wastes received at the site would require greater confinement disposal. The document is organized into sections addressing: facility planning process; facility construction; waste loading and handling; radiological safety planning; operations procedures; and engineering cost studies. While primarily written for low-level waste management site operators and managers, a detailed economic assessment section is included that should assist planners in performing cost analyses. Economic assessments for both commercial and US government greater confinement disposal facilities are included. The estimated disposal costs range from $27 to $104 per cubic foot for a commercial facility and from $17 to $60 per cubic foot for a government facility. These costs are based on average site preparation, construction, and waste loading costs for both contact- and remote-handled wastes. 14 figures, 22 tables

  13. Top Soils Geochemical and Radioactivity Survey of Naples (Italy) Metropolitan.

    Science.gov (United States)

    Somma, R.; De Vivo, B.; Cicchella, D.

    2001-05-01

    The metropolitan area of Naples due to intense human activities is an emblematic area affected by various environmental pollution of soils and waters in addition to hydrogeological volcanic, seismic and bradyseismic hazards. The geology of the area is prevailing represented by volcanics erupted, from the Upper Pleistocene to Recent by Mt. Somma-Vesuvius on the east and the Campi Flegrei fields on the west. The morphology of the metropolitan area of Naples city can be subdivided in flat areas, constituted by reworked pyroclastic terrains, and by hills originated by the overlapping of different welded pyroclastic flows (i.e.: Campanian Ignimbrite and Neapoletan Yellow Tuff) intercalated with pyroclastic deposits of different origins (i.e.: Campi Flegrei, Mt. Somma-Vesuvius, Ischia) and ages. In order to compile a multi-element baseline geochemical and radioactivity mapping of the metropolitan area of the Napoli we have sampled for this study, in situ top soil and imported filling material (mainly soil, volcanic ash, pumice and scoriae). The sampling and radioactivity survey has been carried out on about 200 sampling sites covering an area of about 150 Km2, with a grid of 0.5 x 0.5 km in the urbanised downtown and 1 km x 1 km in the sub urban areas. In each site has been determined a radioactivity by a Scintrex GRS-500 at different emission spectra as total radioactivity (> 0.08 MeV and > 0.40 MeV), 238U (at 1.76 MeV mostly from 214Bi), 232Th (at 2.6 MeV mostly from 208Tl) and 40K (at 1.46 MeV mostly for 40K). The range of values of in situ soils are as follow for the in situ soils (Total radioactivity: 1327- 360 and 114- 47; 238U: 2.6- 1.3; 40K: 8.1- 3.1; 232U: 0.5- 0.1). Analyses of major, metallic elements and pH of each soil sample are in progress, while Pb isotopes compositions, for a selected number of samples, will be determined to discriminate the natural (geogenic) from the anthropogenic components in the soils by versus the anthropogenetic origin. The data

  14. Urban heat island effect on cicada densities in metropolitan Seoul

    Directory of Open Access Journals (Sweden)

    Hoa Q. Nguyen

    2018-01-01

    Full Text Available Background Urban heat island (UHI effect, the ubiquitous consequence of urbanization, is considered to play a major role in population expansion of numerous insects. Cryptotympana atrata and Hyalessa fuscata are the most abundant cicada species in the Korean Peninsula, where their population densities are higher in urban than in rural areas. We predicted a positive relationship between the UHI intensities and population densities of these two cicada species in metropolitan Seoul. Methods To test this prediction, enumeration surveys of cicada exuviae densities were conducted in 36 localities located within and in the vicinity of metropolitan Seoul. Samples were collected in two consecutive periods from July to August 2015. The abundance of each species was estimated by two resource-weighted densities, one based on the total geographic area, and the other on the total number of trees. Multiple linear regression analyses were performed to identify factors critical for the prevalence of cicada species in the urban habitat. Results C. atrata and H. fuscata were major constituents of cicada species composition collected across all localities. Minimum temperature and sampling period were significant factors contributing to the variation in densities of both species, whereas other environmental factors related to urbanization were not significant. More cicada exuviae were collected in the second rather than in the first samplings, which matched the phenological pattern of cicadas in metropolitan Seoul. Cicada population densities increased measurably with the increase in temperature. Age of residential complex also exhibited a significantly positive correlation to H. fuscata densities, but not to C. atrata densities. Discussion Effects of temperature on cicada densities have been discerned from other environmental factors, as cicada densities increased measurably in tandem with elevated temperature. Several mechanisms may contribute to the abundance of

  15. Population deconcentration in metropolitan Manila in the twentieth century.

    Science.gov (United States)

    Stinner, W F; Bacol-montilla, M

    1981-10-01

    "The present analysis is intended to delineate the extent of population deconcentration through an examination of changes in core-periphery growth and density patterns within the Metropolitan Manila complex. Specifically, [the authors] examine changes in absolute and relative population growth and density levels in the central city of Manila, the inner suburban ring, and the outer suburban ring from 1903 to 1975. [The authors] also present a preliminary assessment of the demographic processes underlying the post-World War II trends." Data are from the 1975 Philippine census. excerpt

  16. Travel Models for Corridors of Metropolitan Areas Served by Railways

    Directory of Open Access Journals (Sweden)

    Brzeziński A.

    2016-12-01

    Full Text Available In recent years adverse processes of suburbanization have been observed in cities. It has become a serious challenge for urban and transport planners, as it influences largely the quality of space, the quality of life, and the cost of running the city. This paper is dedicated to travel models in areas serviced by a railway system, and is based on a real-life survey example of the Błonie community, a district belonging to the Warsaw metropolitan area. Research carried out in 2014 focused on combined travels behaviors recorded using GPS locators as well as quantitative research (volumes of users across various transport systems.

  17. The determinants of part-time work in Metropolitan Lima

    Directory of Open Access Journals (Sweden)

    Manuel Enrique Saavedra Martinez

    2011-12-01

    Full Text Available The following paper examines the part-time work in Metropolitan Lima in 2008. The overall objective is to identify the determinants of the incidence of part-time work in Lima. We worked with one Probit econometric model, measured by the National Survey of Households (NSH, which explores the job characteristics of people. This will determine the presence of part-time workers in the areas of trade, health, education and communication; also realized that this group has completed university studies and incomplete, and the woman has a probability of 83,11397% more than men of working part time.

  18. A cross-sectional study of tuberculosis drug resistance among previously treated patients in a tertiary hospital in Accra, Ghana: public health implications of standardized regimens.

    Science.gov (United States)

    Forson, Audrey; Kwara, Awewura; Kudzawu, Samuel; Omari, Michael; Otu, Jacob; Gehre, Florian; de Jong, Bouke; Antonio, Martin

    2018-04-02

    Mycobacterium tuberculosis drug resistance is a major challenge to the use of standardized regimens for tuberculosis (TB) therapy, especially among previously treated patients. We aimed to investigate the frequency and pattern of drug resistance among previously treated patients with smear-positive pulmonary tuberculosis at the Korle-Bu Teaching Hospital Chest Clinic, Accra. This was a cross-sectional survey of mycobacterial isolates from previously treated patients referred to the Chest Clinic Laboratory between October 2010 and October 2013. The Bactec MGIT 960 system for mycobactrerial culture and drug sensitivity testing (DST) was used for sputum culture of AFB smear-positive patients with relapse, treatment failure, failure of smear conversion, or default. Descriptive statistics were used to summarize patient characteristics, and frequency and patterns of drug resistance. A total of 112 isolates were studied out of 155 from previously treated patients. Twenty contaminated (12.9%) and 23 non-viable isolates (14.8%) were excluded. Of the 112 studied isolates, 53 (47.3%) were pan-sensitive to all first-line drugs tested Any resistance (mono and poly resistance) to isoniazid was found in 44 isolates (39.3%) and any resistance to streptomycin in 43 (38.4%). Thirty-one (27.7%) were MDR-TB. Eleven (35.5%) out of 31 MDR-TB isolates were pre-XDR. MDR-TB isolates were more likely than non-MDR isolates to have streptomycin and ethambutol resistance. The main findings of this study were the high prevalence of MDR-TB and streptomycin resistance among previously treated TB patients, as well as a high prevalence of pre-XDR-TB among the MDR-TB patients, which suggest that first-line and second-line DST is essential to aid the design of effective regimens for these groups of patients in Ghana.

  19. Socio-cultural and economic factors influencing adolescents' resilience against the threat of teenage pregnancy: a cross-sectional survey in Accra, Ghana.

    Science.gov (United States)

    Ahorlu, Collins K; Pfeiffer, Constanze; Obrist, Brigit

    2015-12-23

    Adolescent pregnancy exposes female adolescents to medical, social and economic risks. In Ghana, adolescent mothers are more likely to experience complications during pregnancy and delivery as compared to older mothers. This study examined the competencies of adolescent girls to either proactively prevent teenage pregnancy or reactively cope effectively with it. A cross-sectional survey approach was used to interview 820 adolescent girls aged 15-19 years in Accra, Ghana. The main focus of the study was to examine how social capital (various kinds of valued relations with significant others), economic capital (command over economic resources, mainly cash and assets), cultural capital (personal dispositions and habits; knowledge and tradition stored in material forms and institutionalized) and symbolic capital (honour, recognition and prestige) contribute to the development of competencies of adolescents to deal with the threat of teenage pregnancy and childbirth. Out of 820 adolescents interviewed, 128 (16%) were pregnant or mothers. Adolescents in both groups (62% never pregnant girls and 68% pregnant/young mothers) have access to social support, especially from their parents. Parents are taking the place of aunts and grandmothers in providing sexual education to their adolescent girls due to changing social structures where extended families no longer reside together in most cases. More (79%) pregnant girls and young mothers compared to never pregnant girls (38%) have access to economic support (P = pregnancy among adolescent girls. Findings showed that adolescent girls, especially those that get pregnant should not be viewed as weak and vulnerable because many of them have developed competencies to cope with pregnancy and childbirth effectively. Thus, focusing on developing the competencies of girls to access social, economic and cultural capitals may be an effective way of tackling the threat of teenage pregnancy than focusing only on their vulnerability and

  20. Multipathway Quantitative Assessment of Exposure to Fecal Contamination for Young Children in Low-Income Urban Environments in Accra, Ghana: The SaniPath Analytical Approach.

    Science.gov (United States)

    Wang, Yuke; Moe, Christine L; Null, Clair; Raj, Suraja J; Baker, Kelly K; Robb, Katharine A; Yakubu, Habib; Ampofo, Joseph A; Wellington, Nii; Freeman, Matthew C; Armah, George; Reese, Heather E; Peprah, Dorothy; Teunis, Peter F M

    2017-10-01

    Lack of adequate sanitation results in fecal contamination of the environment and poses a risk of disease transmission via multiple exposure pathways. To better understand how eight different sources contribute to overall exposure to fecal contamination, we quantified exposure through multiple pathways for children under 5 years old in four high-density, low-income, urban neighborhoods in Accra, Ghana. We collected more than 500 hours of structured observation of behaviors of 156 children, 800 household surveys, and 1,855 environmental samples. Data were analyzed using Bayesian models, estimating the environmental and behavioral factors associated with exposure to fecal contamination. These estimates were applied in exposure models simulating sequences of behaviors and transfers of fecal indicators. This approach allows us to identify the contribution of any sources of fecal contamination in the environment to child exposure and use dynamic fecal microbe transfer networks to track fecal indicators from the environment to oral ingestion. The contributions of different sources to exposure were categorized into four types (high/low by dose and frequency), as a basis for ranking pathways by the potential to reduce exposure. Although we observed variation in estimated exposure (10 8 -10 16 CFU/day for Escherichia coli ) between different age groups and neighborhoods, the greatest contribution was consistently from food (contributing > 99.9% to total exposure). Hands played a pivotal role in fecal microbe transfer, linking environmental sources to oral ingestion. The fecal microbe transfer network constructed here provides a systematic approach to study the complex interaction between contaminated environment and human behavior on exposure to fecal contamination.

  1. Using High Resolution Commercial Satellite Imagery to Quantify Spatial Features of Urban Areas and their Relationship to Quality of Life Indicators in Accra, Ghana

    Science.gov (United States)

    Sandborn, A.; Engstrom, R.; Yu, Q.

    2014-12-01

    Mapping urban areas via satellite imagery is an important task for detecting and anticipating land cover and land use change at multiple scales. As developing countries experience substantial urban growth and expansion, remotely sensed based estimates of population and quality of life indicators can provide timely and spatially explicit information to researchers and planners working to determine how cities are changing. In this study, we use commercial high spatial resolution satellite imagery in combination with fine resolution census data to determine the ability of using remotely sensed data to reveal the spatial patterns of quality of life in Accra, Ghana. Traditionally, spectral characteristics are used on a per-pixel basis to determine land cover; however, in this study, we test a new methodology that quantifies spatial characteristics using a variety of spatial features observed in the imagery to determine the properties of an urban area. The spatial characteristics used in this study include histograms of oriented gradients, PanTex, Fourier transform, and line support regions. These spatial features focus on extracting structural and textural patterns of built-up areas, such as homogeneous building orientations and straight line indices. Information derived from aggregating the descriptive statistics of the spatial features at both the fine-resolution census unit and the larger neighborhood level are then compared to census derived quality of life indicators including information about housing, education, and population estimates. Preliminary results indicate that there are correlations between straight line indices and census data including available electricity and literacy rates. Results from this study will be used to determine if this methodology provides a new and improved way to measure a city structure in developing cities and differentiate between residential and commercial land use zones, as well as formal versus informal housing areas.

  2. Interplay of metals and bromine with dioxin-related compounds concentrated in e-waste open burning soil from Agbogbloshie in Accra, Ghana.

    Science.gov (United States)

    Fujimori, Takashi; Itai, Takaaki; Goto, Akitoshi; Asante, Kwadwo A; Otsuka, Masanari; Takahashi, Shin; Tanabe, Shinsuke

    2016-02-01

    Open burning of electronic waste (e-waste) releases various metals and organohalogen compounds in the environment. Here we investigated the interplay of metals (Cu, Pb, Zn, Fe, Co, and Sr) and bromine (Br) in the formation of dioxin-related compounds (DRCs), including polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) and dioxin-like polychlorinated biphenyls (DL-PCBs), as well as non-regulated DRCs such as polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) and their monobrominated PCDD/Fs in soils sampled from open burning e-waste sites at Agbogbloshie in Accra, Ghana. The predominant DRCs were PBDFs, PCDFs, PCDDs, and DL-PCBs. Statistical analyzes, X-ray absorption spectroscopy, and the PCDF/PCDD ratio suggested possible formation paths of PCDD/Fs and DL-PCBs by catalytic behaviors of copper chlorides (CuCl, CuCl2, and Cu2(OH)3Cl) and thermal breakdown of polyvinyl chloride. Predominant formation of brominated furans may be derived from electron transfer from intermediates of PBDE to copper, Cu(II) → Cu(I). Lead chloride also contributed to generate DRCs and may become highly bioaccessible through the open burning of e-waste. The main zinc species (ZnCl2 and ZnS) suggested a possible relationship to generate DRCs and specific zinc source such as tire burning. Cu, Pb, Zn, and Br contained in various e-wastes, wires/cables, plastics, and tires strongly influenced generation of many DRCs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Multi-trace element levels and arsenic speciation in urine of e-waste recycling workers from Agbogbloshie, Accra in Ghana

    Energy Technology Data Exchange (ETDEWEB)

    Asante, Kwadwo Ansong [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Agusa, Tetsuro [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Biney, Charles Augustus [Volta Basin Authority (VBA), 10 P. O. Box 13621, Ouagadougou 10 (Burkina Faso); Agyekum, William Atuobi; Bello, Mohammed [CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Otsuka, Masanari [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Ehime Prefectural Institute of Public Health and Environmental Science, 8-234 Sanban-cho, Matsuyama 790-0003 (Japan); Itai, Takaaki; Takahashi, Shin [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan); Tanabe, Shinsuke, E-mail: shinsuke@agr.ehime-u.ac.jp [Center for Marine Environmental Studies (CMES), Ehime University, Bunkyo-cho 2-5, Matsuyama 790-8577 (Japan)

    2012-05-01

    To understand human contamination by multi-trace elements (TEs) in electrical and electronic waste (e-waste) recycling site at Agbogbloshie, Accra in Ghana, this study analyzed TEs and As speciation in urine of e-waste recycling workers. Concentrations of Fe, Sb, and Pb in urine of e-waste recycling workers were significantly higher than those of reference sites after consideration of interaction by age, indicating that the recycling workers are exposed to these TEs through the recycling activity. Urinary As concentration was relatively high, although the level in drinking water was quite low. Speciation analysis of As in human urine revealed that arsenobetaine and dimethylarsinic acid were the predominant As species and concentrations of both species were positively correlated with total As concentration as well as between each other. These results suggest that such compounds may be derived from the same source, probably fish and shellfish and greatly influence As exposure levels. To our knowledge, this is the first study on human contamination resulting from the primitive recycling of e-waste in Ghana. This study will contribute to the knowledge about human exposure to trace elements from an e-waste site in a less industrialized region so far scantly covered in the literature. - Highlights: Black-Right-Pointing-Pointer Exposure status of trace elements in e-waste recycling workers was assessed in Ghana. Black-Right-Pointing-Pointer Concentrations of Fe, Sb, and Pb in urine of e-waste workers were significantly higher than those of the reference subjects. Black-Right-Pointing-Pointer This study is the first to investigate human contamination arising from primitive recycling of e-waste arguably from Africa.

  4. Multi-trace element levels and arsenic speciation in urine of e-waste recycling workers from Agbogbloshie, Accra in Ghana

    International Nuclear Information System (INIS)

    Asante, Kwadwo Ansong; Agusa, Tetsuro; Biney, Charles Augustus; Agyekum, William Atuobi; Bello, Mohammed; Otsuka, Masanari; Itai, Takaaki; Takahashi, Shin; Tanabe, Shinsuke

    2012-01-01

    To understand human contamination by multi-trace elements (TEs) in electrical and electronic waste (e-waste) recycling site at Agbogbloshie, Accra in Ghana, this study analyzed TEs and As speciation in urine of e-waste recycling workers. Concentrations of Fe, Sb, and Pb in urine of e-waste recycling workers were significantly higher than those of reference sites after consideration of interaction by age, indicating that the recycling workers are exposed to these TEs through the recycling activity. Urinary As concentration was relatively high, although the level in drinking water was quite low. Speciation analysis of As in human urine revealed that arsenobetaine and dimethylarsinic acid were the predominant As species and concentrations of both species were positively correlated with total As concentration as well as between each other. These results suggest that such compounds may be derived from the same source, probably fish and shellfish and greatly influence As exposure levels. To our knowledge, this is the first study on human contamination resulting from the primitive recycling of e-waste in Ghana. This study will contribute to the knowledge about human exposure to trace elements from an e-waste site in a less industrialized region so far scantly covered in the literature. - Highlights: ► Exposure status of trace elements in e-waste recycling workers was assessed in Ghana. ► Concentrations of Fe, Sb, and Pb in urine of e-waste workers were significantly higher than those of the reference subjects. ► This study is the first to investigate human contamination arising from primitive recycling of e-waste arguably from Africa.

  5. The influence of institutions and organizations on urban waste collection systems: an analysis of waste collection system in Accra, Ghana (1985-2000).

    Science.gov (United States)

    Fobil, Julius N; Armah, Nathaniel A; Hogarh, Jonathan N; Carboo, Derick

    2008-01-01

    private sector initiatives in collection services delivery in the long term, as in the case of the Accra example.

  6. Risk of transmission of viral haemorrhagic fevers and the insecticide susceptibilitystatus of aedes aegypti (linnaeus) in some sites in Accra, Ghana.

    Science.gov (United States)

    Suzuki, Takashi; Osei, Joseph H; Sasaki, Akihiro; Adimazoya, Michelle; Appawu, Maxwell; Boakye, Daniel; Ohta, Nobuo; Dadzie, Samuel

    2016-09-01

    Dengue is one of the emerging diseases that can mostly only be controlled by vector control since there is no vaccine for the disease. Although, Dengue has not been reported in Ghana, movement of people from neighbouring countries where the disease has been reported can facilitate transmission of the disease. This study was carried on the University of Ghana campus to determine the risk of transmission of viral haemorrhagic fevers and the insecticide susceptibility status of Ae. aegypti in some sites in Accra, Ghana. Larval surveys were carried to inspect containers within households and estimate larval indices and adult Aedes mosquitoes were collected using human landing collection technique. WHO tube assays was used to assess the insecticide susceptibility status of Aedes mosquitoes. Ae. aegypti were the most prevalent species, 75.5% and followed by Ae. vittatus , 23.9 %. Ae. albopictus and Ae. granti were in smaller numbers. Household index (HI), Breteau index (BI), and container index were calculated as 8.2%, 11.2% and 10.3% respectively with man-vector contact rate of 0.67 bites/man-hour estimated for the area. The mortalities recorded for Ae. aegypti from WHO tube assays was 88%, 94%, 80% and 99% for DDT (4%), deltamethrin (0.05%), lambdacyhalothrin (0.05%) and permethrin (0.75%) respectively. The survey results indicated that the density of Aedes mosquitoes was considered to be sufficient to promote an outbreak of viral haemorrhagic fevers on Legon Campus. Aedes mosquitoes were found to be resistant to DDT, deltamethrin and lamdacyhalothrin, but susceptible to permethrin. This study was supported in part by Japan Initiative for Global Research Network on Infectious Diseases (J-Grid).

  7. Criteria-based audit of quality of care to women with severe pre-eclampsia and eclampsia in a referral hospital in Accra, Ghana.

    Directory of Open Access Journals (Sweden)

    Joyce L Browne

    Full Text Available Severe pre-eclampsia and eclampsia are one of the major causes of maternal mortality globally. Reducing maternal morbidity and mortality demands optimizing quality of care. Criteria-based audits are a tool to define, assess and improve quality of care. The aim of this study was to determine applicability of a criteria-based audit to assess quality of care delivered to women with severe hypertensive disorders in pregnancy, and to assess adherence to protocols and quality of care provided at a regional hospital in Accra, Ghana.Checklists for management of severe preeclampsia, hypertensive emergency and eclampsia were developed in an audit cycle based on nine existing key clinical care protocols. Fifty cases were audited to assess quality of care, defined as adherence to protocols. Analysis was stratified for complicated cases, defined as (imminent eclampsia, perinatal mortality and/or one or more WHO maternal near miss C-criteria.Mean adherence to the nine protocols ranged from 15-85%. Protocols for 'plan for delivery' and 'magnesium sulphate administration' were best adhered to (85%, followed by adherence to protocols for 'eclampsia' (64%, 'severe pre-eclampsia at admission' (60%, 'severe pre-eclampsia ward follow-up' (53% and 'hypertensive emergency' (53%. Protocols for monitoring were least adhered to (15%. No difference was observed for severe disease. Increased awareness, protocol-based training of staff, and clear task assignment were identified as contributors to better adherence.A criteria-based audit is an effective tool to determine quality of care, identify gaps in standard of care, and allow for monitoring and evaluation in a health facility, ultimately resulting in improved quality of care provided and reduced maternal morbidity and mortality. In our audit, good adherence was observed for plan for delivery and treatment with magnesium sulphate. Substandard adherence to a number of protocols was identified, and points towards

  8. Variation and distribution of metals and metalloids in soil/ash mixtures from Agbogbloshie e-waste recycling site in Accra, Ghana.

