WorldWideScience

Sample records for underserved urban communities

  1. Sources of health information in a multiethnic, underserved, urban community: does ethnicity matter?

    Science.gov (United States)

    Geana, Mugur V; Kimminau, Kim S; Greiner, K Allen

    2011-07-01

    The Latino population is the fastest growing minority in the country, and is expected to reach about 30% of the total U.S. population by 2050. Historically, primary care practitioners are not the preferred source of health information for Latinos living in the United States. Latinos are known to rely more on media, family, and friends to get answers to health-related questions. Choosing the appropriate information source is an important component of health information-seeking behavior; it also represents a major challenge for health communicators trying to deliver information to their target audience. This study explores how ethnicity influences health information source selection among Latinos and White non-Latinos living together in an underserved, multiethnic urban community with poor health status and underlying socioeconomic characteristics. The results suggest that this community manifests a high degree of homogeneity in their usage of health information sources. Nevertheless, there are significant differences between ethnic groups and age groups on perceived usefulness of the health information retrieved from common sources. Our results suggest that health information sources that are interactive, native to the community (e.g., the local pharmacist), and promote active engagement are the most useful in delivering health messages that will be listened to by those living in this underserved, multiethnic urban community.

  2. Recruiting and retaining primary care physicians in urban underserved communities: the importance of having a mission to serve.

    Science.gov (United States)

    Odom Walker, Kara; Ryan, Gery; Ramey, Robin; Nunez, Felix L; Beltran, Robert; Splawn, Robert G; Brown, Arleen F

    2010-11-01

    We examined factors influencing physician practice decisions that may increase primary care supply in underserved areas. We conducted in-depth interviews with 42 primary care physicians from Los Angeles County, California, stratified by race/ethnicity (African American, Latino, and non-Latino White) and practice location (underserved vs nonunderserved area). We reviewed transcriptions and coded them into themes by using standard qualitative methods. Three major themes emerged in relation to selecting geographic- and population-based practice decisions: (1) personal motivators, (2) career motivators, and (3) clinic support. We found that subthemes describing personal motivators (e.g., personal mission and self-identity) for choosing a practice were more common in responses among physicians who worked in underserved areas than among those who did not. By contrast, physicians in nonunderserved areas were more likely to cite work hours and lifestyle as reasons for selecting their current practice location or for leaving an underserved area. Medical schools and shortage-area clinical practices may enhance strategies for recruiting primary care physicians to underserved areas by identifying key personal motivators and may promote long-term retention through work-life balance.

  3. Implementing academic detailing for breast cancer screening in underserved communities

    Directory of Open Access Journals (Sweden)

    Ashford Alfred R

    2007-12-01

    Full Text Available Abstract Background African American and Hispanic women, such as those living in the northern Manhattan and the South Bronx neighborhoods of New York City, are generally underserved with regard to breast cancer prevention and screening practices, even though they are more likely to die of breast cancer than are other women. Primary care physicians (PCPs are critical for the recommendation of breast cancer screening to their patients. Academic detailing is a promising strategy for improving PCP performance in recommending breast cancer screening, yet little is known about the effects of academic detailing on breast cancer screening among physicians who practice in medically underserved areas. We assessed the effectiveness of an enhanced, multi-component academic detailing intervention in increasing recommendations for breast cancer screening within a sample of community-based urban physicians. Methods Two medically underserved communities were matched and randomized to intervention and control arms. Ninety-four primary care community (i.e., not hospital based physicians in northern Manhattan were compared to 74 physicians in the South Bronx neighborhoods of the New York City metropolitan area. Intervention participants received enhanced physician-directed academic detailing, using the American Cancer Society guidelines for the early detection of breast cancer. Control group physicians received no intervention. We conducted interviews to measure primary care physicians' self-reported recommendation of mammography and Clinical Breast Examination (CBE, and whether PCPs taught women how to perform breast self examination (BSE. Results Using multivariate analyses, we found a statistically significant intervention effect on the recommendation of CBE to women patients age 40 and over; mammography and breast self examination reports increased across both arms from baseline to follow-up, according to physician self-report. At post-test, physician

  4. Creating A Sustainable Model of Spine Care in Underserved Communities

    DEFF Research Database (Denmark)

    Haldeman, Scott; Nordin, Margareta; Outerbridge, Geoff

    2015-01-01

    The world lacks sustainable models of care to manage spinal disorders in poor and underserved communities. The purpose of this article is to: (1) review the rationale and importance of developing a sustainable evidence-based model of care at low cost for people with spinal disorders in underserved...... adequate care, World Spine Care (WSC) was established to "improve lives in underserved communities through sustainable, integrated, evidence-based, spinal care." WSC is comprised of volunteers and institutions from 6 continents and several countries, and incorporates a Board of Directors, an executive......) facilitation of opportunities for training graduate students in a variety of health-related fields. World Spine Care has (a) recognized the enormous need to establish clinical programs aimed at easing the suffering and disability associated with spinal disorders in resource-poor communities, (b) shown...

  5. Experiences promoting healthcare career interest among high-school students from underserved communities.

    Science.gov (United States)

    Zayas, Luis E; McGuigan, Denise

    2006-09-01

    Promoting early interest in healthcare careers among youth from underserved areas is one promising strategy for addressing the health professional shortage in such communities, Most career choice studies try to predict outcomes using such traditional measures as grades and test scores, This study examines experiences influencing healthcare career interest among high-school students participating in health professions introductory programs in underserved communities. The opinions of parents and teachers regarding students' motivations are also considered. Seven focus groups (N=51) were conducted in one rural and two largely minority urban communities in New York State designated as health professional shortage areas. Qualitative data analysis involved a theory-driven, immersion and crystallization approach following the experiential learning model. Constructive experiences with the healthcare system, family role-modelpan>ing and support, interactive health-related school activities, the media, inspirational and accessible school staff, and strategic community partnerships, among other factors, facilitated student interest in health professions. Findings suggest that underserved and disenfranchised community environments still pose challenges for furthering healthcare career interest among youth.

  6. Crowdsourced Microfinance for Energy Efficiency in Underserved Communities

    Energy Technology Data Exchange (ETDEWEB)

    Baird, Donnel [BlocPower LLC, New York, NY (United States); Cox, Morris [BlocPower LLC, New York, NY (United States); Harmarneh, Sarey [BlocPower LLC, New York, NY (United States); Zheng, Chen [BlocPower LLC, New York, NY (United States)

    2017-06-21

    BlocPower’s mission is to provide access to energy efficiency financing for underserved communities across the United States. This project, “Crowdsourced Microfinance for Energy Efficiency in Underserved Communities,” is an extension of that goal and is grounded in the principles of providing engineering and financing services to those in need. The project is based on the creation of a BlocPower Marketplace as a central hub for connecting shovel-ready green buildings to institutional investors. This ‘connection’ entails using online crowdfunding to aggregate debt and equity capital from institutional investors to connect to customers (building owners) across various financial portfolios. BlocPower Marketplace is intended to bring social, environmental, and financial returns to investors while also decreasing investor risk by loaning out funds for energy installations in individual buildings. In detail, the intended benefits of crowdsourcing are two-sided. Firstly, for building owners, clean energy retrofit installations improve building operations, reduce utility costs, and reduce harmful impacts to their surrounding environment. Secondly, for institutional investors, they gain access to a new market of energy efficiency and are able to provide debt or equity capital with high financial returns. This gives investors the opportunity to create social and environmental impact in communities around the country as well. With this in mind, BlocPower designed the marketplace to specifically answer exploratory research questions with respect to the pricing of energy financing. Institutional investors typically charge high rates on project financing solutions in the energy space, particularly in low and middle-income communities, because of fears that required debt service will not be made. This makes access to energy capital exorbitantly difficult for those that need it the most. Through this project, BlocPower tested investor appetite to determine if

  7. Leveraging Telehealth to Bring Volunteer Physicians Into Underserved Communities.

    Science.gov (United States)

    Uscher-Pines, Lori; Rudin, Robert; Mehrotra, Ateev

    2017-06-01

    Many disadvantaged communities lack sufficient numbers of local primary care and specialty physicians. Yet tens of thousands of physicians, in particular those who are retired or semiretired, desire meaningful volunteer opportunities. Multiple programs have begun to use telehealth to bridge the gap between volunteer physicians and underserved patients. In this brief, we describe programs that are using this model and discuss the promise and pitfalls. Physician volunteers in these programs report that the work can be fulfilling and exciting, a cutting-edge yet convenient way to remain engaged and contribute. Given the projected shortfall of physicians in the United States, recruiting retired and semiretired physicians to provide care through telehealth increases the total supply of active physicians and the capacity of the existing workforce. However, programs typically use volunteers in a limited capacity because of uncertainty about the level and duration of commitment. Acknowledging this reality, most programs only use volunteer physicians for curbside consults rather than fully integrating them into longitudinal patient care. The part-time availability of volunteers may also be difficult to incorporate into the workflow of busy safety net clinics. As more physicians volunteer in a growing number of telehealth programs, the dual benefits of enriching the professional lives of volunteers and improving care for underserved communities will make further development of these programs worthwhile.

  8. FHFA Underserved Areas

    Data.gov (United States)

    Department of Housing and Urban Development — Federal Housing Finance Agency's (FHFA) Underserved Areas establishes underserved area designations for census tracts in Metropolitan Areas (MSAs), nonmetropolitan...

  9. Engaging Youth in Underserved Communities through Digital-Mediated Arts Learning Experiences for Community Inquiry

    Science.gov (United States)

    Lin, Ching-Chiu; Bruce, Bertram C.

    2013-01-01

    Learning for underserved youth is integral to social progress. Yet, too often, young people experience disconnects between their educational experiences and both individual and community needs. Arts can help these youth recover a unity through collective action in the community. Drawing from the experiences of a 4-year interdisciplinary research…

  10. NASA and Public Libraries: Enhancing STEM Literacy in Underserved Communities

    Science.gov (United States)

    Dusenbery, P.; LaConte, K.; Harold, J. B.; Randall, C.

    2016-12-01

    NASA research programs are helping humanity understand the origin and evolution of galaxies, stars, and planets, and defining the conditions necessary to support life beyond Earth. The Space Science Institute's (SSI) National Center for Interactive Learning (NCIL) was recently funded by NASA`s Science Mission Directorate (SMD) to develop and implement a project called NASA@ My Library: A National Earth and Space Science Initiative That Connects NASA, Public Libraries and Their Communities. As places that offer their services for free, public libraries have become the "public square" by providing a place where members of a community can gather for information, educational programming, and policy discussions. Libraries are developing new ways to engage their patrons in STEM learning, and NCIL's STAR Library Education Network (STAR_Net) has been supporting their efforts for the last eight years, including through a vibrant community of practice that serves both librarians and STEM professionals. Project stakeholders include public library staff, state libraries, the earth and space science education community at NASA, subject matter experts, and informal science educators. The project will leverage high-impact SMD and library events to catalyze partnerships through dissemination of SMD assets and professional development. It will also develop frameworks for public libraries to increase STEM interest pathways in their communities (with supports for reaching underserved audiences). This presentation will summarize the key activities and expected outcomes of the 5-year project.

  11. With Educational Benefits for All: Campus Inclusion through Learning Communities Designed for Underserved Student Populations

    Science.gov (United States)

    Fink, John E.; Hummel, Mary L.

    2015-01-01

    This chapter explores the practices of learning communities designed for specific, underserved student populations, highlighting on-campus examples and culminating with a synthesized list of core practices from these "inclusive" learning communities.

  12. Community-based colorectal cancer intervention in underserved Korean Americans.

    Science.gov (United States)

    Ma, Grace X; Shive, Steve; Tan, Yin; Gao, Wanzhen; Rhee, Joanne; Park, Micah; Kim, Jaesool; Toubbeh, Jamil I

    2009-11-01

    Despite evidence of a decline in both incidence and prevalence of colorectal cancer nationwide, it remains the second most commonly diagnosed cancer and the third highest cause of mortality among Asian Americans, including Korean Americans. This community-based and theoretically guided study evaluated a culturally appropriate intervention program that included a bilingual cancer educational program among Korean Americans including information on CRC risks, counseling to address psychosocial and access barriers, and patient navigation assistance. A two-group quasi-experimental design with baseline and post-intervention assessment and a 12-month follow-up on screening was used in the study. Korean Americans (N=167) were enrolled from six Korean churches. The intervention group received culturally appropriate intervention program addressing accessibility and psychosocial barriers, and navigation assistance for screening. The control group received general health education that included cancer-related health issues and screening. There was a significant difference (pbenefits and barriers to screening (p<0.001). At baseline, 13% of participants in the intervention group and 10% in control group reported having had a CRC cancer screening test in the previous year. At the 12-month post-intervention follow-up, 77.4% of participants in the intervention group had obtained screening compared to 10.8% in the control group. While health disparities result from numerous factors, a culturally appropriate and church-based intervention can be highly effective in increasing knowledge of and access to, and in reducing barriers to CRC screening among underserved Koreans.

  13. Attending to Communication and Patterns of Interaction: Culturally Sensitive Mental Health Care for Groups of Urban, Ethnically Diverse, Impoverished, and Underserved Women.

    Science.gov (United States)

    Molewyk Doornbos, Mary; Zandee, Gail Landheer; DeGroot, Joleen

    2014-07-01

    The United States is ethnically diverse. This diversity presents challenges to nurses, who, without empirical evidence to design culturally congruent interventions, may contribute to mental health care disparities. Using Leininger's theory of culture care diversity and universality, this study documented communication and interaction patterns of ethnically diverse, urban, impoverished, and underserved women. Using a community-based participatory research framework, 61 Black, Hispanic, and White women participated in focus groups around their experiences with anxiety/depression. Researchers recorded verbal communication, nonverbal behavior, and patterns of interaction. The women's communication and interaction patterns gave evidence of three themes that were evident across all focus groups and five subthemes that emerged along ethnic lines. The results suggest cultural universalities and cultural uniquenesses relative to the communication and interaction patterns of urban, ethnically diverse, impoverished, and underserved women that may assist in the design of culturally sensitive mental health care. © The Author(s) 2014.

  14. The Quick Peek Program: A Model for Developmental Screening within Underserved Communities

    Science.gov (United States)

    Harris, Jill; Norton, Amy

    2016-01-01

    Developmental screening of young children is important in all populations, especially underserved communities with known health care disparities. The American Academy of Pediatrics created guidelines and a toolkit for pediatricians to conduct developmental surveillance and screening, yet these guidelines are not uniformly implemented within…

  15. Investigating the Factors of Resiliency among Exceptional Youth Living in Rural Underserved Communities

    Science.gov (United States)

    Curtin, Kevin A.; Schweitzer, Ashley; Tuxbury, Kristen; D'Aoust, Janelle A.

    2016-01-01

    Resilience is an important social justice concept that has important implications for educators working with exceptional youth in rural underserved communities who may suffer from the consequences associated with economic hardships. This multi-school qualitative study examined resilience among exceptional youth living in rural poverty through the…

  16. Increasing participation in cancer research: insights from Native Hawaiian women in medically underserved communities.

    Science.gov (United States)

    Ka'opua, Lana Sue; Mitschke, Diane; Lono, Joelene

    2004-09-01

    The cancer burden falls heavily on Native Hawaiian women, and of particular concern are those living in medically underserved communities where participation in potentially helpful clinical studies may be limited. Difficulty in accrual of Native Hawaiian women to a culturally-grounded intervention led researchers to conduct focus groups aimed at exploring attitudes towards research, use of a traditional Hawaiian practice for family discussion, and study promotion. Social marketing theory guided the development of discussion questions and a survey. Through purposive sampling, 30 women from medically underserved communities were recruited. Content analysis was used to identify major discussion themes. Findings indicate that lack of informational access may be a major barrier to participation. Study information disseminated through community channels with targeted outreach to social and religious organizations, promotion through face-to-face contact with researchers, and culturally tailored messages directed to families were preferred. Community oriented strategies based on linkages with organizational networks may increase participation.

  17. Bridging Scientific Expertise to Underserved Communities: Initiating and Sustaining Local STEM Outreach

    Science.gov (United States)

    Anderson, Tania; Kenney, Jessica; Maple, John

    2017-06-01

    This presentation will feature effective outreach strategies used to recruit, engage, and sustain student involvement from underserved communities in out-of-school science outreach programs. For example, one strategy is to partner with subject matter experts to provide your audience with a deeper understanding of and a unique perspective on current science. Join us to learn more about how you can initiate and sustain a STEM based program in your local community.

  18. Priorities for Patient-Centered Outcomes Research: The Views of Minority and Underserved Communities.

    Science.gov (United States)

    Goold, Susan Dorr; Myers, C Daniel; Szymecko, Lisa; Cunningham Collins, Carla; Martinez, Sal; Ledón, Charo; Campbell, Terrance R; Danis, Marion; Cargill, Stephanie Solomon; Kim, Hyungjin Myra; Rowe, Zachary

    2017-04-01

    To learn how minority and underserved communities would set priorities for patient-centered outcomes research (PCOR). Sixteen groups (n = 183) from minority and underserved communities in two states deliberated about PCOR priorities using the simulation exercise CHoosing All Together (CHAT). Most participants were minority, one-third reported income research agendas and interviews with community leaders, clinicians, and key informants. Tablet-based CHAT collected demographic information, individual priorities before and after group deliberation, and groups' priorities. Individuals and groups prioritized research on Quality of Life, Patient-Doctor, Access, Special Needs, and (by total resources spent) Compare Approaches. Those with less than a high school education were less likely to prioritize New Approaches, Patient-Doctor, Quality of Life, and Families/Caregivers. Blacks were less likely to prioritize research on Causes of Disease, New Approaches, and Compare Approaches than whites. Compare Approaches, Special Needs, Access, and Families/Caregivers were significantly more likely to be selected by individuals after compared to before deliberation. Members of underserved communities, in informed deliberations, prioritized research on Quality of Life, Patient-Doctor, Special Needs, Access, and Compare Approaches. © Health Research and Educational Trust.

  19. A Practical Risk Stratification Approach for Implementing a Primary Care Chronic Disease Management Program in an Underserved Community.

    Science.gov (United States)

    Xu, Junjun; Williams-Livingston, Arletha; Gaglioti, Anne; McAllister, Calvin; Rust, George

    2018-01-01

    The use of value metrics is often dependent on payer-initiated health care management incentives. There is a need for practices to define and manage their own patient panels regardless of payer to participate effectively in population health management. A key step is to define a panel of primary care patients with high comorbidity profiles. Our sample included all patients seen in an urban academic family medicine clinic over a two-year period. The simplified risk stratification was built using internal electronic health record and billing system data based on ICD-9 codes. There were 347 patients classified as high-risk out of the 5,364 patient panel. Average age was 59 years (SD 15). Hypertension (90%), hyperlipidemia (62%), and depression (55%) were the most common conditions among high-risk patients. Simplified risk stratification provides a feasible option for our team to understand and respond to the nuances of population health in our underserved community.

  20. Underserved populations in science education: Enhancement through learning community participation

    Science.gov (United States)

    Gray, Jennifer Emily

    A positive relationship between college anatomy students' achievement and academic language proficiency in the context of a learning community was established. For many students the barrier to learning science is language. A relationship exists between low academic language proficiency and lack of success among students, in particular failure among at-risk minority and language-minority students. The sample consisted of Anatomy classes during the Fall semesters of the academic years, 2000, 2001, and 2002 at a community college in Central California having a high percentage of culturally and linguistically diverse students. Students from each semester participated in the academic language proficiency and science achievement studies. Twenty-two of the Fall 2002 students (n = 65) enrolled in the Learning Community (LC) that included instruction in academic language in the context of the anatomy course content. Fall 2002 students (n = 19) also participated in Peer-led Support (PLS) sessions. Fall 2001 students participated in a textbook use study (n = 44) and in a Cooperative-Learning (CL) (n = 35) study. Students in the LC and Non-LC groups took the academic language assessment; their results were correlated with course grades and attendance. Fall 2002 students were compared for: (1) differences regarding self-expectations, (2) program impressions, and (3) demographics. Fall 2001 student reading habits and CL participation were analyzed. Results identified: (1) selected academic language tasks as good predictors of science success, (2) a significant positive relationship between science success and participation in support interventions, (3) no differences in self expectations or demographic characteristics of participants and non-participants in the LC group, and (4) poor textbook reading habits. Results showed a significant positive relationship between academic language proficiency and science achievement in participatory instruction.

  1. Atraumatic restorative treatment for prevention and treatment of caries in an underserved community.

    Science.gov (United States)

    Lopez, Naty; Simpser-Rafalin, Sara; Berthold, Peter

    2005-08-01

    We evaluated the acceptability and effectiveness of atraumatic restorative treatment to prevent and treat caries in an underserved community in Mexico. We placed 370 restorations and 193 sealants in 118 children aged 5 to 18; 85% reported no pain, and 93% were comfortable with their restorations. We then evaluated the children 1 and 2 years later. At 2-year evaluation, 66% of restorations and 35% of sealants were retained. Atraumatic restorative treatment is acceptable and effective to control and prevent decay in a socioeconomically deprived community.

  2. Effectively translating diabetes prevention: a successful model in a historically underserved community.

    Science.gov (United States)

    Horowitz, Carol R; Eckhardt, Sarah; Talavera, Sandra; Goytia, Crispin; Lorig, Kate

    2011-09-01

    Lifestyle interventions can prevent diabetes through weight loss, but they are rarely translated for use in underserved communities. The aim of this study was to describe how a community-academic partnership formed and developed a program to address local health disparities by developing a low-cost, culturally and economically appropriate, peer-led community-based diabetes prevention program. Using a participatory approach, the partnership chose to focus on diabetes prevention, and co-developed all intervention, recruitment, research, and evaluation strategies. The partnership's philosophy to maintain high clinical and scientific standards paired with their ability to represent and engage the community facilitated the development of a randomized controlled trial that achieved statistically significant and sustained weight loss, and the recruitment of a largely Spanish-speaking, low income, uninsured population. The success of this intervention lies in the partnership's commitment to the community, co-ownership of research, and a careful balance between academic rigor and community engagement and relevance.

  3. The Urban Food Hubs Solution: Building Capacity in Urban Communities

    Science.gov (United States)

    O'Hara, Sabine

    2017-01-01

    Access to affordable fresh food is an ongoing challenge for underserved urban neighborhoods across the United States. Several are designated food deserts with no access to a full-service grocery store within a one-mile radius. The Urban Food Hubs of the College of Agriculture, Urban Sustainability, and Environmental Sciences (CAUSES) of the…

  4. Impact of desire to work in underserved communities on selection of specialty among fourth-year medical students.

    Science.gov (United States)

    Bazargan, Mohsen; Lindstrom, Richard W; Dakak, Alan; Ani, Chizobam; Wolf, Kenneth E; Edelstein, Ronald A

    2006-09-01

    The objective of this study was to explore the specific factors that influence medical student's choice of primary care as a specialty. Special attention is given to the influence of desire to work in underserved communities on selection of a specialty. A web-based survey of factors affecting choice of specialty was completed by 668 fourth-year students from 32 medical schools. Students interested in primary care reported an increased likelihood of working with underserved populations when compared with other specialties. The independent impact of both student's social compassion attitudes and values, and subjective and reinforcing influences on the selection of primary care, when compared with all other specialties, was strong. Personal practice-oriented considerations showed an independent negative impact on the selection of primary care when compared with surgery and support specialties. Financial considerations strongly influence the selection of support specialties. Medical training experiences showed an independent influence on the selection of surgery over primary care. The need for primary care physicians and specialists in underserved communities is considerable. Addressing health disparities in underserved communities requires a concerted effort to increase the availability of primary care providers in these communities. This study observed that primary care practice or specialty selection by medical students is influenced by individual values and subjective external influences other than predicted by medical training alone. This observation necessitates a closer determination of strategies required to ensure an increase in the number of primary care physicians serving underserved communities.

  5. Intercultural health and ethnobotany: how to improve healthcare for underserved and minority communities?

    Science.gov (United States)

    Vandebroek, Ina

    2013-07-30

    The present conceptual review explores intercultural healthcare--defined as the integration of traditional medicine and biomedicine as complementary healthcare systems--in minority and underserved communities. This integration can take place at different levels: individuals (patients, healers, biomedical healthcare providers), institutions (health centers, hospitals) or society (government policy). Contemporary ethnobotany research of traditional medicine has primarily dealt with the botanical identification of plants commonly used by local communities, and the identification of health conditions treated with these plants, whereas ethnopharmacology has focused on the bioactivity of traditional remedies. On the other hand, medical anthropology seems to be the scholarship more involved with research into patients' healthcare-seeking itineraries and their interaction with traditional versus biomedical healthcare systems. The direct impact of these studies on public health of local communities can be contested. To compare and discuss the body of scholarly work that deals with different aspects of traditional medicine in underserved and minority communities, and to reflect on how gaps identified in research can be bridged to help improve healthcare in these communities. The literature covers a broad range of information of relevance to intercultural healthcare. This information is fragmented across different scientific and clinical disciplines. A conceptual review of these studies identifies a clear need to devote more attention to ways in which research on traditional medicine can be more effectively applied to improve local public health in biomedical resource-poor settings, or in geographic areas that have disparities in access to healthcare. Scholars studying traditional medicine should prioritize a more interdisciplinary and applied perspective to their work in order to forge a more direct social impact on public health in local communities most in need of

  6. Towards sustainable urban communities

    International Nuclear Information System (INIS)

    Haapio, Appu

    2012-01-01

    Requirements for the assessment tools of buildings have increased, assessing of building components or separate buildings is not enough. Neighbourhoods, built environment, public transportations, and services, should be considered simultaneously. Number of population living in urban areas is high and increasing rapidly. Urbanisation is a major concern due to its detrimental effects on the environment. The aim of this study is to clarify the field of assessment tools for urban communities by analysing the current situation. The focus is on internationally well known assessment tools; BREEAM Communities, CASBEE for Urban Development and LEED for Neigborhood Development. The interest towards certification systems is increasing amongst the authorities, and especially amongst the global investors and property developers. Achieved certifications are expected to bring measureable publicity for the developers. The assessment of urban areas enables the comparison of municipalities and urban areas, and notably supports decision making processes. Authorities, city planners, and designers would benefit most from the use of the tools during the decision making process. - Highlights: ► The urban assessment tools have strong linkage to the region. ► The tools promote complementary building and retrofitting existing sites. ► Sharing knowledge and experiences is important in the development of the tools.

  7. Urban Climate Risk Communities

    DEFF Research Database (Denmark)

    Blok, Anders

    2016-01-01

    Ulrich Beck’s cosmopolitan sociology affords a much-needed rethinking of the transnational politics of climate change, not least in pointing to an emerging inter-urban geography of world cities as a potential new source of community, change and solidarity. This short essay, written in honour...... of Beck’s forward-looking agenda for a post-Euro-centric social science, outlines the contours of such an urban-cosmopolitan ‘realpolitik’ of climate risks, as this is presently unfolding across East Asian world cities. Much more than a theory-building endeavour, the essay suggests, Beck’s sociology...

  8. Climate Change in Urban Communities | Urban ...

    Science.gov (United States)

    2017-04-10

    Climate Change in Urban Communities is a PowerPoint presentation designed to inform urban residents about the impact of climate change, why it's a problem for their communities, and how individual actions can help make a difference as well as save people money.

  9. The Inwood Astronomy Project: 100 Nights in Manhattan---An Outreach Initiative to Underserved Communities

    Science.gov (United States)

    Kendall, J. S.

    2008-11-01

    Observing the night sky in New York City is a challenge. However, there is a popular, and even club-going, interest in science in New York City. On the edges of that interest, most people that live in New York City have never had the opportunity to look through a telescope, particularly in underserved areas such as Northern Manhattan. The presenter discusses plans for frequent observing sessions utilizing the parks in New York City combined with public classes at the New York Public Library. Both observing sessions and classes will be held in the ethnically, racially and economically diverse Bronx and Manhattan neighborhoods of Washington Heights, Marble Hill and Inwood. Integration with area middle, elementary and high schools is also discussed. Particular issues surrounding publicity and the need for showmanship in an image-driven community with numerous entertainment opportunities are also discussed.

  10. Drug-induced torsades de pointes in an underserved urban population. Methadone: is there therapeutic equipoise?

    Science.gov (United States)

    Romero, Jorge; Baldinger, Samuel H; Goodman-Meza, David; Engstrom, Krysthel; Valencia, Carolina R; Golive, Anjani; Medrano, Francisco; Rangasamy, Sabarivinoth; Makkiya, Mohammed; Fisher, John D; Gross, Jay; Krumerman, Andrew; Kim, Soo; Garcia, Mario J; Di Biase, Luigi; Ferrick, Kevin J

    2016-01-01

    Although it has been well established that methadone use can result in prolonged QTc/torsades de pointes (TdP) and has been labeled as one of the main drugs that cause TdP, it is still prescribed indiscriminately, and several cases of methadone-associated TdP have been seen in our community. Our objective was to determine the associated factors for prolonged QTc and the development of torsades de pointes (TdP) in our underserved patient population. We found 12,550 ECGs with prolonged QTc between 2002 and 2013. Medical records were reviewed in order to identify precipitating factors for prolonged QTc and to detect incidence of TdP. We identified 2735 patients with prolonged QTc who met the inclusion criteria. Of these, 89 (3%) experienced TdP. There was a greater prevalence of HIV infection in the TdP group (11.2 vs. 3.7%, p methadone, haloperidol, and azithromycin were the drugs most often associated with prolonged QTc (31, 8.2, 7.6, 7.1, 3.9, 3.4 and 3.3%, respectively). However, the agents most commonly associated with TdP were furosemide (39.3%), methadone (27%), SSRIs (19.1%), amiodarone (18%), and dofetilide (9%). The medications with statistical significance in the multivariate analysis for TdP development in descending order were as follows: ranolazine (odds ratios [OR] = 53.61, 95% confidence interval [CI] 5.4-524, p methadone (OR = 9.89, CI 4.05-24.15, p Methadone was by far the leading medication implicated in the development of TdP and an independent predictor in both univariate and multivariate analyses despite the fact that it was not the most common QT-prolonging medication in our population.

  11. The role of spirituality in diabetes self-management in an urban, underserved population: a qualitative exploratory study.

    Science.gov (United States)

    Gupta, Priya S; Anandarajah, Gowri

    2014-03-03

    Although many studies examine motivators for diabetes self-management, few explore the role spirituality plays in this disease, especially in low-income urban populations. This qualitative, focus group study elicits thoughts of diabetic patients regarding spirituality in diabetes self-care, at an urban primary care practice in Rhode Island. Focus group discussions were audiotaped, transcribed verbatim, and analyzed using the immersion/crystallization technique. Themes included: significant impact of diabetes on daily life; fear and family as prominent self-care motivators; relationships with self, others, nature and the divine as major sources of hope and strength. Patients varied considerably regarding the role spirituality played in their illness, ranging from minimal to profound impact. All appeared comfortable discussing spirituality within the context of strength and hope. Patients in this urban, underserved population are willing to discuss spirituality related to their diabetes care. They vary in the role spirituality plays in their illness experience.

  12. Caregiver's depressive symptoms and asthma control in children from an underserved community.

    Science.gov (United States)

    Rioseco, Andrea; Serrano, Carolina; Celedón, Juan C; Padilla, Oslando; Puschel, Klaus; Castro-Rodriguez, Jose A

    2017-12-01

    Caregiver's or maternal depression has been associated with increased asthma morbidity in children from prosperous nations, but little is known about this link in low and middle-income countries. To examine if caregiver's depressive symptoms are associated with poor asthma control and abnormal immune responses in school-aged children. Case-control study of 87 asthmatic children (aged 4-11 years) attending a primary care clinic in an underserved area of Santiago (Chile). Cases were children with poor asthma control (Child Asthma Control Test [cACT] asthma control (cACT ≥20 points). The Beck Depression Inventory-II (BDI) and a locally validated family health vulnerability test (SALUFAM) were used to assess caregivers' depression and family health vulnerability. Serum from participating children was assayed for IFN-γ, IL-4, IL-13, TGF-β, cortisol, and total IgE. The mean (SD) age of study participants was 8.23 (2.15 years), and 55.2% were females. Use of inhaled corticosteroids (ICS), family health vulnerability, and caregiver's depressive symptoms were significantly more common in cases than in controls (65.4% vs. 34.6%, p = 0.003; 41.3% vs. 24.8%, p = 0.07; and 39.1% vs. 19.5%, p = 0.04, respectively). There was no significant difference in the level of any serum biomarkers between groups. In a multivariate analysis, only ICS use was significantly associated with better asthma control (OR = 3.56 [1.34-9.48], p = 0.01). Presence of caregiver's depressive symptoms is associated with poor asthma control among children from an underserved community, but this association was no longer significant after accounting for ICS use.

  13. Investigating Social Ecological Contributors to Diabetes within Hispanics in an Underserved U.S.-Mexico Border Community

    OpenAIRE

    Chang, Jean; Guy, Mignonne C.; Rosales, Cecilia; de Zapien, Jill G.; Staten, Lisa K.; Fernandez, Maria L.; Carvajal, Scott C.

    2013-01-01

    Hispanics bear a disproportionate burden of diabetes in the United States, yet relations of structural, socio-cultural and behavioral factors linked to diabetes are not fully understood across all of their communities. The current study examines disparities and factors associated with diabetes in adult Hispanics of Mexican-descent (N = 648) participating in a population survey of an underserved rural U.S.-Mexico border community. The overall rate of diabetes prevalence rate in the sample, bas...

  14. Palliative Oncologic Care Curricula for Providers in Resource-Limited and Underserved Communities: a Systematic Review.

    Science.gov (United States)

    Xu, Melody J; Su, David; Deboer, Rebecca; Garcia, Michael; Tahir, Peggy; Anderson, Wendy; Kinderman, Anne; Braunstein, Steve; Sherertz, Tracy

    2017-12-20

    Familiarity with principles of palliative care, supportive care, and palliative oncological treatment is essential for providers caring for cancer patients, though this may be challenging in global communities where resources are limited. Herein, we describe the scope of literature on palliative oncological care curricula for providers in resource-limited settings. A systematic literature review was conducted using PubMed, Embase, Cochrane Library, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Med Ed Portal databases, and gray literature. All available prospective cohort studies, case reports, and narratives published up to July 2017 were eligible for review. Fourteen articles were identified and referenced palliative care education programs in Argentina, Uganda, Kenya, Australia, Germany, the USA, or multiple countries. The most common teaching strategy was lecture-based, followed by mentorship and experiential learning involving role play and simulation. Education topics included core principles of palliative care, pain and symptom management, and communication skills. Two programs included additional topics specific to the underserved or American Indian/Alaskan Native community. Only one program discussed supportive cancer care, and no program reported educational content on resource-stratified decision-making for palliative oncological treatment. Five programs reported positive participant satisfaction, and three programs described objective metrics of increased educational or research activity. There is scant literature on effective curricula for providers treating cancer patients in resource-limited settings. Emphasizing supportive cancer care and palliative oncologic treatments may help address gaps in education; increased outcome reporting may help define the impact of palliative care curriculum within resource-limited communities.

  15. Understanding the performance of community health volunteers involved in the delivery of health programmes in underserved areas: a realist synthesis

    OpenAIRE

    Vareilles, Ga?lle; Pommier, Jeanine; Marchal, Bruno; Kane, Sumit

    2017-01-01

    Background The recruitment of community health volunteers (CHVs) to support the delivery of health programmes is an established approach in underserved areas and in particular where there are health inequalities due to the scarcity of trained human resources. However, there is a dearth of evidence about what works to improve CHVs? performance. This review aimed to synthesise existing literature to explain why, how and under which circumstances intervention approaches to improve the performanc...

  16. Social marketing for a farmer's market in an underserved community: A needs assessment.

    Science.gov (United States)

    Skizim, Meg; Sothern, Melinda; Blaha, Ondrej; Tseng, Tung Sung; Griffiths, Lauren; Joseph, Jonathan; Nuss, Henry

    2017-12-13

    The aim of the present paper is to assess local residents' awareness of utilizing Supplemental Nutrition Assistance Program (SNAP) benefits to purchase fresh produce at local farmers' markets, and to determine internet use and media preferences of study participants prior to implementation of a social marketing campaign. A needs assessment was conducted to collect baseline data in an underserved neighbourhood in New Orleans (La, USA). The study was carried out August 2014-May 2015. The assessment revealed that 73% of the respondents were unaware that the SNAP benefits could be used to purchase food in farmers' markets; 63% of low-income participants never attended a farmers' market compared to 27% of mid/high-income. Over 50% of the low-income respondents have access to the internet at least once per day. The results show the potential of raising awareness among a wide range of members in the community. This needs assessment will serve as the foundation for a social marketing intervention, which will be disseminated city-wide.

  17. Social marketing for a farmer’s market in an underserved community: A needs assessment

    Directory of Open Access Journals (Sweden)

    Meg Skizim

    2018-01-01

    Full Text Available The aim of the present paper is to assess local residents’ awareness of utilizing Supplemental Nutrition Assistance Program (SNAP benefits to purchase fresh produce at local farmers’ markets, and to determine internet use and media preferences of study participants prior to implementation of a social marketing campaign. A needs assessment was conducted to collect baseline data in an underserved neighbourhood in New Orleans (LA, USA. The study was carried out August 2014-May 2015. The assessment revealed that 73% of the respondents were unaware that the SNAP benefits could be used to purchase food in farmers’ markets; 63% of low-income participants never attended a farmers’ market compared to 27% of mid/high-income. Over 50% of the low-income respondents have access to the internet at least once per day. The results show the potential of raising awareness among a wide range of members in the community. This needs assessment will serve as the foundation for a social marketing intervention, which will be disseminated city-wide.

  18. Leadership Opportunities with Communities, the Medically Underserved, and Special Populations (LOCUS).

    Science.gov (United States)

    Haq, Cynthia; Grosch, Michelle; Carufel-Wert, Donald

    2002-07-01

    The Leadership Opportunities with Communities, the Underserved, and Special Populations (LOCUS) Program aims to improve medical students' leadership knowledge and skills, to improve self-awareness and motivation for community service, and to provide models for students to integrate community service into their medical careers. The LOCUS program was established as a longitudinal, extracurricular student opportunity at the University of Wisconsin Medical School in the fall of 1998. Up to 15 new students each year are selected for the program through an application and interview process during their first or second year of medical school. Students remain in the program from acceptance until graduation from medical school. Nearly 50 students have enrolled in the program to date. LOCUS fellows are matched with a physician mentor, participate in core curriculum activities, and complete a longitudinal community service project. Mentors are community generalist physicians who have integrated community service into their own careers. Students participate in their mentors' clinical practices one afternoon a month during the first two years, and mentors serve as role models and provide guidance for students' projects and career development. The program administration and staff are supported through federal predoctoral training and Area Health Education Centers (AHEC) grants. The LOCUS core curriculum is delivered through a series of retreats, workshops, and seminars that emphasize active learning methods and include approximately 20 hours of scheduled activities per academic year. The curriculum addresses concepts of leadership in relation to one's self and in relation to others. Students are introduced to methods of self-reflection and develop their own vision and mission statements. Students also discuss the importance of compassion, self-care, striving for balance, avoiding burnout, and being realistic about what they can accomplish. Students practice strategies for

  19. Community-Based Health Programmes: Role Perceptions and Experiences of Female Peer Facilitators in Mumbai's Urban Slums

    Science.gov (United States)

    Alcock, Glyn A.; More, Neena Shah; Patil, Sarita; Porel, Maya; Vaidya, Leena; Osrin, David

    2009-01-01

    Community-based initiatives have become a popular approach to addressing the health needs of underserved populations, in both low- and higher-income countries. This article presents findings from a study of female peer facilitators involved in a community-based maternal and newborn health intervention in urban slum areas of Mumbai. Using…

  20. Pop Up/Drill Down: A Traveling Exhibit Designed to Reach Underserved Communities through Art and Geosciences

    Science.gov (United States)

    Kurtz, N.

    2017-12-01

    Scientists observe the world around them in an attempt to understand it. Artists observe the world around them in an attempt to create a reflection or response to the environment. It is critical for the two fields to work together in order to engage and inform the general population. The Consortium for Ocean Leadership, the International Ocean Discovery Program and a series of collaborators are designing a traveling exhibit that will inspire underserved communities in the excitement of exploration, the process of science, and the people and tools required to get there. The project aims to learn more about how to increase access to and awareness of ocean/earth science by bringing a pop-up style museum exhibit to local libraries and public events. As an artist with a science and education background and the graphic designer for this exhibit, this author will highlight the ways this project utilizes art and design to educate underserved populations in ocean and geosciences.

  1. Arts Infusion and Literacy Achievement within Underserved Communities: A Matter of Equity

    Science.gov (United States)

    Carney, Charles L.; Weltsek, Gustave J.; Hall, M. Lynne; Brinn, Ginger

    2016-01-01

    There is ample evidence that arts added to the K-12 curriculum can have many positive learning impacts. Nevertheless, many states do not promote such instruction as an integral part of classroom plans. For particular schools with underserved populations, arts-enhanced curricula can be a powerful learning tool. Beyond arts integration, arts…

  2. Care Provided by Students in Community-Based Dental Education: Helping Meet Oral Health Needs in Underserved Communities.

    Science.gov (United States)

    Mays, Keith A; Maguire, Meghan

    2018-01-01

    Since 2000, reports have documented the challenges faced by many Americans in receiving oral health care and the consequences of inadequate care such as high levels of dental caries among many U.S. children. To help address this problem, many dental schools now include community-based dental education (CBDE) in their curricula, placing students in extramural clinics where they provide care in underserved communities. CBDE is intended to both broaden the education of future oral health professionals and expand care for patients in community clinics. The aim of this study was to develop a three-year profile of the patients seen and the care provided by students at extramural clinics associated with one U.S. dental school. Three student cohorts participated in the rotations: final-year students in the Doctor of Dental Surgery, Bachelor of Science in Dental Hygiene, and Master of Dental Therapy programs. The study was a retrospective analysis of data retrieved from the school's database for three consecutive academic years. The data included patients' demographics and special health care needs status (based on information collected by students from their patients) and procedures students performed while on rotations. For the three-year period, the results showed a total of 43,128 patients were treated by 418 student providers. Approximately 25% of all encounters were with pediatric patients. Students completed 5,908 child prophylaxis, 5,386 topical fluoride varnish, and 7,678 sealant procedures on pediatric patients. Annually, 7% of the total patients treated had special health care needs. The results show that these students in CBDE rotations provided a substantial amount of oral health care at extramural sites and gained additional experience in caring for a diverse population of patients and performing a wide range of procedures.

  3. Victim-blaming and the "looping" effect of social policy: the cause of physician maldistribution and underserved rural communities.

    Science.gov (United States)

    Bergstrand, C R

    1979-10-01

    Ryan's (1971) description of the ideology of "victim-blaming" is briefly reviewed. It is then shown how this strategy for obscuring the causes of a social problem is used against rural, medically underserved communities by health care provider and planning interest groups to "explain" critical shortages of physicians in their areas. In addition to lending further support for the existence of this ideology, a "looping" effect of social policy designed to deal with physician maldistribution is identified. It is argued that this can be viewed as analytically distinct from the ideology itself and that it serves the purpose of further obscuring the larger structural sources of the social problem.

  4. LifeSteps: An Evidence-based Health Promotion Program for Underserved Populations – A Community Service Learning Approach

    Directory of Open Access Journals (Sweden)

    Melanie Austin-McCain

    2015-04-01

    Full Text Available Chronic diseases are the most common, costly, and preventable of all health problems in the United States. Chronic diseases represent the leading causes of death and are experienced at higher rates by minority populations (CDC, 2012. Innovative community-based health promotion programs are recommended that meet the diverse needs of underserved populations (Yeary, et al., 2011. LifeSteps is being developed as an evidence-based health promotion program focusing on health and wellness, a domain area defined within the Occupational Therapy Practice Framework (OTPF, 2008. LifeSteps will utilize a client-centered approach to coach individuals in making health behavior changes. Fieldwork and service-learning components are incorporated integrating clinical practice, academic study, and collaboration with community providers. Program evaluation measures based on the Transtheoretical Model (TTM have been identified to address all phases of program planning. The LifeSteps health promotion program aligns with local, national, and international objectives and addresses the need for programs that meet the diverse needs of underserved populations. Occupational therapists are in a unique position for implementing community-based interventions that promote health and contribute to a healthier society.

  5. Spatial Accessibility to Health Care Services: Identifying under-Serviced Neighbourhoods in Canadian Urban Areas

    OpenAIRE

    Shah, Tayyab Ikram; Bell, Scott; Wilson, Kathi

    2016-01-01

    Background Urban environments can influence many aspects of health and well-being and access to health care is one of them. Access to primary health care (PHC) in urban settings is a pressing research and policy issue in Canada. Most research on access to healthcare is focused on national and provincial levels in Canada; there is a need to advance current understanding to local scales such as neighbourhoods. Methods This study examines spatial accessibility to family physicians using the Thre...

  6. Spatial Accessibility to Health Care Services: Identifying under-Serviced Neighbourhoods in Canadian Urban Areas.

    Science.gov (United States)

    Shah, Tayyab Ikram; Bell, Scott; Wilson, Kathi

    2016-01-01

    Urban environments can influence many aspects of health and well-being and access to health care is one of them. Access to primary health care (PHC) in urban settings is a pressing research and policy issue in Canada. Most research on access to healthcare is focused on national and provincial levels in Canada; there is a need to advance current understanding to local scales such as neighbourhoods. This study examines spatial accessibility to family physicians using the Three-Step Floating Catchment Area (3SFCA) method to identify neighbourhoods with poor geographical access to PHC services and their spatial patterning across 14 Canadian urban settings. An index of spatial access to PHC services, representing an accessibility score (physicians-per-1000 population), was calculated for neighborhoods using a 3km road network distance. Information about primary health care providers (this definition does not include mobile services such as health buses or nurse practitioners or less distributed services such as emergency rooms) used in this research was gathered from publicly available and routinely updated sources (i.e. provincial colleges of physicians and surgeons). An integrated geocoding approach was used to establish PHC locations. The results found that the three methods, Simple Ratio, Neighbourhood Simple Ratio, and 3SFCA that produce City level access scores are positively correlated with each other. Comparative analyses were performed both within and across urban settings to examine disparities in distributions of PHC services. It is found that neighbourhoods with poor accessibility scores in the main urban settings across Canada have further disadvantages in relation to population high health care needs. The results of this study show substantial variations in geographical accessibility to PHC services both within and among urban areas. This research enhances our understanding of spatial accessibility to health care services at the neighbourhood level. In

  7. Predicting Social Responsibility and Belonging in Urban After-School Physical Activity Programs with Underserved Children

    Science.gov (United States)

    Martin, Jeffrey J.; Byrd, Brigid; Garn, Alex; McCaughtry, Nate; Kulik, Noel; Centeio, Erin

    2016-01-01

    The purpose of this cross sectional study was to predict feelings of belonging and social responsibility based on the motivational climate perceptions and contingent self-worth of children participating in urban after-school physical activity programs. Three-hundred and four elementary school students from a major Midwestern city participated.…

  8. Perceptions of cardiovascular health in an underserved community of deaf adults using American Sign Language.

    Science.gov (United States)

    McKee, Michael; Schlehofer, Deirdre; Cuculick, Jessica; Starr, Matthew; Smith, Scott; Chin, Nancy P

    2011-07-01

    Cardiovascular disease leads in overall mortality and morbidity in the United States. Cardiovascular disparities remain high among minority and underserved groups. Deaf American Sign Language (ASL) users are an underserved and understudied group that receives little attention from researchers due to language and communication barriers. A recent ASL survey in Rochester, NY, indicated greater cardiovascular risk among Deaf participants. The study objective was to investigate risk perceptions of cardiovascular disease among Deaf ASL users, linking perceptions to features of Deaf culture and communication. This information will be used to inform future strategies to promote cardiovascular health among Deaf adults. Four focus groups were conducted in Rochester, New York, with 22 Deaf participants in ASL. Videotaped sessions were translated and transcribed by a bilingual researcher. A team of investigators coded, analyzed, and identified key themes from the data. Themes centered on five major domains: knowledge, barriers, facilitators, practices, and dissemination. The majority of themes focused on barriers and knowledge. Barriers included lack of health care information access due to language and communication challenges, financial constraints, and stress. Inconsistent knowledge emerged from many key areas of cardiovascular health. The study outlines key themes for improving cardiovascular health knowledge and perceptions among Deaf ASL users. Findings suggest the importance of providing health educational programs and information in ASL to maximize understanding and minimize misconceptions. When caring for Deaf ASL users, providers should take extra effort to ask about cardiovascular risk factors and confirm patients' understanding of these factors. Copyright © 2011 Elsevier Inc. All rights reserved.

  9. ENDO ECHO IMPROVES PRIMARY CARE PROVIDER AND COMMUNITY HEALTH WORKER SELF-EFFICACY IN COMPLEX DIABETES MANAGEMENT IN MEDICALLY UNDERSERVED COMMUNITIES.

    Science.gov (United States)

    Bouchonville, Matthew F; Hager, Brant W; Kirk, Jessica B; Qualls, Clifford R; Arora, Sanjeev

    2018-01-01

    To determine whether participation in a multidisciplinary telementorship model of healthcare delivery improves primary care provider (PCP) and community health worker (CHW) confidence in managing patients with complex diabetes in medically underserved regions. We applied a well-established healthcare delivery model, Project ECHO (Extension for Community Healthcare Outcomes), to the management of complex diabetes (Endo ECHO) in medically underserved communities. A multidisciplinary team at Project ECHO connected with PCPs and CHWs at 10 health centers across New Mexico for weekly videoconferencing virtual clinics. Participating PCPs and CHWs presented de-identified patients and received best practice guidance and mentor-ship from Project ECHO specialists and network peers. A robust curriculum was developed around clinical practice guidelines and presented by weekly didactics over the ECHO network. After 2 years of participation in Endo ECHO, PCPs and CHWs completed self-efficacy surveys comparing confidence in complex diabetes management to baseline. PCPs and CHWs in rural New Mexico reported significant improvement in self-efficacy in all measures of complex diabetes management, including PCP ability to serve as a local resource for other healthcare providers seeking assistance in diabetes care. Overall self-efficacy improved by 130% in CHWs ( Pcare may be useful in resource-poor communities with limited access to diabetes specialist services. CHW = community health worker; CME = Continuing Medical Education; ECHO = Extension for Community Healthcare Outcomes; FQHC = federally qualified health center; PCP = primary care provider.

  10. Dental students and faculty members' attitudes towards care for underserved patients and community service: do community-based dental education and voluntary service-learning matter?

    Science.gov (United States)

    Volvovsky, Mariya; Vodopyanov, Dmitry; Inglehart, Marita R

    2014-08-01

    The objectives of this study were to explore 1) how students across the four years of a dental curriculum differed in attitudes towards underserved patients and community service at the beginning and end of each school year; 2) how these attitudes changed as a function of participating in required vs. voluntary community-based activities; and 3) what attitudes faculty members held about the effects of community service-learning on students. Surveys were distributed to 440 students at one dental school at the beginning and end of the school year. The overall response rate for those surveys was 75 percent, with variations among classes: first year, 94 percent; second year, 92 percent; third year, 69 percent; and fourth year, 43 percent. Survey data were also collected from twenty-two students (out of a possible forty-seven) who participated in voluntary service-learning and from fifty-four faculty members (out of approximately 150). The results showed that, at the beginning of the year, the first-year students' attitudes were more positive than the responses of students in all other cohorts. However, at the end of the year, their attitudes were less positive. Participating in voluntary service-learning improved students' attitudes towards treating underserved patients only in the short run, and experiencing ten weeks of community-based dental education did not improve their attitudes. The faculty respondents' attitudes, however, were quite positive. The decrease in students' positive attitudes towards treating underserved patients and participating in community service should raise questions about why this loss of idealism occurred.

  11. Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients.

    Science.gov (United States)

    Quigley, Denise D; Predmore, Zachary S; Chen, Alex Y; Hays, Ron D

    Patient-centered medical home (PCMH) has gained momentum as a model for primary-care health services reform. We conducted interviews at 14 primary care practices undergoing PCMH transformation in a large urban federally qualified health center in California and used grounded theory to identify common themes and patterns. We found clinics pursued a common sequence of changes in PCMH transformation: Clinics began with National Committee for Quality Assurance (NCQA) level 3 recognition, adding care coordination staff, reorganizing data flow among teams, and integrating with a centralized quality improvement and accountability infrastructure. Next, they realigned to support continuity of care. Then, clinics improved access by adding urgent care, patient portals, or extending hours. Most then improved planning and management of patient visits. Only a handful worked explicitly on improving access with same day slots, scheduling processes, and test result communication. The clinics' changes align with specific NCQA PCMH standards but also include adding physicians and services, culture changes, and improved communication with patients. NCQA PCMH level 3 recognition is only the beginning of a continuous improvement process to become patient centered. Full PCMH transformation took time and effort and relied on a sequential approach, with an early focus on foundational changes that included use of a robust quality improvement strategy before changes to delivery of and access to care.

  12. Urban Health Project: A Sustainable and Successful Community Internship Program for Medical Students.

    Science.gov (United States)

    Roberts, Kasey; Park, Thomas; Elder, Nancy C; Regan, Saundra; Theodore, Sarah N; Mitchell, Monica J; Johnson, Yolanda N

    2015-11-01

    Urban Health Project (UHP) is a mission and vision-driven summer internship at the University of Cincinnati College of Medicine that places first-year medical students at local community agencies that work with underserved populations. At the completion of their internship, students write Final Intern Reflections (FIRs). Final Intern Reflections written from 1987 to 2012 were read and coded to both predetermined categories derived from the UHP mission and vision statements and new categories created from the data themselves. Comments relating to UHP's mission and vision were found in 47% and 36% of FIRs, respectively. Positive experiences outweighed negative by a factor of eight. Interns reported the following benefits: educational (53%), valuable (25%), rewarding (25%), new (10%), unique (6%), and life-changing (5%). Urban Health Project is successful in providing medical students with enriching experiences with underserved populations that have the potential to change their understanding of vulnerable populations.

  13. Cancer prevention in underserved African American communities: barriers and effective strategies--a review of the literature.

    Science.gov (United States)

    Wolff, Marie; Bates, Tovah; Beck, Barbra; Young, Staci; Ahmed, Syed M; Maurana, Cheryl

    2003-01-01

    African Americans suffer significantly more cancer morbidity and mortality than the white population. In order to decrease this differential, it is critical to understand the particular barriers to health and health care that underserved African Americans face. It is also important to identify the critical components of effective cancer prevention programs for this population. The barriers that impede care for underserved African Americans have been identified as: 1) inadequate access to and availability of health care services; 2) competing priorities; 3) lack of knowledge of cancer prevention and screening recommendations; 4) culturally inappropriate or insensitive cancer control materials; 5) low literacy; 6) mistrust of the health care system; and 7) fear and fatalism. Effective programs must incorporate community participation, innovative outreach, use of social networks and trusted social institutions, cultural competence, and a sustained approach. Programs that include these strategies are much more likely to be effective in reducing cancer incidence. Cancer ranks second only to cardiovascular disease as the leading cause of death in the United States. For the majority population, cancer incidence and prevalence have declined in recent years and cure rates for certain cancer diagnoses have improved. This can be attributed to progress in the development and implementation of prevention, early detection, and treatment strategies. However, despite these gains, medically underserved African American populations have not fared as well. When African American-white mortality rates are compared, African Americans are 1.3 times more likely to die of cancer than the general population. Data from the Bureau of Health Information, Wisconsin Department of Health and Family Services indicate that from 1996 to 2000, cancer accounted for 33% of deaths in African Americans aged 45-64 and 34% of deaths for those aged 65-74. To decrease the disparities in cancer morbidity and

  14. Readiness and capacity of librarians in public libraries to implement a breast cancer outreach and screening campaign in medically underserved communities.

    Science.gov (United States)

    Goytia, Elliott J; Rapkin, Bruce; Weiss, Elisa S; Golub, David; Guzman, Vivian; O'Connor, Maureen

    2005-11-01

    Community-based partnerships are an important means of addressing cancer health disparities in medically underserved communities. Public libraries may be ideal partners in this effort. To assess the readiness and capacity of a public library system to implement cancer recruitment and outreach campaigns, 58 librarians in the Queens Borough Public Library System in New York completed self-administered questionnaires before and after a training on breast health, cancer, and screening. Results indicate that they are interested in participating in a cancer outreach campaign and feel it is a critical need in their community. Many librarians lacked the knowledge about cancer and cancer information resources needed to participate optimally. Nevertheless, librarians provide a cultural bridge to medically underserved communities. Partnering with a public library system to improve access to care has great potential, yet a number of challenges need to be overcome.

  15. Delivering health care in a large urban hotel: cost effective, quality care for an underserved and uninsured population.

    Science.gov (United States)

    Intili, Henry; Laws, Catherine

    2003-07-01

    Expansion of an occupational health clinic from registered nurse base to nurse practitioner base where employees can be treated for basic emergent conditions can result in health benefits to underserved and underinsured employees and financial benefits to management. It is essential that the financial benefits of the plan to expand clinical services outweigh the costs, and the savings projections be plausible. Emotional appeals to improve the health and well being of employees are not sufficient or credible in the management arena without financial payback. Expanded clinic services increase employee perception that the company cares for their welfare. This benefit is especially important to underserved and underinsured employees.

  16. Investigating social ecological contributors to diabetes within Hispanics in an underserved U.S.-Mexico border community.

    Science.gov (United States)

    Chang, Jean; Guy, Mignonne C; Rosales, Cecilia; de Zapien, Jill G; Staten, Lisa K; Fernandez, Maria L; Carvajal, Scott C

    2013-07-31

    Hispanics bear a disproportionate burden of diabetes in the United States, yet relations of structural, socio-cultural and behavioral factors linked to diabetes are not fully understood across all of their communities. The current study examines disparities and factors associated with diabetes in adult Hispanics of Mexican-descent (N = 648) participating in a population survey of an underserved rural U.S.-Mexico border community. The overall rate of diabetes prevalence rate in the sample, based on self-report and a glucose testing, was 21%; much higher than rates reported for U.S. adults overall, for all Hispanic adults, or for Mexican American adults specifically. Acculturation markers and social determinants of health indicators were only significantly related to diabetes in models not accounting for age. Older age, greater BMI (>30), greater waist-to-hip ratio as well as lower fruit and vegetable consumption were significantly related to increased likelihood of diabetes when all structural, cultural, behavioral, and biological factors were considered. Models with sets of behavioral factors and biological factors each significantly improved explanation of diabetes relative to prior social ecological theory-guided models. The findings show a critical need for diabetes prevention efforts in this community and suggest that health promotion efforts should particularly focus on increasing fruit and vegetable consumption.

  17. Investigating Social Ecological Contributors to Diabetes within Hispanics in an Underserved U.S.-Mexico Border Community

    Directory of Open Access Journals (Sweden)

    Scott C. Carvajal

    2013-07-01

    Full Text Available Hispanics bear a disproportionate burden of diabetes in the United States, yet relations of structural, socio-cultural and behavioral factors linked to diabetes are not fully understood across all of their communities. The current study examines disparities and factors associated with diabetes in adult Hispanics of Mexican-descent (N = 648 participating in a population survey of an underserved rural U.S.-Mexico border community. The overall rate of diabetes prevalence rate in the sample, based on self-report and a glucose testing, was 21%; much higher than rates reported for U.S. adults overall, for all Hispanic adults, or for Mexican American adults specifically. Acculturation markers and social determinants of health indicators were only significantly related to diabetes in models not accounting for age. Older age, greater BMI (>30, greater waist-to-hip ratio as well as lower fruit and vegetable consumption were significantly related to increased likelihood of diabetes when all structural, cultural, behavioral, and biological factors were considered. Models with sets of behavioral factors and biological factors each significantly improved explanation of diabetes relative to prior social ecological theory-guided models. The findings show a critical need for diabetes prevention efforts in this community and suggest that health promotion efforts should particularly focus on increasing fruit and vegetable consumption.

  18. Pediatric Obesity Empowerment Model Group Medical Visits (POEM-GMV) as Treatment for Pediatric Obesity in an Underserved Community.

    Science.gov (United States)

    Geller, Jeffrey S; Dube, Eileen T; Cruz, Glavielinys A; Stevens, Jason; Keating Bench, Kara

    2015-10-01

    This is a retrospective cohort study to evaluate a novel group medical visit (GMV) program using an empowerment curriculum as treatment for pediatric obesity in a federally qualified community health center. Biometric and self-reported data were reviewed from 417 overweight or obese children ages 5-18 attending the pediatric obesity empowerment model GMV program (POEM-GMV) at least twice during a 3-year period. Variables were evaluated using paired means t-test. Pearson's correlation test was used to evaluate variables and the BMI z-score. Subanalysis by gender was performed. The average participant was 10.48 ± 2.53 years old and participated for 301 ± 287 days. BMI z-score reduced from 2.99 ± 0.96 to 2.88 ± 0.88 (p pediatric obesity in an underserved community. There were statistically significantly improved outcomes in obesity, especially for boys. Significant improvement was observed in many lifestyle factors associated with obesity. Weight loss most closely correlated with reduced stress levels and sugary beverage consumption. Additional studies are needed to further evaluate the efficacy of POEM-GMV.

  19. Positioning Community Art Practices in Urban Cracks

    Science.gov (United States)

    Verschelden, Griet; Van Eeghem, Elly; Steel, Riet; De Visscher, Sven; Dekeyrel, Carlos

    2012-01-01

    This article addresses the position of community art practices and the role of practitioners in urban cracks. Community art practices raise possibilities for a reconceptualisation of the concept of community and an extension of the concept of art in public space. Urban cracks are conceptualised as spatial, temporal and relational manifestations of…

  20. Community Foresight for Urban Sustainability

    DEFF Research Database (Denmark)

    Mortensen, Jonas Egmose; Eames, Malcolm

    2011-01-01

    A key strength of backcasting is arguably the emphasis it places upon envisaging longer-term distant futures, allowing participants and users to think beyond incremental changes in their current lived experience and to embrace the more radical and disruptive socio-technical changes which may...... to develop an inclusive 'bottom-up' Community Foresight process for urban sustainability research. Unlike most backcasting studies, the methodology was initially grounded in an exploration of the community participants' current lived experience and understandings of sustainability. Given the particular...... be necessary to deliver sustainability. In so doing, however, backcasting may run the risk of obscuring significant differences in current lived experience, negating alternative problem framings and normatively derived views of what constitutes sustainability. This paper reports an innovative UK attempt...

  1. Integrating community-based participatory research and informatics approaches to improve the engagement and health of underserved populations.

    Science.gov (United States)

    Unertl, Kim M; Schaefbauer, Chris L; Campbell, Terrance R; Senteio, Charles; Siek, Katie A; Bakken, Suzanne; Veinot, Tiffany C

    2016-01-01

    We compare 5 health informatics research projects that applied community-based participatory research (CBPR) approaches with the goal of extending existing CBPR principles to address issues specific to health informatics research. We conducted a cross-case analysis of 5 diverse case studies with 1 common element: integration of CBPR approaches into health informatics research. After reviewing publications and other case-related materials, all coauthors engaged in collaborative discussions focused on CBPR. Researchers mapped each case to an existing CBPR framework, examined each case individually for success factors and barriers, and identified common patterns across cases. Benefits of applying CBPR approaches to health informatics research across the cases included the following: developing more relevant research with wider impact, greater engagement with diverse populations, improved internal validity, more rapid translation of research into action, and the development of people. Challenges of applying CBPR to health informatics research included requirements to develop strong, sustainable academic-community partnerships and mismatches related to cultural and temporal factors. Several technology-related challenges, including needs to define ownership of technology outputs and to build technical capacity with community partners, also emerged from our analysis. Finally, we created several principles that extended an existing CBPR framework to specifically address health informatics research requirements. Our cross-case analysis yielded valuable insights regarding CBPR implementation in health informatics research and identified valuable lessons useful for future CBPR-based research. The benefits of applying CBPR approaches can be significant, particularly in engaging populations that are typically underserved by health care and in designing patient-facing technology. © The Authors 2015. Published by Oxford University Press on behalf of the American Medical

  2. The Knowledge Is Power Program (KIPP): An Analysis of One Model's Efforts to Promote Achievement in Underserved Communities

    Science.gov (United States)

    Macey, Erin; Decker, Janet; Eckes, Suzanne

    2009-01-01

    Many claim that the Knowledge is Power Program has experienced success in closing the achievement gap in urban and rural communities across America. Studies suggest that KIPP charter schools enroll an overwhelming proportion of poor and minority students and often outperform their district peers. However, the purpose of this study is not to…

  3. Using an Interactive Systems Framework to Expand Telepsychology Innovations in Underserved Communities

    Science.gov (United States)

    Alaniz, Angela B.

