Sample records for case studyof metropolitan

  1. Characterizing the fabric of the urban environment: A case studyof Metropolitan Chicago, Illinois and Executive Summary

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Akbari, Hashem; Rose, Leanna Shea

    2001-10-30

    Urban fabric data are needed in order to estimate the impactof light-colored surfaces (roofs and pavements) and urban vegetation(trees, grass, shrubs) on the meteorology and air quality of a city, andto design effective implementation programs. In this report, we discussthe result of a semi-automatic Monte-Carlo statistical approach used todevelop data on surface-type distribution and city-fabric makeup(percentage of various surface-types) using aerial colororthophotography. The digital aerial photographs for metropolitan Chicagocovered a total of about 36 km2 (14 mi2). At 0.3m resolution, there wereapproximately 3.9 x 108 pixels of data. Four major land-use types wereexamined: commercial, industrial, residential, andtransportation/communication. On average, formore » the areas studied, atground level vegetation covers about 29 percent of the area (ranging 4 80percent); roofs cover about 25 percent (ranging 8 41 percent), and pavedsurfaces about 33 percent (ranging 12 59 percent). For the most part,trees shade streets, parking lots, grass, and side-walks. In commercialareas, paved surfaces cover 50 60 percent of the area. In residentialareas, on average, paved surfaces cover about 27percent of the area.Land-use/land-cover (LULC) data from the United States Geological Surveywas used to extrapolate these results from neighborhood scales tometropolitan Chicago. In an area of roughly 2500 km2, defining most ofmetropolitan Chicago, over 53 percent is residential. The total roof areais about 680 km2, and the total paved surfaces (roads, parking areas,sidewalks) are about 880 km2. The total vegetated area is about 680km2.« less

  2. Native-View Paradigms: Multiple Cultures and Culture Conflicts in Organizations.

    ERIC Educational Resources Information Center

    Gregory, Kathleen L.

    1983-01-01

    After reviewing organizational culture studies done in industrial settings, this paper proposes a native-view paradigm from anthropology for exploring the multiple perspectives of participants in large organizations and describes a study--of Silicon Valley technical professionals' native views--that applies the methods of ethnoscience ethnography.…

  3. Major generators of traffic on U.S. 395 North of Spokane : including freight trucks and passenger vehicles crossing the international border

    DOT National Transportation Integrated Search

    1995-01-01

    A studyof highway freight vehicle utilizationof U.S. 395 north of Spokane was conducted as a supplement to the Eastern Washington Intermodal Transportation Study. The U.S. 395 study also includes an examination of passenger car flows across the inter...

  4. Associative Memories for Supercomputers

    DTIC Science & Technology

    1992-12-01

    the Si/PLZT technology. Finally, the associative memory system design is presented. 14. SUBJECT TERMS IS NUMBER OF PAGES 60 Memory, Associative Memory...Hybrid lens design ...................................................................... 3 3. ASSOCIATIVE MEMORY STUDY...of California, san Diego 1. OBJECTIVES Our objective during the funding period, July 14 1989 to January 13 1991, was to design and study the

  5. An Exploratory Analysis of Features of New Orleans Charter Schools Associated with Student Achievement Growth. REL 2018-287

    ERIC Educational Resources Information Center

    Wolf, Patrick J.; Lasserre-Cortez, Shannon

    2018-01-01

    In the wake of Hurricane Katrina, the number of charter schools in New Orleans has rapidly expanded. During the 2012/13 school year--the period covered by this study--of the 85 public schools in New Orleans, 75 were chartered, enrolling more than 84 percent of all public school students in the city in 92 different school campuses. This study…

  6. Annotated Bibliography for Lake Erie. Volume I. Biological,

    DTIC Science & Technology

    1974-10-01

    varieties of naiades from I Lake Erie . Nautilus. 32(l):9-12. Three new varieties of naiades collected at Presque Isle , Pennsylvania are carefully...E. 1909. A botanical survey of Presque Isle , Erie County, Pennsylvania . Annals Carnegie Mus. Pittsburgh, Penn. Pub. 53. 5(l):2 9-421. This study...of vegetation on Presque Isle . (SM) 401. Jennings, Otto E. 1930. A survey of the phytoplankton at Erie , Pennsylvania . Science. 71(1848):560-61. A

  7. Assessing the Effect of Simulated Physical Objects and Elements in Virtual Environments on Social Influence

    DTIC Science & Technology

    2006-07-01

    include impression formation, decision making, paranormal beliefs, bargaining and negotiating, communication, and group problem-solving. No specific...take part in this study, your involvement will last for about an hour. WHAT WILL HAPPEN DURING THIS STUDY? If you agree to participate in this study...of what will happen during the study if you decide to participate. You are not waiving any legal rights by signing this Informed Consent Document. Your

  8. Research Monograph on Federal International Economic Emergency Planning.

    DTIC Science & Technology

    1985-10-31

    interrelates national and international factors in world food supply. 1 1 1 I I I I I -3- 1 I.B. PARAMETERS OF THIS STUDY Assigning a scope to a study...of their specialization. Thus "air" is typically 3 considered a limitless resource, and therefore a non-economic good, whereas food , clothing and...rights to use such information in the form of licenses, patents, franchises , etc. I Accordingly, for purposes of this study, we shall define economics

  9. Walter Reed Army Medical Center, Washington, DC Annual Progress Report FY-89. Volume 2. Part 1

    DTIC Science & Technology

    1990-01-02

    recurrent head and neck cancer who meet the eligibility requirements and consent to the protocol will have central venous catheter placed (if one is...DATE: 06/29/89 WORK UNIT # 6220 DETAIL SUMMARY SHEET TITLE: Epidemiology of HIV In Pediatric and Perinatal Patients - A Natural History Study...of HIV in clinical samples. 16 I I REPORT DATE: 04/04/89 WORK UNIT # 8804 DETAIL SUMMARY SHEET TITLE: The Natural History of HIV Infection and Disease

  10. Annals of the New York Academy of Sciences. Volume 423. Timing and Time Perception Held at New York on 10-13 May 1983,

    DTIC Science & Technology

    1984-05-13

    PART L TIME PERCEPTION Introduction JOHN GIBBON W. New York State Psychiatric Institute New York, New York 10032; and Department of Psychology ...34."’ Columbia University New York, New York 10027 LORRAINE ALLAN Department of Psychology McMaster University Hamilton, Ontario, Canada LAS 4Ki The study...of timing and time perception has a venerable dual history in experimental psychology . Animal psychologists studying learning and conditioning have

  11. Metropolitan transportation management center : a case study : COMPASS : effectively managing traffic and incidents

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of the Downsview, Ontario transportation management center. It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts of Operation - A Cross Cutting ...

  12. Metropolitan transportation management center : a case study : Long Island INFORM : identifying incidents and informing travelers

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of Long Island's INFORM transportation management center. It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts of Operation - A Cross Cutting St...

  13. Metropolitan transportation management center : a case study : Milwaukee MONITOR : addressing congestion while improving safety and air quality

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of Milwaukee's MONITOR transportation management center. It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts of Operation - A Cross Cutting Stu...

  14. Metropolitan transportation management center : a case study : Michigan intelligent transportation system : improving safety and air quality while reducing stress for motorists

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of Michigan's Intelligent Transportation Systems transportation management center (MITSC). It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts ...

  15. Metropolitan Transportation Management Center : a case study : Houston TranStar maximizing safety and mobility for the public

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of Houston's TranStar transportation management center. It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts of Operation - A Cross Cutting Stud...

  16. Metropolitan transportation management center : a case study : Arizona Trailmaster : providing a safe and efficient travel environment for users

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of Arizona's TrailMaster statewide transportation management center. It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts of Operation - A Cross...

  17. Metropolitan transportation management center : a case study : Georgia NaviGAtor : accurate and timely information to navigate Georgia roads

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of Atlanta's NaviGAtor transportation management center. It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts of Operation - A Cross Cutting Stu...

  18. Metropolitan transportation management center : a case study : Boston Central Artery/Tunnel Integrated Project control system : responding to incidents rapidly and effectively

    DOT National Transportation Integrated Search

    1999-10-01

    The following case study provides a snapshot of the Boston Central Artery/Tunnel Integration Project Control System (IPCS) operations control center. It follows the outline provided in the companion document, Metropolitan Transportation Management Ce...

  19. Geographical evaluation of Neuroparacoccidioidomycosis and Paracoccidioidomycosis in Southern Brazil.

    PubMed

    de Almeida, Sergio Monteiro; Salvador, Gabriel L O; Roza, Thiago Henrique; Izycki, Luís Felipe; Dos Santos, Isaias; Aragão, Afonso; Kulik, Amanda; Muro, Marisol; Torres, Luis Fernando Bleggi; de Noronha, Lucia Helena

    2018-04-17

    Paracoccidioidomycosis (PCM) is the most prevalent systemic mycosis among immunocompetent patients in Latin America. This study aimed to describe the expansion over time and the geographical distribution of confirmed Neuroparacoccidioidomycosis (NPCM) and PCM cases, and relate it to environmental characteristics such as climate, soil types, and coffee crops. This was a retrospective study of autopsy and biopsy reports between 1951 and 2014 from the Medical Pathology Section of the Hospital de Clinicas, UFPR, Curitiba, Southern Brazil. PCM was predominant in male agricultural workers. PCM cases predominated in areas with subtropical climate with hot summers in North West Parana state. NPCM cases were distributed statewide more frequent in rural than metropolitan area. There was no association with climate, soil type, or coffee crop culture. Most of the PCM cases were in the metropolitan area of the capital, chiefly due to migration fluxes. Even though the history is predominantly agricultural activities. PCM cases were distributed mainly in the metropolitan area of the state capital, there was no association with climate and soil. NPCM cases were numerically more frequent in rural than metropolitan area. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

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

    ERIC Educational Resources Information Center

    Slaughter, Sandra Lorraine Hawks

    2013-01-01

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

  1. A Regional Approach to Rail Transit Training for the New York Metropolitan Area. Final Report.

    ERIC Educational Resources Information Center

    McKnight, Claire E.; Rotter, Naomi

    A study examined the feasibility of a regional approach to rail transit training in the New York metropolitan area. First, case studies were collected to document existing training practices at the five agencies currently responsible for training rail transit workers in the New York metropolitan area and to identify mutual training needs that…

  2. Rapid Operational Access and Maneuver Support (ROAMS) Platform for Improved Military Logistics Lines of Communication and Operational Vessel Routing

    DTIC Science & Technology

    2017-06-01

    case study in a northeastern American metropolitan area. METHODOLOGY : The ROAMS platform provides expanded analysis, model automation, and enhanced...shoals. An initial route for such operations is selected much like the military logistics case . Subsequent adjustments to routes may be done on an ad...IX-45 June 2017 8 CASE STUDY: The ROAMS platform was applied to a large, northeast American metropolitan region to demonstrate the capability of

  3. Regional transportation and land use decision making in metropolitan regions : findings from four case studies.

    DOT National Transportation Integrated Search

    2012-02-01

    "Throughout the United States, metropolitan regions face increasingly complex issues related to transportation and : land use. The diffuse nature of decision making creates a need to better coordinate land use and transportation to : address issues s...

  4. A Comparison of Strategies for Retinopathy of Prematurity Detection

    PubMed Central

    Prosser, Lisa A.; Wade, Kelly C.; Repka, Michael X.; Ying, Gui-shuang; Baumritter, Agnieshka; Quinn, Graham E.