    Science.gov (United States)

    Itai, Takaaki; Otsuka, Masanari; Asante, Kwadwo Ansong; Muto, Mamoru; Opoku-Ankomah, Yaw; Ansa-Asare, Osmund Duodu; Tanabe, Shinsuke

    2014-02-01

    Illegal import and improper recycling of electronic waste (e-waste) are an environmental issue in developing countries around the world. African countries are no exception to this problem and the Agbogbloshie market in Accra, Ghana is a well-known e-waste recycling site. We have studied the levels of metal(loid)s in the mixtures of residual ash, formed by the burning of e-waste, and the cover soil, obtained using a portable X-ray fluorescence spectrometer (P-XRF) coupled with determination of the 1M HCl-extractable fraction by an inductively coupled plasma mass spectrometer. The accuracy and precision of the P-XRF measurements were evaluated by measuring 18 standard reference materials; this indicated the acceptable but limited quality of this method as a screening tool. The HCl-extractable levels of Al, Co, Cu, Zn, Cd, In, Sb, Ba, and Pb in 10 soil/ash mixtures varied by more than one order of magnitude. The levels of these metal(loid)s were found to be correlated with the color (i.e., soil/ash ratio), suggesting that they are being released from disposed e-waste via open burning. The source of rare elements could be constrained using correlation to the predominant metals. Human hazard quotient values based on ingestion of soil/ash mixtures exceeded unity for Pb, As, Sb, and Cu in a high-exposure scenario. This study showed that along with common metals, rare metal(loid)s are also enriched in the e-waste burning site. We suggest that risk assessment considering exposure to multiple metal(loid)s should be addressed in studies of e-waste recycling sites. © 2013. Published by Elsevier B.V. All rights reserved.

  9. The role of family size, employment and education of parents in the prevalence of intestinal parasitic infections in school children in Accra.

    Science.gov (United States)

    Forson, Akua Obeng; Arthur, Isaac; Ayeh-Kumi, Patrick F

    2018-01-01

    Intestinal parasitic infections (IPIs) in school children are a public health problem in most developing countries. A cross sectional survey was conducted from May to July 2016 with school children living in overcrowded urban slums in Accra, Ghana. A simple random sample of 300 children aged 2-9 years was collected. The study used structured pre-tested questionnaire and stool tests to obtain information on epidemiological, sanitation habits, employment and education status of parents and children. Data were analysed using appropriate descriptive, univariate and multivariable logistic tools of analyses. The mean age of participants was 6.9 years and 49% were males and 51.3% were females. Giardia lamblia was found in males (10.95%) and females (7.79%). Very low prevalences for Schistosoma mansoni, Ascaris lumbricoides, Taenia species, and Entamoeba coli were detected. Whilst children from mothers (62.2%) and fathers (55.6%) with no education were often infected, a few children from fathers (22.2%) and mothers (6.7%) with no jobs were infected. Most of the infected children's (93.7%) parents did not have any knowledge of IPIs. The educational and employment status of the mothers [p = 1.0 and p = 0.422] was not significant, however, the family size was a predisposing factor (p = 0.031) for parasitic infections. Intestinal parasites were prevalent in children from overcrowded families and with no knowledge of IPIs. Educative programmes on IPIs, improving hygiene, and application of supportive programmes to elevate socioeconomic conditions may help reduce the burden of intestinal parasite carriage in children.

  10. Greater happiness for a greater number: Is that possible in Austria?

    NARCIS (Netherlands)

    R. Veenhoven (Ruut)

    2011-01-01

    textabstractWhat is the final goal of public policy? Jeremy Bentham (1789) would say: greater happiness for a greater number. He thought of happiness as subjective enjoyment of life; in his words as “the sum of pleasures and pains”. In his time the happiness of the great number could not be measured

  11. Greater happiness for a greater number: Is that possible? If so how? (Arabic)

    NARCIS (Netherlands)

    R. Veenhoven (Ruut); E. Samuel (Emad)

    2012-01-01

    textabstractWhat is the final goal of public policy? Jeremy Bentham (1789) would say: greater happiness for a greater number. He thought of happiness as subjective enjoyment of life; in his words as “the sum of pleasures and pains”. In his time, the happiness of the great number could not be

  12. Greater happiness for a greater number: Is that possible in Germany?

    NARCIS (Netherlands)

    R. Veenhoven (Ruut)

    2009-01-01

    textabstractWhat is the final goal of public policy? Jeremy Bentham (1789) would say: greater happiness for a greater number. He thought of happiness as subjective enjoyment of life; in his words as “the sum of pleasures and pains”. In his time the Happiness of the great number could not be measured

  13. Search for greater stability in nuclear regulation

    International Nuclear Information System (INIS)

    Asselstine, J.K.

    1985-01-01

    The need for greater stability in nuclear regulation is discussed. Two possible approaches for dealing with the problems of new and rapidly changing regulatory requirements are discussed. The first approach relies on the more traditional licensing reform initiatives that have been considered off and on for the past decade. The second approach considers a new regulator philosophy aimed at the root causes of the proliferation of new safety requirements that have been imposed in recent years. For the past few years, the concepts of deregulation and regulatory reform have been in fashion in Washington, and the commercial nuclear power program has not remained unaffected. Many look to these concepts to provide greater stability in the regulatory program. The NRC, the nuclear industry and the administration have all been avidly pursuing regulatory reform initiatives, which take the form of both legislative and administrative proposals. Many of these proposals look to the future, and, if adopted, would have little impact on currently operating nuclear power plants or plants now under construction

  14. Greater Sudbury fuel efficient driving handbook

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-12-15

    Reducing the amount of fuel that people use for personal driving saves money, improves local air quality, and reduces personal contributions to climate change. This handbook was developed to be used as a tool for a fuel efficient driving pilot program in Greater Sudbury in 2009-2010. Specifically, the purpose of the handbook was to provide greater Sudbury drivers with information on how to drive and maintain their personal vehicles in order to maximize fuel efficiency. The handbook also provides tips for purchasing fuel efficient vehicles. It outlines the benefits of fuel maximization, with particular reference to reducing contributions to climate change; reducing emissions of air pollutants; safe driving; and money savings. Some tips for efficient driving are to avoid aggressive driving; use cruise control; plan trips; and remove excess weight. Tips for efficient winter driving are to avoid idling to warm up the engine; use a block heater; remove snow and ice; use snow tires; and check tire pressure. The importance of car maintenance and tire pressure was emphasized. The handbook also explains how fuel consumption ratings are developed by vehicle manufacturers. refs., figs.

  15. Women at greater risk of HIV infection.

    Science.gov (United States)

    Mahathir, M

    1997-04-01

    Although many people believe that mainly men get infected with HIV/AIDS, women are actually getting infected at a faster rate than men, especially in developing countries, and suffer more from the adverse impact of AIDS. As of mid-1996, the Joint UN Program on AIDS estimated that more than 10 million of the 25 million adults infected with HIV since the beginning of the epidemic are women. The proportion of HIV-positive women is growing, with almost half of the 7500 new infections daily occurring among women. 90% of HIV-positive women live in a developing country. In Asia-Pacific, 1.4 million women have been infected with HIV out of an estimated total 3.08 million adults from the late 1970s until late 1994. Biologically, women are more vulnerable than men to infection because of the greater mucus area exposed to HIV during penile penetration. Women under age 17 years are at even greater risk because they have an underdeveloped cervix and low vaginal mucus production. Concurrent sexually transmitted diseases increase the risk of HIV transmission. Women's risk is also related to their exposure to gender inequalities in society. The social and economic pressures of poverty exacerbate women's risk. Prevention programs are discussed.

  16. Spatial mismatch, wages and unemployment in metropolitan areas in Brazil

    Directory of Open Access Journals (Sweden)

    Ana Maria Bonomi Barufi

    2017-12-01

    Full Text Available The spatial mismatch hypothesis states that a lack of connection to job opportunities may affect an individual’s prospects in the labour market, especially for low-skilled workers. This phenomenon is especially observed in large urban areas, in which low-skilled minorities tend to live far away from jobs and face geographical barriers to finding and keeping jobs. This paper aims to investigate whether this negative relationship between spatial mismatch and labour market outcomes is valid in Brazil after controlling for individual characteristics. Our conclusions indicate that there is no clear relation between different measures of accessibility to jobs and the probability of being unemployed. However, for wages there is a clear correlation, which is stronger in larger metropolitan areas in the country. Given the exploratory nature of this work, our results still rely on strong identification hypotheses to avoid potential bias related to simultaneous location decisions of workers and firms within the city. Even if these conditions do not hold, the results are still meaningful as they provide a better understanding of the conditional distribution of wages and the unemployment rate in the biggest metropolitan areas of Brazil.

  17. The Audiometric Findings among Curitiba and Metropolitan Area Students

    Directory of Open Access Journals (Sweden)

    Klas, Regina

    2014-02-01

    Full Text Available Introduction Hearing loss can compromise the language, learning process, and socialization of students. Objective Study the audiometric findings among Curitiba and Metropolitan Area students. Methods Analysis of data collected at the hearing health service of Paraná State special education and inclusion department. Results The sample consisted of 646 students, children and teenagers of both genders (38.2% female and 61.8% male, with average age of 8.12 years (range 2 to 15; all were students of public or private schools of Curitiba and Metropolitan Area. The justifications to refer the students to audiometric evaluation were: otolaryngologists diagnosis (73.1%, school difficulties (39.6%, and midlevel hearing problems (32%. Audiometric results showed that 29.5% of the students had hearing loss. Conductive hearing losses showed the greatest occurrence among preschool students (right ear 38.6%, left ear 39.8%. The predominant hearing loss degree was mild (RE 20.5%, LE 19.3% to slight (RE 17%, LE 19.3%, as was the horizontal configuration (RE 81.5%, LE 78.4%. A significant relationship (p = 0.0000 between hearing loss and poor school performance was noted. Conclusion Considering the available data, especially the high number of findings of conductive losses, it is necessary to highlight prevention and diagnosis of early hearing alteration. Nevertheless, Brazil, as an emerging country, has been pursuing improvement in health and life quality of all citizens.

  18. PAD TECHNIQUE ON DEFORESTATION SITUATION ON PETROPOLIS’ METROPOLITAN AREA - RJ

    Directory of Open Access Journals (Sweden)

    Amanda Santos de Alencar

    2015-12-01

    Full Text Available With the rising and intensification of production’s activities, as industries, the deforestation taxes show to be on an alarming level. It is wide spread known the consequences that deforestation might cause in metropolitan areas. In order to evalue the consequences of this growing phenomenon, is possible to use a role of ambiental impacts evaluations techniques. One of them is the Preliminary Analysis of Danger (PAD, which is based on qualitative and statistics analysis and might be used in association with other ambiental impacts evaluations techniques. It’s goal is to analyze dangers in potential, it’s causes and consequences, in which is also done an associated risk analysis, which the last is the association between the classifications of frequency and severity, and, in the end, it gives suggestions of measures to avoid these dangers (undesired events. In this study, six dangers have been identified, in which none of them present despicable or low risk (0%, 16% present medium or high risk and 66% present critic risk. These datas point out that the deforestation situation might cause dangers with great consequences to Petropolis’ metropolitan area, just as floodings and earth slidings, which higthlights the urgency of management of the area. DOI: http://dx.doi.org/10.12957/sustinere.2015.20003

  19. Violence against metropolitan bus drivers and fare collectors in Brazil

    Directory of Open Access Journals (Sweden)

    Ada Ávila Assunção

    2015-01-01

    Full Text Available OBJECTIVE To analyze the correlation between sociodemographic factors and working conditions of bus workers in a metropolitan area and violence against them. METHODS This cross-sectional study used a nonprobabilistic sample estimated according to the number of workers employed in bus companies located in three cities in the Belo Horizonte metropolitan region in 2012 (N = 17,470. Face-to-face interviews were conducted using a digital questionnaire. The factors associated with violence were analyzed in two stages using Poisson regression, according to each level. The magnitude of the association was evaluated using prevalence ratios with robust variance and a statistical significance of 5%, and 95% confidence intervals were obtained. RESULTS The study sample comprised 782 drivers and 691 fare collectors; 45.0% participants reported at least one act of violence in the workplace in the last 12 months, with passengers being predominantly responsible. The age of the bus workers was inversely associated with violence. Chronic diseases, sickness absenteeism, and working conditions were also associated with violence. CONCLUSIONS The findings on the correlation between violence and working conditions are essential for implementing prevention strategies by transportation service managers.

  20. Occurrence and sources of Escherichia coli in metropolitan St. Louis streams, October 2004 through September 2007

    Science.gov (United States)

    Wilkison, Donald H.; Davis, Jerri V.

    2010-01-01

    The occurrence and sources of Escherichia coli (E. coli), one of several fecal indicator bacteria, in metropolitan St. Louis streams known to receive nonpoint source runoff, occasional discharges from combined and sanitary sewers, and treated wastewater effluent were investigated from October 2004 through September 2007. Three Missouri River sites, five Mississippi River sites, and six small basin tributary stream sites were sampled during base flow and storm events for the presence of E. coli and their sources. E. coli host-source determinations were conducted using local library based genotypic methods. Human fecal contamination in stream samples was additionally confirmed by the presence of Bacteroides thetaiotaomicron, an anaerobic, enteric bacterium with a high occurrence in, and specificity to, humans. Missouri River E. coli densities and loads during base flow were approximately 10 times greater than those in the Mississippi River above its confluence with the Missouri River. Although substantial amounts of E. coli originated from within the study area during base flow and storm events, considerable amounts of E. coli in the Missouri River, as well as in the middle Mississippi River sections downstream from its confluence with the Missouri River, originated in Missouri River reaches upstream from the study area. In lower Mississippi River reaches, bacteria contributions from the numerous combined and sanitary sewer overflows within the study area, as well as contributions from nonpoint source runoff, greatly increased instream E. coli densities. Although other urban factors cannot be discounted, average E. coli densities in streams were strongly correlated with the number of upstream combined and sanitary sewer overflow points, and the percentage of upstream impervious cover. Small basin sites with the greatest number of combined and sanitary sewer overflows (Maline Creek and the River des Peres) had larger E. coli densities, larger loads, and a greater

  1. The influence of population on the economic efficiency of the metropolitan governance

    Directory of Open Access Journals (Sweden)

    Yuriy V. Pavlov

    2017-01-01

    Full Text Available Research purpose. In order to implement the optimal metropolitan governance model, it is important to understand the conditions under which this or that model is economically effective. There is a need to develop a quantitatively justified methodology for choosing the optimal metropolitan governance model for different types of metropolitan areas. It has been emphasized in some federal documents of Russia, for example, in the “Recommendations for the selection of pilot projects for approbation and improvement of mechanisms for managing the development of metropolitan areas in the Russian Federation”.Materials and methods. Domestic researchers (N. Zubarevich, K. Gonchar, etc. and foreign researchers (Glaeser Edward L., Nakamura, Ciccone A., Hall R., etc. carried out the study of quantitative relationships between the economic growth of cities and the characteristics of cities.However, for metropolitan areas, the analysis of the relationship has not yet been implemented between the outpacing economic growth of the metropolitan area relative to the average country values (labor productivity and GDP per capita, the institutional factor (the type of metropolitan governance model, andthe non-institutional factor (population size. To identify the dependencies we are interested in, we used the OECD statistical database and OECD researches to identify the metropolitan governance model in the sample of metropolitan areas in the world. The sample in this research was 87 metropolitan areas in Europe and was divided into groups, depending on the population and the introduced metropolitan governance model. For each group, a correlation-regression analysis was performed and a weighted average was calculated from the indexes of the economic growth. As the leading index of the economic growth, labor productivity was used, as the final - GDP per capita. Then a comparison was made between the real value of economic growth in each surveyed metropolitan area and

  2. 40 CFR 81.43 - Metropolitan Toledo Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.43 Section 81.43 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.43 Metropolitan Toledo Interstate Air Quality Control Region. The Metropolitan Toledo Interstate Air Quality Control Region (Ohio-Michigan) consists of the territorial area...

  3. 40 CFR 81.31 - Metropolitan Providence Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.31 Section 81.31 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.31 Metropolitan Providence Interstate Air Quality Control Region. The Metropolitan Providence Interstate Air Quality Control Region (Rhode Island-Massachusetts) consists of the...

  4. 40 CFR 81.78 - Metropolitan Portland Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.78 Section 81.78 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.78 Metropolitan Portland Intrastate Air Quality Control Region. The Metropolitan Portland Intrastate Air Quality Control Region (Maine) consists of the territorial area...

  5. 40 CFR 81.45 - Metropolitan Atlanta Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.45 Section 81.45 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.45 Metropolitan Atlanta Intrastate Air Quality Control Region. The Metropolitan Atlanta Intrastate Air Quality Control Region (Georgia) has been revised to consist of the...

  6. 40 CFR 81.16 - Metropolitan Denver Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.16 Section 81.16 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.16 Metropolitan Denver Intrastate Air Quality Control Region. The Metropolitan Denver Intrastate Air Quality Control Region (Colorado) consists of the territorial area...

  7. 40 CFR 81.29 - Metropolitan Indianapolis Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Air Quality Control Region. 81.29 Section 81.29 Protection of Environment ENVIRONMENTAL PROTECTION... Designation of Air Quality Control Regions § 81.29 Metropolitan Indianapolis Intrastate Air Quality Control Region. The Metropolitan Indianapolis Intrastate Air Quality Control Region consists of the territorial...

  8. 40 CFR 81.20 - Metropolitan Cincinnati Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.20 Section 81.20 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.20 Metropolitan Cincinnati Interstate Air Quality Control Region. The Metropolitan Cincinnati Interstate Air Quality Control Region (Ohio-Kentucky-Indiana) is revised to consist of...

  9. 40 CFR 81.101 - Metropolitan Dubuque Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.101 Section 81.101 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.101 Metropolitan Dubuque Interstate Air Quality Control Region. The Metropolitan Dubuque Interstate Air Quality Control Region (Illinois-Iowa-Wisconsin) consists of the...

  10. 40 CFR 81.44 - Metropolitan Memphis Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.44 Section 81.44 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.44 Metropolitan Memphis Interstate Air Quality Control Region. The Metropolitan Memphis Interstate Air Quality Control Region (Arkansas-Mississippi-Tennessee) consists of the...

  11. 40 CFR 81.34 - Metropolitan Dayton Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.34 Section 81.34 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.34 Metropolitan Dayton Intrastate Air Quality Control Region. The Metropolitan Dayton Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

  12. 40 CFR 81.19 - Metropolitan Boston Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.19 Section 81.19 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.19 Metropolitan Boston Intrastate Air Quality Control Region. The Metropolitan Boston Intrastate Air Quality Control Region (Massachusetts) consists of the territorial area...

  13. 40 CFR 81.28 - Metropolitan Baltimore Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.28 Section 81.28 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.28 Metropolitan Baltimore Intrastate Air Quality Control Region. The Metropolitan Baltimore Intrastate Air Quality Control Region (Maryland) consists of the territorial area...

  14. 40 CFR 81.41 - Metropolitan Birmingham Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.41 Section 81.41 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.41 Metropolitan Birmingham Intrastate Air Quality Control Region. The Metropolitan Birmingham Intrastate Air Quality Control Region (Alabama) has been revised to consist of the...

  15. 40 CFR 81.14 - Metropolitan Chicago Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.14 Section 81.14 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.14 Metropolitan Chicago Interstate Air Quality Control Region. The Metropolitan Chicago Interstate Air Quality Control Region (Illinois-Indiana) is revised to consist of the...

  16. 40 CFR 81.89 - Metropolitan Cheyenne Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.89 Section 81.89 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.89 Metropolitan Cheyenne Intrastate Air Quality Control Region. The Metropolitan Cheyenne Intrastate Air Quality Control Region (Wyoming) consists of the territorial area...

  17. 40 CFR 81.87 - Metropolitan Boise Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.87 Section 81.87 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.87 Metropolitan Boise Intrastate Air Quality Control Region. The Metropolitan Boise Intrastate Air Quality Control Region (Idaho) consists of the territorial area encompassed...

  18. 40 CFR 81.75 - Metropolitan Charlotte Interstate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... Quality Control Region. 81.75 Section 81.75 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.75 Metropolitan Charlotte Interstate Air Quality Control Region. The Metropolitan Charlotte Interstate Air Quality Control Region (North Carolina-South Carolina) has been revised...

  19. Deprivation and mortality in non-metropolitan areas of England and Wales.

    Science.gov (United States)

    Jessop, E G

    1996-10-01

    To test the hypothesis that the relationship between deprivation and mortality is weaker among residents of non-metropolitan areas of England and Wales than among residents of metropolitan areas. This study compared mortality, expressed as standardised mortality ratios (SMRs), in residents of metropolitan and non-metropolitan districts at three levels of deprivation classified by an electoral ward deprivation score and by home and car ownership. SMRs were computed for all causes of death, for bronchitis and asthma (ICD9 codes 490-493), and for accident, violence, and poisoning (ICD9 codes 800-999). England and Wales. Members of the longitudinal study of the Office of Population Censuses and Surveys, a quasi-random 1% sample of the population of England and Wales. There was an association between deprivation and mortality which was clear for all cause mortality, more noticeable for respiratory disease, and less clear for deaths from accident, violence, and poison. In general, the results showed a remarkable similarity between metropolitan and non-metropolitan areas. This study does not support the hypothesis that the relationship between mortality and deprivation differs between residents of metropolitan and non-metropolitan areas of England and Wales.

  20. Metropolization Process for enhancing local and regional planning : an experience of cirebon metropolitan, West Java

    Science.gov (United States)

    Supriyadi Rustidja, E.

    2018-03-01

    Metropolitan develops in line with resource utilization, investment, and transactions of regional activities. Metropolization of an area gives emerge urban economy that changes the situation, form, and pattern of urban space interactions. On the other hand, metropolism concerns the strategy of changing variation of urban space, so that metropolitan invasion not only form of urban space but also the process of interaction among stakeholders in developing metropolitan area. Based on participatory research, this article explores metropolitan invasion process for enhancing local and regional planning, both indigenous and intrusive cataclysmic. The study find that the primeval, rural, and urban as elemental environment must be considered in developing metropolitan, not merely form the structure and pattern of urban space. The metropolization process also requires the strategic of rural urban linkage, context setting and local assessment, strategic community investment, and interculturalist approach. The other findings of the study show that metropolization in Cirebon Metropolitan, West Java emphasizing on promotion of competitiveness strategy, value chain urban activities, and networking of urban areas. Cirebon Metropolitan must promote the realization of growth centers and connect the interregional activities of metropolitan area for providing sustainable economic growth.