    2016-01-01

    Literature indicates that the use of promising innovations in mental health care can be improved. The advancement of telepsychology is one innovation that has been utilized as a method to reduce rural health disparities and increase the number of people with access to mental health services. This paper describes a successful pilot telepsychology program implemented in a rural community to increase access to mental health services and the model's replication and expansion into four additional communities using concepts described in an Interactive Systems Framework. The Interactive Systems Framework highlights how building local capacity specific to organizational functioning and innovations are necessary to support, deliver, and disseminate innovations within new settings. Based on the knowledge gained from this telepsychology innovation, the application of an Interactive Systems Framework and funding mechanisms are discussed. PMID:27403374

  4. Puerto Rico NCI Community Oncology Research Program Minority/Underserved | Division of Cancer Prevention

    Science.gov (United States)

    DESCRIPTION (provided by applicant): The Puerto Rico NCI Community Oncology Research Program (PRNCORP) will be the principal organization in the island that promotes cancer prevention, control and screening/post-treatment surveillance clinical trials. It will conduct cancer care delivery research and will provide access to treatment and imaging clinical trials conducted under the reorganization of the National Clinical Trials Network (NCTN). It will evaluate disparity issues and outcomes in cancer care delivery and treatments. |

  5. Assessment of data quality and reporting systems for underserved populations: the case of integrated community case management programs in Nigeria.

    Science.gov (United States)

    Nyangara, Florence M; Hai, Tajrina; Zalisk, Kirsten; Ozor, Lynda; Ufere, Joy; Isiguzo, Chinwoke; Abubakar, Ibrahim Ndaliman

    2018-02-13

    Decision makers are searching for reliable data and best practices to support the implementation and scale-up of the integrated community case management (iCCM) programs in underserved areas to reduce under-five mortality in low-income countries. This study assesses data quality and reporting systems of the World Health Organization supported Rapid Access Expansion program implementing iCCM in Abia and Niger States, Nigeria. This cross-sectional study used data from 16 primary health facilities in both states. Data were collected through review of registers and monthly summary reports of 140 community-oriented resource persons (CORPs), assessments of the five dimensions of the data reporting systems and 46 key informant interviews with stakeholders. Data quality was assessed by availability, completeness and consistency. Each component of the reporting system was assessed on a 3-point scale (weak, satisfactory and strong). Results show that both the structure, functions and capabilities, as well as data collection and reporting tools dimensions of the reporting system were strong, scoring (2.80, 2.73) for Abia and (2.88, 2.75) for Niger, respectively. Data management processes and links with national reporting system components scored low 2 s, indicating fair strength. Data availability, completeness and consistency were found to be good, an indication of adequate training and supervision of CORPs and community health extension workers. Indicator definitions and reporting guidelines were the weakest dimension of the system due to lack of data reporting guidelines in both states. In conclusion, the results indicate satisfactory data reporting systems and good quality data during early implementation of iCCM programs in the two states. Hence, countries planning to adopt and implement iCCM programs should first develop structures, establish national standardized tools for collecting and reporting data, provide for adequate training and supervision of community

  6. Bolivia programme evaluation of a package to reach an underserved population: Community-based maternal and newborn care economic analysis.

    Science.gov (United States)

    Barger, Diana; Pooley, Bertha; Dupuy, Julien Roger; Cardenas, Norma Amparo; Wall, Steve; Owen, Helen; Daviaud, Emmanuelle

    2017-10-01

    To address inequitable access to health services of indigenous communities in the Bolivian highlands, the Bolivian Ministry of Health, with the support of Save the Children-Saving Newborn Lives, conducted operational research to identify, implement and test a package of maternal and newborn interventions using locally recruited, volunteer Community Health Workers (vCHW) between 2008 and 2010. The additional annual economic and financial costs of the intervention were estimated from the perspective of the Bolivian Ministry of Health in two municipalities. The cost of intervention-stimulated increases in facility attendance was estimated with national surveillance data using a pre-post comparison, adjusted for secular trends in facility attendance. Three scale-up scenarios were modelled by varying the levels of coverage and the number (per mother and child pair) and frequency of home visits. Average cost per mother and average cost per home visit are presented in constant 2015 US$. Eighteen per cent of expectant mothers in the catchment area were visited at least once. The annualized additional financial cost of the community-based intervention across both municipalities was $43 449 of which 3% ($1324) was intervention design, 20% ($8474) set-up and 77% ($33 651) implementation. Drivers of additional costs were additional paid staff (68%), 81% of which was for management and support by local implementing partner and 19% of which was for vCHW supervision. The annual financial cost per vCHW was $595. Modelled scale-up scenarios highlight potential efficiency gains. Recognizing local imperatives to reduce inequalities by targeting underserved populations, the observed low coverage by vCHWs resulted in a high cost per mother and child pair ($296). This evaluation raises important questions about this model's ability to achieve its ultimate goals of reducing neonatal mortality and inequalities through behaviour change and increased care seeking and has served to

  7. Partnered Evaluation of a Community Engagement Intervention: Use of a “Kickoff” Conference in a Randomized Trial for Depression Care Improvement in Underserved Communities

    Science.gov (United States)

    Mendel, Peter; Ngo, Victoria K.; Dixon, Elizabeth; Stockdale, Susan; Jones, Felica; Chung, Bowen; Jones, Andrea; Masongsong, Zoe; Khodyakov, Dmitry

    2013-01-01

    Community partnered research and engagement strategies are gaining recognition as innovative approaches to improving healthcare systems and reducing health disparities in underserved communities. These strategies may have particular relevance for mental health interventions in low income, minority communities in which there often is great stigma and silence surrounding conditions such as depression and difficulty in implementing improved access and quality of care. At the same time, there is a relative dearth of evidence on the effectiveness of specific community engagement interventions and on the design, process, and context of these interventions necessary for understanding their implementation and generalizability. This paper evaluates one of a number of community engagement strategies employed in the Community Partners in Care (CPIC) study, the first randomized controlled trial of the role of community engagement in adapting and implementing evidence-based depression care. We specifically describe the unique goals and features of a community engagement “kickoff” conference as used in CPIC and provide evidence on the effectiveness of this type of intervention by analyzing its impact on: 1) stimulating a dialogue, sense of collective efficacy, and opportunities for learning and networking to address depression and depression care in the community, 2) activating interest and participation in CPIC’s randomized trial of two different ways to implement evidence-based quality improvement (QI) programs for depression across diverse community agencies, and 3) introducing evidence-based toolkits and collaborative care models to potential participants in both intervention conditions and other community members. We evaluated the effectiveness of the conference through a community-partnered process in which both community and academic project members were involved in study design, data collection and analysis. Data sources include participant conference evaluation

  8. Understanding access to care and health needs of Hispanic women from an urban community.

    Science.gov (United States)

    Jerome-D'Emilia, Bonnie; Dunphy Suplee, Patricia; Gardner, Marcia R

    2014-01-01

    As a first step in a proposed program of community-based participatory research, this study investigated access to care and specific health needs in a population of Hispanic women from a medically underserved, urban community. There were 66 Hispanic women recruited at a local church to complete a 94-item researcher-developed survey. Thirty-two percent of women in the study were not U.S. citizens. Being insured, being a citizen, and having a medical diagnosis were significant in satisfaction with care. The most prevalent health issue for this population was being overweight or obese. This study demonstrates the use of the community needs assessment process in the development of interventions to improve a community's health and health care. This is especially true in the Hispanic community in which large variations based on culture and country of origin will impact the success of planned interventions.

  9. Language development, delay and intervention-the views of parents from communities that speech and language therapy managers in England consider to be under-served.

    Science.gov (United States)

    Marshall, Julie; Harding, Sam; Roulstone, Sue

    2017-07-01

    Evidence-based practice includes research evidence, clinical expertise and stakeholder perspectives. Stakeholder perspectives are important and include parental ethno-theories, which embrace views about many aspects of speech, language and communication, language development, and interventions. The Developmental Niche Framework provides a useful theory to understand parental beliefs. Ethnotheories, including those about language development, delay and interventions, may vary cross culturally and are less well understood in relation to families who may be considered 'under-served' or 'hard-to-reach' by speech and language therapy services. Who is considered to be under-served and the reasons why some families are under-served are complex. To describe beliefs and reported practices, in relation to speech and language development, delay and intervention, of parents and carers from a small number of groups in England who were perceived to be under-served in relation to SLT services. As part of a wider National Institute for Health Research (NIHR)-funded study (Child Talk), seven focus groups (with a total of 52 participants) were held with parents from three communities in England. Topics addressed included beliefs about language development, language delay and parents' reported responses to language delay. Data were transcribed and analysed using adapted framework analysis, which also drew on directed content analysis. Four themes resulted that broadly matched the topics addressed in the focus groups: language development and the environment; causes and signs of speech and language delay; responses to concerns about speech, language and communication; and improving SLT. These produced some previously unreported ideas, e.g., about how language develops and the causes of delay. The findings are discussed in relation to previous literature and the Developmental Niche Framework. Clinical implications include ideas about issues for SLTs to discuss with families and the

  10. Evaluation of a Community Health Worker Intervention to Reduce HIV/AIDS Stigma and Increase HIV Testing Among Underserved Latinos in the Southwestern U.S.

    Science.gov (United States)

    Rios-Ellis, Britt; Becker, Davida; Espinoza, Lilia; Nguyen-Rodriguez, Selena; Diaz, Gaby; Carricchi, Ana; Galvez, Gino; Garcia, Melawhy

    2015-01-01

    Latinos are at an elevated risk for HIV infection. Continued HIV/AIDS stigma presents barriers to HIV testing and affects the quality of life of HIV-positive individuals, yet few interventions addressing HIV/AIDS stigma have been developed for Latinos. An intervention led by community health workers (promotores de salud, or promotores) targeting underserved Latinos in three southwestern U.S. communities was developed to decrease HIV/AIDS stigma and increase HIV knowledge and perception of risk. The intervention was led by HIV-positive and HIV-affected (i.e., those who have, or have had, a close family member or friend with HIV/AIDS) promotores, who delivered interactive group-based educational sessions to groups of Latinos in Spanish and English. To decrease stigma and motivate behavioral and attitudinal change, the educational sessions emphasized positive Latino cultural values and community assets. The participant pool comprised 579 Latino adults recruited in El Paso, Texas (n=204); San Ysidro, California (n=175); and Los Angeles, California (n=200). From pretest to posttest, HIV/AIDS stigma scores decreased significantly (pstigma scores when compared with their male counterparts, which may have been related to a greater increase in HIV/AIDS knowledge scores (p=0.016 and p=0.007, respectively). Promotores interventions to reduce HIV/AIDS stigma and increase HIV-related knowledge, perception of risk, and willingness to discuss sexual risk with partners show promise in reaching underserved Latino communities.

  11. Teleophthalmology: A Model for Eye Care Delivery in Rural and Underserved Areas of India

    Directory of Open Access Journals (Sweden)

    Vijayaraghavan Prathiba

    2011-01-01

    Full Text Available Objectives. To describe the application of teleophthalmology in rural and underserved areas of India. Study Design. This paper describes the major teleophthalmology projects in India and its benefits. Results. Teleophthalmology is the use of telecommunication for electronic transfer of health-related data from rural and underserved areas of India to specialities in urban cities. The MDRF/WDF Rural Diabetes Project has proved to be very beneficial for improvement of quality health care in Tamilnadu and can be replicated at the national level. This community outreach programme using telemedicine facilities has increased awareness of eye diseases, improved access to specialized health care, helped in local community empowerment, and provided employment opportunities. Early detection of sight threatening disorders by teleophthalmology and prompt treatment can help decrease visual impairment. Conclusion. Teleophthalmology can be a very effective model for improving eye care delivery system in rural and underserved areas of India.

  12. Leading for Urban School Reform and Community Development

    Science.gov (United States)

    Green, Terrance L.

    2015-01-01

    Purpose: Improving urban schools of color and the communities where they are located requires leadership that spans school and community boundaries. The purpose of this study is to understand how principal and community leader actions support urban school reform along with community development at two community schools in the urban Midwest and…

  13. 'Much clearer with pictures': using community-based participatory research to design and test a Picture Option Grid for underserved patients with breast cancer.

    Science.gov (United States)

    Durand, Marie-Anne; Alam, Shama; Grande, Stuart W; Elwyn, Glyn

    2016-02-02

    Women of low socioeconomic status (SES) diagnosed with early stage breast cancer experience decision-making, treatment and outcome disparities. Evidence suggests that decision aids can benefit underserved patients, when tailored to their needs. Our aim was to develop and test the usability, acceptability and accessibility of a pictorial encounter decision aid targeted at women of low SES diagnosed with early stage breast cancer. Community-based participatory research (CBPR) using think-aloud protocols (phases 1 and 2) and semistructured interviews (phase 3). Underserved community settings (eg, knitting groups, bingo halls, senior centres) and breast clinics. In phase 1, we recruited a convenience sample of clinicians and academics. In phase 2, we targeted women over 40 years of age, of low SES, regardless of breast cancer history, and in phase 3, women of low SES, recently diagnosed with breast cancer. The pictorial encounter decision aid was derived from an evidence-based table comparing treatment options for breast cancer (http://www.optiongrid.org). We assessed the usability, acceptability and accessibility of the pictorial decision aid prototypes using the think-aloud protocol and semistructured interviews. After initial testing of the first prototype with 18 academics and health professionals, new versions were developed and tested with 53 lay individuals in community settings. Usability was high. In response to feedback indicating that the use of cartoon characters was considered insensitive, a picture-only version was developed and tested with 23 lay people in phase 2, and 10 target users in phase 3. Using CBPR methods and iterative user testing cycles improved usability and accessibility, and led to the development of the Picture Option Grid, entirely guided by multiple stakeholder feedback. All women of low SES recently diagnosed with early stage breast cancer found the Picture Option Grid usable, acceptable and accessible. Published by the BMJ Publishing

  14. Social science as a tool in developing scientific thinking skills in underserved, low-achieving urban students.

    Science.gov (United States)

    Jewett, Elizabeth; Kuhn, Deanna

    2016-03-01

    Engagement in purposeful problem solving involving social science content was sufficient to develop a key set of inquiry skills in low-performing middle school students from an academically and economically disadvantaged urban public school population, with this skill transferring to a more traditional written scientific thinking assessment instrument 3weeks later. Students only observing their peers' activity or not participating at all failed to show these gains. Implications are addressed with regard to the mastery of scientific thinking skills among academically disadvantaged students. Also addressed are the efficacy of problem-based learning and the limits of observational learning. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Effects of pediatric asthma care coordination in underserved communities on parent perceptions of care and asthma-management confidence.

    Science.gov (United States)

    Janevic, Mary R; Baptist, Alan P; Bryant-Stephens, Tyra; Lara, Marielena; Persky, Victoria; Ramos-Valencia, Gilberto; Uyeda, Kimberly; Hazan, Rebecca; Garrity, Ashley; Malveaux, Floyd J

    2017-06-01

    Disparities by race and socioeconomic status persist in pediatric asthma morbidity, mortality, and treatment. Improving parent/provider communication and parents' asthma-management confidence may result in better asthma control in vulnerable populations. The Merck Childhood Asthma Network, Inc. funded an initiative to implement medical-social care coordination to improve asthma outcomes at sites in four low-income, urban communities (Los Angeles, CA; Philadelphia, PA; Chicago, IL; and San Juan, PR.) As part of a cross-site evaluation of this effort, pre- post-program changes in parents' reports of asthma care and management were assessed. Across sites, 805 parents or other caregivers responded to a baseline survey that was repeated one year later following their child's participation in care coordination. Parents' asthma-management confidence, as well as their perceptions of provider access, trust, and communication, were measured with Likert scales. Linear mixed models were used to assess improvement in these variables, across and within sites, adjusting for sociodemographics. Pooled across sites, the adjusted mean estimate for all outcomes showed a significant improvement (p asthma care coordination, as implemented variously in diverse settings, was associated with improvement in parents' perceptions of asthma care and self-reported asthma-management knowledge and confidence. This positive impact on parents may help sustain care coordination's impact on children.

  16. Urban greenness influences airborne bacterial community composition.

    Science.gov (United States)

    Mhuireach, Gwynne; Johnson, Bart R; Altrichter, Adam E; Ladau, Joshua; Meadow, James F; Pollard, Katherine S; Green, Jessica L

    2016-11-15

    Urban green space provides health benefits for city dwellers, and new evidence suggests that microorganisms associated with soil and vegetation could play a role. While airborne microorganisms are ubiquitous in urban areas, the influence of nearby vegetation on airborne microbial communities remains poorly understood. We examined airborne microbial communities in parks and parking lots in Eugene, Oregon, using high-throughput sequencing of the bacterial 16S rRNA gene on the Illumina MiSeq platform to identify bacterial taxa, and GIS to measure vegetation cover in buffer zones of different diameters. Our goal was to explore variation among highly vegetated (parks) versus non-vegetated (parking lots) urban environments. A secondary objective was to evaluate passive versus active collection methods for outdoor airborne microbial sampling. Airborne bacterial communities from five parks were different from those of five parking lots (p=0.023), although alpha diversity was similar. Direct gradient analysis showed that the proportion of vegetated area within a 50m radius of the sampling station explained 15% of the variation in bacterial community composition. A number of key taxa, including several Acidobacteriaceae were substantially more abundant in parks, while parking lots had higher relative abundance of Acetobacteraceae. Parks had greater beta diversity than parking lots, i.e. individual parks were characterized by unique bacterial signatures, whereas parking lot communities tended to be similar to each other. Although parks and parking lots were selected to form pairs of nearby sites, spatial proximity did not appear to affect compositional similarity. Our results also showed that passive and active collection methods gave comparable results, indicating the "settling dish" method is effective for outdoor airborne sampling. This work sets a foundation for understanding how urban vegetation may impact microbial communities, with potential implications for designing

  17. 75 FR 57898 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2010-09-23

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Community Forestry Challenge Cost Share Grant Opportunity. SUMMARY: The National Urban and Community Foresty... on urban forestry related issues and opportunities. Part of the Council's role is to recommend the...

  18. 76 FR 44893 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2011-07-27

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Urban and Community Forestry Advisory Council, (NUCFAC) will be filling three positions that will expire... position descriptions from the U.S. Forest Service's Urban and Community Forestry Web site: http://www.fs...

  19. 77 FR 4276 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2012-01-27

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council..., (FACA) meeting of the National Urban and Community Forestry Advisory Council. The official FACA meeting... meeting of the National Urban and Community Forestry Advisory Council scheduled in Washington, DC, on...

  20. School as Community, Community as School: Examining Principal Leadership for Urban School Reform and Community Development

    Science.gov (United States)

    Green, Terrance L.

    2018-01-01

    For decades, reform has been a persistent issue in urban schools. Research suggests that urban school reforms that are connected to equitable community development efforts are more sustainable, and that principals play a pivot role in leading such efforts. Yet, limited research has explored how urban school principals connect school reform with…

  1. Coping strategies and behavioural changes following a genital herpes diagnosis among an urban sample of underserved Midwestern women.

    Science.gov (United States)

    Davis, Alissa; Roth, Alexis; Brand, Juanita Ebert; Zimet, Gregory D; Van Der Pol, Barbara

    2016-03-01

    This study focused on understanding the coping strategies and related behavioural changes of women who were recently diagnosed with herpes simplex virus type 2. In particular, we were interested in how coping strategies, condom use, and acyclovir uptake evolve over time. Twenty-eight women screening positive for herpes simplex virus type 2 were recruited through a public health STD clinic and the Indianapolis Community Court. Participants completed three semi-structured interviews with a woman researcher over a six-month period. The interviews focused on coping strategies for dealing with a diagnosis, frequency of condom use, suppressive and episodic acyclovir use, and the utilisation of herpes simplex virus type 2 support groups. Interview data were analysed using content analysis to identify and interpret concepts and themes that emerged from the interviews. Women employed a variety of coping strategies following an herpes simplex virus type 2 diagnosis. Of the women, 32% reported an increase in religious activities, 20% of women reported an increase in substance use, and 56% of women reported engaging in other coping activities. A total of 80% of women reported abstaining from sex immediately following the diagnosis, but 76% of women reported engaging in sex again by the six-month interview. Condom and medication use did not increase and herpes simplex virus type 2 support groups were not utilised by participants. All participants reported engaging in at least one coping mechanism after receiving their diagnosis. A positive diagnosis did not seem to result in increased use of condoms for the majority of participants and the use of acyclovir was low overall. © The Author(s) 2015.

  2. Quality of life in people with epilepsy in Sudan: An example of underserved communities in developing countries.

    Science.gov (United States)

    Sokrab, M; Sokrab, A; Elzubeir, M

    2012-01-01

    The aim of this study was to investigate the quality of life (QOL) in people with epilepsy (PWE) living in Khartoum State, Northern Sudan. The region offers a model of urban and suburban communities in developing countries. A cross-sectional study was carried out in the neurology clinic of Khartoum State Hospital and Omer Ibn Alkhatab Health Center in the suburb of Khartoum State. We interviewed PWE living in the city, the suburbs and adjacent villages. Our subjects were known to have been on antiepileptic drugs (AED) for at least 6 months. The impact of epilepsy on the QOL was assessed in the clinic using a 23-item questionnaire with graded scales and check-lists to explored demographic characteristics, seizure control, adverse effects of antiepileptic medication, physical harm, social and psychological impact and stigmatization. Fifty-two females and 48 males between the ages of 10 and 80 years were interviewed. Sixty percent of participants were between 20 and 39 years of age. While on AED treatment, 63% developed at least one seizure at any given time, 49% in the past 6 months and 27% in the past week. Twenty six percent experienced one or more side effect of AEDs. A significant number of respondents admitted that epilepsy had a negative impact on several aspects of their daily life activities, education and social functioning. Of individuals eligible for work, 17% were unemployed or had their job terminated because of epilepsy. Relationships with spouses were affected in 20 % of cases. Fifteen percent felt stigmatized by their illness. None of the participants had received any formal health education or counseling about epilepsy. Epilepsy has a significant impact on several aspects of QOL, particularly physical injury and socioeconomic functioning affecting PWE living in Khartoum State. Poor seizure control, a risk factor for impaired QOL, was common. The overall perceptions of QOL and self satisfaction as stated by our PWE was more favorable when compared to

  3. A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care

    Science.gov (United States)

    Flys, Tamara; González, Rosalba; Sued, Omar; Suarez Conejero, Juana; Kestler, Edgar; Sosa, Nestor; McKenzie-White, Jane; Monzón, Irma Irene; Torres, Carmen-Rosa; Page, Kathleen

    2012-01-01

    Background Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs). We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. Methods The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. Results Of 258 initially active participants, 225 (225/258 = 87.2%) successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200 = 85%) attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001). The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001). A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. Conclusion This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills acquired

  4. A novel educational strategy targeting health care workers in underserved communities in Central America to integrate HIV into primary medical care.

    Directory of Open Access Journals (Sweden)

    Tamara Flys

    Full Text Available BACKGROUND: Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs. We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. METHODS: The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. RESULTS: Of 258 initially active participants, 225 (225/258=87.2% successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200=85% attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001. The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001. A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. CONCLUSION: This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills

  5. The Engineering 4 Health Challenge - an interdisciplinary and intercultural initiative to foster student engagement in B.C. and improve health care for children in under-serviced communities.

    Science.gov (United States)

    Price, Morgan; Weber-Jahnke, Jens H

    2009-01-01

    This paper describes the Engineering 4 Health (E4H) Challenge, an interdisciplinary and intercultural initiative that, on the one hand, seeks to improve health education of children in under-serviced communities and, on the other, seeks to attract students in British Columbia to professions in engineering and health. The E4H Challenge engages high school and university students in BC to cooperatively design and develop health information and communication technology (ICT) to educate children living in under-serviced communities. The E4H Challenge works with the One Laptop Per Child (OLPC) program to integrate applications for health awareness into the school programs of communities in developing countries. Although applications developed by the E4H Challenge use the low-cost, innovative XO laptop (the "$100 laptop" developed by the OLPC foundation) the software can also be used with other inexpensive hardware.

  6. Methodology of a diabetes prevention translational research project utilizing a community-academic partnership for implementation in an underserved Latino community

    Directory of Open Access Journals (Sweden)

    Ma Yunsheng

    2009-03-01

    Full Text Available Abstract Background Latinos comprise the largest racial/ethnic group in the United States and have 2–3 times the prevalence of type 2 diabetes mellitus as Caucasians. Methods and design The Lawrence Latino Diabetes Prevention Project (LLDPP is a community-based translational research study which aims to reduce the risk of diabetes among Latinos who have a ≥ 30% probability of developing diabetes in the next 7.5 years per a predictive equation. The project was conducted in Lawrence, Massachusetts, a predominantly Caribbean-origin urban Latino community. Individuals were identified primarily from a community health center's patient panel, screened for study eligibility, randomized to either a usual care or a lifestyle intervention condition, and followed for one year. Like the efficacious Diabetes Prevention Program (DPP, the LLDPP intervention targeted weight loss through dietary change and increased physical activity. However, unlike the DPP, the LLDPP intervention was less intensive, tailored to literacy needs and cultural preferences, and delivered in Spanish. The group format of the intervention (13 group sessions over 1 year was complemented by 3 individual home visits and was implemented by individuals from the community with training and supervision by a clinical research nutritionist and a behavioral psychologist. Study measures included demographics, Stern predictive equation components (age, gender, ethnicity, fasting glucose, systolic blood pressure, HDL-cholesterol, body mass index, and family history of diabetes, glycosylated hemoglobin, dietary intake, physical activity, depressive symptoms, social support, quality of life, and medication use. Body weight was measured at baseline, 6-months, and one-year; all other measures were assessed at baseline and one-year. All surveys were orally administered in Spanish. Results A community-academic partnership enabled the successful recruitment, intervention, and assessment of Latinos at

  7. 78 FR 32365 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2013-05-30

    ... Urban and Community Forestry Advisory Council AGENCY: Forest Service, U.S. Department of Agriculture, (USDA). ACTION: Notice of meeting. SUMMARY: The National Urban and Community Forestry Advisory Council... 2014 work plan, develop the 2015 grant categories, listen to local constituents urban forestry concerns...

  8. Show me the money! An analysis of underserved stakeholders' funding priorities in Patient Centered Outcomes Research domains.

    Science.gov (United States)

    Cargill, Stephanie Solomon; Baker, Lauren Lyn; Goold, Susan Dorr

    2017-07-01

    Develop an accessible exercise to engage underserved populations about research funding priorities; analyze the criteria they use to prioritize research; contrast these criteria to those currently used by Patient Centered Outcomes Research Institute (PCORI). Academic and community partners collaborated to develop an Ipad exercise to facilitate group deliberation about PCOR funding priorities. 16 groups (n = 183) of underserved individuals in both urban and rural areas participated. Recordings were qualitatively analyzed for prioritization criteria. Analysis yielded ten codes, many of which were similar to PCORI criteria, but all of which challenged or illuminated these criteria. Directly involving underserved populations in determining funding criteria is both feasible and important, and can better fulfill PCORI's goal of incorporating patient priorities.

  9. SUSTAINABLE URBAN COMMUNITY DEVELOPMENT THROUGH AGENDA 21

    Directory of Open Access Journals (Sweden)

    Zainal Md Zan

    2015-08-01

    Full Text Available The much-talked about issues such as the rising of heavy crime cases, problems in solid waste management, air and water pollution as well as traffic congestion detering the quality of life among urban community members. Urgent and proactive measure is highly desireable in order to preserve and maintain the integral parts of urban’s higher quality of life. All parties should take part in ongoing efforts to achieve sustainable development through various means. Local Agenda 21 (LA21 serves as one of the efforts in achieveing the ultimate goal of sustainable development through better collaboration and cooperation among stakeholders including local government, non-governmental organisations and the community at large. The core principle of the LA21 program lies in the spirit of cooperation among community members, local authorities and the private sectors. This could be achieved through various activities including from the beginning such as through a comprehensive planning for the local area to achieve the sustainable development. Community members should be involved in brainstorming of the ideas and expressing their views so that authorities would be able to identify the real and arising issues in the community. Through this way a sustainable town and municipal planning could be developed and initiated. This paper discusses the importance of urbancommunity participation in achieving sustainable development as practicedthrough LA21 in Seberang Perai Municipal Council, Penang.

  10. 78 FR 42487 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2013-07-16

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Community Forestry Advisory Council, (NUCFAC) will be filling five positions that will expire December 31....S. Department of Agriculture, Forest Service's Urban and Community Forestry Web site: www.fs.fed.us...

  11. 77 FR 24457 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2012-04-24

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Community Forestry Advisory Council, (NUCFAC) will be filling four positions that will expire at the end of... the U.S. Forest Service's Urban and Community Forestry Web site: www.fs.fed.us/ucf/. DATES: Nomination...

  12. A community engagement process identifies environmental priorities to prevent early childhood obesity: the Children's Healthy Living (CHL) program for remote underserved populations in the US Affiliated Pacific Islands, Hawaii and Alaska.

    Science.gov (United States)

    Fialkowski, Marie Kainoa; DeBaryshe, Barbara; Bersamin, Andrea; Nigg, Claudio; Leon Guerrero, Rachael; Rojas, Gena; Areta, Aufa'i Apulu Ropeti; Vargo, Agnes; Belyeu-Camacho, Tayna; Castro, Rose; Luick, Bret; Novotny, Rachel

    2014-12-01

    Underserved minority populations in the US Affiliated Pacific Islands (USAPI), Hawaii, and Alaska display disproportionate rates of childhood obesity. The region's unique circumstance should be taken into account when designing obesity prevention interventions. The purpose of this paper is to (a), describe the community engagement process (CEP) used by the Children's Healthy Living (CHL) Program for remote underserved minority populations in the USAPI, Hawaii, and Alaska (b) report community-identified priorities for an environmental intervention addressing early childhood (ages 2-8 years) obesity, and (c) share lessons learned in the CEP. Four communities in each of five CHL jurisdictions (Alaska, American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Hawai'i) were selected to participate in the community-randomized matched-pair trial. Over 900 community members including parents, teachers, and community leaders participated in the CEP over a 14 month period. The CEP was used to identify environmental intervention priorities to address six behavioral outcomes: increasing fruit/vegetable consumption, water intake, physical activity and sleep; and decreasing screen time and intake of sugar sweetened beverages. Community members were engaged through Local Advisory Committees, key informant interviews and participatory community meetings. Community-identified priorities centered on policy development; role modeling; enhancing access to healthy food, clean water, and physical activity venues; and healthy living education. Through the CEP, CHL identified culturally appropriate priorities for intervention that were also consistent with the literature on effective obesity prevention practices. Results of the CEP will guide the CHL intervention design and implementation. The CHL CEP may serve as a model for other underserved minority island populations.

  13. Budget Impact Analysis of Against Colorectal Cancer In Our Neighborhoods (ACCION): A Successful Community-Based Colorectal Cancer Screening Program for a Medically Underserved Minority Population.

    Science.gov (United States)

    Kim, Bumyang; Lairson, David R; Chung, Tong Han; Kim, Junghyun; Shokar, Navkiran K

    2017-06-01

    Given the uncertain cost of delivering community-based cancer screening programs, we developed a Markov simulation model to project the budget impact of implementing a comprehensive colorectal cancer (CRC) prevention program compared with the status quo. The study modeled the impacts on the costs of clinical services, materials, and staff expenditures for recruitment, education, fecal immunochemical testing (FIT), colonoscopy, follow-up, navigation, and initial treatment. We used data from the Against Colorectal Cancer In Our Neighborhoods comprehensive CRC prevention program implemented in El Paso, Texas, since 2012. We projected the 3-year financial consequences of the presence and absence of the CRC prevention program for a hypothetical population cohort of 10,000 Hispanic medically underserved individuals. The intervention cohort experienced a 23.4% higher test completion rate for CRC prevention, 8 additional CRC diagnoses, and 84 adenomas. The incremental 3-year cost was $1.74 million compared with the status quo. The program cost per person was $261 compared with $86 for the status quo. The costs were sensitive to the proportion of high-risk participants and the frequency of colonoscopy screening and diagnostic procedures. The budget impact mainly derived from colonoscopy-related costs incurred for the high-risk group. The effectiveness of FIT to detect CRC was critically dependent on follow-up after positive FIT. Community cancer prevention programs need reliable estimates of the cost of CRC screening promotion and the added budget impact of screening with colonoscopy. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  14. 75 FR 64985 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2010-10-21

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet in Philadelphia, PA, November 11, 2010, during the Home Depot Foundation and National Arbor Day Foundation's Partners in Community Forestry National Conference. The...

  15. Improving healthy dietary behaviors, nutrition knowledge, and self-efficacy among underserved school children with parent and community involvement.

    Science.gov (United States)

    Wright, Kynna; Norris, Keith; Newman Giger, Joyce; Suro, Zulma

    2012-08-01

    University–community partnerships through coordinated school health programs (CSHP) can play a key role in decreasing child obesity. The main objective of this study was to measure over a 1-year period whether a CSHP with parental, school, and home-based components to promote optimal nutrition will reduce BMI percentiles and z-scores and improve dietary behaviors in a sample of low-income, school-aged children. The intervention included, Kids Nutrition and Fitness, a 6-week nutrition, physical activity educational after-school program, and school activities, including creation of an Advisory Committee that made wellness policies. A randomized controlled pilot study evaluated the effectiveness of the intervention that contrasts 251 (n = 251) predominantly Mexican-American 8 to 12 year olds from low-income Los Angeles–based schools. A mixed model of repeated measures analysis assessed changes in BMI percentiles and z-scores, dietary behaviors, food preferences, knowledge, and self-efficacy measured by a reliable/valid questionnaire. These data were collected at baseline and at 4 and 12 months postintervention. Process measures, collected via focus groups with parents, evaluated parent/community involvement. At the 12-month follow-up, children in the intervention group decreased their BMI on average by 2.80 (p = 0.04) and BMI z-scores on average by 0.48 (p = 0.03) and they increased their daily dietary intake of vegetables on average by 1.51 (p = 0.03), fruit on average by 2.00 (P = 0.001), and 100% fruit juice by 1.12 (p = 0.05). An increase of 1.02 (p = 0.03) was seen in self-efficacy of healthy food choices (p = 0.03). Parent (P = 0.04) and community (p = 0.001) involvement significantly increased to 100% participation by the 12-month follow-up. A CSHP using parent and community involvement was effective in reducing the risk of obesity in school-aged Mexican- American children attending low-income schools. The findings need to be examined in a larger, more

  16. Community Hospital Telehealth Consortium (CHTC)

    Science.gov (United States)

    2003-12-30

    technology to improve and expand the opportunity for rural and urban underserved populations to receive quality, affordable health care....The Community Hospital Telehealth Consortium (CHTC) is a unique, forward-thinking, community-based healthcare service project organized around 6 not

  17. Gender issues in urban indigenous communities in Nigeria ...

    African Journals Online (AJOL)

    This paper therefore attempts to examine gender issues in five indigenous communities in Port Harcourt. The communities are: Abuloma, Oroazi, Rumuadaolu, Elekahia and Ogbuna-abali. The key questions explored in the study are: how are urban indigenous women been marginalized in the process of urban growth and ...

  18. 77 FR 27179 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2012-05-09

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet on June 6 and 7, 2012. The meeting will be held in Washington, DC at... Staff to the National Urban and Community Forestry Advisory Council, 201 14th Street SW., Yates Building...

  19. 75 FR 27703 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2010-05-18

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet in Washington, DC, June 2-3, 2010. The purpose of the meeting is to discuss emerging issues in urban and community forestry, work on Council administrative items and hear...

  20. 76 FR 85 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2011-01-03

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet in Washington, DC, January at the USDA Whitten Building. The purpose of... Community Forestry grant recipients on completed grant findings, and hear public input related to urban and...

  1. 76 FR 81472 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2011-12-28

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet in Washington, DC, on January 25-26, 2012, at the U.S. Department of... work, and hear public input related to urban and community forestry. DATES: The meeting will be held on...

  2. 77 FR 59888 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2012-10-01

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet on November 15, 2012, at 9:45 a.m. to 2:05 p.m. The meeting will be... National Urban and Community Forestry Advisory Council, 201 14th Street SW., Yates Building (1 Central) MS...

  3. 76 FR 67669 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2011-11-02

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet in Lake Buena Vista, FL, November 15-16, 2011, at the Coronado Springs... Nancy Stremple, Executive Staff to the National Urban and Community Forestry Advisory Council, 201 14th...

  4. 76 FR 9740 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2011-02-22

    ... Urban and Community Forestry Advisory Council AGENCY: Forest Service, USDA. ACTION: 2011 Notice of Call for Nominations. SUMMARY: The National Urban and Community Forestry Advisory Council, (NUCFAC) will be... Forestry Web site: http://www.fs.fed.us/ucf/ . DATES: Nomination(s) must be ``received'' (not postmarked...

  5. Rural And Urban Youth Participation In Community Development In ...

    African Journals Online (AJOL)

    The focused on participation in community development activities, constraints to and benefits derived from participation. It compared rural and urban youth participation in community development activities in Ido local government area of Oyo State. Proportionate random sampling was used to select 2 rural, 1 urban ...

  6. Declining urban and community tree cover in the United States

    Science.gov (United States)

    David J. Nowak; Eric J. Greenfield

    2018-01-01

    Paired aerial photographs were interpreted to assess recent changes (c. 2009–2014) in tree, impervious and other cover types within urban/community and urban land in all 50 United States and the District of Columbia. National results indicate that tree cover in urban/community areas of the United States is on the decline at a rate of about 175,000 acres per year, which...

  7. Watershed Urbanization Linked to Differences in Stream Bacterial Community Composition.

    Science.gov (United States)

    Hosen, Jacob D; Febria, Catherine M; Crump, Byron C; Palmer, Margaret A

    2017-01-01

    Urbanization strongly influences headwater stream chemistry and hydrology, but little is known about how these conditions impact bacterial community composition. We predicted that urbanization would impact bacterial community composition, but that stream water column bacterial communities would be most strongly linked to urbanization at a watershed-scale, as measured by impervious cover, while sediment bacterial communities would correlate with environmental conditions at the scale of stream reaches. To test this hypothesis, we determined bacterial community composition in the water column and sediment of headwater streams located across a gradient of watershed impervious cover using high-throughput 16S rRNA gene amplicon sequencing. Alpha diversity metrics did not show a strong response to catchment urbanization, but beta diversity was significantly related to watershed impervious cover with significant differences also found between water column and sediment samples. Samples grouped primarily according to habitat-water column vs. sediment-with a significant response to watershed impervious cover nested within each habitat type. Compositional shifts for communities in urbanized streams indicated an increase in taxa associated with human activity including bacteria from the genus Polynucleobacter , which is widespread, but has been associated with eutrophic conditions in larger water bodies. Another indicator of communities in urbanized streams was an OTU from the genus Gallionella , which is linked to corrosion of water distribution systems. To identify changes in bacterial community interactions, bacterial co-occurrence networks were generated from urban and forested samples. The urbanized co-occurrence network was much smaller and had fewer co-occurrence events per taxon than forested equivalents, indicating a loss of keystone taxa with urbanization. Our results suggest that urbanization has significant impacts on the community composition of headwater streams

  8. Watershed Urbanization Linked to Differences in Stream Bacterial Community Composition

    Directory of Open Access Journals (Sweden)

    Jacob D. Hosen

    2017-08-01

    Full Text Available Urbanization strongly influences headwater stream chemistry and hydrology, but little is known about how these conditions impact bacterial community composition. We predicted that urbanization would impact bacterial community composition, but that stream water column bacterial communities would be most strongly linked to urbanization at a watershed-scale, as measured by impervious cover, while sediment bacterial communities would correlate with environmental conditions at the scale of stream reaches. To test this hypothesis, we determined bacterial community composition in the water column and sediment of headwater streams located across a gradient of watershed impervious cover using high-throughput 16S rRNA gene amplicon sequencing. Alpha diversity metrics did not show a strong response to catchment urbanization, but beta diversity was significantly related to watershed impervious cover with significant differences also found between water column and sediment samples. Samples grouped primarily according to habitat—water column vs. sediment—with a significant response to watershed impervious cover nested within each habitat type. Compositional shifts for communities in urbanized streams indicated an increase in taxa associated with human activity including bacteria from the genus Polynucleobacter, which is widespread, but has been associated with eutrophic conditions in larger water bodies. Another indicator of communities in urbanized streams was an OTU from the genus Gallionella, which is linked to corrosion of water distribution systems. To identify changes in bacterial community interactions, bacterial co-occurrence networks were generated from urban and forested samples. The urbanized co-occurrence network was much smaller and had fewer co-occurrence events per taxon than forested equivalents, indicating a loss of keystone taxa with urbanization. Our results suggest that urbanization has significant impacts on the community composition

  9. Effectiveness of a group diabetes education programme in underserved communities in South Africa: pragmatic cluster randomized control trial

    Directory of Open Access Journals (Sweden)

    Mash Bob

    2012-12-01

    Full Text Available Abstract Background Diabetes is an important contributor to the burden of disease in South Africa and prevalence rates as high as 33% have been recorded in Cape Town. Previous studies show that quality of care and health outcomes are poor. The development of an effective education programme should impact on self-care, lifestyle change and adherence to medication; and lead to better control of diabetes, fewer complications and better quality of life. Methods Trial design: Pragmatic cluster randomized controlled trial Participants: Type 2 diabetic patients attending 45 public sector community health centres in Cape Town Interventions: The intervention group will receive 4 sessions of group diabetes education delivered by a health promotion officer in a guiding style. The control group will receive usual care which consists of ad hoc advice during consultations and occasional educational talks in the waiting room. Objective: To evaluate the effectiveness of the group diabetes education programme Outcomes: Primary outcomes: diabetes self-care activities, 5% weight loss, 1% reduction in HbA1c. Secondary outcomes: self-efficacy, locus of control, mean blood pressure, mean weight loss, mean waist circumference, mean HbA1c, mean total cholesterol, quality of life Randomisation: Computer generated random numbers Blinding: Patients, health promoters and research assistants could not be blinded to the health centre’s allocation Numbers randomized: Seventeen health centres (34 in total will be randomly assigned to either control or intervention groups. A sample size of 1360 patients in 34 clusters of 40 patients will give a power of 80% to detect the primary outcomes with 5% precision. Altogether 720 patients were recruited in the intervention arm and 850 in the control arm giving a total of 1570. Discussion The study will inform policy makers and managers of the district health system, particularly in low to middle income countries, if this programme can

  10. Seeding Social Capital? Urban Community Gardening and Social Capital

    DEFF Research Database (Denmark)

    Christensen, Søren

    2017-01-01

    , it is demonstrated that several studies substantiate that urban community gardens create social capital, both bonding and bridging, and exhibit indications of linking. It is moreover identified how there is much to be learned from future research, illuminating how urban community gardens can foster social capital...... focus on the structural dimensions of social capital, in addition to the cognitive dimensions, as this would yield a more nuanced depiction of social advantages of urban community gardening.......There is a continuing debate regarding urban community gardening’s benefits to local communities, and a particularly interesting branch of this debate has focused on community gardens capacity to encourage and facilitate social interaction, which may generate social capital. Social capital...

  11. Community Hospital TeleHealth Consortium: Development of a Statewide TeleHealth Network

    Science.gov (United States)

    2000-02-25

    the CHTC). With broad and far-reaching goals, the CHTC set out to improve and expand the opportunity of rural and urban underserved patient...Office of Naval Research Grant # N00014-99-1-0614 Southwest Louisiana Healthcare System, Inc. Lake Charles, LA Final Technical Report Community...the LCMH TeleMedicine Department. Our Lady of the Lake Medical Center in Baton Rouge, Louisiana, focussed on the urban underserved, placing

  12. Communities and Spontaneous Urban Planning: A Toolkit for Urban ...

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

    This project aims to produce both new knowledge about the keys to successful informal urban planning, and a set of tools to disseminate this knowledge. It will begin by drawing on experiences from Lima, Peru where urban expansion occurred in two periods. In the first period, the informal city expanded through regular ...

  13. Urban Community, poverty and corruption: the case of Annaba, Algeria

    Directory of Open Access Journals (Sweden)

    Nadji KAHOUA

    2010-01-01

    Full Text Available The population in the most Mediterranean countries, particularly in Algeria, is concentrated to the urban communities, cities with more or less importance, urban and coastal regions. This trend of rapid growth of the urban communities leads to multiple consequences both economically and socially on the use of resources and their distribution. The urban is the area where cross the resources, the population and the production activities and yours management. To analyze the corruption as a phenomenon triple (economic, social and institutional through an urban community (as Annaba’s case in this research it may well prove very fruitful in terms of lessons on this central phenomenon and its impacts in the North African countries.

  14. Examining inequalities in uptake of maternal health care and choice of provider in underserved urban areas of Mumbai, India: a mixed methods study.

    Science.gov (United States)

    Alcock, Glyn; Das, Sushmita; Shah More, Neena; Hate, Ketaki; More, Sharda; Pantvaidya, Shanti; Osrin, David; Houweling, Tanja A J

    2015-09-28

    Discussions of maternity care in developing countries tend to emphasise service uptake and overlook choice of provider. Understanding how families choose among health providers is essential to addressing inequitable access to care. Our objectives were to quantify the determinants and choice of maternity care provider in Mumbai's informal urban settlements, and to explore the reasons underlying their choices. The study was conducted in informal urban communities in eastern Mumbai. We developed regression models using data from a census of married women aged 15-49 to test for associations between maternal characteristics and uptake of care and choice of provider. We then conducted seven focus group discussions and 16 in-depth interviews with purposively selected participants, and used grounded theory methods to examine the reasons for their choices. Three thousand eight hundred forty-eight women who had given birth in the preceding 2 years were interviewed in the census. The odds of institutional prenatal and delivery care increased with education, economic status, and duration of residence in Mumbai, and decreased with parity. Tertiary public hospitals were the commonest site of care, but there was a preference for private hospitals with increasing socio-economic status. Women were more likely to use tertiary public hospitals for delivery if they had fewer children and were Hindu. The odds of delivery in the private sector increased with maternal education, wealth, age, recent arrival in Mumbai, and Muslim faith. Four processes were identified in choosing a health care provider: exploring the options, defining a sphere of access, negotiating autonomy, and protective reasoning. Women seeking a positive health experience and outcome adopted strategies to select the best or most suitable, accessible provider. In Mumbai's informal settlements, institutional maternity care is the norm, except among recent migrants. Poor perceptions of primary public health facilities

  15. Assessing the Benefits of Urban Forestry in Mojave Desert Communities

    Science.gov (United States)

    As the climate and environment change due to human activity, an understanding of the existing natural resources becomes paramount. Urban forests of Mojave Desert communities have the potential to reduce air pollution, heat island effects, and energy consumption. Regions throughou...

  16. Youth empowerment through urban agriculture: Red Hook Community Farm

    Science.gov (United States)

    Ian Marvy

    2009-01-01

    One of 18 articles inspired by the Meristem 2007 Forum, "Restorative Commons for Community Health." The articles include interviews, case studies, thought pieces, and interdisciplinary theoretical works that explore the relationship between human health and the urban...

  17. Ocular telehealth screenings in an urban community.

    Science.gov (United States)

    Shahid, Khadija; Kolomeyer, Anton M; Nayak, Natasha V; Salameh, Nura; Pelaez, Gina; Khouri, Albert S; Eck, Thomas T; Szirth, Ben

    2012-03-01

    The current U.S. economic recession has resulted in a loss of income, housing, and healthcare coverage. Our major goal in this socioeconomic setting was to provide ophthalmic remote health screenings for urban soup kitchen and homeless populations in order to identify and refer undetected vision-threatening disease (VTD). We assessed visual acuity, blood pressure, pulse/oxygen saturation, body mass index, and intraocular pressure for 341 participants at soup kitchens as part of the homeless outreach program in Newark, NJ. History of diabetes, hypertension, and smoking, last ocular examination, and ocular history were noted. Imaging was performed with an 8.2 megapixel non-mydriatic retinal camera with high-speed Internet ready for off-site second opinion image evaluation. Positive VTD findings were identified in 105 participants (31%) (mean age, 53.6 years), of whom 78% were African American, 73% males, and 62% smokers. We detected glaucoma in 34 participants (32%), significant cataract in 22 (21%), diabetic retinopathy in 5 (5%), optic atrophy in 1 (1%), age-related macular degeneration in 1 (1%), and other retinal findings in 43 (41%). The incidence of VTDs was higher among this cohort than among study groups in previous screenings (31% vs. 12%). This finding shows an increase in ocular morbidity in a younger, at-risk population with elevated rates of hypertension, diabetes, and smoking. Functional visual impairment was 2.5 times higher than the national average (16% vs. 6.4%). Comprehensive, community-based screenings can provide more sensitive detection of VTDs in high-risk groups with low access to ophthalmic care and can be an integral part of recession solutions for improving healthcare.

  18. Sleep duration of underserved minority children in a cross-sectional study

    Science.gov (United States)

    Short sleep duration has been shown to associate with increased risk of obesity. Childhood obesity is more prevalent among underserved minority children. The study measured the sleep duration of underserved minority children living in a large US urban environment using accelerometry and its relation...

  19. 24 CFR 81.13 - Central Cities, Rural Areas, and Other Underserved Areas Housing Goal.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Central Cities, Rural Areas, and...) Housing Goals § 81.13 Central Cities, Rural Areas, and Other Underserved Areas Housing Goal. (a) Purpose... cities, rural areas, and other underserved areas is intended to achieve increased purchases by the GSEs...

  20. Community based research in poor urban Lilongwe

    African Journals Online (AJOL)

    This paper highlights the processes of conducting community-based participatory research within an operational research project in Lilongwe under the title of Extending Services to Communities (ESC). The project involves developing partnerships with community leaders, storekeepers and community members to enhance ...

  1. Distinguishing stressors acting on landbird communities in an urbanizing environment

    Science.gov (United States)

    Matthew D. Schlesinger; Patricia N. Manley; Marcel Holyoak

    2008-01-01

    Urbanization has profound influences on ecological communities, but our understanding of causal mechanisms is limited by a lack of attention to its component stressors. Published research suggests that at landscape scales, habitat loss and fragmentation are the major drivers of community change, whereas at local scales, human activity and vegetation management are the...

  2. 77 FR 13262 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2012-03-06

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet via conference call on March 20, 2012. The conference call will be... and community forestry. DATES: The meeting will be held on March 20, 2012, from 12 noon to 1:30 p.m...

  3. The Untried Model of the Urban Community College.

    Science.gov (United States)

    Grede, John F.

    A model for a new type of urban community college is described. It consists of a cluster of five community colleges scattered around the perimeter of a central business district of a large city. Each college concentrates on one of the following specializations: business, creative and performing arts, engineering and industry, health, and public…

  4. Improving Immunization Rates of Underserved Children: A Historical Study of 10 Health Departments

    Directory of Open Access Journals (Sweden)

    Donald Robert Haley

    2014-05-01

    Full Text Available Background Despite high immunization rates, hundreds of thousands of poor and underserved children continue to lack their necessary immunizations and are at risk of acquiring a vaccine-preventable disease. Local Health Departments (LHDs and public health clinicians figure prominently in efforts to address this problem. Methods This exploratory research compared ten (10 North Carolina LHDs with respect to immunization delivery factors. The study sample was identified based on urban designation as well as county demographic and socio-economic indicators that identified predicted “pockets” of underimmunization. Survey instruments were used to identify specific LHD immunization delivery factors. Results It was found that hours of operation, appointment policies, use and type of tracking systems, and wait times influence a health department’s ability to immunize underserved children. This exploratory research is of particular importance, because it suggests that the implementation of specific policy interventions may reduce the morbidity and mortality related to vaccine-preventable diseases in poor and underserved children. This research also highlights the significance of the nurses’ role in the policy making process in this important area of community health assurance. Conclusion To improve childhood immunization rates, policy-makers should encourage adequate and appropriate funding for LHDs to adopt service delivery factors that are associated with higher-performing local health departments. LHDs should study the population they serve to further refine service delivery factors to meet the population’s needs.

  5. Healthy Communities Grant Program | Urban Environmental ...

    Science.gov (United States)

    2018-03-06

    The Healthy Communities Grant Program is EPA New England's main competitive grant program to work directly with communities to reduce environmental risks to protect and improve human health and the quality of life.

  6. A Technical Guide to Urban Community Forestry: Urban and Community Forestry: Improving Our Quality of Life

    Science.gov (United States)

    USDA Forest Service

    1993-01-01

    Trees growing within cities and towns form a forest-an urban forest. But urban trees require special attention, because they are expected to exist within the urban environment. With its infrastructure of streets, sidewalks, curbs, buried utilities, overhead power lines and buildings, the urban environment places tremendous stresses on trees. With proper care, trees...

  7. Urban community gardeners' knowledge and perceptions of soil contaminant risks.

    Directory of Open Access Journals (Sweden)

    Brent F Kim

    Full Text Available Although urban community gardening can offer health, social, environmental, and economic benefits, these benefits must be weighed against the potential health risks stemming from exposure to contaminants such as heavy metals and organic chemicals that may be present in urban soils. Individuals who garden at or eat food grown in contaminated urban garden sites may be at risk of exposure to such contaminants. Gardeners may be unaware of these risks and how to manage them. We used a mixed quantitative/qualitative research approach to characterize urban community gardeners' knowledge and perceptions of risks related to soil contaminant exposure. We conducted surveys with 70 gardeners from 15 community gardens in Baltimore, Maryland, and semi-structured interviews with 18 key informants knowledgeable about community gardening and soil contamination in Baltimore. We identified a range of factors, challenges, and needs related to Baltimore community gardeners' perceptions of risk related to soil contamination, including low levels of concern and inconsistent levels of knowledge about heavy metal and organic chemical contaminants, barriers to investigating a garden site's history and conducting soil tests, limited knowledge of best practices for reducing exposure, and a need for clear and concise information on how best to prevent and manage soil contamination. Key informants discussed various strategies for developing and disseminating educational materials to gardeners. For some challenges, such as barriers to conducting site history and soil tests, some informants recommended city-wide interventions that bypass the need for gardener knowledge altogether.

  8. State-Community Collaboration for Safe Communities - Urban ...

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

    With one of the highest homicide rates in the world, and high rates of other forms of violence, South Africa is struggling to reduce crime and violence, particularly in its cities. This high level of violence in urban centres undermines economic growth and opportunities for human development. One promising avenue for ...

  9. Urbanization reduces and homogenizes trait diversity in stream macroinvertebrate communities.

    Science.gov (United States)

    Barnum, Thomas R; Weller, Donald E; Williams, Meghan

    2017-12-01

    More than one-half of the world's population lives in urban areas, so quantifying the effects of urbanization on ecological communities is important for understanding whether anthropogenic stressors homogenize communities across environmental and climatic gradients. We examined the relationship of impervious surface coverage (a marker of urbanization) and the structure of stream macroinvertebrate communities across the state of Maryland and within each of Maryland's three ecoregions: Coastal Plain, Piedmont, and Appalachian, which differ in stream geomorphology and community composition. We considered three levels of trait organization: individual traits, unique combinations of traits, and community metrics (functional richness, functional evenness, and functional divergence) and three levels of impervious surface coverage (low [10%]). The prevalence of an individual trait differed very little between low impervious surface and high impervious surface sites. The arrangement of trait combinations in community trait space for each ecoregion differed when impervious surface coverage was low, but the arrangement became more similar among ecoregions as impervious surface coverage increased. Furthermore, trait combinations that occurred only at low or medium impervious surface coverage were clustered in a subset of the community trait space, indicating that impervious surface affected the presence of only a subset of trait combinations. Functional richness declined with increasing impervious surface, providing evidence for environmental filtering. Community metrics that include abundance were also sensitive to increasing impervious surface coverage: functional divergence decreased while functional evenness increased. These changes demonstrate that increasing impervious surface coverage homogenizes the trait diversity of macroinvertebrate communities in streams, despite differences in initial community composition and stream geomorphology among ecoregions. Community

  10. Interactive web-based portals to improve patient navigation and connect patients with primary care and specialty services in underserved communities.

    Science.gov (United States)

    Highfield, Linda; Ottenweller, Cecelia; Pfanz, Andre; Hanks, Jeanne

    2014-01-01

    This article presents a case study in the redesign, development, and implementation of a web-based healthcare clinic search tool for virtual patient navigation in underserved populations in Texas. It describes the workflow, assessment of system requirements, and design and implementation of two online portals: Project Safety Net and the Breast Health Portal. The primary focus of the study was to demonstrate the use of health information technology for the purpose of bridging the gap between underserved populations and access to healthcare. A combination of interviews and focus groups was used to guide the development process. Interviewees were asked a series of questions about usage, usability, and desired features of the new system. The redeveloped system offers a multitier architecture consisting of data, business, and presentation layers. The technology used in the new portals include Microsoft .NET Framework 3.5, Microsoft SQL Server 2008, Google Maps JavaScript API v3, jQuery, Telerik RadControls (ASP.NET AJAX), and HTML. The redesigned portals have 548 registered clinics, and they have averaged 355 visits per month since their launch in late 2011, with the average user visiting five pages per visit. Usage has remained relatively constant over time, with an average of 142 new users (40 percent) each month. This study demonstrates the successful application of health information technology to improve access to healthcare and the successful adoption of the technology by targeted end users. The portals described in this study could be replicated by health information specialists in other areas of the United States to address disparities in healthcare access.

  11. Health literacy of an urban business community.

    Science.gov (United States)

    Johnson, Barbara H; Hayes, Sandra C; Ekundayo, Olugbemiga T; Wheeler, Primus; Ford, D'Arcy M

    2012-02-01

    The impact of community-based organizations on the delivery of health care knowledge is well documented. Little research has focused on the importance of health literacy in the dissemination of health care information by minority small business owners. This study sampled 38 business owners within a local business district to assess their level of health literacy. Although adequate health literacy is not required to serve as a community resource, it may be necessary to understand the health literacy level of local business owners as gatekeepers in order to develop appropriate training/educational programs. The results of this descriptive cross-sectional study indicate that for sample of business owners, health literacy levels are adequate. The findings suggest the feasibility of using local business owners as disseminators of health-related materials to the communities in which they operate their businesses.

  12. Social sustainability in urban renewal: An assessment of community aspirations

    Directory of Open Access Journals (Sweden)

    Daniel Chi Wing Ho

    2012-01-01

    Full Text Available The lack of a proper building care culture has led to serious problems of urban decay in most developed cities, threatening community health and safety. To arrest urban decay, redevelopment is a commonly adopted approach for regenerating rundown areas. Redevelopment often results in negative outcomes such as disturbances to existing social networks and burgeoning construction and demolition waste. On the other hand, building rehabilitation is a more socially and environmentally friendly alternative to redevelopment, but its success depends much on residents’ active participation. With a view towards a sustainable strategy for urban renewal, it is necessary to balance the interests of different stakeholders regarding the choice between these two mainstream approaches to renewal. Although economic and physical issues are important decision making considerations, this study explores the aspirations and preferences of local residents in relation to the two options through a structured survey. The findings are conducive to the development of a balanced and socially sustainable strategy of urban renewal.

  13. Haemoglobin genotype in a sub-urban commercial community in ...

    African Journals Online (AJOL)

    We examined 510 healthy people aged, 2 years to 60 years, to ascertain the predominance of sickle cell disease and trait among the sub-urban population of Nnewi and environs. The subjects were selected randomly from volunteers of two primary schools and secondary schools as well as from a market community in ...

  14. Behavioural change in an urban smart-grid community

    NARCIS (Netherlands)

    Milovanovic, Marko; Steg, Emmalina; Spears, Russell

    2014-01-01

    Achieving long term behavioral change is a challenging task, especially when it comes to changing energy use habits. In our research we explore the social route to behavioral change, and examine how people influence each other in urban communities. We explore the conditions under which individuals

  15. An assessment of environmental sanitation in an urban community ...

    African Journals Online (AJOL)

    Inadequate environmental sanitation has been recognized as a public health hazard worldwide. In some Nigerian cities, living with waste as part of the natural environment has become a way of life. This study examined the sanitary condition of an urban community in Akwa Ibom State, Nigeria. It used a cross sectional ...

  16. Hierarchical filters determine community assembly of urban species pools

    Science.gov (United States)

    Myla F.J. Aronson; Charles H. Nilon; Christopher A. Lepczyk; Tommy S. Parker; Paige S. Warren; Sarel S. Cilliers; Mark A. Goddard; Amy K. Hahs; Cecilia Herzog; Madhusudan Katti; Frank A. La Sorte; Nicholas S.G. Williams; Wayne  Zipperer

    2016-01-01

    The majority of humanity now lives in cities or towns, with this proportion expected to continue increasing for the foreseeable future. As novel ecosystems, urban areas offer an ideal opportunity to examine multi-scalar processes involved in community assembly as well as the role of human activities in modulating environmental drivers of biodiversity. Although...

  17. 78 FR 76277 - National Urban and Community Forestry Advisory Council

    Science.gov (United States)

    2013-12-17

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council (Council) will meet in Washington, DC The Council is established consistent with Section 9 of the Cooperative Forestry Assistance Act, as amended by Title XII, Section 1219 of Public Law...

  18. Preparing Urban Educational Leaders: A Collaborative Community Model

    Science.gov (United States)

    Erickson, Deborah E.; Tucker, Janice

    2006-01-01

    The Educational Leadership program at a small liberal arts university serving a large urban district and surrounding regions has been redesigned to reflect state and national standards. In order to give students a unique setting in which to build community as well as practice leadership and coaching skills, candidates work in a cohort and…

  19. An assessment of environmental sanitation in an urban community ...

    African Journals Online (AJOL)

    USER

    Inadequate environmental sanitation has been recognized as a public health hazard worldwide. In some. Nigerian cities, living with waste as part of the natural environment has become a way of life. This study examined the sanitary condition of an urban community in Akwa Ibom State, Nigeria. It used a cross sectional ...

  20. Community-acquired Pneumonia in Hospitalized Urban Young ...

    African Journals Online (AJOL)

    As part of a comprehensive hospital-based study of acute lower respiratory infections (ALRI) in under-five urban Nigerian children, we sought to identify the possible clinical and investigative correlates of lobar versus bronchopneumonia, and the possible determinants of mortality in community-acquired pneumonia. Over a ...

  1. Neurological Disease Burden in two Semi-urban Communities in ...

    African Journals Online (AJOL)

    BACKGROUND: Neurological disorders are a significant cause of morbidity and mortality worldwide. Urban hospital -based studies give some perspectives on the burden of neurological disease but there are no community- based studies from South East Nigeria. AIM: This study sought to screen for the scope and pattern of ...

  2. Multidimensional Resilience in Urban Children Exposed to Community Violence.

    Science.gov (United States)

    O'Donnell, Deborah A.; Schwab-Stone, Mary E.; Muyeed, Adaline Z.

    2002-01-01

    This study examined how parent, school, and peer support differentially affected resilience among urban sixth-, eighth-, and tenth-graders. Findings indicated that both parent and school support factors positively related to resilience in children who had been exposed to community violence; however, peer support negatively related to resilience in…

  3. "Girls on the Move" intervention protocol for increasing physical activity among low-active underserved urban girls: a group randomized trial.

    Science.gov (United States)

    Robbins, Lorraine B; Pfeiffer, Karin A; Vermeesch, Amber; Resnicow, Kenneth; You, Zhiying; An, Lawrence; Wesolek, Stacey M

    2013-05-15

    Increasing moderate to vigorous physical activity among urban girls of low socioeconomic status is both a challenge and a public health priority. Physical activity interventions targeting exclusively girls remain limited, and maintenance of moderate to vigorous physical activity during the post-intervention period has been difficult to maintain. The main aim of the 5-year "Girls on the Move" group randomized trial is to evaluate the efficacy of a comprehensive school-based intervention in increasing girls' minutes of moderate to vigorous physical activity and improving cardiovascular fitness, body mass index, and percent body fat immediately post-intervention (after 17 weeks) and at 9-month post-intervention follow-up (9 months after end of intervention). A total of 24 urban middle schools in the Midwestern U.S. will be randomized to either receive the intervention or serve as a control (N = 1200 girls). The intervention, based on the Health Promotion Model and Self-Determination Theory, will include: (1) two face-to-face motivational, individually tailored counseling sessions with a registered nurse, one at the beginning and the other at the end of the intervention period; (2) an interactive Internet-based session during which each girl receives individually tailored motivational and feedback messages via iPad at 11 weeks (shortly after midpoint of intervention); and (3) a 90-minute after-school physical activity club. Racially diverse, low-active, 10- to 14-year-old 5th to 8th-grade girls will complete questionnaires and physical measures at baseline and post-intervention (n = 50 per school). Minutes of moderate to vigorous physical activity will be assessed with accelerometers. Cardiovascular fitness will be assessed by estimating VO2 max with PACER (Progressive Aerobic Cardiovascular Endurance Run) scores. Height and weight will be assessed to calculate body mass index. Percent body fat will be estimated with a foot-to-foot bioelectric impedance scale. Linear

  4. Community Violence Exposure and Positive Youth Development in Urban Youth

    Science.gov (United States)

    Deatrick, Janet A.; Kassam-Adams, Nancy; Richmond, Therese S.