    2016-01-01

    BACKGROUND AND OBJECTIVES: Delayed detection of type 1 retinopathy of prematurity (ROP) can lead to permanent visual impairment. Providing ROP examinations is challenging because of the limited ophthalmology workforce. This study compares digital imaging–based ROP detection strategies versus serial ROP examinations. METHODS: We conducted an individual-level microsimulation studyof a hypothetical cohort of 650 infants with gestational age from 23 to 30 weeks. Infants were evaluated by using strategies based on indirect ophthalmoscopy or digital imaging beginning at 32 weeks’ postmenstrual age (PMA) and continuing to discharge, transfer, or 40 weeks’ PMA. ROP status and the accuracy of digital imaging were based on the e-ROP (Telemedicine Approaches to Evaluating Acute-Phase ROP) study, which enrolled high-risk infants. RESULTS: Within the hypothetical NICU, the strategy of ROP examinations identified an average of 45.8 cases of type 1 ROP by discharge, transfer, or 40 weeks’ PMA, and another 1.9 cases were included in the group of infants recommended to have later follow-up. Digital imaging with an ROP examination at discharge identified all 47.7 cases of type 1 ROP. On average, the ROP examination–only strategy required 1745.7 ROP examinations, whereas digital imaging with a discharge examination required 1065.5 ROP examinations and 1786.2 digital imaging sessions. CONCLUSIONS: Although digital imaging decreased the number of ROP examinations per infant, there was an increase in the total number of interventions (ie, ROP examinations and imaging sessions). Providing an ROP examination at the time of NICU discharge can significantly reduce the number of infants who require follow-up. PMID:26672022

  5. Smart Money: Informing Higher Education Philanthropy

    ERIC Educational Resources Information Center

    Kienzl, Gregory S.; Sponsler, Brian A.; Wesaw, Alexis J.; Kumar, Amal; Jones, Jill

    2011-01-01

    The face of the American landscape is overwhelmingly metropolitan, making metro areas important spaces for philanthropy to explicitly consider when crafting postsecondary funding strategies. This is the case for two primary reasons. First, metropolitan areas are drivers of economic activity and innovation. Second, four out of every five…

  6. Assessment of the applicability of cooperative vehicle-highway automation systems (CVHAS) to bus transit and intermodal freight : case study feasibility analyses in the Metropolitan Chicago Region.

    DOT National Transportation Integrated Search

    2008-12-01

    This report presents the results of its performance assessment of the feasibility of applying cooperative vehicle- highway automation systems (CVHAS) to bus transit and freight movements in the metropolitan Chicago area. : CVHAS are systems that prov...

  7. Public-health impact of outdoor air pollution for 2(nd) air pollution management policy in Seoul metropolitan area, Korea.

    PubMed

    Leem, Jong Han; Kim, Soon Tae; Kim, Hwan Cheol

    2015-01-01

    Air pollution contributes to mortality and morbidity. We estimated the impact of outdoor air pollution on public health in Seoul metropolitan area, Korea. Attributable cases of morbidity and mortality were estimated. Epidemiology-based exposure-response functions for a 10 μg/m3 increase in particulate matter (PM2.5 and PM10) were used to quantify the effects of air pollution. Cases attributable to air pollution were estimated for mortality (adults ≥ 30 years), respiratory and cardiovascular hospital admissions (all ages), chronic bronchitis (all ages), and acute bronchitis episodes (≤18 years). Environmental exposure (PM2.5 and PM10) was modeled for each 3 km × 3 km. In 2010, air pollution caused 15.9% of total mortality or approximately 15,346 attributable cases per year. Particulate air pollution also accounted for: 12,511 hospitalized cases of respiratory disease; 20,490 new cases of chronic bronchitis (adults); 278,346 episodes of acute bronchitis (children). After performing the 2(nd) Seoul metropolitan air pollution management plan, the reducible death number associated with air pollution is 14,915 cases per year in 2024. We can reduce 57.9% of death associated with air pollution. This assessment estimates the public-health impacts of current patterns of air pollution. Although individual health risks of air pollution are relatively small, the public-health consequences are remarkable. Particulate air pollution remains a key target for public-health action in the Seoul metropolitan area. Our results, which have also been used for economic valuation, should guide decisions on the assessment of environmental health-policy options.

  8. Resolving Issues in Innovative Graduate Degree Programs: The Metropolitan State University Doctor of Business Administration Experience

    ERIC Educational Resources Information Center

    Delmont, Tim

    2011-01-01

    Applied Master's Degree and doctoral programs have been criticized widely for their lack of relevance, rigor and quality. New graduate degree programs have responded to these criticisms by implementing innovative academic policies, program curriculum, and student services. A case study of the Metropolitan State University Doctor of Business…

  9. An Estimation of Mobile Emissions Reduction from Using Electronic Toll Collection in the Baltimore Metropolitan Area: A Case Study of the Fort McHenry Tunnel Toll Plaza

    DOT National Transportation Integrated Search

    2000-03-01

    The Baltimore Metropolitan Area is classified as a severe nonattainment area under the Clean Air Act Amendments of 1990. Consequently, it operates on a stringent emissions budget and is mandated to embark on mitigation measures. The area has been agg...

  10. Water Supply Provision in Sarbagita Metropolitan Area

    NASA Astrophysics Data System (ADS)

    Maryati, S.; Humaira, ANS; Rachmat, SY

    2017-07-01

    Sarbagita (Denpasar, Badung, Gianyar, and Tabanan) Metropolitan Area is one of seven metropolitan areas in Indonesia, located in the coastal region of Bali Island. Providing clean water in the coastal region is generally constrained by the limited sources of water. Besides, there is also disparity issue between the core and peri-urban area. The purpose of this study is to explore the conditions of water supply provision in Metropolitan Sarbagita in the context of coastal and peri-urban region. The methods of analysis used are descriptive and association analysis. The analysis shows that the location in the coastal area and peri-urban area does not affect the water supply provision for the case of daily safe water yet it does affect significantly in the specific context of drinking water source.

  11. Metropolitan Housing Desegregation: The Case for an Affirmative Program under Title VI of the Civil Rights Act of 1964.

    ERIC Educational Resources Information Center

    Levin, Arthur, J.; Silard, John

    A 1966 document reviews a number of issues about housing segregation, which are related to Title IV of the Civil Rights Act of 1964. Discussed in five sections are the displacement impact of major Federal construction programs, Federal assistance to private housing, metropolitan housing desegregation, affirmative programs for desegregation, and…

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

  13. Small-town migration to metropolitan centres: a case in Peninsular Malaysia.

    PubMed

    Lee Boon Thong

    1979-12-01

    In Malaysia small towns are an important source of population gowth in metropolitan areas. To provide empirical evidence of the magnitude and roles of small urban centers as complementary sources of population growth in metropolitan areas, a small survey was conducted in 10 small towns in the State of Selangor. Criteria for the selection of these towns include a fair geographical spread over the State, and each area must characteristically possess a dominant urban center. The questionnaires were directed to the heads of 300 households with the intention of investigating the socioeconomic background of the households and the magnitude and characteristics of those members of the households who have migrated elsewhere. The total number of outmigrants from each area varied from 27-57, giving an overall average figure of 1.53 outmigrants/household. About 77% of the outmigrants had moved to the metropolitan centers. As the majority of the metropolitan migrants were more attracted to Kuala Lumpur, Klang, and Petaling Jaya, it may be assumed that the total outmigrants from small towns as derived would have consitituted about 39% of the population in the Klang Valley region. Based on this estimate, the role of small towns in metropolitan population growth is important. In the survey conducted, 2 broad categories of movements were involved: "economic movers," i.e., those who migrated to work or to establish businesses in the metropolitan areas; and "noneconomic movers," i.e., those who moved to continue their studies or to follow their spouses, and so forth. The economic mover stream made up 71% of the total metropolitan migrants. 2 variables--marital status and sex--were significantly related to the economic or noneconomic nature of the metropolitan migrants. The movement of males tended to be associated with economic motives whereas noneconomic reasons for movement tended to be the case among females migrants. The most important occupational group of the economically active migrants to the metropolitan areas was the production workers, comprising mostly laborers, building construction workers, and factory operators. 2 other important groups were sales workers and service workers. Rather than concentrating total emphasis on large urban centers, authorities should divert a portion of their developmental efforts to small towns as part of overall comprehensive urban planning. Economic revitalization of the small towns can take many forms, such as encouraging craft industries, investing labor intensive industries, or offering incentives to industries. Small towns should be given a unifying role within the city rural framework.

  14. Metropolitan Nashville's Innovation Zone: High-Need Schools Help Teacher-Leaders with Paid, Yearlong Student Teachers. An Opportunity Culture Case Study

    ERIC Educational Resources Information Center

    Barrett, Sharon Kebschul

    2014-01-01

    Better-prepared new teachers, more adults in every classroom, more small-group instruction, more adults caring for every student--how can a school wrap all that up in one package? Three Metropolitan Nashville Opportunity Culture schools are trying a novel approach with paid, yearlong student teaching positions. The three schools are: (1) Buena…

  15. Rural-metropolitan disparities in ovarian cancer survival: a statewide population-based study.

    PubMed

    Park, Jihye; Blackburn, Brenna E; Rowe, Kerry; Snyder, John; Wan, Yuan; Deshmukh, Vikrant; Newman, Michael; Fraser, Alison; Smith, Ken; Herget, Kim; Burt, Lindsay; Werner, Theresa; Gaffney, David K; Lopez, Ana Maria; Mooney, Kathi; Hashibe, Mia

    2018-06-01

    To investigate rural-metropolitan disparities in ovarian cancer survival, we assessed ovarian cancer mortality and differences in prognostic factors by rural-metropolitan residence. The Utah Population Database was used to identify ovarian cancer cases diagnosed between 1997 and 2012. Residential location information at the time of cancer diagnosis was used to stratify rural-metropolitan residence. All-cause death and ovarian cancer death risks were estimated using Cox proportional hazard regression models. Among 1661 patients diagnosed with ovarian cancer, 11.8% were living in rural counties of Utah. Although ovarian cancer patients residing in rural counties had different characteristics compared with metropolitan residents, we did not observe an association between rural residence and risk of all-cause nor ovarian cancer-specific death after adjusting for confounders. However, among rural residents, ovarian cancer mortality risk was very high in older age at diagnosis and for mucinous carcinoma, and low in overweight at baseline. Rural residence was not significantly associated with the risk of ovarian cancer death. Nevertheless, patients residing in rural-metropolitan areas had different factors affecting the risk of all-cause mortality and cancer-specific death. Further research is needed to quantify how mortality risk can differ by residential location accounting for degree of health care access and lifestyle-related factors. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Teaching case studies on emergency evacuation : final report

    DOT National Transportation Integrated Search

    2011-02-15

    Through the development of four Harvard Kennedy School case studies, this project explored the policy and institutional dimensions of emergency evacuation planning and implementation in two major metropolitan areas Houston and New Orleans. By pro...

  17. IVHS Institutional Issues and Case Studies: Transcom/Transmit Case Study

    DOT National Transportation Integrated Search

    1994-04-01

    The Transportation Operations Coordinating Committee (TRANSCOM) is a coalition of 15 traffic, transit, and police agencies in the New York, New Jersey, and Connecticut metropolitan area. TRANSCOM's IVHS operational field test, the TRANSCOM System for...

  18. Health costs of economic expansion: the case of manufacturing accident injuries.

    PubMed Central

    Catalano, R

    1979-01-01

    The hypothesized relationship between economic expansion and accident injuries is tested using archival economic and accident data from the Los Angeles-Long Beach, California metropolitan area. The association is measured using cross-correlation techniques after variation shared with a comparison metropolitan area (Anaheim-Santa Ana-Garden Grove) is removed. Two tests of association are conducted. The first uses the raw accident rate of the comparison metropolitan area as a control variable while the second adjusts the control variable to reflect shared industrial sectors. Findings suggest that the incidence of disabling accidents increases in the month before and during the month that the manufacturing work force expands. The impact appears strongest during the month that new workers are added. PMID:453412

  19. Factors affecting the formation of sub-downtowns in various metropolitan areas around the world

    NASA Astrophysics Data System (ADS)

    Zhukovsky, Roman; Pomorov, Sergey

    2017-01-01

    The paper is aimed at investigating and compiling systematic knowledge about the factors affecting formation and specificity of urban sub-downtowns (sub-centers). Sub-downtowns are autonomous territories, identical to the downtown and located within one metropolitan area with downtown. Objects corresponding to the concepts of "Edge City", "Edgeless City", "Secondary Business District", "Mixed-Use Development" were investigated as sub-downtowns. Terrestrial and satellite images, as well as functional zoning data of more than 250 metropolitan areas in all world's regions were explored. A special form of sub-downtowns characterized by direct commercial corridor connection with central business district was found and defined as "Total Business District" concept. Eight metropolitan area types were distinguished based on sub-downtown development level criterion. These types were found to have significant relation to the specific world regions. Sub-downtowns are more frequent and diverse in countries with higher level, pace and liberalization of economic development, as well as with higher motorization rate. The closer to the coast or state border the metropolitan area is, the more likely sub-downtowns within it will be developed. In the context of continental, desert, tropical, northern maritime climates sub-downtowns are less common than in subtropical, temperate and Mediterranean or Polynesian climates. In most cases, clustered (not just corridor-like) sub-downtowns are likely to be found in metropolitan areas with a population of more than 1.5-3.5 million people, depending on the geographic region of the world. The research results can improve forecasting the development and master planning of sub-downtowns in specific metropolitan areas.