  1. 78 FR 10589 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

    Science.gov (United States)

    2013-02-14

    ... Quality Implementation Plan; California; Sacramento Metropolitan Air Quality Management District... Sacramento Metropolitan Air Quality Management District (SMAQMD or District) portion of the California State... sources within the areas covered by the plan as necessary to assure that the National Ambient Air Quality...

  2. Spatio-temporal aspects of gated residential security estates in non-metropolitan Western Cape

    CSIR Research Space (South Africa)

    Spocter, M

    2011-04-01

    Full Text Available . This research attempts to address this research gap by focusing on the spatio-temporal aspects of non-metropolitan gated residential security estates in the Western Cape Province. It was found that most non-metropolitan gated residential security estates were...

  3. Urban food security at the crossroads between metropolitan food planning and global trade

    NARCIS (Netherlands)

    Wascher, Dirk Michael; Jeurissen, Leonne

    2017-01-01

    Making use of Life Cycle Thinking, the Metropolitan Foodscape Planner (MFP) tool provides ecological footprint maps and supply/demand data showing a large potential for metropolitan food supplies. In the discussion, we examine these results in the light of recent research on the impacts of the

  4. Polycentric Structures in Latin American Metropolitan Areas : Identifying Employment Sub-centres

    NARCIS (Netherlands)

    Fernández-Maldonado, Ana María; Romein, Arie; Verkoren, Otto|info:eu-repo/dai/nl/073181773; Parente Paula Pessoa, Renata

    2014-01-01

    Fernández-Maldonado A. M., Romein A., Verkoren O. and Parente Paula Pessoa R. Polycentric structures in Latin American metropolitan areas: identifying employment sub-centres, Regional Studies. The significant spatial transformations that have occurred within Latin American metropolitan areas since

  5. Knowledge Worker Perceptions of Telework Policy in the New York Metropolitan Area: A Qualitative Descriptive Study

    Science.gov (United States)

    Slaughter, Sandra Lorraine Hawks

    2013-01-01

    This qualitative descriptive case study, "Knowledge Worker Perceptions of Telework in the New York Metropolitan Area," was conducted to explore the perceptions of knowledge workers who commute to a physical workplace in the New York Metropolitan area (NYMA). In-depth interviews were conducted with fourteen NYMA commuters who are…

  6. 23 CFR 420.109 - What are the requirements for distribution of metropolitan planning funds?

    Science.gov (United States)

    2010-04-01

    ... and Research Funds § 420.109 What are the requirements for distribution of metropolitan planning funds... 23 Highways 1 2010-04-01 2010-04-01 false What are the requirements for distribution of metropolitan planning funds? 420.109 Section 420.109 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF...

  7. Non-metropolitan residential gated developments in the Western Cape Province, South Africa

    CSIR Research Space (South Africa)

    Spocter, M

    2011-07-01

    Full Text Available -metropolitan locale and the topic is also unexplored in the South African context. This research attempts to address this research gap by investigating the locations of gated developments in non-metropolitan towns of varying sizes in the Western Cape...

  8. Small cities face greater impact from automation.

    Science.gov (United States)

    Frank, Morgan R; Sun, Lijun; Cebrian, Manuel; Youn, Hyejin; Rahwan, Iyad

    2018-02-01

    The city has proved to be the most successful form of human agglomeration and provides wide employment opportunities for its dwellers. As advances in robotics and artificial intelligence revive concerns about the impact of automation on jobs, a question looms: how will automation affect employment in cities? Here, we provide a comparative picture of the impact of automation across US urban areas. Small cities will undertake greater adjustments, such as worker displacement and job content substitutions. We demonstrate that large cities exhibit increased occupational and skill specialization due to increased abundance of managerial and technical professions. These occupations are not easily automatable, and, thus, reduce the potential impact of automation in large cities. Our results pass several robustness checks including potential errors in the estimation of occupational automation and subsampling of occupations. Our study provides the first empirical law connecting two societal forces: urban agglomeration and automation's impact on employment. © 2018 The Authors.

  9. Small cities face greater impact from automation

    Science.gov (United States)

    Sun, Lijun; Cebrian, Manuel; Rahwan, Iyad

    2018-01-01

    The city has proved to be the most successful form of human agglomeration and provides wide employment opportunities for its dwellers. As advances in robotics and artificial intelligence revive concerns about the impact of automation on jobs, a question looms: how will automation affect employment in cities? Here, we provide a comparative picture of the impact of automation across US urban areas. Small cities will undertake greater adjustments, such as worker displacement and job content substitutions. We demonstrate that large cities exhibit increased occupational and skill specialization due to increased abundance of managerial and technical professions. These occupations are not easily automatable, and, thus, reduce the potential impact of automation in large cities. Our results pass several robustness checks including potential errors in the estimation of occupational automation and subsampling of occupations. Our study provides the first empirical law connecting two societal forces: urban agglomeration and automation's impact on employment. PMID:29436514

  10. Planning for greater-confinement disposal

    International Nuclear Information System (INIS)

    Gilbert, T.L.; Luner, C.; Meshkov, N.K.; Trevorrow, L.E.; Yu, C.

    1984-01-01

    This contribution is a progress report for preparation of a document that will summarize procedures and technical information needed to plan for and implement greater-confinement disposal (GCD) of low-level radioactive waste. Selection of a site and a facility design (Phase I), and construction, operation, and extended care (Phase II) will be covered in the document. This progress report is limited to Phase I. Phase I includes determination of the need for GCD, design alternatives, and selection of a site and facility design. Alternative designs considered are augered shafts, deep trenches, engineered structures, high-integrity containers, hydrofracture, and improved waste form. Design considerations and specifications, performance elements, cost elements, and comparative advantages and disadvantages of the different designs are covered. Procedures are discussed for establishing overall performance objectives and waste-acceptance criteria, and for comparative assessment of the performance and cost of the different alternatives. 16 references

  11. Greater confinement disposal of radioactive wastes

    International Nuclear Information System (INIS)

    Trevorrow, L.E.; Gilbert, T.L.; Luner, C.; Merry-Libby, P.A.; Meshkov, N.K.; Yu, C.

    1985-01-01

    Low-level radioactive waste (LLW) includes a broad spectrum of different radionuclide concentrations, half-lives, and hazards. Standard shallow-land burial practice can provide adequate protection of public health and safety for most LLW. A small volume fraction (approx. 1%) containing most of the activity inventory (approx. 90%) requires specific measures known as greater-confinement disposal (GCD). Different site characteristics and different waste characteristics - such as high radionuclide concentrations, long radionuclide half-lives, high radionuclide mobility, and physical or chemical characteristics that present exceptional hazards - lead to different GCD facility design requirements. Facility design alternatives considered for GCD include the augered shaft, deep trench, engineered structure, hydrofracture, improved waste form, and high-integrity container. Selection of an appropriate design must also consider the interplay between basic risk limits for protection of public health and safety, performance characteristics and objectives, costs, waste-acceptance criteria, waste characteristics, and site characteristics

  12. Planning for greater-confinement disposal

    International Nuclear Information System (INIS)

    Gilbert, T.L.; Luner, C.; Meshkov, N.K.; Trevorrow, L.E.; Yu, C.

    1984-01-01

    This contribution is a progress report for preparation of a document that will summarize procedures and technical information needed to plan for and implement greater-confinement disposal (GCD) of low-level radioactive waste. Selection of a site and a facility design (Phase I), and construction, operation, and extended care (Phase II) will be covered in the document. This progress report is limited to Phase I. Phase I includes determination of the need for GCD, design alternatives, and selection of a site and facility design. Alternative designs considered are augered shafts, deep trenches, engineered structures, high-integrity containers, hydrofracture, and improved waste form. Design considerations and specifications, performance elements, cost elements, and comparative advantages and disadvantages of the different designs are covered. Procedures are discussed for establishing overall performance objecties and waste-acceptance criteria, and for comparative assessment of the performance and cost of the different alternatives. 16 refs

  13. Smart City, Metropolitan Areas and Competitiveness: the Case Study of Florence

    Directory of Open Access Journals (Sweden)

    Carmela Gargiulo

    2015-07-01

    Full Text Available In several urban contexts, the definition of a new development process is arising and it is focused on the use and the application of new technologies in different areas of the urban system. Such new development process is aimed at increasing life quality and local communities wellness and at promoting the creation of a more efficient and more sustainable urban system, as well as at making it more competitive. The issue of the reorganization of metropolitan areas is combined with such process, following the recent approval of the Delrio Law that establishes the Metropolitan City in Italy, as government authority of the metropolitan areas. Smart City, Metropolitan Areas and Competitiveness are the three topics of this paper, which aim is the description of the most innovative politics and initiatives adopted in the Metropolitan City of Florence that is proposed as a case study where such topics are combined.

  14. Urban acid deposition in Greater Manchester

    Energy Technology Data Exchange (ETDEWEB)

    Lee, D.S.; Longhurst, J.W.S.; Gee, D.R.; Hare, S.E. (Manchester Polytechnic, Manchester (UK). Acid Rain Information Centre)

    1989-08-01

    Data are presented from a monitoring network of 18 bulk precipitation collectors and one wet-only collector in the urban area of Greater Manchester, in the north west of England. Weekly samples were analysed for all the major ions in precipitation along with gaseous nitrogen dioxide concentrations from diffusion tubes. Statistical analysis of the data shows significant spatial variation of non marine sulphate, nitrate, ammonium, acidity and calcium concentrations, and nitrogen dioxide concentrations. Calcium is thought to be responsible for the buffering of acidity and is of local origin. Wet deposition is the likely removal process for calcium in the atmosphere and probably by below cloud scavenging. Nitrate and ammonium concentrations and depositions show close spatial, temporal and statistical association. Examination of high simultaneous episodes of nitrate and ammonium deposition shows that these depositions cannot be explained in terms of trajectories and it is suggested that UK emissions of ammonia may be important. Statistical analysis of the relationships between nitrate and ammonium depositions, concentrations and precipitation amount suggest that ammonia from mesoscale sources reacts reversibly with nitric acid aerosol and is removed by below cloud scavenging. High episodes of the deposition of non marine sulphate are difficult to explain by trajectory analysis alone, perhaps suggesting local sources. In a comparison between wet deposition and bulk deposition, it was shown that only 15.2% of the non marine sulphur was dry deposited to the bulk precipitation collector. 63 refs., 86 figs., 31 tabs.

  15. Causes of informal settlements in Ekurhuleni Metropolitan Municipality: An exploration

    Directory of Open Access Journals (Sweden)

    Noah K. Marutlulle

    2017-08-01

    Full Text Available This article aims to explore the causes of informal settlements in Ekurhuleni Metropolitan Municipality (EMM. The article strongly challenges the view that the cause of informal settlements in EMM and other parts of South Africa is predominantly the apartheid government and agrees with literature which provides evidence that to a larger extent, the present government, not the apartheid government, is one of the dominant causes of informal settlements. The article further establishes a common and fertile ground for the convergence of the different views and perspectives into variables which, in addition to the present government, include population growth, government economic policies, economic variables, housing shortage, unavailability of land and unaffordability as the real causes of informal settlements in EMM.

  16. Massage Therapy in Outpatient Cancer Care: A Metropolitan Area Analysis

    Science.gov (United States)

    Miccio, Robin Streit; Parikh, Bijal

    2017-01-01

    Massage offers cancer patients general quality of life benefits as well as alleviation of cancer-related symptoms/cancer-treatment–related symptoms including pain, anxiety, and fatigue. Little is known about whether massage is accessible to cancer patients who receive treatment in the outpatient setting and how massage is incorporated into the overall cancer treatment plan. Outpatient cancer centers (n = 78) in a single metropolitan area were included this mixed-methods project that included a systematic analysis of website information and a telephone survey. Massage was offered at only 40 centers (51.3% of total). A range of massage modalities were represented, with energy-based therapies (Reiki and Therapeutic Touch) most frequently provided. Although massage therapists are licensed health care providers in the states included in this analysis, massage was also provided by nurses, physical therapists, and other health care professionals. PMID:28845677

  17. Skinner boxes for psychotics: operant conditioning at Metropolitan State Hospital.

    Science.gov (United States)

    Rutherford, Alexandra

    2003-01-01

    Between 1953 and 1965, Ogden Lindsley and his associates conducted free-operant research with psychiatric inpatients and normal volunteers at Metropolitan State Hospital in Waltham, Massachusetts. Their project, originally named "Studies in Behavior Therapy," was renamed "Harvard Medical School Behavior Research Laboratory" in 1955. This name change and its implications were significant. The role of the laboratory in the history of the relationship between the experimental analysis of behavior and applied behavior analysis is discussed. A case is made for viewing Lindsley's early work as foundational for the subfield of the experimental analysis of human behavior that formally coalesced in the early 1980s. The laboratory's work is also contextualized with reference to the psychopharmacological revolution of the 1950s. Finally, a four-stage framework for studying the historical and conceptual development of behavior analysis is proposed.

  18. Urban mobility regulation in metropolitan area of Mendoza

    Directory of Open Access Journals (Sweden)

    Lía Martínez

    2016-11-01

    Full Text Available Achieving the paradigm of sustainable urban mobility requires institutional capacities, appropriate policies and a regulatory framework that contains them. This work aims to contribute to the knowledge of the regulation of urban mobility in the metropolitan area of Mendoza. To this end, the current mobility regulations are assessed through indicators that are classified into three key areas: institutional and political organization, urban system and financial setup. The purpose is to account for the existence, or not, of regulatory capacities contained in the paradigm of sustainable mobility. Among the results, the absence of a policy of sustainable urban mobility is noteworthy, as well as the lack of sectorial coordination. Also of note is the absence of coordination between the urban planning system and the public transport provision. Lastly, in the financial sector, the results point to a promotion of sustainable transport modes but without such an explicit purpose.

  19. Atmospheric aerosol layers over Bangkok Metropolitan Region from CALIPSO observations

    Science.gov (United States)

    Bridhikitti, Arika

    2013-06-01

    Previous studies suggested that aerosol optical depth (AOD) from the Earth Observing System satellite retrievals could be used for inference of ground-level air quality in various locations. This application may be appropriate if pollution in elevated atmospheric layers is insignificant. This study investigated the significance of elevated air pollution layers over the Bangkok Metropolitan Region (BMR) from all available aerosol layer scenes taken from Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observations (CALIPSO) for years 2007 to 2011. The results show that biomass burning smoke layers alone were the most frequently observed. The smoke layers accounted for high AOD variations and increased AOD levels. In the dry seasons, the smoke layers alone with high AOD levels were likely brought to the BMR via northeasterly to easterly prevailing winds and found at altitudes above the typical BMR mixing heights of approximately 0.7 to 1.5 km. The smoke should be attributed to biomass burning emissions outside the BMR.

  20. Comparative Risk Analysis for Metropolitan Solid Waste Management Systems

    Science.gov (United States)

    Chang, Ni-Bin; Wang, S. F.

    1996-01-01

    Conventional solid waste management planning usually focuses on economic optimization, in which the related environmental impacts or risks are rarely considered. The purpose of this paper is to illustrate the methodology of how optimization concepts and techniques can be applied to structure and solve risk management problems such that the impacts of air pollution, leachate, traffic congestion, and noise increments can be regulated in the iong-term planning of metropolitan solid waste management systems. Management alternatives are sequentially evaluated by adding several environmental risk control constraints stepwise in an attempt to improve the management strategies and reduce the risk impacts in the long run. Statistics associated with those risk control mechanisms are presented as well. Siting, routing, and financial decision making in such solid waste management systems can also be achieved with respect to various resource limitations and disposal requirements.

  1. Quantum metropolitan optical network based on wavelength division multiplexing.

    Science.gov (United States)

    Ciurana, A; Martínez-Mateo, J; Peev, M; Poppe, A; Walenta, N; Zbinden, H; Martín, V

    2014-01-27

    Quantum Key Distribution (QKD) is maturing quickly. However, the current approaches to its application in optical networks make it an expensive technology. QKD networks deployed to date are designed as a collection of point-to-point, dedicated QKD links where non-neighboring nodes communicate using the trusted repeater paradigm. We propose a novel optical network model in which QKD systems share the communication infrastructure by wavelength multiplexing their quantum and classical signals. The routing is done using optical components within a metropolitan area which allows for a dynamically any-to-any communication scheme. Moreover, it resembles a commercial telecom network, takes advantage of existing infrastructure and utilizes commercial components, allowing for an easy, cost-effective and reliable deployment.

  2. Massage Therapy in Outpatient Cancer Care: A Metropolitan Area Analysis.

    Science.gov (United States)

    Cowen, Virginia S; Miccio, Robin Streit; Parikh, Bijal

    2017-10-01

    Massage offers cancer patients general quality of life benefits as well as alleviation of cancer-related symptoms/cancer-treatment-related symptoms including pain, anxiety, and fatigue. Little is known about whether massage is accessible to cancer patients who receive treatment in the outpatient setting and how massage is incorporated into the overall cancer treatment plan. Outpatient cancer centers (n = 78) in a single metropolitan area were included this mixed-methods project that included a systematic analysis of website information and a telephone survey. Massage was offered at only 40 centers (51.3% of total). A range of massage modalities were represented, with energy-based therapies (Reiki and Therapeutic Touch) most frequently provided. Although massage therapists are licensed health care providers in the states included in this analysis, massage was also provided by nurses, physical therapists, and other health care professionals.

  3. Land suitability for waste disposal in metropolitan areas.

    Science.gov (United States)

    Baiocchi, Valerio; Lelo, Keti; Polettini, Alessandra; Pomi, Raffaella

    2014-08-01

    Site selection for waste disposal is a complex task that should meet the requirements of communities and stakeholders. In this article, three decision support methods (Boolean logic, index overlay and fuzzy gamma) are used to perform land suitability analysis for landfill siting. The study was carried out in one of the biggest metropolitan regions of Italy, with the objective of locating suitable areas for waste disposal. Physical and socio-economic information criteria for site selection were decided by a multidisciplinary group of experts, according to state-of-the-art guidelines, national legislation and local normative on waste management. The geographic information systems (GIS) based models used in this study are easy to apply but require adequate selection of criteria and weights and a careful evaluation of the results. The methodology is arranged in three steps, reflecting the criteria defined by national legislation on waste management: definition of factors that exclude location of landfills or waste treatment plants; classification of the remaining areas in terms of suitability for landfilling; and evaluation of suitable sites in relation to preferential siting factors (such as the presence of quarries or dismissed plants). The results showed that more than 80% of the provincial territory falls within constraint areas and the remaining territory is suitable for waste disposal for 0.72% or 1.93%, according to the model. The larger and most suitable sites are located in peripheral areas of the metropolitan system. The proposed approach represents a low-cost and expeditious alternative to support the spatial decision-making process. © The Author(s) 2014.

  4. Seismic Microzonation of Islamabad-Rawalpindi Metropolitan Area, Pakistan

    Science.gov (United States)

    Khan, Sarfraz; Khan, M. Asif

    2018-01-01

    Microzonation deals with classifying seismic hazards in terms of ground motions resulting from amplification of seismic waves by nature of soil profiles underlying a site, town or city. This paper presents the results of microzonation study for Islamabad metropolitan, the capital of Pakistan. Cumulative SPT- N values from geophysical borehole and microtremor (Tromino Engy Plus) data were used to classify the soils into classes C (very dense soil profile and soft rock) and D (stiff soil profile) as devised by the National Earthquake Hazard Reduction Program (NEHRP). Soil response analyses were carried out based on scaled time histories of Kashmir earthquake (2005, 0.02 g), Mangla earthquake (2006, 0.031 g) and Haripur earthquake (2010, 0.13 g) corresponding to return periods of 150, 475, 975 and 2475 years. Spectral accelerations on the ground surface are calculated by two different approaches (1) soil response analysis performed using one dimensional shear wave propagation method (equivalent linear approach); and (2) NEHRP and Borcherdt amplification factors. Microzonation maps are produced with respect to ground shaking intensity for the return periods of 150, 475, 975 and 2475 years taking into account the variation of the spectral accelerations calculated based on these two procedures. The results show that the accelerations at the ground surface in the Islamabad-Rawalpindi metropolitan are in the range of 0.40-0.48 g (for 150 years), 0.59-0.65 g (for 475 years), 0.71-0.77 g (for 975 years), and 0.92-0.94 g (for 2475 years). The amplification factors for these four hazard levels range from 0.96 to 1.38 (150 years), 0.90-1.14 (475 years), 0.85-1.04 (975 years) and 0.84-1.00 (2475 years).

  5. Mapping aerial metal deposition in metropolitan areas from tree bark: a case study in Sheffield, England.

    Science.gov (United States)

    Schelle, E; Rawlins, B G; Lark, R M; Webster, R; Staton, I; McLeod, C W

    2008-09-01

    We investigated the use of metals accumulated on tree bark for mapping their deposition across metropolitan Sheffield by sampling 642 trees of three common species. Mean concentrations of metals were generally an order of magnitude greater than in samples from a remote uncontaminated site. We found trivially small differences among tree species with respect to metal concentrations on bark, and in subsequent statistical analyses did not discriminate between them. We mapped the concentrations of As, Cd and Ni by lognormal universal kriging using parameters estimated by residual maximum likelihood (REML). The concentrations of Ni and Cd were greatest close to a large steel works, their probable source, and declined markedly within 500 m of it and from there more gradually over several kilometres. Arsenic was much more evenly distributed, probably as a result of locally mined coal burned in domestic fires for many years. Tree bark seems to integrate airborne pollution over time, and our findings show that sampling and analysing it are cost-effective means of mapping and identifying sources.

  6. Impact of energy consumption on urban warming and air pollution in Tokyo metropolitan area

    International Nuclear Information System (INIS)

    Saitoh, T.S.; Hoshi, H.