    2011-01-01

    Youth in urban environments are exposed to community violence, yet some do well and continue on a positive developmental trajectory. This study investigated the relationships between lifetime community violence exposure (including total, hearing about, witnessing, and victimization), family functioning, and positive youth development (PYD) among 110 urban youth ages 10–16 years (54% female) using a paper and pen self-report survey. This cross-sectional study was part of an interdisciplinary community-based participatory research effort in West/Southwest Philadelphia. Almost 97% of the sample reported some type of community violence exposure. Controlling for presence of mother in the home and presence of father in the home, separate linear regression models for PYD by each type of community violence exposure indicated that gender and family functioning were significantly associated with PYD. None of the types of community violence exposure were significant in the models. Significant interactions between gender and presence of mother in the home and gender and family functioning helped better explain these relationships for some of the types of community violence exposure. Presence of mother was associated with higher PYD for girls, but not for boys. Boys with poor family functioning had lower PYD than girls with poor family functioning. This study helps to better delineate relationships between CVE and PYD by adding new knowledge to the literature on the role of family functioning. Points of intervention should focus on families, with attention to parental figures in the home and overall family functioning. PMID:21461763

  5. Perceptions of a reproductive health self-assessment tool (RH-SAT) in an urban community health center.

    Science.gov (United States)

    Bello, Jennifer K; Adkins, Katlynn; Stulberg, Debra B; Rao, Goutham

    2013-12-01

    Physicians face barriers to incorporating recommended contraceptive and preconception health services, including reproductive life plans (RLPs), into primary care. With promising findings from early studies of RLPs, we examined the impact of a novel reproductive health self-assessment tool (RH-SAT) on reproductive health counseling. We created the RH-SAT for an urban community health center population and trained providers on preconception and contraceptive guidelines. Semi-structured interviews were conducted to assess perceptions of the tool with 22 patients and with all 15 providers at the clinic. Transcripts were thematically analyzed using a grounded theoretical approach. Patients and providers reported the RH-SAT presented new and thought-provoking material that promoted patient participation and facilitated counseling. This RH-SAT is acceptable and useful to patients and providers in an underserved urban health center. In accordance with Medical Communication Alignment Theory (MCAT), increased patient participation in reproductive health discussions may alert providers to patient interest in these topics. This study provides preliminary evidence that the RH-SAT can help overcome barriers to reproductive health counseling in primary care. Providers may wish to incorporate tools into their practice to improve communication with patients about their reproductive health goals. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  6. Empowering underserved populations through cancer prevention and early detection.

    Science.gov (United States)

    Rivera-Colón, Venessa; Ramos, Roberto; Davis, Jenna L; Escobar, Myriam; Inda, Nikki Ross; Paige, Linda; Palencia, Jeannette; Vives, Maria; Grant, Cathy G; Green, B Lee

    2013-12-01

    It is well documented that cancer is disproportionately distributed in racial/ethnic minority groups and medically underserved communities. In addition, cancer prevention and early detection represent the key defenses to combat cancer. The purpose of this article is to showcase the comprehensive health education and community outreach activities at the H. Lee Moffitt Cancer Center and Research Institute (Moffitt) designed to promote and increase access to and utilization of prevention and early detection services among underserved populations. One of Moffitt's most important conduits for cancer prevention and early detection among underserved populations is through its community education and outreach initiatives, in particular, the Moffitt Program for Outreach Wellness Education and Resources (M-POWER). M-POWER works to empower underserved populations to make positive health choices and increase screening behaviors through strengthening collaboration and partnerships, providing community-based health education/promotion, and increasing access to care. Effective, empowering, and culturally and linguistically competent health education and community outreach, is key to opening the often impenetrable doors of cancer prevention and early detection to this society's most vulnerable populations.

  7. Urban ecological stewardship: understanding the structure, function and network of community-based urban land management

    Science.gov (United States)

    Erika s. Svendsen; Lindsay K. Campbell

    2008-01-01

    Urban environmental stewardship activities are on the rise in cities throughout the Northeast. Groups participating in stewardship activities range in age, size, and geography and represent an increasingly complex and dynamic arrangement of civil society, government and business sectors. To better understand the structure, function and network of these community-based...

  8. Evaluation and Evaluating the Community Initiative "URBAN"

    DEFF Research Database (Denmark)

    Alves, Sonia

    2013-01-01

    The relevance of the relationship between evaluation and learning is widely acknowledged; as well as the importance of this learning process to support policy decision making and to judge the value of “what was done”, “how” and “with what results”. Although the activity of evaluation...... is not something new, but a field of knowledge with its own theories and practices, it is important to notice that there is great variability in the tradition and cultures of evaluation between countries. At the European level this issue gained a greater prominence with the publication of the Guide MEANS “Means...... for Evaluating Actions of a Structural Nature”, that in 1999 presented the main guidelines, standards and recommendations of the European Commission for the assessment of socio-economic development programs involving Community funding. Several were the changes proposed by this guide, among others, a greater...

  9. Social network recruitment for Yo Puedo: an innovative sexual health intervention in an underserved urban neighborhood—sample and design implications.

    Science.gov (United States)

    Minnis, Alexandra M; vanDommelen-Gonzalez, Evan; Luecke, Ellen; Cheng, Helen; Dow, William; Bautista-Arredondo, Sergio; Padian, Nancy S

    2015-02-01

    Most existing evidence-based sexual health interventions focus on individual-level behavior, even though there is substantial evidence that highlights the influential role of social environments in shaping adolescents' behaviors and reproductive health outcomes. We developed Yo Puedo, a combined conditional cash transfer and life skills intervention for youth to promote educational attainment, job training, and reproductive health wellness that we then evaluated for feasibility among 162 youth aged 16-21 years in a predominantly Latino community in San Francisco, CA. The intervention targeted youth's social networks and involved recruitment and randomization of small social network clusters. In this paper we describe the design of the feasibility study and report participants' baseline characteristics. Furthermore, we examined the sample and design implications of recruiting social network clusters as the unit of randomization. Baseline data provide evidence that we successfully enrolled high risk youth using a social network recruitment approach in community and school-based settings. Nearly all participants (95%) were high risk for adverse educational and reproductive health outcomes based on multiple measures of low socioeconomic status (81%) and/or reported high risk behaviors (e.g., gang affiliation, past pregnancy, recent unprotected sex, frequent substance use; 62%). We achieved variability in the study sample through heterogeneity in recruitment of the index participants, whereas the individuals within the small social networks of close friends demonstrated substantial homogeneity across sociodemographic and risk profile characteristics. Social networks recruitment was feasible and yielded a sample of high risk youth willing to enroll in a randomized study to evaluate a novel sexual health intervention.

  10. Urban Studies, Students, and Communities: An Ideal Partnership A Case Study of Urban Studies Service Learning

    Directory of Open Access Journals (Sweden)

    Janet Cherrington

    2012-04-01

    Full Text Available This article explores the implementation and results of a service learning based Urban Studies program course, the student expectations at the beginning of the course, and the student feedback at the end of the course. Through detailed explanation and examples of the live community needs, in multiple communities, addressed in this course and the resulting student projects, this article presents the case for service learning as a vibrant, efficient, and effective pedagogy for use within Urban Studies programs. Specifically, this article explores service learning pedagogy as, perhaps, a uniquely effective and satisfying tool that enhances the educative process for students and communities alike. Additionally, this article explores the enhanced project effectiveness and external outreach realized by partnering not only with communities, but also with multiple institutions of higher education, simultaneously, in order to achieve project(s success. This article also includes, and explores, the results of the pre and post course student experience surveys, as well as community feedback, and presents comparative data in which multiple curriculum formats, including lecture and workshops, are weighed against service learning curriculum prepared and presented in the course examined in this article. KEYWORDSService Learning, Higher Education, Urban Studies, Outreach

  11. Occupational Health and Sleep Issues in Underserved Populations.

    Science.gov (United States)

    Kalliny, Medhat; McKenzie, Judith Green

    2017-03-01

    Sleep disorders and occupational hazards, injuries, and illnesses impact an individual's overall health. In the United States, substantial racial, ethnic, and socioeconomic disparities exist in sleep and occupational health. Primary care physicians working in underserved communities should be aware of this disparity and target these higher-risk populations for focused evaluation and intervention. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Converging Urban Agendas: Toward Healthy and Sustainable Communities

    Directory of Open Access Journals (Sweden)

    Mark Roseland

    2016-07-01

    Full Text Available In light of recent developments such as the COP21 Paris climate agreement, the UN adoption of the Sustainable Development Goals for 2030, and the Habitat III Conference, there is increasing recognition of the role of human settlements as key components of both global challenges and global solutions. “Urban sustainability” under various names has matured over the last three decades not only in planning and related fields, but also in wider professional and popular discourse. In this paper we trace a historical overview of urban sustainability theory and practice, and explain why urban sustainability planning and development currently face limited and inconsistent application. We show that this lack of public uptake is due in part to monitoring, assessment, and decision-support frameworks and tools that do not engage citizens and their governments in a shared “strong sustainability” analysis and/or vision. We argue that urban sustainability today clearly needs to embrace equity, inclusion, and other social considerations; contribute to constructive societal mobilisation and compelling policy-making; advocate for development as a better alternative to growth; encourage the integration of human and environmental health interests; and encompass triple-bottom-line-inspired outcomes. Focusing on community capital productivity and regeneration may be the key to advancing healthy and sustainable communities.

  13. Towards a Community-led Agenda for Urban Sustainability Research

    DEFF Research Database (Denmark)

    Eames, Malcolm; Mortensen, Jonas Egmose; Adebowale, Maria

    This report describes the findings from the Citizens Science for Sustainability (SuScit) Project. The report provides an overview of the innovative ‘bottom-up' public engagement and foresight process developed through the SuScit Project, before setting out a ten point agenda for urban...... sustainability research developed through our work with the local community in the Mildmay area of Islington, North London....

  14. The Food Environment in an Urban Mexican American Community

    OpenAIRE

    Lisabeth, Lynda D; Sánchez, Brisa N; Escobar, James; Hughes, Rebecca; Meurer, William J; Zuniga, Belinda; Garcia, Nelda; Brown, Devin L; Morgenstern, Lewis B

    2010-01-01

    The objective was to determine whether ethnic composition of neighborhoods is associated with number and type of food stores in an urban, Mexican American US community. Data were from a commercial food store data source and the US Census. Multivariate count models were used to test associations with adjustment for neighborhood demographics, income, and commercialization. Neighborhoods at the 75th percentile of percent Mexican American (76%) had nearly four times the number of convenience stor...

  15. New forms of dwelling – sustainable urban communities

    Directory of Open Access Journals (Sweden)

    Mojca Šašek Divjak

    2000-01-01

    Full Text Available Various new forms of settlements composed of sustainable communities are emerging all around the World as answers to the urban crises in great cities. These settlements differ, especially when comparing the countries where they appear. However they also have many common features, such as the humane scale and social community cohesion, public participation in their management, enforcing new societal values and sustainable orientation of activities. These settlements where developed following development of information and communication technology and correspond to the introduction of new styles of life and employment.

  16. South African, urban youth narratives: Resilience within community.

    Science.gov (United States)

    Mosavel, Maghboeba; Ahmed, Rashid; Ports, Katie A; Simon, Christian

    2015-06-01

    South African youth in low-income, urbanized communities are exposed to high levels of daily stressors, which increase their risk to negative outcomes. Resiliency can provide avenues for youth to transcend adversity and may contribute to their positive development. To provide a deeper understanding of the pathways that adolescents use to overcome adversity, this paper examined future aspirations of South African youth, and how these aspirations were connected to resiliency factors framed by their lived context. A phenomenological approach was used to explore the perceptions of high school students. Fourteen focus groups with girls and boys (N=112) were conducted. Data was analyzed using a thematic approach. Discussions of the harsh conditions undermining the community's future highlighted opportunities for improvement. Community connectedness, hope and altruism were prevalent in youth's responses and could be used to facilitate community and individual resiliency. Our overall findings have important implications for positive youth development efforts.

  17. Towards implementation? Building sustainable urban communities in Ontario

    Energy Technology Data Exchange (ETDEWEB)

    Winfield, M. [Pembina Inst. for Appropriate Development, Toronto, ON (Canada)]|[Toronto Univ., ON (Canada). Inst. for Environmental Studies

    2004-07-01

    In 2003, Ontario's newly elected provincial government announced ten commitments to environmental, social and economic sustainability in urban development patterns. This presentation discussed the smart growth alternative versus the consequences of the business as usual urban development scenario. The economic benefits of smart growth are reduced development costs, reduced public service costs, reduced transportation costs, economies of agglomeration, more efficient transportation, and support for industry. The social benefits of smart growth are improved transportation options, improved housing options, better community cohesion, preservation of cultural resources, and increased physical exercise for individuals. The environmental benefits of smart growth are increased green space, reduced air and water pollution, increased energy efficiency, reduced urban heat island effects, and reduced demand for aggregates. This report examined the government's progress in its commitment to sustainability in urban development. It provided a status report and commentary on infrastructure funding policies, land-use policies, taxation policies, and governance structures. It was concluded that in general, the new government has made a good start on issues related to urban sustainability. The critical actions that remain outstanding were listed. refs., tabs., figs.

  18. ENGINEERING INSIDE PROCESS OF URBAN RENEWAL AND COMMUNITY MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Barrantes, K.

    2015-06-01

    Full Text Available This paper aims to show the community management process and interdisciplinary work involve in the Social Action project named “University social work: Calle de la Amargura towards a physical, recreational and cultural renewal” which belongs to the Civil Engineering School of Universidad de Costa Rica (UCR This initiative began in 2005 as a response to the security issue in a place known as “Calle de la Amargura”, in Costa Rica, this street has been stigmatized as an unsafe and damaged spot. Even though, this place has a negative concept, it has a huge urban potential as a meeting point for youth; this, due to closeness to Universidad de Costa Rica. Nevertheless, situations as drugs dealing and violence have created a negative perception within people all around the country. This project of urban renewal since the beginning has sought to enhance the perception of “Calle de la Amargura” from three axes: the development of educational and leisure activities, the foundation of community working networks and the improvement of physical conditions. Interdisciplinary groups were created in different areas such as engineer, arts, social sciences, health and education. Today, this plan is a recognize project, which involves a hard work on public space appropriation. Indeed, this paper seeks to expose the high content of social action and community management process of urban renewal leading by Engineering Faculty

  19. Aerobic and anaerobic methanotrophic communities in urban landscape wetland.

    Science.gov (United States)

    Chen, Sili; Chen, Jianfei; Chang, Sha; Yi, Hao; Huang, Dawei; Xie, Shuguang; Guo, Qingwei

    2018-01-01

    Both aerobic methane-oxidizing bacteria (MOB) and nitrite-dependent anaerobic methane oxidation (n-damo) organisms can be important methane sinks in a wetland. However, the influences of the vegetation type on aerobic MOB and n-damo communities in wetland, especially in constructed wetland, remain poorly understood. The present study investigated the influences of the vegetation type on both aerobic MOB and n-damo organisms in a constructed urban landscape wetland. Sediments were collected from eight sites vegetated with different plant species. The abundance (1.19-3.27 × 10 7 pmoA gene copies per gram dry sediment), richness (Chao1 estimator = 16.3-81.5), diversity (Shannon index = 2.10-3.15), and structure of the sediment aerobic MOB community were found to vary considerably with sampling site. In contrast, n-damo community abundance (8.74 × 10 5 -4.80 × 10 6 NC10 16S rRNA gene copies per gram dry sediment) changed slightly with the sampling site. The richness (Chao1 estimator = 1-11), diversity (Shannon index = 0-0.78), and structure of the NC10 16S rRNA gene-based n-damo community illustrated slight site-related changes, while the spatial changes of the pmoA gene-based n-damo community richness (Chao1 estimator = 1-8), diversity (Shannon index = 0-0.99), and structure were considerable. The vegetation type could have a profound impact on the wetland aerobic MOB community and had a stronger influence on the pmoA-based n-damo community than on the NC10 16S-based one in urban wetland. Moreover, the aerobic MOB community had greater abundance and higher richness and diversity than the n-damo community. Methylocystis (type II MOB) predominated in urban wetland, while no known type I MOB species was detected. In addition, the ratio of total organic carbon to total nitrogen (C/N) might be a determinant of sediment n-damo community diversity and aerobic MOB richness.

  20. Walking the Leadership Tightrope: Building Community Cohesiveness and Social Capital in Schools in Highly Disadvantaged Urban Communities

    Science.gov (United States)

    Riley, Kathryn A.

    2013-01-01

    School leaders in highly disadvantaged urban communities across the globe walk a tightrope, caught between the needs of communities and the requirements of national policies. This article aims to enrich our understanding of the potential of school-community relationships. It examines the policy discourse on urban schools and the practice of…

  1. Roles of Urban Indigenous Community Members in Collaborative Field-Based Teacher Preparation

    Science.gov (United States)

    Lees, Anna

    2016-01-01

    This qualitative case study explored a community-university partnership for teacher preparation with an urban Indigenous community organization. The study examined the roles of Indigenous community partners as co-teacher educators working to better prepare teachers for the needs of urban Indigenous children and communities. The author collected…

  2. Nevada Underserved Science Education Program

    Energy Technology Data Exchange (ETDEWEB)

    Nicole Rourke; Jason Marcks

    2004-07-06

    Nevada Underserved Science Education Program (NUSEP) is a project to examine the effect of implementing new and innovative Earth and space science education curriculum in Nevada schools. The project provided professional development opportunities and educational materials for teachers participating in the program.

  3. Implementing Community-based Health Planning and Services in impoverished urban communities: health workers' perspective.

    Science.gov (United States)

    Nwameme, Adanna Uloaku; Tabong, Philip Teg-Nefaah; Adongo, Philip Baba

    2018-03-20

    Three-quarters of sub-Saharan Africa's urban population currently live under slum conditions making them susceptible to ill health and diseases. Ghana characterizes the situation in many developing countries where the urban poor have become a group much afflicted by complex health problems associated with their living conditions, and the intra-city inequity between them and the more privileged urban dwellers with respect to health care accessibility. Adopting Ghana's rural Community-Based Health Planning and Service (CHPS) programme in urban areas is challenging due to the differences in social networks and health challenges thus making modifications necessary. The Community Health Officers (CHOs) and their supervisors are the frontline providers of health in the community and there is a need to analyze and document the health sector response to urban CHPS. The study was solely qualitative and 19 in-depth interviews were conducted with all the CHOs and key health sector individuals in supervisory/coordinating positions working in urban CHPS zones to elicit relevant issues concerning urban CHPS implementation. Thematic content data analysis was done using the NVivo 7 software. Findings from this appraisal suggest that the implementation of this urban concept of the CHPS programme has been well undertaken by the health personnel involved in the process despite the challenges that they face in executing their duties. Several issues came to light including the lack of first aid drugs, as well as the need for the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) programme and more indepth training for CHOs. In addition, the need to provide incentives for the volunteers and Community Health Committee members to sustain their motivation and the CHOs' apprehensions with regards to furthering their education and progression in their careers were key concerns raised. The establishment of the CHPS concept in the urban environment albeit challenging has been

  4. Building research capacity with members of underserved American Indian/Alaskan Native communities: training in research ethics and the protection of human subjects.

    Science.gov (United States)

    Jetter, Karen M; Yarborough, Mark; Cassady, Diana L; Styne, Dennis M

    2015-05-01

    To develop a research ethics training course for American Indian/Alaskan Native health clinic staff and community researchers who would be conducting human subjects research. Community-based participatory research methods were used in facilitated discussions of research ethics centered around topics included in the Collaborative Institutional Training Initiative research ethics course. The community-based participatory research approach allowed all partners to jointly develop a research ethics training program that was relevant for American Indian/Alaskan Native communities. All community and clinic partners were able to pass the Collaborative Institutional Training Initiative course they were required to pass so that they could be certified to conduct research with human subjects on federally funded projects. In addition, the training sessions provided a foundation for increased community oversight of research. By using a collaborative process to engage community partners in research ethics discussions, rather than either an asynchronous online or a lecture/presentation format, resulted in significant mutual learning about research ethics and community concerns about research. This approach requires university researchers to invest time in learning about the communities in which they will be working prior to the training. © 2014 Society for Public Health Education.

  5. Negative Perceptions of Urban Tourism Community in Beijing: Based on Online Comments

    OpenAIRE

    Ping, Li; Kaiyong, Wang; Tian, Chen; Fuyuan, Wang

    2017-01-01

    The development of urban tourism community (UTC) will bring new vigor and vitality into the urban sustainable development. There are abundant tourists’ comments about personal experience in UTC in online travel communities, which provide good access to the knowledge of negative perceptions of urban tourism community. Based on online comments, this paper used content analysis method to research tourists’ negative perceptions about five typical tourism communities in Beijing, whereby the common...

  6. Household transmission of leptospira infection in urban slum communities.

    Directory of Open Access Journals (Sweden)

    Elves A P Maciel

    2008-01-01

    Full Text Available Leptospirosis, a spirochaetal zoonotic disease, is the cause of epidemics associated with high mortality in urban slum communities. Infection with pathogenic Leptospira occurs during environmental exposures and is traditionally associated with occupational risk activities. However, slum inhabitants reside in close proximity to environmental sources of contamination, suggesting that transmission during urban epidemics occurs in the household environment.A survey was performed to determine whether Leptospira infection clustered within households located in slum communities in the city of Salvador, Brazil. Hospital-based surveillance identified 89 confirmed cases of leptospirosis during an outbreak. Serum samples were obtained from members of 22 households with index cases of leptospirosis and 52 control households located in the same slum communities. The presence of anti-Leptospira agglutinating antibodies was used as a marker for previous infection. In households with index cases, 22 (30% of 74 members had anti-Leptospira antibodies, whereas 16 (8% of 195 members from control households had anti-Leptospira antibodies. Highest titres were directed against L. interrogans serovars of the Icterohaemorrhagiae serogroup in 95% and 100% of the subjects with agglutinating antibodies from case and control households, respectively. Residence in a household with an index case of leptospirosis was associated with increased risk (OR 5.29, 95% CI 2.13-13.12 of having had a Leptospira infection. Increased infection risk was found for all age groups who resided in a household with an index case, including children <15 years of age (P = 0.008.This study identified significant household clustering of Leptospira infection in slum communities where recurrent epidemics of leptospirosis occur. The findings support the hypothesis that the household environment is an important transmission determinant in the urban slum setting. Prevention therefore needs to target

  7. Project Coach: A Case Study of a College-Community Partnerships as a Venture in Social Entrepreneurship

    Science.gov (United States)

    Intrator, Sam M.; Siegel, Donald

    2010-01-01

    Project Coach is an after school program developed and directed by the authors. The program, which is set in a high-need urban community in Springfield, Massachusetts, teaches high school and middle school students to be sport coaches and then to run youth sport leagues for elementary-aged youth in underserved neighborhoods in their own community.…

  8. Assessment of awareness regarding climate change in an urban community.

    Science.gov (United States)

    Pandve, Harshal T; Chawla, P S; Fernandez, Kevin; Singru, Samir A; Khismatrao, Deepak; Pawar, Sangita

    2011-09-01

    Climate change has emerged as one of the most devastating environmental threats. It is essential to assess the awareness regarding climate change in the general population for framing the mitigation activities. To assess the awareness regarding climate change in an urban community. Urban field practice area of a medical college in the Pune city. Observational study. The cross-sectional survey was conducted in the urban adult population who had given the written consent. A pre-tested questionnaire was used for a face to face interview. Responses were evaluated. Proportions, percentage. Total 733 respondents above 18 years of age were included in the present survey. 672 (91.68%) respondents commented that global climate is changing. 547 (81.40%) respondents opined that human activities are contributing to climate change. 576 (85.71%) respondents commented that climate changing based on their personal experiences. Commonest source of information about climate change was television (59.78%). Poor awareness about UNFCC, Kyoto Protocol and IPCC was found. 549 (74.90%) respondents commented that deforestation contribute most significantly towards climate change. As per 530 (72.31%) respondents water related issues are due to changing climate change. According to 529 (72.17%) respondents, direct physical hazards of extreme climatic events are most important health related impact of climate change. According to 478 (65.21%) respondents, life style changes (63.3%) would be most effective in tackling climate change and for preventing further climate change. The urban general population is aware about changing global climate. Personal efforts are more important in mitigating climate change as per the urban general population. The awareness campaigns regarding mitigation activities are recommended.

  9. Leadership Advocacy: Bringing Nursing to the Homeless and Underserved.

    Science.gov (United States)

    Porter-OʼGrady, Tim

    Nurses have historically played a key role in advocacy and service for all members of the community, including those who are traditionally underserved by other providers or the health system. Nurses from a local Atlanta community health system, both clinical and administrative, have continued this tradition by developing an advocacy and service program for the downtown homeless of Atlanta. From its beginnings as a highly informal volunteer program to its current structure as a strongly integrated community health center for the underserved and homeless of Atlanta, local nurses have demonstrated their strong value of service advocacy. Their leadership, insight, discipline, and strategic development have facilitated the growth of a focused, viable health service network for marginalized people of the city of Atlanta.

  10. Characterization of coastal urban watershed bacterial communities leads to alternative community-based indicators

    Energy Technology Data Exchange (ETDEWEB)

    Wu, C.H.; Sercu, B.; Van De Werhorst, L.C.; Wong, J.; DeSantis, T.Z.; Brodie, E.L.; Hazen, T.C.; Holden, P.A.; Andersen, G.L.

    2010-03-01

    Microbial communities in aquatic environments are spatially and temporally dynamic due to environmental fluctuations and varied external input sources. A large percentage of the urban watersheds in the United States are affected by fecal pollution, including human pathogens, thus warranting comprehensive monitoring. Using a high-density microarray (PhyloChip), we examined water column bacterial community DNA extracted from two connecting urban watersheds, elucidating variable and stable bacterial subpopulations over a 3-day period and community composition profiles that were distinct to fecal and non-fecal sources. Two approaches were used for indication of fecal influence. The first approach utilized similarity of 503 operational taxonomic units (OTUs) common to all fecal samples analyzed in this study with the watershed samples as an index of fecal pollution. A majority of the 503 OTUs were found in the phyla Firmicutes, Proteobacteria, Bacteroidetes, and Actinobacteria. The second approach incorporated relative richness of 4 bacterial classes (Bacilli, Bacteroidetes, Clostridia and a-proteobacteria) found to have the highest variance in fecal and non-fecal samples. The ratio of these 4 classes (BBC:A) from the watershed samples demonstrated a trend where bacterial communities from gut and sewage sources had higher ratios than from sources not impacted by fecal material. This trend was also observed in the 124 bacterial communities from previously published and unpublished sequencing or PhyloChip- analyzed studies. This study provided a detailed characterization of bacterial community variability during dry weather across a 3-day period in two urban watersheds. The comparative analysis of watershed community composition resulted in alternative community-based indicators that could be useful for assessing ecosystem health.

  11. Grounding evidence-based approaches to cancer prevention in the community: a case study of mammography barriers in underserved African American women.

    Science.gov (United States)

    Highfield, Linda; Bartholomew, L Kay; Hartman, Marieke A; Ford, M Molly; Balihe, Philomene

    2014-11-01

    When community health planners select an evidence-based intervention that has been developed and tested in one situation and adapt it for use in a different situation or community, best practice suggests needs assessment and formative research in the new setting. Cancer prevention planners who are interested in adopting and adapting evidence-based approaches need to base their choices on a sound understanding of the health or behavioral risk problem in which they mean to intervene. This requires a balancing act of weighing community information against a broader perspective from the scientific literature and using the combination to identify and adapt an evidence-based intervention program that is likely to be effective in the new setting. This report is a case study of a community and organizational assessment conducted as a foundation for selecting and recommending adaptation of an evidence-based intervention for improving mammography appointment attendance. We used an inductive sequential exploratory mixed-methods design to inform this process. The process provides a model for formative research grounding evidence-based practice for cancer control planners. Future studies that incorporate findings from needs assessment into the adaptation of the selected intervention program may promote the effective dissemination of evidence-based programs. © 2014 Society for Public Health Education.

  12. Can green roofs reduce urban heat stress in vulnerable urban communities: A coupled atmospheric and social modeling approach

    Science.gov (United States)

    Sharma, A.; Woodruff, S.; Budhathoki, M.; Hamlet, A. F.; Fernando, H. J. S.; Chen, F.

    2017-12-01

    Urban areas provide organized, engineered, sociological and economical infrastructure designed to provide a high quality of life, but the implementation and management of urban infrastructure has been a continued challenge. Increasing urbanization, warming climate, as well as anthropogenic heat emissions that accompany urban development generates "stress". This rapidly increasing `urban stress' affects the sustainability of cities, making populations more vulnerable to extreme hazards, such as heat. Cities are beginning to extensively use green roofs as a potential urban heat mitigation strategy. This study explores the potential of green roofs to reduce summertime temperatures in the most vulnerable neighborhoods of the Chicago metropolitan area by combining social vulnerability indices (a function of exposure, sensitivity and adaptive capacity), and temperatures from mesoscale model. Numerical simulations using urbanized version the Advanced Research Weather Research and Forecasting (WRF) model were performed to measure rooftop temperatures, a representative variable for exposure in this study. The WRF simulations were dynamically coupled with a green roof algorithm as a part of urban parameterization within WRF. Specifically, the study examines roof surface temperature with changing green roof fractions and how would they help reduce exposure to heat stress for vulnerable urban communities. This study shows an example of applied research that can directly benefit urban communities and be used by urban planners to evaluate mitigation strategies.

  13. Urban Ecological Stewardship: Understanding the Structure, Function and Network of Community-based Urban Land Management

    Directory of Open Access Journals (Sweden)

    Lindsay K. Campbell

    2008-01-01

    Full Text Available Urban environmental stewardship activities are on the rise in cities throughout the Northeast. Groups participating in stewardship activities range in age, size, and geography and represent an increasingly complex and dynamic arrangement of civil society, government and business sectors. To better understand the structure, function and network of these community-based urban land managers, an assessment was conducted in 2004 by the research subcommittee of the Urban Ecology Collaborative. The goal of the assessment was to better understand the role of stewardship organizations engaged in urban ecology initiatives in selected major cities in the Northeastern U.S.: Boston, New Haven, New York City, Pittsburgh, Baltimore, and Washington, D.C. A total of 135 active organizations participated in this assessment. Findings include the discovery of a dynamic social network operating within cities, and a reserve of social capital and expertise that could be better utilized. Although often not the primary land owner, stewardship groups take an increasingly significant responsibility for a wide range of land use types including street and riparian corridors, vacant lots, public parks and gardens, green roofs, etc. Responsibilities include the delivery of public programs as well as daily maintenance and fundraising support. While most of the environmental stewardship organizations operate on staffs of zero or fewer than ten, with small cohorts of community volunteers, there is a significant difference in the total amount of program funding. Nearly all respondents agree that committed resources are scarce and insufficient with stewards relying upon and potentially competing for individual donations, local foundations, and municipal support. This makes it a challenge for the groups to grow beyond their current capacity and to develop long-term programs critical to resource management and education. It also fragments groups, making it difficult for planners and

  14. Engagement in a Diverse Urban Community to Describe Community Residents’ Perceptions of Pharmacists as Immunizers

    Directory of Open Access Journals (Sweden)

    Anthony Pattin

    2016-06-01

    Full Text Available Objective: To describe the perceptions of pharmacist-delivered vaccination services among community members that live in a diverse urban metropolitan area and to identify potential strategies to improve the use of vaccines provided by pharmacists. Design: Qualitative study. Setting: Metropolitan urban diverse community in Wayne County, MI. Participants: Individuals 50 years of age and older that reside in a defined urban metropolitan community. Intervention: Four, 45-minute, focus group discussions were conducted to gather the experiences and perceptions of participants around pharmacists that immunize. A focus group guide was developed to facilitate focus group sessions. Main Outcome Measures: Focus group discussions were audio-recorded and transcribed. Content analysis was used to analyze data and identify relevant themes. Results: Three main themes were identified related to the use of pharmacist-delivered vaccination services: trust with vaccine providers, interaction with pharmacy personnel, and the factor of accessibility. Conclusion: Study participants expressed views that will guide the development of interventions aimed to reduce disparities in vaccine utilization. It is suggested that future efforts improve accessibility to pharmacy-delivered vaccines in this community and enhance the interaction between patients and pharmacists.   Type: Original Research

  15. Improving Urban Minority Girls' Health Via Community Summer Programming.

    Science.gov (United States)

    Bohnert, Amy M; Bates, Carolyn R; Heard, Amy M; Burdette, Kimberly A; Ward, Amanda K; Silton, Rebecca L; Dugas, Lara R

    2017-12-01

    Summertime has emerged as a high-risk period for weight gain among low-income minority youth who often experience a lack of resources when not attending school. Structured programming may be an effective means of reducing risk for obesity by improving obesogenic behaviors among these youth. The current multi-method study examined sedentary time, physical activity, and dietary intake among low-income urban minority girls in two contexts: an unstructured summertime setting and in the context of a structured 4-week community-based summer day camp program promoting physical activity. Data were analyzed using paired-sample t tests and repeated-measure analyses of variance with significance at the p programming. All improvements were independent of weight status and age, and African-American participants evidenced greater changes in physical activity during programming. The study concludes that structured, community-based summertime programming may be associated with fewer obesogenic behaviors in low-income urban youth and may be a powerful tool to address disparities in weight gain and obesity among high-risk samples.

  16. The Community Health Applied Research Network (CHARN) Data Warehouse: a Resource for Patient-Centered Outcomes Research and Quality Improvement in Underserved, Safety Net Populations.

    Science.gov (United States)

    Laws, Reesa; Gillespie, Suzanne; Puro, Jon; Van Rompaey, Stephan; Quach, Thu; Carroll, Joseph; Weir, Rosy Chang; Crawford, Phil; Grasso, Chris; Kaleba, Erin; McBurnie, Mary Ann

    2014-01-01

    The Community Health Applied Research Network, funded by the Health Resources and Services Administration, is a research network comprising 18 Community Health Centers organized into four Research Nodes (each including an academic partner) and a data coordinating center. The network represents more than 500,000 diverse safety net patients across 11 states. The primary objective of this paper is to describe the development and implementation process of the CHARN data warehouse. The methods involved regulatory and governance development and approval, development of content and structure of the warehouse and processes for extracting the data locally, performing validation, and finally submitting data to the data coordinating center. Version 1 of the warehouse has been developed. Tables have been added, the population and the years of electronic health records (EHR) have been expanded for Version 2. It is feasible to create a national, centralized data warehouse with multiple Community Health Center partners using different EHR systems. It is essential to allow sufficient time: (1) to develop collaborative, trusting relationships among new partners with varied technology, backgrounds, expertise, and interests; (2) to complete institutional, business, and regulatory review processes; (3) to identify and address technical challenges associated with diverse data environments, practices, and resources; and (4) to provide continuing data quality assessments to ensure data accuracy.

  17. Characterizing Urban Household Waste Generation and Metabolism Considering Community Stratification in a Rapid Urbanizing Area of China.

    Directory of Open Access Journals (Sweden)

    Lishan Xiao

    Full Text Available The relationship between social stratification and municipal solid waste generation remains uncertain under current rapid urbanization. Based on a multi-object spatial sampling technique, we selected 191 households in a rapidly urbanizing area of Xiamen, China. The selected communities were classified into three types: work-unit, transitional, and commercial communities in the context of housing policy reform in China. Field survey data were used to characterize household waste generation patterns considering community stratification. Our results revealed a disparity in waste generation profiles among different households. The three community types differed with respect to family income, living area, religious affiliation, and homeowner occupation. Income, family structure, and lifestyle caused significant differences in waste generation among work-unit, transitional, and commercial communities, respectively. Urban waste generation patterns are expected to evolve due to accelerating urbanization and associated community transition. A multi-scale integrated analysis of societal and ecosystem metabolism approach was applied to waste metabolism linking it to particular socioeconomic conditions that influence material flows and their evolution. Waste metabolism, both pace and density, was highest for family structure driven patterns, followed by lifestyle and income driven. The results will guide community-specific management policies in rapidly urbanizing areas.

  18. Characterizing Urban Household Waste Generation and Metabolism Considering Community Stratification in a Rapid Urbanizing Area of China.

    Science.gov (United States)

    Xiao, Lishan; Lin, Tao; Chen, Shaohua; Zhang, Guoqin; Ye, Zhilong; Yu, Zhaowu

    2015-01-01

    The relationship between social stratification and municipal solid waste generation remains uncertain under current rapid urbanization. Based on a multi-object spatial sampling technique, we selected 191 households in a rapidly urbanizing area of Xiamen, China. The selected communities were classified into three types: work-unit, transitional, and commercial communities in the context of housing policy reform in China. Field survey data were used to characterize household waste generation patterns considering community stratification. Our results revealed a disparity in waste generation profiles among different households. The three community types differed with respect to family income, living area, religious affiliation, and homeowner occupation. Income, family structure, and lifestyle caused significant differences in waste generation among work-unit, transitional, and commercial communities, respectively. Urban waste generation patterns are expected to evolve due to accelerating urbanization and associated community transition. A multi-scale integrated analysis of societal and ecosystem metabolism approach was applied to waste metabolism linking it to particular socioeconomic conditions that influence material flows and their evolution. Waste metabolism, both pace and density, was highest for family structure driven patterns, followed by lifestyle and income driven. The results will guide community-specific management policies in rapidly urbanizing areas.

  19. [Integrating technologies for urban communities' municipal solid waste minimization].

    Science.gov (United States)

    Zhou, Chuan-Bin; Liu, Jing-Ru; Wang, Ru-Song; Zhang, Yi-Shan

    2010-11-01

    Municipal solid waste management of urban communities has difficulties of insufficient source separation and food waste's high moisture content, an integrating technology of manual separation, simple compression of food waste, reclaim of food waste and composting leachate was studied. Manual separating rate was 36.8 kg/h, and would increase when the worker became sophisticated. Community separated food waste had high organic matter content of 44.493%, nutrients N, P, K contents of 2.586%, 0.649% and 1.274%, C/N ratio of 17.427, but 0.07-0.82 times lower heavy metals contents compared to centralized separation of mixed municipal solid waste. Moisture content of food waste was still 78.7%, high enough to have negative impacts of composting processes. Composting leachate processing with biological stabilization and dilution showed a fertilizer efficiency, and dry weight of impatiens irrigated with composting leachate was 1.46-2.49 times of tap water irrigation. Integrating technology based on community's manual separation could decrease 52.6% municipal solid waste.

  20. Urban tree crown health assessment system: a tool for communities and citizen foresters

    Science.gov (United States)

    Matthew F. Winn; Sang-Mook Lee; Philip A. Araman

    2007-01-01

    Trees are important assets to urban communities. In addition to the aesthetic values that urban trees provide, they also aid in such things as erosion control, pollution removal, and rainfall interception. The urban environment, however, can often produce stresses to these trees. Soil compaction, limited root growth, and groundwater contamination are just a few of the...

  1. Bridging the Digital Divide for urban seniors: community partnership.

    Science.gov (United States)

    Cresci, M Kay; Jarosz, Patricia A

    2010-01-01

    Computers and the Internet offer older adults resources for improving health. For many older adults, the "Digital Divide" (the social, economic, and demographic factors that exist between individuals who use computers and those who do not) is a barrier to taking advantage of these resources. Bridging the Digital Divide by making computers and the Internet more accessible and making online health information more usable for older adults has the potential to improve health of older adults. This article describes a strategy for closing the Digital Divide for urban seniors through the formation of a community- university partnership with the goal of improving health and well-being through the use of online health information. Copyright © 2010 Mosby, Inc. All rights reserved.

  2. Alternative Approaches to Food: Community Supported Agriculture in Urban China

    Directory of Open Access Journals (Sweden)

    Kees Krul

    2017-05-01

    Full Text Available One of the most remarkable features of China’s development path is its large-scale and fast-paced urbanization. As cities already accommodate more than half of China’s population, new challenges to urban food systems have emerged concurrently. Concerns over environmental degradation and food safety have provoked growing dissatisfaction with China’s food regime. Amidst these concerns, the aim of this paper is to study the role of new and alternative approaches to food, focusing in on the question of how community supported agriculture (CSA can deal with the food-related issues emerging from China’s development. The paper adopts Granovetter’s notions of social embeddedness to describe CSA’s relational role in consumer-farmer dynamics, as well as the structural role within its broader relational context. Empirical data is drawn from surveys distributed among CSA farms, and interviews with key stakeholders in the Chinese CSA movement. The study finds that the model of CSA demonstrates an innovative approach to deal with food safety issues, address sustainability, and operate in an environment where future food demands are most critical. Although the movement’s structural embeddedness is bound by several limitations and contradictions, it is argued that the CSA model offers important insights and adds value into ameliorating China’s food systems.

  3. Urban and community forests of the Pacific region: California, Oregon, Washington

    Science.gov (United States)

    David J. Nowak; Eric J. Greenfield

    2010-01-01

    This report details how land cover and urbanization vary within the states of California, Oregon, and Washington by community (incorporated and census designated places), county subdivision, and county. Specifically this report provides critical urban and community forestry information for each state including human population characteristics and trends, changes in...

  4. 76 FR 33314 - Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities

    Science.gov (United States)

    2011-06-08

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities Division of Epidemiology and Disease Prevention; Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities Announcement Type...

  5. 76 FR 35221 - Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities...

    Science.gov (United States)

    2011-06-16

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities; Correction AGENCY: Indian Health Service, HHS... Epidemiology Centers serving American Indian/Alaska Native Tribes and urban Indian communities. The document...

  6. Assessing net carbon sequestration on urban and community forests of northern New England, USA

    Science.gov (United States)

    Daolan Zheng; Mark J. Ducey; Linda S. Heath

    2013-01-01

    Urban and community forests play an important role in the overall carbon budget of the USA. Accurately quantifying carbon sequestration by these forests can provide insight for strategic planning to mitigate greenhouse gas effects on climate change. This study provides a new methodology to estimate net forest carbon sequestration (FCS) in urban and community lands of...

  7. Health workforce equity in urban community health service of China.

    Directory of Open Access Journals (Sweden)

    Rui Chen

    Full Text Available OBJECTIVES: To reveal the equity of health workforce distribution in urban community health service (CHS, and to provide evidence for further development of community health service in China. METHODS: A community-based, cross-sectional study was conducted in China from September to December 2011. In the study, 190 CHS centers were selected from 10 provinces of China via stratified multistage cluster sampling. Human resources profiles and basic characteristics of each CHS centers were collected. Lorenz curves and Gini Coefficient were used to measure the inequality in the distribution of health workforce in community health service centers by population size and geographical area. Wilcoxon rank test for paired samples was used to analyze the differences in equity between different health indicators. RESULTS: On average, there were 7.37 health workers, including 3.25 doctors and 2.32 nurses per 10,000 population ratio. Significant differences were found in all indicators across the samples, while Beijing, Shandong and Zhejiang ranked the highest among these provinces. The Gini coefficients for health workers, doctors and nurses per 10,000 population ratio were 0.39, 0.44, and 0.48, respectively. The equity of doctors per 10,000 population ratio (G = 0.39 was better than that of doctors per square kilometer (G = 0.44 (P = 0.005. Among the total 6,573 health workers, 1,755(26.7% had undergraduate degree or above, 2,722(41.4%had junior college degree and 215(3.3% had high school education. Significant inequity was found in the distribution of workers with undergraduate degree or above (G = 0.52, which was worse than that of health works per 10000 population (P<0.001. CONCLUSIONS: Health workforce inequity was found in this study, especially in quality and geographic distribution. These findings suggest a need for more innovative policies to improve health equity in Chinese urban CHS centers.

  8. The community health worker cultural mentoring project: preparing professional students for team work with health workers from urban communities.

    Science.gov (United States)

    Sherwen, Laurie N; Schwolsky-Fitch, Elena; Rodriquez, Romelia; Horta, Greg; Lopez, Ivanna

    2007-01-01

    Community Health Workers or CHWs (also known by a variety of alternative titles) are health workers drawn from communities to provide access to care for members of their communities. CHWs have been documented as effective in delivering a variety of services in a culturally-sensitive manner, and in providing a bridge between health professionals and underserved or minority communities. Yet, CHWs have not been well incorporated into interdisciplinary health care teams. The majority of health professionals are not even aware of the possible role and skills of CHWs. Believing that the best time to educate professionals about this valuable health worker and ensure that CHWs become part of interdisciplinary health care teams is during the student years, the Hunter College Schools of the Health Professions, and the Community Health Worker Network of New York City developed a pilot project, the Community Health Worker Cultural Mentoring Project. Community Health Workers, who were members of the Network, served as "community mentors" for health professions students drawn from the programs of community health education, nursing, and nutrition. CHWs worked with faculty of selected courses in each of the professional programs, and served as panelists in these courses, presenting information about health beliefs and alternative health practices of diverse cultural groups in communities of New York City. Class sessions were first held in the fall of 2004; subsequent sessions were held in following semesters. Approximately 40 students participated in 7 classes, with 6 CHWs serving as mentors - two per class. At the end of the classroom presentations, students wrote reflections relating to their understanding of the CHW role and relevance for their future interdisciplinary practice. The majority of reflections met the goal of increasing professional students' understanding of the CHW role and skills. At this point, quantitative and qualitative data will need to be collected to

  9. Research on the Model of E-commerce of China’s Urban Informatization Community

    Directory of Open Access Journals (Sweden)

    Yu Han

    2014-02-01

    Full Text Available Urban informatization e-commerce is a business model of the combination of e-commerce operators and organizational forms of community property management, and the import of people management and property management into e-commerce. This paper analyzes the current situation of Chinese urban community e-commerce and informatization community building. It puts forward the model of community e-commerce based on informatization, and its feasibility was verified by PIECE method. Finally, focusing on the application, the model of community e-commerce based on informatization community is analyzed in detail from the perspective of the role and value, supply chain and collaborative management works. Information services are most likely to succeed in the entry point of e-commerce. The study has shown that the establishment of community e-commerce on the basis of urban informatization community can be regarded as a solution of e-commerce development.

  10. Community perceptions towards the establishment of an urban forest plantation: a case of Dzivaresekwa, Zimbabwe

    Directory of Open Access Journals (Sweden)

    A. Mureva

    2014-06-01

    Full Text Available The health of urban forest communities not only depend on the government and nongovernmental organizations, but also strongly rely on local community stewardship. A study was carried out to assess community perceptions on the establishment of an urban forest plantation among urban residents in Dzivaresekwa, an urban area in Harare. Randomized systematic sampling was used to select 150 households and one resident per household was interviewed using a pretested questionnaire with both closed and open-ended questions. The objectives of the study were to determine how age and gender and employment status variables, were related to the urban residents’ perceptions towards establishment of a forest plantation in an urban area. Most females (58.3% viewed the plantation as a threat while most men (51.7% viewed the plantation as a recreational area. The highest proportion (61.9% of the middle age group (21-40 years perceived the plantation as a source of employment. There was a statistically significant relationship (p = 0.040 between gender and the general perception of establishing a forest plantation in the urban area. However, there was no statistically significant relationship (p = 0.203 between age groups and the perception of establishing a forest plantation in the urban area. It is concluded that the community had diverse perceptions on urban community forestry.

  11. Habitat and landscape characteristics underlying anuran community structure along an urban-rural gradient.

    Science.gov (United States)

    Pillsbury, Finn C; Miller, James R

    2008-07-01

    Urbanization has been cited as an important factor in worldwide amphibian declines, and although recent work has illustrated the important influence of broad-scale ecological patterns and processes on amphibian populations, little is known about the factors structuring amphibian communities in urban landscapes. We therefore examined amphibian community responses to wetland habitat availability and landscape characteristics along an urban-rural gradient in central Iowa, USA, a region experiencing rapid suburban growth. We conducted call surveys at 61 wetlands to estimate anuran calling activity, and quantified wetland habitat structure and landscape context. We used canonical correspondence analysis (CCA) to examine patterns in anuran community structure and identify the most important variables associated with those patterns. Urban density at the landscape scale had a significant negative influence on overall anuran abundance and diversity. While every species exhibited a decrease in abundance with increasing urban density, this pattern was especially pronounced for species requiring post-breeding upland habitats. Anurans most affected by urbanization were those associated with short hydroperiods, early breeding activity, and substantial upland habitat use. We suggest that broad-scale landscape fragmentation is an important factor underlying anuran community structure in this region, possibly due to limitations on the accessibility of otherwise suitable habitat in fragmented urban landscapes. This study underscores the importance of a regional approach to amphibian conservation in urban and urbanizing areas; in fragmented landscapes, a network of interconnected wetland and upland habitats may be more likely to support a successful, diverse anuran community than will isolated sites.

  12. Relative species richness and community completeness: avian communities and urbanization in the mid-Atlantic states

    Science.gov (United States)

    Cam, E.; Nichols, J.D.; Sauer, J.R.; Hines, J.E.; Flather, C.H.

    2000-01-01

    The idea that local factors govern local richness has been dominant for years, but recent theoretical and empirical studies have stressed the influence of regional factors on local richness. Fewer species at a site could reflect not only the influence of local factors, but also a smaller regional pool. The possible dependency of local richness on the regional pool should be taken into account when addressing the influence of local factors on local richness. It is possible to account for this potential dependency by comparing relative species richness among sites, rather than species richness per se. We consider estimation of a metric permitting assessment of relative species richness in a typical situation in which not all species are detected during sampling sessions. In this situation, estimates of absolute or relative species richness need to account for variation in species detection probability if they are to be unbiased. We present a method to estimate relative species richness based on capture-recapture models. This approach involves definition of a species list from regional data, and estimation of the number of species in that list that are present at a site-year of interest. We use this approach to address the influence of urbanization on relative richness of avian communities in the Mid-Atlantic region of the United States. There is a negative relationship between relative richness and landscape variables describing the level of urban development. We believe that this metric should prove very useful for conservation and management purposes because it is based on an estimator of species richness that both accounts for potential variation in species detection probability and allows flexibility in the specification of a 'reference community.' This metric can be used to assess ecological integrity, the richness of the community of interest relative to that of the 'original' community, or to assess change since some previous time in a community.

  13. Paraben Levels in an Urban Community of Western Canada

    Science.gov (United States)

    Genuis, Stephen J.; Birkholz, Detlef; Curtis, Luke; Sandau, Court

    2013-01-01

    With effective antibacterial and antifungal properties, commercially used parabens are synthetic compounds widely utilized as preservatives in cosmetics, personal care products, pharmaceuticals, and as an additive in some foodstuffs. While long regarded as relatively safe and nontoxic, recent research has demonstrated xenoestrogenic properties of anthropogenic parabens with early evidence that paraben exposure may be linked to breast cancer, thyroid dysfunction, allergy, and obesity. In an attempt to determine the prevalence of paraben exposure in a Canadian urban community, a sample of convenience was done by measuring urinary levels of methyl, ethyl, propyl, butyl, and isobutyl parabens (MP, EP, PP, BP, and IP) in 39 consecutive patients in an Alberta primary care clinic. In 28 female patients including 9 pregnant women, the median urinary levels (in μg/L) were 25.45 for MP, 10.17 for EP, 2.80 for PP, 0.30 for BP, and 0.24 for IP. In 11 male patients, the median urinary levels (in μg/L) were 25.95 for MP, 10.37 for EP, 3.09 for PP, 0.35 for BP, and 0.22 for IP. Especially high urinary paraben levels were reported in a few patients, with the highest urinary concentrations (in μg/L) reported as 966.46 for MP, 220.6 as EP, and 612.73 for PP. It is evident that exposure to assorted parabens is a routine event for many if not most individuals, including pregnant women, in urban Alberta, Canada. PMID:24455315

  14. Urban Revival and College Writing: Writing to Promote Communities

    Directory of Open Access Journals (Sweden)

    Miriam Chirico

    2013-05-01

    Full Text Available Service-learning classes, because they emphasize the creation of product that has value outside the confines of the college classroom, offer students an experience in professional formation, a practice that may prove anathema to the ethos of “service.” The desire to counteract this individualistic attitude has led instructors to promulgate an activist agenda within their classrooms, teaching students to critique hierarchical power structures, redress social inequities, or challenge lines of societal exclusion. And yet, such practitioners repeatedly acknowledge the difficulty of this instructional aim and attest to the students’ inability to envision themselves as advocates for societal change. I hold that this objective of transforming students into activists based on the experience of service-learning classes may not be feasible due the economic dynamic of a college classroom, where students pay tuition for their education and engage in work that is assessed and evaluated. Consequently, rather than create service-learning projects around theoretical positions of dissent and critique, I have designed a service-learning class on the topic of urban revitalization that involves students in promotional and collaborative partnerships with non-profit organizations in town. In other words, by tapping into a pragmatic, national movement such as urban renewal, I have aimed to raise the students’ awareness of how they might become agents of change and how their particular skill set of writing could be of service to the community. Drawing upon my experiences with students in a Business and Professional Writing class, I discuss specific readings and writing assignments in this article, chiefly the writing products that were commissioned by different non-profit groups in town. The discussion examines some of the theoretical implications behind reinforcing college students’ awareness of civic commitment while developing their written and rhetorical

  15. Improving Participants’ Retention in a Smoking Cessation Intervention Using a Community-based Participatory Research Approach

    OpenAIRE

    Estreet, Anthony; Apata, Jummai; Kamangar, Farin; Schutzman, Christine; Buccheri, Jane; O’Keefe, Anne-Marie; Wagner, Fernando; Sheikhattari, Payam

    2017-01-01

    Background: This study compares participant’ sretention in three phases of smoking cessation interventions, one provided in a health clinic and the subsequent two in community-based settings. Methods: Smoking cessation interventions were conducted in three phases from 2008 to 2015 in two underserved urban communities with low socioeconomic profiles and high rates of smoking (n = 951). Phase I was conducted in a clinic; Phases II and III were conducted in community venues. In Phases II and III...

  16. Improving participants' retention in a smoking cessation intervention using a community-based participatory research approach

    OpenAIRE

    Anthony Estreet; Jummai Apata; Farin Kamangar; Christine Schutzman; Jane Buccheri; Anne-Marie O'Keefe; Fernando Wagner; Payam Sheikhattari

    2017-01-01

    Background: This study compares participants' retention in three phases of smoking cessation interventions, one provided in a health clinic and the subsequent two in community-based settings. Methods: Smoking cessation interventions were conducted in three phases from 2008 to 2015 in two underserved urban communities with low socioeconomic profiles and high rates of smoking (n = 951). Phase I was conducted in a clinic; Phases II and III were conducted in community venues. In Phases II and III...

  17. Patterns of tobacco use across rural, urban, and urban-slum populations in a North Indian community

    Directory of Open Access Journals (Sweden)

    Gupta Vivek

    2010-01-01

    Full Text Available Background: Tobacco is the leading cause of mortality globally and in India. The magnitude and the pattern of tobacco consumption are likely to be influenced by the geographical setting and with rapid urbanization in India there is a need to study this differential pattern. Aim: The aim was to study the rural, urban, and urban-slum differences in patterns of tobacco use. Settings: The study was conducted in Ballabgarh block, Faridabad district, Haryana, and was a community-based cross-sectional study. Materials and Methods: The study was conducted in years 2003-2004 using the WHO STEPS approach with 7891 participants, approximately equal number of males and females, selected using multistage sampling from urban, urban-slum, and rural strata. Statistical Analysis: The analysis was done using the SPSS 12.0 statistical package (SPSS Inc., Chicago, IL, USA. Direct standardization to the WHO world standard population was done to and chi-square and ANOVA tests were used for comparison across three study settings. Results: Self-reported tobacco use among males was as follows: urban 35.2%; urban-slums 48.3%; and rural 52.6% (P value <0.05. Self-reported tobacco use among females was as follows: Urban 3.5%; urban-slums 11.9%; and rural 17.7% (P value <0.05. More males reported daily bidi (tobacco wrapped in temburini leaf smoking (urban 17.8%, urban-slums 36.7%, rural 44.6% than cigarette use (urban 9.6%, urban-slums 6.3%, rural 2.9%. Females using smoked tobacco were almost exclusively using bidis (urban 1.7%, 7.9%, 11% in rural. Daily chewed tobacco use had urban, urban-slum, and rural gradients of 12%, 10.5%, and 6.8% in males respectively. Its use was low in females. Conclusion: The antitobacco policies of India need to focus on bidis in antitobacco campaigns. The program activities must find ways to reach the rural and urban-slum populations.

  18. Sewage disposal methods in a sub-urban community in Edo state ...

    African Journals Online (AJOL)

    The sewage disposal method of household members in any community is an important determinant of their health status. This community based descriptive, cross-sectional study assessed the sewage disposal methods and factors associated with its practice among residents of Oluku a sub-urban community in Edo State, ...

  19. Community-Based Urban Teacher Education: Theoretical Frameworks and Practical Considerations for Developing Promising Practices

    Science.gov (United States)

    Noel, Jana

    2016-01-01

    Traditional campus-based teacher education programs, located on college or university campuses, have been criticized for being removed from the "real world" of community life, and a number of programs have moved directly into urban communities in order for preservice teachers to become immersed in the life of the community. This article…

  20. Urban Tree Risk Management:A Community Guide to Program Design and Implementation

    Science.gov (United States)

    Jill Pokorny; Joseph O' Brien; Richard Hauer; Gary Johnson; Jana Albers; Peter Bedker; Manfred Mielke

    2003-01-01

    Urban Tree Risk Management: A Community Guide to Program Design and Implementation is a fully illustrated, easy to read training manual written for community leaders, administrators, city foresters, parks and public works staff, and private tree care practitioners. The manual is designed to assist communities design, adopt and implement tree risk management programs,...

  1. [Applying energy theory to compare community health assessments conducted in urban and rural areas].

    Science.gov (United States)

    Liou, Yiing-Mei; Wang, Chia-Wen; Hung, Wen-Jing; Lin, Yu-Chi

    2009-02-01

    Taiwan's high population density frequently blurs the administrative boundaries between communities, leading to indistinct community identifications among the population. The authors used the Helvie energy theory to assess different communities in Taiwan, employing a core (population), four internal energies (chemical, physical, biological, and psychiatric) and nine environment subsystems (transportation, health, education, entertainment, economy, politics, communication, culture, and welfare) in an analysis of urban and rural community samples. Authors found significantly different influences on community health due to different environments and energy exchange factors between the two samples. Urban and rural communities have advantages and requirements that are distinct from one another. The community health nurse (CHN) should consider the specific demands of each community and develop professional roles to incorporate the three degrees of prevention. Authors hope that this article can inspire CHNs to define the critical health problems in their communities, facilitate the development of advanced professional roles, and serve as reference in implementing health plans.

  2. Examining the contributions of a community coalition in addressing urban health determinants.

    Science.gov (United States)

    Watson-Thompson, Jomella; May, Margaret J; Jefferson, Jessie; Young, Yolanda; Young, Alan; Schultz, Jerry

    2018-01-01

    Community coalitions facilitate changes in community outcomes and conditions by addressing issues and determinants of health and well-being. The purpose of the present study was to examine the process of a community coalition, the Ivanhoe Neighborhood Council (INC), in addressing community-prioritized urban health determinants aimed at improving living conditions in a neighborhood in Kansas City, Missouri. Using an empirical case study design, the implementation of the community change framework supported through the Kauffman Neighborhood Initiative is examined. The results suggest that the INC was effective in implementing 117 community changes, and these changes were associated with modest improvements in targeted outcomes related to housing and crime. A 10 year follow-up probe indicates that the majority of recurring community changes were sustained. The results indicate that the comprehensive community initiative was important in facilitating community change that may have contributed to improvements in addressing urban health determinants.

  3. Comparative study on the motivations that drive urban community gardens in Central Eastern Europe

    Directory of Open Access Journals (Sweden)

    Nikola M. Trendov

    2018-03-01

    Full Text Available The aspiration of launching urban community gardens is spreading in Central Eastern Europe (CEE. The joy of common work and spending meaningful time in well-designed gardens could bridge the gap between local community members. At the same time, this is how common understanding and social responsibility can be established. The aim of this paper is to compare existing practices of urban gardening in the Central and Eastern European region and investigate their opportunities and limitations. Five capital cities (Budapest, Bratislava, Prague, Warsaw and Zagreb were chosen for this research with benchmark method to analyse aims, main motivation and end-user beneficiary from urban gardens. Keywords: Community urban gardens, Central eastern europe, Motives, Urban agriculture, Neighbourhood, Crops

  4. Urbanization erodes ectomycorrhizal fungal diversity and may cause microbial communities to converge.

    Science.gov (United States)

    Epp Schmidt, Dietrich J; Pouyat, Richard; Szlavecz, Katalin; Setälä, Heikki; Kotze, D Johan; Yesilonis, Ian; Cilliers, Sarel; Hornung, Erzsébet; Dombos, Miklós; Yarwood, Stephanie A

    2017-04-10

    Urbanization alters the physicochemical environment, introduces non-native species and causes ecosystem characteristics to converge. It has been speculated that these alterations contribute to loss of regional and global biodiversity, but so far most urban studies have assessed macro-organisms and reported mixed evidence for biodiversity loss. We studied five cities on three continents to assess the global convergence of urban soil microbial communities. We determined the extent to which communities of bacteria, archaea and fungi are geographically distributed, and to what extent urbanization acts as a filter on species diversity. We discovered that microbial communities in general converge, but the response differed among microbial domains; soil archaeal communities showed the strongest convergence, followed by fungi, while soil bacterial communities did not converge. Our data suggest that urban soil archaeal and bacterial communities are not vulnerable to biodiversity loss, whereas urbanization may be contributing to the global diversity loss of ectomycorrhizal fungi. Ectomycorrhizae decreased in both abundance and species richness under turf and ruderal land-uses. These data add to an emerging pattern of widespread suppression of ectomycorrhizal fungi by human land-uses that involve physical disruption of the soil, management of the plant community, or nutrient enrichment.

  5. Urbanization alters the functional composition, but not taxonomic diversity, of the soil nematode community

    Science.gov (United States)

    Mitchell A. Pavao-Zuckerman; David C. Coleman

    2007-01-01

    We evaluated the response of riparian forest soil nematode community structure to the physico-chemical environment associated with urban land use. Soils were sampled seasonally between December 2000 and October 2002 along an urban-rural transect in Asheville, North Carolina. We characterized the taxonomic (to genus) and functional composition (trophic groups) of the...

  6. Child gender preferences in an urban and rural community in Enugu ...

    African Journals Online (AJOL)

    Objective: To ascertain the child gender preferences in an urban and rural community in Enugu State. Materials and Methods: A multistage sampling method was employed to select 245 urban and 243 rural women from households in Enugu State, Eastern Nigeria. A structured questionnaire was used to ascertain child ...

  7. Effects of urban development on ant communities: implications for ecosystem services and management

    Science.gov (United States)

    M.P. Sanford; Patricia N. Manley; Dennis D. Murphy

    2009-01-01

    Research that connects the effects of urbanization on biodiversity and ecosystem services is lacking. Ants perform multifarious ecological functions that stabilize ecosystems and contribute to a number of ecosystem services. We studied responses of ant communities to urbanization in the Lake Tahoe basin by sampling sites along a gradient...

  8. Districts on the Edge: The Impact of Urban Sprawl on a Rural Community.

    Science.gov (United States)

    Theobald, Paul

    1988-01-01

    Portrays the controversy surrounding schools and education in a rural community experiencing both an influx of urban and suburban newcomers and the effects of urban sprawl. Reports on surveys of student educational attitudes, household information, and outside activities, and on interviews with teachers, school administrators, and residents.…

  9. Shift in the microbial community composition of surface water and sediment along an urban river.

    Science.gov (United States)

    Wang, Lan; Zhang, Jing; Li, Huilin; Yang, Hong; Peng, Chao; Peng, Zhengsong; Lu, Lu

    2018-01-30

    Urban rivers represent a unique ecosystem in which pollution occurs regularly, leading to significantly altered of chemical and biological characteristics of the surface water and sediments. However, the impact of urbanization on the diversity and structure of the river microbial community has not been well documented. As a major tributary of the Yangtze River, the Jialing River flows through many cities. Here, a comprehensive analysis of the spatial microbial distribution in the surface water and sediments in the Nanchong section of Jialing River and its two urban branches was conducted using 16S rRNA gene-based Illumina MiSeq sequencing. The results revealed distinct differences in surface water bacterial composition along the river with a differential distribution of Proteobacteria, Cyanobacteria, Actinobacteria, Bacteroidetes and Acidobacteria (P urban water. PICRUSt metabolic inference analysis revealed a growing number of genes associated with xenobiotic metabolism and nitrogen metabolism in the urban water, indicating that urban discharges might act as the dominant selective force to alter the microbial communities. Redundancy analysis suggested that the microbial community structure was influenced by several environmental factors. TP (P urban river. These results highlight that river microbial communities exhibit spatial variation in urban areas due to the joint influence of chemical variables associated with sewage discharging and construction of hydropower stations. Copyright © 2018 Elsevier B.V. All rights reserved.

  10. Evaluation of a peri-urban community health worker project in the ...

    African Journals Online (AJOL)

    1991-04-20

    Apr 20, 1991 ... community health worker (CHW) programme in 4 peri-urban ... in rural areas, and CHWs in a peri-urban slum 'Setting are a .... Interquartile range. 4-6. 5-9. 3-6. 3 - 6. * These results are likely to be errors in transcribing responses. SACLA's coverage. While many people did not know about SACLA (this does.

  11. Pedestrian Zones As Important Urban Strategies in Redeveloping the Community - Case Study: Alba Iulia Borough Park

    Directory of Open Access Journals (Sweden)

    Oana Elena BLAGA

    2013-02-01

    Full Text Available The pedestrian zone issue is by far an important matter in the context of urban regeneration. Cities which adopted this strategy – the pedestrian zones – have recorded better urban attitudes regarding the urban environment, a continuous growth of the urban quality, an improved urban ecosystem  and continuous attractiveness for investment and  tourism. This article explores the evolution of the pedestrian zones as ideas in utopian urban models in the early 1900 and later as efficient environmental friendly strategies adopted by cities. After identifying the path this concept followed, from a simple idea to an important strategy of urban development, the paper focuses on the major characteristics and benefits of the pedestrian precincts. Next, the article focuses on the newest pedestrian zone in one of the Romanian cities, Alba Iulia and it tries to identify the types of impact this area has so far on the community and entire city.