  20. The role of a bus network in access to primary health care in Metropolitan Auckland, New Zealand.

    PubMed

    Rocha, C M; McGuire, S; Whyman, R; Kruger, E; Tennant, M

    2015-09-01

    Background: This study examined the spatial accessibility of the population of metropolitan Auckland, New Zealand to the bus network, to connect them to primary health providers, in this case doctors (GP) and dentists. Analysis of accessibility by ethnic identity and socio-economic status were also carried out, because of existing health inequalities along these dimensions. The underlying hypothesis was that most people would live within easy reach of primary health providers, or easy bus transport to such providers. An integrated geographic model of bus transport routes and stops, with population and primary health providers (medical. and dental practices) was developed and analysed. Although the network of buses in metropolitan Auckland is substantial and robust it was evident that many people live more than 150 metres from a stop. Improving the access to bus stops, particularly in areas of high primary health care need (doctors and dentists), would certainly be an opportunity to enhance spatial access in a growing metropolitan area.

  1. Comparison of Exposures Among Arab American and Non-Hispanic White Female Thyroid Cancer Cases in Metropolitan Detroit

    PubMed Central

    Peterson, L.; Soliman, A.; Ruterbusch, J. J.; Smith, N.

    2013-01-01

    Arab American (ArA) women may be at greater risk for thyroid cancer (TC) than White women. This case-case comparison explored differences in known and proposed risk factors of TC among ArA and non-Hispanic White (NHW) female TC cases in metropolitan Detroit. Cases of invasive TC identified from a population-based registry responded to a telephone survey regarding potential TC risk factors. Thirty ArA women (response rate 52%) and 70 NHW women (67%) participated. NHW women reported significantly more prior thyroid disease (TD), family history of TD, hormone use, cumulative years of hormone use, cigarette and alcohol consumption. In adjusted logistic regression analysis, ArA women had significantly higher odds of exposure to dental x-rays (OR = 3.48, CI 1.01–12.00) and medical radiation (OR = 13.58, CI 1.49–124.04) than NHW women. Risk factors for TC may differ among ArA women and their NHW counterparts. PMID:21647624

  2. Comparison of exposures among Arab American and non-Hispanic White female thyroid cancer cases in metropolitan Detroit.

    PubMed

    Peterson, L; Soliman, A; Ruterbusch, J J; Smith, N; Schwartz, K

    2011-12-01

    Arab American (ArA) women may be at greater risk for thyroid cancer (TC) than White women. This case-case comparison explored differences in known and proposed risk factors of TC among ArA and non-Hispanic White (NHW) female TC cases in metropolitan Detroit. Cases of invasive TC identified from a population-based registry responded to a telephone survey regarding potential TC risk factors. Thirty ArA women (response rate 52%) and 70 NHW women (67%) participated. NHW women reported significantly more prior thyroid disease (TD), family history of TD, hormone use, cumulative years of hormone use, cigarette and alcohol consumption. In adjusted logistic regression analysis, ArA women had significantly higher odds of exposure to dental x-rays (OR = 3.48, CI 1.01-12.00) and medical radiation (OR = 13.58, CI 1.49-124.04) than NHW women. Risk factors for TC may differ among ArA women and their NHW counterparts.

  3. How well has land-use planning worked under different governance regimes? A case study in the Portland, OR-Vancouver, WA metropolitan area, USA

    Treesearch

    Jeffrey D. Kline; Paul Thiers; Connie P. Ozawa; J. Alan Yeakley; Sean N. Gordon

    2014-01-01

    We examine land use planning outcomes over a 30-year period in the Portland, OR-Vancouver, WA (USA) metropolitan area. The four-county study region enables comparisons between three Oregon counties subject to Oregon’s 1973 Land Use Act (Senate Bill 100) and Clark County, WA which implemented land use planning under Washington’s 1990 Growth Management Act. We describe...

  4. Teaching case studies on earthquake preparedness efforts in the transportation sector, Los Angeles metropolitan area.

    DOT National Transportation Integrated Search

    2013-01-01

    Through the development of a Harvard Kennedy School case study (intended for : use as curriculum in graduate-level and executive education programs), this project : examines earthquake preparedness and planning processes in the Los Angeles : metropol...

  5. Predictive Factors of the Survival of Women With Invasive Breast Cancer in French Guiana: The Burden of Health Inequalities.

    PubMed

    Roué, Tristan; Labbé, Sylvain; Belliardo, Sophie; Plenet, Juliette; Douine, Maylis; Nacher, Mathieu

    2016-08-01

    The prognosis of patients with breast cancer in French Guiana is worse than in France, with 23 deaths per 100 incident cases versus 17 per 100 in metropolitan France. This study aimed to compare the relative survival of patients with invasive breast cancer (IBC) between women from French Guiana and metropolitan France and to determine risk factors influencing breast cancer survival in French Guiana. Data were collected from the Cancer Registry of French Guiana. We compared the relative survival of women with IBC between French Guiana and metropolitan France. We used the Cox proportional hazard regression to evaluate the effect of prognostic factors on cancer-specific mortality in French Guiana. We included all 269 cases of IBC in women diagnosed in French Guiana between 2003 and 2009. The overall 5-year relative survival rate of patients with IBC was 79% in French Guiana and 86% in metropolitan France. The place of birth (foreign country vs. French territory), the tumor stage at the time of diagnosis, the mode of diagnosis (symptoms vs. screening), the presence of hormone receptors in the tumor, and the histologic type were the variables associated with survival differences. None of the other study variables were significantly associated with prognosis. Access to care for migrants is challenging, which leads to health inequalities. Early detection through prevention programs is crucial to increase IBC survival, notably for foreign-born patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Causes and consequences of rural-urban migration: The case of Juba Metropolitan, Republic of South Sudan

    NASA Astrophysics Data System (ADS)

    Babi Moses, Lomoro Alfred; Guogping, Xiong; Celestino Ladu John, Leju

    2017-08-01

    Migration is the movement of people from one ecological region to another; it may be on temporary or permanent basis. This research studies focused on the causes and consequences of rural-urban migration in Juba Metropolitan, Republic of South Sudan as a case study. The stratified random sampling method on the basis of existing payam (districts) was used to divide the study area into three zones of Juba, Kator and Munuku. Data were generated through primary and secondary sources. The data generated were analyzed using SPSS. The findings of the study show that Munuki payam covers most of the migrants. The study also reveals that males migrate more than the females in Juba and migration is high within the age cohorts of 30-39 years and 40-49 years old. Furthermore, the study revealed that the propensity to migrate is directly related to educational attainment. It can be inferred from the findings of the study that the majority of migrants in Juba Metropolitan migrated in search of employment while others migrated to continue their education while others migrated in search for basic amenities, to join relatives and get married. This means, until the imbalance or disparity in socio-economic development between the rural and urban areas are removed, no amount of persuasion or force can put a stop to rural-urban migration and its’ multiplying effects in Juba Metropolitan, Republic of South Sudan.

  7. [A case of donovanosis acquired in France].

    PubMed

    Okhremchuk, I; Marmottant, E; Abed, S; Nguyen, A-T; Fournier, B; Boye, T; Morand, J-J

    2016-11-01

    Donovanosis (granuloma inguinale) is a bacterial infection caused by Klebsiella granulomatis that occurs mainly in the genital area and is primarily sexually transmitted; it is seen predominantly in the tropics. Herein, we report a case of the disease contracted in metropolitan France. A 47-year-old man presented with painless ulceration of the glans, present for one month, with progressive extension; there was no history of any recent trip abroad. Skin biopsy with Whartin-Starry and Giemsa staining revealed Donovan bodies in the cytoplasm of macrophages. Based on these findings, further questioning of the patient revealed unprotected sexual contact two months earlier in France. Treatment was initiated with azithromycin 1g on the first day followed by 500mg per day for three weeks. The clinical outcome was spectacular, with almost complete regression of the ulcer at 7 days. This case demonstrates that donovanosis can occur in metropolitan France. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  8. Benzene Case Study Final Report - Second Prospective Report Study Science Advisory Board Review, July 2009

    EPA Pesticide Factsheets

    EPA developed a methodology for estimating the health benefits of benzene reductions and has applied it in a metropolitan-scale case study of the benefits of CAA controls on benzene emissions to accompany the main 812 analysis.

  9. Draft Benzene Case Study Review - Second Prospective Report Study Science Advisory Board Review, March 2008

    EPA Pesticide Factsheets

    EPA developed a methodology for estimating the health benefits of benzene reductions and has applied it in a metropolitan-scale case study of the benefits of CAA controls on benzene emissions to accompany the main 812 analysis.

  10. Worker Dislocation. Case Studies of Causes and Cures.

    ERIC Educational Resources Information Center

    Cook, Robert F., Ed.

    Case studies were made of the following dislocated worker programs: Cummins Engine Company Dislocated Worker Project; GM-UAW Metropolitan Pontiac Retraining and Employment Program; Minnesota Iron Range Dislocated Worker Project; Missouri Dislocated Worker Program Job Search Assistance, Inc.; Hillsborough, North Carolina, Dislocated Worker Project;…

  11. Improving air quality in megacities: Mexico City case study.

    PubMed

    Molina, Luisa T; Molina, Mario J

    2004-06-01

    The development and effective implementation of solutions to the air pollution problems in the Mexico City Metropolitan Area is essential to guarantee the health and welfare of its inhabitants. To achieve this, it is essential to have the active and informed participation of the civil society, the academic community, the private sector, and the government, because dealing with pollution requires the use of different strategies in multiple fields of action. The Mexico City case study brings together health, transportation, administration, and many other interdisciplinary approaches to understanding and defeating air pollution. Although focused on the Mexico City area, the work conducted under this case study has significance for developing nations generally. Although policies to reduce air pollution should be based on the best available scientific knowledge, political will and capacity must transform this knowledge into action. This case study has developed a series of recommendations emphasizing the interaction between different disciplines that have provided the foundation for the 10-year air quality management program prepared by the Mexican Metropolitan Environmental Commission.

  12. Environmental and cost life cycle assessment of disinfection options for municipal wastewater treatment

    EPA Science Inventory

    This document summarizes the data collection, analysis, and results for a base case wastewater treatment (WWT) plant reference model. The base case is modeled after the Metropolitan Sewer District of Greater Cincinnati (MSDGC) Mill Creek Plant. The plant has an activated sludge s...

  13. What Matters to Career K-12 Educators

    ERIC Educational Resources Information Center

    Harris, Mary M.

    2014-01-01

    Case studies about issues arising from education policy were written between 2003 and 2011 by doctoral candidates in Curriculum and Instruction who were career K-12 educators. Literary analysis was employed in grouping 57 case studies, which described primarily situations that occurred in school districts in one large metropolitan area, by topic…

  14. Vocational rehabilitation case manager factors associated with vocational rehabilitation service program outcomes for people with disabilities in Taiwan - an exploratory study.

    PubMed

    Wang, Yun-Tung; Lin, Yi-Jiun

    2017-02-01

    Purpose The aim of this study is to explore whether/which vocational rehabilitation case manager (VRCMer) factors were significantly associated with the vocational rehabilitation service (VRS) program outcomes in Taiwan. Method This study used the 2011 VRS Program for People with Disabilities Database in a metropolitan city in Taiwan (N = 466) to do a secondary data analysis using hierarchical logistic regression. Results This study found that the employment rate and stable employment rate created by the 2011 VRS program in a metropolitan city in Taiwan were 48.7% and 42.1%, respectively. For the predictors of employment/stable employment, "occurrences of the services provided by the VRCMer" variable was definitely dominant. In addition, "level of the disability" was the second-ranking predictor, and was significantly negatively correlated with both employment and stable employment outcomes. Conclusions Vocational rehabilitation case manager factors in this study were significantly correlated with VRS program outcomes for people with disabilities in Taiwan after controlling for the clients' socio-demographic variables. The results indicate that greater input by VRCMers for people with disabilities equates to better employment outcomes in metropolitan Taiwan. Implications for Rehabilitation This is the first study to build an inferential statistical model in attempt to explain and predict the association between vocational rehabilitation case manager factors and vocational rehabilitation service program outcomes for people with disabilities in Taiwan. In cases of severe disability, a vocational rehabilitation case manager should seek out more in-kind and in-cash resources, and choose a suitable job coach to cooperate in assisting the client to become employed. Based on the findings, government has to continue implementing opportunities for people with disabilities to attain higher and better quality educational levels, for increasing their employment rate. Vocational rehabilitation case managers should raise the referral rate and cooperation with job coaches as this directly affects the quality of services and clients' employment rate.