    1995-01-01

    The rapid progress of industrialization and urbanization due to economic growth and concentration of social function in the urban areas in Japan have had an adverse effect on the urban environment. In most cities, it has become evident that the increase in energy consumption is causing environmental problems, including a temperature rise in the urban atmosphere (urban heat island) and air pollution. This paper reports the results of field observations and three dimensional simulations of the urban heat island using a three-dimensional modelling vorticity-velocity vector potential formation, in the Tokyo metropolitan area. According to the simulation for urban warming in the study area for the year 2031, the maximum temperature of a summer evening (18:00) would exceed 43 degrees celsius, indicating that Tokyo would no longer be comfortable for its inhabitants. It is concluded that in the near future, the problem of the urban heat island will become a more important issue than that of global warming because the rate of urban warming is greater. For this reason, the urban heat island could be fatal to humans unless resolved in the near future. (author). 1 tab., 11 figs., 18 refs

  7. Variation and distribution of metals and metalloids in soil/ash mixtures from Agbogbloshie e-waste recycling site in Accra, Ghana

    International Nuclear Information System (INIS)

    Itai, Takaaki; Otsuka, Masanari; Asante, Kwadwo Ansong; Muto, Mamoru; Opoku-Ankomah, Yaw; Ansa-Asare, Osmund Duodu; Tanabe, Shinsuke

    2014-01-01

    Illegal import and improper recycling of electronic waste (e-waste) are an environmental issue in developing countries around the world. African countries are no exception to this problem and the Agbogbloshie market in Accra, Ghana is a well-known e-waste recycling site. We have studied the levels of metal(loid)s in the mixtures of residual ash, formed by the burning of e-waste, and the cover soil, obtained using a portable X-ray fluorescence spectrometer (P-XRF) coupled with determination of the 1 M HCl-extractable fraction by an inductively coupled plasma mass spectrometer. The accuracy and precision of the P-XRF measurements were evaluated by measuring 18 standard reference materials; this indicated the acceptable but limited quality of this method as a screening tool. The HCl-extractable levels of Al, Co, Cu, Zn, Cd, In, Sb, Ba, and Pb in 10 soil/ash mixtures varied by more than one order of magnitude. The levels of these metal(loid)s were found to be correlated with the color (i.e., soil/ash ratio), suggesting that they are being released from disposed e-waste via open burning. The source of rare elements could be constrained using correlation to the predominant metals. Human hazard quotient values based on ingestion of soil/ash mixtures exceeded unity for Pb, As, Sb, and Cu in a high-exposure scenario. This study showed that along with common metals, rare metal(loid)s are also enriched in the e-waste burning site. We suggest that risk assessment considering exposure to multiple metal(loid)s should be addressed in studies of e-waste recycling sites. - Highlights: • Contamination on the largest e-waste recycling site in Africa was investigated. • Portable X-ray Fluorescence analyzer useful for first screening • High levels of Cu, Zn, Pb, and Al in soil/ash mixtures • Hazards for workers are significant

  8. Interplay of metals and bromine with dioxin-related compounds concentrated in e-waste open burning soil from Agbogbloshie in Accra, Ghana

    International Nuclear Information System (INIS)

    Fujimori, Takashi; Itai, Takaaki; Goto, Akitoshi; Asante, Kwadwo A.; Otsuka, Masanari; Takahashi, Shin; Tanabe, Shinsuke

    2016-01-01

    Open burning of electronic waste (e-waste) releases various metals and organohalogen compounds in the environment. Here we investigated the interplay of metals (Cu, Pb, Zn, Fe, Co, and Sr) and bromine (Br) in the formation of dioxin-related compounds (DRCs), including polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs) and dioxin-like polychlorinated biphenyls (DL-PCBs), as well as non-regulated DRCs such as polybrominated dibenzo-p-dioxins/furans (PBDD/Fs) and their monobrominated PCDD/Fs in soils sampled from open burning e-waste sites at Agbogbloshie in Accra, Ghana. The predominant DRCs were PBDFs, PCDFs, PCDDs, and DL-PCBs. Statistical analyzes, X-ray absorption spectroscopy, and the PCDF/PCDD ratio suggested possible formation paths of PCDD/Fs and DL-PCBs by catalytic behaviors of copper chlorides (CuCl, CuCl_2, and Cu_2(OH)_3Cl) and thermal breakdown of polyvinyl chloride. Predominant formation of brominated furans may be derived from electron transfer from intermediates of PBDE to copper, Cu(II) → Cu(I). Lead chloride also contributed to generate DRCs and may become highly bioaccessible through the open burning of e-waste. The main zinc species (ZnCl_2 and ZnS) suggested a possible relationship to generate DRCs and specific zinc source such as tire burning. Cu, Pb, Zn, and Br contained in various e-wastes, wires/cables, plastics, and tires strongly influenced generation of many DRCs. - Highlights: • Extremely high DRCs were detected from an open burning soil of e-waste. • Predominant DRCs were PBDFs, PCDFs, PCDDs, and DL-PCBs. • Some metals shows good correlation to DRCs by PCA and cluster analysis. • Speciation of Cu, Pb, Zn in residual soil were successfully measured by XAFS. • Electron transfer via Cu(II) → Cu(I) can be important for DRCs formation. - Metals speciation in residual soil after open burning of e-waste may act as a catalyst for formation of dioxin-related compounds.

  9. Variation and distribution of metals and metalloids in soil/ash mixtures from Agbogbloshie e-waste recycling site in Accra, Ghana

    Energy Technology Data Exchange (ETDEWEB)

    Itai, Takaaki, E-mail: itai@sci.ehime-u.ac.jp [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); Otsuka, Masanari [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); Asante, Kwadwo Ansong [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Muto, Mamoru [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan); Opoku-Ankomah, Yaw; Ansa-Asare, Osmund Duodu [CSIR Water Research Institute, P. O. Box AH 38, Achimota, Accra (Ghana); Tanabe, Shinsuke [Center for Marine Environmental Studies, Ehime University, Bunkyo-cho 2-5, Matsuyama, Ehime 790-8577 (Japan)

    2014-02-01

    Illegal import and improper recycling of electronic waste (e-waste) are an environmental issue in developing countries around the world. African countries are no exception to this problem and the Agbogbloshie market in Accra, Ghana is a well-known e-waste recycling site. We have studied the levels of metal(loid)s in the mixtures of residual ash, formed by the burning of e-waste, and the cover soil, obtained using a portable X-ray fluorescence spectrometer (P-XRF) coupled with determination of the 1 M HCl-extractable fraction by an inductively coupled plasma mass spectrometer. The accuracy and precision of the P-XRF measurements were evaluated by measuring 18 standard reference materials; this indicated the acceptable but limited quality of this method as a screening tool. The HCl-extractable levels of Al, Co, Cu, Zn, Cd, In, Sb, Ba, and Pb in 10 soil/ash mixtures varied by more than one order of magnitude. The levels of these metal(loid)s were found to be correlated with the color (i.e., soil/ash ratio), suggesting that they are being released from disposed e-waste via open burning. The source of rare elements could be constrained using correlation to the predominant metals. Human hazard quotient values based on ingestion of soil/ash mixtures exceeded unity for Pb, As, Sb, and Cu in a high-exposure scenario. This study showed that along with common metals, rare metal(loid)s are also enriched in the e-waste burning site. We suggest that risk assessment considering exposure to multiple metal(loid)s should be addressed in studies of e-waste recycling sites. - Highlights: • Contamination on the largest e-waste recycling site in Africa was investigated. • Portable X-ray Fluorescence analyzer useful for first screening • High levels of Cu, Zn, Pb, and Al in soil/ash mixtures • Hazards for workers are significant.

  10. Morbidade em candidatos a emprego na região metropolitana de Salvador, Bahia, Brasil Morbidity among job applicants in Greater Metropolitan Salvador, Bahia, Brazil

    Directory of Open Access Journals (Sweden)

    Vilma S. Santana

    2001-02-01

    Full Text Available O objetivo deste estudo transversal é avaliar o perfil de morbidade de candidatos a emprego, através de estimativas de prevalência de alterações de exames laboratoriais, dados da anamnese clínica e do laudo médico ocupacional sobre a aptidão para o trabalho. A população do estudo se constitui de 1.237 trabalhadores do sexo masculino, selecionados aleatoriamente através de prontuários médicos de um Serviço de Medicina Ocupacional de Salvador-Bahia, no período entre 1988 e 1996. Apenas dados de exames admissionais foram utilizados. As enfermidades mais encontradas foram infecções parasitárias (51,7%, anemias (12,8% e hipertensão arterial (12,7%, enquanto que o sobrepeso atingiu 24,7% da população do estudo. Motoristas apresentaram altas prevalências de sobrepeso (38,2% e hipertensão arterial (16,2%. Programas de higiene e segurança no trabalho necessitam enfocar, além de riscos e doenças ocupacionais, as mais comuns enfermidades e riscos, que nesta população foram aqueles típicos das más condições de vida. Atenção especial para a prevenção de doenças cardiovasculares deve ser dirigida a motoristas.This cross-sectional study evaluates the pre-employment health status of job applicants, based on prevalence estimates of abnormal laboratory test results, clinical diagnosis, and a physician-signed fit-for-work assessment, which is mandatory in Brazil. The study population was a random sample of 1,237 male workers selected from medical records (1988-1996 from an Occupational Medical Center located in Salvador, the capital of Bahia State, Brazil. The data were from a single pre-employment medical assessment for each individual. The most common diseases were intestinal parasites (51.7%, anemia (12.8%, and hypertension (12.7%. Drivers showed a high prevalence of overweight (38.2% and hypertension (16.2%. In addition to work-related risks and diseases, occupational hygiene and safety programs need to address prevailing illnesses and risk factors, which in this population are typical of poor living conditions. Special attention should to be given to drivers, who are at increased risk of cardiovascular disease.

  11. Place matters: variation in the black/white very preterm birth rate across U.S. metropolitan areas, 2002-2004.

    Science.gov (United States)

    Kramer, Michael R; Hogue, Carol R

    2008-01-01

    We reported on the distribution of very preterm (VPT) birth rates by race across metropolitan statistical areas (MSAs). Rates of singleton VPT birth for non-Hispanic white, non-Hispanic black, and Hispanic women were calculated with National Center for Health Statistics 2002-2004 natality files for infants in 168 MSAs. Subanalysis included stratification by parity, age, smoking, maternal education, metropolitan size, region, proportion of MSA that was black, proportion of black population living below the poverty line, and indices of residential segregation. The mean metropolitan-level VPT birth rate was 12.3, 34.8, and 15.7 per 1,000 live births for white, black, and Hispanic women, respectively. There was virtually no overlap in the white and black distributions. The variation in mean risk across cities was three times greater for black women compared with white women. The threefold disparity in mean rate, and two- to threefold increased variation as indicated by standard deviation, was maintained in all subanalyses. Compared with white women, black women have three times the mean VPT birth risk, as well as three times the variance in city-level rates. The racial disparity in VPT birth rates was composed of characteristics that were constant across MSAs, as well as factors that varied by MSA. The increased sensitivity to place for black women was unexplained by measured maternal and metropolitan factors. Understanding determinants of differences in both the mean risk and the variation of risk among black and white women may contribute to reducing the disparity in risk between races.

  12. The shelf space and strategic placement of healthy and discretionary foods in urban, urban-fringe and rural/non-metropolitan Australian supermarkets.

    Science.gov (United States)

    Cameron, Adrian J

    2018-02-01

    Supermarkets are a key influence on eating behaviours, but it is unknown if the promotion of food within stores varies on a geographic gradient from urban, to urban-fringe and non-metropolitan areas. The present study aimed to assess the shelf space and strategic placement of healthy and discretionary foods in each of urban, urban-fringe and non-metropolitan Australian supermarkets. Design/Setting In-store audits were conducted in stores from one of the two major Australian supermarket chains in urban (n 19), urban-fringe (n 20) and non-metropolitan (n 26) areas of Victoria. These audits examined selected food items (crisps/chips, chocolate, confectionery, soft drinks/sodas, fruits and vegetables) and measured the shelf space and the proportion of end-of-aisle and cash register displays containing these products. Store size was measured as the sum of aisle length. Differences in the supermarket food environment with respect to location were assessed, before and after adjustment for neighbourhood socio-economic position. The strategic placement of discretionary foods was commonly observed in all supermarkets. Adjusting for store size (larger in urban-fringe and rural areas), urban stores had greater shelf space devoted to fruits and vegetables, and less checkouts with soft drinks, than urban-fringe and rural/non-metropolitan areas. Differences remained following adjustment for neighbourhood socio-economic position. No clear pattern was observed for end-of-aisle displays, or the placement of chocolate and confectionery at checkouts. The shelf space of healthy and discretionary foods in urban-fringe and rural stores parallels the prevalence of overweight and obesity in these areas. Interventions in urban-fringe and rural stores targeting the shelf space of healthy foods and the placement of soft drinks at key displays may be useful obesity prevention initiatives.

  13. Usage of Social Media in City Marketing: A Research on 30 Metropolitan Municipalities in Turkey

    Directory of Open Access Journals (Sweden)

    Niyazi Gümüş

    2017-01-01

    Full Text Available Rapid changes in information and communication technologies cause serious developments in marketing field similar to every sector. In parallel with these developments, the social media channels which appear as Web 2.0 applications have a number of advantages in comparison with traditional media channels. Social media gained a place in marketing activities because of its advantages. Social media is added on instruments in line with these developments that countries benefit in marketing activities for attracting more tourists, investment and becoming prominent against the other cities. Cities intensively benefit from social media because of social media’s properties like reaching the large masses, low marketing cost, interaction, receiving feedbacks rapidly, etc. Within this context, the purpose of this research is to determine the use statuses of social media by metropolitan municipalities as part of city marketing. In accordance with this purpose, official social media accounts of 30 metropolitan municipalities are investigated between the dates of 01/09/2016 and 30/09/2016, then their shares in social media channels are investigated in the context of city marketing.It is observed that two metropolitan municipalities do not have official Facebook accounts, four metropolitan municipalities do not have an official Twitter account as well. Again, it is found that 19 metropolitan municipalities do not have an official Instagram account and 17 metropolitan municipalities do not have official YouTube account. In consequence, it is observed that, our metropolitan municipalities do not benefit from social media effectively for city marketing activities.

  14. Radioactivity levels in well water supplies within the greater Chicago area

    International Nuclear Information System (INIS)

    Kristoff, L.M.; Lordi, D.T.; Lue-Hing, C.

    1976-01-01

    The radiological analysis of well water supplies within the geographical boundaries of the Metropolitan Sanitary District of Greater Chicago was prompted by the relatively high total alpha levels encountered in wastewaters of a MSDGC water reclamation plant as compared to the wastewaters of the other waste treatment plants. Consequently, 87 wells constituting 42 water supplies were sampled and analyzed for total alpha and beta radioactivity. The wells were grouped according to depth. In general, both total alpha and total beta radioactivity concentrations were found to be a function of well depth. The relatively higher total alpha and beta activities in the wastewaters to one of the treatment plants was attributed to the higher levels found in the well water supply. Comparison with the USEPA's Drinking Water Regulations for Radionuclides (July 9, 1976) showed the maximum total alpha level of 15 pCi/liter was exceeded in 3 wells and 32 of the deep well waters had total alpha level greater than 5 pCi/liter. The total beta level of 50 pCi/liter was exceeded in 8 wells

  15. A high resolution 3D velocity model beneath the Tokyo Metropolitan area by MeSO-net

    Science.gov (United States)

    Nakagawa, S.; Sakai, S.; Honda, R.; Kimura, H.; Hirata, N.

    2015-12-01

    Beneath the Tokyo metropolitan area, the Philippine Sea Plate (PSP) subducts and causes devastating mega-thrust earthquakes, such as the 1703 Genroku earthquake (M8.0) and the 1923 Kanto earthquake (M7.9). An M7 or greater (M7+) earthquake in this area at present has high potential to produce devastating serious loss of life and property with even greater global economic repercussions. The Central Disaster Management Council of Japan estimates that an M7+ earthquake will cause 23,000 fatalities and 95 trillion yen (about 1 trillion US$) economic loss. We have launched the Special Project for Reducing Vulnerability for Urban Mega Earthquake Disasters in collaboration with scientists, engineers, and social-scientists in nationwide institutions since 2012. We analyze data from the dense seismic array called Metropolitan Seismic Observation network (MeSO-net), which has 296 seismic stations with spacing of 5 km (Sakai and Hirata, 2009; Kasahara et al., 2009). We applied the double-difference tomography method (Zhang and Thurber, 2003) and estimated the velocity structure and the upper boundary of PSP (Nakagawa et al., 2010). The 2011 Tohoku-oki earthquake (M9.0) has activated seismicity also in Kanto region, providing better coverage of ray paths for tomographic analysis. We obtain much higher resolution velocity models from whole dataset observed by MeSO-net between 2008 and 2015. A detailed image of tomograms shows that PSP contacts Pacific plate at a depth of 50 km beneath northern Tokyo bay. A variation of velocity along the oceanic crust suggests dehydration reaction to produce seismicity in a slab, which may related to the M7+ earthquake. Acknowledgement: This study was supported by the Special Project for Reducing Vulnerability for Urban Mega Earthquake Disasters of MEXT, Japan and the Earthquake Research Institute cooperative research program.

  16. Radon and lung cancer in Bangalore Metropolitan, India

    International Nuclear Information System (INIS)

    Sathish, L.A.; Nethravathi, K.S.; Ramachandran, T.V.

    2012-01-01

    Radon is a radioactive gas released from the normal decay of 238 U in rocks and soil. It is an invisible, odorless, tasteless gas that seeps up through the ground and diffuses into the air. In a few areas, depending on local geology, radon dissolves into ground water and can be released into the air when the water is used. Radon gas usually exists at very low levels outdoors. However, in areas without adequate ventilation, such as underground mines, radon can accumulate to levels that substantially increase the risk of lung cancer. Radon decays quickly, giving off tiny radioactive particles. When inhaled, these radioactive particles can damage the cells that line the lung. Long-term exposure to radon can lead to lung cancer, the only cancer proven to be associated with inhaling radon. Public interest in radon has been occasionally piqued by articles in the general press. Considerable attention has been given to the high radon levels that were uncovered in the Reading Prong region of Pennsylvania, following the discovery in late 1984 of extremely high levels in one home. Several epidemiological study programmes in different countries are in progress to estimate the population exposures due to natural radiation with a view to obtain the radiation risk coefficients at low dose rate levels. In this regard, radiation surveys in high background areas (HBRAs) can provide excellent settings for epidemiological studies relating to the effects of low doses of radiation. In view of these, a comprehensive estimate of the natural inhalation dose requires both 222 Rn and 220 Rn levels in the indoor atmosphere. In this outlook an attempt is made to investigate the 222 Rn and 220 Rn levels in dwellings of Bangalore Metropolitan, India. Three year results shows that the activity concentrations of 226 Ra, 232 Th, radon in ground water, the concentrations 222 Rn and 220 Rn and the dose rate (mSvy -1 ) are at alarming levels for the environment of Bangalore Metropolitan, India. The

  17. Agricultural land cover changes in metropolitan areas of Poland for the period 1990–2012

    Directory of Open Access Journals (Sweden)

    Nalej Marta

    2016-06-01

    Full Text Available Agricultural land covers more than half the area of metropolitan areas in Poland, and is therefore particularly prone to the influences of the processes associated with their development. The aim of the study was to analyse changes in agricultural land cover within the metropolitan areas of Poland for the years 1990–2012; and to capture their dynamics, types and directions. The percentage share of the total study area, for each of the forms of agricultural land cover and their changes were traced, with the spatial distribution of the changes also being determined. The results of the study show that in metropolitan areas, agricultural land cover is undergoing transformations that do not result in the loss of agricultural lands, or that involve a decrease in surface area due to their change into anthropogenic forms of land cover. The greatest transitions occurred between 2000 and 2006 and were observed in the outer zones of metropolitan areas.

  18. Political apathy amongst students: A case study of Nelson Mandela Metropolitan University

    Directory of Open Access Journals (Sweden)

    Ntsikelelo B. Breakfast

    2017-09-01

    Full Text Available The primary motivation for this research, in which a qualitative method was employed, was to examine political apathy amongst students at Nelson Mandela Metropolitan University. The secondary motivation was to question whether youth political apathy threatens the consolidation of democracy. The researchers arranged four focus groups at Nelson Mandela Metropolitan University. A purposive sampling technique was utilised. All 50 participants in the study were Nelson Mandela Metropolitan University undergraduate and postgraduate black students, with ages ranging from 21 to 35 years. The researchers encouraged participants to have maximum participation in the focus group deliberations. The researchers also made use of elite interviews in the study. The findings of this study suggest that political apathy does exist amongst students at Nelson Mandela Metropolitan University. Most of the participants in the focus groups indicated that young people in post-apartheid South Africa have no interest in politics.

  19. Regional transportation and land use decision making in metropolitan regions : findings from four case studies.

    Science.gov (United States)

    2012-02-01

    "Throughout the United States, metropolitan regions face increasingly complex issues related to transportation and : land use. The diffuse nature of decision making creates a need to better coordinate land use and transportation to : address issues s...

  20. The Age of Environmental Impasse? Globalization and Environmental Transformation of Metropolitan Cities

    NARCIS (Netherlands)

    Melchert Saguas Presas, L.

    2005-01-01

    Metropolitan cities are undergoing a major spatial and environmental transformation. The proliferation of business districts, corporate headquarters and international hotels is prompting a massive verticalization and densification of land use, which is affecting the urban environment and

  1. Spatial clustering of knowledge-based industries in the Helsinki Metropolitan Area

    Directory of Open Access Journals (Sweden)

    Juan Eduardo Chica

    2016-01-01

    Full Text Available The central locations of metropolitan areas have some specific attributes, leading to an accumulation of large knowledge exchanges and extensive knowledge externalities, which encourage the concentration of various economic activities, especially knowledge-based industries (KBI. Other agglomeration economies found in metropolitan areas – such as telecommunications and transport infrastructures connected to global productive circuits and complementary labour markets – are key factors for KBI employment growth. This paper explores the Helsinki Metropolitan Area’s (HMA spatial clustering of KBI at the sub-district level, and the role played by agglomeration economies (both specialization and diversity economies in fostering this process. The results reveal that KBI employment shows patterns of concentration in the core and adjacent areas. The specialization and diversity economies found in the metropolitan core and the specialization economies found in others areas lead to KBI spatial clustering in the HMA. Public policies regarding the promotion of science parks have also played a decisive role.

  2. Partners In Motion And Customer Satisfaction In The Washington Dc Metropolitan Area

    Science.gov (United States)

    1999-06-01

    PARTNERS IN MOTION IS A PROGRAM AIMED AT IMPROVING THE QUALITY, QUANTITY, AND AVAILABILITY OF TRAVEL INFORMATION TO TRANSPORTATION AGENCIES, THE MEDIA, AND, ULTIMATELY, TO THE TRAVELER IN THE WASHINGTON, D.C. METROPOLITAN AREA. THE PROGRAM WAS INITIA...

  3. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) MMSA Prevalence Data (2010 and Prior)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2002-2010. BRFSS SMART MMSA Prevalence land line only data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor Surveillance...

  4. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) MMSA Prevalence Data (2011 to Present)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2011 to present. BRFSS SMART MMSA Prevalence combined land line and cell phone data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral...

  5. The New England Drought Study: Water Resources Planning Metropolitan Boston, Massachusetts

    National Research Council Canada - National Science Library

    Joyce, Charles

    1994-01-01

    .... The drought of the 1960s precipitated a debate between the operators of the metropolitan Boston water system and interested citizens and citizens' groups, who were opposed to a structural solution...