  12. Coastal urbanization leads to remarkable seaweed species loss and community shifts along the SW Atlantic.

    Science.gov (United States)

    Scherner, Fernando; Horta, Paulo Antunes; de Oliveira, Eurico Cabral; Simonassi, José Carlos; Hall-Spencer, Jason M; Chow, Fungyi; Nunes, José Marcos C; Pereira, Sonia Maria Barreto

    2013-11-15

    Coastal urbanization is rapidly expanding worldwide while its impacts on seaweed communities remain poorly understood. We assessed the impact of urbanization along an extensive latitudinal gradient encompassing three phycogeographical regions in the SW Atlantic. Human population density, number of dwellings, and terrestrial vegetation cover were determined for each survey area and correlated with diversity indices calculated from seaweed percent cover data. Urban areas had significantly lower calcareous algal cover (-38%), and there was significantly less carbonate in the sediment off urban areas than off reference areas. Seaweed richness averaged 26% less in urban areas than in areas with higher vegetation cover. We observed a remarkable decline in Phaeophyceae and a substantial increase of Chlorophyta in urban areas across a wide latitudinal gradient. Our data show that coastal urbanization is causing substantial loss of seaweed biodiversity in the SW Atlantic, and is considerably changing seaweed assemblages. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. Public Participation in Urban Environmental Management: A Model for Promoting Community-Based Environmental Management in Peri-Urban Areas.

    Science.gov (United States)

    Yacoob, May; Brantly, Eugene; Whiteford, Linda

    In October 1992, the Water and Sanitation for Health (WASH) Project held a workshop to explore how the U.S. Agency for International Development (USAID) could incorporate community participation as a core element in projects to improve water supply, sanitation, and other environmental conditions of peri-urban areas in developing countries. The…

  14. Effects of urban development on ant communities: implications for ecosystem services and management.

    Science.gov (United States)

    Sanford, Monte P; Manley, Patricia N; Murphy, Dennis D

    2009-02-01

    Research that connects the effects of urbanization on biodiversity and ecosystem services is lacking. Ants perform multifarious ecological functions that stabilize ecosystems and contribute to a number of ecosystem services. We studied responses of ant communities to urbanization in the Lake Tahoe basin by sampling sites along a gradient of urban land development. We sampled ant communities, measured vegetation characteristics, quantified human activities, and evaluated ant-community responses by grouping ants into service-providing units (SPUs), defined as a group of organisms and their populations that perform specific ecosystem services, to provide an understanding of urbanization impacts on biodiversity and their delivery of ecosystem services. Species richness and abundance peaked at intermediate levels of urban development, as did the richness of 3 types of ant SPUs (aerators, decomposers, and compilers). With increasing land development aerator and decomposer ants significantly declined in abundance, whereas compiler ants significantly increased in abundance. Competing models demonstrated that precipitation was frequently among the strongest influences on ant community structure; however, urban development and human activities also had a strong, negative influence on ants, appearing in most models with DeltaAIC(c) ecosystem services were maintained until development reached 30-40%. Our data provide evidence that ecosystem functions, such as water infiltration and soil productivity, may be diminished at sites subject to greater levels of urbanization and that conserving ant communities and the ecosystem services they provide could be an important target in land-use planning and conservation efforts.

  15. Between us in the city:Materiality, subjectivity, and community in the era of global urbanization

    OpenAIRE

    Coward, Martin

    2012-01-01

    In this paper I consider the conceptual challenges for subjectivity and community in an era of global urbanisation. The urban environment comprises a complex assemblage of human and nonhuman entities. Urban political subjectivity is thus constituted by a distinctive relation with materiality. This reconceptualisation of the subject comprises a challenge to the classical morphology that has underpinned conceptions of citizenship and community. This morphology has rested on notions of autonomy ...

  16. Community of practice approach to developing urban sustainability indicators

    NARCIS (Netherlands)

    Gonzalez, A.; Donnelly, A.; Jones, M.; Klostermann, J.E.M.; Groot, A.M.E.; Breil, M.

    2011-01-01

    In the urban context the quest to enhance economic growth and social well-being is challenged by the need to protect and manage natural resources. In order to promote sustainable urban planning, sustainability objectives are commonly embedded into planning policies, and the associated indicators

  17. Alternative approaches to food : Community supported agriculture in urban China

    NARCIS (Netherlands)

    Krul, K.; Ho, P.P.S.

    2017-01-01

    One of the most remarkable features of China's development path is its large-scale and fast-paced urbanization. As cities already accommodate more than half of China's population, new challenges to urban food systems have emerged concurrently. Concerns over environmental degradation and food

  18. Multiliteracies and Family Language Policy in an Urban Inuit Community

    Science.gov (United States)

    Patrick, Donna; Budach, Gabriele; Muckpaloo, Igah

    2013-01-01

    This study investigates the intersection of family language policy with Indigenous multiliteracies and urban Indigeneity. It documents a grassroots Inuit literacy initiative in Ottawa, Canada and considers literacy practices among Inuit at a local Inuit educational centre, where maintaining connections between urban Inuit and their homeland…

  19. Building Mathematics Learning Communities: Improving Outcomes in Urban High Schools

    Science.gov (United States)

    Walker, Erica N.

    2012-01-01

    Drawing on perceptions, behaviors, and experiences of students at an urban high school--both high and low achievers--this timely book demonstrates how urban youth can be meaningfully engaged in learning mathematics. The author presents a "potential" model rather than a "deficit" model, complete with teaching strategies and best practices for…

  20. Transitioning to resilience and sustainability in urban communities

    NARCIS (Netherlands)

    Collier, M.J.; Nedović-Budić, Z.; Aerts, J.C.J.H.; Connop, S.; Foley, D.; Foley, K.; Newport, D.; McQuaid, S.; Slaey, A.; Verburg, P.H.

    2013-01-01

    Adapting to the challenges of rapid urban growth and societal change will require mechanisms for efficient transitioning to an embedded resilience. This has become central to the exploration of methods for achieving truly sustainable urban growth. However, while transitioning and resilience are

  1. Urbanization drives community shifts towards thermophilic and dispersive species at local and landscape scales.

    Science.gov (United States)

    Piano, Elena; De Wolf, Katrien; Bona, Francesca; Bonte, Dries; Bowler, Diana E; Isaia, Marco; Lens, Luc; Merckx, Thomas; Mertens, Daan; van Kerckvoorde, Marc; De Meester, Luc; Hendrickx, Frederik

    2017-07-01

    The increasing conversion of agricultural and natural areas to human-dominated urban landscapes is predicted to lead to a major decline in biodiversity worldwide. Two conditions that typically differ between urban environments and the surrounding landscape are increased temperature, and high patch isolation and habitat turnover rates. However, the extent and spatial scale at which these altered conditions shape biotic communities through selection and/or filtering on species traits are currently poorly understood. We sampled carabid beetles at 81 sites in Belgium using a hierarchically nested sampling design wherein three local-scale (200 × 200 m) urbanization levels were repeatedly sampled across three landscape-scale (3 × 3 km) urbanization levels. First, we showed that communities sampled in the most urbanized locations and landscapes displayed a distinct species composition at both local and landscape scale. Second, we related community means of species-specific thermal preferences and dispersal capacity (based on European distribution and wing morphology, respectively) to the urbanization gradients. We showed that urban communities consisted on average of species with a preference for higher temperatures and with better dispersal capacities compared to rural communities. These shifts were caused by an increased number of species tolerating higher temperatures, a decreased richness of species with low thermal preference, and an almost complete depletion of species with very low-dispersal capacity in the most urbanized localities. Effects of urbanization were most clearly detected at the local scale, although more subtle effects could also be found at the scale of entire landscapes. Our results demonstrate that urbanization may fundamentally and consistently alter species composition by exerting a strong filtering effect on species dispersal characteristics and favouring replacement by warm-dwelling species. © 2017 John Wiley & Sons Ltd.

  2. THE REPRESENTATION OF URBAN UPPER MIDDLE CLASS AMERICAN WOMEN'S COMMUNITY IN SEX AND THE CITY

    Directory of Open Access Journals (Sweden)

    Yola Damayanti Gani

    2005-01-01

    Full Text Available The portrayal of urban upper middle class American women's community in Sex and the City-SATC-is built upon constructed symbols related to the position of urban upper middle class American Women's community and how cosmopolitan the women are. The symbol's construction is characterized by singleness, upper middle class social status, well-established career, alienation, consumptiveness, independence, gender consciousness, and open mindedness in their sexual knowledge. Television has helped to fracture traditional conventions about how women should place themselves in the midst of their society and constructed urban upper middle class American women's image and identity.

  3. The impact of urbanization on the community food environment in China.

    Science.gov (United States)

    Wu, Yang; Xue, Hong; Wang, Huijun; Su, Chang; Du, Shufa; Wang, Youfa

    2017-05-01

    Research on how urbanization has influenced the food environment in China is limited. The study aimed to examine the impact of urbanization on the food environment in China. Longitudinal data collected during 1989-2009 from the China Health and Nutrition Survey were used, which covered 9 provinces in China. Urbanicity index (0-10) was assessed using an urbanicity scale. Final analyses included 216 communities. Random-effect models were used in analyses. Urbanization (higher urbanicity index) increased the odds of having fast food restaurants (OR=2.78, 95% CI: 2.18-3.54) and other indoor restaurants (OR=2.93, 95% CI: 2.28-3.76) within the community, the odds of having supermarkets (OR=2.43, 95% CI: 2.04-2.89) and free markets (OR=2.56, 95% CI: 1.77-3.70) within 30 minutes' bus ride from the community. Food prices for apples (β=0.06, 95% CI: 0.04-0.08) and lean pork (β =0.02, 95% CI: 0.01-0.03) increased with urbanicity, while prices for other food did not. Urbanicity was positively associated with community norms for fast food consumption (RR=1.28, 95% CI: 1.22-1.33), fast food preferences (RR=1.09, 95% CI: 1.06-1.12) and nutrition knowledge (RR=1.02, 95% CI: 1.01-1.03). Urbanization is associated with food environment in China. The findings provide insight for future economic development and public health efforts related to urbanization.

  4. Rural-Urban Differences in Preventable Hospitalizations among Community-Dwelling Veterans with Dementia

    Science.gov (United States)

    Thorpe, Joshua M.; Van Houtven, Courtney H.; Sleath, Betsy L.; Thorpe, Carolyn T.

    2010-01-01

    Context: Alzheimer's patients living in rural communities may face significant barriers to effective outpatient medical care. Purpose: We sought to examine rural-urban differences in risk for ambulatory care sensitive hospitalizations (ACSH), an indicator of access to outpatient care, in community-dwelling veterans with dementia. Methods: Medicare…

  5. A Cross-Curricular, Problem-Based Project to Promote Understanding of Poverty in Urban Communities

    Science.gov (United States)

    Gardner, Daniel S.; Tuchman, Ellen; Hawkins, Robert

    2010-01-01

    This article describes the use of problem-based learning to teach students about the scope and consequences of urban poverty through an innovative cross-curricular project. We illustrate the process, goals, and tasks of the Community Assessment Project, which incorporates community-level assessment, collection and analysis of public data, and…

  6. Evaluation of a peri-urban community health worker project in the ...

    African Journals Online (AJOL)

    The South African Christian Leadership Assembly (SACLA) Health Project is a non-governmental organisation that runs a community health worker (CHW) programme in 4 peri-urban townships of Cape Town. A cross-sectional descriptive community survey was conducted in April 1990 to evaluate coverage and health ...

  7. A Model of Solid Waste Management Based Multilateral Co-Operation in Semi-Urban Community

    Science.gov (United States)

    Kanchanabhandhu, Chanchai; Woraphong, Seree

    2016-01-01

    The purpose of this research was to construct a model of solid waste management based on multilateral cooperation in semi-urban community. Its specific objectives were to 1) study the solid waste situation and involvement of community in the solid waste management in Wangtaku Sub-district, Muang District, Nakhon Pathom Province; 2) construct a…

  8. Landscape and patch-level factors influence bird communities in an urbanized tropical island

    Science.gov (United States)

    Marcela Suarez-Rubio; John R. Thomlinson

    2009-01-01

    As human population continues to increase and intensification of human land use escalates, it is important to address the role of urban forest patches in supporting bird communities. We related bird species richness and community assemblage to landscape- and patch- level factors in 40 forest patches in the densely populated metropolitan area of San Juan, Puerto Rico....

  9. 78 FR 58994 - National Urban and Community Forestry Advisory Council Meetings

    Science.gov (United States)

    2013-09-25

    ... DEPARTMENT OF AGRICULTURE Forest Service National Urban and Community Forestry Advisory Council... Forestry Advisory Council will meet on November 5 and 6, 2013. The meeting will be held in Pittsburgh, PA... projects the Council recommended to the public and those attending the Partners in Community Forestry...

  10. Transmission of tuberculosis in a high incidence urban community in South Africa

    NARCIS (Netherlands)

    Verver, Suzanne; Warren, Robin M.; Munch, Zahn; Vynnycky, Emilia; van Helden, Paul D.; Richardson, Madalene; van der Spuy, Gian D.; Enarson, Donald A.; Borgdorff, Martien W.; Behr, Marcel A.; Beyers, Nulda

    2004-01-01

    BACKGROUND: The objective of this study was to identify risk factors for ongoing community transmission of tuberculosis (TB) in two densely populated urban communities with a high incidence rate of TB in Cape Town, South Africa. METHODS: Between 1993 and 1998 DNA fingerprints of mycobacterial

  11. Carbon storage and sequestration by trees in urban and community areas of the United States

    International Nuclear Information System (INIS)

    Nowak, David J.; Greenfield, Eric J.; Hoehn, Robert E.; Lapoint, Elizabeth

    2013-01-01

    Carbon storage and sequestration by urban trees in the United States was quantified to assess the magnitude and role of urban forests in relation to climate change. Urban tree field data from 28 cities and 6 states were used to determine the average carbon density per unit of tree cover. These data were applied to statewide urban tree cover measurements to determine total urban forest carbon storage and annual sequestration by state and nationally. Urban whole tree carbon storage densities average 7.69 kg C m −2 of tree cover and sequestration densities average 0.28 kg C m −2 of tree cover per year. Total tree carbon storage in U.S. urban areas (c. 2005) is estimated at 643 million tonnes ($50.5 billion value; 95% CI = 597 million and 690 million tonnes) and annual sequestration is estimated at 25.6 million tonnes ($2.0 billion value; 95% CI = 23.7 million to 27.4 million tonnes). -- Highlights: •Total tree carbon storage in U.S. urban areas (c. 2005) is estimated at 643 million tonnes. •Total tree carbon storage in U.S. urban and community areas is estimated at 1.36 billion tonnes. •Net carbon sequestration in U.S. urban areas varies by state and is estimated at 18.9 million tonnes per year. •Overlap between U.S. forest and urban forest carbon estimates is between 247 million and 303 million tonnes. -- Field and tree cover measurements reveal carbon storage and sequestration by trees in U.S. urban and community areas

  12. Perceptions of Shale Gas Development: Differences in Urban and Rural Communities

    Science.gov (United States)

    Melby, G.; Grubert, E.; Brandt, A. R.

    2016-12-01

    Shale gas development in Pennsylvania has been shown to have a large impact on nearby rural communities, but almost no research has been done on how development of the Marcellus Shale affects urban residents in neighboring cities. The goal of this project is to examine how the social and environmental priorities of urban and rural communities differ and to determine how well informed urban residents are on shale gas development. An anonymous web survey was used to survey 250 residents of Pennsylvania's largest cities on topics like how respondents prioritize different environmental and social factors and how well informed they feel about shale gas development. The results of this survey were compared to findings of previous surveys on rural communities located near energy development. In terms of environmental priorities, urban residents are more concerned about climate change and air pollution than rural residents. Both urban and rural respondents agreed that healthcare and education were their top social concerns, but urban respondents also prioritized housing and employment. Most urban respondents said that they were unfamiliar with shale gas development, although many were still concerned about what its environmental impacts might be. We also found that our results displayed two well known demographic trends: first, Democrats are far more likely to self identify as environmentalists than those who vote Republican, and second, that people of color are far less likely to identify as environmentalists than white respondents. As a result, there are disproportionately fewer self-identifying environmentalists in urban and largely Democrat-leaning areas with racially diverse populations. Our data displayed known trends in urban populations as well as new information on how urban residents differ from their rural counterparts in their views on shale gas development and their broader social and environmental priorities.

  13. Impacts of urban landuse on macroinvertebrate communities in southeastern Wisconsin streams

    Science.gov (United States)

    Stepenuck, K.F.; Crunkilton, R.L.; Wang, L.

    2002-01-01

    Macroinvertebrates were used to assess the impact of urbanization on stream quality across a gradient of watershed imperviousness in 43 southeastern Wisconsin streams. The percentage of watershed connected imperviousness was chosen as the urbanization indicator to examine impact of urban land uses on macroinvertebrate communities. Most urban land uses were negatively correlated with the Shannon diversity index, percent of pollution intolerant Ephemeroptera, Plecoptera, and Trichoptera individuals, and generic richness. Nonurban land uses were positively correlated with these same metrics. The Hilsenhoff biotic index indicated that stream quality declined with increased urbanization. Functional feeding group metrics varied across a gradient of urbanization, suggesting changes in stream quality. Proportions of collectors and gatherers increased, while proportions of filterers, scrapers, and shredders decreased with increased watershed imperviousness. This study demonstrated that urbanization severely degraded stream macroinvertebrate communities, hence stream quality. Good stream quality existed where imperviousness was less than 8 percent, but less favorable assessments were inevitable where imperviousness exceeded 12 to 20 percent. Levels of imperviousness between 8 and 12 percent represented a threshold where minor increases in urbanization were associated with sharp declines in stream quality.

  14. CEDRIC: a computerized chronic disease management system for urban, safety net clinics.

    Science.gov (United States)

    Ogunyemi, Omolola; Mukherjee, Sukrit; Ani, Chizobam; Hindman, David; George, Sheba; Ilapakurthi, Ramarao; Verma, Mary; Dayrit, Melvin

    2010-01-01

    To meet the challenge of improving health care quality in urban, medically underserved areas of the US that have a predominance of chronic diseases such as diabetes, we have developed a new information system called CEDRIC for managing chronic diseases. CEDRIC was developed in collaboration with clinicians at an urban safety net clinic, using a community-participatory partnered research approach, with a view to addressing the particular needs of urban clinics with a high physician turnover and large uninsured/underinsured patient population. The pilot implementation focuses on diabetes management. In this paper, we describe the system's architecture and features.

  15. Imagining Urban Community: Contested Geographies and Parallax Urban Dreams on Cheju Island, South Korea

    Directory of Open Access Journals (Sweden)

    Tommy Tran

    2015-12-01

    Full Text Available This article examines how urban space in Cheju City can be imagined as a site of experience and identity. The rapid development of Cheju City on Cheju Island, the Republic of Korea’s prime resort and ecological heritage destination, has foregrounded tensions between global tourism and local identity. How people experience cities physically has an intimate connection with how they imagine and represent urban space. Cheju City, which has transformed from being the modest seat of a long-marginalized periphery into a burgeoning tourism hub, is a battleground on which differing visions of urban space as the location of culture are staged. Such debates are as much about the right to represent identity as about the right to use urban space. While urban redevelopment in Cheju City erases entire city blocks for tourist facilities and elaborate monuments to distant pasts, emergent social movements are rearticulating sites of memory to recover a sense of a Cheju-specific landscape and to redefine local identity. Using ongoing ethnographic and archival research conducted since 2012, this article demonstrates how a new urban heritage paradigm is emerging in Cheju. Heritage is no longer confined to essentialist conclusions drawn from rural folklore but now directly addresses urban experience.

  16. Urban American Indian Community Perspectives on Resources and Challenges for Youth Suicide Prevention.

    Science.gov (United States)

    Burrage, Rachel L; Gone, Joseph P; Momper, Sandra L

    2016-09-01

    American Indian (AI) youth have some of the highest rates of suicide of any group in the United States, and the majority of AI youth live in urban areas away from tribal communities. As such, understanding the resources available for suicide prevention among urban AI youth is critical, as is understanding the challenges involved in accessing such resources. Pre-existing interview data from 15 self-identified AI community members and staff from an Urban Indian Health Organization were examined to understand existing resources for urban AI youth suicide prevention, as well as related challenges. A thematic analysis was undertaken, resulting in three principal themes around suicide prevention: formal resources, informal resources, and community values and beliefs. Formal resources that meet the needs of AI youth were viewed as largely inaccessible or nonexistent, and youth were seen as more likely to seek help from informal sources. Community values of mutual support were thought to reinforce available informal supports. However, challenges arose in terms of the community's knowledge of and views on discussing suicide, as well as the perceived fit between community values and beliefs and formal prevention models. © Society for Community Research and Action 2016.

  17. Differences in health care seeking behaviour between rural and urban communities in South Africa.

    Science.gov (United States)

    van der Hoeven, Marinka; Kruger, Annamarie; Greeff, Minrie

    2012-06-12

    The aim of this study was to explore possible differences in health care seeking behaviour among a rural and urban African population. A cross sectional design was followed using the infrastructure of the PURE-SA study. Four rural and urban Setswana communities which represented different strata of urbanisation in the North West Province, South Africa, were selected. Structured interviews were held with 206 participants. Data on general demographic and socio-economic characteristics, health status, beliefs about health and (access to) health care was collected. The results clearly illustrated differences in socio-economic characteristics, health status, beliefs about health, and health care utilisation. In general, inhabitants of urban communities rated their health significantly better than rural participants. Although most urban and rural participants consider their access to health care as sufficient, they still experienced difficulties in receiving the requested care. The difference in employment rate between urban and rural communities in this study indicated that participants of urban communities were more likely to be employed. Consequently, participants from rural communities had a significantly lower available weekly budget, not only for health care itself, but also for transport to the health care facility. Urban participants were more than 5 times more likely to prefer a medical doctor in private practice (OR:5.29, 95% CI 2.83-988). Recommendations are formulated for infrastructure investments in rural communities, quality of health care and its perception, improvement of household socio-economical status and further research on the consequences of delay in health care seeking behaviour.

  18. How to Guide: Aggregate under-served markets into buying pools

    Energy Technology Data Exchange (ETDEWEB)

    None

    2000-12-26

    This activity promotes new opportunities to increase energy security and lower energy costs for under-served markets. It involves market analysis and collaboration with community partners, as well as outreach activities to inform target markets and technical assistance for participants.

  19. Water Bacterial and Fungal Community Compositions Associated with Urban Lakes, Xi'an, China.

    Science.gov (United States)

    Zhang, Haihan; Wang, Yue; Chen, Shengnan; Zhao, Zhenfang; Feng, Ji; Zhang, Zhonghui; Lu, Kuanyu; Jia, Jingyu

    2018-03-07

    Urban lakes play a vital role in the sustainable development of urbanized areas. In this freshwater ecosystem, massive microbial communities can drive the recycling of nutrients and regulate the water quality. However, water bacterial and fungal communities in the urban lakes are not well understood. In the present work, scanning electron microscopy (SEM) was combined with community level physiological profiles (CLPPs) and Illumina Miseq sequence techniques to determine the diversity and composition of the water bacterial and fungal community in three urban lakes, namely Xingqing lake (LX), Geming lake (LG) and Lianhu lake (LL), located in Xi'an City (Shaanxi Province, China). The results showed that these three lakes were eutrophic water bodies. The highest total nitrogen (TN) was observed in LL, with a value of 12.1 mg/L, which is 2 times higher than that of LG. The permanganate index (COD Mn ) concentrations were 21.6 mg/L, 35.4 mg/L and 28.8 mg/L in LG, LL and LX, respectively ( p accounting for 95% of the population in the LL and 56% in the LG. Heat map and redundancy analysis (RDA) highlighted the dramatic differences of water bacterial communities among three urban lakes. Meanwhile, the profiles of fungal communities were significantly correlated with the water quality parameters (e.g., COD Mn and total nitrogen, TN). Several microbes ( Legionella sp. and Streptococcus sp.) related to human diseases, such as infectious diseases, were also found. The results from this study provides useful information related to the water quality and microbial community compositions harbored in the aquatic ecosystems of urban lakes.

  20. Job Satisfaction of Elementary Principals in Large Urban Communities

    Science.gov (United States)

    Mitchell, Cathryn M.

    2010-01-01

    The purpose of this study was to determine job satisfaction levels of elementary principals in "major urban" districts in Texas and to identify strategies these principals used to cope with the demands of the position. Additionally, the project sought to find structures and supports needed to attract and retain principals in the…

  1. Street mirrors, surveillance, and urban communities in early modern Finland

    NARCIS (Netherlands)

    Ylimaunu, T.; Symonds, J.; Mullins, P.R.; Salmi, A.-K.; Nurmi, R.; Kallio-Seppä, T.; Kuokkanen, T.; Tranberg, A.

    2014-01-01

    This article discusses street mirrors or ‘gossip mirrors’, in terms of urban social relations and surveillance. Street mirrors were introduced to coastal towns in Sweden and Finland in the 18th and early 19th centuries and may still be found in well-preserved towns with historic wooden centres. The

  2. Parenting Styles and Adolescents' Learning Strategies in the Urban Community.

    Science.gov (United States)

    Boveja, Marsha E.

    1998-01-01

    Examines the relationship between perceived parenting styles and urban adolescents' learning and studying strategies. Results revealed that those adolescents who perceived their parents as being authoritative tended to engage in more effective learning and study strategies. Discusses implications for counselors and teachers using this information…

  3. Planning innovation for better urban communities in sub-Saharan ...

    African Journals Online (AJOL)

    Cities in the sub-Saharan Africa region present challenges to the urban and regional planning profession, city managers, leaders, educationists and dwellers (Rakodi, 1997, 2001; McGill, 1988; Diaw, Nnkya & Watson, 2002). This is at a time when Africa is urbanising faster than any other region (UN-Habitat, 2008), calling ...

  4. Urban violence and displacement, gender, and community ties ...

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

    2017-10-20

    Oct 20, 2017 ... Several projects have explored the various ways in which men and women experience urban violence. SAIC findings highlight how values and beliefs about masculinity or femininity can put women and sexual minorities at risk and stoke frustrations that push youth toward a life of crime. The thematic briefs ...

  5. Differences in health care seeking behaviour between rural and urban communities in South Africa

    OpenAIRE

    van der Hoeven, Marinka; Kruger, Annamarie; Greeff, Minrie

    2012-01-01

    Objective The aim of this study was to explore possible differences in health care seeking behaviour among a rural and urban African population. Design A cross sectional design was followed using the infrastructure of the PURE-SA study. Four rural and urban Setswana communities which represented different strata of urbanisation in the North West Province, South Africa, were selected. Structured interviews were held with 206 participants. Data on general demographic and socio-economi...

  6. Nekton community structure varies in response to coastal urbanization near mangrove tidal tributaries

    Science.gov (United States)

    Krebs, Justin M.; McIvor, Carole C.; Bell, Susan S.

    2014-01-01

    To assess the potential influence of coastal development on estuarine-habitat quality, we characterized land use and the intensity of land development surrounding small tidal tributaries in Tampa Bay. Based on this characterization, we classified tributaries as undeveloped, industrial, urban, or man-made (i.e., mosquito-control ditches). Over one third (37 %) of the tributaries have been heavily developed based on landscape development intensity (LDI) index values >5.0, while fewer than one third (28 %) remain relatively undeveloped (LDI < 3.0). We then examined the nekton community from 11 tributaries in watersheds representing the four defined land-use classes. Whereas mean nekton density was independent of land use, species richness and nekton-community structure were significantly different between urban and non-urban (i.e., undeveloped, industrial, man-made) tributaries. In urban creeks, the community was species-poor and dominated by high densities of poeciliid fishes, Poecilia latipinna and Gambusia holbrooki, while typically dominant estuarine taxa including Menidia spp., Fundulus grandis, and Adinia xenica were in low abundance and palaemonid grass shrimp were nearly absent. Densities of economically important taxa in urban creeks were only half that observed in five of the six undeveloped or industrial creeks, but were similar to those observed in mosquito ditches suggesting that habitat quality in urban and mosquito-ditch tributaries is suboptimal compared to undeveloped tidal creeks. Furthermore, five of nine common taxa were rarely collected in urban creeks. Our results suggest that urban development in coastal areas has the potential to alter the quality of habitat for nekton in small tidal tributaries as reflected by variation in the nekton community.

  7. Is the burden of oral diseases higher in urban disadvantaged community compared to the national prevalence?

    OpenAIRE

    Jaafar, Nasruddin; Hakim, Hina; Mohd Nor, Nor Azlida; Mohamed, Asma; Saub, Roslan; Esa, Rashidah; Doss, Jennifer; Mohd Yusof, Zamros Yuzadi; Ab-Murat, Norintan; Abu Kassim, Noor Lide; Majid, Hazreen Abdul

    2014-01-01

    Background The urban low income has often been assumed to have the greatest dental treatment needs compared to the general population. However, no studies have been carried out to verify these assumptions. This study was conducted to assess whether there was any difference between the treatment needs of an urban poor population as compared to the general population in order to design an intervention programme for this community. Methods A random sampling of living quarters (households) in the...

  8. Patient satisfaction with community pharmacy: comparing urban and suburban chain-pharmacy populations.

    Science.gov (United States)

    Malewski, David F; Ream, Aimrie; Gaither, Caroline A

    2015-01-01

    Patient satisfaction with pharmaceutical care can be a strong predictor of medication and other health-related outcomes. Less understood is the role that location of pharmacies in urban or suburban environments plays in patient satisfaction with pharmacy and pharmacist services. The purpose of this study was to serve as a pilot examining urban and suburban community pharmacy populations for similarities and differences in patient satisfaction. Community pharmacy patients were asked to self-administer a 30-question patient satisfaction survey. Fifteen questions addressed their relationship with the pharmacist, 10 questions addressed satisfaction and accessibility of the pharmacy, and five questions addressed financial concerns. Five urban and five suburban pharmacies agreed to participate. Data analysis included descriptive statistics and chi-square analysis. Most patients reported high levels of satisfaction. Satisfaction with pharmacist relationship and service was 70% or higher with no significant differences between locations. There were significant differences between the urban and suburban patients regarding accessibility of pharmacy services, customer service and some patient/pharmacist trust issues. The significant differences between patient satisfaction in the suburban and urban populations warrant a larger study with more community pharmacies in other urban, suburban and rural locations to better understand and validate study findings. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. The Urban Heat Island Phenomenon: How Its Effects Can Influence Environmental Decision Making in Your Community

    Science.gov (United States)

    Estes, Maurice G., Jr.; Quattrochi, Dale; Stasiak, Elizabeth

    2003-01-01

    Reinvestment in urban centers is breathing new life into neighborhoods that have been languishing as a result of explosive suburban development over the past several decades. In cities all over the country, adaptive reuse, brownfields redevelopment, transforming urban landscapes, economies, and quality of life. However, the way in which this development occurs has the potential to exacerbate the urban heat island (UHI) phenomenon, an existing problem in many areas and one which poses a threat to the long-term sustainability and environmental quality of cities. The UHI phenomenon is rooted in the science of how the land covers respond to solar heating and can adversely effect the environment. This phenomenon is responsible for urban centers having higher air temperatures and poorer air quality than suburban areas. In addition, the UHI phenomenon causes metrological occurrences, degrades water quality, increases energy demands, poses threats to public health and contributes to global warming. While the name of the phenomenon implies that is solely an urban issue, research has shown that the effects of the UHI are becoming prevalent in suburbs, as well. The UHI phenomenon can plague regions - urban centers and their suburbs. Furthermore, heat islands have been found to exist in both city centers and suburban communities. As suburban areas increasingly develop using land covers and building materials common to urban areas, they are inheriting urban problems - such as heat islands. In this way, it may be necessary for non-urban communities to engage in heat island mitigation. The good news is that through education and planning, the effects of the UHI phenomenon can be prevented and mitigated. Heat islands are more a product of urban design rather than the density of development. Therefore, cities can continue to grow and develop without exacerbating the UHI by employing sustainable development strategies.

  10. Water Sensitive Urban Design: An Investigation of Current Systems, Implementation Drivers, Community Perceptions and Potential to Supplement Urban Water Services

    Directory of Open Access Journals (Sweden)

    Ashok K. Sharma

    2016-06-01

    Full Text Available Large scale centralised water, wastewater and stormwater systems have been implemented for over 100 years. These systems have provided a safe drinking water supply, efficient collection and disposal of wastewater to protect human health, and the mitigation of urban flood risk. The sustainability of current urban water systems is under pressure from a range of challenges which include: rapid population growth and resulting urbanisation, climate change impacts, and infrastructure that is ageing and reaching capacity constraints. To address these issues, urban water services are now being implemented with Integrated Urban Water Management (IUWM and Water Sensitive Urban Design (WSUD approaches. WSUD systems can deliver multiple benefits including water conservation, stormwater quality improvement, flood control, landscape amenity and a healthy living environment. These systems can be provided as stand-alone systems or in combination with centralised systems. These systems are still novel and thus face knowledge gaps that are impeding their mainstream uptake. Knowledge gaps cover technical, economic, social, and institutional aspects of their implementation. This paper is based on the outcomes of a comprehensive study conducted in South Australia which investigated impediments for mainstream uptake of WSUD, community perceptions of WSUD and potential of WSUD to achieve water conservation through the application of alternative resources, and in flood management. The outcomes are discussed in this paper for the benefit of water professionals engaged with WSUD planning, implementation, community consultation and regulation. Although the paper is based on a study conducted in South Australia, the comprehensive framework developed to conduct this detailed study and investigation can be adopted in any part of the world.

  11. The Urban Poor and their Willingness to Participate in Community ...

    African Journals Online (AJOL)

    Community-based development strategies are gaining credibility and acceptance in development circles. In parallel, the concept of social capital and the role of supportive non-governmental organizations are receiving attention as key catalytic elements in encouraging and assisting community-based initiatives. In this ...

  12. Peer Bonds in Urban School Communities: An Exploratory Study

    Science.gov (United States)

    Leach, Nicole

    2018-01-01

    The literature identifies three main types of peer associations: cliques, crowds, and dyadic friendships. When schools create learning communities, an additional type of peer association may emerge that is not based on interactions but instead is based on membership in a shared community. The aim of this study is to qualitatively explore the…

  13. Enrolling Minority and Underserved Populations in Cancer Clinical Research.

    Science.gov (United States)

    Wallington, Sherrie F; Dash, Chiranjeev; Sheppard, Vanessa B; Goode, Tawara D; Oppong, Bridget A; Dodson, Everett E; Hamilton, Rhonda N; Adams-Campbell, Lucile L

    2016-01-01

    Research suggests that community involvement is integral to solving public health problems, including involvement in clinical trials-a gold standard. Significant racial/ethnic disparities exist in the accrual of participants for clinical trials. Location and cultural aspects of clinical trials influence recruitment and accrual to clinical trials. It is increasingly necessary to be aware of defining characteristics, such as location and culture of the populations from which research participants are enrolled. Little research has examined the effect of location and cultural competency in adapting clinical trial research for minority and underserved communities on accrual for clinical trials. Utilizing embedded community academic sites, the authors applied cultural competency frameworks to adapt clinical trial research in order to increase minority participation in nontherapeutic cancer clinical trials. This strategy resulted in successful accrual of participants to new clinical research trials, specifically targeting participation from minority and underserved communities in metropolitan Washington, DC. From 2012 to 2014, a total of 559 participants enrolled across six nontherapeutic clinical trials, representing a 62% increase in the enrollment of blacks in clinical research. Embedding cancer prevention programs and research in the community was shown to be yet another important strategy in the arsenal of approaches that can potentially enhance clinical research enrollment and capacity. The analyses showed that the capacity to acquire cultural knowledge about patients-their physical locales, cultural values, and environments in which they live-is essential to recruiting culturally and ethnically diverse population samples. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  14. Water Bacterial and Fungal Community Compositions Associated with Urban Lakes, Xi’an, China

    Directory of Open Access Journals (Sweden)

    Haihan Zhang

    2018-03-01

    Full Text Available Urban lakes play a vital role in the sustainable development of urbanized areas. In this freshwater ecosystem, massive microbial communities can drive the recycling of nutrients and regulate the water quality. However, water bacterial and fungal communities in the urban lakes are not well understood. In the present work, scanning electron microscopy (SEM was combined with community level physiological profiles (CLPPs and Illumina Miseq sequence techniques to determine the diversity and composition of the water bacterial and fungal community in three urban lakes, namely Xingqing lake (LX, Geming lake (LG and Lianhu lake (LL, located in Xi’an City (Shaanxi Province, China. The results showed that these three lakes were eutrophic water bodies. The highest total nitrogen (TN was observed in LL, with a value of 12.1 mg/L, which is 2 times higher than that of LG. The permanganate index (CODMn concentrations were 21.6 mg/L, 35.4 mg/L and 28.8 mg/L in LG, LL and LX, respectively (p < 0.01. Based on the CLPPs test, the results demonstrated that water bacterial communities in the LL and LX urban lakes had higher carbon source utilization ability. A total of 62,742 and 55,346 high quality reads were grouped into 894 and 305 operational taxonomic units (OTUs for bacterial and fungal communities, respectively. Water bacterial and fungal community was distributed across 14 and 6 phyla. The most common phyla were Proteobacteriaand Cyanobacteria. Cryptomycota was particularly dominant in LL, while Chytridiomycota and Entomophthormycota were the most abundant fungal phyla, accounting for 95% of the population in the LL and 56% in the LG. Heat map and redundancy analysis (RDA highlighted the dramatic differences of water bacterial communities among three urban lakes. Meanwhile, the profiles of fungal communities were significantly correlated with the water quality parameters (e.g., CODMn and total nitrogen, TN. Several microbes (Legionella sp. and Streptococcus

  15. Butterfly Community Conservation Through Ecological Landscape Design in Urban Areas

    Directory of Open Access Journals (Sweden)

    Orsolya Borsai

    2016-11-01

    Full Text Available Due urbanization and extension of agricultural areas most of the ecosystems are strongly affected. As a result, preservation of biodiversity becomes more and more important aiming to reestablish the lost habitats of different species (mammals, birds, amphibians, insects, etc.. Our research focuses on butterflies which constitute an extremely important group of ‘model’ organisms. We have identified 12 diurnal ‘flying beauties’ specific to Cluj area (threatened and unthreathened species and investigated their ecological requirements that have to be provided for in any landscapes. Furthermore, based on the data colleted we have illustrated the utility of our approach by applying it to a hypothetical urban landscape (private garden following the traditional environmental guidelines in our landscape design.

  16. Urbanization Effects on the Vertical Distribution of Soil Microbial Communities and Soil C Storage across Edge-to-Interior Urban Forest Gradients

    Science.gov (United States)

    Rosier, C. L.; Van Stan, J. T., II; Trammell, T. L.

    2017-12-01

    Urbanization alters environmental conditions such as temperature, moisture, carbon (C) and nitrogen (N) deposition affecting critical soil processes (e.g., C storage). Urban soils experience elevated N deposition (e.g., transportation, industry) and decreased soil moisture via urban heat island that can subsequently alter soil microbial community structure and activity. However, there is a critical gap in understanding how increased temperatures and pollutant deposition influences soil microbial community structure and soil C/N cycling in urban forests. Furthermore, canopy structural differences between individual tree species is a potentially important mechanism facilitating the deposition of pollutants to the soil. The overarching goal of this study is to investigate the influence of urbanization and tree species structural differences on the bacterial and fungal community and C and N content of soils experiencing a gradient of urbanization pressures (i.e., forest edge to interior; 150-m). Soil cores (1-m depth) were collected near the stem (urban pressure (i.e., forest edge). We further expect trees located on the edge of forest fragments will maintain greater surface soil (urbanization alters soil microbial community composition via reduced soil moisture and carbon storage potential via deposition gradients. Further analyses will answer important questions regarding how individual tree species alters urban soil C storage, N retention, and microbial dynamics.

  17. Designing financial-incentive programmes for return of medical service in underserved areas: seven management functions

    Directory of Open Access Journals (Sweden)

    Bärnighausen Till

    2009-06-01

    retention; support (programmes should prepare participants for the time in an underserved area, stay in close contact with participants throughout the different phases of enrolment and help participants by assigning them mentors, establishing peer support systems or financing education courses relevant to work in underserved areas; enforcement (programmes may use community-based monitoring or outsource enforcement to existing institutions; and evaluation (in order to broaden the evidence on the effectiveness of financial incentives in increasing the health workforce in underserved areas, programmes in developing countries should evaluate their performance; in order to improve the strength of the evidence on the effectiveness of financial incentives, controlled experiments should be conducted where feasible. In comparison to other interventions to increase the supply of health workers to medically underserved areas, financial-incentive programmes have advantages – unlike initiatives using non-financial incentives, they establish legally enforceable commitments to work in underserved areas and, unlike compulsory service policies, they will not be opposed by health workers – as well as disadvantages – unlike initiatives using non-financial incentives, they may not improve the working and living conditions in underserved areas (which are important determinants of health workers' long-term retention and, unlike compulsory service policies, they cannot guarantee that they will supply health workers to underserved areas who would not have worked in such areas without financial incentives. Financial incentives, non-financial incentives, and compulsory service are not mutually exclusive and may positively affect each other's performance.

  18. Designing financial-incentive programmes for return of medical service in underserved areas: seven management functions.

    Science.gov (United States)

    Bärnighausen, Till; Bloom, David E

    2009-06-26

    should prepare participants for the time in an underserved area, stay in close contact with participants throughout the different phases of enrolment and help participants by assigning them mentors, establishing peer support systems or financing education courses relevant to work in underserved areas); enforcement (programmes may use community-based monitoring or outsource enforcement to existing institutions); and evaluation (in order to broaden the evidence on the effectiveness of financial incentives in increasing the health workforce in underserved areas, programmes in developing countries should evaluate their performance; in order to improve the strength of the evidence on the effectiveness of financial incentives, controlled experiments should be conducted where feasible). In comparison to other interventions to increase the supply of health workers to medically underserved areas, financial-incentive programmes have advantages--unlike initiatives using non-financial incentives, they establish legally enforceable commitments to work in underserved areas and, unlike compulsory service policies, they will not be opposed by health workers--as well as disadvantages--unlike initiatives using non-financial incentives, they may not improve the working and living conditions in underserved areas (which are important determinants of health workers' long-term retention) and, unlike compulsory service policies, they cannot guarantee that they will supply health workers to underserved areas who would not have worked in such areas without financial incentives. Financial incentives, non-financial incentives, and compulsory service are not mutually exclusive and may positively affect each other's performance.

  19. Health and health-related indicators in slum, rural, and urban communities: a comparative analysis.

    Science.gov (United States)

    Mberu, Blessing U; Haregu, Tilahun Nigatu; Kyobutungi, Catherine; Ezeh, Alex C

    2016-01-01

    It is generally assumed that urban slum residents have worse health status when compared with other urban populations, but better health status than their rural counterparts. This belief/assumption is often because of their physical proximity and assumed better access to health care services in urban areas. However, a few recent studies have cast doubt on this belief. Whether slum dwellers are better off, similar to, or worse off as compared with rural and other urban populations remain poorly understood as indicators for slum dwellers are generally hidden in urban averages. The aim of this study was to compare health and health-related indicators among slum, rural, and other urban populations in four countries where specific efforts have been made to generate health indicators specific to slum populations. We conducted a comparative analysis of health indicators among slums, non-slums, and all urban and rural populations as well as national averages in Bangladesh, Kenya, Egypt, and India. We triangulated data from demographic and health surveys, urban health surveys, and special cross-sectional slum surveys in these countries to assess differences in health indicators across the residential domains. We focused the comparisons on child health, maternal health, reproductive health, access to health services, and HIV/AIDS indicators. Within each country, we compared indicators for slums with non-slum, city/urban averages, rural, and national indicators. Between-country differences were also highlighted. In all the countries, except India, slum children had much poorer health outcomes than children in all other residential domains, including those in rural areas. Childhood illnesses and malnutrition were higher among children living in slum communities compared to those living elsewhere. Although treatment seeking was better among slum children as compared with those in rural areas, this did not translate to better mortality outcomes. They bear a disproportionately

  20. Health and health-related indicators in slum, rural, and urban communities: a comparative analysis

    Directory of Open Access Journals (Sweden)

    Blessing U. Mberu

    2016-12-01

    Full Text Available Background: It is generally assumed that urban slum residents have worse health status when compared with other urban populations, but better health status than their rural counterparts. This belief/assumption is often because of their physical proximity and assumed better access to health care services in urban areas. However, a few recent studies have cast doubt on this belief. Whether slum dwellers are better off, similar to, or worse off as compared with rural and other urban populations remain poorly understood as indicators for slum dwellers are generally hidden in urban averages. Objective: The aim of this study was to compare health and health-related indicators among slum, rural, and other urban populations in four countries where specific efforts have been made to generate health indicators specific to slum populations. Design: We conducted a comparative analysis of health indicators among slums, non-slums, and all urban and rural populations as well as national averages in Bangladesh, Kenya, Egypt, and India. We triangulated data from demographic and health surveys, urban health surveys, and special cross-sectional slum surveys in these countries to assess differences in health indicators across the residential domains. We focused the comparisons on child health, maternal health, reproductive health, access to health services, and HIV/AIDS indicators. Within each country, we compared indicators for slums with non-slum, city/urban averages, rural, and national indicators. Between-country differences were also highlighted. Results: In all the countries, except India, slum children had much poorer health outcomes than children in all other residential domains, including those in rural areas. Childhood illnesses and malnutrition were higher among children living in slum communities compared to those living elsewhere. Although treatment seeking was better among slum children as compared with those in rural areas, this did not translate to

  1. MUWS (Microbiology in Urban Water Systems – an interdisciplinary approach to study microbial communities in urban water systems

    Directory of Open Access Journals (Sweden)

    P. Deines

    2010-07-01

    Full Text Available Microbiology in Urban Water Systems (MUWS is an integrated project, which aims to characterize the microorganisms found in both potable water distribution systems and sewer networks. These large infrastructure systems have a major impact on our quality of life, and despite the importance of these systems as major components of the water cycle, little is known about their microbial ecology. Potable water distribution systems and sewer networks are both large, highly interconnected, dynamic, subject to time and varying inputs and demands, and difficult to control. Their performance also faces increasing loading due to increasing urbanization and longer-term environmental changes. Therefore, understanding the link between microbial ecology and any potential impacts on short or long-term engineering performance within urban water infrastructure systems is important. By combining the strengths and research expertise of civil-, biochemical engineers and molecular microbial ecologists, we ultimately aim to link microbial community abundance, diversity and function to physical and engineering variables so that novel insights into the performance and management of both water distribution systems and sewer networks can be explored. By presenting the details and principals behind the molecular microbiological techniques that we use, this paper demonstrates the potential of an integrated approach to better understand how urban water system function, and so meet future challenges.

  2. Insights into nasal carriage of Staphylococcus aureus in an urban and a rural community in Ghana.

    Directory of Open Access Journals (Sweden)

    Beverly Egyir

    Full Text Available The epidemiology of Staphylococcus aureus in the community in Ghana was never investigated prior to this study. The aims of the study were: i to assess prevalence of nasal S. aureus carriage in Ghanaian people living in an urban and a rural area, and ii to identify phenotypic and genotypic traits of strains isolated from the two communities. Nasal swabs were collected from healthy individuals living in an urban community situated in the suburb of the capital city, Accra (n = 353 and in a rural community situated in the Dangme-West district (n = 234. The overall prevalence of nasal carriage was 21% with a significantly higher prevalence in the urban (28% than in the rural community (11% (p<0.0001. The levels of antimicrobial resistance were generally low (<5% except for penicillin (91% and tetracycline (25%. The only two (0.3% MRSA carriers were individuals living in the urban area and had been exposed to hospitals within the last 12 months prior to sampling. Resistance to tetracycline (p = 0.0009 and presence of Panton-Valentine leukocidin (PVL gene (p = 0.02 were significantly higher among isolates from the rural community compared to isolates from the urban community. Eleven MLST clonal complexes (CC were detected based on spa typing of the 124 S. aureus isolates from the two communities: CC8 (n = 36, CC152 (n = 21, CC45 (n = 21, CC15 (n = 18, CC121 (n = 6, CC97 (n = 6, CC30 (n = 5, CC5 (n = 5, CC508 (n = 4, CC9 (n = 1, and CC707 (n = 1. CC8 and CC45 were less frequent in the rural area than in the urban area (p = 0.02. These results reveal remarkable differences regarding carriage prevalence, tetracycline resistance, PVL content and clonal distribution of S. aureus in the two study populations. Future research may be required to establish whether such differences in nasal S. aureus carriage are linked to socio-economic differences between urban and rural communities in this

  3. Narrowing the Digital Divide in Low-Income, Urban Communities

    Science.gov (United States)

    Norris, Daniel T.; Conceicao, Simone

    2004-01-01

    The digital divide is leaving millions disenfranchised from the opportunity to use technology to change their lives and to participate fully in democracy, in their own communities, and in today's job market.

  4. Making a Community Interesting to Itself: Providing a Social Education through Urban History and Neighborhood Studies. ERIC Digest.

    Science.gov (United States)

    Danzer, Gerald A.

    Community studies and an urban focus are returning to the social studies. This digest reviews urban studies from a historical perspective. The first section discusses the value of studying cities, noting that city living is becoming fashionable again, and a movement called the New Urbanism has brought a new appreciation for the social, cultural,…

  5. Residential building energy conservation and avoided power plant emissions by urban and community trees in the United States

    Science.gov (United States)

    David J. Nowak; Nathaniel Appleton; Alexis Ellis; Eric Greenfield

    2017-01-01

    Urban trees and forests alter building energy use and associated emissions from power plants by shading buildings, cooling air temperatures and altering wind speeds around buildings. Field data on urban trees were combined with local urban/community tree and land cover maps, modeling of tree effects on building energy use and pollutant emissions, and state energy and...

  6. Communities as Critical Partners in Teacher Education: The Impact of Community Immersion on Teacher Candidates' Understanding of Self and Teaching in Urban Schools

    Science.gov (United States)

    Waddell, Jennifer H.

    2013-01-01

    Communities play a critical role in helping teacher candidates understand the social and historical aspects of community and their impact on schools, students and families, particularly in urban communities. Communities should be integral and equal partners in preparing teachers for today's diverse schools. This paper focuses on utilizing the…

  7. Building community disaster resilience: perspectives from a large urban county department of public health.

    Science.gov (United States)

    Plough, Alonzo; Fielding, Jonathan E; Chandra, Anita; Williams, Malcolm; Eisenman, David; Wells, Kenneth B; Law, Grace Y; Fogleman, Stella; Magaña, Aizita

    2013-07-01

    An emerging approach to public health emergency preparedness and response, community resilience encompasses individual preparedness as well as establishing a supportive social context in communities to withstand and recover from disasters. We examine why building community resilience has become a key component of national policy across multiple federal agencies and discuss the core principles embodied in community resilience theory-specifically, the focus on incorporating equity and social justice considerations in preparedness planning and response. We also examine the challenges of integrating community resilience with traditional public health practices and the importance of developing metrics for evaluation and strategic planning purposes. Using the example of the Los Angeles County Community Disaster Resilience Project, we discuss our experience and perspective from a large urban county to better understand how to implement a community resilience framework in public health practice.

  8. Get Wheelin' in Westlawn: Mounting a Bicycling Program in a Low-Income Minority Urban Community

    Directory of Open Access Journals (Sweden)

    Anne Dressel

    2014-12-01

    Full Text Available Located in Milwaukee, Wisconsin, USA, the Westlawn neighborhood is home to the State of Wisconsin’s largest public housing development. Westlawn is a low-income, African-American urban community that suffers from a wide range of health and environmental disparities. A community-based participatory action (CBPA team was formed to address environmental health issues in Westlawn, and found asthma rates there are among the highest in the State. Decreasing air pollution, and corresponding asthma triggers, became a priority for the community. The CBPA team developed a bicycling program to reduce trips made by car and improve air quality in the Westlawn neighborhood. Input from focus group meetings shaped the development, implementation and expansion of the bicycling program. While the program was originally conceived to address environmental health issues, it provided key findings about how to encourage bicycling in low-income minority urban communities.

  9. Physical Activity in an Underserved Population: Identifying Technology Preferences.

    Science.gov (United States)

    Medairos, Robert; Kang, Vicky; Aboubakare, Carissa; Kramer, Matthew; Dugan, Sheila Ann

    2017-01-01

    This study aims to identify patterns of use and preferences related to technology platforms that could support physical activity (PA) programs in an underserved population. A 29-item questionnaire was administered at 5 health and wellness sites targeting low income communities in Chicago. Frequency tables were generated for Internet, cell phone, and social media use and preferences. Chi-squared analysis was used to evaluate differences across age and income groups. A total of 291 individuals participated and were predominantly female (69.0%). Majority reported incomes less than $30,000 (72.9%) and identified as African American/Black/Caribbean (49.3%) or Mexican/Mexican American (34.3%). Most participants regularly used smartphones (63.2%) and the Internet (75.9%). Respondents frequently used Facebook (84.8%), and less commonly used Instagram (43.6%), and Twitter (20.0%). Free Internet-based exercise programs were the most preferred method to increase PA levels (31.6%), while some respondents (21.0%) thought none of the surveyed technology applications would help. Cell phone, Internet, and social media use is common among the surveyed underserved population. Technology preferences to increase PA levels varied, with a considerable number of respondents not preferring the surveyed technology platforms. Creating educational opportunities to increase awareness may maximize the effectiveness of technology-based PA interventions.

  10. Sediment bacteria in an urban stream: Spatiotemporal patterns in community composition.

    Science.gov (United States)

    Roberto, Alescia A; Van Gray, Jonathon B; Leff, Laura G

    2018-05-01

    Sediment bacterial communities play a critical role in biogeochemical cycling in lotic ecosystems. Despite their ecological significance, the effects of urban discharge on spatiotemporal distribution of bacterial communities are understudied. In this study, we examined the effect of urban discharge on the spatiotemporal distribution of stream sediment bacteria in a northeast Ohio stream. Water and sediment samples were collected after large storm events (discharge > 100 m) from sites along a highly impacted stream (Tinkers Creek, Cuyahoga River watershed, Ohio, USA) and two reference streams. Although alpha (α) diversity was relatively constant spatially, multivariate analysis of bacterial community 16S rDNA profiles revealed significant spatial and temporal effects on beta (β) diversity and community composition and identified a number of significant correlative abiotic parameters. Clustering of upstream and reference sites from downstream sites of Tinkers Creek combined with the dominant families observed in specific locales suggests that environmentally-induced species sorting had a strong impact on the composition of sediment bacterial communities. Distinct groupings of bacterial families that are often associated with nutrient pollution (i.e., Comamonadaceae, Rhodobacteraceae, and Pirellulaceae) and other contaminants (i.e., Sphingomonadaceae and Phyllobacteriaceae) were more prominent at sites experiencing higher degrees of discharge associated with urbanization. Additionally, there were marked seasonal changes in community composition, with individual taxa exhibiting different seasonal abundance patterns. However, spatiotemporal variation in stream conditions did not affect bacterial community functional profiles. Together, these results suggest that local environmental drivers and niche filtering from discharge events associated with urbanization shape the bacterial community structure. However, dispersal limitations and interactions among other

  11. Community violence and urban childhood asthma: a multilevel analysis.

    Science.gov (United States)

    Sternthal, M J; Jun, H-J; Earls, F; Wright, R J

    2010-12-01

    We examined the association between community violence exposure and childhood asthma risk in a multilevel, multimethod, longitudinal study controlling for individual- and neighbourhood-level confounders and pathway variables. Analyses included 2,071 children aged 0-9 yrs at enrolment from the Project on Human Development in Chicago Neighborhoods. Multilevel logistic regression models estimated the likelihood of asthma, controlling for individual-level (child's age, sex, race/ethnicity, maternal asthma, socioeconomic status and family violence in the home) and neighbourhood-level confounders (concentrated disadvantage, collective efficacy and social disorder), and pathway variables (maternal smoking, breastfeeding). In adjusted analyses, medium (OR 1.60, 95% CI 1.17-2.19) and high levels (OR 1.56, 95% CI 1.12-2.18) of community violence were associated with increased asthma risk, relative to low levels. The increased asthma risk remained for African Americans when models included community violence and all other individual-level covariates, but attenuated to borderline nonsignificance when further adjusting for collective efficacy. Community violence is associated with asthma risk when controlling for individual- and neighborhood-level confounders. Neither community violence, nor the other individual-level factors, fully accounted for the excess asthma burden among African Americans. These data suggest that public health interventions outside the biomedical model may be needed to reduce asthma in disadvantaged populations.

  12. Urban and community forests of the North Central West region: Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota

    Science.gov (United States)

    David J. Nowak; Eric J. Greenfield

    2010-01-01

    This report details how land cover and urbanization vary within the states of Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota by community (incorporated and census designated places), county subdivision, and county. Specifically this report provides critical urban and community...

  13. Patient perspectives on improving osteoarthritis management in urban and rural communities

    Directory of Open Access Journals (Sweden)

    Ali SA

    2018-02-01

    Full Text Available Shabana Amanda Ali,1 Kathleen Ellen Walsh,2 Marita Kloseck1 1Faculty of Health Sciences, University of Western Ontario, London, ON, 2Faculty of Science, University of Western Ontario, London, ON, Canada Introduction: Although there is no cure for osteoarthritis (OA, there are lifestyle modifications that can mitigate symptoms such as pain, and improve management of the disease. This information is not always translated to community-dwelling seniors. Individuals in rural areas often face additional challenges due to geographic isolation and decreased access to community services. Methods: We used qualitative research methodology (hermeneutic phenomenology to better understand the lived experiences of urban and rural community-dwelling seniors diagnosed with OA. We explored their sources of information about OA, how they manage their OA pain, and how OA management could be improved in the community. Purposeful sampling was used to recruit 20 information-rich participants (11 urban, 9 rural in Ontario, Canada. All participants were aged >65 and diagnosed with OA. Semi-structured interviews were conducted, audio recorded, and transcribed verbatim. NVivo 11 Pro qualitative software was used to code transcripts. Results: Thematic analysis revealed 9 key themes where 8 were common to urban and rural participants, and 1 was unique to rural participants. Most significant among the common themes was the description of the social network as a source of OA information, the trial-and-error approach used for OA management, and the individual contextualization of OA management. Our results suggest that there are several common experiences among urban- and rural-dwelling seniors living with OA, including the desire for support over time, but also a unique experience to rural-dwelling seniors, namely lack of access to local care. Conclusion: These findings can be used to improve translation of OA information in both urban and rural communities in Canada

  14. Assessing community resilience: A CART survey application in an impoverished urban community.

    Science.gov (United States)

    Pfefferbaum, Rose L; Pfefferbaum, Betty; Zhao, Yan D; Van Horn, Richard L; McCarter, Grady S Mack; Leonard, Michael B

    2016-01-01

    This article describes an application of the Communities Advancing Resilience Toolkit (CART) Assessment Survey which has been recognized as an important community tool to assist communities in their resilience-building efforts. Developed to assist communities in assessing their resilience to disasters and other adversities, the CART survey can be used to obtain baseline information about a community, to identify relative community strengths and challenges, and to re-examine a community after a disaster or post intervention. This article, which describes an application of the survey in a community of 5 poverty neighborhoods, illustrates the use of the instrument, explicates aspects of community resilience, and provides possible explanations for the results. The paper also demonstrates how a community agency that serves many of the functions of a broker organization can enhance community resilience. Survey results suggest various dimensions of community resilience (as represented by core CART community resilience items and CART domains) and potential predictors. Correlates included homeownership, engagement with local entities/activities, prior experience with a personal emergency or crisis while living in the neighborhood, and involvement with a community organization that focuses on building safe and caring communities through personal relationships. In addition to influencing residents' perceptions of their community, it is likely that the community organization, which served as a sponsor for this application, contributes directly to community resilience through programs and initiatives that enhance social capital and resource acquisition and mobilization.

  15. Building flexibility and managing complexity in community mental health: lessons learned in a large urban centre.

    Science.gov (United States)

    Stergiopoulos, Vicky; Saab, Dima; Francombe Pridham, Kate; Aery, Anjana; Nakhost, Arash

    2018-01-24

    Across many jurisdictions, adults with complex mental health and social needs face challenges accessing appropriate supports due to system fragmentation and strict eligibility criteria of existing services. To support this underserviced population, Toronto's local health authority launched two novel community mental health models in 2014, inspired by Flexible Assertive Community Team principles. This study explores service user and provider perspectives on the acceptability of these services, and lessons learned during early implementation. We purposively sampled 49 stakeholders (staff, physicians, service users, health systems stakeholders) and conducted 17 semi-structured qualitative interviews and 5 focus groups between October 23, 2014 and March 2, 2015, exploring stakeholder perspectives on the newly launched team based models, as well as activities and strategies employed to support early implementation. Interviews and focus groups were audio recorded, transcribed verbatim and analyzed using thematic analysis. Findings revealed wide-ranging endorsement for the two team-based models' success in engaging the target population of adults with complex service needs. Implementation strengths included the broad recognition of existing service gaps, the use of interdisciplinary teams and experienced service providers, broad partnerships and collaboration among various service sectors, training and team building activities. Emerging challenges included lack of complementary support services such as suitable housing, organizational contexts reluctant to embrace change and risk associated with complexity, as well as limited service provider and organizational capacity to deliver evidence-based interventions. Findings identified implementation drivers at the practitioner, program, and system levels, specific to the implementation of community mental health interventions for adults with complex health and social needs. These can inform future efforts to address the health

  16. Urban Analysis and Smart Communities: An Approach to the Use of Technology in Everyday Mobility

    Directory of Open Access Journals (Sweden)

    Zurisaddai De la Cruz Severiche Maury

    2015-01-01

    Full Text Available Concentration of population in urban centers is a global problem for which different strategies in order to organize different processes in cities and improve the quality of life are required. The creation of smart communities is shown as a sustainable solution since they deal with various key aspects, such as traffic management and mobility, through the use of information technologies (ITs. This work presents a review of recent studies using information technologies for urban analysis and mobility in cities. A descriptive analysis of automated methods for collecting and analyzing citizens’ mobility patterns is performed; it is centered in smart card use, geolocation and geotagging. It is concluded that a robust communication infrastructure, supported by an efficient computational platform allowing big data management and ubiquitous computing, is a crucial aspect for urban management in a smart community

  17. Evidence of evolutionary homogenization of bird communities in urban environments across Europe

    NARCIS (Netherlands)

    Morelli, Federico; Benedetti, Yanina; Ibáñez-Álamo, Juan Diego; Jokimäki, Jukka; Mänd, Raivo; Tryjanowski, Piotr; Møller, Anders Pape

    2016-01-01

    Aim: The process of urbanization can lead to specialist species being replaced by generalist species in space and time, increasing similarity among bird communities. This phenomenon is termed biotic homogenization and is directly related to taxonomic and functional diversity. However, the effects of

  18. The Geography of Rape: Rape Victims in Urban and Rural Communities

    DEFF Research Database (Denmark)

    Nielsen, Louise Hjort

    Little is known from research about barriers to seeking and receiving help following domestic violence, rape, attempted rape, and sexual assault in Denmark. This study examined possible regional differences in reporting rape and sexual assault in urban and rural communities in a large region...

  19. Environmental health status in a semi-urban community in Northern ...

    African Journals Online (AJOL)

    Background/Aims: Many factors could be responsible for poor environmental health situations. Methodology: A cross sectional descriptive study was conducted in Layin Zomo, a semi-urban community located in Sabon Gari Local Government Area of Kaduna State to assess availability of environmental health facilities in a ...

  20. The Agatston Urban Nutrition Initiative: Working to Reverse the Obesity Epidemic through Academically Based Community Service

    Science.gov (United States)

    Johnston, Francis E.

    2009-01-01

    The Agatston Urban Nutrition Initiative (AUNI) presents a fruitful partnership between faculty and students at a premier research university and members of the surrounding community aimed at addressing the problem of childhood obesity. AUNI uses a problem-solving approach to learning by focusing course activities, including service-learning, on…

  1. Iron status of pregnant women in rural and urban communities of ...

    African Journals Online (AJOL)

    Anaemia in pregnancy is a major public health problem in Nigeria. Iron deficiency is one of the major causes of anaemia in pregnancy. Inadequate iron intake during pregnancy can be dangerous to both baby and mother. Iron status of pregnant women was assessed in two rural and one urban communities in Cross River ...

  2. Storms over the Urban Forest: Planning, Responding, and Regreening-- A community Guide to Natural Disaster Relief

    Science.gov (United States)

    Lisa L. Burban; John W. Andresen

    1994-01-01

    Natural disasters which can occur in the United States include floods, hurricanes, tornadoes, and related high-velocity winds, as well as ice storms. Preparing for these natural disasters, which strike urban forests in large cities and small communities, should involve the cooperative effort of a wide array of municipal agencies, private arboricultural companies,...

  3. Web-based tree crown condition evaluation training tool for urban and community forestry

    Science.gov (United States)

    Neil Clark; Matthew Winn; Philip Araman

    2009-01-01

    Volunteers are getting involved more and more, particularly in monitoring applications within the context of urban and community forestry. Training numerous volunteers becomes a substantial task given the numbers of people, time available, and a multitude of other projects. Hundreds of different individuals may be involved in a single field season. These individuals...