  15. Factors influencing the prosecution of child physical abuse cases in a Swedish metropolitan area.

    PubMed

    Otterman, Gabriel; Lainpelto, Katrin; Lindblad, Frank

    2013-12-01

    To examine whether case characteristics of alleged child physical abuse, such as severity, influence criminal investigation procedures and judicial outcomes. We identified all police-reported cases of nonfatal child physical abuse during 2006 in a Swedish metropolitan area (n = 158). Case characteristics were abstracted from police records. Over half (56%) of the victims were boys, and the median age group was 9-12 years. The severity of the alleged violence was low in 8% of cases, moderate in 51% and high in 41%. Suspects were interviewed in 53% of cases, with fathers more likely to be interviewed than mothers. Children were forensically interviewed in 52% of cases, with 9% physically examined by a clinician and 2.5% by a forensic specialist. Seven per cent of the cases were prosecuted and 1.3% resulted in summary punishment. We found no association between severity of alleged abuse and whether the suspect was interviewed, the child was forensically interviewed or physically examined or whether the perpetrator was prosecuted. Despite the high severity of alleged violence, physical examination rates were low, suggesting a need for criminal investigative procedures on child physical abuse to be reviewed in Sweden. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  16. Inter-City Virtual Water Transfers Within a Large Metropolitan Area: A Case Study of the Phoenix Metropolitan Area in the United States

    NASA Astrophysics Data System (ADS)

    Rushforth, R.; Ruddell, B. L.

    2014-12-01

    Water footprints have been proposed as potential sustainability indicators, but these analyses have thus far focused at the country-level or regional scale. However, for many countries, especially the United States, the most relevant level of water decision-making is the city. For water footprinting to inform urban sustainability, the boundaries for analysis must match the relevant boundaries for decision-making and economic development. Initial studies into city-level water footprints have provided insight into how large cities across the globe—Delhi, Lagos, Berlin, Beijing, York—create virtual water trade linkages with distant hinterlands. This study hypothesizes that for large cities the most direct and manageable virtual water flows exist at the metropolitan area scale and thus should provide the most policy-relevant information. This study represents an initial attempt at quantifying intra-metropolitan area virtual water flows. A modified commodity-by-industry input-output model was used to determine virtual water flows destined to, occurring within, and emanating from the Phoenix metropolitan area (PMA). Virtual water flows to and from the PMA were calculated for each PMA city using water consumption data as well as economic and industry statistics. Intra-PMA virtual water trade was determined using county-level traffic flow data, water consumption data, and economic and industry statistics. The findings show that there are archetypal cities within metropolitan areas and that each type of city has a distinct water footprint profile that is related to the value added economic processes occuring within their boundaries. These findings can be used to inform local water managers about the resilience of outsourced water supplies.

  17. Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas - United States.

    PubMed

    Mack, Karin A; Jones, Christopher M; Ballesteros, Michael F

    2017-10-20

    Drug overdoses are a leading cause of injury death in the United States, resulting in approximately 52,000 deaths in 2015. Understanding differences in illicit drug use, illicit drug use disorders, and overall drug overdose deaths in metropolitan and nonmetropolitan areas is important for informing public health programs, interventions, and policies. Illicit drug use and drug use disorders during 2003-2014, and drug overdose deaths during 1999-2015. The National Survey of Drug Use and Health (NSDUH) collects information through face-to-face household interviews about the use of illicit drugs, alcohol, and tobacco among the U.S. noninstitutionalized civilian population aged ≥12 years. Respondents include residents of households and noninstitutional group quarters (e.g., shelters, rooming houses, dormitories, migratory workers' camps, and halfway houses) and civilians living on military bases. NSDUH variables include sex, age, race/ethnicity, residence (metropolitan/nonmetropolitan), annual household income, self-reported drug use, and drug use disorders. National Vital Statistics System Mortality (NVSS-M) data for U.S. residents include information from death certificates filed in the 50 states and the District of Columbia. Cases were selected with an underlying cause of death based on the ICD-10 codes for drug overdoses (X40-X44, X60-X64, X85, and Y10-Y14). NVSS-M variables include decedent characteristics (sex, age, and race/ethnicity) and information on intent (unintentional, suicide, homicide, or undetermined), location of death (medical facility, in a home, or other [including nursing homes, hospices, unknown, and other locations]) and county of residence (metropolitan/nonmetropolitan). Metropolitan/nonmetropolitan status is assigned independently in each data system. NSDUH uses a three-category system: Core Based Statistical Area (CBSA) of ≥1 million persons; CBSA of <1 million persons; and not a CBSA, which for simplicity were labeled large metropolitan, small metropolitan, and nonmetropolitan. Deaths from NVSS-M are categorized by the county of residence of the decedent using CDC's National Center for Health Statistics 2013 Urban-Rural Classification Scheme, collapsed into two categories (metropolitan and nonmetropolitan). Although both metropolitan and nonmetropolitan areas experienced significant increases from 2003-2005 to 2012-2014 in self-reported past-month use of illicit drugs, the prevalence was highest for the large metropolitan areas compared with small metropolitan or nonmetropolitan areas throughout the study period. Notably, past-month use of illicit drugs declined over the study period for the youngest respondents (aged 12-17 years). The prevalence of past-year illicit drug use disorders among persons using illicit drugs in the past year varied by metropolitan/nonmetropolitan status and changed over time. Across both metropolitan and nonmetropolitan areas, the prevalence of past-year illicit drug use disorders declined during 2003-2014. In 2015, approximately six times as many drug overdose deaths occurred in metropolitan areas than occurred in nonmetropolitan areas (metropolitan: 45,059; nonmetropolitan: 7,345). Drug overdose death rates (per 100,000 population) for metropolitan areas were higher than in nonmetropolitan areas in 1999 (6.4 versus 4.0), however, the rates converged in 2004, and by 2015, the nonmetropolitan rate (17.0) was slightly higher than the metropolitan rate (16.2). Drug use and subsequent overdoses continue to be a critical and complicated public health challenge across metropolitan/nonmetropolitan areas. The decline in illicit drug use by youth and the lower prevalence of illicit drug use disorders in rural areas during 2012-2014 are encouraging signs. However, the increasing rate of drug overdose deaths in rural areas, which surpassed rates in urban areas, is cause for concern. Understanding the differences between metropolitan and nonmetropolitan areas in drug use, drug use disorders, and drug overdose deaths can help public health professionals to identify, monitor, and prioritize responses. Consideration of where persons live and where they die from overdose could enhance specific overdose prevention interventions, such as training on naloxone administration or rescue breathing. Educating prescribers on CDC's guideline for prescribing opioids for chronic pain (Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain-United States, 2016. MMWR Recomm Rep 2016;66[No. RR-1]) and facilitating better access to medication-assisted treatment with methadone, buprenorphine, or naltrexone could benefit communities with high opioid use disorder rates.

  18. K-5 Student Experiences in a Dance Residency: A Case Study

    ERIC Educational Resources Information Center

    Leonard, Alison E.; McShane-Hellenbrand, Karen

    2012-01-01

    In this article, the collaborating authors, a researcher and dance artist, confront assumptions surrounding dance's experiential nature and assessment in schools. Presenting findings from a qualitative case study assessment of a three-week, whole-school dance artist-in-residence at a diverse and inclusive metropolitan K-5 school, the authors focus…

  19. Case Study Application of Determining End of Physical Life Using Survival Analysis (WERF Report INFR2R11b)

    EPA Science Inventory

    Abstract: This case study application provides discussion on a selected application of advanced concepts, included in the End of Asset Life Reinvestment decision-making process tool, using Milwaukee Metropolitan Sewer District (MMSD) pump and motor data sets. The tool provides s...

  20. Moral Rudders and Superintendent Values

    ERIC Educational Resources Information Center

    Kidder, Rushworth M.

    2008-01-01

    The core challenge is this--a difficult ethical decision, where values are in play and both sides have powerful moral arguments in their favor. One case presented in this article outlines a dilemma faced by one teacher who became a superintendent herself. The case exploded dramatically in a midsize metropolitan school district, where a principal…

  1. How Supplemental Instruction Benefits Faculty, Administration, and Institutions

    ERIC Educational Resources Information Center

    Zerger, Sandra; Clark-Unite, Cathy; Smith, Liesl

    2006-01-01

    This chapter offers a case study of the Nelson Mandela Metropolitan University, South Africa, where SI has acted as more than a student academic development program by also addressing faculty and curriculum development.

  2. Advocating for active living on the rural-urban fringe: a case study of planning in the Portland, Oregon, metropolitan area.

    PubMed

    Adler, Sy; Dobson, Noelle; Fox, Karen Perl; Weigand, Lynn

    2008-06-01

    This case study is about the politics of incorporating active-living elements into a concept plan for a new community of about 68,000 people on the edge of the Portland, Oregon, metropolitan area. Development on the rural-urban fringe is ongoing in metropolitan areas around the United States. In this article, we evaluate the product of the concept-planning process from the standpoint of the extent to which environmental elements conducive to active living were included. We also analyze four issues in which challenges to the incorporation of active-living features surfaced: choices related to transportation facilities, the design and location of retail stores, the location of schools and parks, and the location of a new town center. Overall, the Damascus/Boring Concept Plan positions the area well to promote active living. Analyses of the challenges that emerged yielded lessons for advocates regarding ways to deal with conflicts between facilitating active living and local economic development and related tax-base concerns and between active-living elements and school-district planning autonomy as well as the need for advocates to have the capacity to present alternatives to the usual financial and design approaches taken by private- and public-sector investors.

  3. Financially Constrained Transportation Planning and Programming Process

    DOT National Transportation Integrated Search

    1997-03-01

    This case study report is intended to provide metropolitan planning organizations (MPOs), state departments of transportation and transit agencies with a greater understanding of the important role that financial information plays in the planning and...

  4. Improving intermodal connectivity in rural areas to enhance transportation efficiency : a case study.

    DOT National Transportation Integrated Search

    2011-05-01

    Congested roadways in Texas metropolitan centers are important arteries for transporting : agricultural commodities into domestic and international markets. Truck transportation of these : commodities contributes to the observed congestion and del...

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

    PubMed

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

    2017-04-01

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

  6. 1997 federal highway cost allocation study : final report

    DOT National Transportation Integrated Search

    2009-10-01

    The purpose of this case study report is to examine the ways in which metropolitan planning organizations (MPOs) and State Departments of Transportation (DOTs) have responded to Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Lega...

  7. High occupancy vehicle project case studies : historical trends and project experiences

    DOT National Transportation Integrated Search

    1992-08-01

    High-occupancy vehicle (HOV) facilities represent one approach being used in many metropolitan areas today to respond to increasing traffic congestion, declining mobility levels, air quality and environmental concerns, and limited resources. HOV faci...

  8. National Ridesharing Demonstration Program : Regional Rideshare Promotion in North Carolina

    DOT National Transportation Integrated Search

    1985-09-01

    This case study reports on a multi-jurisdictional ridesharing program centered in the Piedmont Crescent area of North Carolina, funded under the National Ridesharing Demonstration Program. The Crescent encompasses three metropolitan areas: the Triang...

  9. Extraboard performance : TriMet case study.

    DOT National Transportation Integrated Search

    2012-02-01

    This paper examines extraboard operations and management at TriMet, the transit provider for the Portland Oregon metropolitan area. The : extraboard consists of a pool of operators who fill open work resulting from absences and other causes. The pape...

  10. Service distribution and models of rural outreach by specialist doctors in Australia: a national cross-sectional study.