  6. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2011 to 2012)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2011 to 2012. BRFSS SMART County Prevalence combined land line and cell phone data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral...

  7. South Platte Watershed from the Headwaters to the Denver Metropolitan Area (Colorado) Systems Thinking

    Science.gov (United States)

    South Platte Watershed from the Headwaters to the Denver Metropolitan Area (Colorado) of the Urban Waters Federal Partnership (UWFP) reconnects urban communities with their waterways by improving coordination among federal agencies and collaborating

  8. Can Maine metropolitan planning organizations (MPOs) finance transportation projects through bond financing?

    Science.gov (United States)

    2008-12-01

    In January 2008 the Maine metropolitan planning organizations (MPOs) requested the Transportation : Research Division of the Maine Department of Transportation to conduct research to determine if it is : possible for MPOs to finance projects through ...

  9. Strauss, R.: Symphony in F minor, Op. 12... Tokyo Metropolitan Symphony Orchestra / David Nice

    Index Scriptorium Estoniae

    Nice, David

    1994-01-01

    Uuest heliplaadist "Strauss, R.: Symphony in F minor, Op. 12... Tokyo Metropolitan Symphony Orchestra / Hiroshi Wakasugi. Denon CD CO-75 860 (54 minutes); Symphony - comparative version: SNO, Järvi" (8/93)(CHAN) CHAN 9166

  10. The freight landscape : using secondary data sources to describe metropolitan freight flows.

    Science.gov (United States)

    2015-12-01

    Metropolitan areas around the world are seeking to better manage freight flows and reduce negative impacts on local populations. A major challenge to better urban freight management is the lack of data; little is known about freight movements at the ...

  11. The freight landscape : using secondary data sources to describe metropolitan freight flows : final report.

    Science.gov (United States)

    2015-12-01

    Metropolitan areas around the world are seeking to better manage freight flows and reduce negative impacts on local populations. A major challenge to better urban freight management is the lack of data; little is known about freight movements at the ...

  12. Washington DC Metropolitan Area Drug Study Household and Non-Household Populations (DC-MADSH-1991)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The DC Metropolitan Area Drug Study (DCMADS) was conducted in 1991, and included special analyses of homeless and transient populations and of women delivering live...

  13. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2010 and prior)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2002-2010. BRFSS SMART County Prevalence land line only data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor Surveillance...

  14. Washington DC Metropolitan Area Drug Study Homeless and Transient Population (DC-MADST-1991)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The DC Metropolitan Area Drug Study (DCMADS) was conducted in 1991, and included special analyses of homeless and transient populations and of women delivering live...

  15. Spatial analysis of the Rio de Janeiro metropolitan area and social and environmental management issues

    DEFF Research Database (Denmark)

    Ribeiro, Gustavo

    2005-01-01

    and infrastructural data. Through these three levels of spatial analysis it is possible to develop and to support a more comprehensible study of urban development of the Rio de Janeiro Metropolitan Area. The aim of this study is (a) to develop an alternative spatial analysis leading to a more comprehensive...... understanding of the urban development process and its correlation not just with political-administrative borders but also to ecological systems: (b) to identify the correlations between infrastructure and socio-economical data in the Rio de Janeiro Metropolitan Area (c) to evaluate urban development dynamics...... in the period between 1990 and 2000, based on the application of the above-mentioned data to the three spatial levels in question. This paper highlights the role of the hydrographical systems of the Rio de Janeiro Metropolitan Area as an important spatial unit of analysis to understand the metropolitan urban...

  16. Uudised : Õhtu Metropolitan Operas. Järvi Michigani ülikooli audoktoriks / Priit Kuusk

    Index Scriptorium Estoniae

    Kuusk, Priit, 1938-

    1999-01-01

    "Klassikaraadio" vahendab 25. dets. otseülekande New Yorgist Metropolitan Operast, kus tuleb ettekandele W.A. Mozarti ooper "Figaro pulm". 19. dets. nimetati N. Järvi Michigani ülikooli audoktoriks

  17. Uudised : ERSO menu Rootsis. Õhtu Metropolitan Operas. NYYD Ensemble'i kontserdid / Madis Kolk

    Index Scriptorium Estoniae

    Kolk, Madis, 1953-

    2001-01-01

    ERSO kontserdireisist Rootsis. "Klassikaraadio" teeb 17. veebr. otseülekande New Yorgi Metropolitan Operast, kus tuleb ettekandele Rossini ooepr "Itaallanna Alzhiiris". NYYD Ensemble'i kontsertidest Pärnus ja Tallinnas kontserdisarjas "I Got Rhythm"

  18. FINE PORE DIFFUSER SYSTEM EVALUATION FOR THE GREEN BAY METROPOLITAN SEWERAGE DISTRICT

    Science.gov (United States)

    The Green Bay Metropolitan Sewerage District retrofitted two quadrants of their activated sludge aeration system with ceramic and membrane fine pore diffusers to provide savings in energy usage compared to the sparged turbine aerators originally installed. Because significant di...

  19. The New England Drought Study: Water Resources Planning Metropolitan Boston, Massachusetts

    National Research Council Canada - National Science Library

    Joyce, Charles

    1994-01-01

    The study has traced the water resources planning experience for the metropolitan Boston area from the 17th century to the present in order to investigate how current planning has evolved from seeking...

  20. Los Angeles County Metropolitan Transportation Authority climate change adaptation pilot project report.

    Science.gov (United States)

    2013-08-01

    This Climate Change Adaptation Pilot Project Report details the project background of the recently-completed Los Angeles County : Metropolitan Transportation Authority (Metro) Transit Climate Change Adaptation Pilot Project as well as the various wor...

  1. URBANIZATION AND SPATIAL CHANGES IN DEMOGRAPHIC CHARACTERISTICS IN MONTERREY METROPOLITAN REGION

    Directory of Open Access Journals (Sweden)

    Arun Kumar Acharya

    2011-10-01

    Full Text Available This paper tries to explore the process of urbanization and spatial changes in demographic features in the Monterrey Metropolitan Region (MMR, Mexico. This city is the third largest urban sector in Mexico which has around 4 million population. It is also the industrial and economic capital of the country. The present study found that rapid urbanization in the metropolitan region has a close association with process of industrialization. In population distribution and composition, study found that the metropolitan region had its “demographic transition” during the years seventies and currently the region is taking advantages of demographic bonus cohort, i.e. a higher concentration of population in economic active groups compare to children and old age population. However, this paper indentified a higher imbalance in metropolitan demographic scenario. On the one hand, there is di-populization in the city center region and in other there is a steady increment of population in peri-urban region.

  2. Working paper : national costs of the metropolitan ITS infrastructure : updated with 2004 deployment data

    Science.gov (United States)

    The purpose of this report, "Working Paper National Costs of the Metropolitan ITS infrastructure: Updated with 2004 Deployment Data," is to update the estimates of the costs remaining to deploy Intelligent Transportation Systems (ITS) infrastructure ...

  3. Access to destinations : annual accessibility measure for the Twin Cities Metropolitan Region.

    Science.gov (United States)

    2012-11-01

    This report summarizes previous phases of the Access to Destinations project and applies the techniques developed : over the course of the project to conduct an evaluation of accessibility in the Twin Cities metropolitan region for : 2010. It describ...

  4. Movement Technologies, Scale Structure and Metropolitan Life – an Empirical Research on the Effects of the Transportation System on the Metropolitan Process in Beijing

    Directory of Open Access Journals (Sweden)

    Qiang Sheng

    2014-07-01

    Full Text Available This paper is a morphological study on Beijing’s metropolitanisation process based on the development of its transportation networks. By extracting the ‘scale structure’ embedded in them, we construct a movement network model for Beijing and use it to analyse changing metropolitan centralities as shopping areas and market places in 1924, 1987 and 2006. Following Taylor’s proposal of Central Flow as a complementary model to Central Place, our study focuses on how the spatial distribution of metropolitan centralities has been affected by the rapid modernisation of transportation networks.

  5. The metropolitan VoD system based on ethernet/SCM PON

    Science.gov (United States)

    Ji, Wei; Yang, Hongliang; Feng, Dejun; Liu, Yang; Sun, Jande

    2008-11-01

    VoD is a very attractive service which used for entertainment, education and other purposes. In this paper, we present an evolution method that integrates the EPON and SCM-PON by WDM technology to provide high dedicated bandwidth for the metropolitan VoD services. Using DVB, IPTV protocol, unicasting and broadcasting method to maximize the system throughput and by numerical analysis, the hybrid PON system can implement the metropolitan VoD services.

  6. The Challenge of Forecasting Metropolitan Growth: Urban Characteristics Based Models versus Regional Dummy Based Models

    OpenAIRE

    NA

    2005-01-01

    This paper presents a study of errors in forecasting the population of Metropolitan Statistical Areas and the Primary MSAs of Consolidated Metropolitan Statistical Areas and New England MAs. The forecasts are for the year 2000 and are based on a semi-structural model estimated by Mills and Lubelle using 1970 to 1990 census data on population, employment and relative real wages. This model allows the testing of regional effects on population and employment growth. The year 2000 forecasts are f...

  7. Assessing the Impact of Chlorinated-Solvent Sites on Metropolitan Groundwater Resources

    OpenAIRE

    Brusseau, Mark L.; Narter, Matthew

    2013-01-01

    Chlorinated-solvent compounds are among the most common groundwater contaminants in the U.S.A. The majority of the many sites contaminated by chlorinated-solvent compounds are located in metropolitan areas, and most such areas have one or more chlorinated-solvent contaminated sites. Thus, contamination of groundwater by chlorinated-solvent compounds may pose a potential risk to the sustainability of potable water supplies for many metropolitan areas. The impact of chlorinated-solvent sites on...

  8. The Hydro-Economic Interdependency of Cities: Virtual Water Connections of the Phoenix, Arizona Metropolitan Area

    Directory of Open Access Journals (Sweden)

    Richard R. Rushforth

    2015-06-01

    Full Text Available Water footprinting has revealed hydro-economic interdependencies between distant global geographies via trade, especially of agricultural and manufactured goods. However, for metropolitan areas, trade not only entails commodity flows at many scales from intra-municipal to global, but also substantial intra-metropolitan flows of the skilled labor that is essential to a city’s high-value economy. Virtual water flows between municipalities are directly relevant for municipal water supply policy and infrastructure investment because they quantify the hydro-economic dependency between neighboring municipalities. These municipalities share a physical water supply and also place demands on their neighbors’ water supplies by outsourcing labor and commodity production outside the municipal and water supply system boundary to the metropolitan area. Metropolitan area communities span dense urban cores to fringe agricultural towns, spanning a wide range of the US hydro-economy. This study quantifies water footprints and virtual water flows of the complete economy of the Phoenix Metropolitan Area’s municipalities. A novel approach utilized journey to work data to estimate virtual water flows embedded in labor. Commodities dominate virtual water flows at all scales of analysis, however labor is shown to be important for intra-metropolitan virtual water flows. This is the first detailed water footprint analysis of Phoenix, an important city in a water-scarce region. This study establishes a hydro-economic typology for communities to define several niche roles and decision making points of view. This study’s findings can be used to classify communities with respect to their relative roles, and to benchmark future improvements in water sustainability for all types of communities. More importantly, these findings motivate cooperative approaches to intra-metropolitan water supply policy that recognize the hydro-economic interdependence of these

  9. Cooling effect of rivers on metropolitan Taipei using remote sensing.

    Science.gov (United States)

    Chen, Yen-Chang; Tan, Chih-Hung; Wei, Chiang; Su, Zi-Wen

    2014-01-23

    This study applied remote sensing technology to analyze how rivers in the urban environment affect the surface temperature of their ambient areas. While surface meteorological stations can supply accurate data points in the city, remote sensing can provide such data in a two-dimensional (2-D) manner. The goal of this paper is to apply the remote sensing technique to further our understanding of the relationship between the surface temperature and rivers in urban areas. The 2-D surface temperature data was retrieved from Landsat-7 thermal infrared images, while data collected by Formosat-2 was used to categorize the land uses in the urban area. The land surface temperature distribution is simulated by a sigmoid function with nonlinear regression analysis. Combining the aforementioned data, the range of effect on the surface temperature from rivers can be derived. With the remote sensing data collected for the Taipei Metropolitan area, factors affecting the surface temperature were explored. It indicated that the effect on the developed area was less significant than on the ambient nature zone; moreover, the size of the buffer zone between the river and city, such as the wetlands or flood plain, was found to correlate with the affected distance of the river surface temperature.

  10. Water management for a megacity: Mexico City Metropolitan Area.

    Science.gov (United States)

    Tortajada, Cecilia; Castelán, Enrique

    2003-03-01

    The paper presents an overview of the present situation of the Mexico City Metropolitan Area (MCMA). The analysis indicates an urgent need to radically improve the current water supply and wastewater management practices, to become sustainable. The MCMA is one of the most rapidly growing urban centers of the world, with a population of about 21 million people, a very high rate of immigration and numerous illegal settlements. In order to meet the increasing water demand, successive governments have focused almost exclusively on supply management and engineering solutions, which have resulted in investments of hundreds of millions of USD and the construction of major infrastructure projects for interbasin water transfer. Environmental, economic and social policies associated with water management are mostly inadequate and insufficient, which is resulting in increasing deterioration in the environment, health and socioeconomic conditions of a population living in one of the largest urban agglomerations of the world. Surprisingly, however, no long-term strategies on demand-management, reuse, conservation, and improved water-management practices have been developed so far.

  11. Secular variations of radon in metropolitan Vancouver, British Columbia, Canada

    International Nuclear Information System (INIS)

    Ghomshei, M.M.; Slawson, W.F.

    1990-01-01

    In this paper sampling of radon within the soil from three sites in metropolitan Vancouver is reported. Alpha trace bi-weekly measurements during a period of 4 years show secular variations with a period of 8-15 months. There are low-radon and high-radon episodes enduring several months to a year. Average radon level during the high-radon episodes reaches 5-10 times that of the low-radon periods. During high-radon episodes the high-frequency variations show very high amplitudes. After filtering of the high-frequency fluctuations, the data from different sites demonstrate remarkably similar trends. It is suggested that along with hydrogeological events, stress relaxation in rocks, earthquake, and magma emplacement may contribute to the sources of secular variations of radon. Because of long-term variations, radon level in urban areas should be monitored on a continuous basis. Single measurements, even those integrating radiation over a period of few months, may sample a low-radon episode, and provide a false assurance, or occur during a high-radon episode and give a false alarm

  12. EVALUATION OF PRIVATE SCHOOL LOCATION IN THE ISTANBUL METROPOLITAN AREA

    Directory of Open Access Journals (Sweden)

    Mehmet TOPÇU

    2014-01-01

    Full Text Available Investment in education is considered important for economic growth and poverty alleviation. In many developed and developing countries families contribute privately to the education of their children as a result of continuously shrinking public budgets. Also, in Istanbul private primary schools were supported by the government in order to answer to increasing demand due to continuous rural migration and to create a competitive educational market to improve the quality of primary education. This paper, first, analyzes the spatial distribution of private primary schools according to the concentric rings and illustrates the gap between the center and the periphery and among the districts. Then, the relationships between the number of private primary schools and demand and the characteristics of the districts are investigated by a regression analysis. According to the results, the number of public primary schools is the most important factor and GDP per capita is the second factor to affect the number of private primary schools in the districts. Currently, the cluster of private primary schools mainly in high-income districts does not allow developing a competitive educational market at the metropolitan level. It is expected that a more balanced market will be develop as the urban structure of Istanbul adjusted to the neo-liberal economies in the future. The results are useful for urban planners, investors and policy makers. Further research is suggested to investigate the impact of private primary schools on the quality of public primary school education in Istanbul.

  13. Aspects of Land Take in the Metropolitan Area of Naples

    Directory of Open Access Journals (Sweden)

    Giuseppe Mazzeo

    2016-03-01

    Full Text Available Land take is a phenomenon of great concern nowadays because of the large number of its negative impacts regarding biological, economic and social balance. In Italy, the development of urban and other artificial land has been irreversibly transforming a non-renewable resource such as soil, regardless the almost constant population rate, with different speed depending of the region considered. The aim of this paper is to analyze the phenomenon in the metropolitan area of Naples, which is an area highly affected by territorial aggression of human matrix. The data used are both by the Institute for Environmental Protection and Research (ISPRA Report 2015 on the usage of the land and by ISTAT relating to the resident population up to the 1st of January 2015 and the extension of land for agricultural use (Census 2010. The mathematical combination of this data creates a new indicator that can be referred to as “residual land”; this residual area is of great extension with many different characteristics and it could represent the area where the phenomenon of land take most occurs. The identification, measurement and analysis of “residual land” provide new insights on the evolution of land take and this new indicator can represent a critical element to work on to prevent future land transformation and protect natural and agricultural areas within the Italian context.

  14. Marketing paediatric influenza vaccination: results of a major metropolitan trial

    Science.gov (United States)

    Van Buynder, Paul G.; Carcione, Dale; Rettura, Vince; Daly, Alison; Woods, Emily

    2010-01-01

    Please cite this paper as: Van Buynder et al. (2010) Marketing paediatric influenza vaccination: results of a major metropolitan trial. Influenza and Other Respiratory Viruses 5(1), 33–38. Objectives  After a cluster of rapidly fulminant influenza related toddler deaths in a Western Australian metropolis, children aged six to 59 months were offered influenza vaccination in subsequent winters. Some parental resistance was expected and previous poor uptake of paediatric influenza vaccination overseas was noted. A marketing campaign addressing barriers to immunization was developed to maximise uptake. Design  Advertising occurred in major statewide newspapers, via public poster displays and static ‘eye‐lite’ displays, via press releases, via a series of rolling radio advertisements, via direct marketing to child care centres, and via a linked series of web‐sites. Parents were subsequently surveyed to assess reasons for vaccination. Main Outcome Results  The campaign produced influenza vaccination coverage above that previously described elsewhere and led to a proportionate reduction in influenza notifications in this age group compared to previous seasons. Conclusions  Influenza in children comes with significant morbidity and some mortality. Paediatric influenza vaccination is safe, well tolerated and effective if two doses are given. A targeted media campaign can increase vaccine uptake if it reinforces the seriousness of influenza and addresses community ‘myths’ about influenza and influenza vaccine. The lessons learned enabling enhancements of similar programs elsewhere. PMID:21138538

  15. Characterization of aerosols in the Metropolitan Area of San Jose

    International Nuclear Information System (INIS)

    Mejias Perez, J.A.

    1997-07-01

    The objective of the present study, was to elaborate a profile of the contamination by private matter and to characterize the aerosols collected in the Metropolitan Area of San Jose (Costa Rica). For that, a campaign of sampling was carried out in three points of the city of San Jose, differentiated by there degree of activity: Center of San Jose (Central Station of Firemen), San Isidro of Coronado -Canton of Vasquez of Coronado- (Municipality) and Escazu (Municipality). Such campaign was carried out from April 4 to July 4, 1996 (transition summer-winter), and in two periods of time of 8 hours: 8 a.m. to 4 p.m. and of 8 p.m. to 4 a.m. The aerosols were collected utilizing Gent Pm-10 samplers, in filters of polycarbonate of 0,4 μm and 8 μm in cascade, with a flow average of 15 L/min., and it determined the composition average of the present aerosols. The concentration of the majority of the anions were obtained by means of ionic chromatography of high resolution, and the main cations by spectrophotometry of atomic absorption with electro thermic atomization. The space-temporary variations of the concentrations were evaluated and their correlation with the meteorologic variable. (S. Grainger) [es

  16. Emissions inventory for the Mexico City Metropolitan Area

    Energy Technology Data Exchange (ETDEWEB)

    Figueroa, V.H.P.; Renteria, J.S. [Secretaria de Medio Ambiente, Col. Tiacopac San Angel (Mexico); Hernandez, C.G. [Departamento del Distrito Federal, Col. Centro (Mexico)] [and others

    1996-12-31

    The emissions inventory bears a broad relationship to the energy balance, reflecting the dependence of the emissions with reference to the use of energy. Actually the consumption of gasoline and diesel fuel in the transport sector represents collectively, the greatest comparative expense of energy and the major contributor of the ozone precursor pollutants HC, NO{sub x} and CO, relative to the total volume of emissions in the Mexico City Metropolitan Area (MCMA). Also, the industrial sector introduces significant emissions of SO{sub 2} and NO{sub x} due to its energy consumption of fuel oils and natural gas. In contrast, the great majority of suspended particulate in the MCMA emanate from degradation processes of surface soil along the periphery of the urban zone. To the federal and local authorities charged with the design of strategies for prevention and control of atmospheric pollution, the emissions inventory is a strategic tool that reflects the relative intensity of the various emitters to the load capacity of the atmosphere. A comprehensive inventory was compiled for 1995, categorizing the emissions generated by four sectors: industry, services, transport and surface soils and vegetation, considering the following pollutants: TSP, SO{sub 2}, NO{sub x}, HC and CO. The combined pollutant emissions are 4,009,628 tons/year of which 3% are generated by the industry, 10% by the services sector, 75% by the transport sector, and 12% by surface soils and vegetation.

  17. E-book Collections in Academic Libraries of Metropolitan Tehran

    Directory of Open Access Journals (Sweden)

    Sepideh Fahimifar

    2008-04-01

    Full Text Available In the present age users not only need to have access information, but they need to have access as fast and as easy as possible. This is one of the reasons that has intensified the current ICT applications and the growing need for it. Today not only countless journals are published in electronic format side by side with their printed versions, but numerous books on diverse subjects are published elecrtronically. To better serve their patrons, academic libraries should also collect electronic books along with printed resources. Managers of academic libraries must consider acquisition of various types of electronic books and provision of facilities for accessing. The present paper initially offers the definitions offered with respect to e-books as well as the workshops held globally, researches carried out in academic libraries as well as the categories of information contained in e-books. It would then investigates the various types of e-books held in the academic libraries within metropolitan Tehran and describes the access method for students and patrons. A survey , using questionnaire as a data collection instrument, was conducted .

  18. Evaluation of sludge management alternatives in Istanbul metropolitan area.

    Science.gov (United States)

    Cakmakci, M; Erdim, E; Kinaci, C; Akca, L

    2005-01-01

    The main concern of this paper was to predict the sludge quantities generated from 18 wastewater treatment plants, which were stated to be established in the "Istanbul Water Supply, Sewerage and Drainage, Sewage Treatment and Disposal Master Plan", 10 of which are in operation at present. Besides this, obtaining the required data to compare various treatment schemes was another goal of the study. Especially, the estimation of the sludge quantity in the case of enhanced primary sedimentation was of importance. Wastewater sludge management strategies were discussed in order to develop suggestions for Istanbul Metropolitan city. Within this context, the wastewater treatment facilities, mentioned in the Master Plan that had been completed by 2000, were evaluated in terms of sludge production rates, locations and technical and management aspects. Disposal alternatives of the wastewater treatment sludge were also evaluated in this study. Using of the dewatered sludge as a landfill cover material seems the best alternative usage. Up to the year of 2040, the requirement of cover material for landfills in Istanbul will be met by the dewatered sludge originated from wastewater treatment plants in the region.