  4. Persistence at an Urban Community College: The Implications of Self-Efficacy and Motivation

    Science.gov (United States)

    Liao, Hsiang-Ann; Edlin, Margot; Ferdenzi, Anita Cuttita

    2014-01-01

    This study examined how self-efficacy and motivation affected student persistence at an urban community college. Self-efficacy was studied at two dimensions: self-regulated learning efficacy and self-efficacy for academic achievement. Motivation was also investigated at two levels: intrinsic motivation and extrinsic motivation. Results show that…

  5. Connecting Urban Students with Engineering Design: Community-Focused, Student-Driven Projects

    Science.gov (United States)

    Parker, Carolyn; Kruchten, Catherine; Moshfeghian, Audrey

    2017-01-01

    The STEM Achievement in Baltimore Elementary Schools (SABES) program is a community partnership initiative that includes both in-school and afterschool STEM education for grades 3-5. It was designed to broaden participation and achievement in STEM education by bringing science and engineering to the lives of low-income urban elementary school…

  6. Prevalence of stroke in three semi-urban communities in middle-belt ...

    African Journals Online (AJOL)

    Prevalence of stroke in three semi-urban communities in middle-belt region of Nigeria: A door to door survey. ... Conclusion: stroke is a condition that is prevalent in our environment; especially in older adults and men. Uncontrolled systemic hypertension and previous transient ischaemic attacks were the commonest risk ...

  7. What explains the Rural-Urban Gap in Infant Mortality — Household or Community Characteristics?

    NARCIS (Netherlands)

    E. Van de Poel (Ellen); O.A. O'Donnell (Owen); E.K.A. van Doorslaer (Eddy)

    2007-01-01

    textabstractThe rural-urban gap in infant mortality rates is explained using a new decomposition method that permits identification of the ontribution of unobserved heterogeneity at the household and the community level. Using Demographic and Health Survey data for six Francophone countries in

  8. Emerging Information Literacy and Research-Method Competencies in Urban Community College Psychology Students

    Science.gov (United States)

    Wolfe, Kate S.

    2015-01-01

    This article details an assignment developed to teach students at urban community colleges information-literacy skills. This annotated bibliography assignment introduces students to library research skills, helps increase information literacy in beginning college students, and helps psychology students learn research methodology crucial in…

  9. Unlocking the Potential of Urban Communities: Case Studies of Twelve Learning Cities

    Science.gov (United States)

    Valdés-Cotera, Raúl, Ed.; Longworth, Norman, Ed.; Lunardon, Katharina, Ed.; Wang, Mo, Ed.; Jo, Sunok, Ed.; Crowe, Sinéad, Ed.

    2015-01-01

    UNESCO established the UNESCO Global Network of Learning Cities (GNLC) to encourage the development of learning cities. By providing technical support, capacity development, and a platform where members can share ideas on policies and best practice, this international exchange network helps urban communities create thriving learning cities. The…

  10. Community Hospital Telehealth Consortium

    National Research Council Canada - National Science Library

    Williams, Elton

    2003-01-01

    .... The central tenet of the CHTC project is the utilization of TeleHealth technology to improve and expand the opportunity for rural and urban underserved populations to receive quality, affordable health care...

  11. Community Hospital Telehealth Consortium

    National Research Council Canada - National Science Library

    Williams, Jr, Elton L

    2007-01-01

    .... The central tenet of the CHTC project is the utilization of TeleHealth technology to improve and expand the opportunity for rural and urban underserved populations to receive quality, affordable health care...

  12. Community Hospital Telehealth Consortium

    National Research Council Canada - National Science Library

    Williams, Elton

    2004-01-01

    .... The central tenet of the CHTC project is the utilization of TeleHealth technology to improve and expand the opportunity for rural and urban underserved populations to receive quality, affordable health care...

  13. Institutions in transitioning peri-urban communities: spatial differences in groundwater access

    Directory of Open Access Journals (Sweden)

    S. L. Gomes

    2016-05-01

    Full Text Available Urbanization creates challenges for water management in an evolving socio-economic context. This is particularly relevant in transitioning peri-urban areas like Khulna, Bangladesh where competing demands have put pressure on local groundwater resources. Users are unable to sufficiently meet their needs through existing institutions. These institutions provide the rules for service provision and act as guidelines for actors to resolve their water related issues. However, the evolving peri-urban context can produce fragmented institutional arrangements. For example in Khulna, water supply is based on urban and rural boundaries that has created water access issues for peri-urban communities. This has motivated local actors to manage their groundwater needs in various ways. General institutional theories are well developed in literature, yet little is known about institutions in transitioning peri-urban areas. Institutions that fail to adapt to changing dynamics run the risk of becoming obsolete or counter-productive, hence the need for investigating institutional change mechanisms in this context. This paper examines peri-urban case studies from Khulna using the Institutional Analysis and Development framework to demonstrate how institutions have contributed to spatial differences in groundwater access with local actors investing in formal and informal institutional change as a means of accessing groundwater.

  14. Emotionally Numb: Desensitization to Community Violence Exposure among Urban Youth

    Science.gov (United States)

    Kennedy, Traci M.; Ceballo, Rosario

    2016-01-01

    Community violence exposure (CVE) is associated with numerous psychosocial outcomes among youth. Although linear, cumulative effects models have typically been used to describe these relations, emerging evidence suggests the presence of curvilinear associations that may represent a pattern of emotional desensitization among youth exposed to…

  15. Psychiatric morbidity in two urban communities in Nigeria | Mba ...

    African Journals Online (AJOL)

    A large number of positive socio-demographic correlations between cases and non-cases were obtained on SRQ and GHQ-12 in both communities. Family history of psychiatric illness significantly differentiates cases from non-cases on all measures of morbidity. Conclusion: The socio-economic inequality demonstrated ...

  16. Psychiatric morbidity in two urban communities in nigeria

    African Journals Online (AJOL)

    2008-08-08

    Aug 8, 2008 ... Objective: to ascertain rates of gross psychiatric morbidity and some demographic correlations in two communities with different .... been satisfactorily tested in at least 50 validation studies and has a wide international ..... asia and latin america without accompanying increase in prosperity, but it has been ...

  17. Community-oriented BRT : urban design, amenities, and placemaking.

    Science.gov (United States)

    2012-11-01

    The purpose of this report is to provide a useful resource for communities that wish to learn how others have successfully used BRT as a tool for enhancing the public realm. Information for this effort was gathered through a literature review, in-dep...

  18. Why do urban communities with similar conditions of social ...

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

    Initiatives. EXOGENOUS. Police. Achievements: Organization and mobilization of the community is a challenge in all the territories included in the study. CARIARI. ALAJUELITA. 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. 3. ENDOGENOUS. Citizens in the territories. Learn more about these topics in chapter · 4 – Download book (in Spanish) ...

  19. The Multicultural Urban Community College: Conflict and Achievement.

    Science.gov (United States)

    Hsu, Hilary

    The challenge for community colleges is two-fold: to provide relevant training to maintain their competitiveness and to do it for an increasingly diverse population. Furthermore, the advent of the information revolution has placed new demands on education as one of the primary means of access to economic well-being and upward mobility.…

  20. Psychiatric morbidity in two urban communities in Nigeria | Mba ...

    African Journals Online (AJOL)

    Background: There is a welter of evidence for an inverse relationship between socio-economic status (SES) and mental health. The relationship is grossly under researched in the developing countries. Objective: To ascertain rates of gross psychiatric morbidity and some demographic correlations in two communities with ...

  1. Grassland communities of urban open spaces in Bloemfontein, Free State, South Africa

    Directory of Open Access Journals (Sweden)

    Mamokete N.V. Dingaan

    2013-02-01

    Full Text Available Natural vegetation in urban environments is greatly impacted by human activities and it is in constant threat of degradation and destruction as a result of urbanisation. This vegetation, although fragmented, serves an important ecological function and needs to be properly managed and conserved. Studies on urban vegetation are lacking in South Africa, with only a handful having been carried out since the end of the last century. This study was initiated to identify, classify and describe the grassland communities of the urban open spaces in Bloemfontein. Relevés were compiled in 61 sample plots, where species present and habitat information were recorded. Care was taken to restrict sample plots to vegetation in pristine condition, wherever possible, and severely degraded stands were avoided. A two-way indicator species analysis (TWINSPAN classification, refined by Braun-Blanquet procedures, revealed two distinct major communities, seven communities and four sub-communities. Both detrended and canonical correspondence analyses indicated the vegetation units to be associated with soil texture and pH, although biotic factors such as overgrazing, burning and mowing also influence the composition of the vegetation. The proper management and conservation of urban open spaces requires in-depth knowledge of the spatial distribution, floristic, structural and functional compositions within the major vegetation types in this environment. The present study further contributed towards formulating ways for the proper management, utilisation and functioning of the open spaces within the Bloemfontein area.Conservation implications: The Grassland Biome of South Africa is poorly conserved, mainly because of its status as an agricultural hub of the country. The preservation of natural and semi-natural forms of urban vegetation is important because such vegetation, although often disturbed and degraded, could form dispersal corridors between peri-urban and rural

  2. Teaching Health Center Graduate Medical Education Locations Predominantly Located in Federally Designated Underserved Areas.

    Science.gov (United States)

    Barclift, Songhai C; Brown, Elizabeth J; Finnegan, Sean C; Cohen, Elena R; Klink, Kathleen

    2016-05-01

    Background The Teaching Health Center Graduate Medical Education (THCGME) program is an Affordable Care Act funding initiative designed to expand primary care residency training in community-based ambulatory settings. Statute suggests, but does not require, training in underserved settings. Residents who train in underserved settings are more likely to go on to practice in similar settings, and graduates more often than not practice near where they have trained. Objective The objective of this study was to describe and quantify federally designated clinical continuity training sites of the THCGME program. Methods Geographic locations of the training sites were collected and characterized as Health Professional Shortage Area, Medically Underserved Area, Population, or rural areas, and were compared with the distribution of Centers for Medicare and Medicaid Services (CMS)-funded training positions. Results More than half of the teaching health centers (57%) are located in states that are in the 4 quintiles with the lowest CMS-funded resident-to-population ratio. Of the 109 training sites identified, more than 70% are located in federally designated high-need areas. Conclusions The THCGME program is a model that funds residency training in community-based ambulatory settings. Statute suggests, but does not explicitly require, that training take place in underserved settings. Because the majority of the 109 clinical training sites of the 60 funded programs in 2014-2015 are located in federally designated underserved locations, the THCGME program deserves further study as a model to improve primary care distribution into high-need communities.

  3. Barriers to prostate cancer prevention and community recommended health education strategies in an urban African American community in Jackson, Mississippi.

    Science.gov (United States)

    Ekúndayò, Olúgbémiga T; Tataw, David B

    2013-01-01

    This article describes the use of survey research in collaboration with the African American urban community of Georgetown, Jackson, Mississippi to identify and understand prostate cancer knowledge, resource utilization, and health education strategies considered most effective in reaching the community with prostate cancer prevention messages. The study revealed profound needs in disease identification and resources awareness and utilization. Barriers to utilization were identified by participants to include lack of self-efficacy, low self-esteem, lack of trust in the health care system, limited knowledge of prostate pathology, and limited ability to pay. Participants' recommended strategies for reaching the community with prostate cancer education include traditional and nontraditional strategies. The list of recommendations exclude modern-day outlets such as handheld devices, Twitter, Facebook, blogs, wikis, and other Internet-based outlets. The findings provide a road map for program development and an intervention research agenda custom-tailored to the Georgetown community of Jackson, Mississippi.

  4. Reducing violence in poor urban areas of Honduras by building community resilience through community-based interventions.

    Science.gov (United States)

    Hansen-Nord, Nete Sloth; Kjaerulf, Finn; Almendarez, Juan; Rodas, Victor Morales; Castro, Julio

    2016-11-01

    To examine the impact of a 3 year community-based violence prevention intervention on risk of violence and social capital in two poor urban communities in Honduras in 2011-2014. A quasi-experimental design pre and post implementation of the intervention was conducted based on data from two randomly selected samples using the same structured questionnaire in 2011 and in 2014. Community members had a 42 % lower risk of violence in 2014 compared to 2011. There was a positive relation between participation in the intervention and structural social capital, and participants had more than twice the likelihood of engaging in citizenship activities compared to the general population. The intervention contributed to decreasing violence and increasing community resilience in two urban areas in Honduras. Citizenship activities and active community participation in the violence prevention agenda rather than social trust and cohesion characteristics was affected by the intervention. This research introduces important lessons learned to future researchers aiming to retrieve very sensitive data in a similarly violent setting, and provides strong research opportunities within areas, which to this date remain undiscovered.

  5. Urban bat communities are affected by wetland size, quality, and pollution levels.

    Science.gov (United States)

    Straka, Tanja Maria; Lentini, Pia Eloise; Lumsden, Linda Faye; Wintle, Brendan Anthony; van der Ree, Rodney

    2016-07-01

    Wetlands support unique biota and provide important ecosystem services. These services are highly threatened due to the rate of loss and relative rarity of wetlands in most landscapes, an issue that is exacerbated in highly modified urban environments. Despite this, critical ecological knowledge is currently lacking for many wetland-dependent taxa, such as insectivorous bats, which can persist in urban areas if their habitats are managed appropriately. Here, we use a novel paired landscape approach to investigate the role of wetlands in urban bat conservation and examine local and landscape factors driving bat species richness and activity. We acoustically monitored bat activity at 58 urban wetlands and 35 nonwetland sites (ecologically similar sites without free-standing water) in the greater Melbourne area, southeastern Australia. We analyzed bat species richness and activity patterns using generalized linear mixed-effects models. We found that the presence of water in urban Melbourne was an important driver of bat species richness and activity at a landscape scale. Increasing distance to bushland and increasing levels of heavy metal pollution within the waterbody also negatively influenced bat richness and individual species activity. Areas with high levels of artificial night light had reduced bat species richness, and reduced activity for all species except those adapted to urban areas, such as the White-striped free-tailed bat (Austronomus australis). Increased surrounding tree cover and wetland size had a positive effect on bat species richness. Our findings indicate that wetlands form critical habitats for insectivorous bats in urban environments. Large, unlit, and unpolluted wetlands flanked by high tree cover in close proximity to bushland contribute most to the richness of the bat community. Our findings clarify the role of wetlands for insectivorous bats in urban areas and will also allow for the preservation, construction, and management of wetlands

  6. Contracting communities: Conceptualizing Community Benefits Agreements to improve citizen involvement in urban development projects

    NARCIS (Netherlands)

    Janssen-Jansen, Leonie; Veen, van der Menno

    2017-01-01

    Contractual agreements are becoming increasingly important for city governments seeking to manage urban development. Contractual governance involves direct relations between the local state and different public and private actors and citizens. Although abundant literature exists on public–private

  7. THE COMMUNITY MENTORING IN ORGANIC WASTE MANAGEMENT AT COMMUNAL SCALE TO SUPPORT THE URBAN FARMING PROGRAM

    Directory of Open Access Journals (Sweden)

    Reni Amaranti

    2017-04-01

    Full Text Available The waste management in urban areas should get treatment from various parties (communities, governments, and businesses to prevent environmental damage increases. Waste management can be done in the management area of the Rukun Tetangga (RT and Rukun Warga (RW level, also the village level. The main problem for the current partner that doesn’t spread evenly of knowledge and the capabilities in utilizing waste into something that has economic valuable and the low level of public participation in the program launched by the government especially Kampung Berkebun programs that have been implemented at the level of Rukun Warga (RW. Community Service activity is done by providing assistance to communities to manage organic waste in the local environment (communal scale-Rukun Tetangga program to support the Urban Farming to utilize all potentials and resources that have been owned and has not been utilized properly.

  8. Rapid Recovery of an Urban Remnant Reptile Community following Summer Wildfire.

    Directory of Open Access Journals (Sweden)

    Robert A Davis

    Full Text Available Reptiles in urban remnants are threatened with extinction by increased fire frequency, habitat fragmentation caused by urban development, and competition and predation from exotic species. Understanding how urban reptiles respond to and recover from such disturbances is key to their conservation. We monitored the recovery of an urban reptile community for five years following a summer wildfire at Kings Park in Perth, Western Australia, using pitfall trapping at five burnt and five unburnt sites. The reptile community recovered rapidly following the fire. Unburnt sites initially had higher species richness and total abundance, but burnt sites rapidly converged, recording a similar total abundance to unburnt areas within two years, and a similar richness within three years. The leaf-litter inhabiting skink Hemiergis quadrilineata was strongly associated with longer unburnt sites and may be responding to the loss of leaf litter following the fire. Six rarely-captured species were also strongly associated with unburnt areas and were rarely or never recorded at burnt sites, whereas two other rarely-captured species were associated with burnt sites. We also found that one lizard species, Ctenotus fallens, had a smaller average body length in burnt sites compared to unburnt sites for four out of the five years of monitoring. Our study indicates that fire management that homogenises large areas of habitat through frequent burning may threaten some species due to their preference for longer unburnt habitat. Careful management of fire may be needed to maximise habitat suitability within the urban landscape.

  9. Perceived Benefits of Participation and Risks of Soil Contamination in St. Louis Urban Community Gardens.

    Science.gov (United States)

    Wong, Roger; Gable, Leah; Rivera-Núñez, Zorimar

    2017-12-23

    Community gardens are credited for promoting health within neighborhoods, by increasing healthy food intake and exercise frequency. These benefits, however, are potentially undermined as urban soils are often contaminated from industrial legacies. The purpose of this study was to examine the perceived benefits of participation and risks of soil contamination within urban community gardens, and factors associated with soil contamination concerns. Ninety-three gardeners were interviewed across 20 community gardens in St. Louis, Missouri between June and August 2015. Surveys included questions on demographics, gardening practices, and perceptions of community gardening. Multilevel logistic models assessed how gardener demographics, gardening practices, and garden characteristics were associated with soil contamination concerns. Common perceived benefits of community gardening were community building (68.8%), healthy and fresh food (35.5%), and gardening education (18.3%). Most gardeners (62.4%) were not concerned about soil contamination, but nearly half (48.4%) stated concerns about heavy metals. Black race was significantly associated with soil contamination concerns (OR 5.47, 95% CI 1.00-30.15, p = .04). Community gardens offer numerous social and health benefits. Although most gardeners were not concerned about soil contamination, black gardeners were more likely to have concerns. Garden leaders should provide resources to gardeners to learn about soil contamination and methods to manage their risk, particularly in minority neighborhoods.

  10. Urban Poor community Access to reproductive Health care in Surabaya. An Equity Analysis Using Spider Web

    Directory of Open Access Journals (Sweden)

    Ernawaty Ernawaty

    2015-01-01

    Full Text Available background:Poverty in urban area triggered new problem related with their access to health care services. Heavy burden of life in urban makes health, especially reproductive health, never become first priority for urban poor community. This study is aimed to analyzed equity of urban poor community when accessing the reproductive health care. Methods:This is descriptive study with cross sectional design applied. There were 78 women residents of Penjaringansari II Flats in Surabaya selected by simple random sampling (α=10% as respondents. Penjaringansari II Flats was choosen because it is a slum area that residence by unskilled labours and odd employees. The need fulfillment of respondents in reproductive health care was analyzed by spider web analysis. result: Most of respondents (55.1% were first married before 20 years old. There were 60.5% of them gave birth before 20 years old also, so it belongs to high risk pregnant women. Spider web area for health care of under age married was less than ideal age married which means that under age married urban poor experienced inequity for ANC health services. Approximately 10.3% of respondents had never use contraceptives because they fear of side effects and inhibiton of their husband. conclutions:Better equity shown in the prevention of cervical cancer. Being perceived as the poor who need assistance, free pap smear was often held by Penjaringansari II residents. Poor conditions experienced by a group not only can promote health care inequity, but also promote health care equity. recomendation:Health care equity for urban poor can be pursued through both aid schemes provided by the community or the government.

  11. Impact of an interprofessional education program on developing skilled graduates well-equipped to practise in rural and underserved areas.

    Science.gov (United States)

    Mpofu, Ratie; Daniels, Priscilla S; Adonis, Tracy-Ann; Karuguti, Wallace M

    2014-01-01

    Poverty, limited access to resources and a lack of infrastructure characterise the division of rural areas from urban South Africa. Low numbers of social welfare professionals compound the problem. With education linked inextricably in social responsibility, higher education institutions (HEIs) are called upon increasingly to create conditions that encourage students and graduates to practise in more socially responsible ways, involving more than mere disciplinary expertise or technical knowledge, and that consider the problems of rural areas. Use of interprofessional education (IPE) programs, based on teamwork, could enable HEIs to train and guide health sciences students in how best to cooperate with each other and combine their skills to mutual benefit. This would enable them to develop professional skills facilitated by interactive engagement within community settings. Referencing experience gained in Australia and elsewhere, the Faculty of Community and Health Sciences (FCHS) at the University of Western Cape (UWC) has developed and applied an IPE program for South Africa. Students were placed in interdisciplinary groups in a rural and underserved municipality of the Western Cape - 17 students participated in a study on the effectiveness of this program. A quantitative self-administered questionnaire, followed by qualitative focus group discussions, established student perceptions of their IPE experience, how the experience influenced their intentions for or against future practice in rural and underserved areas, and their interest in future interprofessional collaboration and practice. More than 75% of the participating students agreed that they had learnt to develop knowledge base, procedural and healthcare practice presentation skills, along with preparing written community health histories. Student willingness to practise in rural areas was evidenced, citing community- and resource-based factors as determinants; however, concerns that some community

  12. Application of the target fish community model to an urban river system.

    Science.gov (United States)

    Meixler, Marcia S

    2011-04-01

    Several models have been developed to assess the biological integrity of aquatic systems using fish community data. One of these, the target fish community (TFC) model, has been used primarily to assess the biological integrity of larger, mainstem rivers in southern New England with basins characterized by dispersed human activities. We tested the efficacy of the TFC approach to specify the fish community in the highly urbanized Charles River watershed in eastern Massachusetts. To create a TFC for the Charles River we assembled a list of fish species that historically inhabited the Charles River watershed, identified geomorphically and zoogeographically similar reference rivers regarded as being in high quality condition, amassed fish survey data for the reference rivers, and extracted from the collections the information needed to define a TFC. We used a similarity measurement method to assess the extent to which the study river community complies with the TFC and an inference approach to summarize the manner in which the existing fish community differed from target conditions. The five most abundant species in the TFC were common shiners (34%), fallfish (17%) redbreast sunfish (11%), white suckers (8%), and American eel (7%). Three of the five species predicted to be most abundant in the TFC were scarce or absent in the existing river community. Further, the river was dominated by macrohabitat generalists (99%) while the TFC was predicted to contain 19% fluvial specialist species, 43% fluvial dependent species, and 38% macrohabitat generalist species. In addition, while the target community was dominated by fish intolerant (37%) and moderately tolerant (39%) of water quality degradation, the existing community was dominated by tolerant individuals (59%) and lacked intolerant species expected in the TFC. Similarity scores for species, habitat use specialization, and water quality degradation tolerance categories were 28%, 35% and 66%, respectively. The clear

  13. Treating diabetes in underserved populations using an interprofessional care team.

    Science.gov (United States)

    W Hutchison, Robert

    2014-11-01

    Community Health Centers that provide diabetic care for underserved patients have unique challenges. This study describes how interprofessional care improves outcomes and results in cost savings. Interprofessional diabetes education and structured team building are discussed. The team consisted of a physician, nurse practitioner, clinical pharmacist, and a number of pre-medicinal, nursing, and pharmacy students. The outcomes were measured at one year intervals for a total of three years. During the two year period with the interprofessional care team, the diabetic patients in this study achieved a 10% improvement in HgA1c, and 9% improvement in systolic blood pressure, a 5% improvement in diastolic blood pressure, and a 62.6% reduction in triglycerides. These findings suggest that this interprofessional care model in a free clinic significantly improved the HgA1c, triglycerides, and blood pressure.

  14. Community-level demographic consequences of urbanization: an ecological network approach.

    Science.gov (United States)

    Rodewald, Amanda D; Rohr, Rudolf P; Fortuna, Miguel A; Bascompte, Jordi

    2014-11-01

    Ecological networks are known to influence ecosystem attributes, but we poorly understand how interspecific network structure affect population demography of multiple species, particularly for vertebrates. Establishing the link between network structure and demography is at the crux of being able to use networks to understand population dynamics and to inform conservation. We addressed the critical but unanswered question, does network structure explain demographic consequences of urbanization? We studied 141 ecological networks representing interactions between plants and nesting birds in forests across an urbanization gradient in Ohio, USA, from 2001 to 2011. Nest predators were identified by video-recording nests and surveyed from 2004 to 2011. As landscapes urbanized, bird-plant networks were more nested, less compartmentalized and dominated by strong interactions between a few species (i.e. low evenness). Evenness of interaction strengths promoted avian nest survival, and evenness explained demography better than urbanization, level of invasion, numbers of predators or other qualitative network metrics. Highly uneven networks had approximately half the nesting success as the most even networks. Thus, nest survival reflected how urbanization altered species interactions, particularly with respect to how nest placement affected search efficiency of predators. The demographic effects of urbanization were not direct, but were filtered through bird-plant networks. This study illustrates how network structure can influence demography at the community level and further, that knowledge of species interactions and a network approach may be requisite to understanding demographic responses to environmental change. © 2014 The Authors. Journal of Animal Ecology © 2014 British Ecological Society.

  15. [Water, sanitation and diarrheal risk in Nouakchott Urban Community, Mauritania].

    Science.gov (United States)

    Sy, Ibrahima; Traoré, Doulo; Niang Diène, Aminata; Koné, Brama; Lô, Baidy; Faye, Ousmane; Utzinger, Jürg; Cissé, Guéladio; Tanner, Marcel

    2017-12-05

    Drinking water and sanitation are two factors of inter-linked inextricably public health especially in the city of Nouakchott where the low availability of these services leads to a multitude of use and hygiene practices involving a complex socio-ecological system with an increased risk of waterborne diseases transmission (diarrhea, cholera, etc.). Thus, this contribution analyzes the impact of socio-ecological system on the development of diarrheal diseases by using socio-environmental and epidemiological data from various sources (national surveys and registries consultation). Overall, the results show that only 25.6% of households have access to drinking water sources while 69.8% of the populations dispose improved latrines. Hence, the weakness in environmental sanitation conditions explains the level of diarrheal morbidity averring 12.8% at the urban level, with an unequal spatial distribution showing less affected communes such as Tevragh Zeina (9.1%) and municipalities more affected like Sebkha (19.1%). The distribution according to the age categories shows that children under 5 years are the most affected with 51.7% followed by people aged over 14 with 34.2%. The correlation analysis between socio-economic, environmental and epidemiological variables reveals a number of significant associations: untreated water consumption and diarrhea (R = 0.429); collection of wastewater and occurrence of diarrhea ; existence of improved latrine and reduction of diarrheal risk (R = 0.402). Therefore, exposure to diarrheal diseases through the prism of water and sanitation is a real public health problem that requires a systemic and integrated approach to improving environmental health.

  16. Reaching high-risk underserved individuals for cancer genetic counseling by video-teleconferencing.

    Science.gov (United States)

    Mette, Lindsey A; Saldívar, Anna Maria Pulido; Poullard, Natalie E; Torres, Ivette C; Seth, Sarah G; Pollock, Brad H; Tomlinson, Gail E

    2016-04-01

    Breast and colorectal cancers are common cancers for which genetic risk assessment and counseling are available. However, these services are often limited to metropolitan areas and are not readily accessible to underserved populations. Moreover, ethnic and racial disparities present additional obstacles to identifying and screening high-risk individuals and have a bearing on treatment outcomes. To provide cancer genetic risk assessment and counseling through telemedicine to the remote, underserved primarily Hispanic population of the Texas-Mexico border region. Program participants were mailed a questionnaire to assess their satisfaction with the program so that we could determine the acceptability of video-teleconferencing for cancer risk assessment. The overall level of satisfaction with the program was very high, demonstrating the acceptability of a cancer genetic risk assessment program that relied on telemedicine to reach and underserved minority community. Delivery model requires the availability of and access to communication technologies; trained staff are needed at remote sites for sample collection and patient handling. Video-teleconferencing is an acceptable method of providing cancer risk assessment in a remote, underserved population. ©2016 Frontline Medical Communications.

  17. Habitat connectivity shapes urban arthropod communities: the key role of green roofs.

    Science.gov (United States)

    Braaker, S; Ghazoul, J; Obrist, M K; Moretti, M

    2014-04-01

    The installation of green roofs, defined here as rooftops with a shallow soil cover and extensive vegetation, has been proposed as a possible measure to mitigate the loss of green space caused by the steady growth of cities. However, the effectiveness of green roofs in supporting arthropod communities, and the extent to which they facilitate connectivity of these communities within the urban environment is currently largely unknown. We investigated the variation of species community composition (beta diversity) of four arthropod groups with contrasting mobility (Carabidae, Araneae, Curculionidae, and Apidae) on 40 green roofs and 40 extensively managed green sites on the ground in the city of Zurich, Switzerland. With redundancy analysis and variation partitioning, we (1) disentangled the relative importance of local environmental conditions, the surrounding land cover composition, and habitat connectivity on species community composition, (2) searched for specific spatial scales of habitat connectivity for the different arthropod groups, and (3) discussed the ecological and functional value of green roofs in cities. Our study revealed that on green roofs community composition of high-mobility arthropod groups (bees and weevils) were mainly shaped by habitat connectivity, while low-mobility arthropod groups (carabids and spiders) were more influenced by local environmental conditions. A similar but less pronounced pattern was found for ground communities. The high importance of habitat connectivity in shaping high-mobility species community composition indicates that these green roof communities are substantially connected by the frequent exchange of individuals among surrounding green roofs. On the other hand, low-mobility species communities on green roofs are more likely connected to ground sites than to other green roofs. The integration of green roofs in urban spatial planning strategies has great potential to enable higher connectivity among green spaces, so

  18. Infant feeding practices in an urban squatter community.

    Science.gov (United States)

    Khor Geok Lin

    1989-06-01

    The pattern of infant feeding practice was studied among Malay mothers in Kg. Sentosa, a squatter community in Kuala Lumpur. Breastmilk only was provided by most mothers up to the 4th week, after which it was increasingly replaced by cow's milk. 95% of the working mothers and 54% of the full-time housewives had introduced bottle-feeding supplemented with precooked cereal and porridge by 2 months of age. Factors related to maternal employment, household income and occurrence of illness in child affect significantly the duration of exclusive breastfeeding. Variability in the timing of commencement and completion of weaning could be attributed partially only (42.1% and 26.8% respectively) to the household, maternal and child variables taken together. This seems to imply that personal reasons largely govern decisions related to feeding infants. (Author's).

  19. Mobile and Portable Dental Services Catering to the Basic Oral Health Needs of the Underserved Population in Developing Countries: A Proposed Model

    Science.gov (United States)

    Ganavadiya, R; Chandrashekar, BR; Goel, P; Hongal, SG; Jain, M

    2014-01-01

    India is the second most populous country in the world with an extensive rural population (68.8%). Children less than 18 years constitute about 40% of the population. Approximately, 23.5% of the urban population resides in urban slums. The extensive rural population, school children and the urban slum dwellers are denied of even the basic dental services though there is continuous advancement in the field of dentistry. The dentist to population ratio has dramatically improved in the last one to two decades with no significant improvement in the oral health status of the general population. The various studies have revealed an increasing trend in oral diseases in the recent times especially among this underserved population. Alternate strategies have to be thought about rather than the traditional oral health-care delivery through private dentists on fee for service basis. Mobile and portable dental services are a viable option to take the sophisticated oral health services to the doorsteps of the underserved population. The databases were searched for publications from 1900 to the present (2013) using terms such as Mobile dental services, Portable dental services and Mobile and portable dental services with key articles obtained primarily from MEDLINE. This paper reviews the published and unpublished literature from different sources on the various mobile dental service programs successfully implemented in some developed and developing countries. Though the mobile and portable systems have some practical difficulties like financial considerations, they still seem to be the only way to reach every section of the community in the absence of national oral health policy and organized school dental health programs in India. The material for the present review was obtained mainly by searching the biomedical databases for primary research material using the search engine with key words such as mobile and/or portable dental services in developed and developing countries

  20. Wastewater treatment plant effluent introduces recoverable shifts in microbial community composition in urban streams

    Science.gov (United States)

    Ledford, S. H.; Price, J. R.; Ryan, M. O.; Toran, L.; Sales, C. M.

    2017-12-01

    New technologies are allowing for intense scrutiny of the impact of land use on microbial communities in stream networks. We used a combination of analytical chemistry, real-time polymerase chain reaction (qPCR) and targeted amplicon sequencing for a preliminary study on the impact of wastewater treatment plant effluent discharge on urban streams. Samples were collected on two dates above and below treatment plants on the Wissahickon Creek, and its tributary, Sandy Run, in Montgomery County, PA, USA. As expected, effluent was observed to be a significant source of nutrients and human and non-specific fecal associated taxa. There was an observed increase in the alpha diversity at locations immediately below effluent outflows, which contributed many taxa involved in wastewater treatment processes and nutrient cycling to the stream's microbial community. Unexpectedly, modeling of microbial community shifts along the stream was not controlled by concentrations of measured nutrients. Furthermore, partial recovery, in the form of decreasing abundances of bacteria and nutrients associated with wastewater treatment plant processes, nutrient cycling bacteria, and taxa associated with fecal and sewage sources, was observed between effluent sources. Antecedent moisture conditions impacted overall microbial community diversity, with higher diversity occurring after rainfall. These findings hint at resilience in stream microbial communities to recover from wastewater treatment plant effluent and are vital to understanding the impacts of urbanization on microbial stream communities.

  1. Governance and Community Responses to Floods in Poor Peri-urban Areas

    DEFF Research Database (Denmark)

    Schaer, Caroline

    see their already considerable vulnerability increased for every flooding event. In the long term, climate change is expected to make matters worse for these already tried populations, due to an increase in storm frequency and intensity, and with them in the risk of floods. However, climate change...... of significant development aid and interventions, the number of flood victims in urban centres has increased steadily since 1999. Against this background, this dissertation examines how the governance for floods is configured at the national and municipal scales, in a context of weak state capacity....... The dissertation addresses how urban flood management, community responses and resulting public services are produced, as well as the implications thereof. It is investigated how floods have been managed in urban Senegal during the last fifteen years and examines why it has not led to the results expected...

  2. Transitions from Assertive Community Treatment Among Urban and Rural Teams: Identifying Barriers, Service Options, and Strategies.

    Science.gov (United States)

    LeFebvre, Andrea M; Dare, Bill; Farrell, Susan J; Cuddeback, Gary S

    2017-09-01

    An emerging focus of Assertive Community Treatment (ACT) teams is the transition of clients to less intensive services, which creates space for individuals in need of ACT and is consistent with a recovery orientation of treatment. However, there is limited research on team transition rates, post-ACT services, and strategies to overcome transition barriers. In addition, few studies have examined differences in these factors among urban and rural ACT teams. To address these knowledge gaps, we interviewed eight ACT teams in urban and rural areas of eastern Ontario regarding their transition rates, processes of transitioning ACT clients to less intensive services, transition barriers, and solutions to overcoming these barriers. On average, teams transitioned about 6% of their clients over our 3-year study period. Urban and rural teams described both similar and distinct clinical and systemic barriers, such as client reluctance to transition and finding psychiatric follow-up outside of ACT. Implications for ACT practice and policy are discussed.

  3. Urbanization effects on the composition and structure of macrophytes communities in a lotic ecosystem of Pernambuco State, Brazil.

    Science.gov (United States)

    Xavier, L R C C; Scherner, F; Burgos, D C; Barreto, R C; Pereira, S M B

    2016-01-01

    Population growth in urban areas changes freshwater ecosystems, and this can have consequences for macrophyte communities as can be seen in the municipalities that border the Capibaribe River, Pernambuco, Brazil. This study reports the effects of urbanization on the composition and structure of macrophyte communities in areas along that river. The following urbanized and non-urbanized sampling sites were chosen: Sites 1 and 2 (municipality of Santa Cruz do Capibaribe), Sites 3 and 4 (municipality of Toritama), and Sites 5 and 6 (metropolitan region of Recife). These sites were visited every two months from January to July 2013 to observe seasonal variation (wet and dry seasons). Thirty-one species were identified. Generally, the non-urbanized sites had a higher number of species. Multivariate analyses indicated significant overall differences between urbanized and non-urbanized areas (R = 0.044; p < 0.001) and between seasons (R = 0.018; p < 0.019). Owing to the large variation in physical, chemical, and biological characteristics between urbanized and non-urbanized areas, we found that urbanization significantly influenced the floristic composition and structure of macrophyte communities.

  4. Understanding Relationships between Health, Ethnicity, Place and the Role of Urban Green Space in Deprived Urban Communities

    Science.gov (United States)

    Roe, Jenny; Aspinall, Peter A.; Ward Thompson, Catharine

    2016-01-01

    Very little is known about how differences in use and perceptions of urban green space impact on the general health of black and minority ethnic (BME) groups. BME groups in the UK suffer from poorer health and a wide range of environmental inequalities that include poorer access to urban green space and poorer quality of green space provision. This study used a household questionnaire (n = 523) to explore the relationship between general health and a range of individual, social and physical environmental predictors in deprived white British and BME groups living in ethnically diverse cities in England. Results from Chi-Squared Automatic Interaction Detection (CHAID) segmentation analyses identified three distinct general health segments in our sample ranging from “very good” health (people of Indian origin), to ”good” health (white British), and ”poor” health (people of African-Caribbean, Bangladeshi, Pakistani origin and other BME groups), labelled ”Mixed BME” in the analyses. Correlated Component Regression analyses explored predictors of general health for each group. Common predictors of general health across all groups were age, disability, and levels of physical activity. However, social and environmental predictors of general health-including use and perceptions of urban green space-varied among the three groups. For white British people, social characteristics of place (i.e., place belonging, levels of neighbourhood trust, loneliness) ranked most highly as predictors of general health, whilst the quality of, access to and the use of urban green space was a significant predictor of general health for the poorest health group only, i.e., in ”Mixed BME”. Results are discussed from the perspective of differences in use and perceptions of urban green space amongst ethnic groups. We conclude that health and recreation policy in the UK needs to give greater attention to the provision of local green space amongst poor BME communities since this

  5. Community-centered responses to Ebola in urban Liberia: the view from below.

    Directory of Open Access Journals (Sweden)

    Sharon Alane Abramowitz

    2015-04-01

    Full Text Available The West African Ebola epidemic has demonstrated that the existing range of medical and epidemiological responses to emerging disease outbreaks is insufficient, especially in post-conflict contexts with exceedingly poor healthcare infrastructures. In this context, community-based responses have proven vital for containing Ebola virus disease (EVD and shifting the epidemic curve. Despite a surge in interest in local innovations that effectively contained the epidemic, the mechanisms for community-based response remain unclear. This study provides baseline information on community-based epidemic control priorities and identifies innovative local strategies for containing EVD in Liberia.This study was conducted in September 2014 in 15 communities in Monrovia and Montserrado County, Liberia--one of the epicenters of the Ebola outbreak. Findings from 15 focus group discussions with 386 community leaders identified strategies being undertaken and recommendations for what a community-based response to Ebola should look like under then-existing conditions. Data were collected on the following topics: prevention, surveillance, care-giving, community-based treatment and support, networks and hotlines, response teams, Ebola treatment units (ETUs and hospitals, the management of corpses, quarantine and isolation, orphans, memorialization, and the need for community-based training and education. Findings have been presented as community-based strategies and recommendations for (1 prevention, (2 treatment and response, and (3 community sequelae and recovery. Several models for community-based management of the current Ebola outbreak were proposed. Additional findings indicate positive attitudes towards early Ebola survivors, and the need for community-based psychosocial support.Local communities' strategies and recommendations give insight into how urban Liberian communities contained the EVD outbreak while navigating the systemic failures of the initial

  6. Indoor source apportionment in urban communities near industrial sites

    Science.gov (United States)

    Tunno, Brett J.; Dalton, Rebecca; Cambal, Leah; Holguin, Fernando; Lioy, Paul; Clougherty, Jane E.

    2016-08-01

    Because fine particulate matter (PM2.5) differs in chemical composition, source apportionment is frequently used for identification of relative contributions of multiple sources to outdoor concentrations. Indoor air pollution and source apportionment is often overlooked, though people in northern climates may spend up to 90% of their time inside. We selected 21 homes for a 1-week indoor sampling session during summer (July to September 2011), repeated in winter (January to March 2012). Elemental analysis was performed using inductively-coupled plasma mass spectrometry (ICP-MS), and factor analysis was used to determine constituent grouping. Multivariate modeling was run on factor scores to corroborate interpretations of source factors based on a literature review. For each season, a 5-factor solution explained 86-88% of variability in constituent concentrations. Indoor sources (i.e. cooking, smoking) explained greater variability than did outdoor sources in these industrial communities. A smoking factor was identified in each season, predicted by number of cigarettes smoked. Cooking factors were also identified in each season, explained by frequency of stove cooking and stovetop frying. Significant contributions from outdoor sources including coal and motor vehicles were also identified. Higher coal and secondary-related elemental concentrations were detected during summer than winter. Our findings suggest that source contributions to indoor concentrations can be identified and should be examined in relation to health effects.

  7. Insights into nasal carriage of Staphylococcus aureus in an urban and a rural community in Ghana

    DEFF Research Database (Denmark)

    Egyir, Beverly; Guardabassi, Luca; Esson, Joseph

    2014-01-01

    of strains isolated from the two communities. Nasal swabs were collected from healthy individuals living in an urban community situated in the suburb of the capital city, Accra (n = 353) and in a rural community situated in the Dangme-West district (n = 234). The overall prevalence of nasal carriage was 21...

  8. Community Stroke Rehabilitation: How Do Rural Residents Fare Compared With Their Urban Counterparts?

    Science.gov (United States)

    Allen, Laura; McIntyre, Amanda; Janzen, Shannon; Richardson, Marina; Meyer, Matthew; Ure, David; Teasell, Robert

    2016-01-01

    Rural living has been demonstrated to have an effect on a person's overall health status, and rural residing individuals often have decreased access to health and specialized rehabilitation services. The aim of this study was to determine if there are differences in recovery from stroke between urban and rural-dwelling stroke survivors accessing an in-home, community-based, interdisciplinary, stroke rehabilitation program. Data from a cohort of 1222 stroke survivors receiving care from the Community Stroke Rehabilitation Teams between January 2009 and June 2013 was analyzed. This program delivers stroke rehabilitation care directly in a person's home and community. Functional and psychosocial outcomes were evaluated at baseline, discharge, and six -month follow-up. A series of multiple linear regression analyses was performed to determine if rural versus urban status was a significant predictor of discharge and 6-month health outcomes. The mean age of the rural cohort was 68.8 (±13.1) years (53.6% male), and the urban cohort was 68.4 (±13.0) years (44.8% male). A total of 278 (35.4%) individuals were classified as living in a rural area using the Rurality Index for Ontario. In multivariate linear regression analysis, no significant differences on the Functional Independence Measure, the Stroke Impact Scale, the Hospital Anxiety and Depression Scale, or the Reintegration to Normal Living Index were found between urban and rural cohorts. When provided with access to a home-based, specialized stroke rehabilitation program, rural dwelling stroke survivors make and maintain functional gains comparable to their urban-living counterparts.

  9. Incorporating Traditional Healing Into an Urban American Indian Health Organization: A Case Study of Community Member Perspectives

    Science.gov (United States)

    Hartmann, William E.; Gone, Joseph P.

    2013-01-01

    Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available for urban AI communities do not exist in the literature, this community-based project convened 4 focus groups consisting of 26 members of a midwestern urban AI community to better understand traditional healing practices of interest and how they might be integrated into the mental health and substance abuse treatment services in an Urban Indian Health Organization (UIHO). Qualitative content analysis of focus group transcripts revealed that ceremonial participation, traditional education, culture keepers, and community cohesion were thought to be key components of a successful traditional healing program. Potential incorporation of these components into an urban environment, however, yielded 4 marked tensions: traditional healing protocols versus the realities of impoverished urban living, multitribal representation in traditional healing services versus relational consistency with the culture keepers who would provide them, enthusiasm for traditional healing versus uncertainty about who is trustworthy, and the integrity of traditional healing versus the appeal of alternative medicine. Although these tensions would likely arise in most urban AI clinical contexts, the way in which each is resolved will likely depend on tailored community needs, conditions, and mental health objectives. PMID:22731113

  10. The impact of coastal urbanization on the structure of phytobenthic communities in southern Brazil.

    Science.gov (United States)

    Martins, Cintia D L; Arantes, Noele; Faveri, Caroline; Batista, Manuela B; Oliveira, Eurico C; Pagliosa, Paulo R; Fonseca, Alessandra L; Nunes, José Marcos C; Chow, Fungyi; Pereira, Sonia B; Horta, Paulo A

    2012-04-01

    The anthropogenic pressures on coastal areas represent important factors affecting local, regional, and even global patterns of distribution and abundance of benthic organisms. This report undertakes a comparative analysis of the community structure of rocky shore intertidal phytobenthos in both pristine like environments (PLE) and urbanized environments (UBE) in southern Brazil, characterizing variations on different spatial scales. Multivariate analysis of variance indicated that the PLE is characterized by a larger number of taxa and an increased occurrence of Rhodophyta species in relation to UBE. In contrast, UBE were dominated by opportunistic algae, such as Cladophora and Ulva spp. Significance tests further indicated higher species richness and Shannon-Wiener diversity on the PLE in relation to UBE. Here we provide data showing the magnitude of seaweed biodiversity loss and discuss direct and indirect consequences of unplanned urbanization on these communities. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. Effects of urban particulate deposition on microbial communities living in bryophytes: an experimental study.

    Science.gov (United States)

    Meyer, C; Bernard, N; Moskura, M; Toussaint, M L; Denayer, F; Gilbert, D

    2010-10-01

    Our previous in situ study showed that bryophyte-microorganism complexes were affected by particulate atmospheric pollution. Here, the effect of urban particulate wet deposits on microbial communities living in bryophytes was studied under controlled conditions. An urban particulate solution was prepared with particles extracted from analyzer' filters and nebulized on bryophytes in treatments differing in frequency and quantity. The bryophytes did not accumulate metallic trace elements, which were present in very weak concentrations. However, in treated microcosms the total microbial biomass and the biomasses of cyanobacteria, active testate amoebae and fungi significantly decreased in response to the deposition of particles. These results confirm that microbial communities living in terrestrial bryophytes could be more sensitive indicators of atmospheric pollution than bryophytes. Moreover, they suggest that unicellular predators--such as testate amoebae--could be especially useful microbial indicators, since they seem to be both directly and indirectly affected by pollution. Copyright © 2010 Elsevier Inc. All rights reserved.

  12. Flying-foxes in the Australian urban environment—community attitudes and opinions

    Directory of Open Access Journals (Sweden)

    Nina Y. Kung

    2015-12-01

    Full Text Available The urban presence of flying-foxes (pteropid bats in eastern Australia has increased in the last 20 years, putatively reflecting broader landscape change. The influx of large numbers often precipitates community angst, typically stemming from concerns about loss of social amenity, economic loss or negative health impacts from recently emerged bat-mediated zoonotic diseases such as Hendra virus and Australian bat lyssavirus. Local authorities and state wildlife authorities are increasingly asked to approve the dispersal or modification of flying-fox roosts to address expressed concerns, yet the scale of this concern within the community, and the veracity of the basis for concern are often unclear. We conducted an on-line survey to capture community attitudes and opinions on flying-foxes in the urban environment to inform management policy and decision-making. Analysis focused on awareness, concerns, and management options, and primarily compared responses from communities where flying-fox management was and was not topical at the time of the survey. While a majority of respondents indicated a moderate to high level of knowledge of both flying-foxes and Hendra virus, a substantial minority mistakenly believed that flying-foxes pose a direct infection risk to humans, suggesting miscommunication or misinformation, and the need for additional risk communication strategies. Secondly, a minority of community members indicated they were directly impacted by urban roosts, most plausibly those living in close proximity to the roost, suggesting that targeted management options are warranted. Thirdly, neither dispersal nor culling was seen as an appropriate management strategy by the majority of respondents, including those from postcodes where flying-fox management was topical. These findings usefully inform community debate and policy development and demonstrate the value of social analysis in defining the issues and options in this complex human

  13. Health care delivery, access and utilisation in emerging communities and urban slums of south west Nigeria

    OpenAIRE

    Lawal, Saheed Akinmayọwa

    2014-01-01

    In Nigeria, over 60 percent of the population lack access to modern health care facilities. Low access and effective utilisation even where available, are affected by inadequate health workforce, low quality of care, distance, and poor policy implementation. This research examines the nature of health care in emerging communities and urban slums of south west Nigeria. The study synthesises Giddens’ Structuration theory, Dahlgren and Whitehead’s Social model of health, and Andersen and Newman’...

  14. (Un)Sustainable Community Projects: An Urban Ethnography in a Barrio in Las Vegas

    OpenAIRE

    Castrejón, J. Adrian

    2017-01-01

    This essay and the accompanying study are part of a broader project, Southern Nevada Strong (SNS), which seeks to improve housing, safety, transportation, and employment opportunities in areas of high need in the Las Vegas, Nevada metropolitan area. The study examined the living conditions for Chicanx/Latinx residents in Barrio 28th Street, employing urban ethnographic methods as part of the community-input phase of SNS. Although barrios are cultural and historical places of solidar...

  15. With Their Help: How community members construct a congruent Third Space in an urban kindergarten classroom

    Science.gov (United States)

    Quigley, Cassie F.

    2013-03-01

    Through the use of narrative enquiry, this paper tells the story of how a kindergarten teacher in an all-girls' school incorporates family and community members' involvement to the construction of the congruent Third Space present in the classroom, and the ways the girls respond to this involvement, thereby providing a successful model for other schools in marginalized communities. In this study, the author sought to understand how this teacher and the community members' in this classroom create a congruent Third Space. This research enquiry includes the systematic use of the methodology portraiture with analysis of critical events. The portraits are titled: Mutual Desire for the Girls to Succeed and Community Members' Involvement. This paper moves Third Space theory towards praxis through concrete examples in an urban, kindergarten classroom.

  16. Receipt of preventive counseling among reproductive-aged women in rural and urban communities.

    Science.gov (United States)

    McCall-Hosenfeld, Jennifer S; Weisman, Carol S

    2011-01-01

    Preventive health interventions often occur less frequently among rural women compared to urban women. Preventive counseling is an important feature of comprehensive preventive healthcare provision, but geographic disparities in the receipt of preventive counseling services have not been fully described. In this study the framework of the behavioral model of healthcare utilization was employed to investigate the association between rurality and receiving preventive counseling. It was hypothesized that demographic differences in rural and urban communities, as well as differential healthcare resources, explain rural-urban healthcare disparities in preventive counseling. Data were collected by telephone survey during 2004-2005 for 2002 participants aged 18-45 years in the Central Pennsylvania Women's Health Study. Measures of preventive counseling were based on US Preventive Services Task Force recommendations as of 2004. Multivariable models assessed the independent contribution of rurality to the receipt of counseling for smoking, alcohol/drug use, birth control, nutrition, weight management, and physical activity. Rurality was assessed using Rural-Urban Community Area Codes. All models controlled for variables that predispose individuals to use health services (age, race/ethnicity, educational level), variables that enable or impede healthcare access (having a usual healthcare provider, using an obstetrician-gynecologist, poverty, and continuous health insurance coverage) and need-based variables (health behaviors and indicators). In bivariate analysis, the rural population was older, had lower educational attainment, and was more likely to be White, non-Hispanic. Urban women tended to report seeing an obstetrician-gynecologist more frequently, and engaged more frequently in binge drinking/drug use. Preventive counseling was low among both rural and urban women, and ranged from 12% of the population for alcohol/drug use counseling, to 37% for diet or nutrition

  17. The association between income inequality and all-cause mortality across urban communities in Korea.

    Science.gov (United States)

    Park, Jong; Ryu, So-Yeon; Han, Mi-ah; Choi, Seong-Woo

    2015-06-20

    Korea has achieved considerable economic growth more rapidly than most other countries, but disparities in income level have increased. Therefore, we sought to assess the association between income inequality and mortality across Korean cities. Data on household income were obtained from the 2010-2012 Korean Community Health Survey and data on all-cause mortality and other covariates were obtained from the Korean Statistical Information Service. The Gini coefficient, Robin Hood index, and income share ratio between the 80th and 20th percentiles of the distribution were measured for each community. After excluding communities affected by changes in administrative districts between 2010 and 2012, a total of 157 communities and 172,398 urban residents were included in the analysis. When we graphed income inequality measures versus all-cause mortality as scatter plots, the R square values of the regression lines for GC, RHI, and 80/20 ratios relative to mortality were 0.230, 0.238, and 0.152, respectively. After adjusting for other covariates and median household income, mean all-cause mortality increased significantly with increasing GC (P for trend = 0.014) and RHI (P for trend = 0.031), and increased marginally with 80/20 ratio (P for trend = 0.067). Our data demonstrate that income inequality measures are significantly associated with all-cause mortality rate after adjustment for covariates, including median household income across urban communities in Korea.

  18. Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semi-urban and rural communities in Malaysia.

    Science.gov (United States)

    Al-Dubai, Sami Abdo Radman; Ganasegeran, Kurubaran; Mohanad Rahman, Alwan; Alshagga, Mustafa Ahmed; Saif-Ali, Riyadh

    2013-01-01

    Dengue fever is a major public health problem in Malaysia. This study aimed to assess factors affecting knowledge, attitudes, and practices regarding dengue fever among a selected population in Malaysia. A descriptive, community-based, cross sectional study was conducted with 300 participants from three different geographical settings in urban, semi-urban, and rural areas within the states of Selangor and Kuala Lumpur. The questionnaire included questions on demographic data, knowledge, attitudes, and practices regarding dengue fever. Mean age of respondents was 34.4 (+/- 5.7) years, and the age ranged from 18 to 65 years. The majority of respondents were married (54.7%), Malays (72.7%) and heard about dengue fever (89.7%). Television was the common source of information about dengue fever (97.0%). Participants answered 4 out of 15 items of knowledge incorrectly. There was no significant association between knowledge score and socio-demographic factors. About one-fifth of the respondents (24%) believed that immediate treatment is not necessary for dengue fever, and the majority of them were not afraid of the disease (96.0%). Attitudes toward dengue fever were significantly associated with the level of education and employment status (p dengue fever (p = 0.030). There is a need to increase health promotion activities through campaigns and social mobilization to increase knowledge regarding dengue fever. This would help to mold positive attitudes and cultivate better preventive practices among the public to eliminate dengue in the country.

  19. Estimated lead (Pb) exposures for a population of urban community gardeners.

    Science.gov (United States)

    Spliethoff, Henry M; Mitchell, Rebecca G; Shayler, Hannah; Marquez-Bravo, Lydia G; Russell-Anelli, Jonathan; Ferenz, Gretchen; McBride, Murray

    2016-08-01

    Urban community gardens provide affordable, locally grown, healthy foods and many other benefits. However, urban garden soils can contain lead (Pb) that may pose risks to human health. To help evaluate these risks, we measured Pb concentrations in soil, vegetables, and chicken eggs from New York City community gardens, and we asked gardeners about vegetable consumption and time spent in the garden. We then estimated Pb intakes deterministically and probabilistically for adult gardeners, children who spend time in the garden, and adult (non-gardener) household members. Most central tendency Pb intakes were below provisional total tolerable intake (PTTI) levels. High contact intakes generally exceeded PTTIs. Probabilistic estimates showed approximately 40 % of children and 10 % of gardeners exceeding PTTIs. Children's exposure came primarily from dust ingestion and exposure to higher Pb soil between beds. Gardeners' Pb intakes were comparable to children's (in µg/day) but were dominated by vegetable consumption. Adult household members ate less garden-grown produce than gardeners and had the lowest Pb intakes. Our results suggest that healthy gardening practices to reduce Pb exposure in urban community gardens should focus on encouraging cultivation of lower Pb vegetables (i.e., fruits) for adult gardeners and on covering higher Pb non-bed soils accessible to young children. However, the common practice of replacement of root-zone bed soil with clean soil (e.g., in raised beds) has many benefits and should also continue to be encouraged.

  20. Wind Energy Assessment for Small Urban Communities in the Baja California Peninsula, Mexico

    Directory of Open Access Journals (Sweden)

    Quetzalcoatl Hernandez-Escobedo

    2016-10-01

    Full Text Available Mexico needs to exploit its renewable resources and many studies have determined the great renewable potential it has using wind energy. However it is necessary to calculate the amount of this resource for small urban communities, which in this country lack essential services such as electricity. This study is focused in the Baja California Peninsula, using GIS as a tool to identify small urban zones with higher wind power. For this work data was analyzed from meteorological stations and recorded every 10 min for two years (2012–2014. Weibull distribution, linear regression, kriging interpolation, power and energy output and useful hours were calculated for each station. It was found that the total energy generated is 38,603,666 kWh per year and the mean of useful hours is 5220 h per year for the whole Peninsula. Maps of Wind Power Density (WPD show a good power per square meter, GIS shows the areas with the most wind power where it can be used i.e., the state of Baja California wind power can generate electricity for 12% of those communities, meanwhile for Baja California Sur, the electric power generation could electrify almost 25% of the total of small urban communities.

  1. HealthATM: personal health cyberinfrastructure for underserved populations.

    Science.gov (United States)

    Botts, Nathan E; Horan, Thomas A; Thoms, Brian P

    2011-05-01

    There is an opportunity for personal health record (PHR) systems to play a vital role in fostering health self-management within underserved populations. If properly designed and promoted, it is possible that patients will use PHRs to become more empowered in taking an active role toward managing their health needs. This research examines the potential of a cyberinfrastructure-based PHR to encourage patient activation in health care, while also having population health implications. A multi-phased, iterative research approach was used to design and evaluate a PHR system called HealthATM, which utilizes services from a cloud computing environment. These services were integrated into an ATM-style interface aimed at providing a broad range of health consumers with the ability to manage health conditions and encourage accomplishment of health goals. Evaluation of the PHR included 115 patients who were clients of several free clinics in Los Angeles County. The majority of patients perceived ease of use (74%) and confidence (73%) in using the HealthATM system, and thought they would like to use it frequently (73%). Patients also indicated a belief in being responsible for their own health. However, fewer felt as though they were able to maintain necessary life changes to improve their health. Findings from the field tests suggest that PHRs can be a beneficial health management tool for underserved populations. In order for these types of tools to be effective within safety-net communities, they must be technically accessible and provide meaningful opportunities to increase patient engagement in their health care. Copyright © 2011. Published by Elsevier Inc.

  2. Government, market and community in urban solid waste management; problems and potentials in the transition to sustainable development?

    NARCIS (Netherlands)

    Post, J.; Baud, I.S.A.; Baud, I.S.A.; Furedy, C.; Post, J.

    2004-01-01

    -Post, Johan and Isa Baud (2004) Government, market and community in urban solid waste management; problems and potentials in the transition to sustainable development? in: Baud, Isa., Johan. Post and Christine Furedy (2004) Solid Waste Management and Rec

  3. Adult Education in Industrial and Urban Community. Proceedings of ASPBAE Region 3 Conference (Daegu, Korea, September 9-15, 1979).

    Science.gov (United States)

    Hwang, Jong-Gon, Ed.

    The impact of urbanization and industrialization on adult education in East and Southeast Asia was the subject of a conference attended by thirty-five East Asian adult educators and scholars. Conference objectives included the following: to identify the impact of industrial development in urban and rural communities and the related problems of…

  4. Maternal and child under-nutrition in rural and urban communities of Lagos state, Nigeria: the relationship and risk factors

    Science.gov (United States)

    2013-01-01

    Background Poor nutritional status of mothers has a direct and indirect consequence on their own health and that of their children. The objective of this study was to determine the relationship between nutritional status of mothers and their children and the risk factors for under-nutrition among mothers and children in rural and urban communities of Lagos State, Nigeria. Methods This was a cross sectional survey conducted using the multistage random sampling technique. A total of 300 mother-child pairs were studied, consisting of 150 each from rural and urban communities. Under-nutrition in mothers and children was determined using standard criteria. Results The prevalence of under-nutrition among mothers was significantly higher in rural than urban communities (10.7% vs. 2.7%, p = 0.014). The prevalences of underweight and stunted children were also significantly higher in rural than urban communities (19.4% vs. 9.3%, p maternal and child under nutrition differs across rural and urban communities. Conclusions The prevalence of maternal and child under-nutrition is high in both communities although higher in rural communities. Efforts at reducing the vicious cycle of under-nutrition among mothers and children should concentrate on addressing risk factors specific for each community. PMID:23880121

  5. keep your models up-to-date: connecting community mapping data to complex urban flood modelling

    Science.gov (United States)

    Winsemius, Hessel; Eilander, Dirk; Ward, Philip; Diaz Loaiza, Andres; Iliffe, Mark; Mawanda, Shaban; Luo, Tianyi; Kimacha, Nyambiri; Chen, Jorik

    2017-04-01

    The world is urbanizing rapidly. According to the United Nation's World Urbanization Prospect, 50% of the global population already lives in urban areas today. This number is expected to grow to 66% by 2050. The rapid changes in these urban environments go hand in hand with rapid changes in natural hazard risks, in particular in informal unplanned neighbourhoods. In Dar Es Salaam - Tanzania, flood risk dominates and given the rapid changes in the city, continuous updates of detailed street level hazard and risk mapping are needed to adequately support decision making for urban planning, infrastructure design and disaster response. Over the past years, the Ramani Huria and Zuia Mafuriko projects have mapped the most flood prone neighbourhoods, including roads, buildings, drainage and land use and contributed data to the open-source OpenStreetMap database. In this contribution, we will demonstrate how we mobilize these contributed data to establish dynamic flood models for Dar Es Salaam and keep these up-to-date by making a direct link between the data, and model schematization. The tools automatically establish a sound 1D drainage network as well as a high resolution terrain dataset, by fusing the OpenStreetMap data with existing lower resolution terrain data such as the globally available satellite based SRTM 30. It then translates these fully automatically into the inputs required for the D-HYDRO modeling suite. Our tools are built such that community and stakeholder knowledge can be included in the model details through workshops with the tools so that missing essential information about the city's details can be augmented on-the-fly. This process creates a continuous dialogue between members of the community that collect data, and stakeholders requiring data for flood models. Moreover, used taxonomy and data filtering can be configured to conditions in other cities, making the tools generic and scalable. The tools are made available open-source.

  6. Impervious Surfaces Alter Soil Bacterial Communities in Urban Areas: A Case Study in Beijing, China.

    Science.gov (United States)

    Hu, Yinhong; Dou, Xiaolin; Li, Juanyong; Li, Feng

    2018-01-01

    The rapid expansion of urbanization has caused land cover change, especially the increasing area of impervious surfaces. Such alterations have significant effects on the soil ecosystem by impeding the exchange of gasses, water, and materials between soil and the atmosphere. It is unclear whether impervious surfaces have any effects on soil bacterial diversity and community composition. In the present study, we conducted an investigation of bacterial communities across five typical land cover types, including impervious surfaces (concrete), permeable pavement (bricks with round holes), shrub coverage ( Buxus megistophylla Levl. ), lawns ( Festuca elata Keng ex E. Alexeev ), and roadside trees ( Sophora japonica Linn. ) in Beijing, to explore the response of bacteria to impervious surfaces. The soil bacterial communities were addressed by high-throughput sequencing of the bacterial 16S rRNA gene. We found that Proteobacteria , Actinobacteria , Acidobacteria , Bacteroidetes , Chloroflexi , and Firmicutes were the predominant phyla in urban soils. Soil from impervious surfaces presented a lower bacterial diversity, and differed greatly from other types of land cover. Soil bacterial diversity was predominantly affected by Zn, dissolved organic carbon (DOC), and soil moisture content (SMC). The composition of the bacterial community was similar under shrub coverage, roadside trees, and lawns, but different from beneath impervious surfaces and permeable pavement. Variance partitioning analysis showed that edaphic properties contributed to 12% of the bacterial community variation, heavy metal pollution explained 3.6% of the variation, and interaction between the two explained 33% of the variance. Together, our data indicate that impervious surfaces induced changes in bacterial community composition and decrease of bacterial diversity. Interactions between edaphic properties and heavy metals were here found to change the composition of the bacterial community and diversity

  7. Impervious Surfaces Alter Soil Bacterial Communities in Urban Areas: A Case Study in Beijing, China

    Directory of Open Access Journals (Sweden)

    Yinhong Hu

    2018-02-01

    Full Text Available The rapid expansion of urbanization has caused land cover change, especially the increasing area of impervious surfaces. Such alterations have significant effects on the soil ecosystem by impeding the exchange of gasses, water, and materials between soil and the atmosphere. It is unclear whether impervious surfaces have any effects on soil bacterial diversity and community composition. In the present study, we conducted an investigation of bacterial communities across five typical land cover types, including impervious surfaces (concrete, permeable pavement (bricks with round holes, shrub coverage (Buxus megistophylla Levl., lawns (Festuca elata Keng ex E. Alexeev, and roadside trees (Sophora japonica Linn. in Beijing, to explore the response of bacteria to impervious surfaces. The soil bacterial communities were addressed by high-throughput sequencing of the bacterial 16S rRNA gene. We found that Proteobacteria, Actinobacteria, Acidobacteria, Bacteroidetes, Chloroflexi, and Firmicutes were the predominant phyla in urban soils. Soil from impervious surfaces presented a lower bacterial diversity, and differed greatly from other types of land cover. Soil bacterial diversity was predominantly affected by Zn, dissolved organic carbon (DOC, and soil moisture content (SMC. The composition of the bacterial community was similar under shrub coverage, roadside trees, and lawns, but different from beneath impervious surfaces and permeable pavement. Variance partitioning analysis showed that edaphic properties contributed to 12% of the bacterial community variation, heavy metal pollution explained 3.6% of the variation, and interaction between the two explained 33% of the variance. Together, our data indicate that impervious surfaces induced changes in bacterial community composition and decrease of bacterial diversity. Interactions between edaphic properties and heavy metals were here found to change the composition of the bacterial community and

  8. Ectomycorrhizal Fungal Communities in Urban Parks Are Similar to Those in Natural Forests but Shaped by Vegetation and Park Age.