    PubMed

    O'Sullivan, Belinda G; McGrail, Matthew R; Joyce, Catherine M; Stoelwinder, Johannes

    2016-06-01

    Objective This paper describes the service distribution and models of rural outreach by specialist doctors living in metropolitan or rural locations. Methods The present study was a national cross-sectional study of 902 specialist doctors providing 1401 rural outreach services in the Medicine in Australia: Balancing Employment and Life study, 2008. Five mutually exclusive models of rural outreach were studied. Results Nearly half of the outreach services (585/1401; 42%) were provided to outer regional or remote locations, most (58%) by metropolitan specialists. The most common model of outreach was drive-in, drive-out (379/902; 42%). In comparison, metropolitan-based specialists were less likely to provide hub-and-spoke models of service (odd ratio (OR) 0.31; 95% confidence interval (CI) 0.21-0.46) and more likely to provide fly-in, fly-out models of service (OR 4.15; 95% CI 2.32-7.42). The distance travelled by metropolitan specialists was not affected by working in the public or private sector. However, rural-based specialists were more likely to provide services to nearby towns if they worked privately. Conclusions Service distribution and models of outreach vary according to where specialists live as well as the practice sector of rural specialists. Multilevel policy and planning is needed to manage the risks and benefits of different service patterns by metropolitan and rural specialists so as to promote integrated and accessible services. What is known about this topic? There are numerous case studies describing outreach by specialist doctors. However, there is no systematic evidence describing the distribution of rural outreach services and models of outreach by specialists living in different locations and the broad-level factors that affect this. What does this paper add? The present study provides the first description of outreach service distribution and models of rural outreach by specialist doctors living in rural versus metropolitan areas. It shows that metropolitan and rural-based specialists have different levels of service reach and provide outreach through different models. Further, the paper highlights that practice sector has no effect on metropolitan specialists, but private rural specialists limit their travel distance. What are the implications for practitioners? The complexity of these patterns highlights the need for multilevel policy and planning approaches to promote integrated and accessible outreach in rural and remote Australia.

  11. [Clinical management of child and adolescent psychiatric emergencies in patients with substance abuse disorders].

    PubMed

    Coronel, Pablo A

    2017-01-01

    This paper addresses the problem of substance abuse disorders in child and adolescent patients within its frequent psychiatric emergency setting. It describes the clinical features that defne the high complexity of these cases, the current state of knowledge regarding clinical management of child and adolescent psychiatric emergencies in patients with substance abuse disorders, and the available treatment strategies in the metropolitan area of Buenos Aires, Argentina. Finally, this article delves into the existence of a metropolitan addiction treatment network, its community outreach and the obstacles it has to conquer in order to attain the international standards for the treatment of substance abuse disorders.

  12. Green Urbanism for the Greener Future of Metropolitan Areas

    NASA Astrophysics Data System (ADS)

    Zaręba, Anna; Krzemińska, Alicja; Widawski, Krzysztof

    2016-10-01

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

  13. Urbanisation and incidence of acute lymphocytic leukaemia among United States children aged 0–4

    PubMed Central

    Adelman, A S; McLaughlin, C C; Wu, X-C; Chen, V W; Groves, F D

    2005-01-01

    Acute lymphocytic leukaemia (ALL) incidence among children under 5 years of age was examined, utilising data from 24 United States cancer registries. County-based incidence rates among white children were compared across four levels of urbanisation: large and small metropolitan counties, and adjacent and nonadjacent rural counties. In metropolitan areas, the incidence of ALL was lower among blacks (rate ratio (RR)=0.38, confidence interval (CI)=0.33–0.44) and among Asians/Pacific Islanders (RR=0.78, CI=0.63–0.97) than among whites. Among white children, the incidence of ALL decreased across the four strata of urbanisation, from 67 to 62 to 65 to 54 cases per million person-years at-risk (two-sided trend P=0.009), such that rates were significantly lower in the most remote rural counties than in the most populous metropolitan counties (RR=0.80, 95% CI=0.70–0.91). PMID:15886703

  14. Racial/ethnic variations in the prevalence of selected major birth defects, metropolitan Atlanta, 1994-2005.

    PubMed

    Kucik, James E; Alverson, Clinton J; Gilboa, Suzanne M; Correa, Adolfo

    2012-01-01

    Birth defects are the leading cause of infant mortality and are responsible for substantial child and adult morbidity. Documenting the variation in prevalence of birth defects among racial/ethnic subpopulations is critical for assessing possible variations in diagnosis, case ascertainment, or risk factors among such groups. We used data from the Metropolitan Atlanta Congenital Defects Program, a population-based birth defects registry with active case ascertainment. We estimated the racial/ethnic variation in prevalence of 46 selected major birth defects among live births, stillbirths, and pregnancy terminations at >20 weeks gestation among mothers residing in the five central counties of metropolitan Atlanta between 1994 and 2005, adjusting for infant sex, maternal age, gravidity, and socioeconomic status (SES). We also explored SES as a potential effect measure modifier. Compared with births to non-Hispanic white women, births to non-Hispanic black women had a significantly higher prevalence of five birth defects and a significantly lower prevalence of 10 birth defects, while births to Hispanic women had a significantly higher prevalence of four birth defects and a significantly lower prevalence of six birth defects. The racial/ethnic disparities in the prevalence of some defects varied by SES, but no clear pattern emerged. Racial/ethnic disparities were suggested in 57% of included birth defects. Disparities in the prevalence of birth defects may result from different underlying genetic susceptibilities; exposure to risk factors; or variability in case diagnosis, ascertainment, or reporting among the subpopulations examined. Policies that improve early diagnosis of birth defects could reduce associated morbidity and mortality.

  15. Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States

    PubMed Central

    Jones, Christopher M.; Ballesteros, Michael F.

    2017-01-01

    Problem/Condition Drug overdoses are a leading cause of injury death in the United States, resulting in approximately 52,000 deaths in 2015. Understanding differences in illicit drug use, illicit drug use disorders, and overall drug overdose deaths in metropolitan and nonmetropolitan areas is important for informing public health programs, interventions, and policies. Reporting Period Illicit drug use and drug use disorders during 2003–2014, and drug overdose deaths during 1999–2015. Description of Data The National Survey of Drug Use and Health (NSDUH) collects information through face-to-face household interviews about the use of illicit drugs, alcohol, and tobacco among the U.S. noninstitutionalized civilian population aged ≥12 years. Respondents include residents of households and noninstitutional group quarters (e.g., shelters, rooming houses, dormitories, migratory workers’ camps, and halfway houses) and civilians living on military bases. NSDUH variables include sex, age, race/ethnicity, residence (metropolitan/nonmetropolitan), annual household income, self-reported drug use, and drug use disorders. National Vital Statistics System Mortality (NVSS-M) data for U.S. residents include information from death certificates filed in the 50 states and the District of Columbia. Cases were selected with an underlying cause of death based on the ICD-10 codes for drug overdoses (X40–X44, X60–X64, X85, and Y10–Y14). NVSS-M variables include decedent characteristics (sex, age, and race/ethnicity) and information on intent (unintentional, suicide, homicide, or undetermined), location of death (medical facility, in a home, or other [including nursing homes, hospices, unknown, and other locations]) and county of residence (metropolitan/nonmetropolitan). Metropolitan/nonmetropolitan status is assigned independently in each data system. NSDUH uses a three-category system: Core Based Statistical Area (CBSA) of ≥1 million persons; CBSA of <1 million persons; and not a CBSA, which for simplicity were labeled large metropolitan, small metropolitan, and nonmetropolitan. Deaths from NVSS-M are categorized by the county of residence of the decedent using CDC’s National Center for Health Statistics 2013 Urban-Rural Classification Scheme, collapsed into two categories (metropolitan and nonmetropolitan). Results Although both metropolitan and nonmetropolitan areas experienced significant increases from 2003–2005 to 2012–2014 in self-reported past-month use of illicit drugs, the prevalence was highest for the large metropolitan areas compared with small metropolitan or nonmetropolitan areas throughout the study period. Notably, past-month use of illicit drugs declined over the study period for the youngest respondents (aged 12–17 years). The prevalence of past-year illicit drug use disorders among persons using illicit drugs in the past year varied by metropolitan/nonmetropolitan status and changed over time. Across both metropolitan and nonmetropolitan areas, the prevalence of past-year illicit drug use disorders declined during 2003–2014. In 2015, approximately six times as many drug overdose deaths occurred in metropolitan areas than occurred in nonmetropolitan areas (metropolitan: 45,059; nonmetropolitan: 7,345). Drug overdose death rates (per 100,000 population) for metropolitan areas were higher than in nonmetropolitan areas in 1999 (6.4 versus 4.0), however, the rates converged in 2004, and by 2015, the nonmetropolitan rate (17.0) was slightly higher than the metropolitan rate (16.2). Interpretation Drug use and subsequent overdoses continue to be a critical and complicated public health challenge across metropolitan/nonmetropolitan areas. The decline in illicit drug use by youth and the lower prevalence of illicit drug use disorders in rural areas during 2012–2014 are encouraging signs. However, the increasing rate of drug overdose deaths in rural areas, which surpassed rates in urban areas, is cause for concern. Public Health Actions Understanding the differences between metropolitan and nonmetropolitan areas in drug use, drug use disorders, and drug overdose deaths can help public health professionals to identify, monitor, and prioritize responses. Consideration of where persons live and where they die from overdose could enhance specific overdose prevention interventions, such as training on naloxone administration or rescue breathing. Educating prescribers on CDC’s guideline for prescribing opioids for chronic pain (Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain—United States, 2016. MMWR Recomm Rep 2016;66[No. RR-1]) and facilitating better access to medication-assisted treatment with methadone, buprenorphine, or naltrexone could benefit communities with high opioid use disorder rates. PMID:29049278

  16. Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas-United States.

    PubMed

    Mack, Karin A; Jones, Christopher M; Ballesteros, Michael F

    2017-12-01

    Drug overdoses are a leading cause of injury death in the United States, resulting in approximately 52,000 deaths in 2015. Understanding differences in illicit drug use, illicit drug use disorders, and overall drug overdose deaths in metropolitan and nonmetropolitan areas is important for informing public health programs, interventions, and policies. Illicit drug use and drug use disorders during 2003-2014, and drug overdose deaths during 1999-2015. The National Survey of Drug Use and Health (NSDUH) collects information through face-to-face household interviews about the use of illicit drugs, alcohol, and tobacco among the U.S. noninstitutionalized civilian population aged ≥12 years. Respondents include residents of households and noninstitutional group quarters (e.g., shelters, rooming houses, dormitories, migratory workers' camps, and halfway houses) and civilians living on military bases. NSDUH variables include sex, age, race/ethnicity, residence (metropolitan/nonmetropolitan), annual household income, self-reported drug use, and drug use disorders. National Vital Statistics System Mortality (NVSS-M) data for U.S. residents include information from death certificates filed in the 50 states and the District of Columbia. Cases were selected with an underlying cause of death based on the ICD-10 codes for drug overdoses (X40-X44, X60-X64, X85, and Y10-Y14). NVSS-M variables include decedent characteristics (sex, age, and race/ethnicity) and information on intent (unintentional, suicide, homicide, or undetermined), location of death (medical facility, in a home, or other [including nursing homes, hospices, unknown, and other locations]) and county of residence (metropolitan/nonmetropolitan). Metropolitan/nonmetropolitan status is assigned independently in each data system. NSDUH uses a three-category system: Core Based Statistical Area (CBSA) of ≥1 million persons; CBSA of <1 million persons; and not a CBSA, which for simplicity were labeled large metropolitan, small metropolitan, and nonmetropolitan. Deaths from NVSS-M are categorized by the county of residence of the decedent using CDC's National Center for Health Statistics 2013 Urban-Rural Classification Scheme, collapsed into two categories (metropolitan and nonmetropolitan). Although both metropolitan and nonmetropolitan areas experienced significant increases from 2003-2005 to 2012-2014 in self-reported past-month use of illicit drugs, the prevalence was highest for the large metropolitan areas compared with small metropolitan or nonmetropolitan areas throughout the study period. Notably, past-month use of illicit drugs declined over the study period for the youngest respondents (aged 12-17 years). The prevalence of past-year illicit drug use disorders among persons using illicit drugs in the past year varied by metropolitan/nonmetropolitan status and changed over time. Across both metropolitan and nonmetropolitan areas, the prevalence of past-year illicit drug use disorders declined during 2003-2014. In 2015, approximately six times as many drug overdose deaths occurred in metropolitan areas than occurred in nonmetropolitan areas (metropolitan: 45,059; nonmetropolitan: 7,345). Drug overdose death rates (per 100,000 population) for metropolitan areas were higher than in nonmetropolitan areas in 1999 (6.4 versus 4.0), however, the rates converged in 2004, and by 2015, the nonmetropolitan rate (17.0) was slightly higher than the metropolitan rate (16.2). Drug use and subsequent overdoses continue to be a critical and complicated public health challenge across metropolitan/nonmetropolitan areas. The decline in illicit drug use by youth and the lower prevalence of illicit drug use disorders in rural areas during 2012-2014 are encouraging signs. However, the increasing rate of drug overdose deaths in rural areas, which surpassed rates in urban areas, is cause for concern. Understanding the differences between metropolitan and nonmetropolitan areas in drug use, drug use disorders, and drug overdose deaths can help public health professionals to identify, monitor, and prioritize responses. Consideration of where persons live and where they die from overdose could enhance specific overdose prevention interventions, such as training on naloxone administration or rescue breathing. Educating prescribers on CDC's guideline for prescribing opioids for chronic pain (Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain-United States, 2016. MMWR Recomm Rep 2016;66[No. RR-1]) and facilitating better access to medication-assisted treatment with methadone, buprenorphine, or naltrexone could benefit communities with high opioid use disorder rates. © 2017 The American Society of Transplantation and the American Society of Transplant Surgeons.