  19. Perspectives and limitations of QKD integration in metropolitan area networks.

    Science.gov (United States)

    Aleksic, Slavisa; Hipp, Florian; Winkler, Dominic; Poppe, Andreas; Schrenk, Bernhard; Franzl, Gerald

    2015-04-20

    Quantum key distribution (QKD) systems have already reached a reasonable level of maturity. However, a smooth integration and a wide adoption of commercial QKD systems in metropolitan area networks has still remained challenging because of technical and economical obstacles. Mainly the need for dedicated fibers and the strong dependence of the secret key rate on both loss budget and background noise in the quantum channel hinder a practical, flexible and robust implementation of QKD in current and next-generation optical metro networks. In this paper, we discuss these obstacles and present approaches to share existing fiber infrastructures among quantum and classical channels. Particularly, a proposal for a smooth integration of QKD in optical metro networks, which implies removing spurious background photons caused by optical transmitters, amplifiers and nonlinear effects in fibers, is presented and discussed. We determine and characterize impairments on quantum channels caused by many classical telecom channels at practically used power levels coexisting within the same fiber. Extensive experimental results are presented and indicate that a practical integration of QKD in conventional optical metro networks is possible.

  20. Metropolitan area networks: a corner stone in the broadband era

    Science.gov (United States)

    Ghanem, Adel

    1991-02-01

    Deployment of Broadband ISDN is being influenced by both a market pull and a technology push. New broadband service opportunities exist in the business and residential sectors of the market place. It is envisioned that some customers will need connections directly to broadband switches because of the high bandwidth needed for their applications. At the same time Metropolitan Area Network (MAN) systems will serve those customers with bandwidth requirements less than or equal to 150 Mbps. A given MAN will have a geographical domain to serve where it will carry out the switching tasks within this domain. While MANs couldbe designed using differentarchitecturalconcepts the setofservices expected tobeprovidedby MANs could be equivalent to thelist ofservices thatwillbe supported by the targetbroadband network. This paperpositions MANs as a major building block for Broadband networks. It also examines the evolution process ofMANs as a needed step to assure the successful deployment of these new broadband services. 2. BISDN - OVERVIEW Broadband ISDN (BISDN) is being driven into existence by both a market pull as well as a technology push. Opportunities for new valueadded services are the prime market pull for future broadband networks. These services opportunities extend beyond simple voice and low speed data applications and cover both the residential and the business sectors of the market. It is noted for instance that business customers have growing needs for sophisticated telecommunication vehicles to support their

  1. Assessment of rain water chemistry in the Lucknow metropolitan city

    Science.gov (United States)

    Sharma, Purnima; Rai, Vibhuti

    2018-05-01

    Lucknow metropolitan city is one of the most populated cities of India, which have been facing many problems such as chaotic urbanization, overpopulation, water scarcity, waterlogging, etc., among these water scarcity is one of the important problem. Rain water harvesting is a futuristic tool for mitigation of water scarcity problem through conservation and storage of rain water. This rain water can be used for all purposes by human beings, thus it is necessary to check the chemistry of rain water. The rain water samples were collected from the five zones of Lucknow city. For the comparative study, water samples have been collected from two different dates first from first rainfall and second after 3 days of interval in the second rainfall. The heavy metal concentrations were found in both first and second rainfall water samples in all zones of Lucknow city. The concentration of chromium, cadmium and lead were found to be sufficiently high in several samples. These heavy metals show the concentration above the permissible limit as set by WHO, which can cause various adverse health impacts.

  2. Water crisis: the metropolitan Atlanta, Georgia, regional water supply conflict

    KAUST Repository

    Missimer, Thomas M.

    2014-07-01

    Many large population centres are currently facing considerable difficulties with planning issues to secure future water supplies, as a result of water allocation and environmental issues, litigation, and political dogma. A classic case occurs in the metropolitan Atlanta area, which is a rapidly growing, large population centre that relies solely on surface water for supply. Lake Lanier currently supplies about 70% of the water demand and has been involved in a protracted legal dispute for more than two decades. Drought and environmental management of the reservoir combined to create a water shortage which nearly caused a disaster to the region in 2007 (only about 35 days of water supply was in reserve). While the region has made progress in controlling water demand by implementing a conservation plan, per capita use projections are still very high (at 511 L/day in 2035). Both non-potable reuse and indirect reuse of treated wastewater are contained in the most current water supply plan with up to 380,000 m3/day of wastewater treated using advanced wastewater treatment (nutrient removal) to be discharged into Lake Lanier. The water supply plan, however, includes no additional or new supply sources and has deleted any reference to the use of seawater desalination or other potential water sources which would provide diversification, thereby relying solely on the Coosa and Chattahoochee river reservoirs for the future. © 2014 IWA Publishing.

  3. Truck transport of RAM: Risk effects of avoiding metropolitan areas

    International Nuclear Information System (INIS)

    Mills, G.S.; Neuhauser, K.S.

    1997-11-01

    In the transport of radioactive material (RAM), e.g., spent nuclear fuel (SNF), stakeholders are generally most concerned about risks in high population density areas along transportation routes because of the perceived high consequences of potential accidents. The most significant portions of a transcontinental route and an alternative examined previously were evaluated again using population density data derived from US Census Block data. This method of characterizing population that adjoins route segments offers improved resolution of population density variations, especially in high population density areas along typical transport routes. Calculated incident free doses and accident dose risks for these routes, and the rural, suburban and urban segments are presented for comparison of their relative magnitudes. The results indicate that modification of this route to avoid major metropolitan areas through use of non-Interstate highways increases total risk yet does not eliminate a relatively small urban component of the accident dose risk. This conclusion is not altered by improved resolution of route segments adjoining high density populations

  4. Face Recognition by Metropolitan Police Super-Recognisers.

    Science.gov (United States)

    Robertson, David J; Noyes, Eilidh; Dowsett, Andrew J; Jenkins, Rob; Burton, A Mike

    2016-01-01

    Face recognition is used to prove identity across a wide variety of settings. Despite this, research consistently shows that people are typically rather poor at matching faces to photos. Some professional groups, such as police and passport officers, have been shown to perform just as poorly as the general public on standard tests of face recognition. However, face recognition skills are subject to wide individual variation, with some people showing exceptional ability-a group that has come to be known as 'super-recognisers'. The Metropolitan Police Force (London) recruits 'super-recognisers' from within its ranks, for deployment on various identification tasks. Here we test four working super-recognisers from within this police force, and ask whether they are really able to perform at levels above control groups. We consistently find that the police 'super-recognisers' perform at well above normal levels on tests of unfamiliar and familiar face matching, with degraded as well as high quality images. Recruiting employees with high levels of skill in these areas, and allocating them to relevant tasks, is an efficient way to overcome some of the known difficulties associated with unfamiliar face recognition.

  5. Mammography screening among Arab American women in metropolitan Detroit.

    Science.gov (United States)

    Schwartz, Kendra; Fakhouri, Monty; Bartoces, Monina; Monsur, Joseph; Younis, Amani

    2008-12-01

    Mammography screening behavior has not been well studied among Middle Eastern immigrant women. We conducted a telephone survey of 365 Arab American women residing in metropolitan Detroit, home to one of the largest populations of Middle Eastern immigrants in the US, to determine prevalence of factors associated with mammography, and attitudes and beliefs regarding mammography screening. Of 365 participants, only five were born in the US. Mean age was 53.2 years (SD 10.8). Two hundred twelve (58.1%) reported having mammogram every 1-2 years; 70% ever had mammogram. Age 50-64 years, having health insurance, married status, being in the US over 10 years, and being Lebanese were associated with mammography every 1-2 years. After adjusting for demographic factors, perceived seriousness of disease, general health motivation, and having fewer barriers were associated with more frequent screening. Appropriate mammography screening is decreased in this group. Targeted outreach regarding screening is appropriate for this population; however, lack of insurance may prevent adequate follow-up.

  6. A slotted access control protocol for metropolitan WDM ring networks

    Science.gov (United States)

    Baziana, P. A.; Pountourakis, I. E.

    2009-03-01

    In this study we focus on the serious scalability problems that many access protocols for WDM ring networks introduce due to the use of a dedicated wavelength per access node for either transmission or reception. We propose an efficient slotted MAC protocol suitable for WDM ring metropolitan area networks. The proposed network architecture employs a separate wavelength for control information exchange prior to the data packet transmission. Each access node is equipped with a pair of tunable transceivers for data communication and a pair of fixed tuned transceivers for control information exchange. Also, each access node includes a set of fixed delay lines for synchronization reasons; to keep the data packets, while the control information is processed. An efficient access algorithm is applied to avoid both the data wavelengths and the receiver collisions. In our protocol, each access node is capable of transmitting and receiving over any of the data wavelengths, facing the scalability issues. Two different slot reuse schemes are assumed: the source and the destination stripping schemes. For both schemes, performance measures evaluation is provided via an analytic model. The analytical results are validated by a discrete event simulation model that uses Poisson traffic sources. Simulation results show that the proposed protocol manages efficient bandwidth utilization, especially under high load. Also, comparative simulation results prove that our protocol achieves significant performance improvement as compared with other WDMA protocols which restrict transmission over a dedicated data wavelength. Finally, performance measures evaluation is explored for diverse numbers of buffer size, access nodes and data wavelengths.

  7. Determinants of blood-lead levels in children in Callao and Lima metropolitan area

    Directory of Open Access Journals (Sweden)

    Espinoza Rocío

    2003-01-01

    Full Text Available OBJECTIVES: To determine blood lead levels in urban populations of children (n=2 510 and women (n=874 in the early postpartum in certain districts of Lima and Callao, and to correlate those levels with particular exposures. MATERIAL AND METHODS: Between July 1998 and January 1999 cross sectional study was conducted. The study population was selected using three sampling strategies in the government operated school system and from public pediatric and maternity hospitals at Lima and Callao, Peru. Study personnel were trained to collect finger stick blood samples with a protocol that minimizes external lead contamination. Lead determinations in blood and environmental samples were performed at the study site using portable anodic striping voltamenters. To determine the simultaneous effects of different predictors on blood lead levels, multivariate regression models were used to estimate adjusted mean differences. RESULTS: The mean blood lead level in the children studied was 9.9 µg/dl ranging from I µg/dl to 64 µg/dl with 29% of the children displaying values greater than 10 µg/dl and 9.4% at levels greater than 20 µg/dl. Among the women, the mean was 3.5 µg/dl (SD=2.4 µg/dl, and 2.4% (n=21 displayed levels greater than 10 µg/dl. Important differences were observed between the sample locations, and the highest levels were documented in the port region near Callao. The mean level of blood lead in this group was 25.6 µg/dl (SD=4.6 µg/dl, while among the rest of the sample it was 7.1 µg/dl (SD=5.1 µg/dl. The presence of a mineral storage area signified a difference in exposure in excess of 13 µg/dl for children living near the port area in contrast to the other children who were not as close to such fixed sources of lead exposure. For the participants in Lima, the risk of showing levels above 10 µg/dl was associated with exposure to high vehicular traffic. CONCLUSIONS: In metropolitan Lima, we conclude that the mean blood lead levels of

  8. Morphometric analysis of the mandible in the Durban Metropolitan population of South Africa.

    Science.gov (United States)

    Ishwarkumar, S; Pillay, P; Haffajee, M R; Satyapal, K S

    2017-01-01

    The identification of an individual from skeletal remains plays a vital role in forensic investigation as it is essential for the identification of the individual's age, sex, and/or race and further analysis. Skeletal characteristics differ from one population group to another since population-specific osteometric standards exist for sex determination. Since the mandible is the largest, strongest and most durable compact facial bone, it is the best preserved after death. While sexual dimorphism of the mandible is indicated by its shape and size, morphometric analysis is more accurate in the determination of sex from the skull. The aim of this study was to evaluate the morphometric parameters of the mandible in the Durban Metropolitan population. Various morphometric parameters of the mandible were measured and assessed in 265 digital panoramic radiographs aged between 16 and 30 years (n = 530). Each parameter recorded was statistically analysed using SPSS to determine if a relationship existed between the parameter, and sex and age. In this study the morphometric parameters of the male mandibles were greater than that of the females. This concurred with the findings of previous studies. The length of the mandibular ramus on the right and left sides was statistically significant with sex. This correlated with previous studies, indicating that the length of the mandibular ramus generally has higher sexual dimorphism than any other morphometric mandibular parameter (p = 0.000). However, only the length of the right mandibular body was statistically significant when compared with sex (p = 0.040). The findings of this study may assist forensic investigators, anatomists, anthropologists and maxillo-facial surgeons.

  9. Relationship between premature mortality and socioeconomic factors in black and white populations of US metropolitan areas.

    Science.gov (United States)

    Cooper, R S; Kennelly, J F; Durazo-Arvizu, R; Oh, H J; Kaplan, G; Lynch, J

    2001-01-01

    examined the association of mortality with selected socioeconomic indicators of inequality and segregation among blacks and whites younger than age 65 in 267 US metropolitan areas. The primary aim of the analysis was to operationalize the concept of institutional racism in public health. Socioeconomic indicators were drawn from Census and vital statistics data for 1989-1991 and included median household income; two measures of income inequality; percentage of the population that was black; and a measure of residential segregation. Age-adjusted premature mortality was 81% higher in blacks than in whites, and median household income was 40% lower. Income inequality, as measured by the Gini coefficient, was greater within the black population (0.45) than within the white population (0.40; p inequality for the total population was significantly correlated with premature mortality (r = 0.33). Black (r = 0.26) and white (r = 0.20) population-specific correlations between income inequality and premature mortality, while still significant, were smaller. Residential segregation was significantly related to premature mortality and income inequality for blacks (r = 0.38 for both); among whites, however, segregation was modestly correlated with premature mortality (r = 0.19) and uncorrelated with income inequality. Regional analyses demonstrated that the association of segregation with premature mortality was much more pronounced in the South and in areas with larger black populations. Social factors such as income inequality and segregation strongly influence premature mortality in the US. Ecologic studies of the relationships among social factors and population health can measure attributes of the social context that may be relevant for population health, providing the basis for imputing macro-level relationships.

  10. Occurrence and sources of bromate in chlorinated tap drinking water in Metropolitan Manila, Philippines.

    Science.gov (United States)

    Genuino, Homer C; Espino, Maria Pythias B

    2012-04-01

    Significant levels of potentially carcinogenic bromate were measured in chlorinated tap drinking water in Metropolitan Manila, Philippines, using an optimized ion-chromatographic method. This method can quantify bromate in water down to 4.5 μg l⁻¹ by employing a postcolumn reaction with acidic fuchsin and subsequent spectrophotometric detection. The concentration of bromate in tap drinking water samples collected from 21 locations in cities and municipalities within the 9-month study period ranged from 7 to 138 μg l⁻¹. The average bromate concentration of all tap drinking water samples was 66 μg l⁻¹ (n = 567), almost seven times greater than the current regulatory limit in the country. The levels of bromate in other water types were also determined to identify the sources of bromate found in the distribution lines and to further uncover contaminated sites. The concentration of bromate in water sourced from two rivers and two water treatment plants ranged from 15 to 80 and 12 to 101 μg l⁻¹, respectively. Rainwater did not contribute bromate in rivers but decreased bromate level by dilution. Groundwater and wastewater samples showed bromate concentrations as high as 246 and 342 μg l⁻¹, respectively. Bromate presence in tap drinking water can be linked to pollution in natural water bodies and the practice of using hypochlorite chemicals in addition to gaseous chlorine for water disinfection. This study established the levels, occurrence, and possible sources of bromate in local drinking water supplies.

  11. [Food-related lifestyles and eating habits inside and outside the home in the Metropolitan Region of Santiago, Chile].

    Science.gov (United States)

    Schnettler, Berta; Peña, Juan Pablo; Mora, Marcos; Miranda, Horacio; Sepúlveda, José; Denegri, Marianela; Lobos, Germán

    2013-01-01

    To distinguish consumer typologies on the basis of their food-related lifestyle in the principal municipalities of the Metropolitan Region of Santiago, Chile, and to characterize these according to their food consumption habits inside and outside the home, sociodemographic characteristics and their level of satisfaction with food-related life. A structured questionnaire was administered to a sample of 951 people in the principal municipalities of the Metropolitan Region of Santiago (more than 100,000 inhabitants). The instrument for collecting data included an adaptation of the food-related life (FRL) questionnaire and the satisfaction with food-related life (SWFL) scale. The food consumption habits inside and outside the home were asked about as well as sociodemographic classification variables of those surveyed. Using a cluster analysis, five typologies were distinguished with significant differences in the five components obtained from the FRL with a factorial analysis of the principal components. The typologies presented a different gender, age and socioeconomic level profile and differed in the scores obtained on the SWFL. They differed in the frequency with which the person has lunch, tea ("once" in Chile) and dinner at home. With respect to the meals outside the home, the typologies were distinguished according to the frequency of meals in restaurants, fast food outlets and in the purchase of prepared food. A lifestyle where eating is related to low involvement and enjoyment of food is associated with a person's higher socioeconomic level and lower age. Additionally, a greater frequency of meals in restaurants and the purchase of prepared food combined with a lower frequency of meals at home is associated with unhealthy eating habits of little benefit to the person, which might have a bearing on a lower level of food-related life satisfaction. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  12. Poverty dynamics in Brazilian metropolitan areas: An analysis based on Hulme and Shepherd's categorization (2002–2011

    Directory of Open Access Journals (Sweden)

    Solange Ledi Gonçalves

    2015-09-01

    Full Text Available Ever-more sophisticated studies on the methodological approach and the conceptual scope of poverty have led to a consensus among scholars on the dynamic characteristic of this phenomenon – in other words, the existence of an in-and-out of privation movement of individuals and families. Within this context, Hulme and Shepherd (2003 defined five groups according to the location of the punctual and average indicators of poverty vis-à-vis the poverty line. This paper's objective is to adapt this typology to Brazil, using PME (Monthly Job Survey micro-data for the 2002–2011 timeframe and the six Brazilian Metropolitan Regions covered by PME as well as, by estimating a multinomial logit, investigate which family characteristics relate to a greater or lesser chance of belonging to each of the chronic and transitory poverty categories. Categorization allows observation that, despite a sweeping across-the-board decline in the percentage of families in all poverty categories in the past decade, those families always or usually poor display demographic, socioeconomic, access to and insertion into the labor market categories which differ from families in transitory poverty or classified as never poor. Moreover, Northeastern metropolitan regions (Salvador and Recife have higher percentages of chronic or transitory poverty. Multinomial logit estimates make it possible to verify that families whose members have completed secondary schooling or college or hold a higher-qualified occupation stand lesser chances of entering into or remaining in poverty. Results call for differentiating among poor families, as they enter into or leave poverty – which is tantamount to saying that the dynamics of poverty must be taken into account as public policies are drawn up.

  13. Thyroid Disorders in Accra, Ghana

    African Journals Online (AJOL)

    User

    to enhance thyroid-targeted expression of sodium/iodide symporter. J Clin Endocrinol. Metab 89(5): 2344-2350. Mariotti, S, Cambuli, VM (2007) Cardiovascular risk in elderly hypothyroid patients. Thyroid 17. (11): 1067-1073. Mariotti, S, Franceschi, C, Cossarizza, A, Pinchera, A. (1995) The aging thyroid. Endocr Rev 16(6):.

  14. Museo Nacional, en Accra, Ghana

    Directory of Open Access Journals (Sweden)

    Drake y Lasdun, Arquitectos

    1961-02-01

    Full Text Available El edificio, de indudable efecto plástico con su escueto diseño y esmerada realización, se adapta, fundamentalmente — y en esto consiste la utilidad y funcionalismo, base de la belleza—, a las condiciones topográficas y climáticas de la región, y a la finalidad para la que fue construido, expresando su fisonomía exterior el contenido y el uso a que se destina.

  15. Diurnal variations of indoor radon progeny for Bangalore metropolitan, India

    International Nuclear Information System (INIS)

    Nagesh, V.; Sathish, L.A.; Nagaraja, K.; Sundareshan, S.

    2010-01-01

    Radon progenies are identified as major causes of the lung cancer if the activity is above its normal. It has not been clear whether radon poses a similar risk of causing lung cancer in humans exposed at generally lower levels found in homes, but a number of indoor radon survey have been carried out in recent years around the world. In view of this an attempt has been made for the measurement of diurnal variation of indoor radon levels for the environment of Bangalore metropolitan, India. The Radon progeny concentrations in terms of working level were measured using Kusnetz's method. The patterns of daily and annual changes in indoor Radon concentration have been observed in a general way for many years. However, understanding of the physical basis for these changes had to await the development of continuous monitors and a more complete knowledge of transport processes in the atmosphere. Over a continent, heating of the ground surface by the Sun during the day and cooling by radiation during the night causes a marked diurnal change in temperature near the surface. As a result cool air near the ground will accumulate radon isotopes from surface flux during the night; while during the day the warm air will be transported upward carrying radon with it. Many buildings show diurnal radon variations. Concentrations are relatively higher during night than daytime. This is influenced by the outdoor-indoor temperature contrast. This effect can be enhanced in buildings with strong diurnal use patterns. Buildings that have high average radon concentrations, but are only occupied for part of the day, may need to be measured during occupied periods to determine if there is significant diurnal radon variation. The results are discussed in detail. (author)

  16. Indoor radon distribution in metropolitan region of Belo Horizonte, Brazil

    International Nuclear Information System (INIS)

    Santos, Talita O.; Oliveira, Arno H. de

    2009-01-01

    Human beings are exposed to ionizing radiation from many natural sources. Radon and its progeny have been recognized as the most important contributors to the natural radioactivity dose, accounting for about half of all human exposure to ionizing radiation. Radon ( 222 Rn) is a α-radioactive noble gas derived from the natural series of uranium (2 38 U), which occurs in a wide concentration range in all geological materials, especially, in rocks, soils and waters. By diffusion and convection, radon migrates from the rocks and soils to atmosphere and through fissures, pipes and holes it may enter the dwellings and other buildings. Another important radon source in dwellings is its emanation from the construction material. The radon progeny concentration in dwellings has been receiving considerable global attention due to its potential effect in causing lung cancer if it deposited in upper respiratory tract when inhaled. This paper presents radon concentration distribution in dwellings in Metropolitan Region of Belo Horizonte - RMBH. The effective dose estimate is also presented for the RMBH inhabitants. The geological settings of the area are Archean rocks of Granitic Gnaissic Complex and of metasediments sequences of the great Precambrian unit of the Iron Quadrangle of Minas Gerais, Brazil. Radon concentration measurements were carried out with continuous detector AlphaGUARD PQ200PRO (Genitron), in passive mode and with passive detectors E-PERM R Eletret Ion Chamber-EIC. The radon progeny concentration was carried out with a solid state alpha spectroscope, the DOSEman PRO (Sarad). It was found an indoor radon concentration varying in a large range from 18.5 to 2671.4 Bq/m -3 , with an average value of 148.0 Bqm -3 and geometric mean equal to 128.2 Bqm -3 . The variable results are due mainly to region geological factors and building material composition of dwellings. The equilibrium factor between radon and its progeny were determined in dwellings, as 0.3 in

  17. Iron, Oil, and Emeryville: Resource Industrialization and Metropolitan Expansion in the San Francisco Bay Area, 1850-1900

    OpenAIRE

    Lunine, Seth

    2013-01-01

    Scholars have largely overlooked the formative role of industry in both California's economic development and the San Francisco Bay Area's metropolitan expansion during the late nineteenth century. Beginning in the early 1880s, leading firms in San Francisco's specialized industries, such as the iron and chemicals sectors, dispersed to the metropolitan periphery. This process of industrial suburbanization created an integrative metropolitan economy, as well as individual suburbs. In this di...