    Science.gov (United States)

    Hui, Nan; Liu, Xinxin; Kotze, D Johan; Jumpponen, Ari; Francini, Gaia; Setälä, Heikki

    2017-12-01

    Ectomycorrhizal (ECM) fungi are important mutualists for the growth and health of most boreal trees. Forest age and its host species composition can impact the composition of ECM fungal communities. Although plentiful empirical data exist for forested environments, the effects of established vegetation and its successional trajectories on ECM fungi in urban greenspaces remain poorly understood. We analyzed ECM fungi in 5 control forests and 41 urban parks of two plant functional groups (conifer and broadleaf trees) and in three age categories (10, ∼50, and >100 years old) in southern Finland. Our results show that although ECM fungal richness was marginally greater in forests than in urban parks, urban parks still hosted rich and diverse ECM fungal communities. ECM fungal community composition differed between the two habitats but was driven by taxon rank order reordering, as key ECM fungal taxa remained largely the same. In parks, the ECM communities differed between conifer and broadleaf trees. The successional trajectories of ECM fungi, as inferred in relation to the time since park construction, differed among the conifers and broadleaf trees: the ECM fungal communities changed over time under the conifers, whereas communities under broadleaf trees provided no evidence for such age-related effects. Our data show that plant-ECM fungus interactions in urban parks, in spite of being constructed environments, are surprisingly similar in richness to those in natural forests. This suggests that the presence of host trees, rather than soil characteristics or even disturbance regime of the system, determine ECM fungal community structure and diversity. IMPORTANCE In urban environments, soil and trees improve environmental quality and provide essential ecosystem services. ECM fungi enhance plant growth and performance, increasing plant nutrient acquisition and protecting plants against toxic compounds. Recent evidence indicates that soil-inhabiting fungal communities

  9. 75 FR 32099 - Enterprise Duty To Serve Underserved Markets

    Science.gov (United States)

    2010-06-07

    ... 2590-AA27 Enterprise Duty To Serve Underserved Markets AGENCY: Federal Housing Finance Agency. ACTION... Recovery Act of 2008 (HERA) amended section 1335 of the Federal Housing Enterprises Financial Safety and... Enterprises) to serve three specified underserved markets--manufactured housing, affordable housing...

  10. Re-Presenting Slavery: Underserved Questions in Museum Collections

    Science.gov (United States)

    Levenson, Cyra

    2014-01-01

    This article looks at the notion of what, not who, is underserved in museum education. The importance of looking through, in, and from objects in order to uncover underserved questions and themes is vital. A willingness to consider new ways to approach collections and display is necessary to have a dialogue with our audiences about how museums can…

  11. A Critique of the Application of Neighborhood Sustainability Assessment Tools in Urban Regeneration

    Directory of Open Access Journals (Sweden)

    Luke Boyle

    2018-03-01

    Full Text Available Neighbourhood Sustainability Assessment Tools (NSA tools are fast becoming the principal framework for urban planners and developers for promoting urban sustainability. The majority of NSA tools promote a specific type of urban development that effectively excludes regeneration projects from the urban sustainability conversation. Given that the world’s megacities are mostly built, it is argued that it is essential that strategies for global sustainability consider that urban development is focussed internally to address existing, under-serviced communities in particular need of meaningful intervention and sustainable redevelopment frameworks. The paper uses existing knowledge on NSA tools to highlight the shortcomings of outcomes-based approaches to urban governance and builds the case that the technocratic “one-size-fits-all” approach adopted by many tools inadequately accounts for underlying institutional, social and economic arrangements that influence urban development, making them inappropriate for application in both planned and existing communities. The paper proposes that urban redevelopment strategies need to be derived from the urban realities of a particular place or context. Such strategies must be grounded in principles of urban governance, participatory action and an understanding of market dynamics. Without these collaborative procedural frameworks, urban regeneration projects will continue to inadequately transition towards more comprehensive sustainability.

  12. Distinct responses of bacterial communities to agricultural and urban impacts in temperate southern African estuaries

    Science.gov (United States)

    Matcher, G. F.; Froneman, P. W.; Meiklejohn, I.; Dorrington, R. A.

    2018-01-01

    Worldwide, estuaries are regarded as amongst the most ecologically threatened ecosystems and are increasingly being impacted by urban development, agricultural activities and reduced freshwater inflow. In this study, we examined the influence of different human activities on the diversity and structure of bacterial communities in the water column and sediment in three distinct, temperate permanently open estuarine systems within the same geographic region of southern Africa. The Kariega system is freshwater-deprived and is considered to be relatively pristine; the Kowie estuary is marine-dominated and impacted by urban development, while the Sundays system is fresh-water dominated and impacted by agricultural activity in its catchment. The bacterial communities in all three systems comprise predominantly heterotrophic species belonging to the Bacteroidetes and Proteobacteria phyla with little overlap between bacterioplankton and benthic bacterial communities at the species level. There was overlap between the operational taxonomic units (OTUs) of the Kowie and Kariega, both marine-influenced estuaries. However, lower species richness in the Kowie, likely reflects the impact of human settlements along the estuary. The dominant OTUs in the Sundays River system were distinct from those of the Kariega and Kowie estuaries with an overall decrease in species richness and evenness. This study provides an important snapshot into the microbial population structures of permanently open temperate estuarine systems and the influence of anthropogenic impacts on bacterial diversity and community structure.

  13. Bumble Bee Abundance in New York City Community Gardens: Implications for Urban Agriculture

    Directory of Open Access Journals (Sweden)

    Gail A. Langellotto

    2009-01-01

    Full Text Available A variety of crops are grown in New York City community gardens. Although the production of many crops benefits from pollination by bees, little is known about bee abundance in urban community gardens or which crops are specifically dependent on bee pollination. In 2005, we compiled a list of crop plants grown within 19 community gardens in New York City and classified these plants according to their dependence on bee pollination. In addition, using mark-recapture methods, we estimated the abundance of a potentially important pollinator within New York City urban gardens, the common eastern bumble bee (Bombus impatiens. This species is currently recognized as a valuable commercial pollinator of greenhouse crops. However, wild populations of B. impatiens are abundant throughout its range, including in New York City community gardens, where it is the most abundant native bee species present and where it has been observed visiting a variety of crop flowers. We conservatively counted 25 species of crop plants in 19 surveyed gardens. The literature suggests that 92% of these crops are dependent, to some degree, on bee pollination in order to set fruit or seed. Bombus impatiens workers were observed visiting flowers of 78% of these pollination-dependent crops. Estimates of the number of B. impatiens workers visiting individual gardens during the study period ranged from 3 to 15 bees per 100 m2 of total garden area and 6 to 29 bees per 100 m2 of garden floral area. Of 229 B. impatiens workers marked, all recaptured individuals (45% were found in gardens where they were initially marked. These results indicate an abundance of B. impatiens workers within New York City community gardens and suggest that, at least for certain time periods, many individual workers forage within single gardens. Both findings suggest that B. impatiens may be an especially important pollinator of several common crops grown within community gardens and other urban green spaces

  14. Cracking the humanitarian logistic coordination challenge: lessons from the urban search and rescue community.

    Science.gov (United States)

    Tatham, Peter; Spens, Karen

    2016-04-01

    The challenges of achieving successful inter-agency logistic coordination in preparing for and responding to natural disasters and complex emergencies are both well understood and well documented. However, although many of these challenges remain unresolved, the literature reveals that the organisations that form the urban search and rescue (USAR) community have attained a high level of coherence and interoperability that results in a highly efficient and effective response. Therefore, this paper uses the idea of 'borrowing' from other fields as it explores how the processes and procedures used by the USAR community might be applied to improve humanitarian logistic operations. The paper analyses the USAR model and explores how the resultant challenges might be addressed in a humanitarian logistic context. The paper recommends that further research be undertaken in order to develop a modified USAR model that could be operationalised by the international community of humanitarian logisticians. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.

  15. Revitalizing communities together: the shared values, goals, and work of education, urban planning, and public health.

    Science.gov (United States)

    Cohen, Alison Klebanoff; Schuchter, Joseph W

    2013-04-01

    Inequities in education, the urban environment, and health co-exist and mutually reinforce each other. Educators, planners, and public health practitioners share commitments to place-based, participatory, youth-focused, and equitable work. They also have shared goals of building community resilience, social capital, and civic engagement. Interdisciplinary programs that embody these shared values and work towards these shared goals are emerging, including school-based health centers, full-service community schools, community health centers, Promise Neighborhoods, and Choice Neighborhoods. The intersection of these three fields represents an opportunity to intervene on social determinants of health. More collaborative research and practice across public health, education, and planning should build from the shared values identified to continue to address these common goals.

  16. Adaptation of copper community tolerance levels after biofilm transplantation in an urban river.

    Science.gov (United States)

    Fechner, Lise C; Versace, François; Gourlay-Francé, Catherine; Tusseau-Vuillemin, Marie-Hélène

    2012-01-15

    The Water Framework Directive requires the development of biological tools which can act as early-warning indicators of a sudden increase (accidental pollution) or decrease (recovery due to prevention) of the chemical status of aquatic systems. River biofilms, which respond quickly to modifications of environmental parameters and also play a key part in the functioning of aquatic ecosystems, are therefore good candidates to monitor an increase or a decrease of water pollution. In the present study, we investigated the biological response of biofilms transplanted either upstream (recovery) or downstream (deterioration of exposure levels) the urban area of Paris (France). Both modifications of Cu community tolerance levels and of global bacterial and eukaryotic community structure using automated ribosomal intergenic spacer analysis (ARISA) fingerprints were examined 15 and 30 days after the transplantation. Cu tolerance levels of the heterotrophic component of biofilms were assessed using a short-term toxicity test based on β-glucosidase (heterotrophic) activity. Cu tolerance increased for biofilms transplanted upstream to downstream Paris (5-fold increase on day 30) and conversely decreased for biofilms transplanted downstream to upstream (8-fold decrease on day 30). ARISA fingerprints revealed that bacterial and eukaryotic community structures of transplanted biofilms were closer to the structures of biofilms from the transplantation sites (or sites with similar contamination levels) than to biofilms from their sites of origin. Statistical analysis of the data confirmed that the key factor explaining biofilm Cu tolerance levels is the sampling site and not the site of origin. It also showed that Cu tolerance levels are related to the global urban contamination (both metals and nutrients). The study shows that biofilms adapt fast to modifications of their surroundings. In particular, community tolerance varies quickly and reflects the new exposure levels only 15

  17. Unintentional Childhood Injuries in Urban and Rural Ujjain, India: A Community-Based Survey

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    Aditya Mathur

    2018-02-01

    Full Text Available Injuries are a major global public health problem. There are very few community-based studies on childhood injury from India. The objective of this cross-sectional, community-based survey was to identify the incidence, type, and risk factors of unintentional childhood injuries. The study was done in seven villages and ten contiguous urban slums in Ujjain, India. World Health Organization (WHO tested tools and definitions were used for the survey, which included 2518 households having 6308 children up to 18 years of age, with 2907 children from urban households and 3401 from rural households. The annual incidence of all injuries was 16.6%, 95% Confidence Interval 15.7–17.5%, (n = 1049. The incidence was significantly higher among boys compared to girls (20.2% versus 12.7%, respectively, was highest in age group 6–10 years of age (18.9%, and in urban locations (17.5%. The most commonly identified injury types were: physical injuries (71%, burns (16%, poisonings (10%, agriculture-related injuries (2%, near drowning (2%, and suffocations (2%. The most common place of injury was streets followed by home. The study identified incidence of different types of unintentional childhood injuries and factors associated with increased risk of unintentional injuries. The results can help in designing injury prevention strategies and awareness programs in similar settings.

  18. A multiple criteria analysis for household solid waste management in the urban community of Dakar.

    Science.gov (United States)

    Kapepula, Ka-Mbayu; Colson, Gerard; Sabri, Karim; Thonart, Philippe

    2007-01-01

    Household solid waste management is a severe problem in big cities of developing countries. Mismanaged solid waste dumpsites produce bad sanitary, ecological and economic consequences for the whole population, especially for the poorest urban inhabitants. Dealing with this problem, this paper utilizes field data collected in the urban community of Dakar, in view of ranking nine areas of the city with respect to multiple criteria of nuisance. Nine criteria are built and organized in three families that represent three classical viewpoints: the production of wastes, their collection and their treatment. Thanks to the method PROMETHEE and the software ARGOS, we do a pair-wise comparison of the nine areas, which allows their multiple criteria rankings according to each viewpoint and then globally. Finding the worst and best areas in terms of nuisance for a better waste management in the city is our final purpose, fitting as well as possible the needs of the urban community. Based on field knowledge and on the literature, we suggest applying general and area-specific remedies to the household solid waste problems.

  19. Aedes larval indices and the occurrence of Dengue Haemorrhagic Fever in urban community of Thanlyin Township

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    Thae’ Zar Chi Bo

    2016-02-01

    Full Text Available A cross-sectional study was conducted in urban community of Thanlyin Township, Yangon Region during 2014 to determine Aedes larval indices and the occurrence of Dengue Haemorrhagic Fever (DHF within past one year. A total of 327 households and 1491 members were included in the study. Aedes larval indices detected in this study were 25.7% for house index, 15.5% for container index and 48.0% for Breteau index. The occurrence of DHF among households and family members were 2.1% (95% CI: 0.9%, 4.4% and 0.6% (95% CI: 0.3%, 1.1%, respectively. The occurrence was highest among 5 to 14 years age-group. No case was reported among persons with equal or more than 60 years of age. Mortality and case fatality rates were 0% during study period. Larval positivity among households was significantly related to sufficiency of family income and number of water container they have. Surveillance and control procedures for both DHF and vector should be intensified in urban area. Awareness and participation of the community in prevention and control of DHF should also be raised. Socioeconomic status as well as proper water supply and storage should be improved in urban area.

  20. Prevalence of childhood atopic dermatitis: an urban and rural community-based study in Shanghai, China.

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    Feng Xu

    Full Text Available BACKGROUND: Atopic dermatitis (AD is a common inflammatory and chronically relapsing disorder with increasing prevalence. However, little is known about its prevalence in Shanghai, the top metropolitan of China. This study will estimate and compare the prevalence of AD in urban and rural areas in representative samples of 3 to 6-year-old children in Shanghai. METHODOLOGY/PRINCIPAL FINDINGS: A descriptive cross-sectional study was performed. Pre-school children were obtained by cluster sampling from 8 communities in different districts in Shanghai. The main instrument was the core questionnaire module for AD used in the U.K. Working Party's study. All the data were statistically analyzed by EpiData 3.1 and SPSS16.0. A total of 10,436 children completed the study satisfactorily, with a response rate of 95.8%. The prevalence of AD in 3 to 6-year-old children was 8.3% (Male: 8.5%, Female: 8.2%. The prevalence in urban areas of Shanghai was gradiently and significantly higher than that in rural areas. The highest prevalence was in the core urban area (10.2% in Xuhui Tianping vs. the lowest far from the urban areas (4.6% in Chongming Baozhen. CONCLUSIONS/SIGNIFICANCE: The prevalence of AD was 8.3% (95%CI: 7.6%-9.1% in children aged 3 to 6 in Shanghai. The prevalence of AD decreased from the center to the rural areas in Shanghai.

  1. Pavement and riparian forest shape the bird community along an urban river corridor

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    Christopher J.W. McClure

    2015-07-01

    Full Text Available Knowledge of habitat use by animals within urban-riparian corridors during the breeding season is important for conservation, yet remains understudied. We examined the bird community along an urban-riparian corridor through metropolitan Boise, Idaho and predicted that occupancy of individual species and species richness would be greater in forested areas than in urbanized areas. We surveyed birds throughout the summers of 2009 and 2010 and quantified the m2 of each cover-type within 50-m, 100-m, and 200-m buffers surrounding each survey location using satellite imagery. Occupancy modeling revealed that eight of 14 species analyzed were positively associated with riparian forest, and no species avoided forest. Species richness was negatively associated with the amount of paved surface within 100 m of a survey site with richness declining by more than two species for every hectare of paved surface. Most associations with cover-types–especially riparian forest–were at ⩾100 m. Therefore, the riparian forest within 100 m of a given site along an urban-riparian corridor should be the most important for maintaining species richness.

  2. Impediments to mortgage borrowing for the under-served urban ...

    African Journals Online (AJOL)

    This paper examines impediments to mortgage borrowing in South Africa. The analysis is premised on the fact that, despite South Africa's relatively sophisticated financial system compared to other countries in sub Saharan Africa, its housing finance system has not been able to replicate for the low to moderate income ...

  3. Impact of dropout of female volunteer community health workers: An exploration in Dhaka urban slums

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    Alam Khurshid

    2012-08-01

    Full Text Available Abstract Background The model of volunteer community health workers (CHWs is a common approach to serving the poor communities in developing countries. BRAC, a large NGO in Bangladesh, is a pioneer in this area, has been using female CHWs as core workers in its community-based health programs since 1977. After 25 years of implementing of the CHW model in rural areas, BRAC has begun using female CHWs in urban slums through a community-based maternal health intervention. However, BRAC experiences high dropout rates among CHWs suggesting a need to better understand the impact of their dropout which would help to reduce dropout and increase program sustainability. The main objective of the study was to estimate impact of dropout of volunteer CHWs from both BRAC and community perspectives. Also, we estimated cost of possible strategies to reduce dropout and compared whether these costs were more or less than the costs borne by BRAC and the community. Methods We used the ‘ingredient approach’ to estimate the cost of recruiting and training of CHWs and the so-called ‘friction cost approach’ to estimate the cost of replacement of CHWs after adapting. Finally, we estimated forgone services in the community due to CHW dropout applying the concept of the friction period. Results In 2009, average cost per regular CHW was US$ 59.28 which was US$ 60.04 for an ad-hoc CHW if a CHW participated a three-week basic training, a one-day refresher training, one incentive day and worked for a month in the community after recruitment. One month absence of a CHW with standard performance in the community meant substantial forgone health services like health education, antenatal visits, deliveries, referrals of complicated cases, and distribution of drugs and health commodities. However, with an additional investment of US$ 121 yearly per CHW BRAC could save another US$ 60 invested an ad-hoc CHW plus forgone services in the community. Conclusion Although CHWs

  4. Assessing internet access and use in a medically underserved population: implications for providing enhanced health information services.

    Science.gov (United States)

    Zach, Lisl; Dalrymple, Prudence W; Rogers, Michelle L; Williver-Farr, Heather

    2012-03-01

    The relationship between health information seeking, patient engagement and health literacy is not well understood. This is especially true in medically underserved populations, which are often viewed as having limited access to health information. To improve communication between an urban health centre and the community it serves, a team of library and information science researchers undertook an assessment of patients' level and methods of access to and use of the Internet. Data were collected in 53 face-to-face anonymous interviews with patients at the centre. Interviews were tape-recorded for referential accuracy, and data were analysed to identify patterns of access and use. Seventy-two percentage of study participants reported having access to the Internet through either computers or cell phones. Barriers to Internet access were predominantly lack of equipment or training rather than lack of interest. Only 21% of those with Internet access reported using the Internet to look for health information. The findings suggest that lack of access to the Internet in itself is not the primary barrier to seeking health information in this population and that the digital divide exists not at the level of information access but rather at the level of information use. © 2011 The authors. Health Information and Libraries Journal © 2011 Health Libraries Group.

  5. Perspectives of Urban Corner Store Owners and Managers on Community Health Problems and Solutions.

    Science.gov (United States)

    Mayer, Victoria L; Young, Candace R; Cannuscio, Carolyn C; Karpyn, Allison; Kounaves, Sarah; Strupp, Emily; McDonough, Kevin; Shea, Judy A

    2016-10-13

    Urban corner store interventions have been implemented to improve access to and promote purchase of healthy foods. However, the perspectives of store owners and managers, who deliver and shape these interventions in collaboration with nonprofit, government, and academic partners, have been largely overlooked. We sought to explore the views of store owners and managers on the role of their stores in the community and their beliefs about health problems and solutions in the community. During 2013 and 2014, we conducted semistructured, in-depth interviews in Philadelphia, Pennsylvania, and Camden, New Jersey, with 23 corner store owners/managers who participated in the Healthy Corner Store Initiative spearheaded by The Food Trust, a nonprofit organization focused on food access in low-income communities. We oversampled high-performing store owners. Store owners/managers reported that their stores served multiple roles, including providing a convenient source of goods, acting as a community hub, supporting community members, working with neighborhood schools, and improving health. Owners/managers described many challenging aspects of running a small store, including obtaining high-quality produce at a good price and in small quantities. Store owners/managers believed that obesity, diabetes, high cholesterol, and poor diet are major problems in their communities. Some owners/managers engaged with customers to discuss healthy behaviors. Our findings suggest that store owners and managers are crucial partners for healthy eating interventions. Corner store owners/managers interact with community members daily, are aware of community health issues, and are community providers of access to food. Corner store initiatives can be used to implement innovative programs to further develop the untapped potential of store owners/managers.

  6. Community Perspective on Consultation on Urban Stormwater Management: Lessons from Brownhill Creek, South Australia

    Directory of Open Access Journals (Sweden)

    Peter Dillon

    2016-04-01

    Full Text Available There are salutary lessons from contrasting community consultation efforts in 2011 and 2015 to develop and gain support for an urban stormwater management plan for the Brownhill Creek catchment in Adelaide, South Australia. The 2011 process was a failure in the human dimension, precipitating loss of community confidence, unnecessarily entrained thousands of hours of time of residents who initiated a community action group for environmental conservation and caused a three-year delay to decision making. By contrast, the 2015 process was vastly improved, resulted in a landslide level of support for an obvious option not previously offered, achieved the required level of flood protection, saved Aus$5 million (14% on the previously proposed option and protected a highly valued natural environment from an unnecessary dam. This paper presents a rarely heard perspective on these community consultation processes from a participating community environmental and heritage conservation action group (the Brownhill Creek Association that was deeply engaged in reforming the Draft Brown Hill Keswick Creek Stormwater Management Plan. This reveals that the community needs to see that all options are considered and to have access to accurate information with which to assess them. It is also necessary that the proposed plan is consistent with existing agreed plans and policies developed through public consultation. Community concerns need to be heard, acknowledged and acted upon or responded to, and the consultation process needs to be transparently fair and democratic to win community support. A major contributor to success in the second consultation was that all community action groups were invited to meetings to discuss the purpose of the consultation and the methods to be used. Feedback was subsequently received before the process commenced to show what had changed and why any suggestions concerning the consultation process were not being adopted. This openness

  7. Effects of prenatal community violence and ambient air pollution on childhood wheeze in an urban population

    Science.gov (United States)

    Mathilda Chiu, Yueh-Hsiu; Coull, Brent A.; Sternthal, Michelle J.; Kloog, Itai; Schwartz, Joel; Cohen, Sheldon; Wright, Rosalind J.

    2013-01-01

    Background: Prenatal exposures to stress and physical toxins influence children’s respiratory health, albeit few studies consider these factors together. Objectives: To concurrently examine effects of prenatal community-level psychosocial (exposure to community violence, ECV) and physical (air pollution) stressors on repeated wheeze in 708 urban children followed to age 2 years. Methods: Multi-item ECV reported by mothers in pregnancy was summarized into a continuous score using Rasch modeling. Prenatal black carbon (BC) exposure was estimated using land-use regression (LUR) modeling; particulate matter (PM2.5) was estimated using LUR incorporating satellite data. Mothers reported child’s wheeze every 3 months. Effects of ECV and air pollutants on repeated wheeze (≥2 episodes) were examined using logistic regression. Interactions between ECV and pollutants were examined. Results: Mothers were primarily Black (29%) and Hispanic (55%) with lower education (62% with ≤12 years); 87 children (12%) wheezed repeatedly. In models examining concurrent exposures, ECV [OR=1.95 (95% CI: 1.13-3.36), highest vs. lowest tertile] and BC [OR=1.84 (95% CI: 1.08-3.12), ≥median vs. pollution levels was suggested. Conclusions: These findings suggest that both prenatal community violence and air pollution may contribute to respiratory health in these urban children. Moreover, place-based psychosocial stressors may impact host resistance such that physical pollutants may have adverse effects, even at relatively lower levels. PMID:24200349

  8. A systematic literature review of undergraduate clinical placements in underserved areas.

    Science.gov (United States)

    Crampton, Paul E S; McLachlan, John C; Illing, Jan C

    2013-10-01

    The delivery of undergraduate clinical education in underserved areas is increasing in various contexts across the world in response to local workforce needs. A collective understanding of the impact of these placements is lacking. Previous reviews have often taken a positivist approach by only looking at outcome measures. This review addresses the question: What are the strengths and weaknesses for medical students and supervisors of community placements in underserved areas? A systematic literature review was carried out by database searching, citation searching, pearl growing, reference list checking and use of own literature. The databases included MEDLINE, EMBASE, PsycINFO, Web of Science and ERIC. The search terms used were combinations and variations of four key concepts exploring general practitioner (GP) primary care, medical students, placements and location characteristics. The papers were analysed using a textual narrative synthesis. The initial search identified 4923 results. After the removal of duplicates and the screening of titles and abstracts, 185 met the inclusion criteria. These full articles were obtained and assessed for their relevance to the research question; 54 were then included in the final review. Four main categories were identified: student performance, student perceptions, career pathways and supervisor experiences. This review reflects the emergent qualitative data as well as the quantitative data used to assess initiatives. Underserved area placements have produced many beneficial implications for students, supervisors and the community. There is a growing amount of evidence regarding rural, underserved areas, but little in relation to inner city, deprived areas, and none in the UK. © John Wiley & Sons Ltd 2013.

  9. Enjoying Our Backyard Buddies--Social Research Informing the Practice of Mainstream Community Education for the Conservation of Urban Wildlife

    Science.gov (United States)

    Davies, Richard; Webber, Lynn

    2004-01-01

    Supporting urban communities to make changes that contribute to sustainable living is a challenge that many environment and conservation organisations embrace. However, many community education and involvement initiatives to date have tended to appeal mostly to those with knowledge and enthusiasm for protection and conservation of the environment,…

  10. Higher Education and Urban Migration for Community Resilience: Indigenous Amazonian Youth Promoting Place-Based Livelihoods and Identities in Peru

    Science.gov (United States)

    Steele, Diana

    2018-01-01

    This paper offers an ethnographic analysis of indigenous Peruvian Amazonian youth pursuing higher education through urban migration to contribute to the resilience of their communities, place-based livelihoods, and indigenous Amazonian identities. Youth and their communities promoted education and migration as powerful tools in the context of…

  11. Nutritional Status in Community-Dwelling Elderly in France in Urban and Rural Areas

    Science.gov (United States)

    Torres, Marion J.; Dorigny, Béatrice; Kuhn, Mirjam; Berr, Claudine; Barberger-Gateau, Pascale; Letenneur, Luc

    2014-01-01

    Malnutrition is a frequent condition in elderly people, especially in nursing homes and geriatric wards. Its frequency is less well known among elderly living at home. The objective of this study was to describe the nutritional status evaluated by the Mini Nutritional Assessment (MNA) of elderly community-dwellers living in rural and urban areas in France and to investigate its associated factors. Methods Subjects aged 65 years and over from the Approche Multidisciplinaire Intégrée (AMI) cohort (692 subjects living in a rural area) and the Three-City (3C) cohort (8,691 subjects living in three large urban zones) were included. A proxy version of the MNA was reconstructed using available data from the AMI cohort. Sensitivity and specificity were used to evaluate the agreement between the proxy version and the standard version in AMI. The proxy MNA was computed in both cohorts to evaluate the frequency of poor nutritional status. Factors associated with this state were investigated in each cohort separately. Results In the rural sample, 38.0% were females and the mean age was 75.5 years. In the urban sample, 60.3% were females and the mean age was 74.1 years. Among subjects in living in the rural sample, 7.4% were in poor nutritional status while the proportion was 18.5% in the urban sample. Female gender, older age, being widowed, a low educational level, low income, low body mass index, being demented, having a depressive symptomatology, a loss of autonomy and an intake of more than 3 drugs appeared to be independently associated with poor nutritional status. Conclusion Poor nutritional status was commonly observed among elderly people living at home in both rural and urban areas. The associated factors should be further considered for targeting particularly vulnerable individuals. PMID:25133755

  12. Nutritional status in community-dwelling elderly in France in urban and rural areas.

    Directory of Open Access Journals (Sweden)

    Marion J Torres

    Full Text Available Malnutrition is a frequent condition in elderly people, especially in nursing homes and geriatric wards. Its frequency is less well known among elderly living at home. The objective of this study was to describe the nutritional status evaluated by the Mini Nutritional Assessment (MNA of elderly community-dwellers living in rural and urban areas in France and to investigate its associated factors.Subjects aged 65 years and over from the Approche Multidisciplinaire Intégrée (AMI cohort (692 subjects living in a rural area and the Three-City (3C cohort (8,691 subjects living in three large urban zones were included. A proxy version of the MNA was reconstructed using available data from the AMI cohort. Sensitivity and specificity were used to evaluate the agreement between the proxy version and the standard version in AMI. The proxy MNA was computed in both cohorts to evaluate the frequency of poor nutritional status. Factors associated with this state were investigated in each cohort separately.In the rural sample, 38.0% were females and the mean age was 75.5 years. In the urban sample, 60.3% were females and the mean age was 74.1 years. Among subjects in living in the rural sample, 7.4% were in poor nutritional status while the proportion was 18.5% in the urban sample. Female gender, older age, being widowed, a low educational level, low income, low body mass index, being demented, having a depressive symptomatology, a loss of autonomy and an intake of more than 3 drugs appeared to be independently associated with poor nutritional status.Poor nutritional status was commonly observed among elderly people living at home in both rural and urban areas. The associated factors should be further considered for targeting particularly vulnerable individuals.

  13. Cost-effectiveness and cost utility of community screening for glaucoma in urban India.

    Science.gov (United States)

    John, Denny; Parikh, Rajul

    2017-07-01

    Population-based screening for glaucoma has been demonstrated to be cost-effective if targeted at high-risk groups such as older adults and those with a family history of glaucoma, and through use of a technician for conducting initial assessment rather than a medical specialist. This study attempts to investigate the cost-effectiveness of a hypothetical community screening and subsequent treatment programme for glaucoma in comparison with current practice (i.e. with no screening programme but with some opportunistic case finding) in the urban areas of India. A hypothetical screening programme for both primary open-angle glaucoma and angle-closure disease was built for a population aged between 40 and 69 years in the urban areas of India. Screening and treatment costs were obtained from an administrator of a tertiary eye hospital in India. The probabilities for the screening pathway were derived from published literature and expert opinion. The glaucoma prevalence rates for urban areas were adapted from the Chennai Glaucoma Study findings. A decision-analytical model using TreeAge Pro 2015 was built to model events, costs and treatment pathways. One-way sensitivity analyses were conducted. The introduction of a community screening programme for glaucoma is likely to be cost-effective, the estimated incremental cost-effectiveness ratio (ICER) values being 10,668.68 when compared with no screening programme and would treat an additional 4443 cases and prevent 1790 person-years of blindness over a 10-year period in the urban areas of India. Sensitivity analyses revealed that glaucoma prevalence rates across various age groups, screening uptake rate, follow-up compliance after screening, treatment costs and utility values of health states associated with medical and surgical treatment of glaucoma had an impact on the ICER values of the screening programme. In comparison with current practice (i.e. without a screening programme but with some opportunistic case finding

  14. The impact of methamphetamine ("tik") on a peri-urban community in Cape Town, South Africa.

    Science.gov (United States)

    Watt, Melissa H; Meade, Christina S; Kimani, Stephen; MacFarlane, Jessica C; Choi, Karmel W; Skinner, Donald; Pieterse, Desiree; Kalichman, Seth C; Sikkema, Kathleen J

    2014-03-01

    Over the last decade, South Africa's Western Cape has experienced a dramatic increase in methamphetamine ("tik") use. Our study explored local impressions of the impact of tik use in a peri-urban township community in Cape Town, South Africa. We conducted individual in-depth interviews with 55 women and 37 men who were regular attendees of alcohol-serving venues. Interviews were recorded and transcribed. A content analysis approach was used to identify themes related to the impact of tik use based on levels of the socio-ecological framework (individual, inter-personal and community). Tik use was reported to be a greater issue among Coloureds, compared to Blacks. At an individual level, respondents reported that tik use had adverse effects on mental, physical, and economic well-being, and limited future opportunities through school drop-out and incarceration. At an inter-personal level, respondents reported that tik use contributed to physical and sexual violence as well as increased rates of sexual risk behaviour, particularly through transactional sex relationships. Respondents described how tik use led to household conflict, and had negative impacts on children, including neglect and poor birth outcomes. At a community level, respondents linked tik use to increased rates of crime, violence and corruption, which undercut community cohesion. Our results highlight the negative impact that tik is having on individuals, households and the overall community in a peri-urban setting in South Africa. There is a clear need for interventions to prevent tik use in South Africa and to mitigate and address the impact of tik on multiple levels. Copyright © 2013 Elsevier B.V. All rights reserved.

  15. Genomic Epidemiology of USA300 Methicillin-Resistant Staphylococcus aureus in an Urban Community.

    Science.gov (United States)

    Popovich, Kyle J; Snitkin, Evan; Green, Stefan J; Aroutcheva, Alla; Hayden, Mary K; Hota, Bala; Weinstein, Robert A

    2016-01-01

    In a community, it is unknown what factors account for transmission of methicillin-resistant Staphylococcus aureus (MRSA). We integrated whole genome sequencing (WGS) and epidemiologic data to identify factors associated with MRSA transmission networks in an urban community. WGS was performed on colonizing USA300 MRSA isolates from 74 individuals within 72 hours of admission to a public hospital in Chicago, IL. Single nucleotide variants (SNVs) were used to reconstruct the phylogeny of sequenced isolates, and epidemiologic data was overlaid to identify factors associated with transmission networks. The maximum within-patient SNV difference for an individual with multisite colonization was 41 SNVs, with no systematic divergence among body sites. We observed a minimum of 7 SNVs and maximum of 153 SNVs between isolates from different individuals. We identified 4 pairs of individuals whose isolates were within 40 SNVs of each other. Putting our isolates in the context of previously sequenced USA300 isolates from other communities, we identified a 13-member group and two 4-member groups that represent samples from putative local transmission networks. Individuals in these groups were more likely to be African American, to be human immunodeficiency virus-infected, to reside in high detainee release areas, and to be current users of illicit drugs. Using WGS, we observed potential transmission networks in an urban community and that certain epidemiologic factors were associated with inclusion in these networks. Future work with contact tracing and advanced molecular diagnostics may allow for identification of MRSA "epicenters" in the community where interventions can be targeted. © The Author 2015. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

  16. Urban shrinkage, local housing markets and the role of voluntary community organisations

    DEFF Research Database (Denmark)

    Larsen, Jacob Norvig

    Since the beginning of the crisis in 2007-08 urban shrinkage has hit a large number of Danish municipalities, towns and villages outside the two major metropolitan areas in the country .Abandoned homes, plunging property prices and out-migration are among the major symptoms. As a consequence...... why and how communities’ social capital enables voluntary initiatives to grow and if there are options available to local government to encourage and strengthen voluntary community-based organisations. Evidence from two case studies shows a number of successful initiatives by both municipalities...

  17. URBAN COMMUNITY RESPONSES TO VISUAL APPROPRIATE THEMATIC DESIGN, SUPER HERO PARK BANDUNG

    Directory of Open Access Journals (Sweden)

    Dian Duhita

    2017-06-01

    Full Text Available Parks is one of city public area that serves as a communal place for city community. On another perspective, parks is an architectural design that is designed with an aesthetic element to attract. Bandung, since a few years was to make improvements in various sectors, especially in the public space. Through the slogan Creative City, Bandung City Government revived communities part of the citizens by providing place for a activities, creation and production. Thematic Parks became one of the alternative approaches responsive design as part of creative cities development. Object of research study object is Super Hero park. The purpose of research is to analyzing the response of communities to design a thematic park. The study was conducted with a qualitative approach through participation observation method. The scope of the research includes visual appropriate and city community response. The conclussion obtain that visual appropriate are in accordance with the theme. Urban Community was able to respond well the identity of Super Hero park with visual appropriate design.

  18. Changes in land use driven by urbanization impact nitrogen cycling and the microbial community composition in soils

    Science.gov (United States)

    Wang, Haitao; Marshall, Christopher W.; Cheng, Minying; Xu, Huijuan; Li, Hu; Yang, Xiaoru; Zheng, Tianling

    2017-03-01

    Transition of populations from rural to urban living causes landscape changes and alters the functionality of soil ecosystems. It is unclear how this urbanization disturbs the microbial ecology of soils and how the disruption influences nitrogen cycling. In this study, microbial communities in turfgrass-grown soils from urban and suburban areas around Xiamen City were compared to microbial communities in the soils from rural farmlands. The potential N2O emissions, potential denitrification activity, and abundances of denitrifiers were higher in the rural farmland soils compared with the turfgrass soils. Ammonia oxidizing archaea (AOA) were more abundant than ammonia oxidizing bacteria (AOB) in turfgrass soils. Within turfgrass soils, the potential nitrification activities and AOA abundances were higher in the urban than in the suburban soils. These results indicate a more pivotal role of AOA in nitrification, especially in urban soils. Microbial community composition was distinctly grouped along urbanization categories (urban, suburban, and rural) classified according to the population density, which can in part be attributed to the differences in soil properties. These observed changes could potentially have a broader impact on soil nutrient availability and greenhouse gas emissions.

  19. Navigating the digital divide: A systematic review of eHealth literacy in underserved populations in the United States.

    Science.gov (United States)

    Chesser, Amy; Burke, Anne; Reyes, Jared; Rohrberg, Tessa

    2016-01-01

    eHealth provides an important mechanism to connect medically underserved populations with health information, but little is known about gaps in eHealth literacy research in underserved adult populations within the U.S. Between June and July 2013, three systematic literature reviews of five databases were conducted and a subsequent hand search was completed. Identified literature was screened and studies meeting exclusion and inclusion criteria were synthesized and analyzed for common themes. Of the 221 articles critically appraised, 15 met these criteria. Thirty-five of these studies were excluded due to international origin. Of the articles meeting the inclusion criteria, underserved populations assessed included immigrant women, the elderly, low-income, the un- and underemployed, and African-American and Hispanic populations. eHealth literacy assessments utilized included one or two item screeners, the eHEALS scale, health information competence and cognitive task analysis. Factors examined in relation to eHealth literacy included age, experience, overall health literacy, education, income and culture. The majority did not assess the impact of locality and those that did were predominately urban. These data suggest that there is a gap in the literature regarding eHealth literacy knowledge for underserved populations, and specifically those in rural locations, within the U.S.

  20. URBAN DEVELOPMENT AND CREATIVE COMMUNITIES AS A PREREQUISITE FOR TOLERANCE AND INTERCULTUTAL DIALOGUE

    Directory of Open Access Journals (Sweden)

    NEAGU-TROCMAER ANA-MARIA

    2010-07-01

    Full Text Available It is obviously that all over the world, mostly after 2000, a new approach for urban development and for regional development emerges. We choose Romania taking into account also the idea that it has old tradition in cooperation mostly within the areas near the borders where diversity and multicultural environment can allow more space for diversity management and for tolerance. One of the main challenges for the creative communities and for the creative industry sector and for those who engage within is how to encourage longer-term growth of these small lifestyle businesses. It seems that there is quite difficult to identifying creative workers due to their diversity (understood in a complex sense, in terms of cultural diversity that is more relevant for creative communities than ethnic, religion or other way to look traditionally for diversity.

  1. Promoting and developing a trail network across suburban, rural, and urban communities.

    Science.gov (United States)

    Schasberger, Michele G; Hussa, Carol S; Polgar, Michael F; McMonagle, Julie A; Burke, Sharon J; Gegaris, Andrew J

    2009-12-01

    The Wyoming Valley Wellness Trails Partnership received an Active Living by Design grant late in 2003 for a project centered on a growing trail network linking urban, suburban, and rural communities in northeast Pennsylvania, a former coal region, in order to increase physical activity among residents. The partnership conducted research, collected information, created promotional documents, worked with partners on events and programs, and participated in trail planning. Local trail organizations continued planning and construction toward developing a trail network. Other partners spearheaded policy change in schools and worksites and worked toward downtown revitalization. The partnership assisted these efforts by providing a forum in which organizations could meet. The partnership became a central resource for information about local parks, trails, and outdoor recreational activities. The partnership increased awareness and use of recreational facilities. Trail partners constructed 22 miles of walking and biking trails. The partnership took advantage of an allied effort that created organizational capacity for wellness in schools and worksites. Messages promoting social and entertainment benefits of physical activity were more successful than those promoting health benefits. The existence of multiple small, independent trail organizations can help advance trail development through concurrent development efforts. Urban, suburban, and rural residents' conceptions of walkability may differ. Trails provide options for recreational and transportation-related physical activity across urban, suburban, and rural landscapes that are supported by all constituents. Trail builders can be strong allies in bringing active living to suburban and rural places.

  2. Measuring the Social Sustainability of Urban Communities: The Role of Local Authorities

    Directory of Open Access Journals (Sweden)

    Bogdana NEAMŢU

    2012-10-01

    Full Text Available The paper explores the topic of social sustainability which in the last years has attracted interest from both the academia and political decision-makers and analyzes emerging issues on the social sustainability agenda such as urban governance, citizens’ empowerment and participation, sense of place, urban livability etc. The article focuses on how social sustainability of a community can be evaluated: it looks at existing methodologies, metrics and tools and uses the indicators from the Egan report (UK to illustrate the shifts currently taking place in the realm of sustainability assessment. The empirical research strives to determine whether public servants working in urban planning or in other areas that are closely related to planning are in favor of introducing at the local level a sustainability assessment system (research carried out in medium and large municipalities from the North-Western region of Romania. The main conclusion which can be derived from both literature and practice is that the themes under the umbrella of social sustainability are changing and that sustainability assessment is currently in the process of being better understood and used at the local level.

  3. Birds communities of fragmented forest within highly urbanized landscape in Kuala Lumpur, Malaysia

    Science.gov (United States)

    Mohd-Taib, F. S.; Rabiatul-Adawiyah, S.; Md-Nor, S.

    2014-09-01

    Urbanization is one form of forest modification for development purposes. It produces forest fragments scattered in the landscape with different intensity of disturbance. We want to determine the effect of forest fragmentation towards bird community in urbanized landscapes in Kuala Lumpur, namely Sungai Besi Forest Reserve (FR), Bukit Nenas FR and Bukit Sungei Puteh FR. We used mist-netting and direct observation method along established trails. These forests differ in size, vegetation composition and land use history. Results show that these forests show relatively low number of species compared to other secondary forest with only 39 bird species recorded. The largest fragment, Sg. Besi encompassed the highest species richness and abundance with 69% species but lower in diversity. Bukit Nenas, the next smallest fragment besides being the only remaining primary forest has the highest diversity index with 1.866. Bkt. Sg. Puteh the smallest fragment has the lowest species richness and diversity with Shanon diversity index of 1.332. The presence of introduced species such as Corvus splendens (House crow) in all study areas suggest high disturbance encountered by these forests. Nonetheless, these patches comprised of considerably high proportion of native species. In conclusion, different intensity of disturbance due to logging activities and urbanization surrounding the forest directly influenced bird species richness and diversity. These effects however can be compensated by maintaining habitat complexity including high vegetation composition and habitat structure at the landscape level.

  4. It Takes A Stewardship Village: Is Community-Based Urban Tree Stewardship Effective?

    Directory of Open Access Journals (Sweden)

    Steven E. Boyce

    2010-01-01

    Full Text Available It is believed that involving the public in street tree (i.e. curbside or sidewalk tree stewardship is an essential part of achieving urban forest canopy goals. However, the incremental benefits of such involvement have not been well studied. Because urban forest stewards contend with many factors that can reduce street tree longevity and offset the benefits of stewardship, quantifying and communicating the overall benefits may help spur stewards’ commitment. To assess the net effect of volunteer street tree stewardship, this article summarizes the development of a community-wide street tree stewardship program and the impact of stewardship on street tree mortality rates over a span of five years. Binary yes-or-no data on whether a steward cared for a street tree were collected for 3,083 growth years, 1,036 of which were for street trees assigned to street tree stewards. The street trees tracked encompassed every street tree within the highly urbanized TriBeCa* neighborhood in lower Manhattan. It was found that significant differences in street tree mortality rates were observed when street trees were stewarded. Odds ratios show an expectation of substantially reduced street tree mortality rates when tree stewards are caring for trees. Other factors regarding where the data was collected, especially specific neighborhood characteristics that may have had an effect on the study, are discussed.

  5. Retention of female volunteer community health workers in Dhaka urban slums: a prospective cohort study.

    Science.gov (United States)

    Alam, Khurshid; Oliveras, Elizabeth

    2014-05-20

    Volunteer community health workers (CHWs) are a key approach to improving community-based maternal and child health services in developing countries. BRAC, a large Bangladeshi non-governmental organization (NGO), has employed female volunteer CHWs in its community-based health programs since 1977, recently including its Manoshi project, a community-based maternal and child health intervention in the urban slums of Bangladesh. A case-control study conducted in response to high dropout rates in the first year of the project showed that financial incentives, social prestige, community approval and household responsibilities were related to early retention in the project. In our present prospective cohort study, we aimed to better understand the factors associated with retention of volunteer CHWs once the project was more mature. We used a prospective cohort study design to examine the factors affecting retention of volunteer CHWs who remained in the project after the initial start-up period. We surveyed a random sample of 542 CHWs who were working for BRAC Manoshi in December 2008. In December 2009, we revisited this cohort of CHWs and interviewed those who had dropped out about the main reasons for their dropping out. We used a multivariable generalized linear model regression analysis with a log link to estimate the relative risk (RR) of independent factors on retention. Of the 542 CHWs originally enrolled, 120 had dropped out by the end of one year, mainly because they left the slums. CHWs who received positive community appraisal (adjusted RR = 1.45, 95% confidence interval (CI) = 1.10 to 1.91) or were associated with other NGOs (adjusted RR = 1.13, 95% CI = 1.04 to 1.23) were more likely to have been retained in the project. Although refresher training was also associated with increased retention (adjusted RR = 2.25, 95% CI = 1.08 to 4.71) in this study, too few CHWs had not attended refresher training regularly to make it a meaningful

  6. Physician assistants as servant leaders: meeting the needs of the underserved.

    Science.gov (United States)

    Huckabee, Michael J; Wheeler, Daniel W

    2011-01-01

    The purpose of this study was to determine if the level of servant leader characteristics in clinically practicing physician assistants (PAs) in underserved populations differed from PAs serving in other locales. Five subscales of servant leadership: altruistic calling, emotional healing, wisdom, persuasive mapping, and organizational stewardship, were measured in a quantitative study of clinically practicing PAs using a self-rating survey and a similar survey by others rating the PA. Of 777 PAs invited, 321 completed the survey. On a scale of 1 to 5, mean PA self-ratings ranged from 3.52 (persuasive mapping) to 4.05 (wisdom). Other raters' scores paired with the self-rated PA scores were comparable in all subscales except wisdom, which was rated higher by the other raters (4.32 by other raters, 4.01 by PAs, P= .002). There was no significant difference in the measures of servant leadership reported by PAs serving the underserved compared to PAs serving in other populations. Servant leader subscales were higher for PAs compared to previous studies of other health care or community leader populations. The results found that the PA population studied had a prominent level of servant leadership characteristics that did not differ between those working with underserved and nonunderserved populations.

  7. The Prevalence and Distribution of Vitreoretinal Interface Abnormalities among Urban Community Population in China

    Directory of Open Access Journals (Sweden)

    Lei Liu

    2015-01-01

    Full Text Available The aim of this research was to identify the prevalence and distribution of vitreoretinal interface abnormalities (VIAs among urban community population in Shenyang, China. According to the WHO criteria, a cross-sectional study was carried out among 304 Type 2 diabetes (T2D patients and 304 people without diabetes as control over 45 years old. The presence of VIAs was determined by standardized grading of macular optical coherence tomography (Optovue OCT; Optovue, Inc., Fremont, CA scans and two-field fundus photographs in at least one eye. For both men and women, high prevalence of VIAs (70.79% was observed among over 65-years-old T2D patients. Prevalence of VIAs was observed to be high among T2D patients in all age groups compared to normal subjects. Prevalence of VIAs increased with age in all subjects. Prevalence of components of VIAs was epiretinal membrane (ERM 11.43%, posterior vitreous detachment (PVD 17.76%, vitreomacular traction syndrome (VMT 5.67%, macular cysts/macular edema (MC/ME 4.61%, full-thickness macular hole (FTMH 0.82%, and partial thickness macular hole (PTMH 0.74% in any eye, respectively. ERM and MC/ME were more prevalent in T2D in both males and females. The results highlight the need for early detection using OCT and approaches for the prevention of VIAs of diabetes in urban community.

  8. Air pollution, economic development of communities, and health status among the elderly in urban China.

    Science.gov (United States)

    Sun, Rongjun; Gu, Danan

    2008-12-01

    In Western societies, the impact of air pollution on residents' health is higher in less wealthy communities. However, it is not clear whether such an interaction effect applies to developing countries. The authors examine how the level of community development modifies the impact of air pollution on health outcomes of the Chinese elderly using data from the third wave of the Chinese Longitudinal Health Longevity Survey in 2002, which includes 7,358 elderly residents aged 65 or more years from 735 districts in 171 cities. The results show that, compared with a 1-point increase in the air pollution index in urban areas with a low gross domestic product, a similar increase in the air pollution index in areas with a high gross domestic product is associated with more difficulties in activities of daily living (odds ratio = 1.41, 95% confidence interval (CI): 1.09, 1.83), instrumental activities of daily living (linear coefficient = 0.98, 95% CI: 0.58, 1.37), and cognitive function (linear coefficient = 2.67, 95% CI: 1.97, 3.36), as well as a higher level of self-rated poor health (odds ratio = 2.20, 95% CI: 1.68, 2.86). Contrary to what has been found in the West, Chinese elderly who live in more developed urban areas are more susceptible to the effect of air pollution than are their counterparts living in less developed areas.

  9. Conceptual framework for describing selected urban and community impacts of federal energy policies

    Energy Technology Data Exchange (ETDEWEB)

    Morris, F.A,; Marcus, A.A.; Keller, D.

    1980-06-01

    A conceptual framework is presented for describing selected urban and community impacts of Federal energy policies. The framework depends on a simple causal model. The outputs of the model are impacts, changes in the state of the world of particular interest to policymakers. At any given time, a set of determinants account for the state of the world with respect to an impact category. Application of the model to a particular impact category requires: establishing a definition and measure for the impact category and identifying the determinants of these impacts. Analysis of the impact of a particular policy requires the following: identifying the policy and its effects (as estimated by others), isolating any effects that themselves constitute an urban and community impact, identifying any effects that change the value of determinants, and describing the impact with reference to the new values of determinants. This report provides a framework for these steps. Three impacts addressed are: neighborhood stability, housing availability, and quality and availability of public services. In each chapter, a definition and measure for the impact are specified; its principal determinants are identified; how the causal model can be used to estimate impacts by applying it to three illustrative Federal policies (domestic oil price decontrol, building energy performance standards, and increased Federal aid for mass transit) is demonstrated. (MCW)

  10. Descriptive analysis of individual and community factors among African American youths in urban public housing.

    Science.gov (United States)

    Nebbitt, Von E; Williams, James Herbert; Lombe, Margaret; McCoy, Henrika; Stephens, Jennifer

    2014-07-01

    African American adolescents are disproportionately represented in urban public housing developments. These neighborhoods are generally characterized by high rates of poverty, crime, violence, and disorganization. Although evidence is emerging on youths in these communities, little is known about their depressive symptoms, perceived efficacy, or frequency of substance use and sex-risk behavior. Further, even less is known about their exposure to community and household violence, their parents' behavior, or their sense of connection to their communities. Using a sample of 782 African American adolescents living in public housing neighborhoods located in four large U.S. cities, this article attempts to rectify the observed gap in knowledge by presenting a descriptive overview of their self-reported depressive symptoms; self-efficacy; frequencies of delinquent and sexual-risk behavior; and alcohol, tobacco, and other drug use. The self-reported ratings of their parents' behavior as well as their exposure to community and household violence are presented. Analytic procedures include descriptive statistics and mean comparisons between genders and across research cities. Results suggest several differences between genders and across research sites. However, results are not very different from national data. Implications for social work practice are discussed.

  11. Preventing Halloween arson in an urban setting: a model for multisectoral planning and community participation.

    Science.gov (United States)

    Maciak, B J; Moore, M T; Leviton, L C; Guinan, M E

    1998-04-01

    Arson is a violent crime and a public health problem that causes injuries and deaths, destroys homes, and destabilizes neighborhoods. During the late 1970s, pre-Halloween pranks in Detroit, Michigan, turned destructive when hundreds of fires were set deliberately throughout the city; in 1984, a record of 810 fires were set during the Halloween period. In 1985, a city wide anti-arson campaign that involved the mobilization and training of thousands of community volunteers was begun in Detroit. This report describes the multiple components of the anti-arson intervention from 1985 through 1996 and changes in the incidence of Halloween fires. Both the decrease in annual Halloween arson fires after the intervention began and the inverse relationship between the number of volunteers and the number of fires suggest a causal effect. This study illustrates the capacity of an urban community to mobilize its residents and stakeholders, the importance of community participation and multisectoral partnerships in program planning and implementation, and the challenges faced in retrospectively evaluating an apparently successful, complex, community-based intervention.

  12. A unique assemblage of cosmopolitan freshwater bacteria and higher community diversity differentiate an urbanized estuary from oligotrophic Lake Michigan

    Directory of Open Access Journals (Sweden)

    Ryan J Newton

    2015-09-01

    Full Text Available Water quality is impacted significantly by urbanization. The delivery of increased nutrient loads to waterways is a primary characteristic of this land use change. Despite the recognized effects of nutrient loading on aquatic systems, the influence of urbanization on the bacterial community composition of these systems is not understood. We used massively-parallel sequencing of bacterial 16S rRNA genes to examine the bacterial assemblages in transect samples spanning the heavily urbanized estuary of Milwaukee, WI to the relatively un-impacted waters of Lake Michigan. With this approach, we found that genera and lineages common to freshwater lake epilimnia were common and abundant in both the high nutrient, urban-impacted waterways and the low nutrient Lake Michigan. Although the two environments harbored many taxa in common, we identified a significant change in the community assemblage across the urban-influence gradient, and three distinct community features drove this change. First, we found the urban-influenced waterways harbored significantly greater bacterial richness and diversity than Lake Michigan (i.e. taxa augmentation. Second, we identified a shift in the relative abundance among common freshwater lineages, where acI, acTH1, Algoriphagus and LD12, had decreased representation and Limnohabitans, Polynucleobacter, and Rhodobacter had increased representation in the urban estuary. Third, by oligotyping 18 common freshwater genera/lineages, we found that oligotypes (highly resolved sequence clusters within many of these genera/lineages had opposite preferences for the two environments. With these data, we suggest many of the defined cosmopolitan freshwater genera/lineages contain both oligotroph and more copiotroph species or populations, promoting the idea that within-genus lifestyle specialization, in addition to shifts in the dominance among core taxa and taxa augmentation, drive bacterial community change in urbanized waters.

  13. Web usability testing with a Hispanic medically underserved population.

    Science.gov (United States)

    Moore, Mary; Bias, Randolph G; Prentice, Katherine; Fletcher, Robin; Vaughn, Terry

    2009-04-01

    Skilled website developers value usability testing to assure user needs are met. When the target audience differs substantially from the developers, it becomes essential to tailor both design and evaluation methods. In this study, researchers carried out a multifaceted usability evaluation of a website (Healthy Texas) designed for Hispanic audiences with lower computer literacy and lower health literacy. METHODS INCLUDED: (1) heuristic evaluation by a usability engineer, (2) remote end-user testing using WebEx software; and (3) face-to-face testing in a community center where use of the website was likely. Researchers found standard usability testing methods needed to be modified to provide interpreters, increased flexibility for time on task, presence of a trusted intermediary such as a librarian, and accommodation for family members who accompanied participants. Participants offered recommendations for website redesign, including simplified language, engaging and relevant graphics, culturally relevant examples, and clear navigation. User-centered design is especially important when website developers are not representative of the target audience. Failure to conduct appropriate usability testing with a representative audience can substantially reduce use and value of the website. This thorough course of usability testing identified improvements that benefit all users but become crucial when trying to reach an underserved audience.

  14. URBAN DISPLACEMENT AND LOW-INCOME COMMUNITIES: THE CASE OF THE AMERICAN CITY FROM THE LATE TWENTIETH CENTURY

    Directory of Open Access Journals (Sweden)

    Jason Knight

    2016-07-01

    Full Text Available How can urban redevelopment benefit existing low-income communities? The history of urban redevelopment is one of disruption of poor communities. Renewal historically offered benefits to the place while pushing out the people. In some cases, displacement is intentional, in others it is unintentional. Often, it is the byproduct of the quest for profits. Regardless of motives, traditional communities, defined by cultural connections, are often disrupted. Disadvantaged neighborhoods include vacant units, which diminish the community and hold back investment. In the postwar period, American cities entered into a program of urban renewal. While this program cleared blight, it also drove displacement among the cities’ poorest and was particularly hard on minority populations clustered in downtown slums. The consequences of these decisions continue to play out today. Concentration of poverty is increasing and American cities are becoming more segregated. As neighborhoods improve, poorer residents are uprooted and forced into even more distressed conditions, elsewhere. This paper examines the history of events impacting urban communities. It further reviews the successes and failures of efforts to benefit low-income communities.

  15. Focus Cities : Improving the Living Environment in Underserved ...

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

    ... the Colombo city team seeks to address the problem of environmental degradation through action research on improved urban service delivery in Gothamipura district. Of particular interest to the city team is the link between land tenure, and water and sanitation services. Through consultation with the community, the team ...

  16. Implementing Domestic Violence Gun Confiscation Policy in Rural and Urban Communities: Assessing the Perceived Risk, Benefits, and Barriers.

    Science.gov (United States)

    Lynch, Kellie R; Logan, T K

    2017-07-01

    The purpose of this study was to gain a deeper understanding of why communities differing in culture and resources are willing and able to implement gun confiscation as part of a protective order in the absence of a uniform statewide gun law. Specifically, the perceived risk of intimate partner homicide and gun violence, effectiveness of implementing gun confiscation, and the barriers to implementing gun confiscation were assessed. Interviews were conducted with key community professionals ( N = 133) who worked in victim services and the justice system in one urban community and four rural, under-resourced communities. Analyses revealed that professionals in the rural communities viewed the risk of intimate partner homicide and gun violence as lower, and the process of implementing gun confiscation as less effective than professionals in the urban community. In addition, urban justice system professionals, in comparison with all other professionals, reported fewer barriers to enforcing the gun confiscation police and were more likely to downplay law enforcement limitations in the community. The results have implications for developing more effective regional strategies in states that lack domestic violence gun laws as a means to increase a community's ability to enforce gun policies and initiatives.

  17. Helminth communities from two urban rat populations in Kuala Lumpur, Malaysia

    Directory of Open Access Journals (Sweden)

    Mohd Zain Siti N

    2012-03-01

    Full Text Available Abstract Background The prevalence of parasitic infections among commensal animals such as black and brown rats in many tropical countries is high and in comparison with studies on rodents in temperate climates, little is known about the community structure of their parasites. Rodent borne parasites pose threats to human health since people living in close proximity to rodent populations can be exposed to infection. Methods The helminth community structures of two urban rat populations in Kuala Lumpur, Malaysia were investigated. The rats were from two contrasting sites in the city caught over a period of 21 months in 2000-2002. Results Eleven species of helminth parasites comprising seven nematodes (Heterakis spumosum, Mastophorus muris, Nippostrongylus brasiliensis, Syphacia muris, Pterygodermatites tani/whartoni, Gongylonema neoplasticum, Angiostrongylus malaysiensis, three cestodes (Hymenolepis (Rodentolepis nana, H. diminuta and Taenia taeniaeformis and one acanthocephalan (Moniliformis moniliformis were recovered from 346 Rattus rattus and 104 R. norvegicus from two urban sites, Bangsar and Chow Kit, during 2000-2002. Rattus rattus harboured over 60% of all helminths compared with R. norvegicus, although both host species played a dominant role in the different sites with, for example R. norvegicus at Bangsar and R. rattus at Chow Kit accounting for most of the nematodes. Overall 80% of rats carried at least one species of helminth, with the highest prevalences being shown by H. diminuta (35%, H. spumosum (29.8% and H. nana (28.4%. Nevertheless, there were marked differences in prevalence rates between sites and hosts. The influence of extrinsic (year, season and site and intrinsic (species, sex and age factors affecting infracommunity structure (abundance and prevalence of infection and measures of component community structure were analyzed. Conclusions Since at least two species of rat borne helminths in Kuala Lumpur have the potential

  18. Dementia Literacy among Community-Dwelling Older Adults in Urban China: A Cross-sectional Study

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    Haifeng Zhang

    2017-06-01

    Full Text Available ObjectiveDelay in seeking diagnosis of dementia is common in China. Misinformation and poor knowledge about dementia may contribute to it. The study was designed to explore the nationwide dementia literacy among older adults in urban China and to investigate the factors associated with overall dementia literacy.MethodsIn a cross-sectional study, a convenience sample of 3,439 community-dwelling old adults aged 60 and over was recruited from 34 cities in 20 provinces between June 20 and August 20, 2014. All participants were administered the face-to-face mental health literacy questionnaire, which included the prevalence, symptoms, intention, and options for treatment of dementia. Stepwise multivariate regression analysis was used to explore factors associated with overall dementia literacy.ResultsThe response rate was 87.4%. The overall dementia literacy was 55.5% (SD = 20.9% among all respondents. The correct response rate was higher for questions on symptoms (58.7–89.6%, but lower for questions on the prevalence (22.2% and choosing appropriate professional care personnel (22.2%. Being male [OR = 1.256, 95% CI (1.022–1.543], having lower per capita annual income [OR = 1.314, 95% CI (1.064–1.623], lower education [OR = 1.462, 95% CI (1.162–1.839], and suspected depression [OR = 1.248, 95% CI (1.009–1.543] were negatively associated with overall dementia literacy.ConclusionDementia literacy among community-dwelling older adults in urban China remains very low, in particular about the impact of dementia and appropriate treatment personnel. Community educational programs aiming to close this knowledge gap are encouraged to focus on those in the population at highest risk of low dementia literacy.

  19. Helminth communities from two urban rat populations in Kuala Lumpur, Malaysia

    Science.gov (United States)

    2012-01-01

    Background The prevalence of parasitic infections among commensal animals such as black and brown rats in many tropical countries is high and in comparison with studies on rodents in temperate climates, little is known about the community structure of their parasites. Rodent borne parasites pose threats to human health since people living in close proximity to rodent populations can be exposed to infection. Methods The helminth community structures of two urban rat populations in Kuala Lumpur, Malaysia were investigated. The rats were from two contrasting sites in the city caught over a period of 21 months in 2000-2002. Results Eleven species of helminth parasites comprising seven nematodes (Heterakis spumosum, Mastophorus muris, Nippostrongylus brasiliensis, Syphacia muris, Pterygodermatites tani/whartoni, Gongylonema neoplasticum, Angiostrongylus malaysiensis), three cestodes (Hymenolepis (Rodentolepis) nana, H. diminuta and Taenia taeniaeformis) and one acanthocephalan (Moniliformis moniliformis) were recovered from 346 Rattus rattus and 104 R. norvegicus from two urban sites, Bangsar and Chow Kit, during 2000-2002. Rattus rattus harboured over 60% of all helminths compared with R. norvegicus, although both host species played a dominant role in the different sites with, for example R. norvegicus at Bangsar and R. rattus at Chow Kit accounting for most of the nematodes. Overall 80% of rats carried at least one species of helminth, with the highest prevalences being shown by H. diminuta (35%), H. spumosum (29.8%) and H. nana (28.4%). Nevertheless, there were marked differences in prevalence rates between sites and hosts. The influence of extrinsic (year, season and site) and intrinsic (species, sex and age) factors affecting infracommunity structure (abundance and prevalence of infection) and measures of component community structure were analyzed. Conclusions Since at least two species of rat borne helminths in Kuala Lumpur have the potential to infect humans

  20. Retention of female volunteer community health workers in Dhaka urban slums: a case-control study.

    Science.gov (United States)

    Alam, Khurshid; Tasneem, Sakiba; Oliveras, Elizabeth

    2012-09-01

    Volunteer community health workers (CHWs) are one approach to addressing the health workforce shortage in developing countries. BRAC, a large NGO in Bangladesh, is a pioneer in using female volunteer CHWs as core workers in its successful health programmes. After 25 years of implementing the CHW model in rural areas, BRAC is now using CHWs in urban slums of Dhaka through Manoshi, a community-based maternal and child health project. However, high dropout rates among CHWs in the slums suggested a need to better understand factors associated with their retention, and consequently recommend strategies for increasing their retention. This mixed-method study included a case-control design to assess factors relating to the retention of volunteer CHWs, and focus group discussions (FGDs) to explore solutions to problems. In total, 542 current and 146 dropout CHWs participated in the survey. Six FGDs were held with groups of current and groups of dropout CHWs. Financial incentives were the main factor linked to CHW retention. CHWs who joined with the expectation of income were almost twice as likely to remain as CHWs. This finding was reinforced by the inverse association between wealth quintile of the CHWs and retention; the poorest CHWs were significantly more likely to stay in the programme than the richest. However, social prestige, community approval and household responsibilities were important non-financial factors associated with CHW retention. Restructuring and expansion of existing financial incentives to better compensate CHWs were recommended by CHWs to improve their retention. Factors found to be important in this study are similar to those from earlier studies in rural areas. While the data indicate that financial incentives are the most commonly discussed factor regarding CHW retention in urban slums, the results also suggest other avenues that could be strengthened to improve their retention.