  17. MIS Case Study: I-94 Rehabilitation Project - Detroit, Michigan.

    DOT National Transportation Integrated Search

    1997-01-01

    ISTEA includes specific requirements for inclusion in studies of Major Investment Projects in Metropolitan Planning Areas. The State of Michigan initiated a Major Investment Study (MIS) in October 1994 for the redesign and reconstruction of a 7 mile ...

  18. Recruiting Highly Qualified African American Teachers in American Urban Public Schools: A Qualitative Collective Case Study

    ERIC Educational Resources Information Center

    James, LaNora Marcell

    2011-01-01

    The purpose of the qualitative collective case study is to identify the weaknesses in the methods used to recruit highly qualified African American preservice teachers in the Washington, DC metropolitan area. The data collection process consisted of one-on-one, open-ended interview questions with 10 highly qualified African American public school…

  19. Atlanta NAVIGATOR case study. Final report, May 1996--Jun 1997

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Amodei, R.; Bard, E.; Brong, B.

    1998-11-01

    The Atlanta metropolitan region was the location of one of the most ambitious Intelligent Transportation Systems (ITS) deployments in the United States. This deployment included several individual projects--a Central Transportation Management Center (TMC), six Traffic Control Centers (TCC), one Transit Information Center (TIC), the Travel Information Showcase (TIS), and the extension of the Metropolitan Atlanta Rapid Transit Authority (MARTA) rail network and the new high-occupancy vehicle (HOV) lanes on I-85 and I-75. The Atlanta Centennial Olympic Games and Paralympic Games created a focus for these projects. All of these systems were to be brought on line in time for themore » Olympic Games. This report presents the findings of the NAVIGATOR Case Study and documents the lessons learned from the Atlanta ITS deployment experience in order to improve other ITS deployments in the future. The Case Study focuses on the institutional, programmatic, and technical issues and opportunities from planning and implementing the ITS deployment in Atlanta. The Case Study collected data and information from interviews, observations, focus groups, and documentation reviews. It presents a series of lessons learned and recommendations for enabling successful ITS deployments nationwide.« less

  20. Metropolitan Forensic Anthropology Team (MFAT) studies in identification: 1. Race and sex assessment by discriminant function analysis of the postcranial skeleton.

    PubMed

    Taylor, J V; DiBennardo, R; Linares, G H; Goldman, A D; DeForest, P R

    1984-07-01

    A case study is presented to demonstrate the utility of the team approach to the identification of human remains, and to illustrate a methodological innovation developed by MFAT. Case 1 represents the first of several planned case studies, each designed to present new methodological solutions to standard problems in identification. The present case describes a test, by application, of race and sex assessment of the postcranial skeleton by discriminant function analysis.

  1. Tokyo Metropolitan Earthquake Preparedness Project - A Progress Report

    NASA Astrophysics Data System (ADS)

    Hayashi, H.

    2010-12-01

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

  2. Diarrheal diseases and hospitalization of children under five years of age according to population-based surveys in the State of Pernambuco, Brazil, in the years 1997 and 2006.

    PubMed

    Vasconcelos, Maria Josemere Oliveira Borba; Rissin, Anete; Figueiroa, José Natal; Lira, Pedro Israel Cabral de; Batista Filho, Malaquias

    2018-03-01

    The scope of this paper was to assess the temporal and geographical trends of diarrhea and its implications on the demands of hospitalizations of children under five years of age in the state of Pernambuco in 1997 and 2006. Databases of two population-based surveys were assessed with probabilistic samples of 2078 children (1997) and 1650 children (2006) evaluated in 18 municipalities of Pernambuco, including the Metropolitan Region of Recife, Urban Interior and Rural Interior. Prevalence was considered to involve the occurrence of cases on the day or in the two weeks prior to the interview and as admissions, service cases with minimal hospital stay of 24 hours in the period, covering up to one year before the interview. The prevalence of diarrhea in Pernambuco had a statistically non-significant decline (19.8% to 18.1%; p = 0.192). However, a statistically-significant reduction was observed (16.9% to 10.5%; p = 0.003) in the Metropolitan Region of Recife. The number of admissions increased by more than double (2.7% to 5.5% in the State and from 1.6% to 3.8% within the Metropolitan Region of Recife), in contrast with national trends. Therefore, diarrhea in the State appears as the main component of the demands of pediatric hospitalizations during the period under scrutiny.

  3. Trip internalization and mixed-use development : a case study of Austin Texas.

    DOT National Transportation Integrated Search

    2009-12-01

    The Capital Area Metropolitan Planning Organization (CAMPO) in the Austin, TX region is incorporating : a new regional growth concept, the Activity Centers for its Long-Range Transportation Plan. The planned : Activity Centers would present such feat...

  4. Collaboration of hospital case managers and home care liaisons when transitioning patients.

    PubMed

    Kelly, Margaret M; Penney, Erika D

    2011-01-01

    Hospital case managers frequently collaborate with home care liaisons when coordinating special discharge plans. This article focuses on the collaborative relationship between the hospital case manager and on-site liaison whose primary role centers around care coordination and patient teaching. Ineffective collaboration between hospital case managers and these clinical on-site liaisons can lead to serious lapses in care and services for patients, families, and the health care team when transitioning from hospital to home care. In a review of literature, little detail was found about the collaborative practice between hospital case managers and home care liaisons. This article discusses how collegiality, collaboration, and role clarification between hospital case managers and on-site home care liaisons can improve coordination of care and services for patients and their families in the transition from hospital to home care. Included is a set of guidelines developed by case managers at a major metropolitan acute care hospital to inform and improve their practice with home care liaisons. The authors are nursing case managers who practice in a major metropolitan teaching hospital. They met by telephone and in person with case managers from 3 metropolitan medical centers as well as on-site liaisons from 2 skilled nursing facilities and 5 home care agencies to develop practice recommendations for their department regarding work with home care liaisons. Conversations between hospital case managers and on-site home care liaisons revealed that all had experiences in which suboptimal collaboration negatively impacted home care coordination for patients and their families. Furthermore, outcomes in similar patient scenarios varied widely based on the individual practices of the case managers and liaisons involved in discharge coordination. Multiple issues were discussed, including blurred role and responsibility delineations, variations in communication styles and practices, and different levels of experience and training. Consensus regarding the implementation of the hospital's guidelines was achieved through a series of discussions within the workgroup in developing practice guidelines. Multiple revisions and secondary reviews by colleagues and directors took place before the guidelines were accepted and implemented. Recommendations for improving collaboration with liaisons included (1) taking time to become familiar with one another's practices and backgrounds; (2) ensuring clear discussions of roles, responsibilities, and expectations with liaisons related to individual cases and organizational requirements and limitations; (3) providing time and forums for ongoing communication and follow-up; and (4) recognizing that responsibility for certain aspects of the discharge planning process may be shared but that the case manager, in partnership with the multidisciplinary team, is ultimately accountable for the effectiveness and outcomes of the discharge plan.

  5. A Qualitative Exploration of Multiple Case Studies of the Perception of School Social Workers Concerning Their Roles in Public Schools

    ERIC Educational Resources Information Center

    Morrison, Alesha Nicole

    2016-01-01

    This qualitative exploration in the form of multiple case studies interviewed a group of seven social workers from the St. Louis Metropolitan area to gain their perception as school social workers concerning their roles in public schools. The literature on school social workers indicated that school social workers brought unique knowledge and…

  6. Evaluation of short-duration unscheduled absences among transit operators : TriMet case study

    DOT National Transportation Integrated Search

    2009-09-01

    This report analyzes factors contributing to short duration (one to three days) unscheduled absences among operators : at TriMet, the transit provider for the Portland, Oregon metropolitan region. The analysis draws on a wide array of : operator-spec...

  7. Evaluation of short-duration, unscheduled absences among transit operators: TriMet case study.

    DOT National Transportation Integrated Search

    2009-09-01

    This report analyzes factors contributing to short duration (one to three days) unscheduled absences among operators at TriMet, the transit provider for the Portland, Oregon metropolitan region. The analysis draws on a wide array of operator-specific...

  8. Integrative freight demand management in the New York City metropolitan area.

    DOT National Transportation Integrated Search

    2010-09-01

    This project is one of the first in the world that has successfully integrated the use of remote sensing : technologyin this case Global Positioning System (GPS) enabled cell phonesas part of a system that : effectively reduces truck traffic in...

  9. A New System for Improving the Care of Neglected and Abused Children

    ERIC Educational Resources Information Center

    Burt, Marvin R.; Balyeat, Ralph

    1974-01-01

    A demonstration program of a system coordinating the wide variety of services provided for neglected and abused children in a metropolitan area has produced many gains in the handling of such cases: notably, avoidance of institutionalization. (Author/CS)

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

    ERIC Educational Resources Information Center

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

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

  11. Assessing the Impact of Chlorinated-Solvent Sites on Metropolitan Groundwater Resources

    PubMed Central

    Brusseau, Mark L.; Narter, Matthew

    2014-01-01

    Chlorinated-solvent compounds are among the most common groundwater contaminants in the U.S.A. The majority of the many sites contaminated by chlorinated-solvent compounds are located in metropolitan areas, and most such areas have one or more chlorinated-solvent contaminated sites. Thus, contamination of groundwater by chlorinated-solvent compounds may pose a potential risk to the sustainability of potable water supplies for many metropolitan areas. The impact of chlorinated-solvent sites on metropolitan water resources was assessed for Tucson, AZ, by comparing the aggregate volume of extracted groundwater for all pump-and-treat systems associated with contaminated sites in the region to the total regional groundwater withdrawal. The analysis revealed that the aggregate volume of groundwater withdrawn for the pump-and-treat systems operating in Tucson, all of which are located at chlorinated-solvent contaminated sites, was 20% of the total groundwater withdrawal in the city for the study period. The treated groundwater was used primarily for direct delivery to local water supply systems or for reinjection as part of the pump-and-treat system. The volume of the treated groundwater used for potable water represented approximately 13% of the total potable water supply sourced from groundwater, and approximately 6% of the total potable water supply. This case study illustrates the significant impact chlorinated-solvent contaminated sites can have on groundwater resources and regional potable-water supplies. PMID:24116872

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

    PubMed

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

    2006-01-01

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

  13. Sub-kilometer Numerical Weather Prediction in complex urban areas

    NASA Astrophysics Data System (ADS)

    Leroyer, S.; Bélair, S.; Husain, S.; Vionnet, V.

    2013-12-01

    A Sub-kilometer atmospheric modeling system with grid-spacings of 2.5 km, 1 km and 250 m and including urban processes is currently being developed at the Meteorological Service of Canada (MSC) in order to provide more accurate weather forecasts at the city scale. Atmospheric lateral boundary conditions are provided with the 15-km Canadian Regional Deterministic Prediction System (RDPS). Surface physical processes are represented with the Town Energy Balance (TEB) model for the built-up covers and with the Interactions between the Surface, Biosphere, and Atmosphere (ISBA) land surface model for the natural covers. In this study, several research experiments over large metropolitan areas and using observational networks at the urban scale are presented, with a special emphasis on the representation of local atmospheric circulations and their impact on extreme weather forecasting. First, numerical simulations are performed over the Vancouver metropolitan area during a summertime Intense Observing Period (IOP of 14-15 August 2008) of the Environmental Prediction in Canadian Cities (EPiCC) observational network. The influence of the horizontal resolution on the fine-scale representation of the sea-breeze development over the city is highlighted (Leroyer et al., 2013). Then severe storms cases occurring in summertime within the Greater Toronto Area (GTA) are simulated. In view of supporting the 2015 PanAmerican and Para-Pan games to be hold in GTA, a dense observational network has been recently deployed over this region to support model evaluations at the urban and meso scales. In particular, simulations are conducted for the case of 8 July 2013 when exceptional rainfalls were recorded. Leroyer, S., S. Bélair, J. Mailhot, S.Z. Husain, 2013: Sub-kilometer Numerical Weather Prediction in an Urban Coastal Area: A case study over the Vancouver Metropolitan Area, submitted to Journal of Applied Meteorology and Climatology.