  18. Comparative Analysis of Recruitment Strategies in a Study of Men Who Have Sex with Men (MSM) in Metropolitan Detroit.

    Science.gov (United States)

    Iott, Bradley E; Veinot, Tiffany C; Loveluck, Jimena; Kahle, Erin; Golson, Leon; Benton, Akilah

    2018-02-22

    HIV/AIDS-related research requires recruitment of representative samples of MSM; yet, we know little about the comparative yield, diversity and cost-benefit tradeoffs between different recruitment venues. We compared 11 recruitment venues used for nine HIV prevention-related focus groups with MSM in Metropolitan Detroit. Of the 64 participants, 24 were clients recruited via an HIV/AIDS-focused nonprofit, 20 from Grindr advertisements, 6 from university-student email lists, and 5 from flyers/palmcards. Significantly more African-American, low-income and HIV-positive participants were recruited via the nonprofit. The best cost-benefit tradeoffs were for organizational Facebook posts, email groups, personal networking, and nonprofit recruitment. Grindr increased the size of the sample, though at greater expense. Facebook and Scruff advertisements and gay bar outreach represented greater costs than benefits. Only 11.6% of Grindr respondents attended the focus groups. A mix of online and offline recruitment venues can generate a large and diverse sample of MSM, but venue performance is uneven.

  19. Travel and urban form in the Greater Copenhagen region

    DEFF Research Database (Denmark)

    Nielsen, Thomas Alexander Sick

    of the economic upturn – with a later point in time where the financial crisis had radically changed the economic climate. It follows from the specificity of the historical events that an analysis of what happened to urban form and transport over the financial crisis is to be seen as a case study......Research into the associations between urban form and travel in the capital areal has focussed on subcenters and the stability of urban form correlates over time. A trend towards de-concentration and formation of subcenters in metropolitan areas has been acknowledged for decades. Studies have...... analyzed the new urban structure by identifying subcenters and their land value impacts. Others have focused on subcenters as a location attribute or ‘intervention’ that affects travel patterns and therefore may be employed in the context of urban and transportation demand management. The research has...

  20. Small-town migration to metropolitan centres: a case in Peninsular Malaysia.

    Science.gov (United States)

    Lee Boon Thong

    1979-12-01

    In Malaysia small towns are an important source of population gowth in metropolitan areas. To provide empirical evidence of the magnitude and roles of small urban centers as complementary sources of population growth in metropolitan areas, a small survey was conducted in 10 small towns in the State of Selangor. Criteria for the selection of these towns include a fair geographical spread over the State, and each area must characteristically possess a dominant urban center. The questionnaires were directed to the heads of 300 households with the intention of investigating the socioeconomic background of the households and the magnitude and characteristics of those members of the households who have migrated elsewhere. The total number of outmigrants from each area varied from 27-57, giving an overall average figure of 1.53 outmigrants/household. About 77% of the outmigrants had moved to the metropolitan centers. As the majority of the metropolitan migrants were more attracted to Kuala Lumpur, Klang, and Petaling Jaya, it may be assumed that the total outmigrants from small towns as derived would have consitituted about 39% of the population in the Klang Valley region. Based on this estimate, the role of small towns in metropolitan population growth is important. In the survey conducted, 2 broad categories of movements were involved: "economic movers," i.e., those who migrated to work or to establish businesses in the metropolitan areas; and "noneconomic movers," i.e., those who moved to continue their studies or to follow their spouses, and so forth. The economic mover stream made up 71% of the total metropolitan migrants. 2 variables--marital status and sex--were significantly related to the economic or noneconomic nature of the metropolitan migrants. The movement of males tended to be associated with economic motives whereas noneconomic reasons for movement tended to be the case among females migrants. The most important occupational group of the economically

  1. Comparative Analysis of User-Generated Online Yelp Reviews for Periodontal Practices in Multiple Metropolitan Markets.

    Science.gov (United States)

    Holtzclaw, Dan J

    2017-02-01

    Previously published research for a single metropolitan market (Austin, Texas) found that periodontists fare poorly on the Yelp website for nearly all measured metrics, including average star ratings, number of reviews, review removal rate, and evaluations by "elite" Yelp users. The purpose of the current study is to confirm or refute these findings by expanding datasets to additional metropolitan markets of various sizes and geographic locations. A total of 6,559 Yelp reviews were examined for general dentists, endodontists, pediatric dentists, oral surgeons, orthodontists, and periodontists in small (Austin, Texas), medium (Seattle, Washington), and large (New York City, New York) metropolitan markets. Numerous review characteristics were evaluated, including: 1) total number of reviews; 2) average star rating; 3) review filtering rate; and 4) number of reviews by Yelp members with elite status. Results were compared in multiple ways to determine whether statistically significant differences existed. In all metropolitan markets, periodontists were outperformed by all other dental specialties for all measured Yelp metrics in this study. Intermetropolitan comparisons of periodontal practices showed no statistically significant differences. Periodontists were outperformed consistently by all other dental specialties in every measured metric on the Yelp website. These results were consistent and repeated in all three metropolitan markets evaluated in this study. Poor performance of periodontists on Yelp may be related to the age profile of patients in the typical periodontal practice. This may result in inadvertently biased filtering of periodontal reviews and subsequently poor performance in multiple other categories.

  2. Forecasting drug utilization and expenditure in a metropolitan health region

    Directory of Open Access Journals (Sweden)

    Korkmaz Seher

    2010-05-01

    Full Text Available Abstract Background New pharmacological therapies are challenging the healthcare systems, and there is an increasing need to assess their therapeutic value in relation to existing alternatives as well as their potential budget impact. Consequently, new models to introduce drugs in healthcare are urgently needed. In the metropolitan health region of Stockholm, Sweden, a model has been developed including early warning (horizon scanning, forecasting of drug utilization and expenditure, critical drug evaluation as well as structured programs for the introduction and follow-up of new drugs. The aim of this paper is to present the forecasting model and the predicted growth in all therapeutic areas in 2010 and 2011. Methods Linear regression analysis was applied to aggregate sales data on hospital sales and dispensed drugs in ambulatory care, including both reimbursed expenditure and patient co-payment. The linear regression was applied on each pharmacological group based on four observations 2006-2009, and the crude predictions estimated for the coming two years 2010-2011. The crude predictions were then adjusted for factors likely to increase or decrease future utilization and expenditure, such as patent expiries, new drugs to be launched or new guidelines from national bodies or the regional Drug and Therapeutics Committee. The assessment included a close collaboration with clinical, clinical pharmacological and pharmaceutical experts from the regional Drug and Therapeutics Committee. Results The annual increase in total expenditure for prescription and hospital drugs was predicted to be 2.0% in 2010 and 4.0% in 2011. Expenditures will increase in most therapeutic areas, but most predominantly for antineoplastic and immune modulating agents as well as drugs for the nervous system, infectious diseases, and blood and blood-forming organs. Conclusions The utilisation and expenditure of drugs is difficult to forecast due to uncertainties about the rate

  3. Factors Influencing Patronage Of Medical Tourism In Metropolitan Lagos Nigeria

    Directory of Open Access Journals (Sweden)

    Omisore

    2015-08-01

    Full Text Available Since medical tourism attract patient from various origin to seek medical services at different destinations it is paramount to consider the factors that motivate patrons decision on medical tourism. Hence this study assesses the factors influencing patronage of medical tourism in Lagos metropolis Nigeria. Lagos State is situated in the southwestern corner of Nigeria it lies within Latitudes 62N to 64N of the Equator and Longitudes 245E to 420E of the Greenwich meridian. Metropolitan Lagos is a statistical division and not an administrative unit it extends over 16 of the 20 LGAs of Lagos State it contains 88 of the population of Lagos State and includes semi-rural areas. Data were collected from primary source. Primary data collection was carried out through the use of structured questionnaire. Systematic sampling technique was employed to select 15 specialized private hospitals and 14 Public hospitals in the study area resulting to a sample size of 29 hospitals. Ten 10 patrons were contacted in each of the selected hospitals consequently 290 patrons were sampled. The study revealed three factors influencing patronage of medical tourism in the study area to be service related economic and facilities. These were further established by factor analysis result which combine service related economic factor as factor one with 29.5 variance explained and Eigen value of 5.605 Facility factor as factor two with 28.6 variance explained and Eigen value of 5.435 Service related factor as factor three with 14.7 variance explained and Eigen value of 2.788 and Economic factor as factor four with 9.2 variance explained and Eigen value of 1.754. The relevant authority in charge of health facilities in the study area would have to employ adequate manpower in-terms of doctors and other healthcare personnel across the public hospital while also regulating the scale of charges of the registered private hospitals in the study area. There is need to improve upon the

  4. Assessment of naturally occurring radioactive materials and trace elements in playgrounds of selected basic schools in the Ga-East municipal district, Accra, Ghana

    International Nuclear Information System (INIS)

    Taapopi, E.E.

    2015-07-01

    The 235 U, 232 Th series and natural 40 K are the main source of natural radioactivity in soil and have long half-lives up to 10 10 years. Therefore their presence in soils and rocks is simply considered as permanent. Also due to rapid urbanization, most of Basic School playgrounds in Accra are built close to major roads or industrial areas for which they are subject to many potential pollution sources, including vehicle exhaust and industrial emissions. A study has been carried out on playgrounds of basic schools in the Ga East municipal district in order to determine the exposure of the school children to naturally occurring radioactive materials ( 238 U, 232 Th and 40 K) and trace elements [aluminum (Al), cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), mercury (Hg), potassium (K), lanthanum (La), manganese (Mn), sodium (Na), nickel (Ni), lead (Pb), titanium (Ti), vanadium (V), zinc (Zn)]. The activity concentrations were determined using high‐purity germanium (HPGe) detector. The average activity concentrations of 238 U, 232 Th and 40 K determined were 19.8 ± 8.7, 29.1 ± 16.3 and 119.4 ± 97.9 Bq.kg-1 respectively. The average annual effective dose was 0.039 ± 0.021 mSv and it is below the dose limit of 1 mSv/year recommended by International Commission on Radiological Protection (ICRP) for public exposure control. Radiological hazard assessments arising from the natural radionuclides were carried out. The average concentration of 222 Rn and exhalation rate were estimated to be 32.13 kBq.m -3 and 0.016 Bq.m -2 .s -1 respectively, which compared well with the world average values [78 kBq.m -3 and 0.033 Bq.m -2 .s -1 reported by (UNSCEAR, 2000)]. Soil samples were also analyzed for trace elements by Instrumental Neutron Activation Analysis and Atomic Absorption Spectrometry in order to assess the potential adverse health effects of the exposure of children to trace elements during their games at school. Doses incurred via ingestion and inhalation and

  5. Rethinking suburbia: a case study of metropolitan Miami

    NARCIS (Netherlands)

    Nijman, J.; Clery, T.

    2015-01-01

    Greater Miami makes an interesting case study of suburbanization because of its recent history, the geographic limits of urban expansion, and its profound ethnic makeover at the time that postwar suburbanization peaked in North America. The city-suburb distinction here does not correspond to

  6. Modelling the emerging pollutant diclofenac with the GREAT-ER model: Application to the Llobregat River Basin

    International Nuclear Information System (INIS)

    Aldekoa, Joana; Medici, Chiara; Osorio, Victoria; Pérez, Sandra; Marcé, Rafael; Barceló, Damià; Francés, Félix

    2013-01-01

    Highlights: • Diclofenac levels were measured in 14 sampling sites of the Llobregat River (Spain). • GREAT-ER model was used to simulate diclofenac concentrations in the Llobregat River. • Deterministic and stochastic modelling approaches were contrasted. • Diclofenac discharge into the basin was estimated for the studied period. • Consistent degradation rates were predicted and compared with literature values. -- Abstract: The present research aims at giving an insight into the increasingly important issue of water pollution due to emerging contaminants. In particular, the source and fate of the non-steroidal anti-inflammatory drug diclofenac have been analyzed at catchment scale for the Llobregat River in Catalonia (Spain). In fact, water from the Llobregat River is used to supply a significant part of the Metropolitan Area of Barcelona. At the same time, 59 wastewater treatment plants discharge into this basin. GREAT-ER model has been implemented in this basin in order to reproduce a static balance for this pollutant for two field campaigns data set. The results highlighted the ability of GREAT-ER to simulate the diclofenac concentrations in the Llobregat Catchment; however, this study also pointed out the urgent need for longer time series of observed data and a better knowledge of wastewater plants outputs and their parameterization in order to obtain more reliable results

  7. Modelling the emerging pollutant diclofenac with the GREAT-ER model: Application to the Llobregat River Basin

    Energy Technology Data Exchange (ETDEWEB)

    Aldekoa, Joana, E-mail: joaalma2@cam.upv.es [Universitat Politècnica de València, Camino de Vera s/n, 46022 Valencia (Spain); Medici, Chiara [Universitat Politècnica de València, Camino de Vera s/n, 46022 Valencia (Spain); Osorio, Victoria; Pérez, Sandra [Institute of Environmental Assessment and Water Research, Jordi Girona 18-26, 08034 Barcelona (Spain); Marcé, Rafael [Catalan Institute for Water Research, Emili Grahit 101, 17003 Girona (Spain); Barceló, Damià [Institute of Environmental Assessment and Water Research, Jordi Girona 18-26, 08034 Barcelona (Spain); Francés, Félix [Universitat Politècnica de València, Camino de Vera s/n, 46022 Valencia (Spain)

    2013-12-15

    Highlights: • Diclofenac levels were measured in 14 sampling sites of the Llobregat River (Spain). • GREAT-ER model was used to simulate diclofenac concentrations in the Llobregat River. • Deterministic and stochastic modelling approaches were contrasted. • Diclofenac discharge into the basin was estimated for the studied period. • Consistent degradation rates were predicted and compared with literature values. -- Abstract: The present research aims at giving an insight into the increasingly important issue of water pollution due to emerging contaminants. In particular, the source and fate of the non-steroidal anti-inflammatory drug diclofenac have been analyzed at catchment scale for the Llobregat River in Catalonia (Spain). In fact, water from the Llobregat River is used to supply a significant part of the Metropolitan Area of Barcelona. At the same time, 59 wastewater treatment plants discharge into this basin. GREAT-ER model has been implemented in this basin in order to reproduce a static balance for this pollutant for two field campaigns data set. The results highlighted the ability of GREAT-ER to simulate the diclofenac concentrations in the Llobregat Catchment; however, this study also pointed out the urgent need for longer time series of observed data and a better knowledge of wastewater plants outputs and their parameterization in order to obtain more reliable results.

  8. Epitaphios of Jovan, the Metropolitan of Skopje, in the treasury of the Hilandar monastery

    Directory of Open Access Journals (Sweden)

    Radovanović Janko

    2006-01-01

    Full Text Available The epitaphios of Jovan, the Metropolitan of Skopje, was created between 1346 and 1348. It is unique for its beauty and iconographic program and, at the same time, it is the oldest of the epitaphia preserved in our country. The epitaphios was worn in the course of Holy Liturgy, during the Great Entrance in the cathedral churches and the major monasteries. Metropolitan Jovan presented the epitaphios as a gift to Christ 'my life-giver.' Depicted on its central field is the Epitaphios Threnos (Lamentation at the Tomb. Added around it, at a later time it seems, are bands representing the fourteen scenes of Great Feasts and the officiating Church Fathers, in embroidery. Holy Liturgy is served by the greatest fathers and teachers of the Church and Metropolitan Jovan.

  9. Analysing contemporary metropolitan spatial plans in Europe through their institutional context, instrumental content and planning process

    DEFF Research Database (Denmark)

    Elinbaum, Pablo; Galland, Daniel

    2016-01-01

    This article sets out to propose and apply a qualitative framework for thinking about how to analyze and compare metropolitan spatial plans in a milieu of divergent spatial planning traditions and discretionary planning practices. In doing so, the article reviews and develops an understanding...... concerning the institutional context, instrumental content and planning processes associated with four contemporary metropolitan spatial plans in Europe, namely London, Copenhagen, Paris and Barcelona. Through the results of a multiple case study and a subsequent cross comparative analysis, the article...... stresses that contemporary metropolitan spatial plans tend to merge characteristics associated with project-based and strategy-based spatial plans, thus contrasting with the typical land-use character of municipal plans and the often strategic, growth-oriented pursuit of regional plans in Europe...

  10. Potential for air quality improvement in the Tokyo metropolitan area from use of hydrogen fuel

    International Nuclear Information System (INIS)

    Kruger, Paul; Murdock, Mork

    1998-01-01

    A revised estimation has been made of the local air quality improvement that can be achieved in Tokyo as a byproduct of a word-wide hydrogen energy economy based on global reduction of CO2 emission from fossil fuels. The study for the WE-NET Project in Japan examined the potential for reduction in nitrogen oxide emission with hydrogen fuel in the Tokyo metropolitan area where sufficient data exist on trends in population, vehicle registrations, traffic activity, and exhaust emissions. A dynamic model was developed to extrapolate the trends in these data to estimate future NOx emission rates in comparison to regulatory scenarios based on policy and technical decisions of the Tokyo Metropolitan Government for improvement of air quality in the metropolitan area. The results of the model show significant potential for reduction of NOx emission by the year 2020 with a concomitant reduction in mean roadside NOx concentration. (author)

  11. Regional differences in commuting activities of inhabitants in the Tokyo metropolitan suburb

    Directory of Open Access Journals (Sweden)

    Masaki Kawase

    2004-12-01

    Full Text Available The purpose of this study is to elucidate gender differences and regional differences of co-mmuting activities by inhabitants in Japanese metropolitan suburbs. I found the different parts by districts in the metropolitan suburb. Regional factors cause gender differences in commuting activities and result in regional differences: In residential areas, inhabitants who work in metropolitan centers occupy much of the population. In older built-up areas, there are many “local” persons. In rural areas, motorization is progressing because access to rail-roads has been inconvenient. These regional factors influence the behavioral characteristics of commuting by married men, married women, never married men and never married women.

  12. Intra-metropolitan inequalities in Rio de Janeiro and the Guanabara Bay cleaning programme

    DEFF Research Database (Denmark)

    Ribeiro, Gustavo; Silva, Victor

    2005-01-01

    This paper investigates the impacts of the Guanabara Bay Cleaning Programme (GBCP) on the Rio de Janeiro urban development process. Based on the magnitude of the budget of the programme (HOW MUCH?) and its relevance to the improvement of the life quality of urban dwellers, the main discussion...... of this paper focuses on the role of GBCP in the context of the Rio de Janeiro urban trends and intra-metropolitan inequality dynamics. In studying the impact of the GBCP, we present: (a) a description of the GBCP intervention process and its goals, (b) a spatial analysis of the Rio de Janeiro Metropolitan Area...... the role of the GBCP implementation in the spatial distribution of these patterns throughout these 10 years. The conclusion builds on an analysis of the GBCP role in the current urban development process of the Rio de Janeiro Metropolitan Area, identifying its influences on the dynamics of intra...

  13. The Spatial Changes of Land Use in the Bucharest Metropolitan Area 1970s – 2000s

    OpenAIRE

    Gabriel Simion

    2010-01-01

    The article explore the dimension of spatial changes of land use in the Bucharest Metropolitan Area (BMA) over the past forty years. Using GIS-based land use data sets of the years 1970, 1990 and 2000, combining with statistical data, we attempted to quantify the spatial pattern of land use changes in the BMA. Our findings indicate that most significantly changes occurred with arable lands that have been reduced from 77% of total metropolitan area in 1970 to 71.3% in 2000 and in same time th...

  14. Relative Food Prices and Obesity in U.S. Metropolitan Areas: 1976-2001

    Science.gov (United States)

    Xu, Xin; Variyam, Jayachandran N.; Zhao, Zhenxiang; Chaloupka, Frank J.

    2014-01-01

    This study investigates the impact of food price on obesity, by exploring the co-occurrence of obesity growth with relative food price reduction between 1976 and 2001. Analyses control for female labor participation and metropolitan outlet densities that might affect body weight. Both the first-difference and fixed effects approaches provide consistent evidence suggesting that relative food prices have substantial impacts on obesity and such impacts were more pronounced among the low-educated. These findings imply that relative food price reductions during the time period could plausibly explain about 18% of the increase in obesity among the U.S. adults in metropolitan areas. PMID:25502888

  15. The polycentric structure of local labour markets in Mexico City's Metropolitan Area

    Directory of Open Access Journals (Sweden)

    José María Casado Izquierdo

    2012-11-01

    Full Text Available Commuting data at a district level and an algorithm designed to delineate self–contained areas show that Mexico City Metropolitan Area (MCMA was organized in 2007 in twelve local labour market areas. Although six exployment subcenters were identified, the MCMA is still clearly dominated by its Central Business District (CBD, being located the remaining five subcenters close to the CBD. Assessment of this spatial structure is not a positive one: diminishing co–location, decrease in speed and increase in commuting time and distance. Nevertheless, the rising percentage of intra–district commuting is a positive sign, even if this trend is not uniform throughout the metropolitan area.

  16. The Role of Great Cities in Romania for the Metropolitan Development

    Directory of Open Access Journals (Sweden)

    Ruxandra Irina POPESCU

    2008-02-01

    Full Text Available According to the legislation in force, in Romania there are 11 first rank cities that given their size, their importance, the level of services and the economic activity, represent attractions and are subjected to the development pressures. Still, according to the European tendencies, the urban agglomerations tend to approach this type of cooperation regardless the number of the inhabitants. Currently in Romania there are 11 great cities that have developed processes of organizing the metropolitan areas corresponding to them. Among them, two have already created metropolitan areas: Oradea (2001 and Iaşi (2004, both with the assistance of programs financed by USAID.