  1. Ensuring VGI Credibility in Urban-Community Data Generation: A Methodological Research Design

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    Jamie O'Brien

    2016-06-01

    Full Text Available In this paper we outline the methodological development of current research into urban community formations based on combinations of qualitative (volunteered and quantitative (spatial analytical and geo-statistical data. We outline a research design that addresses problems of data quality relating to credibility in volunteered geographic information (VGI intended for Web-enabled participatory planning. Here we have drawn on a dual notion of credibility in VGI data, and propose a methodological workflow to address its criteria. We propose a ‘super-positional’ model of urban community formations, and report on the combination of quantitative and participatory methods employed to underpin its integration. The objective of this methodological phase of study is to enhance confidence in the quality of data for Web-enabled participatory planning. Our participatory method has been supported by rigorous quantification of area characteristics, including participant communities’ demographic and socio-economic contexts. This participatory method provided participants with a ready and accessible format for observing and mark-making, which allowed the investigators to iterate rapidly a system design based on participants’ responses to the workshop tasks. Participatory workshops have involved secondary school-age children in socio-economically contrasting areas of Liverpool (Merseyside, UK, which offers a test-bed for comparing communities’ formations in comparative contexts, while bringing an under-represented section of the population into a planning domain, whose experience may stem from public and non-motorised transport modalities. Data has been gathered through one-day participatory workshops, featuring questionnaire surveys, local site analysis, perception mapping and brief, textual descriptions. This innovative approach will support Web-based participation among stakeholding planners, who may benefit from well-structured, community

  2. Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana

    OpenAIRE

    de-Graft Aikins, Ama; Kushitor, Mawuli; Koram, Kwadwo; Gyamfi, Stella; Ogedegbe, Gbenga

    2014-01-01

    Background The rising burden of chronic non-communicable diseases in low and middle income countries has major implications on the ability of these countries to achieve universal health coverage. In this paper we discuss the impact of cardiovascular diseases (CVD) on primary healthcare services in urban poor communities in Accra, Ghana. Methods We review the evidence on the evolution of universal health coverage in Ghana and the central role of the community-based health planning services (CH...

  3. Community-Based Health and Exposure Study around Urban Oil Developments in South Los Angeles

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    Bhavna Shamasunder

    2018-01-01

    Full Text Available Oilfield-adjacent communities often report symptoms such as headaches and/or asthma. Yet, little data exists on health experiences and exposures in urban environments with oil and gas development. In partnership with Promotoras de Salud (community health workers, we gathered household surveys nearby two oil production sites in Los Angeles. We tested the capacity of low-cost sensors for localized exposure estimates. Bilingual surveys of 205 randomly sampled residences were collected within two 1500 ft. buffer areas (West Adams and University Park surrounding oil development sites. We used a one-sample proportion test, comparing overall rates from the California Health Interview Survey (CHIS of Service Planning Area 6 (SPA6 and Los Angeles County for variables of interest such as asthma. Field calibrated low-cost sensors recorded methane emissions. Physician diagnosed asthma rates were reported to be higher within both buffers than in SPA6 or LA County. Asthma prevalence in West Adams but not University Park was significantly higher than in Los Angeles County. Respondents with diagnosed asthma reported rates of emergency room visits in the previous 12 months similar to SPA6. 45% of respondents were unaware of oil development; 63% of residents would not know how to contact local regulatory authorities. Residents often seek information about their health and site-related activities. Low-cost sensors may be useful in highlighting differences between sites or recording larger emission events and can provide localized data alongside resident-reported symptoms. Regulatory officials should help clarify information to the community on methods for reporting health symptoms. Our community-based participatory research (CBPR partnership supports efforts to answer community questions as residents seek a safety buffer between sensitive land uses and active oil development.

  4. Rapid Epidemiological Assessment of Onchocerciasis in a Tropical Semi-Urban Community, Enugu State, Nigeria

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    JE Eyo

    2013-03-01

    Full Text Available Background: This study was carried out in Opi-Agu a tropical semi-urban autonomous community comprising of three villages in Enugu State, Nigeria, between the months of April and June 2010. It was designed to determine the prevalence of Onchocerca volvulus infection and assess the perception of the disease among the inhabitants of this community.Methods: A total number of 305 individuals comprising of 148 males and 157 females were ex­amined for various manifestations of onchocerciasis symptoms using rapid epidemiological assess­ment (REA method.Results: Out of this number, 119 (39.02% individuals were infected. Prevalence of infection among age groups and villages varied. Age group 41 yr and above had the highest (31.00% prevalence, while among the villages, Ogbozalla village ranked higher (45.71% than the other villages. Overall the prevalence of infection among the sexes revealed that males were more infected (43.24% than the females (35.03%. Lichenified onchodermatitis (LOD was the most prevalent (35.29% onchocercia­sis symptom among others identified in the area, while leopard skin (LS had the lowest (20.17% occurrence and blindness (0.00% which is the most devastating effect of O. volvulus infec­tion was not observed. Questionnaire responses from 410 individuals revealed that 34.8% respon­dent from Idi village and 28.1% from Ibeku village believed that O. volvulus infection occurs through poor personal hygiene. Bite of blackfly ranked least (10.6% among the respondent’s knowledge of the causes of onchocerciasis in Opi-Agu community.Conclusion: Opi-Agu community members had poor knowledge of onchocerciasis, the vector and of its etiologic organism. There is need for integration of community health education with mass chemo­therapy

  5. Process Evaluation of a Community Garden at an Urban Outpatient Clinic.

    Science.gov (United States)

    Milliron, Brandy-Joe; Vitolins, Mara Z; Gamble, Elizabeth; Jones, Robert; Chenault, Margaret C; Tooze, Janet A

    2017-08-01

    In addition to expediting patient recovery, community gardens that are associated with medical facilities can provide fresh produce to patients and their families, serve as a platform for clinic-based nutrition education, and help patients develop new skills and insights that can lead to positive health behavior change. While community gardening is undergoing resurgence, there is a strong need for evaluation studies that employ valid and reliable measures. The objective of this study was to conduct a process evaluation of a community garden program at an urban medical clinic to estimate the prevalence of patient awareness and participation, food security, barriers to participation, and personal characteristics; garden volunteer satisfaction; and clinic staff perspectives in using the garden for patient education/treatment. Clinic patients (n = 411) completed a community garden participation screener and a random sample completed a longer evaluation survey (n = 152); garden volunteers and medical staff completed additional surveys. Among patients, 39% had heard of and 18% had received vegetables from the garden; the greatest barrier for participation was lack of awareness. Volunteers reported learning about gardening, feeling more involved in the neighborhood, and environmental concern; and medical staff endorsed the garden for patient education/treatment. Comprehensive process evaluations can be utilized to quantify benefits of community gardens in medical centers as well as to point out areas for further development, such as increasing patient awareness. As garden programming at medical centers is formalized, future research should include systematic evaluations to determine whether this unique component of the healthcare environment helps improve patient outcomes.

  6. Community-Based Health and Exposure Study around Urban Oil Developments in South Los Angeles.

    Science.gov (United States)

    Shamasunder, Bhavna; Collier-Oxandale, Ashley; Blickley, Jessica; Sadd, James; Chan, Marissa; Navarro, Sandy; Hannigan, Michael; Wong, Nicole J

    2018-01-15

    Oilfield-adjacent communities often report symptoms such as headaches and/or asthma. Yet, little data exists on health experiences and exposures in urban environments with oil and gas development. In partnership with Promotoras de Salud (community health workers), we gathered household surveys nearby two oil production sites in Los Angeles. We tested the capacity of low-cost sensors for localized exposure estimates. Bilingual surveys of 205 randomly sampled residences were collected within two 1500 ft. buffer areas (West Adams and University Park) surrounding oil development sites. We used a one-sample proportion test, comparing overall rates from the California Health Interview Survey (CHIS) of Service Planning Area 6 (SPA6) and Los Angeles County for variables of interest such as asthma. Field calibrated low-cost sensors recorded methane emissions. Physician diagnosed asthma rates were reported to be higher within both buffers than in SPA6 or LA County. Asthma prevalence in West Adams but not University Park was significantly higher than in Los Angeles County. Respondents with diagnosed asthma reported rates of emergency room visits in the previous 12 months similar to SPA6. 45% of respondents were unaware of oil development; 63% of residents would not know how to contact local regulatory authorities. Residents often seek information about their health and site-related activities. Low-cost sensors may be useful in highlighting differences between sites or recording larger emission events and can provide localized data alongside resident-reported symptoms. Regulatory officials should help clarify information to the community on methods for reporting health symptoms. Our community-based participatory research (CBPR) partnership supports efforts to answer community questions as residents seek a safety buffer between sensitive land uses and active oil development.

  7. Community perceptions of intimate partner violence--a qualitative study from urban Tanzania.

    Science.gov (United States)

    Laisser, Rose M; Nyström, Lennarth; Lugina, Helen I; Emmelin, Maria

    2011-04-18

    Intimate partner violence against women is a prevailing public health problem in Tanzania, where four of ten women have a lifetime exposure to physical or sexual violence by their male partners. To be able to suggest relevant and feasible community and health care based interventions, we explored community members' understanding and their responses to intimate partner violence. A qualitative study using focus group discussions with 75 men and women was conducted in a community setting of urban Tanzania. We analysed data using a grounded theory approach and relate our findings to the ecological framework of intimate partner violence. The analysis resulted in one core category, "Moving from frustration to questioning traditional gender norms", that denoted a community in transition where the effects of intimate partner violence had started to fuel a wish for change. At the societal level, the category "Justified as part of male prestige" illustrates how masculinity prevails to justify violence. At the community level, the category "Viewed as discreditable and unfair" indicates community recognition of intimate partner violence as a human rights concern. At the relationship level, the category "Results in emotional entrapment" shows the shame and self-blame that is often the result of a violent relationship. At the individual level, the risk factors for intimate partner violence were primarily associated with male characteristics; the category "Fed up with passivity" emerged as an indication that community members also acknowledge their own responsibility for change in actions. Prevailing gender norms in Tanzania accept women's subordination and justify male violence towards women. At the individual level, an increasing openness makes it possible for women to report, ask for help, and become proactive in suggesting preventive measures. At the community level, there is an increased willingness to intervene but further consciousness-raising of the human rights

  8. Community perceptions of intimate partner violence - a qualitative study from urban Tanzania

    Directory of Open Access Journals (Sweden)

    Emmelin Maria

    2011-04-01

    Full Text Available Abstract Background Intimate partner violence against women is a prevailing public health problem in Tanzania, where four of ten women have a lifetime exposure to physical or sexual violence by their male partners. To be able to suggest relevant and feasible community and health care based interventions, we explored community members' understanding and their responses to intimate partner violence. Methods A qualitative study using focus group discussions with 75 men and women was conducted in a community setting of urban Tanzania. We analysed data using a grounded theory approach and relate our findings to the ecological framework of intimate partner violence. Results The analysis resulted in one core category, "Moving from frustration to questioning traditional gender norms", that denoted a community in transition where the effects of intimate partner violence had started to fuel a wish for change. At the societal level, the category "Justified as part of male prestige" illustrates how masculinity prevails to justify violence. At the community level, the category "Viewed as discreditable and unfair" indicates community recognition of intimate partner violence as a human rights concern. At the relationship level, the category "Results in emotional entrapment" shows the shame and self-blame that is often the result of a violent relationship. At the individual level, the risk factors for intimate partner violence were primarily associated with male characteristics; the category "Fed up with passivity" emerged as an indication that community members also acknowledge their own responsibility for change in actions. Conclusions Prevailing gender norms in Tanzania accept women's subordination and justify male violence towards women. At the individual level, an increasing openness makes it possible for women to report, ask for help, and become proactive in suggesting preventive measures. At the community level, there is an increased willingness to

  9. Community violence exposure correlates with smaller gray matter volume and lower IQ in urban adolescents.

    Science.gov (United States)

    Butler, Oisin; Yang, Xiao-Fei; Laube, Corinna; Kühn, Simone; Immordino-Yang, Mary Helen

    2018-02-15

    Adolescents' exposure to community violence is a significant public health issue in urban settings and has been associated with poorer cognitive performance and increased risk for psychiatric illnesses, including PTSD. However, no study to date has investigated the neural correlates of community violence exposure in adolescents. Sixty-five healthy adolescents (age = 14-18 years; 36 females, 29 males) from moderate- to high-crime neighborhoods in Los Angeles reported their violence exposure, parents' education level, and free/reduced school lunch status (socio-economic status, SES), and underwent structural neuroimaging and intelligence testing. Violence exposure negatively correlated with measures of SES, IQ, and gray matter volume. Above and beyond the effect of SES, violence exposure negatively correlated with IQ and with gray matter volume in the left inferior frontal gyrus and anterior cingulate cortex, regions involved in high-level cognitive functions and autonomic modulation, and previously shown to be reduced in PTSD and combat-exposed military populations. The current results provide first evidence that frontal brain regions involved in cognition and affect appear to be selectively affected by exposure to community violence, even in healthy nondelinquent adolescents who are not the direct victims or perpetrators of violence. © 2018 Wiley Periodicals, Inc.

  10. Knowledge and practice of the use of traditional eye medication in a semi-urban community

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    Dumebi Hedwig Kayoma

    2017-01-01

    Full Text Available Background: Traditional eye medications may be harmful causing ocular morbidity. The aim of this study is to determine the knowledge and practice of traditional eye medication (TEM among adults in a semi-urban community in Edo state. Materials and Methods: A 3 months cross-sectional descriptive study in Ekiadolor community in Ovia North East Local Government Area of Edo state, Nigeria. A cluster sampling technique was used. Four hundred and thirty respondents aged between 18 years and above were included in the study. Results: A total of four hundred and thirty respondents (430 which comprised of 184 (42.8% males and 246 (57.2% females with a male to female ratio of 1:1.3 were studied. The age range of the respondents was 21 to 84 years, with a mean age of 49.83 ± 19.99 years (standard deviation. Three hundred and ninety-two (91.2% of the respondents knew about TEM. Herbal extract was the most known (94.4%. Although 71.6% said TEM was harmful, the prevalence of use of TEM was 48.7%. The male gender, low socioeconomic class, and no or low level of formal education were more likely to use TEM (P = 0.001. Conclusion: The knowledge and practice of TEM are high in this community. There is a great need to educate the people on the overall harmful effect of this practice through public enlightenment campaigns.

  11. Seasonal variations and resilience of bacterial communities in a sewage polluted urban river.

    Science.gov (United States)

    García-Armisen, Tamara; İnceoğlu, Özgül; Ouattara, Nouho Koffi; Anzil, Adriana; Verbanck, Michel A; Brion, Natacha; Servais, Pierre

    2014-01-01

    The Zenne River in Brussels (Belgium) and effluents of the two wastewater treatment plants (WWTPs) of Brussels were chosen to assess the impact of disturbance on bacterial community composition (BCC) of an urban river. Organic matters, nutrients load and oxygen concentration fluctuated highly along the river and over time because of WWTPs discharge. Tag pyrosequencing of bacterial 16S rRNA genes revealed the significant effect of seasonality on the richness, the bacterial diversity (Shannon index) and BCC. The major grouping: -winter/fall samples versus spring/summer samples- could be associated with fluctuations of in situ bacterial activities (dissolved and particulate organic carbon biodegradation associated with oxygen consumption and N transformation). BCC of the samples collected upstream from the WWTPs discharge were significantly different from BCC of downstream samples and WWTPs effluents, while no significant difference was found between BCC of WWTPs effluents and the downstream samples as revealed by ANOSIM. Analysis per season showed that allochthonous bacteria brought by WWTPs effluents triggered the changes in community composition, eventually followed by rapid post-disturbance return to the original composition as observed in April (resilience), whereas community composition remained altered after the perturbation by WWTPs effluents in the other seasons.

  12. Solidago canadensis invasion affects soil N-fixing bacterial communities in heterogeneous landscapes in urban ecosystems in East China.

    Science.gov (United States)

    Wang, Congyan; Jiang, Kun; Zhou, Jiawei; Wu, Bingde

    2018-03-12

    Soil nitrogen-fixing bacterial communities (SNB) can increase the level of available soil N via biological N-fixation to facilitate successful invasion of several invasive plant species (IPS). Meanwhile, landscape heterogeneity can greatly enhance regional invasibility and increase the chances of successful invasion of IPS. Thus, it is important to understand the soil micro-ecological mechanisms driving the successful invasion of IPS in heterogeneous landscapes. This study performed cross-site comparisons, via metagenomics, to comprehensively analyze the effects of Solidago canadensis invasion on SNB in heterogeneous landscapes in urban ecosystems. Rhizospheric soil samples of S. canadensis were obtained from nine urban ecosystems [Three replicate quadrats (including uninvaded sites and invaded sites) for each type of urban ecosystem]. S. canadensis invasion did not significantly affect soil physicochemical properties, the taxonomic diversity of plant communities, or the diversity and richness of SNB. However, some SNB taxa (i.e., f_Micromonosporaceae, f_Oscillatoriaceae, and f_Bacillaceae) changed significantly with S. canadensis invasion. Thus, S. canadensis invasion may alter the community structure, rather than the diversity and richness of SNB, to facilitate its invasion process. Of the nine urban ecosystems, the diversity and richness of SNB was highest in farmland wasteland. Accordingly, the community invasibility of farmland wasteland may be higher than that of the other types of urban ecosystem. In brief, landscape heterogeneity, rather than S. canadensis invasion, was the strongest controlling factor for the diversity and richness of SNB. One possible reason may be the differences in soil electrical conductivity and the taxonomic diversity of plant communities in the nine urban ecosystems, which can cause notable shifts in the diversity and richness of SNB. Copyright © 2018 Elsevier B.V. All rights reserved.

  13. Serological survey of Brucella canis in dogs in urban Harare and selected rural communities in Zimbabwe

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    Simbarashe Chinyoka

    2014-02-01

    Full Text Available A cross-sectional study was conducted in order to detect antibodies for Brucella canis (B. canis in dogs from urban Harare and five selected rural communities in Zimbabwe. Sera from randomly selected dogs were tested for antibodies to B. canis using an enzyme-linked immunosorbent assay. Overall, 17.6% of sera samples tested (57/324, 95% CI: 13.5–21.7 were positive for B. canis antibodies. For rural dogs, seroprevalence varied from 11.7% – 37.9%. Rural dogs recorded a higher seroprevalence (20.7%, 95% CI: 15.0–26.4 compared with Harare urban dogs (12.7%, 95% CI: 6.9–18.5 but the difference was not significant (p = 0.07. Female dogs from both sectors had a higher seroprevalence compared with males, but the differences were not significant (p > 0.05. Five and two of the positive rural dogs had titres of 1:800 and 1:1600, respectively, whilst none of the positive urban dogs had a titre above 1:400. This study showed that brucellosis was present and could be considered a risk to dogs from the studied areas. Further studies are recommended in order to give insight into the epidemiology of brucellosis in dogs and its possible zoonotic consequences in Zimbabwe. Screening for other Brucella spp. (Brucella abortus, Brucella melitensis and Brucella suis other than B. canis is also recommended.

  14. Serological survey of Brucella canis in dogs in urban Harare and selected rural communities in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Simbarashe Chinyoka

    2014-04-01

    Full Text Available A cross-sectional study was conducted in order to detect antibodies for Brucella canis (B. canis in dogs from urban Harare and five selected rural communities in Zimbabwe. Sera from randomly selected dogs were tested for antibodies to B. canis using an enzyme-linked immunosorbent assay. Overall, 17.6% of sera samples tested (57/324, 95% CI: 13.5–21.7 were positive for B. canis antibodies. For rural dogs, seroprevalence varied from 11.7% – 37.9%. Rural dogs recorded a higher seroprevalence (20.7%, 95% CI: 15.0–26.4 compared with Harare urban dogs (12.7%, 95% CI: 6.9–18.5 but the difference was not significant (p = 0.07. Female dogs from both sectors had a higher seroprevalence compared with males, but the differences were not significant (p > 0.05. Five and two of the positive rural dogs had titres of 1:800 and 1:1600, respectively, whilst none of the positive urban dogs had a titre above 1:400. This study showed that brucellosis was present and could be considered a risk to dogs from the studied areas. Further studies are recommended in order to give insight into the epidemiology of brucellosis in dogs and its possible zoonotic consequences in Zimbabwe. Screening for other Brucella spp. (Brucella abortus, Brucella melitensis and Brucella suis other than B. canis is also recommended.

  15. Introduction of standard measles vaccination in an urban African community in 1979 and overall child survival

    DEFF Research Database (Denmark)

    Mogensen, Søren Wengel; Aaby, Peter; Smedman, Lars

    2016-01-01

    OBJECTIVE: To examine the effect of the first introduction of measles vaccine (MV) in Guinea-Bissau in 1979. SETTING: Urban community study of the anthropometric status of all children under 6 years of age. PARTICIPANTS: The study cohort included 1451 children in December 1978; 82% took part...... in the anthropometric survey. The cohort was followed for 2 years. INTERVENTION: In December 1979, the children were re-examined anthropometrically. The participating children, aged 6 months to 6 years, were offered MV if they did not have a history of measles infection. There were no routine vaccinations in 1979......-1980. PRIMARY AND SECONDARY OUTCOME MEASURES: Age-adjusted mortality rate ratios (MRRs) for measles vaccinated and not vaccinated children; changes in nutritional status. RESULTS: The nutritional status deteriorated significantly from 1978 to 1979. Nonetheless, children who received MV at the December 1979...

  16. Deschooling Society? A Lifelong Learning Network for Sustainable Communities, Urban Regeneration and Environmental Technologies

    Directory of Open Access Journals (Sweden)

    John Blewitt

    2010-11-01

    Full Text Available The complexity and multifaceted nature of sustainable lifelong learning can be effectively addressed by a broad network of providers working co-operatively and collaboratively. Such a network involving the third, public and private sector bodies must realise the full potential of accredited flexible and blended formal learning, contextual opportunities offered by enablers of informal and non formal learning and the affordances derived from the various loose and open spaces that can make social learning effective. Such a conception informs the new Lifelong Learning Network Consortium on Sustainable Communities, Urban Regeneration and Environmental Technologies established and led by the Lifelong Learning Centre at Aston University. This paper offers a radical, reflective and political evaluation of its first year in development arguing that networked learning of this type could prefigure a new model for lifelong learning and sustainable education that renders the city itself a creative medium for transformative learning and sustainability.

  17. Ant communities (Hymenoptera: Formicidae in an urban ecosystem near the Atlantic Rainforest

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    CM. Kamura

    Full Text Available The relationships between an urban ecosystem located near the Atlantic Rainforest in southeastern Brazil and ant communities were studied with the objective of quantifying the ant richness and abundance in the household environment and its surroundings. Eighty residences were sampled, where 58 species and 28 genera pertaining to 7 sub-families were found to be present. Inside the residences, the species richness was found to be lower (26, although the abundance was greater (10,670, with the wash area and kitchen being the locales that contributed with the greatest number of hits. The opposite was true in the areas outside the residences, where 54 species and 3,747 ants were observed. Inside houses, the species known as Tramp ants were found, in the following order of importance: Solenopsis -saevissima, Tapinoma melanocephalum, Linepithema humile, Paratrechina fulva, Wasmannia -auropunctata, P. -longicornis, Pheidole megacephala, Monomorium pharaonis and M. floricola. Externally, mainly in the yards and gardens, species such as Octostruma rugifera, Heteroponera dolo, Hypoponera sp.1 and sp.6, Gnamptogenys sp. 4, G. striatula, Odontomachus meinerti, Pachycondyla constricta and P. striata were found. In general, a greater number of species and lower abundance of individuals were observed in the neighborhoods nearer the mountains than in those closer to the urban center.

  18. Youth access to indoor tanning salons in urban versus rural/suburban communities.

    Science.gov (United States)

    Nahar, Vinayak K; Rosenthal, Meagen; Lemon, Stephenie C; Kane, Kevin; Cheng, Jie; Oleski, Jessica L; Li, Wenjun; Hillhouse, Joel J; Pagoto, Sherry L

    2018-03-01

    Research suggests that youth proximity to tanning salons may promote use; however, little is known about tanning salon proximity to schools. We assessed the proximity of tanning salons to schools in urban versus rural/suburban communities across Worcester County, Massachusetts (population > 800K). To put findings in context, we compared school proximity to tanning salons to school proximity to McDonald's restaurants, a large franchise that also caters to young people. Accessibility was measured by ArcGIS 10.2 Network Analyzer (ESRI, Redlands, CA, USA) and the most current road network data layer from Massachusetts Department of Transportation (MassDOT). A total of 145 schools were observed in the study area, of which about 39% of schools were within 1 mile from a tanning salon. Urban schools (53.41%) had a higher proportion within 1 mile of a tanning salon than rural/suburban schools (17.54%; P < .001). More schools (39.31%) were within 1 mile of a tanning salon than schools within 1 mile of a McDonald's (22.70%; P < .001). Schools may be particularly impactful for implementing skin cancer prevention programing. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. A Community-Driven Approach to Generate Urban Policy Recommendations for Obesity Prevention

    Directory of Open Access Journals (Sweden)

    Julia Díez

    2018-03-01

    Full Text Available There is an increasing research interest in targeting interventions at the neighborhood level to prevent obesity. Healthy urban environments require including residents’ perspectives to help understanding how urban environments relate to residents’ food choices and physical activity levels. We describe an innovative community-driven process aimed to develop environmental recommendations for obesity prevention. We conducted this study in a low-income area in Madrid (Spain, using a collaborative citizen science approach. First, 36 participants of two previous Photovoice projects translated their findings into policy recommendations, using an adapted logical framework approach. Second, the research team grouped these recommendations into strategies for obesity prevention, using the deductive analytical strategy of successive approximation. Third, through a nominal group session including participants, researchers, public health practitioners and local policy-makers, we discussed and prioritized the obesity prevention recommendations. Participants identified 12 policy recommendations related to their food choices and 18 related to their physical activity. The research team grouped these into 11 concrete recommendations for obesity prevention. The ‘top-three’ ranked recommendations were: (1 to adequate and increase the number of public open spaces; (2 to improve the access and cost of existing sports facilities and (3 to reduce the cost of gluten-free and diabetic products.

  20. Solar Resource for Urban Communities in the Baja California Peninsula, Mexico

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    Alberto-Jesús Perea-Moreno

    2016-11-01

    Full Text Available Several studies have determined that Mexico has great renewable energy potential, and one of its most abundant resources is solar energy, a source that could be exploited to provide development opportunities to its population, however it is necessary to calculate the amount of this source available. The aim of this study was to assess solar irradiance at urban communities in the Baja California Peninsula. For this purpose data recorded every 10 min during 6 years (2010–2015 by the Automatic Meteorological Stations (AMSs and Synoptic Automatic Meteorological Stations (SAMSs of the National Meteorological System of Mexico (NMS were analyzed. Satellite data from the Surface and Meteorology Energy System (SMSE were also used, and a linear regression was performed to compare the measured and satellite data. The highest R-square value found was 0.97 and the lowest was 0.82. Daily patterns show that Cabo San Lucas had the highest average solar irradiation/day, with 1000 W/m2. Considering the urban areas, total solar irradiation reaching the Peninsula is about 447 × 106 kWh, which represents around 447 times the total Baja California Peninsula yearly energy consumption. Geographic Information System (GIS helped to identify the zones and months with higher solar resources. May is the month registering the highest irradiation, more than 8.1 kWh/m2/day, while the average solar resource for the whole Peninsula is 5.7 kWh/m2/day.

  1. PREVALENCE OF DIABETES MELLITUS AMONG ETHNIC ADULT POPULATION IN AN URBAN COMMUNITY IN EAST SIKKIM, INDIA

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    Binu Upreti

    2017-10-01

    Full Text Available BACKGROUND Diabetes mellitus has become a major public health problem, more so in India, which contributes the most to global diabetes prevalence and the rate seems to be escalating. There is complexity of aetiologies and need for early diagnosis and treatment and the call for finding the burden. The aim of the study is to find the prevalence of diabetes and determine the factors associated with it amongst the native Sikkimese population of Tadong, East Sikkim. MATERIALS AND METHODS A cross-sectional descriptive study with total enumeration of population aged 20 years and above having domicile of Sikkim (874 was conducted in the urban field practice area of Urban Health Centre, Tadong, Gangtok, from August 2013 - August 2014. Clinical-social data was collected, anthropometric measurements, blood pressure taken and FBG was measured after 8 hours of fasting using blood glucometer and then analysis was done using SPSS Software. RESULTS On the basis of study, the prevalence of diabetes was found to be 16.36%. Out of total 143 diabetics, 118 (82.5% were previously diagnosed of diabetes. Diabetes significantly increased with increasing age. Family history, sedentary lifestyles, employment, WHR and BMI was significantly associated with diabetes. There was no significant difference in the prevalence of DM among different gender and different communities. CONCLUSION The present study reveals high prevalence of diabetes. This indicates the need for early screening and preventive measures to avoid complications.

  2. Differentiated surface fungal communities at point of harvest on apple fruits from rural and peri-urban orchards

    OpenAIRE

    Shen, Youming; Nie, Jiyun; Li, Zhixia; Li, Haifei; Wu, Yonglong; Dong, Yafeng; Zhang, Jianyi

    2018-01-01

    The diverse fungal communities that colonize fruit surfaces are closely associated with fruit development, preservation and quality control. However, the overall fungi adhering to the fruit surface and the inference of environmental factors are still unknown. Here, we characterized the fungal signatures on apple surfaces by sequencing internal transcribed spacer 1 (ITS1) region. We collected the surface fungal communities from apple fruits cultivated in rural and peri-urban orchards. A total ...

  3. Comparison of root-associated communities of native and non-native ectomycorrhizal hosts in an urban landscape.

    Science.gov (United States)

    Lothamer, K; Brown, S P; Mattox, J D; Jumpponen, A

    2014-05-01

    Non-native tree species are often used as ornamentals in urban landscapes. However, their root-associated fungal communities remain yet to be examined in detail. Here, we compared richness, diversity and community composition of ectomycorrhizosphere fungi in general and ectomycorrhizal (EcM) fungi in particular between a non-native Pinus nigra and a native Quercus macrocarpa across a growing season in urban parks using 454-pyrosequencing. Our data show that, while the ectomycorrhizosphere community richness and diversity did not differ between the two host, the EcM communities associated with the native host were often more species rich and included more exclusive members than those of the non-native hosts. In contrast, the ectomycorrhizosphere communities of the two hosts were compositionally clearly distinct in nonmetric multidimensional ordination analyses, whereas the EcM communities were only marginally so. Taken together, our data suggest EcM communities with broad host compatibilities and with a limited numbers of taxa with preference to the non-native host. Furthermore, many common fungi in the non-native Pinus were not EcM taxa, suggesting that the fungal communities of the non-native host may be enriched in non-mycorrhizal fungi at the cost of the EcM taxa. Finally, while our colonization estimates did not suggest a shortage in EcM inoculum for either host in urban parks, the differences in the fungi associated with the two hosts emphasize the importance of using native hosts in urban environments as a tool to conserve endemic fungal diversity and richness in man-made systems.

  4. Waste management as an effort to improve urban area cleanliness and community income (journal review)

    Science.gov (United States)

    Kinantan, Bag; Rahim Matondang, A.; Hidayati, Juliza

    2018-02-01

    The problem of urban waste has reached a point of concern. Population and economic growth are thought to be the cause of increasing the waste generation. The major problem related to this condition is the increasing of waste production which is not balance with the increase of its management capacity. Based on the Law Number 18 of 2008 that waste management starts from the source by applying the 3R approach (Reduction, Reuse, Recycle). This regulation provides a way which expect the waste management can be better, so that, the level of waste service can be improved and load on landfills (TPA) can be reduced.The cost of garbage collection and transport are 85% of the total waste management cost, so if this is optimized, it will optimize the system as a whole. Subsequent research focuses on how to optimize the garbage collection and transport sub-systems by finding the shortest route of transportation to the landfill by developing a Vehicle Routing Problem (VRP) model. The development of an urban area leads to the preparation of the best route is no longer an optimal solution. The complexity of the waste problem is not only related to the technical matters, but also the social and economic problems of the community. So, it is necessary to develop a model of waste management which does not only pay attention to the technical aspects, but also the social and economic. Waste is expected to be no longer a burden, but can also be utilized economically to increase community income.

  5. The Influence of Garden Size and Floral Cover on Pollen Deposition in Urban Community Gardens

    Directory of Open Access Journals (Sweden)

    Kevin C. Matteson

    2009-01-01

    Full Text Available Many cucurbits, such as cucumbers, squashes and pumpkins, depend on pollinating bees in order to set fruit. However, fruit yield and progeny vigor in these plants generally decreases as heterospecific pollen deposition increases. We studied how the spatial area dedicated to cucumbers (Cucumis sativis, versus other flowering plants, influenced the deposition of conspecific and heterospecific pollen on cucumber plants in New York City community gardens. We also examined the effect of garden size on conspecific and heterospecific pollen deposition on cucumber plants. Female flowers were collected from potted cucumber plants that had been experimentally placed into the gardens, specifically for this study, or that were established in raised beds by members of the community garden. In the laboratory, pollen grains were isolated from the flower by acetolysis, and the number of heterospecific and conspecific cucumber pollen grains were quantified. Conspecific pollen deposition was positively and significantly associated with the size of a community garden, as well as with the area of each garden dedicated to non-cucumber, flowering plants (i.e. floral cover and the area of each garden dedicated to cucumber plants (i.e. cucumber cover. Although floral cover explained a greater proportion of the variance, cucumber cover had the strongest effect on conspecific pollen deposition. Heterospecific pollen deposition was positively and significantly related to garden area. However, no significant relationship was found between heterospecific pollen deposition and floral cover, or cucumber cover. Based upon these results, we hypothesize that floral cover positively impacts conspecific pollen deposition by attracting a greater number of pollinators into an urban garden, and that total cucumber area positively impacts conspecific pollen deposition when pollinators are locally foraging within a garden. We suggest that the arrangement of plants within a garden can

  6. Urban Transit System Microbial Communities Differ by Surface Type and Interaction with Humans and the Environment.

    Science.gov (United States)

    Hsu, Tiffany; Joice, Regina; Vallarino, Jose; Abu-Ali, Galeb; Hartmann, Erica M; Shafquat, Afrah; DuLong, Casey; Baranowski, Catherine; Gevers, Dirk; Green, Jessica L; Morgan, Xochitl C; Spengler, John D; Huttenhower, Curtis

    2016-01-01

    Public transit systems are ideal for studying the urban microbiome and interindividual community transfer. In this study, we used 16S amplicon and shotgun metagenomic sequencing to profile microbial communities on multiple transit surfaces across train lines and stations in the Boston metropolitan transit system. The greatest determinant of microbial community structure was the transit surface type. In contrast, little variation was observed between geographically distinct train lines and stations serving different demographics. All surfaces were dominated by human skin and oral commensals such as Propionibacterium , Corynebacterium , Staphylococcus , and Streptococcus . The detected taxa not associated with humans included generalists from alphaproteobacteria, which were especially abundant on outdoor touchscreens. Shotgun metagenomics further identified viral and eukaryotic microbes, including Propionibacterium phage and Malassezia globosa . Functional profiling showed that Propionibacterium acnes pathways such as propionate production and porphyrin synthesis were enriched on train holding surfaces (holds), while electron transport chain components for aerobic respiration were enriched on touchscreens and seats. Lastly, the transit environment was not found to be a reservoir of antimicrobial resistance and virulence genes. Our results suggest that microbial communities on transit surfaces are maintained from a metapopulation of human skin commensals and environmental generalists, with enrichments corresponding to local interactions with the human body and environmental exposures. IMPORTANCE Mass transit environments, specifically, urban subways, are distinct microbial environments with high occupant densities, diversities, and turnovers, and they are thus especially relevant to public health. Despite this, only three culture-independent subway studies have been performed, all since 2013 and all with widely differing designs and conclusions. In this study, we

  7. Intestinal parasite infections and associated risk factors in communities exposed to wastewater in urban and peri-urban transition zones in Hanoi, Vietnam.

    Science.gov (United States)

    Fuhrimann, Samuel; Winkler, Mirko S; Pham-Duc, Phuc; Do-Trung, Dung; Schindler, Christian; Utzinger, Jürg; Cissé, Guéladio

    2016-10-10

    Infections with intestinal parasites (helminths and intestinal protozoa) are endemic in Southeast Asia and inappropriate management and reuse of wastewater might exacerbate the risk of human infections. In rapidly growing urban settings, little is known about the extent of intestinal parasite infections. We assessed the point-prevalence and risk factors of intestinal parasite infections in population groups differently exposed to wastewater in urban and peri-urban transition zones in Hanoi, the capital of Vietnam. A cross-sectional survey was carried out between April and June 2014 in people aged ≥ 18 years at risk of wastewater exposure from To Lich River: workers maintaining wastewater treatment facilities; urban farmers reusing wastewater; and urban dwellers at risk of flooding events. For comparison, two peri-urban population groups living in close proximity to the Red River were chosen: farmers using river water for irrigation purposes; and people living in the same communities. A single stool sample was subjected to Kato-Katz and formalin-ether concentration methods for the diagnosis of helminth and intestinal protozoa infections. A questionnaire was administered to determine risk factors and self-reported signs and symptoms. A total of 681 individuals had complete data records. Highest point-prevalence rates of intestinal parasite infections were observed for peri-urban farmers (30 %). Hookworm and Trichuris trichiura were the predominant helminth species (25 % and 5 %, respectively). Peri-urban farmers were at higher odds of infection with intestinal parasites than any other groups (adjusted odds ratio 5.8, 95 % confidence interval 2.5 to 13.7). Lack of access to improved sanitation and not receiving deworming within the past 12 months were associated with higher infection risk, while higher educational attainment and socioeconomic status were negatively associated with intestinal parasite infections. Our results suggest that exposure to

  8. Urban

    Directory of Open Access Journals (Sweden)

    Paulo José Lisboa Nobre

    2007-12-01

    Full Text Available Natal is a city with environment singularities. The urban legislation tried to preserve the features of the local landscape delimiting “Areas for Controlling Building High”, destined to protect the scenic value of some parts of the city. In 1979 was created a “NonÆdificandi” area to protect the scenery of Ponta Negra beach, one of the most famous view of the city. Since this time, the real state market, the building constructers and the land owners of this area have exerted constant pressure in sense to abolish or to modify this legal instrument.Nowadays, the public administration presented a new project which try to answer public and private interests.This paper is the result of an inclusion of the University in this polemic issue. Architecture and Urban Planning and Statistic students of two universities of the city (UFRN and UNP, helped the process collecting data and producing information. The proposed of the investigation was to know the users of this area and their opinion about the subject. It was done together with the Public agency, Secretaria Especial de Meio Ambiente e Urbanismo. At the end, the students presented their particular solutions for the problem, inside the disciplines of Landscaping and Urban Planning.

  9. Critical Factors for Successful Practice of Disaster-Resilient Community in Urban City

    Science.gov (United States)

    Chou, J. S.; Wu, J. H.

    2017-12-01

    Due to special geographical environment, Taiwan is a natural disaster-prone area, which often suffers from earthquakes, typhoons and other natural hazards, resulting in heavy casualties and huge property losses. Furthermore, effect of global warming increases extreme climate events and leads to frequent and severe natural disasters. Therefore, disaster prevention and response are not only an important issue of government policy, but also a critical issue of people's life. Rather than over-reliance on government assistance, the spontaneous participation and co-operation by people can complete specific disaster preparedness and reinforce local energy of disaster prevention and response. Although the concept of disaster-resilient community (DRC) has been shaped for a period of time, residents in the community cannot keep up the pace with government, which may decrease the effectiveness of DRC development. Thus, the study of theory and practice of urban DRC becomes an imperative need. This article is a qualitative case study, which uses the participant observation and self-reflection in action research methods to collect relevant information for empirical validation. Particularly, this investigation is supplemented by service work experience in DRC promotion conducted by the researchers. According to the qualitative analyses of case communities during training process of disaster prevention and preparedness, we can identify the critical factors affecting the level of community-based disaster prevention and protection works. Based on the literature and empirical supports, the factors are discussed through three spindle constructs respectively, namely coping strategy, operations management and organizational behavior. Based on the findings of this study, we make conclusions and suggestions for related authority in sustainably promoting DRC.

  10. Willingness-to-Pay for Community-Based Health Insurance among Informal Workers in Urban Bangladesh.

    Science.gov (United States)

    Ahmed, Sayem; Hoque, Mohammad Enamul; Sarker, Abdur Razzaque; Sultana, Marufa; Islam, Ziaul; Gazi, Rukhsana; Khan, Jahangir A M

    2016-01-01

    Reliance on out-of-pocket payment for healthcare may lead poor households to undertake catastrophic health expenditure, and risk-pooling mechanisms have been recommended to mitigate such burdens for households in Bangladesh. About 88% of the population of Bangladesh depends on work in the informal sector. We aimed to estimate willingness-to-pay (WTP) for CBHI and identify its determinants among three categories of urban informal workers rickshaw-pullers, shopkeepers and restaurant workers. The bidding game version of contingent valuation method was used to estimate weekly WTP. In three urban locations 557 workers were interviewed using a structured questionnaire during 2010 and 2011. Multiple-regression analysis was used to predict WTP by demographic and household characteristics, occupation, education level and past illness. WTP for a CBHI scheme was expressed by 86.7% of informal workers. Weekly average WTP was 22.8 BDT [Bangladeshi Taka; 95% confidence interval (CI) 20.9-24.8] or 0.32 USD and varied significantly across occupational groups (p = 0.000) and locations (p = 0.003). WTP was highest among rickshaw-pullers (28.2 BDT or 0.40 USD; 95% CI: 24.7-31.7), followed by restaurant workers (20.4 BDT 0.29 USD; 95% CI: 17.0-23.8) and shopkeepers (19.2 BDT or 0.27 USD; 95% CI: 16.1-22.4). Multiple regression analysis identified monthly income, occupation, geographical location and educational level as the key determinants of WTP. WTP increased 0.196% with each 1% increase in monthly income, and was 26.9% lower among workers with up to a primary level of education versus those with higher than primary, but less than one year of education. Informal workers in urban areas thus are willing to pay for CBHI and socioeconomic differences explain the magnitude of WTP. The policy maker might think introducing community-based model including public-community partnership model for healthcare financing of informal workers. Decision making regarding the implementation of such

  11. Willingness-to-Pay for Community-Based Health Insurance among Informal Workers in Urban Bangladesh

    Science.gov (United States)

    Ahmed, Sayem; Hoque, Mohammad Enamul; Sarker, Abdur Razzaque; Sultana, Marufa; Islam, Ziaul; Gazi, Rukhsana; Khan, Jahangir A. M.

    2016-01-01

    Introduction Reliance on out-of-pocket payment for healthcare may lead poor households to undertake catastrophic health expenditure, and risk-pooling mechanisms have been recommended to mitigate such burdens for households in Bangladesh. About 88% of the population of Bangladesh depends on work in the informal sector. We aimed to estimate willingness-to-pay (WTP) for CBHI and identify its determinants among three categories of urban informal workers rickshaw-pullers, shopkeepers and restaurant workers. Methods The bidding game version of contingent valuation method was used to estimate weekly WTP. In three urban locations 557 workers were interviewed using a structured questionnaire during 2010 and 2011. Multiple-regression analysis was used to predict WTP by demographic and household characteristics, occupation, education level and past illness. Results WTP for a CBHI scheme was expressed by 86.7% of informal workers. Weekly average WTP was 22.8 BDT [Bangladeshi Taka; 95% confidence interval (CI) 20.9–24.8] or 0.32 USD and varied significantly across occupational groups (p = 0.000) and locations (p = 0.003). WTP was highest among rickshaw-pullers (28.2 BDT or 0.40 USD; 95% CI: 24.7–31.7), followed by restaurant workers (20.4 BDT 0.29 USD; 95% CI: 17.0–23.8) and shopkeepers (19.2 BDT or 0.27 USD; 95% CI: 16.1–22.4). Multiple regression analysis identified monthly income, occupation, geographical location and educational level as the key determinants of WTP. WTP increased 0.196% with each 1% increase in monthly income, and was 26.9% lower among workers with up to a primary level of education versus those with higher than primary, but less than one year of education. Conclusion Informal workers in urban areas thus are willing to pay for CBHI and socioeconomic differences explain the magnitude of WTP. The policy maker might think introducing community-based model including public-community partnership model for healthcare financing of informal workers

  12. Community-Based Mental Health and Behavioral Programs for Low-Income Urban Youth: A Meta-Analytic Review

    Science.gov (United States)

    Farahmand, Farahnaz K.; Duffy, Sophia N.; Tailor, Megha A.; Dubois, David L.; Lyon, Aaron L.; Grant, Kathryn E.; Zarlinski, Jennifer C.; Masini, Olivia; Zander, Keith J.; Nathanson, Alison M.

    2012-01-01

    A meta-analytic review of 33 studies and 41 independent samples was conducted of the effectiveness of community-based mental health and behavioral programs for low-income urban youth. Findings indicated positive effects, with an overall mean effect of 0.25 at post-test. While this is comparable to previous meta-analytic intervention research with…

  13. Imagining Identities: Young People Constructing Discourses of Race, Ethnicity, and Community in a Contentious Context of Rapid Urban Development

    Science.gov (United States)

    Tucker-Raymond, Eli; Rosario, Maria L.

    2017-01-01

    This article uses a critical sociohistorical lens to discuss and explain examples of the ways in which young people reflect, refract, and contribute to discourses of gentrification, displacement, and racial, ethnic, and geographic community identity building in a rapidly changing urban neighborhood. The article explores examples from open-ended…

  14. Impervious surface area as a predictor of the effects of urbanization on stream insect communities in Maine, USA.

    Science.gov (United States)

    Morse, Chandler C; Huryn, Alexander D; Cronan, Christopher

    2003-11-01

    The influence of urbanization on stream insect communities was determined by comparing physical, chemical, and biological characteristics of streams draining 20 catchments with varying levels of urban land-cover in Maine (U.S.A). Percent total impervious surface area (PTIA), which was used to quantify urban land-use, ranged from approximately 1-31% among the study catchments. Taxonomic richness of stream insect communities showed an abrupt decline as PTIA increased above 6%. Streams draining catchments with PTIA 18 taxa or an EPT richness > 6 taxa. Insect communities in streams with PTIA > 6% were characterized by the absence of pollution-intolerant taxa. The distribution of more pollution-tolerant taxa (e.g. Acerpenna (Ephemeroptera); Paracapnia, Allocapnia (Plecoptera); Optioservus, Stenelmis (Coleoptera); Hydropsyche, Cheumatopsvyche (Trichoptera)), however, showed little relation to PTIA. In contrast to the apparent threshold relationship between PTIA and insect taxonomic richness, both habitat quality and water quality tended to decline as linear functions of PTIA. Our results indicate that, in Maine, an abrupt change in stream insect community structure occurs at a PTIA above a threshold of approximately 6% of total catchment area. The measurement of PTIA may provide a valuable tool for predicting thresholds for adverse effects of urbanization on the health of headwater streams in Maine.

  15. Creative Musical Play: An Innovative Approach to Early Childhood Music Education in an Urban Community School of Music

    Science.gov (United States)

    John, Bina Ann; Cameron, Linda; Bartel, Lee

    2016-01-01

    Music is a distinct form of communication that manifests naturally when children are engaged in musical play regardless of their cultural backgrounds. In an ethnically diverse, urban community music school, where the majority of children represent non-western populations, the need for creativity-focused approaches that do not assume a western…

  16. Sampling season affects conclusions on soil arthropod community structure responses to metal pollution in Mediterranean urban soils

    NARCIS (Netherlands)

    Santorufo, L.; van Gestel, C.A.M.; Maisto, G.

    2014-01-01

    This study aimed to assess if the period of sampling affected conclusions on the responses of arthropod community structure to metal pollution in urban soils in the Mediterranean area. Higher temperature and lower precipitation were detected in autumn than in spring. In both samplings, the most

  17. The Introduction of Diphtheria-Tetanus-Pertussis and Oral Polio Vaccine Among Young Infants in an Urban African Community

    DEFF Research Database (Denmark)

    Mogensen, Søren Wengel; Andersen, Andreas; Rodrigues, Amabelia

    2017-01-01

    Background We examined the introduction of diphtheria-tetanus-pertussis (DTP) and oral polio vaccine (OPV) in an urban community in Guinea-Bissau in the early 1980s. Methods The child population had been followed with 3-monthly nutritional weighing sessions since 1978. From June 1981 DTP and OPV ...

  18. Psychosocial Care in Complementary Feeding of Children: A Comparative Study of the Urban and Rural Communities of Osun State, Nigeria

    Science.gov (United States)

    Ogunba, Beatrice Olubukola

    2010-01-01

    This study investigated psychosocial care in complementary feeding of children under two years of age. The cross-sectional study was carried out in Osun State of Nigeria within Sub-Saharan Africa, and 450 mothers were interviewed of which 337 were from the urban and 113 from the rural communities. Results revealed that 37.4% of the respondents…

  19. Atopy is a risk factor for adult asthma in urban community of Southwestern Nigeria

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    O M Ige

    2012-01-01

    Full Text Available Rationale: Factors affecting asthma course are not clearly elucidated in urban communities in developing countries. Furthermore, the interaction between factors such as atopy, environmental exposure, urbanization, and helminthic infections in modulating asthma have not been well investigated. Objectives: To determine factors, which affect asthma in adults being evaluated at urban tertiary health center of Southwestern part of Nigeria. Materials and Methods: A random sample of 24 (12 males, 12 females consecutive asthmatics seen in the Outpatient Pulmonary Clinic of University College Hospital of Ibadan and 27 (13 males, 14 females age and gender-matched controls underwent evaluation, which included blood tests for eosinophils, serum IgE, allergy skin tests to eight common environmental allergens, and spirometry. The modified version of the questionnaire of the International study of Asthma and Allergies in Children (ISAAC Phase III used by the same study group of researchers in Nigeria was used to assess the asthma symptoms. Wilcoxon sign-rank tests were used to compare eosinophil counts, percentage eosinophils, and allergic skin test between the two groups, while paired t test was used to compare spirometry variables. Results: Asthmatics had significantly more positive skin reaction to house dust mite and mould than controls (P<0.05. Total serum IgE was also significantly higher in asthmatics than in controls (mean 210 vs 60 IU/mL; P=0.003. However, no significant differences were observed in total eosinophil counts. No significant difference in the degree of intestinal helminthes infection in the two groups, which means stool parasitism was similar. FEV 1 % was significantly lower in asthmatics (P=0.02 but FEV 1 was similar between the two groups (P=0.02. Conclusion: The elevated levels of IgE and positive skin reactions to some of the common environmental allergens suggests an important role of atopy in the expression of asthma in this

  20. Prevalence of metabolic syndrome in three urban communities of Dhaka city

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    Shurovi Sayeed

    2008-07-01

    Full Text Available Bangladeshis are prone to develop type 2 diabetes mellitus (T2DM, hypertension (sHTN and dHTN and atherosclerotic heart diseases, observed more predominantly in the urban population. Though metabolic syndrome (MetS is a related disorder, there are few studies in this regard. The prevalence of obesity, T2DM and MetS in three urban communities of Bangladesh were addressed in this study. Nine hundred non-slum urban households in three Dhaka City Wards were randomly selected. One member (age ³ 25y from each household was invited for investigation with an overnight fast. Socio-demographic information as well as height, weight, waist-girth, hip-girth and blood pressure were measured. Fasting plasma glucose (FPG, total cholesterol (chol, triglycerides (TG and high-density lipoproteins-c (HDL were estimated. A total of 705 (m / f = 239 / 466 subjects volunteered for the study. The mean value with 95% confidence interval (CI of age was 42.4 (40.9 – 43.1 years for men and 37.8 (36.8 – 38.7 for women. The mean (CI body mass index (BMI was 21.0 (20.6 – 21.5 and 22.6 (22.2 – 22.9 and waist hip ratio (WHR was 0.84 (0.83 – 0.84 and 0.82 (0.81 – 0.83, respectively for men and women. The mean (CI FPG (fasting plasma glucose was 5.5 (5.2 – 5.7 for men and 5.2 (5.0 – 5.4 for women. The prevalence of obesity (BMI ³ 25.0 was 21%, T2DM (FPG ³ 6.1 mmol/l was 22.2%, triglyceridemia (TG ³ 150mg/dl was 45.1% and low HDL-c (HDL<40mg/dl was 43.8%. The crude prevalence of MetS varied based on different cluster combinations, being the lowest (0.3% recommended by WHO cluster (FPG + BMI + SBP/DBP and the highest (8.7% by International Diabetes Federation (IDF cluster (waist + FPG + HDL. The MetS was found higher in male than female by NCEP criteria and higher in female than male by IDF criteria. The study revealed an increased prevalence of obesity, T2DM and MetS in the urban communities. It also revealed that T2DM and MetS are moderately common and of

  1. Using Concept Mapping to Develop a Strategy for Self-Management Support for Underserved Populations Living With Chronic Conditions, British Columbia, August 2013-June 2014.

    Science.gov (United States)

    Mills, Susan L; Bergeron, Kim; Pérez, Guillermina

    2015-10-08

    Self-management support (SMS) is an essential component of public health approaches to chronic conditions. Given increasing concerns about health equity, the needs of diverse populations must be considered. This study examined potential solutions for addressing the gaps in self-management support initiatives for underserved populations. Stakeholders representing government, nongovernment organizations, Aboriginal communities, health authorities, medical practices, and research institutions generated, sorted, and rated ideas on what could be done to improve self-management support for underserved populations. Concept mapping was used to facilitate the collection and organization of the data and to generate conceptual maps. Participants generated 92 ideas that were sorted into 11 clusters (foster partnerships, promote integrated community care, enhance health care provider training, shift government policy, support community development, increase community education, enable client engagement, incorporate client support systems, recognize client capacity, tailor self-management support programs, and develop client skills, training, and tools) and grouped into system, community, and individual levels within a partnership framework. The strategy can stimulate public health dialogue and be a roadmap for developing SMS initiatives. It has the potential to address SMS and chronic condition inequities in underserved populations in several ways: 1) by targeting populations that have greater inequities, 2) by advocating for shifts in government policies that create and perpetuate inequities, 3) by promoting partnerships that may increase the number of SMS initiatives for underserved groups, and 4) by promoting training and engagement that increase the relevance, uptake, and overall effectiveness of SMS.

  2. Reformed Churches in South Africa’s strategies for poverty reduction in urban communities

    Directory of Open Access Journals (Sweden)

    Motshine A. Sekhaulelo

    2014-12-01

    Full Text Available This article investigates and outlines the strategies, which the Reformed Churches in South Africa (RCSA can employ for poverty alleviation in the South African urban communities. By RCSA, the author refers to the local churches that constitute a familyof churches or church organisation. It is important to note that, historically, the churches stood at the forefront of giving freely to the poor, caring for widows, taking in destitute orphans, visiting the sick, and caring for the dying. Despite this long and often appreciated legacy of support for the poor and the needy, the church ceased or slowed to provide such ministry. This was probably due to the emphasis on the ’social gospel’ in liberal theology,which many churches began to view with deep suspicion. In talking about the church’s stance towards poverty, it should also be noted that, historically, the poor have suffered due to those churches that, without warrant, preach the health, wealth and prosperity gospel, incorrectly stating that God wants everyone to be equally rich. By promoting false hope about the prospects for overnight success through prayer and tithing, some of these churches take advantage of a vulnerable congregation that is often desperate for an improvement in their economic circumstances. This article investigates not only the complex of poverty and inequality in the South African (SA urban community, but also the prophetic calling of the RCSA with respect to poverty today. The conclusion arrived at is that poverty and inequality persist in the urban community whilst the church, both as institution and organism, should be able to study and respond positively to the dynamics involved in urban poverty. Die Gereformeerde Kerke in Suid Afrika (GKSA se strategieë vir armoedeverligtingin stedelike gebiede. Hierdie artikel ondersoek en skets die strategieë wat die GKSA kan benut om armoede in stedelike gebiede te verlig. Die GKSA verwys na plaaslike kerke wat

  3. Aquatic urban ecology at the scale of a capital: community structure and interactions in street gutters.

    Science.gov (United States)

    Hervé, Vincent; Leroy, Boris; Da Silva Pires, Albert; Lopez, Pascal Jean

    2018-01-01

    In most cities, streets are designed for collecting and transporting dirt, litter, debris, storm water and other wastes as a municipal sanitation system. Microbial mats can develop on street surfaces and form microbial communities that have never been described. Here, we performed the first molecular inventory of the street gutter-associated eukaryotes across the entire French capital of Paris and the non-potable waters sources. We found that the 5782 OTUs (operational taxonomic units) present in the street gutters which are dominated by diatoms (photoautotrophs), fungi (heterotrophs), Alveolata and Rhizaria, includes parasites, consumers of phototrophs and epibionts that may regulate the dynamics of gutter mat microbial communities. Network analyses demonstrated that street microbiome present many species restricted to gutters, and an overlapping composition between the water sources used for street cleaning (for example, intra-urban aquatic networks and the associated rivers) and the gutters. We propose that street gutters, which can cover a significant surface area of cities worldwide, potentially have important ecological roles in the remediation of pollutants or downstream wastewater treatments, might also be a niche for growth and dissemination of putative parasite and pathogens.

  4. India's mobile health teams set pace for progress in urban communities.

    Science.gov (United States)

    Morrison, C

    1996-01-01

    This article provides the comments of Sir Charles Morrison, the Chairman of "Population Concerns," on the impact of mobile health units (MHUs) on population growth in poor urban areas of Uttar Pradesh and Madhya Pradesh, India. MHUs provide family planning (FP) and health services. The mobile projects in Gwalior in Uttar Pradesh and Bhopal in Madhya Pradesh, were established in October 1992. Each project served a population of about 40,000-50,000 persons. Each staff had 1 medical officer, 1 field coordinator, 4 field workers, 1 auxiliary nurse midwife, and 1 driver. The first contact of the MHU is with the provision of immunization. The first contact provides an opportunity to build trust with the community being served. Follow up actions include community meetings on education, maternal and child health, and FP. During 1992-95 the number of immunized children reached 80% in Gwalior, and infant mortality declined. Other advances included increased literacy and higher marriage age. In Gwalior, the marriage age rose from 15.9 to 16.5 years during 1993-95. In Bhopal, FP increased by 14%. Pill use increased by 63%. Condom use increased by 20%. The solution to overpopulation is achievable with well funded programs and a higher monetary investment in education, health services, and staffing. People cannot choose their family size without the power to do so.

  5. The social production of altruism: motivations for caring action in a low-income urban community.

    Science.gov (United States)

    Mattis, Jacqueline S; Hammond, Wizdom Powell; Grayman, Nyasha; Bonacci, Meredith; Brennan, William; Cowie, Sheri-Ann; Ladyzhenskaya, Lina; So, Sara

    2009-03-01

    Contemporary social science paints a bleak picture of inner-city relational life. Indeed, the relationships of low-income, urban-residing Americans are represented as rife with distress, violence and family disruption. At present, no body of social scientific work systematically examines the factors that promote loving or selfless interactions among low-income, inner-city American individuals, families and communities. In an effort to fill that gap, this ethnographic study examined the motivations for altruism among a sample of adults (n = 40) who reside in an economically distressed housing community (i.e., housing project) in New York City. Content analyses of interviews indicated that participants attributed altruism to an interplay between 14 motives that were then ordered into four overarching categories of motives: (1) needs-centered motives, (2) norm-based motives deriving from religious/spiritual ideology, relationships and personal factors, (3) abstract motives (e.g., humanism), and (4) sociopolitical factors. The implications of these findings are discussed.

  6. Modification of a Community Garden to Attract Native Bee Pollinators in Urban San Luis Obispo, California

    Directory of Open Access Journals (Sweden)

    Robbin W. Thorp

    2009-01-01

    Full Text Available Gardens have become increasingly important places for growing nutritional food, for conserving biodiversity, for biological and ecological research and education, and for community gathering. Gardens can also be designed with the goal of attracting specific wildlife, like birds and butterflies, but pollinators, like bees, can also be drawn to specially planned and modified gardens. A community garden in San Luis Obispo, California provided the setting for modification with the goal of attracting native bee pollinators by planting known bee-attractive plants. The local gardeners participated in a survey questionnaire and focused interviews to provide their input and interest in such a project. Presentations on our work with native bees in urban environments and gardening to attract bees were also given to interested gardeners. Work of this type also benefited from a lead gardener who managed donated bee plants and kept up momentum of the project. Modification of the garden and monitoring of native bees started in 2007 and continued through the growing season of 2009. Diversity of collected and observed native bees has increased each year since 2007. To date, 40 species in 17 genera of mostly native bees has been recorded from the garden, and this number is expected to increase through time.

  7. Aggressive and prosocial behavior: community violence, cognitive, and behavioral predictors among urban African American youth.

    Science.gov (United States)

    McMahon, Susan D; Todd, Nathan R; Martinez, Andrew; Coker, Crystal; Sheu, Ching-Fan; Washburn, Jason; Shah, Seema

    2013-06-01

    We use longitudinal multilevel modeling to test how exposure to community violence and cognitive and behavioral factors contribute to the development of aggressive and prosocial behaviors. Specifically, we examine predictors of self-, peer-, and teacher-reported aggressive and prosocial behavior among 266 urban, African American early adolescents. We examine lagged, within-person, between-person, and protective effects across 2 years. In general, results suggest that higher levels of violence exposure and aggressive beliefs are associated with more aggressive and less prosocial peer-reported behavior, whereas greater self-efficacy to resolve conflict peacefully is associated with less aggression across reporters and more teacher-reported prosocial behavior. Greater knowledge and violence prevention skills are associated with fewer aggressive and more prosocial teacher-reported behaviors. Results also suggest that greater self-efficacy and lower impulsivity have protective effects for youth reporting higher levels of exposure to community violence, in terms of teacher-reported aggressive behavior and peer-reported prosocial behavior. Differences among reporters and models are discussed, as well as implications for intervention.

  8. A Group in Urban: The Social Capital of Ciliwung Depok Community (KCD)

    Science.gov (United States)

    Tampi, D. M.; Sumabrata, J.; Zubair, A.; Kinan, N. H.

    2018-03-01

    Climate change is a phenomenon that not only affects physical aspect of the environment, but also the social aspect. As a consequence, the urban communities are also its group which is highly vulnerable to climate change impact. Depok Ciliwung Community or Komunitas Ciliwung Depok (KCD) is located under Grand Depok City Bridge to keep an environment such as land conversion and garbage. This study aims to determine the social capital of KCD’s group related to the potential of social resilience in Ciliwung riverbank along Depok City. Data were gathered from in-depth interviews, observation, and documentation within 4 months. KCD invited the local people to keep and maintain an environment of Ciliwung riverbank. The result of this study lies on the strengths and weaknesses of KCD’s Group and involvement of human resources, with the support of public and private sectors facilities. Their commitments and actions on behalf of social interests protecting the rights of individuals in society. The conclusions of this research are KCD group have several aspects of social capital that consists of strengths and weaknesses. The presence of social capital and the potential of social resilience helped KCD and the surrounding of Ciliwung riverbank in facing of climate change/threat of natural disruption caused by the humans itself.

  9. 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.

  10. Myths and misconceptions about abortion among marginalized underserved community.

    Science.gov (United States)

    Thapa, K; Karki, Y; Bista, K P

    2009-01-01

    Unsafe abortion remains a huge problem in Nepal even after legalization of abortion. Various myths and misconceptions persist which prompt women towards unsafe abortive practices. A qualitative study was conducted among different groups of women using focus group discussions and in depth interviews. Perception and understanding of the participants on abortion, methods and place of abortion were evaluated. A number of misconceptions were prevalent like drinking vegetable and herbal juices, and applying hot pot over the abdomen could abort pregnancy. However, many participants also believed that health care providers should be consulted for abortion. Although majority of the women knew that they should seek medical aid for abortion, they were still possessed with various misconceptions. Merely legalizing abortion services is not enough to reduce the burden of unsafe abortion. Focus has to be given on creating awareness and proper advocacy in this issue.