  14. Cancer incidence and mortality in the Bucaramanga metropolitan area, 2003-2007.

    PubMed

    Uribe, Claudia; Osma, Sonia; Herrera, Víctor

    2012-10-01

    Cancer is an important cause of morbidity and mortality worldwide. Population-based cancer registries (PBCRs) make possible to estimate the burden of this condition. To estimate cancer incidence and mortality rates in the Bucaramanga Metropolitan Area (BMA) during 2003-2007. Incident cases of invasive cancer diagnosed during 2003-2007 were identified from the Bucaramanga Metropolitan Area PBCR (BMA-PBCR). Population counts and mortality were obtained from the Colombian National Administrative Department of Statistics (NADS). We estimated total and cancer-specific crude incidence and mortality rates by age group and sex, as well as age-standardized (Segi's world population) incidence (ASIR(W)) and mortality (ASMR(W)) rates. Statistical analyses were conducted using CanReg4 and Stata/IC 10.1. We identified 8,225 new cases of cancer excluding non-melanoma skin cancer (54.3% among women). Of all cases, 6,943 (84.4%) were verified by microscopy and 669 (8.1%) were detected only by death certificate. ASIR(W) for all invasive cancers was 162.8 per 100,000 women and 177.6 per 100,000 men. Breast, cervix, colorectal, stomach and thyroid were the most common types of cancer in women. In men, the corresponding malignancies were prostate, stomach, colorectal, lung and lymphoma. ASMR(W) was 84.5 per 100,000 person-years in women and 106.2 per 100,000 person-years in men. Breast and stomach cancer ranked first as causes of death in those groups, respectively. Overall, mortality rates in our region are higher than national estimates possibly due to limited effectiveness of secondary prevention strategies. Our work emphasizes the importance of maintaining high-quality, nationwide PBCRs.

  15. Cancer incidence and mortality in the Bucaramanga metropolitan area, 2003-2007

    PubMed Central

    Osma, Sonia; Herrera, Víctor

    2012-01-01

    Introduction: Cancer is an important cause of morbidity and mortality worldwide. Population-based cancer registries (PBCRs) make possible to estimate the burden of this condition. Aim: To estimate cancer incidence and mortality rates in the Bucaramanga Metropolitan Area (BMA) during 2003-2007. Methods: Incident cases of invasive cancer diagnosed during 2003-2007 were identified from the Bucaramanga Metropolitan Area PBCR (BMA-PBCR). Population counts and mortality were obtained from the Colombian National Administrative Department of Statistics (NADS). We estimated total and cancer-specific crude incidence and mortality rates by age group and sex, as well as age-standardized (Segi's world population) incidence (ASIR(W)) and mortality (ASMR(W)) rates. Statistical analyses were conducted using CanReg4 and Stata/IC 10.1. Results: We identified 8,225 new cases of cancer excluding non-melanoma skin cancer (54.3% among women). Of all cases, 6,943 (84.4%) were verified by microscopy and 669 (8.1%) were detected only by death certificate. ASIR(W) for all invasive cancers was 162.8 per 100,000 women and 177.6 per 100,000 men. Breast, cervix, colorectal, stomach and thyroid were the most common types of cancer in women. In men, the corresponding malignancies were prostate, stomach, colorectal, lung and lymphoma. ASMR(W) was 84.5 per 100,000 person-years in women and 106.2 per 100,000 person-years in men. Breast and stomach cancer ranked first as causes of death in those groups, respectively. Conclusion: Overall, mortality rates in our region are higher than national estimates possibly due to limited effectiveness of secondary prevention strategies. Our work emphasizes the importance of maintaining high-quality, nationwide PBCRs. PMID:24893302

  16. A comparison of metropolitan and non-metropolitan employment characteristics: Indications of the size of non-metropolitan mobile communication services user classes

    NASA Technical Reports Server (NTRS)

    Wilcox, R. E.

    1985-01-01

    The similarities and differences between areas inside and outside U.S. metropolitan areas were evaluated in terms of their commercial/industrial and government employment characteristics. The comparison focuses on the levels, shares, and composition of employment in the commercial/industrial and government sectors that represent potential classes of land mobile communications users. The major findings of the analysis are as follows: (1) non-metropolitan commercial/industrial user classes of land mobile communication services exist in significant numbers; (2) the compositions of non-metropolitan and metropolitan commercial/industrial user classes of land mobile communication services closely resemble each other; (3) non-metropolitan areas have significant levels of the government user classes that represent potential markets for land mobile communication services; and (4) non-metropolitan local governments have a significantly larger proportion of their employment in the primary user classes of private land mobile radio service than do metropolitan local governments.

  17. Geovisualization of Local and Regional Migration Using Web-mined Demographics

    NASA Astrophysics Data System (ADS)

    Schuermann, R. T.; Chow, T. E.

    2014-11-01

    The intent of this research was to augment and facilitate analyses, which gauges the feasibility of web-mined demographics to study spatio-temporal dynamics of migration. As a case study, we explored the spatio-temporal dynamics of Vietnamese Americans (VA) in Texas through geovisualization of mined demographic microdata from the World Wide Web. Based on string matching across all demographic attributes, including full name, address, date of birth, age and phone number, multiple records of the same entity (i.e. person) over time were resolved and reconciled into a database. Migration trajectories were geovisualized through animated sprites by connecting the different addresses associated with the same person and segmenting the trajectory into small fragments. Intra-metropolitan migration patterns appeared at the local scale within many metropolitan areas. At the scale of metropolitan area, varying degrees of immigration and emigration manifest different types of migration clusters. This paper presents a methodology incorporating GIS methods and cartographic design to produce geovisualization animation, enabling the cognitive identification of migration patterns at multiple scales. Identification of spatio-temporal patterns often stimulates further research to better understand the phenomenon and enhance subsequent modeling.

  18. Renewed growth in hospital inpatient cost since 1998: variation across metropolitan areas and leading clinical conditions.

    PubMed

    Friedman, Bernard S; Wong, Herbert S; Steiner, Claudia A

    2006-03-01

    To use disaggregated data about metropolitan statistical areas (MSAs) and clinical conditions to better describe the variation in cost increases and explore some of the hypothesized influences. The study uses the state inpatient databases from the Healthcare Cost and Utilization Project, containing all discharges from hospitals in 172 MSAs in 1998 and 2001. The discharge summary information was combined with standardized hospital accounting files, surveys of managed care plans, MSA demographics, and state data pertaining to caps on medical malpractice awards. The analysis used descriptive comparisons and multivariate regressions of admission rate and cost per case in 9 leading disease categories across the MSAs. The increase in hospital input prices and changes in severity of illness were controlled. Metropolitan statistical areas with higher HMO market penetration continued to show lower admission rates, no less so in 2001 than in 1998. A cap on malpractice awards appeared to restrain admissions, but the net effect on hospital cost per adult eroded for those states with the most experience with award caps. Higher admission rates and increase in cost were found in several disease categories.

  19. CASE HISTORY REPORT ON MILWAUKEE CERAMIC PLATE AERATION FACILITIES

    EPA Science Inventory

    Ceramic plate diffusers were among the earliest forms of fine pore diffusers used in activated sludge treatment. They have successfully used for over 60 years in the Jones Island West Plant of the Milwaukee Metropolitan Sewerage District (MMSD) and since 1935 and 1974, respective...

  20. SPREADING LAGOONED SEWAGE SLUDGE ON FARMLAND: A CASE HISTORY

    EPA Science Inventory

    This project demonstrated that land application is feasible and practical for a metropolitan treatment plant for disposal of a large volume (265,000 cu m) of stabilized, liquid sewage sludge stored in lagoons. The project involved transportation of sludge by semi-trailer tankers ...

  1. Curbing gridlock: Peak-period fees to relieve traffic congestion. Volume 2. Commissioned papers. Special report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1994-01-01

    ;Contents: Volume 2: Commissioned Papers: Congestion Trends in Metropolitan Areas; Alternative Methods for Measuring Congestion Levels; Potential of Congestion Pricing in the Metropolitan Washington Region; Transportation Pricing and Travel Behavior; Peak Pricing Strategies in Transportation, Utilities, and Telecommunications: Lessons for Road Pricing; Cashing Out Employer-Paid Parking: A Precedent for Congestion Pricing; The New York Region: First in Tolls, Last in Road Pricing; Pricing Urban Roadways: Administrative and Institutional Issues; Equity and Fairness Considerations of Congestion Pricing; The Politics of Congestion Pricing; Institutional and Political Challenges in Implementing Congestion Pricing: Case Study of the San Francisco Bay Area; How Congestion Pricingmore » Came to Be Proposed in the San Diego Region: A Case History; Urban Transportation Congestion Pricing: Effects on Urban Form; Congestion Pricing and Motor Vehicle Emissions: An Initial Review; Private Toll Roads: Acceptability of Congestion Pricing in Southern California; Potential of Next-Generation Technology; Electronic Toll Collection Systems; and Impacts of Congestion Pricing on Transit and Carpool Demand and Supply.« less

  2. Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties - United States.

    PubMed

    Henley, S Jane; Anderson, Robert N; Thomas, Cheryll C; Massetti, Greta M; Peaker, Brandy; Richardson, Lisa C

    2017-07-07

    Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. 2004-2015. Cancer incidence data from CDC's National Program of Cancer Registries and the National Cancer Institute's Surveillance, Epidemiology, and End Results program were used to calculate average annual age-adjusted incidence rates for 2009-2013 and trends in annual age-adjusted incidence rates for 2004-2013. Cancer mortality data from the National Vital Statistics System were used to calculate average annual age-adjusted death rates for 2011-2015 and trends in annual age-adjusted death rates for 2006-2015. For 5-year average annual rates, counties were classified into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan with population <1 million, and metropolitan with population ≥1 million). For the trend analysis, which used annual rates, these categories were combined into two categories (nonmetropolitan and metropolitan). Rates by county classification were examined by sex, age, race/ethnicity, U.S. census region, and cancer site. Trends in rates were examined by county classification and cancer site. During the most recent 5-year period for which data were available, nonmetropolitan rural areas had lower average annual age-adjusted cancer incidence rates for all anatomic cancer sites combined but higher death rates than metropolitan areas. During 2006-2015, the annual age-adjusted death rates for all cancer sites combined decreased at a slower pace in nonmetropolitan areas (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the differences in these rates. In contrast, annual age-adjusted incidence rates for all cancer sites combined decreased approximately 1% per year during 2004-2013 both in nonmetropolitan and metropolitan counties. This report provides the first comprehensive description of cancer incidence and mortality in nonmetropolitan and metropolitan counties in the United States. Nonmetropolitan rural counties had higher incidence of and deaths from several cancers related to tobacco use and cancers that can be prevented by screening. Differences between nonmetropolitan and metropolitan counties in cancer incidence might reflect differences in risk factors such as cigarette smoking, obesity, and physical inactivity, whereas differences in cancer death rates might reflect disparities in access to health care and timely diagnosis and treatment. Many cancer cases and deaths could be prevented, and public health programs can use evidence-based strategies from the U.S. Preventive Services Task Force and Advisory Committee for Immunization Practices (ACIP) to support cancer prevention and control. The U.S. Preventive Services Task Force recommends population-based screening for colorectal, female breast, and cervical cancers among adults at average risk for these cancers and for lung cancer among adults at high risk; screening adults for tobacco use and excessive alcohol use, offering counseling and interventions as needed; and using low-dose aspirin to prevent colorectal cancer among adults considered to be at high risk for cardiovascular disease based on specific criteria. ACIP recommends vaccination against cancer-related infectious diseases including human papillomavirus and hepatitis B virus. The Guide to Community Preventive Services describes program and policy interventions proven to increase cancer screening and vaccination rates and to prevent tobacco use, excessive alcohol use, obesity, and physical inactivity.