  17. Exarh of the Bulgarian Church metropolitan Stephen and the Moscow Patriarchy

    Directory of Open Access Journals (Sweden)

    Kostriukov Andrei

    2013-02-01

    Full Text Available The article covers the last period of church-administrative activity of the Sofia’s metropolitan Stephаn (Shokov. The author describes the testimonies of contemporaries about the character and personal qualities of this ambiguous hierarch. In 1945–1948 metropolitan Stephan was the exarch of the Bulgarian Orthodox Church and participated in the Meeting of heads and representatives of Autocephalous Orthodox Churches in 1948. The author considers the circumstances of the dismissal of metropolitan Stephаn and his exile as especially important and interesting ones. The meeting of 1948 became the critical event in the exarch’s destiny. Being the supporter of ecumenism, metropolitan Stephen tried unsuccessfully to convince Patriarch Alexis of his rightness in order not to allow the condemnation of ecumenical contacts by the Moscow meeting. However Moscow looked on ecumenism differently in those days. In Moscow the Soviet management aspired to establishment of the centre of World Orthodoxy and tried to cite the Moscow Patriarchy against Constantinople that was under the influence of the USA and the Great Britain. As the Constantinople Patriarchy approved the ecumenical movement, the Moscow Patriarchy has been forced to take of an opposite position. Therefore, the participation of the Russian Church and Churches of the socialist countries in the ecumenical movement was impossible. Metropolitan Stephan, supporting the superiority of the Moscow Patriarchy in the World Orthodoxy, supported the active participation of all Local Churches in the ecumenical movement. The communistic management applied the maximum force to the exarch in order he has not made undesirable statements at the meeting. The fate of metropolitan Stephan has been decided after this meeting. In 1948 he was fired and exiled. The Moscow Patriarchy did not exclude the possibility of moving of metropolitan Stephаn to Russia and his location in any monastery. However metropolitan

  18. Study on waste waters of metal finishing industries around Lahore metropolitan area

    International Nuclear Information System (INIS)

    Khan, Izhar-ul-Haq; Mahmood, F.; Tufail, S.; Naeem, M.

    2002-01-01

    Study was undertaken on the waste water samples from metal finishing industries of Lahore metropolitan area for the evaluation of metallic impurities. The metal finishing industry was classified into three categories i. e. medium scale, small scale and cottage scale industry. About 93 wastewater samples were collected from various metal finishing industries around Lahore metropolitan area. In addition to toxic elements like cadmium, nickel and zinc the other parameters such as hydrogen ion concentration (pH), Electrical conductivity (EC) and Total Dissolved Salts (TDS) were also determined. (author)

  19. Metropolitan Blueprints of Colonial Taxation? Lessons from Fiscal Capacity Building in British and French Africa, c. 1880-1940

    NARCIS (Netherlands)

    Frankema, E.H.P.; Waijenburg, van M.F.M.

    2014-01-01

    The historical and social science literature is divided about the importance of metropolitan blueprints of colonial rule for the development of colonial states. We exploit historical records of colonial state finances to explore the importance of metropolitan identity on the comparative development

  20. Demographic Transformation in a Policy Vacuum: The Changing Face of U.S. Metropolitan Society and Challenges for Public Schools

    Science.gov (United States)

    Mordechay, Kfir; Orfield, Gary

    2017-01-01

    Educators and policy makers must confront the race and class disparities in learning opportunities across American society. Nowhere are these disparities more acute than in the country's great metropolitan areas. As the demographic landscape continues to shift, metropolitan areas are fueling the transition to a majority-minority country. This…

  1. New aerosol particles formation in the Sao Paulo Metropolitan Area

    Science.gov (United States)

    Vela, Angel; Andrade, Maria de Fatima; Ynoue, Rita

    2016-04-01

    The Sao Paulo Metropolitan Area (SPMA), in the southeast region of Brazil, is considered a megalopolis comprised of Sao Paulo city and more 38 municipalities. The air pollutant emissions in the SPMA are related to the burning of the fuels: etanol, gasohol (gasoline with 25% ethanol) and diesel. According to CETESB (2013), the road vehicles contributed up to about 97, 87, and 80% of CO, VOCs and NOx emissions in 2012, respectively, being most of NOx associated to diesel combustion and most of CO and VOCs from gasohol and ethanol combustion. Studies conducted on ambient air pollution in the SPMA have shown that black carbon (BC) explains 21% of mass concentration of PM2.5 compared with 40% of organic carbon (OC), 20% of sulfates, and 12% of soil dust (Andrade et al., 2012). Most of the observed ambient PM2.5 mass concentration usually originates from precursors gases such as sulphur dioxide (SO2), ammonia (NH3), nitrogen oxides (NOx) and VOCs as well as through the physico-chemical processes such as the oxidation of low volatile hydrocarbons transferring to the condensed phase (McMurry et al., 2004). The Weather Research and Forecasting with Chemistry model (WRF-Chem; Grell et al. 2005), configured with three nested grid cells: 75, 15, and 3 km, is used as photochemical modeling to describe the physico-chemical processes leading to evolution of particles number and mass size distribution from a vehicular emission model developed by the IAG-USP laboratory of Atmospheric Processes and based on statistical information of vehicular activity. The spatial and temporal distributions of emissions in the finest grid cell are based on road density products compiled by the OpenStreetMap project and measurements performed inside tunnels in the SPMA, respectively. WRF-Chem simulation with coupled primary aerosol (dust and sea-salt) and biogenic emission modules and aerosol radiative effects turned on is conducted as the baseline simulation (Case_0) to evaluate the model

  2. Technical concept for a greater-confinement-disposal test facility

    International Nuclear Information System (INIS)

    Hunter, P.H.

    1982-01-01

    Greater confinement disposal (GCO) has been defined by the National Low-Level Waste Program as the disposal of low-level waste in such a manner as to provide greater containment of radiation, reduce potential for migration or dispersion or radionuclides, and provide greater protection from inadvertent human and biological intrusions in order to protect the public health and safety. This paper discusses: the need for GCD; definition of GCD; advantages and disadvantages of GCD; relative dose impacts of GCD versus shallow land disposal; types of waste compatible with GCD; objectives of GCD borehole demonstration test; engineering and technical issues; and factors affecting performance of the greater confinement disposal facility

  3. Alarming levels of drug-resistant tuberculosis in HIV-infected patients in metropolitan Mumbai, India.

    Science.gov (United States)

    Isaakidis, Petros; Das, Mrinalini; Kumar, Ajay M V; Peskett, Christopher; Khetarpal, Minni; Bamne, Arun; Adsul, Balkrishna; Manglani, Mamta; Sachdeva, Kuldeep Singh; Parmar, Malik; Kanchar, Avinash; Rewari, B B; Deshpande, Alaka; Rodrigues, Camilla; Shetty, Anjali; Rebello, Lorraine; Saranchuk, Peter

    2014-01-01

    Drug-resistant tuberculosis (DR-TB) is a looming threat to tuberculosis control in India. However, no countrywide prevalence data are available. The burden of DR-TB in HIV-co-infected patients is likewise unknown. Undiagnosed and untreated DR-TB among HIV-infected patients is a major cause of mortality and morbidity. We aimed to assess the prevalence of DR-TB (defined as resistance to any anti-TB drug) in patients attending public antiretroviral treatment (ART) centers in greater metropolitan Mumbai, India. A cross-sectional survey was conducted among adults and children ART-center attendees. Smear microscopy, culture and drug-susceptibility-testing (DST) against all first and second-line TB-drugs using phenotypic liquid culture (MGIT) were conducted on all presumptive tuberculosis patients. Analyses were performed to determine DR-TB prevalence and resistance patterns separately for new and previously treated, culture-positive TB-cases. Between March 2013 and January 2014, ART-center attendees were screened during 14135 visits, of whom 1724 had presumptive TB. Of 1724 attendees, 72 (4%) were smear-positive and 202 (12%) had a positive culture for Mycobacterium tuberculosis. Overall DR-TB was diagnosed in 68 (34%, 95% CI: 27%-40%) TB-patients. The proportions of DR-TB were 25% (29/114) and 44% (39/88) among new and previously treated cases respectively. The patterns of DR-TB were: 21% mono-resistant, 12% poly-resistant, 38% multidrug-resistant (MDR-TB), 21% pre-extensively-drug-resistant (MDR-TB plus resistance to either a fluoroquinolone or second-line injectable), 6% extensively drug-resistant (XDR-TB) and 2% extremely drug-resistant TB (XDR-TB plus resistance to any group-IV/V drug). Only previous history of TB was significantly associated with the diagnosis of DR-TB in multivariate models. The burden of DR-TB among HIV-infected patients attending public ART-centers in Mumbai was alarmingly high, likely representing ongoing transmission in the community and

  4. Alarming levels of drug-resistant tuberculosis in HIV-infected patients in metropolitan Mumbai, India.

    Directory of Open Access Journals (Sweden)

    Petros Isaakidis

    Full Text Available BACKGROUND: Drug-resistant tuberculosis (DR-TB is a looming threat to tuberculosis control in India. However, no countrywide prevalence data are available. The burden of DR-TB in HIV-co-infected patients is likewise unknown. Undiagnosed and untreated DR-TB among HIV-infected patients is a major cause of mortality and morbidity. We aimed to assess the prevalence of DR-TB (defined as resistance to any anti-TB drug in patients attending public antiretroviral treatment (ART centers in greater metropolitan Mumbai, India. METHODS: A cross-sectional survey was conducted among adults and children ART-center attendees. Smear microscopy, culture and drug-susceptibility-testing (DST against all first and second-line TB-drugs using phenotypic liquid culture (MGIT were conducted on all presumptive tuberculosis patients. Analyses were performed to determine DR-TB prevalence and resistance patterns separately for new and previously treated, culture-positive TB-cases. RESULTS: Between March 2013 and January 2014, ART-center attendees were screened during 14135 visits, of whom 1724 had presumptive TB. Of 1724 attendees, 72 (4% were smear-positive and 202 (12% had a positive culture for Mycobacterium tuberculosis. Overall DR-TB was diagnosed in 68 (34%, 95% CI: 27%-40% TB-patients. The proportions of DR-TB were 25% (29/114 and 44% (39/88 among new and previously treated cases respectively. The patterns of DR-TB were: 21% mono-resistant, 12% poly-resistant, 38% multidrug-resistant (MDR-TB, 21% pre-extensively-drug-resistant (MDR-TB plus resistance to either a fluoroquinolone or second-line injectable, 6% extensively drug-resistant (XDR-TB and 2% extremely drug-resistant TB (XDR-TB plus resistance to any group-IV/V drug. Only previous history of TB was significantly associated with the diagnosis of DR-TB in multivariate models. CONCLUSION: The burden of DR-TB among HIV-infected patients attending public ART-centers in Mumbai was alarmingly high, likely representing

  5. Risk of metabolic syndrome among children living in metropolitan Kuala Lumpur: A case control study

    Directory of Open Access Journals (Sweden)

    Ismail Mohd N

    2011-05-01

    Full Text Available Abstract Background With the increasing prevalence of childhood obesity, the metabolic syndrome has been studied among children in many countries but not in Malaysia. Hence, this study aimed to compare metabolic risk factors between overweight/obese and normal weight children and to determine the influence of gender and ethnicity on the metabolic syndrome among school children aged 9-12 years in Kuala Lumpur and its metropolitan suburbs. Methods A case control study was conducted among 402 children, comprising 193 normal-weight and 209 overweight/obese. Weight, height, waist circumference (WC and body composition were measured, and WHO (2007 growth reference was used to categorise children into the two weight groups. Blood pressure (BP was taken, and blood was drawn after an overnight fast to determine fasting blood glucose (FBG and full lipid profile, including triglycerides (TG, high-density lipoprotein cholesterol (HDL-C, low-density lipoprotein cholesterol (LDL-C and total cholesterol (TC. International Diabetes Federation (2007 criteria for children were used to identify metabolic syndrome. Results Participants comprised 60.9% (n = 245 Malay, 30.9% (n = 124 Chinese and 8.2% (n = 33 Indian. Overweight/obese children showed significantly poorer biochemical profile, higher body fat percentage and anthropometric characteristics compared to the normal-weight group. Among the metabolic risk factors, WC ≥90th percentile was found to have the highest odds (OR = 189.0; 95%CI 70.8, 504.8, followed by HDL-C≤1.03 mmol/L (OR = 5.0; 95%CI 2.4, 11.1 and high BP (OR = 4.2; 95%CI 1.3, 18.7. Metabolic syndrome was found in 5.3% of the overweight/obese children but none of the normal-weight children (p Conclusions We conclude that being overweight or obese poses a greater risk of developing the metabolic syndrome among children. Indian ethnicity is at higher risk compared to their counterparts of the same age. Hence, primary intervention strategies are

  6. Indoor Particulate Matter in Houses of Elderly in the Metropolitan Area of Sao Paulo, Brazil

    Science.gov (United States)

    Segalin, B.; Goncalves, F. T.; Fornaro, A.

    2015-12-01

    Environmental Company of the State of Sao Paulo (CETESB), Brazil, is responsible for particulate matter measurements (PM) in the Metropolitan Area of Sao Paulo (MASP). However, there are few works with indoor measures for MASP. Therefore, the aim of this work is to investigate the PM in households in the MASP. The chosen households were there are aged people over 60 years old. The measurements were sampled during 24 hours using a Personal Cascade Impactor (SKC Cat No. 225-370), which the following aerodynamic diameters: 10.0 - 2.5 (A); 1.0 - 2.5 (B); 0.50 - 1.0 (C); 0.25 - 0.50 (D), and < 0.25 μm (E). Together the impactor, there is a Leland Legacy pump (SKC Cat No. 100-3002) with a flow of 9L/min. It was analyzed 56 households with average values of PM10 and PM2.5 of 30.7 and 23.4 μg/m3, respectively. On average, 76% of PM10 consists of PM2.5, percentage higher than the outdoor environment (60% - CETESB), and 43% of the PM2.5 consists of PM smaller than 0.25 μm. Among all households, there was no exceedance of thresholds national standards PM10 (120 μg/m3) and PM2.5 (60 μg/m3). However, 10.7% of residences exceeded the PM10 threshold of the World Health Organization (50 μg/m3) and 39.2% for PM2.5 (20 μg/m3). The cluster analysis grouped the measures in the houses in four profiles. In three of them were greater amount of mass in ultrafine particles (E), followed by coarse particles (A) with the minimum in C level. The maximum in E may be due to the high contribution vehicular and secondary aerosol outdoor environment. The secondary maximum in A may be due to particles ressuspension and also arising from outdoors. These three groups differ only by the amount of PM measured in the households; they represent high, medium and low PM concentrations. The fourth group has average concentrations, but it presents a different profile because its maximum is in the D rather than E. All data will be analyzed concerning the possible sources.

  7. Risk of metabolic syndrome among children living in metropolitan Kuala Lumpur: a case control study.

    Science.gov (United States)

    Wee, Bee S; Poh, Bee K; Bulgiba, Awang; Ismail, Mohd N; Ruzita, Abdul T; Hills, Andrew P

    2011-05-18

    With the increasing prevalence of childhood obesity, the metabolic syndrome has been studied among children in many countries but not in Malaysia. Hence, this study aimed to compare metabolic risk factors between overweight/obese and normal weight children and to determine the influence of gender and ethnicity on the metabolic syndrome among school children aged 9-12 years in Kuala Lumpur and its metropolitan suburbs. A case control study was conducted among 402 children, comprising 193 normal-weight and 209 overweight/obese. Weight, height, waist circumference (WC) and body composition were measured, and WHO (2007) growth reference was used to categorise children into the two weight groups. Blood pressure (BP) was taken, and blood was drawn after an overnight fast to determine fasting blood glucose (FBG) and full lipid profile, including triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC). International Diabetes Federation (2007) criteria for children were used to identify metabolic syndrome. Participants comprised 60.9% (n = 245) Malay, 30.9% (n = 124) Chinese and 8.2% (n = 33) Indian. Overweight/obese children showed significantly poorer biochemical profile, higher body fat percentage and anthropometric characteristics compared to the normal-weight group. Among the metabolic risk factors, WC ≥90th percentile was found to have the highest odds (OR = 189.0; 95%CI 70.8, 504.8), followed by HDL-C≤1.03 mmol/L (OR = 5.0; 95%CI 2.4, 11.1) and high BP (OR = 4.2; 95%CI 1.3, 18.7). Metabolic syndrome was found in 5.3% of the overweight/obese children but none of the normal-weight children (p < 0.01). Overweight/obese children had higher odds (OR = 16.3; 95%CI 2.2, 461.1) of developing the metabolic syndrome compared to normal-weight children. Binary logistic regression showed no significant association between age, gender and family history of communicable diseases with the metabolic

  8. Assessing Human Impacts on the Greater Akaki River, Ethiopia ...

    African Journals Online (AJOL)

    We assessed the impacts of human activities on the Greater Akaki River using physicochemical parameters and macroinvertebrate metrics. Physicochemical samples and macroinvertebrates were collected bimonthly from eight sites established on the Greater Akaki River from February 2006 to April 2006. Eleven metrics ...

  9. Comparative Education in Greater China: Contexts, Characteristics, Contrasts and Contributions.

    Science.gov (United States)

    Bray, Mark; Qin, Gui

    2001-01-01

    The evolution of comparative education in Greater China (mainland China, Taiwan, Hong Kong, and Macau) has been influenced by size, culture, political ideologies, standard of living, and colonialism. Similarities and differences in conceptions of comparative education are identified among the four components and between Greater China and other…

  10. Greater temperature sensitivity of plant phenology at colder sites

    DEFF Research Database (Denmark)

    Prevey, Janet; Vellend, Mark; Ruger, Nadja

    2017-01-01

    Warmer temperatures are accelerating the phenology of organisms around the world. Temperature sensitivity of phenology might be greater in colder, higher latitude sites than in warmer regions, in part because small changes in temperature constitute greater relative changes in thermal balance...

  11. Breeding of Greater and Lesser Flamingos at Sua Pan, Botswana ...

    African Journals Online (AJOL)

    to fledging was unknown owing to the rapid drying of the pan in late March 1999. No Greater Flamingo breeding was seen that season. Exceptional flooding during 1999–2000 produced highly favourable breeding conditions, with numbers of Greater and Lesser Flamingos breeding estimated to be 23 869 and 64 287 pairs, ...

  12. Surgical anatomy of greater occipital nerve and its relation to ...

    African Journals Online (AJOL)

    Introduction: The knowledge of the anatomy of greater occipital nerve and its relation to occipital artery is important for the surgeon. Blockage or surgical release of greater occipital nerve is clinically effective in reducing or eliminating chronic migraine symptoms. Aim: The aim of this research was to study the anatomy of ...

  13. Surgical anatomy of greater occipital nerve and its relation to ...

    African Journals Online (AJOL)

    Nancy Mohamed El Sekily

    2014-08-19

    Aug 19, 2014 ... Abstract Introduction: The knowledge of the anatomy of greater occipital nerve and its relation to occipital artery is important for the surgeon. Blockage or surgical release of greater occipital nerve is clinically effective in reducing or eliminating chronic migraine symptoms. Aim: The aim of this research was to ...

  14. Strategies for Talent Management: Greater Philadelphia Companies in Action

    Science.gov (United States)

    Council for Adult and Experiential Learning (NJ1), 2008

    2008-01-01

    Human capital is one of the critical issues that impacts the Greater Philadelphia region's ability to grow and prosper. The CEO Council for Growth (CEO Council) is committed to ensuring a steady and talented supply of quality workers for this region. "Strategies for Talent Management: Greater Philadelphia Companies in Action" provides…

  15. Hybrid Wavelength Routed and Optical Packet Switched Ring Networks for the Metropolitan Area Network

    DEFF Research Database (Denmark)

    Nord, Martin

    2005-01-01

    Increased data traffic in the metropolitan area network calls for new network architectures. This paper evaluates optical ring architectures based on optical packet switching, wavelength routing, and hybrid combinations of the two concepts. The evaluation includes overall throughput and fairness...... attractive when traffic is unbalanced....

  16. Evaluation of the external costs of energy production in the Helsinki metropolitan area

    International Nuclear Information System (INIS)

    Otterstroem, T.

    1995-01-01

    The aim of the research is to evaluate the external costs of energy production at Helsinki metropolitan area (Helsinki, Espoo, Vantaa). The previously developed valorization method for effects on population centres is adjusted. All the main health, material and environmental effects will be taken into account in the research. The effects of emissions of the energy production of the Helsinki metropolitan area on concentrations of the impurities in the air and through them on human and environment will be evaluated. The estimates will be based on the relativistic fuels consumption and the emission data of Helsinki metropolitan area. Life-cycle reasoning will be applied so that the emissions of the main components of the fuels used in the metropolitan area will be included in the estimation. The cost-effectiveness of the investments will be estimated by comparing the environmental investments of energy boards with the external costs. The methods of this work can be applied to estimation of the profitability of energy production plants from the point of view of national economy also elsewhere in the country

  17. CHANGES IN BACTERIAL COMPOSITION OF BIOFILM IN A METROPOLITAN DRINKING WATER DISTRIBUTION SYSTEM

    Science.gov (United States)

    This study examined the development of bacterial biofilms within a metropolitan distribution system. The distribution system is fed with different source water (i.e., groundwater, GW and surface water, SW) and undergoes different treatment processes in separate facilities. The b...

  18. Spirometry and impulse oscillometry (IOS) for detection of respiratory abnormalities in metropolitan firefighters.

    NARCIS (Netherlands)

    Schermer, T.R.J.; Malbon, W.; Newbury, W.; Holton, C.; Smith, M.; Morgan, M.; Crockett, A.

    2010-01-01

    BACKGROUND AND OBJECTIVE: As firefighters are at increased risk of adverse health effects, periodic examination of their respiratory health is important. The objective of this study was to establish whether the use of impulse oscillometry (IOS) reveals respiratory abnormalities in metropolitan

  19. 78 FR 40146 - Patient Safety Organizations: Voluntary Relinquishment From Northern Metropolitan Patient Safety...

    Science.gov (United States)

    2013-07-03

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety Organizations: Voluntary Relinquishment From Northern Metropolitan Patient Safety Institute AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of Delisting. SUMMARY: The Patient Safety and...

  20. The Metropolitan Studies Institute at USC Upstate: Translational Research that Drives Community Decision-Making

    Science.gov (United States)

    Brady, Kathleen

    2012-01-01

    The Metropolitan Studies Institute (MSI) at the University of South Carolina Upstate (USC Upstate) demonstrates a robust and unique record of community impact through community indicators research and other translational research. The MSI's work drives programmatic priorities and funding decisions, generates revenue, and increases the community's…