  11. Calmer Life: A Culturally Tailored Intervention for Anxiety in Underserved Older Adults.

    Science.gov (United States)

    Stanley, Melinda A; Wilson, Nancy; Shrestha, Srijana; Amspoker, Amber B; Armento, Maria; Cummings, Jeremy P; Evans-Hudnall, Gina; Wagener, Paula; Kunik, Mark E

    2016-08-01

    To evaluate the feasibility of the Calmer Life and Enhanced Community Care interventions delivered by community and expert providers and test their preliminary effectiveness on worry, generalized anxiety disorder (GAD) severity, anxiety, depression, sleep, health-related quality of life, and satisfaction. Small randomized trial, with measurements at baseline and 3 months. Underserved, low-income, mostly minority communities in Houston, TX. Forty underserved adults 50 years and older, with significant worry and principal or coprincipal GAD or anxiety disorder not otherwise specified. Combination of person-centered, flexible skills training to reduce worry; resource counseling to target unmet basic needs; and facilitation of communication with primary care providers developed through a community-academic partnership with social service and faith-based organizations. Religion/spirituality may be incorporated. worry (Penn State Worry Questionnaire-Abbreviated), GAD severity (GAD-7), anxiety (Geriatric Anxiety Inventory-Short Form). depression (Patient Health Questionnaire-8 and Geriatric Depression Scale-Short Form), sleep (Insomnia Severity Index), health-related quality of life (12-item Medical Outcomes Study Short Form), satisfaction (Client Satisfaction Questionnaire and exit interviews). Provider training was valid; mean ratings for community providers were well above average, with none less than adequate. Reach was excellent. Participants receiving the Calmer Life intervention had greater improvement in GAD severity and depression than those receiving Enhanced Community Care. Satisfaction with both treatments was equivalent. A larger comparative-effectiveness trial needs to examine outcomes following the Calmer Life intervention relative to standard community-based care and to evaluate more fully issues of implementation potential. Published by Elsevier Inc.

  12. Smartphone threshold audiometry in underserved primary health-care contexts.

    Science.gov (United States)

    Sandström, Josefin; Swanepoel, De Wet; Carel Myburgh, Hermanus; Laurent, Claude

    2016-01-01

    To validate a calibrated smartphone-based hearing test in a sound booth environment and in primary health-care clinics. A repeated-measure within-subject study design was employed whereby air-conduction hearing thresholds determined by smartphone-based audiometry was compared to conventional audiometry in a sound booth and a primary health-care clinic environment. A total of 94 subjects (mean age 41 years ± 17.6 SD and range 18-88; 64% female) were assessed of whom 64 were tested in the sound booth and 30 within primary health-care clinics without a booth. In the sound booth 63.4% of conventional and smartphone thresholds indicated normal hearing (≤15 dBHL). Conventional thresholds exceeding 15 dB HL corresponded to smartphone thresholds within ≤10 dB in 80.6% of cases with an average threshold difference of -1.6 dB ± 9.9 SD. In primary health-care clinics 13.7% of conventional and smartphone thresholds indicated normal hearing (≤15 dBHL). Conventional thresholds exceeding 15 dBHL corresponded to smartphone thresholds within ≤10 dB in 92.9% of cases with an average threshold difference of -1.0 dB ± 7.1 SD. Accurate air-conduction audiometry can be conducted in a sound booth and without a sound booth in an underserved community health-care clinic using a smartphone.

  13. Medical School Outcomes, Primary Care Specialty Choice, and Practice in Medically Underserved Areas by Physician Alumni of MEDPREP, a Postbaccalaureate Premedical Program for Underrepresented and Disadvantaged Students.

    Science.gov (United States)

    Metz, Anneke M

    2017-01-01

    Minorities continue to be underrepresented as physicians in medicine, and the United States currently has a number of medically underserved communities. MEDPREP, a postbaccalaureate medical school preparatory program for socioeconomically disadvantaged or underrepresented in medicine students, has a stated mission to increase the numbers of physicians from minority or disadvantaged backgrounds and physicians working with underserved populations. This study aims to determine how MEDPREP enhances U.S. physician diversity and practice within underserved communities. MEDPREP recruits disadvantaged and underrepresented in medicine students to complete a 2-year academic enhancement program that includes science coursework, standardized test preparation, study/time management training, and emphasis on professional development. Five hundred twenty-five disadvantaged or underrepresented students over 15 years completed MEDPREP and were tracked through entry into medical practice. MEDPREP accepts up to 36 students per year, with two thirds coming from the Midwest region and another 20% from nearby states in the South. Students complete science, test preparation, academic enhancement, and professionalism coursework taught predominantly by MEDPREP faculty on the Southern Illinois University Carbondale campus. Students apply broadly to medical schools in the region and nation but are also offered direct entry into our School of Medicine upon meeting articulation program requirements. Seventy-nine percent of students completing MEDPREP became practicing physicians. Fifty-eight percent attended public medical schools, and 62% attended medical schools in the Midwest. Fifty-three percent of program alumni chose primary care specialties compared to 34% of U.S. physicians, and MEDPREP alumni were 2.7 times more likely to work in medically underserved areas than physicians nationally. MEDPREP increases the number of disadvantaged and underrepresented students entering and graduating

  14. Somatic symptoms, peer and school stress, and family and community violence exposure among urban elementary school children.

    Science.gov (United States)

    Hart, Shayla L; Hodgkinson, Stacy C; Belcher, Harolyn M E; Hyman, Corine; Cooley-Strickland, Michele

    2013-10-01

    Somatic symptoms are a common physical response to stress and illness in childhood. This study assessed 409, primarily African American (85.6 %), urban elementary school children to examine the association between: (1) somatic symptoms and potential external stressors (school and peer stress, family conflict, and community violence) and (2) parent and child agreement on children's self-report of somatic symptoms. The odds of self-report of somatic complaints were significantly associated with family conflict, school and peer stress, and community violence exposure (OR = 1.26, 95 % CI: 1.05-1.50; OR = 1.18, 95 % CI 1.08-1.28; and OR = 1.02, 95 % CI: 1.00-1.05, respectively). Identifying the associations between social, family, and community based stress and somatic symptoms may improve the quality of life for children living in urban environments through early identification and treatment.

  15. Differentiated surface fungal communities at point of harvest on apple fruits from rural and peri-urban orchards.

    Science.gov (United States)

    Shen, Youming; Nie, Jiyun; Li, Zhixia; Li, Haifei; Wu, Yonglong; Dong, Yafeng; Zhang, Jianyi

    2018-02-01

    The diverse fungal communities that colonize fruit surfaces are closely associated with fruit development, preservation and quality control. However, the overall fungi adhering to the fruit surface and the inference of environmental factors are still unknown. Here, we characterized the fungal signatures on apple surfaces by sequencing internal transcribed spacer 1 (ITS1) region. We collected the surface fungal communities from apple fruits cultivated in rural and peri-urban orchards. A total of 111 fungal genera belonging to 4 phyla were identified, showing remarkable fungal diversity on the apple surface. Comparative analysis of rural samples harboured higher fungal diversity than those from peri-urban orchards. In addition, fungal composition varied significantly across apple samples. At the genus level, the protective genera Coniothyrium, Paraphaeosphaeria and Periconia were enriched in rural samples. The pathogenic genera Acremonium, Aspergillus, Penicillium and Tilletiposis were enriched in peri-urban samples. Our findings indicate that rural samples maintained more diverse fungal communities on apple surfaces, whereas peri-urban-planted apple carried potential pathogenic risks. This study sheds light on ways to improve fruit cultivation and disease prevention practices.

  16. Barriers to treatment of hepatitis B in an urban Chinatown community.

    Science.gov (United States)

    Malespin, Miguel; Wong, Shirley; Siqueira, Fabiolla; Luc, Brian; Ravaee, Benjamin; Vainder, Charles; Cotler, Scott J

    2012-09-01

    To evaluate the net effect of a concerted effort to treat hepatitis B virus (HBV) in a Chinese immigrant population, including barriers to initiating and continuing therapy and antiviral efficacy. Oral antiviral agents for HBV achieve high rates of viral suppression. However, there is limited information about the impact of attempts to treat HBV in high prevalence immigrant communities. Sixty-nine patients were identified in an urban Chinatown Internal Medicine practice who had indications for treatment of HBV. A coordinated effort was made to provide antiviral therapy to these patients. Barriers to starting treatment and reasons for discontinuation were categorized on the basis of a systematic review of medical records. Suppression of HBV DNA to undetectable levels was considered a treatment response. Twenty-six percent (18/69) of patients did not start medication because of failure to follow-up or treatment refusal. Oral antiviral therapy was initiated in 74% (51/69) of cases and 38 of 39 patients who remained on treatment achieved viral suppression. Twelve patients discontinued medication because of social, economic, or other reasons. In total, 55% (38/69) of treatment candidates achieved undetectable HBV DNA levels on therapy. Although oral antiviral therapy was highly effective in achieving viral suppression in patients who were maintained on treatment, only 55% of treatment candidates reached this endpoint. Barriers to care kept nearly one half of patients from initiating or continuing therapy. A multidisciplinary approach including education and social and financial support is needed to maximize the benefit of available HBV treatment in this urban immigrant population.

  17. Distribution of Blastocystis subtypes isolated from humans from an urban community in Rio de Janeiro, Brazil.

    Science.gov (United States)

    Valença Barbosa, Carolina; de Jesus Batista, Rosemary; Pereira Igreja, Ricardo; d'Avila Levy, Claudia Masini; Werneck de Macedo, Heloisa; Carneiro Santos, Helena Lúcia

    2017-10-25

    Blastocystis is a cosmopolitan protist parasite found in the human gastrointestinal tract and is highly prevalent in developing countries. Recent molecular studies have revealed extensive genetic diversity, which has been classified into different subtypes (STs) based on sequence analysis of small subunit ribosomal RNA gene. Blastocystis is one of the most common fecal parasites in Brazil, but the diversity of subtypes remains unknown in the country. This study aimed to determine the distribution of Blastocystis STs in an urban community in Duque de Caxias, Rio de Janeiro, Brazil. A total of 64 stool samples positive for Blastocystis in Pavlova's medium were subtyped by PCR and sequenced using primers targeting the small subunit rRNA gene, in addition to phylogenetic analysis and subtype-specific PCR using sequence-tagged-site (STS) primers. Endolimax nana (14%), Entamoeba complex (10.5%), Taenia sp. (0.6%), Trichuris trichiura (1.3%) and Enterobius vermicularis (1.3%) were detected in Blastocystis-positive samples. Of the 64 samples tested by PCR/DNA sequencing, 55 were identified as ST1 (42%), ST3 (49%), ST2 (7%) and ST4 (2%), and the presence of mixed ST (ST1 + ST3) infection was detected in nine samples (14%). DNA sequencing and phylogenetic analysis of Brazilian Blastocystis isolates identified four different subtypes. To our knowledge, this study provided the first genetic characterization of Blastocystis subtypes in an urban area of Rio de Janeiro, Brazil. We also identified ST4 for the first time in Brazil. Further studies are necessary to determine the distribution of STs across human populations in Rio de Janeiro.

  18. Geo-ethical dimension of community's safety: rural and urban population vulnerability analysis methodology

    Science.gov (United States)

    Kostyuchenko, Yuriy; Movchan, Dmytro; Kopachevsky, Ivan; Yuschenko, Maxim

    2016-04-01

    calculate a distribution of losses connected with decision making in land-use is demonstrated. Rural community's vulnerability determines by water availability, quality of soils, effectiveness of land use (including climate change adaptation), intensity of pollutions, crop productivity variations during the period of crop rotation, annual national distribution of crops output, and distance to city centres. It should noted here that "distance to city centres" is not comprehensive indicator of market accessibility in general case: quality and availability of transport infrastructure should be described more detailed on the next stages of analysis. Urban population vulnerability determines by distribution of urban fractures and quality urban environment: density, quality and availability of infrastructure, balance between industrial, residential and recreational zones, effectiveness of urban land use and landscape management, and social policy, particularly, employment. Population density is closely connected with social density, with communications and decision making. Social learning, as the function of social communications, is the way to increase sustainability. Also it possible to say that social sustainability is a function of intensity and efficiency of communications between interlinked and interacted networks in the heterogeneous environment. Therefore the results of study demonstrated that risk management study should includes issues of risk and threats perception, which should be described in framework of appropriate tools and approaches connected with ethical dimension of vulnerability. For instance, problems of accessibility and availability of safety resources in view of social fairness and socio-economic dynamics should be included into future studies in field of risk analysis.

  19. Is the burden of oral diseases higher in urban disadvantaged community compared to the national prevalence?

    Science.gov (United States)

    Jaafar, Nasruddin; Hakim, Hina; Mohd Nor, Nor Azlida; Mohamed, Asma; Saub, Roslan; Esa, Rashidah; Doss, Jennifer; Mohd Yusof, Zamros Yuzadi; Ab-Murat, Norintan; Abu Kassim, Noor Lide; Majid, Hazreen Abdul

    2014-01-01

    The urban low income has often been assumed to have the greatest dental treatment needs compared to the general population. However, no studies have been carried out to verify these assumptions. This study was conducted to assess whether there was any difference between the treatment needs of an urban poor population as compared to the general population in order to design an intervention programme for this community. A random sampling of living quarters (households) in the selected areas was done. 586 adults over 19 years old living in these households were clinically examined using World Health Organization (WHO) Oral Health Survey criteria 4th edition (1997). The overall prevalence of dental caries, periodontal disease, denture wearers and temporomandibular joint problems were 70.5%, 97.1%, 16.7% and 26%, respectively. The majority (80.5%) needed some form of dental treatment. The highest treatment needs were found in the oldest age group while the lowest were in the youngest group (19-29 years) (p = 0.000). The most prevalent periodontal problem was calculus; regardless of gender, ethnicity and age. Significantly more females (20.5%) wore prosthesis than males (11.1%) (p = 0.003). Prosthetic status and need significantly increased with age (p = 0.000). About one in four adults had Temporo-Mandibular Joint (TMJ) problems. Overall, it was surprising to note that the oral disease burden related to caries, prosthetic status and treatment need were lower in this population as compared to the national average (NOHSA, 2010). However, their periodontal disease status and treatment needs were higher compared to the national average indicating a poor oral hygiene standard. The evidence does not show that the overall oral disease burden and treatment needs in this urban disadvantaged adult population as higher than the national average, except for periodontal disease. The older age groups and elderly were identified as the most in need for oral health intervention and

  20. Dietary Health Behaviors of Women Living in High Rise Dwellings: A Case Study of an Urban Community in Malaysia

    OpenAIRE

    Karupaiah, Tilakavati; Swee, Winnie Chee Siew; Liew, Siew Ying; Ng, Boon Koon; Chinna, Karuthan

    2012-01-01

    Diet-related non-communicable disease (DR-NCD) occurrence is a serious problem amongst Malaysian women and urbanization is probably a challenge to their achieving the nutritional environment conducive to healthy eating. This case study aimed to determine diet quality of an urban community using women respondents from high rise dwellings in Kuala Lumpur. The sample consisted of 135 households and a healthy eating index (HEI) scale was used to evaluate the women?s diet quality. A total of 128 w...

  1. Variation in stream diatom communities in relation to water quality and catchment variables in a boreal, urbanized region.

    Science.gov (United States)

    Teittinen, Anette; Taka, Maija; Ruth, Olli; Soininen, Janne

    2015-10-15

    Intensive anthropogenic land use such as urbanization alters the hydrological cycle, water chemistry and physical habitat characteristics, thus impairing stream physicochemical and biological quality. Diatoms are widely used to assess stream water quality as they integrate water chemistry temporally and reflect the joint influence of multiple stressors on stream biota. However, knowledge of the major community patterns of diatoms in urban streams remains limited especially in boreal regions. The aim of this study was to examine the effects of water chemistry and catchment characteristics on stream diatom communities, and to test the performance of the Index of Pollution Sensitivity (IPS) as a stream water quality indicator across an urban-to-rural gradient in southern Finland. Diatom community structure and species richness were related to local-scale variables such as water temperature, aluminium concentration, and electrical conductivity, which were in turn influenced by patterns in catchment land use and land cover. Diatoms reflected the intensity of human activities as more intensive land use increased the occurrence of pollution-tolerant species. The change in community structure along the land use intensity gradient was accompanied by a distinct decline in species richness. On the contrary, the IPS index failed to indicate differences in water quality along the urban-to-rural gradient as no consistent differences in the IPS values were found. Our results highlight the joint influence of multifaceted factors that underlie diatom patterns, and show that diatom biodiversity can be used as cost-effective metric indicating urban stream conditions. However, the IPS index turned out to be an unsuitable tool for assessing water quality among these streams. Copyright © 2015 Elsevier B.V. All rights reserved.

  2. Dental students' attitudes toward underserved populations across four years of dental school.

    Science.gov (United States)

    Habibian, Mina; Seirawan, Hazem; Mulligan, Roseann

    2011-08-01

    The objective of this study was to assess dental students' attitudes toward underserved populations across their four years of dental school. Students at the Herman Ostrow School of Dentistry of the University of Southern California were invited to take part in the study. Participating students completed a questionnaire on their attitudes toward the underserved at three time points: 1) during orientation week; 2) at the end of their second year after taking part in some community dental programs; and 3) at the end of their fourth year after they had completed all their mandatory and volunteer rotations in community dental programs. Students' attitudes were measured in four categories: societal expectations, dentist/student responsibility, personal efficacy, and access to care. First-year students scored 85 out of a maximum of 115 on the questionnaire. Female students scored higher than male students (P=0.006). Age, debt, and past history of volunteer work were not related to first-year students' total attitude scores; however, students with a history of volunteer experience scored higher on the dentist/student responsibility category (P=0.04). Students' attitude scores declined across the four years of dental school (P=0.001). The same patterns were evident for all categories except societal expectations. The decline was not related to age, gender, debt, or volunteer work experience. Follow-up studies are needed to help explain the factors that may be related to this decline.

  3. Multicultural Milky Way: Ethnoastronomy and Planetarium Shows for Under-served Arizonans

    Science.gov (United States)

    Knierman, Karen

    2018-01-01

    The astronomy outreach initiative, Multicultural Milky Way, partners the School of Earth and Space Exploration (SESE) at Arizona State University (ASU) with under-served populations in Arizona in learning about our Milky Way and other galaxies. Arizona is home to many diverse populations with rich cultural histories such as Mayan, Navajo, and Apache. Linking astronomy practiced by one’s indigenous culture to that of Western astronomy may increase the interest in science. Through multicultural planetarium shows and associated hands-on activities, under-served students and families will learn how the Milky Way is represented in different cultures and about the science of galaxies. New planetarium shows using the Mesa Community College (MCC) Digital Planetarium and STARLAB portable planetarium explore how the Milky Way is interpreted in different cultures. STARLAB shows and associated new hands-on activities have been featured during school visits, teacher trainings, and Community Astronomy Nights around Arizona. For authentic assessment, evaluation techniques and procedures were developed.

  4. A Community Energy Transition Model for Urban Areas: The Energy Self-Reliant Village Program in Seoul, South Korea

    Directory of Open Access Journals (Sweden)

    Hana Kim

    2017-07-01

    Full Text Available While community energy initiatives are on the rise, community actions for energy transition in Asian countries have rarely been studied. While it is difficult for community energy initiatives to develop spontaneously in Seoul, there are some success stories there. This study places these successes in context. It analyzes municipal documents, including unpublished materials from municipal meetings, in order to examine how the Seoul Metropolitan Government (SMG created enabling conditions for promoting community energy initiatives. This study also conducted interviews to explore unsolved issues related to the Energy Self-Reliant Village (ESV program. The SMG encouraged collective action through financial, administrative, and informational support. Also, this study found that Seoul’s ESV program fostered communities by raising the sense of locality and responsibility and community spirit through various educational programs. The ESV program supported the continuity of community by providing guidelines that relieved the burden on community members. The SMG played a significant role in promoting community engagement in energy transition by affecting internal and external conditions. This study provides meaningful insights that other municipalities, especially large urban areas, can follow to foster community actions for energy transition.

  5. CONSANGUINITY AND ITS EFFECT ON OFFSPRING IN AN URBAN COMMUNITY OF GUNTUR CITY OF ANDHRA PRADESH

    Directory of Open Access Journals (Sweden)

    Patricia Christina Balla

    2017-09-01

    Full Text Available BACKGROUND While consanguineous marriages enforce family solidarity and reduce the possibilities of hidden uncertainties, studies show that they are critical predictors of adverse pregnancy outcomes. Obstetricians are faced with consanguineous couples anxious to know the anticipated health risks to their offspring. This study is set to describe the magnitude of consanguinity in an urban population and to identify the effects of consanguinity in terms of congenital malformations and other health issues. MATERIALS AND METHODS This study was conducted in the Nallacheruvu area of Guntur city of Andhra Pradesh from June to September 2016. A house to house survey was done in an urban community of Guntur district and all the women with under-five children were identified. A pre tested self-designed structured questionnaire was administered after obtaining informed consent. Couples biologically related as second cousins or closer were classified as consanguineous. The data collected was entered and analysed in MS excel and is presented in tables. Important findings were subjected to tests of significance like Chi Square test at 5% Level of significance. RESULTS Of the 583 women enumerated, 81.3% were in a non-consanguineous marriage and the rest 18.7% were in a consanguineous marriage. Muslim families were less in favour of consanguineous marriages compared to the Hindu and Christian families and this difference is statistically significant (p value 0.009. There were no instances of consanguineous marriages among the ST families. It was seen that larger families; had a higher level of consanguinity. More of the children born to consanguineous parents were having chronic illnesses (7.5% compared to the nonconsanguineous (4.1%. Number of episodes of illness in the year was found be more in the children of consanguineous parentage (p 0.03. CONCLUSION The effect of consanguinity in terms of child morbidity is a real threat in our communities. The

  6. Phylogenetic and Functional Diversity of Total (DNA) and Expressed (RNA) Bacterial Communities in Urban Green Infrastructure Bioswale Soils

    Science.gov (United States)

    Lee, Angela; McGuire, Krista L.

    2017-01-01

    ABSTRACT New York City (NYC) is pioneering green infrastructure with the use of bioswales and other engineered soil-based habitats to provide stormwater infiltration and other ecosystem functions. In addition to avoiding the environmental and financial costs of expanding traditional built infrastructure, green infrastructure is thought to generate cobenefits in the form of diverse ecological processes performed by its plant and microbial communities. Yet, although plant communities in these habitats are closely managed, we lack basic knowledge about how engineered ecosystems impact the distribution and functioning of soil bacteria. We sequenced amplicons of the 16S ribosomal subunit, as well as seven genes associated with functional pathways, generated from both total (DNA-based) and expressed (RNA) soil communities in the Bronx, NYC, NY, in order to test whether bioswale soils host characteristic bacterial communities with evidence for enriched microbial functioning, compared to nonengineered soils in park lawns and tree pits. Bioswales had distinct, phylogenetically diverse bacterial communities, including taxa associated with nutrient cycling and metabolism of hydrocarbons and other pollutants. Bioswale soils also had a significantly greater diversity of genes involved in several functional pathways, including carbon fixation (cbbL-R [cbbL gene, red-like subunit] and apsA), nitrogen cycling (noxZ and amoA), and contaminant degradation (bphA); conversely, no functional genes were significantly more abundant in nonengineered soils. These results provide preliminary evidence that urban land management can shape the diversity and activity of soil communities, with positive consequences for genetic resources underlying valuable ecological functions, including biogeochemical cycling and degradation of common urban pollutants. IMPORTANCE Management of urban soil biodiversity by favoring taxa associated with decontamination or other microbial metabolic processes is a

  7. Phylogenetic and Functional Diversity of Total (DNA) and Expressed (RNA) Bacterial Communities in Urban Green Infrastructure Bioswale Soils.

    Science.gov (United States)

    Gill, Aman S; Lee, Angela; McGuire, Krista L

    2017-08-15

    New York City (NYC) is pioneering green infrastructure with the use of bioswales and other engineered soil-based habitats to provide stormwater infiltration and other ecosystem functions. In addition to avoiding the environmental and financial costs of expanding traditional built infrastructure, green infrastructure is thought to generate cobenefits in the form of diverse ecological processes performed by its plant and microbial communities. Yet, although plant communities in these habitats are closely managed, we lack basic knowledge about how engineered ecosystems impact the distribution and functioning of soil bacteria. We sequenced amplicons of the 16S ribosomal subunit, as well as seven genes associated with functional pathways, generated from both total (DNA-based) and expressed (RNA) soil communities in the Bronx, NYC, NY, in order to test whether bioswale soils host characteristic bacterial communities with evidence for enriched microbial functioning, compared to nonengineered soils in park lawns and tree pits. Bioswales had distinct, phylogenetically diverse bacterial communities, including taxa associated with nutrient cycling and metabolism of hydrocarbons and other pollutants. Bioswale soils also had a significantly greater diversity of genes involved in several functional pathways, including carbon fixation ( cbbL-R [ cbbL gene, red-like subunit] and apsA ), nitrogen cycling ( noxZ and amoA ), and contaminant degradation ( bphA ); conversely, no functional genes were significantly more abundant in nonengineered soils. These results provide preliminary evidence that urban land management can shape the diversity and activity of soil communities, with positive consequences for genetic resources underlying valuable ecological functions, including biogeochemical cycling and degradation of common urban pollutants. IMPORTANCE Management of urban soil biodiversity by favoring taxa associated with decontamination or other microbial metabolic processes is a

  8. Gated communities and urban sustainability: taking a closer look at the future

    CSIR Research Space (South Africa)

    Landman, K

    2000-08-01

    Full Text Available In many instances the urban future is shaped by specific and powerful ideas. “Gated communities” is one such an idea, which has the potential to radically transform the urban environment in the 21st century. As a strong and influential urban type...

  9. Urban Literacies: Critical Perspectives on Language, Learning, and Community. Language & Literacy Series

    Science.gov (United States)

    Kinloch, Valerie, Ed.

    2011-01-01

    Urban Literacies showcases cutting-edge perspectives on urban education and language and literacy by respected junior and senior scholars, researchers, and teacher educators. The authors explore--through various theoretical orientations and diverse methodologies--meanings of urban education in the lives of students and their families across three…

  10. Mitigating Stress and Supporting Health in Deprived Urban Communities: The Importance of Green Space and the Social Environment.

    Science.gov (United States)

    Ward Thompson, Catharine; Aspinall, Peter; Roe, Jenny; Robertson, Lynette; Miller, David

    2016-04-22

    Environment-health research has shown significant relationships between the quantity of green space in deprived urban neighbourhoods and people's stress levels. The focus of this paper is the nature of access to green space (i.e., its quantity or use) necessary before any health benefit is found. It draws on a cross-sectional survey of 406 adults in four communities of high urban deprivation in Scotland, United Kingdom. Self-reported measures of stress and general health were primary outcomes; physical activity and social wellbeing were also measured. A comprehensive, objective measure of green space quantity around each participant's home was also used, alongside self-report measures of use of local green space. Correlated Component Regression identified the optimal predictors for primary outcome variables in the different communities surveyed. Social isolation and place belonging were the strongest predictors of stress in three out of four communities sampled, and of poor general health in the fourth, least healthy, community. The amount of green space in the neighbourhood, and in particular access to a garden or allotment, were significant predictors of stress. Physical activity, frequency of visits to green space in winter months, and views from the home were predictors of general health. The findings have implications for public health and for planning of green infrastructure, gardens and public open space in urban environments.

  11. Mitigating Stress and Supporting Health in Deprived Urban Communities: The Importance of Green Space and the Social Environment

    Science.gov (United States)

    Ward Thompson, Catharine; Aspinall, Peter; Roe, Jenny; Robertson, Lynette; Miller, David

    2016-01-01

    Environment-health research has shown significant relationships between the quantity of green space in deprived urban neighbourhoods and people’s stress levels. The focus of this paper is the nature of access to green space (i.e., its quantity or use) necessary before any health benefit is found. It draws on a cross-sectional survey of 406 adults in four communities of high urban deprivation in Scotland, United Kingdom. Self-reported measures of stress and general health were primary outcomes; physical activity and social wellbeing were also measured. A comprehensive, objective measure of green space quantity around each participant’s home was also used, alongside self-report measures of use of local green space. Correlated Component Regression identified the optimal predictors for primary outcome variables in the different communities surveyed. Social isolation and place belonging were the strongest predictors of stress in three out of four communities sampled, and of poor general health in the fourth, least healthy, community. The amount of green space in the neighbourhood, and in particular access to a garden or allotment, were significant predictors of stress. Physical activity, frequency of visits to green space in winter months, and views from the home were predictors of general health. The findings have implications for public health and for planning of green infrastructure, gardens and public open space in urban environments. PMID:27110803

  12. Low prevalence of methicillin-resistant Staphylococcus aureus nasal carriage in urban and rural community settings in Bolivia and Peru.

    Science.gov (United States)

    Bartoloni, Alessandro; Pallecchi, Lucia; Fernandez, Connie; Mantella, Antonia; Riccobono, Eleonora; Magnelli, Donata; Mannini, Dario; Strohmeyer, Marianne; Bartalesi, Filippo; Segundo, Higinio; Monasterio, Joaquin; Rodriguez, Hugo; Cabezas, César; Gotuzzo, Eduardo; Rossolini, Gian Maria

    2013-05-01

    To investigate the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage in rural and urban community settings of Bolivia and Peru. MRSA nasal carriage was investigated in 585 individuals living in rural and urban areas of Bolivia and Peru (one urban area, one small rural village, and two native communities, one of which was highly isolated). MRSA isolates were subjected to molecular analysis for the detection of virulence genes, characterization of the staphylococcal cassette chromosome mec (SCCmec), and genotyping (multilocus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE)). An overall very low prevalence of MRSA nasal carriage was observed (0.5%), with MRSA carriers being detected only in a small rural village of the Bolivian Chaco. The three MRSA isolates showed the characteristics of community-associated MRSA (being susceptible to all non-beta-lactam antibiotics and harboring the SCCmec type IV), were clonally related, and belonged to ST1649. This study provides an insight into the epidemiology of MRSA in community settings of Bolivia and Peru. Reliable, time-saving, and low-cost methods should be implemented to encourage continued surveillance of MRSA dissemination in resource-limited countries. Copyright © 2012 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  13. Scale dependence of biotic homogenisation by urbanisation: a comparison of urban bird communities between central Argentina and northern Finland

    Directory of Open Access Journals (Sweden)

    Leveau Lucas M.

    2017-12-01

    Full Text Available Recent studies showed contrasting results about the homogenising force of urbanisation on bird community composition at large and regional scales. We studied whether urbanisation promotes the homogenisation of wintering bird communities and if this varies when comparing towns located within a specific region and towns located in two different biomes of two countries. We used both similarity indices based on the presence/absence data and the abundance data in comparing communities. Processes governing bird community dissimilarity between urbanisation levels were examined with the partitioning of Sörensen index in species turnover and nestedness. We made bird surveys in town centres and suburban habitats of three cities located in the Pampean region of Argentina and in the boreal region of Finland using a single-visit study plot method. Rarefacted species richness did not differ amongst the town centres between the countries, but it was higher in the suburban areas of Argentina than in Finland. At the country-level comparison, we found a higher similarity amongst the town centres than amongst the suburban areas; whereas at the regional comparison, similarity between town centres was comparable to the similarity between suburban areas. The use of an abundance-based index produced a higher similarity between town centre communities of both countries than when using a presence-based index. The dissimilarity between habitats in Argentina was related to nestedness and to species turnover in Finland. Our results indicate that urban-based biotic homogenisation of bird communities is dependent on the scale used, being more evident when comparing cities of different biomes where the same and abundant bird species, such as sparrows and doves, dominate. At the regional scale, quite a high beta-diversity can still be found within urban habitats. Processes of community dissimilarity between urban habitats may differ according to the regional pool of species

  14. Chronic non-communicable diseases and the challenge of universal health coverage: insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana.

    Science.gov (United States)

    de-Graft Aikins, Ama; Kushitor, Mawuli; Koram, Kwadwo; Gyamfi, Stella; Ogedegbe, Gbenga

    2014-01-01

    The rising burden of chronic non-communicable diseases in low and middle income countries has major implications on the ability of these countries to achieve universal health coverage. In this paper we discuss the impact of cardiovascular diseases (CVD) on primary healthcare services in urban poor communities in Accra, Ghana. We review the evidence on the evolution of universal health coverage in Ghana and the central role of the community-based health planning services (CHPS) programme and the National Health Insurance Scheme in primary health care. We present preliminary findings from a study on community CVD knowledge, experiences, responses and access to services. The rising burden of NCDs in Ghana will affect the achievement of universal health coverage, particularly in urban areas. There is a significant unmet need for CVD care in the study communities. The provision of primary healthcare services for CVD is not accessible, equitable or responsive to the needs of target communities. We consider these findings in the context of the primary healthcare system and discuss the challenges and opportunities for strengthening health systems in low and middle-income countries.

  15. Assessing the Oral Health Needs of African American Men in Low-Income, Urban Communities

    Science.gov (United States)

    Akintobi, Tabia Henry; Hoffman, LaShawn M.; McAllister, Calvin; Goodin, Lisa; Hernandez, Natalie D.; Rollins, Latrice; Miller, Assia

    2016-01-01

    Despite improvements in oral health status in the United States, pronounced racial/ethnic disparities exist. Black men are less likely to visit the dentist, are twice as likely to experience tooth decay, and have a significantly lower 5-year oral cancer survival rate when compared to White men. The Minority Men’s Oral Health Dental Access Program employed a community-based participatory research approach to examine the oral health barriers and opportunities for intervention among Black men in a low-income, urban neighborhood. A cross-sectional study design was implemented through a self-administered survey completed among 154 Black males. The majority reported not having dental insurance (68.8%). Most frequently cited oral health care barriers were lack of dental insurance and not being able to afford dental care. Attitudes related to the significance of dental care centered on cancer prevention and feeling comfortable with one’s smile. The impact of oral health on daily life centered on social interaction, with men citing insecurities associated with eating, talking, and smiling due to embarrassment with how their teeth/mouth looked to others. Multivariate logistic regression revealed that those who had difficulty finding dental care were 4.81 times (odds ratio = 4.65, 95% confidence interval [1.80, 12.85]) more likely to report no dental insurance, and 2.73 times (odds ratio = 3.72; 95% confidence interval [1.12, 6.70]) more likely to report poor oral health. Community-based participatory approaches include assessment of neighborhood residents affected by the health issue to frame interventions that resonate and are more effective. Social, physical, and infrastructural factors may emerge, requiring a multilevel approach. PMID:27008993

  16. Care seeking for childhood pneumonia by rural and poor urban communities in Lucknow: A community-based cross-sectional study.

    Science.gov (United States)

    Minz, Anurag; Agarwal, Monika; Singh, J V; Singh, V K

    2017-01-01

    Globally, around 16% of under-five children die due to pneumonia. Childhood pneumonia, if identified early is a readily treatable through low-cost antibiotics. Access to timely and appropriate care is a key action to control pneumonia. The aim of the study was to understand the caregiver's care-seeking behavior for the management of childhood pneumonia among rural and urban poor communities in Lucknow. Rural areas and urban slums of Lucknow district, from September 2014 to August 2015. A community-based cross-sectional study. Total of 1065 under-five children were selected by multistage random sampling method. Caregivers of children (care at onset of illness. Appearance of chest indrawing in the child was identified by caregivers as a serious condition and sought treatment from outside. The mean time taken from onset of illness to the seeking care from health facility was around 2½ days (2.39 ± 0.75). Qualified private practitioners (70.5%) were the preferred choice and majority (87.0%) of the children received antibiotic for pneumonia. However, even after perception of seriousness of the illness, 26.8% and 11.1% caregivers in urban slums and rural areas, respectively sought inappropriate care at the first consultation. Caregivers were unable to perceive the severity of fast breathing leading to the delayed initiation of the appropriate treatment. There is a need of community mobilization through behavior change communication interventions to promote early symptom recognition and appropriate care seeking for pneumonia.

  17. Successful coping in urban, community-dwelling older adults with HIV.

    Science.gov (United States)

    DeGrezia, Mary G; Scrandis, Debra

    2015-01-01

    By 2015, 50% of HIV-infected individuals in the United States will be 50 years of age and older. Examining successful coping in older adults with HIV could expand existing coping toolkits, enhance disease management, and improve overall outcomes. We explored how urban, community-dwelling older adults (N = 40) coped with HIV infection, comorbidities, and related stressors. Participants completed an individual or focus group interview session using open-ended questions formulated from extended participant observation. Data were analyzed for theme development using interpretive hermeneutics and qualitative content analysis. Stressors included HIV, comorbidities, fear, anger, stigma, and finances. Three themes for successful coping were identified: accessing support, helping selves and helping others, and tapping into spirituality. Participants engaged in active, meaning-based strategies to successfully cope with HIV and related stressors. These strategies can be adapted for other older adults with HIV, leading to holistic care and improved outcomes. Copyright © 2015 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.

  18. Risk for traumatization among violent crime victims in an urban community sample in South Africa

    Directory of Open Access Journals (Sweden)

    K Peltzer

    2000-09-01

    Full Text Available This study intended to investigate risk factors for the development of trauma symptoms as a consequence of violent crime in an urban South African community. The sample included 128 adult victims of violent crime chosen by snowball sampling. The adults were 36 (28.1% males and 92 females (71.9% in the age range of 18 to 52 years (M age 36.6 yr., SD -8.9. Results indicate that the most common violent crimes experienced among the participants were rape (attempted rape, followed by physical assault, armed robbery, attempted murder and threat in that order. The majority of the victims scored high on the Kolner Risk Index (for traumatization - several case examples are given. Analysis of Variance indicated that almost all factors of the Kolner Risk Index seem to be significantly correlated with PTSD outcome measures (PTSS- 10, IES-R, Peritraumatic Dissociation and Trauma Belief. It is concluded that the Kolner Risk Index can be a useful tool for identifying crime victims at risk for the development of trauma symptoms, especially in (mental health care settings.

  19. Navigating the urban food environment: challenges and resilience of community-dwelling older adults.

    Science.gov (United States)

    Munoz-Plaza, Corrine E; Morland, Kimberly B; Pierre, Jennifer A; Spark, Arlene; Filomena, Susan E; Noyes, Philip

    2013-01-01

    Identify factors involved in food shopping among older urban adults. A qualitative study of 30 in-depth interviews and 15 "tagalong" shopping trip observations were conducted. Brooklyn, New York. Black, white, and Latino men and women aged 60-88 years. Transcripts were coded inductively to identify emergent themes. Older adults shopped at multiple stores to obtain the quality of foods preferred at prices that fit their food budgets. Participants often traveled outside their neighborhoods to accomplish this, and expressed dissatisfaction with the foods locally available. Adaptive food shopping behaviors included walking or the use of public transit to purchase food in small batches, as well as reliance on community resources and social network members. Participants identified a number of multilayered factors and challenges involved in procuring food. These factors conform to elements of ecological behavioral models described as intrapersonal, social, and environmental level influences and have resulted in adaptive behaviors for this population. These findings provide evidence that can be used to develop more effective programs, as well as promote testable interventions aimed at keeping older adults independent and capable of acquiring food that meets their age-specific needs. Copyright © 2013 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  20. Study on financial risk towards individual investor as strategy to improve urban community empowerment

    Science.gov (United States)

    Leon, F. M.; Aprilia, A.

    2018-01-01

    Investor will be always influenced by its risk tolerance when investing, each investor has own risk tolerance that differ to another, although this still being questioned until now. This research aimed to know the influence of demography factor in distinguish and classify Financial Risk Tolerance (FRT) and Financial Risk Taking Behavior (FRB) to individual investor. Methodology in this research is data that used as primary data which distributed by offline and online. The sample in this research is 642 respondents in Jakarta. Logistic regression is analyze method that used in this research. The research found that there is influence of gender, marital, status, education and income level to Financial Risk Tolerance (FRT) and Financial Risk Taking Behavior (FRB). For FRT significantly 0.000 for gender and marital status; 0.010 for education and 0.001 for income level. Whereas for FRB significantly 0.000 for gender; 0.003 for marital status and 0.010 for education level. The research contribution is crucial for financial advisor to notice the characteristic investor based on demography factor such as gender, marital, status, education level and income level. Therefore, this research able to give optional decision for appropriate investment to clients as ones of strategy to improve urban community empowerment.

  1. Effects of a psychological skills training programme for underserved ...

    African Journals Online (AJOL)

    Effects of a psychological skills training programme for underserved rugby union players. ... The programme's effectiveness was further validated by the experimental group's feedback. Recommendations are made for future research, as well as practical application within existing rugby development programmes in South ...

  2. Comparative evaluation of MRSA nasal colonization epidemiology in the urban and rural secondary school community of Kurdistan, Iraq.

    Science.gov (United States)

    Hussein, Nawfal R; Basharat, Zarrin; Muhammed, Ary H; Al-Dabbagh, Samim A

    2015-01-01

    To study the nasal carriage rate of Staphylococcus aureus (S. aureus) (including methicillin-resistant strains) in secondary school community of the urban and rural districts of the Kurdistan region of Iraq, a cross-sectional population based survey was carried out in the city Duhok and rural areas of Amedya, Akre and Zakho. Nasal swabs were obtained from nostrils of 509 students aged 14-23 years. Resistance to methicillin was assessed by Kirby-Bauer disk diffusion and agar dilution assay. Vancomycin sensitivity was also tested on Muller-Hinton agar. It was found that the frequency of overall S. aureus nasal carriage (SANC) was 17.75% (90/509, CI95, 14.58-21.42%). In urban areas, the carriage rate was 20.59% (49/239, CI95, 15.64-26.29%), whereas it was 15.24% (41/270, CI95, 11.17-20.10%) in rural districts. The frequency of methicillin-resistant S. aureus (MRSA) among the isolated strains was found to be 2.04% (1/49) and 21.95% (9/41) in urban and rural areas respectively. It was found that in urban residents, the odd ratio (OR) of acquiring SANC was 1.44 (CI95, 0.91-2.27%) and risk ratio (RR) was at least 1.35 (CI95, 0.92-1.96%) while OR decreased to 0.12 (CI95, 0.01-0.96%) for MRSA carriage. Hence, the S. aureus carriage rate was higher in urban districts compared to rural areas while more MRSA were found in rural areas compared to urban districts. All studied strains were sensitive to vancomycin. This study provided baseline information for S. aureus nasal colonization in the region. Also, it showed that living in rural areas increased the odds of MRSA colonization. More attention should be paid to control MRSA colonization in rural communities.

  3. Community Outreach and Cardiovascular Health (COACH) Trial: a randomized, controlled trial of nurse practitioner/community health worker cardiovascular disease risk reduction in urban community health centers.

    Science.gov (United States)

    Allen, Jerilyn K; Dennison-Himmelfarb, Cheryl R; Szanton, Sarah L; Bone, Lee; Hill, Martha N; Levine, David M; West, Murray; Barlow, Amy; Lewis-Boyer, LaPricia; Donnelly-Strozzo, Mary; Curtis, Carol; Anderson, Katherine

    2011-11-01

    Despite well-publicized guidelines on the appropriate management of cardiovascular disease and type 2 diabetes, the implementation of risk-reducing practices remains poor. This report describes the results of a randomized, controlled clinical trial evaluating the effectiveness of a comprehensive program of cardiovascular disease risk reduction delivered by nurse practitioner /community health worker (NP/CHW) teams versus enhanced usual care (EUC) to improve lipids, blood pressure, glycated hemoglobin (HbA1c), and patient perceptions of the quality of their chronic illness care in patients in urban community health centers. A total of 525 patients with documented cardiovascular disease, type 2 diabetes, hypercholesterolemia, or hypertension and levels of LDL cholesterol, blood pressure, or HbA1c that exceeded goals established by national guidelines were randomly assigned to NP/CHW (n=261) or EUC (n=264) groups. The NP/CHW intervention included aggressive pharmacological management and tailored educational and behavioral counseling for lifestyle modification and problem solving to address barriers to adherence and control. Compared with EUC, patients in the NP/CHW group had significantly greater 12-month improvement in total cholesterol (difference, 19.7 mg/dL), LDL cholesterol (difference,15.9 mg/dL), triglycerides (difference, 16.3 mg/dL), systolic blood pressure (difference, 6.2 mm Hg), diastolic blood pressure (difference, 3.1 mm Hg), HbA1c (difference, 0.5%), and perceptions of the quality of their chronic illness care (difference, 1.2 points). An intervention delivered by an NP/CHW team using individualized treatment regimens based on treat-to-target algorithms can be an effective approach to improve risk factor status and perceptions of chronic illness care in high-risk patients.

  4. Influenza-like illness in an urban community of Salvador, Brazil: incidence, seasonality and risk factors.

    Science.gov (United States)

    Oliveira, Carlos R; Costa, Gisela S R; Paploski, Igor A D; Kikuti, Mariana; Kasper, Amelia M; Silva, Monaise M O; Tavares, Aline S; Cruz, Jaqueline S; Queiroz, Tássia L; Lima, Helena C A V; Calcagno, Juan; Reis, Mitermayer G; Weinberger, Daniel M; Shapiro, Eugene D; Ko, Albert I; Ribeiro, Guilherme S

    2016-03-15

    Our understanding of the epidemiology of influenza is limited in tropical regions, which in turn has hampered identifying optimal region-specific policy to diminish disease burden. Influenza-like illness (ILI) is a clinical diagnosis that can be used as a surrogate for influenza. This study aimed to define the incidence and seasonality of ILI and to assess its association with climatic variables and school calendar in an urban community in the tropical region of Salvador, Brazil. Between 2009 and 2013, we conducted enhanced community-based surveillance for acute febrile illnesses (AFI) among patients ≥ 5 years of age in a slum community emergency unit in Salvador, Brazil. ILI was defined as a measured temperature of ≥ 37.8 °C or reported fever in a patient with cough or sore throat for ≤ 7 days, and negative test results for dengue and leptospirosis. Seasonality was analyzed with a harmonic regression model. Negative binomial regression models were used to correlate ILI incidence with rainfall, temperature, relative humidity and the number of days per month that schools were in session while controlling for seasonality. There were 2,651 (45.6% of 5,817 AFI patients) ILI cases with a mean annual incidence of 60 cases/1,000 population (95% CI 58-62). Risk of ILI was highest among 5-9 year olds with an annual incidence of 105 cases/1,000 population in 2009. ILI had a clear seasonal pattern with peaks between the 35-40th week of the year. ILI peaks were higher and earlier in 5-9 year olds compared with > 19 year olds. No association was seen between ILI and precipitation, relative humidity or temperature. There was a significant association between the incidence of ILI in children 5-9 years of age and number of scheduled school days per month. We identified a significant burden of ILI with distinct seasonality in the Brazilian tropics and highest rates among young school-age children. Seasonal peaks of ILI in children 5-9 years of age were positively associated

  5. Knowledge and practice of condom use in an urban adult community sample of the Northern Province, South Africa

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2000-10-01

    Full Text Available There is a paucity of data concerning condom use, especially regarding knowledge about the correct use of condoms in South Africa. Therefore, the aim of the study is to investigate knowledge and sexual practices with reference to correct use of condoms among an urban adult community in the Northern Province. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  6. A comparison of self-help lower-income housing in community-based and individualistic settlements in urban Mexico

    OpenAIRE

    Burnham, Richard A.

    1992-01-01

    This study compares housing in two lower-income self help settlement types -- community-based and individualistic -- in two contemporary Mexican urban settings: Mexico City and Tlalnepantla. The research investigates differences in housing design preferences of occupant-builders, reflections of these preferences in built environments, and resulting housing consolidation levels. Of seven elicited housing design preferences investigated, only one suggests statistically significant differe...

  7. Neighborhood characteristics and mental health among African Americans and whites living in a racially integrated urban community.

    Science.gov (United States)

    Gary, Tiffany L; Stark, Sarah A; LaVeist, Thomas A

    2007-06-01

    Aspects of the environment in which one lives are increasingly being recognized as major contributors to health, yet few empirical studies have focused on mental health. Therefore, we sought to determine if neighborhood characteristics were associated with mental health outcomes among 1408 African-American (59.3%) and white (40.7%) adults living in a socio-economically homogeneous, racially integrated, urban community in Baltimore, MD. Among African Americans and whites, the perception of severe problems in the community was associated with higher levels of stress (approximately 1.8 units higher), anxiety (approximately 1.8 units higher), and depression (OR= approximately 2.0) compared to those who perceived no or few problems (all pCommunity cohesion, the perception that people generally work together, was associated with better mental health among whites only. These findings give further insight into the complex environment of inner-city communities.

  8. Cross-cultural communication and co-ethnic social networks: perspectives and practices of independent community pharmacists in urban Britain.

    Science.gov (United States)

    Duckett, Kathryn

    2013-01-01

    Despite the role of the pharmacist in the delivery of community health care, anthropological research placing them at the center of enquiry has been limited. In this article, I explore the experience of independent community pharmacists in hyperdiverse, urban communities. Research was conducted in East and South-East London, combining participant observation within pharmacies and active interviews with pharmacists. Pharmacists' narratives highlighted a sense of closeness to the lifeworld concerns of customers. They identified their ability to use cultural capital to build relationships through the delivery of successful cross-cultural care and by acting as brokers or patrons within co-ethnic social networks. Pharmacists position themselves as communication 'experts,' employ multilingual staff, and stock less commonly available products to provide a 'specialist' service for customers in hyperdiverse communities. I suggest that the pharmacy is a neglected space, and demonstrate how the autonomy afforded by independent practice provides a flexible and inclusive approach.

  9. Spatial distribution and diversity of bird community in an urban area of Southeast Brazil

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    Marco Antônio Manhães

    2005-03-01

    Full Text Available Since the campus of the Federal University of Juiz de Fora, Minas Gerais State, Brazil, has different landscapes, it turns up to be a useful ecological model to evaluate the influence of habitat heterogeneity on bird communities. Our research goals were to know the local avifauna and compare its composition and bird diversity within the different landscapes. Species were identified in point counts without distance estimation, in four habitats: secondary woodlot, lake and surroundings, scrub/abandoned grazing areas and urban areas. One hundred and twenty-one species were identified, but no difference in diversity among the habitats was found. However, analyses indicated the existence of greater similarities among the sampling points belonging to the same kind of habitat. Results suggests that small and isolated forest fragments in urban areas fail to sustain a greater diversity than the adjacent areas, even though the environment's heterogeneous aspect favours local bird richness.O Campus da Universidade Federal de Juiz de Fora possui diferentes paisagens e pode representar um modelo ecológico útil para avaliar a influência da heterogeneidade de hábitats sobre a diversidade de aves. Os objetivos deste trabalho foram conhecer a avifauna local e comparar a composição e diversidade de aves nas distintas paisagens existentes. As espécies foram identificadas em pontos de contagem, em quatro hábitats: mata secundária, lago e arredores, capoeira/pastagem abandonada e urbanizada/jardinada. Foram identificadas 121 espécies, mas não houve diferença de diversidade entre os hábitats. Entretanto, as análises indicaram a existência de maiores similaridades entre os pontos amostrais pertencentes ao mesmo tipo de hábitat. Os resultados sugerem que pequenos fragmentos de mata fortemente isolados em áreas urbanas não sustentam uma diversidade maior do que as áreas adjacentes mas o aspecto heterogêneo do ambiente pode favorecer a riqueza de aves

  10. Impact of Environmental and Disturbance Variables on Avian Community Structure along a Gradient of Urbanization in Jamshedpur, India.

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    Verma, Sushant Kumar; Murmu, Thakur Das

    2015-01-01

    Gradient pattern analysis was used to investigate the impact of environmental and disturbance variables on species richness, species diversity, abundance and seasonal variation of birds in and around Jamshedpur, which is one of the fastest growing cities of India. It was observed that avian community structure is highly influenced by the vegetation habitat variables, food availability and human-related disturbance variables. A total of 61 species belonging to 33 families were recorded from the suburban area. 55 species belonging to 32 families were observed in nearby wildland habitat consisting of natural vegetation whereas only 26 species belonging to 18 families were observed in urban area. Results indicated that the suburban habitat had more complex bird community structure in terms of higher species richness, higher species diversity and higher evenness in comparison to urban and wildland habitat. Bird species richness and diversity varied across seasons. Maximum species richness and diversity was observed during spring season in all type of habitat. Most of the birds observed in urban areas were found to belong to either rare or irregular category on the basis of their abundance. The observed pattern of avian community structure is due to combined effect of both environmental and human related disturbance variables.

  11. Impact of Environmental and Disturbance Variables on Avian Community Structure along a Gradient of Urbanization in Jamshedpur, India.

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    Sushant Kumar Verma

    Full Text Available Gradient pattern analysis was used to investigate the impact of environmental and disturbance variables on species richness, species diversity, abundance and seasonal variation of birds in and around Jamshedpur, which is one of the fastest growing cities of India. It was observed that avian community structure is highly influenced by the vegetation habitat variables, food availability and human-related disturbance variables. A total of 61 species belonging to 33 families were recorded from the suburban area. 55 species belonging to 32 families were observed in nearby wildland habitat consisting of natural vegetation whereas only 26 species belonging to 18 families were observed in urban area. Results indicated that the suburban habitat had more complex bird community structure in terms of higher species richness, higher species diversity and higher evenness in comparison to urban and wildland habitat. Bird species richness and diversity varied across seasons. Maximum species richness and diversity was observed during spring season in all type of habitat. Most of the birds observed in urban areas were found to belong to either rare or irregular category on the basis of their abundance. The observed pattern of avian community structure is due to combined effect of both environmental and human related disturbance variables.

  12. Aboriginal Community Education Officers' Border Work: Culturally Safe Practices for Supporting Migrating Indigenous Students from Country into Urban and Semi-Rural Schools

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    MacGill, Bindi

    2012-01-01

    Since 2001 there has been an increase in migration patterns by Indigenous families from remote communities to urban and semi-rural locations. Indigenous student emigration from remote Indigenous schools to urban and semi-rural schools is an emerging crisis as there are routinely inadequate service providers for Indigenous emigres. Migration away…

  13. Employing Young Talent from Underserved Populations: Designing a Flexible Organizational Process for Assimilation and Productivity

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    Arthur Mark Langer

    2013-04-01

    Full Text Available This article describes an ongoing 13-year-old program designed to improve the ability of organizations to assimilate young talent from underserved populations, mostly students who have recently graduated from high school. Although many firms have internship and orientation programs, few have well-tested organizational approaches for assimilating 17-20 year-olds into their organizations in an efficient and productive manner. The objective of this study is to describe and evaluate the solution introduced by Workforce Opportunity Services (WOS, a non-profit agency that provides organizations with well-trained talent from underserved local communities. The WOS model is a systemic design involving a lead agency (WOS, corporate clients, training partnerships with local colleges and universities, and underutilized human capital. Over 290 students have completed the WOS program and obtained long-term employment, mostly in IT jobs that normally are outsourced. The results of the study show that companies have success employing young talent when they follow the WOS organizational process. Companies need to have patience with WOS student employees, but within six months most members of the WOS program make positive contributions to their sponsoring firm and have a strong likelihood of becoming permanently employed. Implications of the WOS model for organization design are discussed.

  14. Community and social responses to land use transformations in the Nairobi rural-urban fringe, Kenya

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    Aggrey Daniel Maina Thuo

    2010-02-01

    Full Text Available The process of urbanization is one of the most important dimensions of economic, social and physical changes. It is almost a truism that the planet’s future is an urban one and that the largest and fastest growing cities are in developing countries. Approximately 25 percent of Africa’s population lived in towns and cities in 1975. By the year 2000, due to rural-urban migration and rapid rates of natural increase, 38 percent of the continent’s population lived in urban areas. The proportion is expected to increase to 47 percent by 2015 and to double by 2025, Kenya is not an exception. Rapid urban population growth means an increasing demand for urban land. This land is not available within the city, but in the rural-urban fringe, for various reasons. This is partly due to low land prices, high rents at the core of the cities and legal flexibility in land use planning in the rural-urban fringe. Urban growth is already engulfing the surrounding agricultural lands and small villages. The conversion of agricultural land to residential uses is leading to the rapid transformations in the agricultural production, spatial structure, social structure, land ownership and land market in these areas. This chapter focuses on the responses/actions of the communities within Nairobi rural-urban fringe and how they manoeuvre through the consequences of changes occasioned by land conversions. It used Town council of Karuri as a case study.  The chapter is based on qualitative research approaches presents evidence on how subaltern’ actions plays an important role in creating order in an otherwise chaotic situation as a result of ‘poorly planned’ residential development. The subalterns’ actions, as evidenced by their agency, are manifested in community’s contribution and participation in provision of infrastructure and services within the Nairobi’s rural-urban fringe due to inability of formal provision by planning authorities.Le processus d

  15. Separate treatment of hospital and urban wastewaters: A real scale comparison of effluents and their effect on microbial communities.

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    Chonova, Teofana; Keck, François; Labanowski, Jérôme; Montuelle, Bernard; Rimet, Frédéric; Bouchez, Agnès

    2016-01-15

    Hospital wastewaters (HWW) contain wider spectrum and higher quantity of pharmaceuticals than urban wastewaters (UWW), but they are generally discharged in sewers without pretreatment. Since traditional urban wastewater treatment plants (WWTP) are not designed to treat HWWs, treated effluents may still contain pollutants that could impair receiving aquatic environments. Hence, a better understanding of the effect of pharmaceuticals in the environment is required. Biofilms are effective "biological sensors" for assessing the environmental effects of pharmaceuticals due to their ability to respond rapidly to physical, chemical and biological fluctuations by changes in their structure and composition. This study evaluated the efficiency of biological treatment with conventional activated sludge system performed parallel on HWW and UWW. Furthermore, six successive monthly colonizations of biofilms were done on autoclaved stones, placed in grid-baskets in the hospital treated effluents (HTE) and urban treated effluents (UTE). The biomass of these biofilms as well as the structure and diversity of their bacterial communities were investigated. Results showed better treatment efficiency for phosphate and nitrite/nitrate during the treatment of UWW. Pharmaceuticals from all investigated therapeutic classes (beta-blockers, nonsteroidal anti-inflammatory drugs, antibiotics, analgesics and anticonvulsants) were efficiently removed, except for carbamazepine. The removal efficiency of the antibiotics, NSAIDs and beta-blockers was higher during the treatment of HWW. HTE and UTE shaped the bacterial communities in different ways. Higher concentrations of pharmaceuticals in the HTE caused adapted development of the microbial community, leading to less developed biomass and lower bacterial diversity. Seasonal changes in solar irradiance and temperature, caused changes in the community composition of biofilms in both effluents. According to the removal efficiency of pharmaceuticals

  16. Perceptions of health, health care and community-oriented health interventions in poor urban communities of Kinshasa, Democratic Republic of Congo.

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    Vivi Maketa

    Full Text Available In Democratic Republic of Congo access to health care is limited because of many geographical and financial barriers, while quality of care is often low. Global health donors assist the country with a number of community-oriented interventions such as free distribution of bednets, antihelminthic drugs, vitamin A supplementation and vaccination campaigns, but uptake of these interventions is not always optimal. The aim of this study was to explore the perceptions of poor urban communities of the capital Kinshasa with regard to health issues in general as well as their experiences and expectations concerning facility-based health services and community-oriented health interventions. Applying an approach rooted in the grounded theory framework, focus group discussions were conducted in eight neighborhoods of poor urban areas in the city of Kinshasa in July 2011. Study participants were easily able to evoke the city's major health problems, with the notable exceptions of malnutrition and HIV/AIDS. They perceive the high out-of-pocket cost of health services as the major obstacle when seeking access to quality care. Knowledge of ongoing community-oriented health interventions seems good. Still, while the study participants agree that those interventions are beneficial; their acceptability seems to be problematic. This is chiefly put down to a lack of information and government communication about the programs and their interventions. Furthermore, the study participants referred to rumors and the deterring effect of stories about alleged harmful consequences of those interventions. Along with improving the provision and quality of general health care, the government and international actors must improve their efforts in informing the communities about disease control programs, their rationale and benefit/risk ratio. Directly engaging community members in a dialogue might be beneficial in terms of improving acceptability and overall access to health

  17. Strategies to improve immunization services in urban Africa.

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    Cutts, F T

    1991-01-01

    The urban poor constitute a rapidly increasing proportion of the population in developing countries. Focusing attention on underserved urban slums and squatter settlements will contribute greatly to immunization programme goals, because these areas account for 30-50% of urban populations, usually provide low access to health services, carry a large burden of disease mortality, and act as sources of infection for the city and surrounding rural areas. Improvement of urban immunization programmes requires intersectorial collaboration, use of all opportunities to vaccinate eligible children and mothers, identification of low-coverage neighbourhoods and execution of extra activities in these neighbourhoods, and community mobilization to identify and refer persons for vaccination. Improved disease surveillance helps to identify high-risk populations and document programme impact. New developments in vaccines, such as the high-dose Edmonston-Zagreb vaccine, will allow changes in the immunization schedule that facilitate the control of specific diseases. Finally, operational research can assist managers to conduct urban situation assessments, evaluate programme performance at the "micro" level, and design and monitor interventions.

  18. Microbiological quality of drinking water of urban and rural communities, Brazil

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    Nogueira Giovani

    2003-01-01

    Full Text Available OBJECTIVE: To evaluate the microbiological quality of treated and untreated water samples came from urban and rural communities and to examine the relationship between coliforms occurrence and average water temperature, and a comparison of the rainfall levels. METHODS: A sample of 3,073 untreated and treated (chlorinated water from taps (1,594, reservoir used to store treated water (1,033, spring water (96 and private well (350 collected for routine testing between 1996 and 1999 was analyzed by the multiple dilution tube methods used to detect the most probable number of total and fecal coliforms. These samples were obtained in the region of Maringá, state of Paraná, Brazil. RESULTS: The highest numbers water samples contaminated by TC (83% and FC (48% were found in the untreated water. TC and FC in samples taken from reservoirs used to store treated water was higher than that from taps midway along distribution lines. Among the treated water samples examined, coliform bacteria were found in 171 of the 1,033 sampling reservoirs. CONCLUSIONS: Insufficient treatment or regrowth is suggested by the observation that more than 17% of these treated potable water contained coliform. TC and FC positive samples appear to be similar and seasonally influenced in treated water. Two different periods must be considered for the occurrence of both TC and FC positive samples: (i a warm-weather period (September-March with high percentage of contaminated samples; and (ii cold-weather period (April-August were they are lower. Both TC and TF positive samples declined with the decreased of water temperature.

  19. Relationship between bifenthrin sediment toxic units and benthic community metrics in urban California streams.

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    Hall, Lenwood W; Anderson, Ronald D

    2013-08-01

    The objective of this study was to use ecologically relevant field measurements for determining the relationship between bifenthrin sediment toxic units (TUs) (environmental concentrations/Hyalella acute LC50 value) and 15 benthic metrics in four urban California streams sampled from 2006 to 2011. Data from the following four California streams were used in the analysis: Kirker Creek (2006, 2007), Pleasant Grove Creek (2006, 2007, and 2008), Arcade Creek (2009, 2010, and 2011), and Salinas streams (2009, 2010, and 2011). The results from univariate analysis of benthic metrics versus bifenthrin TU calculations for the four California streams with multiple-year datasets combined by stream showed that there were either nonsignificant relationships or lack of metric data for 93 % of cases. For 7 % of the data (4 cases) where significant relationships were reported between benthic metrics and bifenthrin TUs, these relationships were ecologically meaningful. Three of these significant direct relationships were an expression of tolerant benthic taxa (either % tolerant taxa or tolerance values, which are similar metrics), which would be expected to increase in a stressed environment. These direct significant tolerance relationships were reported for Kirker Creek, Pleasant Grove Creek, and Arcade Creek. The fourth significant relationship was an inverse relationship between taxa richness and bifenthrin TUs for the 3-year Pleasant Grove Creek dataset. In summary, only a small percent of the benthic metric × bifenthrin TU relationships were significant for the four California streams. Therefore, the general summary conclusion from this analysis is that there is no strong case for showing consistent meaningful relationships between various benthic metrics used to characterize the status of benthic communities and bifenthrin TUs for these four California streams.

  20. Perceived social norms, expectations, and attitudes toward corporal punishment among an urban community sample of parents.

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    Taylor, Catherine A; Hamvas, Lauren; Rice, Janet; Newman, Denise L; DeJong, William

    2011-04-01

    Despite the fact that corporal punishment (CP) is a significant risk factor for increased aggression in children, child physical abuse victimization, and other poor outcomes, approval of CP remains high in the United States. Having a positive attitude toward CP use is a strong and malleable predictor of CP use and, therefore, is an important potential target for reducing use of CP. The Theory of Planned Behavior suggests that parents' perceived injunctive and descriptive social norms and expectations regarding CP use might be linked with CP attitudes and behavior. A random-digit-dial telephone survey of parents from an urban community sample (n = 500) was conducted. Perceived social norms were the strongest predictors of having positive attitudes toward CP, as follows: (1) perceived approval of CP by professionals (β = 0.30), (2) perceived descriptive norms of CP use (β = 0.22), and (3) perceived approval of CP by family and friends (β = 0.19); also, both positive (β = 0.13) and negative (β = -0.13) expected outcomes for CP use were strong predictors of these attitudes. Targeted efforts are needed to both assess and shift the attitudes and practices of professionals who influence parents regarding CP use; universal efforts, such as public education campaigns, are needed to educate parents and the general public about the high risk/benefit ratio for using CP and the effectiveness of non-physical forms of child discipline.