  3. Metropolitan population growth in Arab countries.

    PubMed

    Vaidyanathan, K E

    1977-01-01

    A study or urban population growth in Arab countries has 3 objectives: 1) examination at the micro level of recent demographic trends in selected metropolitan areas of the Arab world and their relationship to changes in the total and urban populations in the respective countries; 2) estimation of net migration by sex and broad age groups for each metropolitan area; and 3) analysis of the pattern of variation in the metropolitan growth rates and their components, migration and natural increase. The study covers the cities proper or urban agglomerations, which includes the suburbs, whose population exceeded 100,000 in the most recent census. Altogether, the study covers 49 metropolitan areas from 9 Arab countries--Algeria; Morocco; Tunisia; Libya; Egypt; Sudan; Syria; Iraq; and Kuwait. Analysis revealed that metropolitan growth rates do follow geographic patterns. In countries with an oil-based economy, metropolitan growth rates are high; in countries with unexploited resources they are slightly below the 1st group; and countries which have pressure on land have low metropolitan growth rates. Population size of the metropolitan area appears to be an important factor associated with variations in metropolitan growth rates and net migration rates. Natural increase emerges as the predominant factor in metropolitan growth, but the differentials in the growth rates are more clearly associated with variations in net migration rates. As all the possibilities of analysis of relationships of metropolitan growth have not been exhausted, it is proposed to examine additional variables as possible factors associated with the speed of metropolitan growth.

  4. Case Study: Installation and Monitoring of Green Infrastructure Stormwater Controls in Louisville, Kentucky

    EPA Science Inventory

    In 2005, the Louisville and Jefferson County Metropolitan Sewer District (MSD) entered into a Consent Decree with the U.S. Environmental Protection Agency (EPA), Kentucky Department for Environmental Protection, and the U.S. Department of Justice. In 2009, MSD submitted the Inte...

  5. Alcohol abuse and traffic safety : a study of fatalities, DWI offenders, alcoholics, and court-related treatment approaches

    DOT National Transportation Integrated Search

    1970-06-26

    Author's abstract: Methodology and conclusions on the role of the abusive use of alcohol in traffic safety were developed through three related projects. Project I is a case-history investigation of 616 traffic fatalities from metropolitan Wayne Coun...

  6. OFF-GAS ANALYSIS RESULTS AND FINE PORE RETROFIT CASE HISTORY FOR HARTFORD, CONNECTICUT

    EPA Science Inventory

    In the summer of 1982, the Hartford Metropolitan District Commission, Hartford County, Connecticut, Water Pollution Control Facility underwent a retrofit form a spiral roll coarse bubble to a full floor coverage fine pore aeration system. Work performed included all new in-tank ...

  7. What's Different Away from the Rat Race?: Issues for VET in Non-Metropolitan Australia. CRLRA Discussion Paper Series.

    ERIC Educational Resources Information Center

    Kilpatrick, Sue; Bell, Rowena

    A review of research literature relating to vocational education and training (VET) in non-metropolitan Australia identified issues which differentially impact metropolitan and non-metropolitan Australia and research needs. Findings indicated non-metropolitan Australia is diverse in terms of population density, educational experiences of the…

  8. Direct contracting: a Minnesota case study.

    PubMed

    Burrows, S N; Moravec, R C

    1997-08-01

    During 1996, HealthEast Care, Inc., a healthcare provider-owned and governed direct-contracting company, successfully responded to a request for proposal from the metropolitan Minneapolis-St. Paul-based Buyers Health Care Action Group (BHCAG), a coalition of self-insured employers, to provide healthcare services to members of BHCAG's Choice Plus health plan. HealthEast Care developed a care system proposal for BHCAG that balanced consumer and purchaser expectations with historical healthcare costs. Providers are reimbursed for contracted healthcare services according to a unique fee-for-service, budget-based payment model. BHCAG chose to contract with HealthEast Care and 23 other care systems in the metropolitan Minneapolis-St. Paul area and other parts of Minnesota to serve more than 117,500 Choice Plus enrollees.

  9. Unintended shootings in a large metropolitan area: an incident-based analysis.

    PubMed

    Ismach, Richard B; Reza, Avid; Ary, Roy; Sampson, Tomoko Rie; Bartolomeos, Kidist; Kellermann, Arthur L

    2003-01-01

    We determine the proportion of unintended shootings that might be prevented by promoting safe storage, safe handling, and/or safer firearm designs. A regional firearm injury surveillance system was used to identify fatal and nonfatal unintentional shootings in a 5-county metropolitan area. Case reports were reviewed, and the causes of each shooting were independently classified by 4 members of the research team. A consensus conference was held to resolve disagreements. Between May 1, 1996, and June 30, 2000, 216 cases of unintentional firearm injury were identified, 3.8% of the shootings documented during the study period. Six (2.8%) were fatal. The majority of victims were between 15 and 34 years of age. One fourth (54) of the shootings involved victims younger than 18 years. Handguns were involved in 87% of the incidents. Enough information was available to characterize the incident in 122 (57%) cases. All but 6 fell into 1 or more of 3 broad categories of causation: Child access (14%), mishandling (74%), and/or deficiencies in firearm design (32%). Many unintentional shootings could be prevented by promoting safe storage of guns in the home, promoting safe handling of firearms, and requiring that all new handguns incorporate basic safety features.

  10. [Analysis of the geographical distribution of cases of leprosy. Rio de Janeiro, 2001-2012].

    PubMed

    Gracie, Renata; Peixoto, Julia Novaes de Barros; Soares, Fabiane Bertoni Dos Reis; Hacker, Mariana de Andrea Vilas-Boas

    2017-05-01

    Studies have demonstrated that the geographical distribution of leprosy is related to different socioeconomic factors. This article aims to study the geographical distribution of leprosy in the state of Rio de Janeiro. The cases of leprosy reported in the 2001-2012 period were mapped according to municipality. Epidemiological and socioeconomic indicators were calculated. The ArcMap program was used for the construction of maps and Earth View to calculate the Bayesian rate. It was observed that leprosy is presented in hyper-endemic levels especially in the metropolitan area. However, there is also a reduction of the detection rate in the most recent study period. In municipalities in the metropolitan region and the north western region detection in children under 15 is high, indicating an active transmission situation. In municipalities in the south-central region and especially in the coastal region, there was a high proportion of cases diagnosed with level II disability, reflecting late diagnosis. There was no linear correlation between socioeconomic indicators and leprosy rate. These results contribute to the analysis of the geographical distribution of leprosy, important for the identification of areas for resource allocation, aiming to control and eliminate the disease.

  11. Political Socialization in an International City: The Case of Atlanta.

    ERIC Educational Resources Information Center

    Masters, Paul E., Jr.

    1984-01-01

    Original survey data dealing with the attitudes about international relations of secondary students in the metropolitan Atlanta, Georgia, area are analyzed. Student opinions were measured in three areas: (1) international interest, knowledge, and information sources; (2) international conflict and the balance of power; and (3) international…

  12. Improving Provisions for Organization, Housing, Financial Support and Accountability.

    ERIC Educational Resources Information Center

    Polley, John W.; Lamitie, Robert E.

    This chapter provides insights into the solution of financial and governance problems that face big city education. The report identifies recent developments affecting big city education such as metropolitanism, regionalism, full State financing, revenue sharing, and reform of property taxation. The authors discuss (1) recent court cases affecting…

  13. The Leadership Gap: Preparing Leaders for Urban Schools

    ERIC Educational Resources Information Center

    Lee, Omaira Z.

    2010-01-01

    The purpose of this mixed-methods, purposive case study was to investigate the impact of participation in the Metropolitan ISD Principal Coaching Initiative (MPCI) on leadership practice. The MPCI is a district-wide executive leadership capacity building strategy, which combines the District's standards-based leadership curriculum with a…

  14. Does School Desegregation Policy Stimulate Residential Integration? Evidence from a Case Study.

    ERIC Educational Resources Information Center

    Clark, William A. V.

    1988-01-01

    Study of desegregation efforts in the Oklahoma Independent School District and residence patterns in the Oklahoma City metropolitan region reveals that desegregated schools do not lead to desegregated housing: there is little if any direct relationship between student assignments and household relocation behavior. (BJV)

  15. Hospital Consolidation: FTC May be a Stick in the Spokes of Hospital Mergers.

    PubMed

    Kirkner, Richard Mark

    2017-12-01

    For instance, in the case of Sanford Health's acquisition of Mid Dakota Clinic in North Dakota, the agency challenged the deal, claiming that the merged entity would control 75% or more of primary care and other health services in the Bismarck-Mandan metropolitan area.

  16. A GRADIENT ANALYSIS OF URBAN LANDSCAPE PATTERN: A CASE STUDY FROM THE PHOENIX METROPOLITAN REGION, ARIZONA, USA. (R827676)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  17. Successful Inaugural Major Comprehensive Campaigns: How Organizational Learning Theory Helps Explain the Process

    ERIC Educational Resources Information Center

    Razafimanjato, Laza Johany

    2016-01-01

    This qualitative study consisted of two case studies of southern public metropolitan universities, which successfully completed inaugural major comprehensive fundraising campaigns. The purpose of the study was to explore how the process of initiating and competing an inaugural comprehensive fundraising campaign was explained by organizational…

  18. Case Study: Installation and Monitoring of Green Infrastructure Stormwater Controls in Louisville, Kentucky (Abstract)

    EPA Science Inventory

    In 2005, the Louisville and Jefferson County Metropolitan Sewer District (MSD) entered into a Consent Decree with the U.S. Environmental Protection Agency (EPA), Kentucky Dept. of Environmental Protection, and the U.S. Department of Justice. In 2009, the MSD submitted the Integr...

  19. Case Study: Installation and Monitoring of Green Infrastructure Stormwater Controls in Louisville, Kentucky - slides

    EPA Science Inventory

    In 2005, the Louisville and Jefferson County Metropolitan Sewer District (MSD) entered into a Consent Decree with the U.S. Environmental Protection Agency (EPA), Kentucky Department for Environmental Protection, and the U.S. Department of Justice. MSD committed to monitor the pe...

  20. Education in a High Technology World: The Case of Route 128.

    ERIC Educational Resources Information Center

    Useem, Elizabeth

    The relationship between high technology firms and educational institutions in the Boston metropolitan area was studied. Attention was focused on the responsiveness of public schools, community colleges, and four-year colleges and universities to the demands of the industry for technically trained personnel. The influence of companies on…

  1. The Economics of ACE Delivery. A Research Report.

    ERIC Educational Resources Information Center

    McIntyre, John; Brown, Tony; Ferrier, Fran

    The financial operations of providers of adult and community education (ACE) in New South Wales, Australia, were examined in a conceptual and empirical study. Enrollment data were analyzed and case studies of three community colleges and two community adult education centers in metropolitan, coastal, and rural communities were conducted. Four…

  2. Metropolitan Desegregation: The Problems Persist.

    ERIC Educational Resources Information Center

    Kean, Michael H.

    Problems related to school desegregation are identified in this document. The use of the desegregation case study has fallen short of identifying problems common to the desegregation effort. This failure to isolate commonalities is in itself, a major problem. However, before a useful taxonomy can be developed, a list of the most frequently…

  3. Using EnviroAtlas to Identify Locations for Urban Heat Island Abatement

    EPA Science Inventory

    For the metropolitan region of Portland, Oregon, this use case demonstrates how city planners could use EnviroAtlas data with a map of the UHI to identify areas that might benefit from heat mitigation through additional street trees. Street trees are one option, and other solutio...

  4. Browsing Your Virtual Library: The Case of Expanding Universe.

    ERIC Educational Resources Information Center

    Daniels, Wayne; Enright, Jeanne; Mackenzie, Scott

    1997-01-01

    Describes "Expanding Universe: a classified search tool for amateur astronomy," a Web site maintained by the Metropolitan Toronto Reference Library which uses a modified form of the Dewey Decimal Classification to organize a large file of astronomy hotlinks. Highlights include structure, HTML coding, design requirements, and future…

  5. Creating recreation partnerships on private agricultural and forest land in the urban northeast: a case study from the great meadows of the Connecticut River

    Treesearch

    Robert L. Ryan; Juliet Hansel

    2002-01-01

    This paper explores the premise that privately owned open space is vital for meeting future recreation demands in the urban Northeast. A case study in the Great Meadows of the Connecticut River in the Hartford, Connecticut metropolitan area is used to illustrate the challenges in promoting recreational access and open space preservation in a privately-owned held...

  6. 10 CFR Appendix A to Subpart A of... - Metropolitan Statistical Areas/Consolidated Metropolitan Statistical Areas With 1980 Populations...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Metropolitan Statistical Areas/Consolidated Metropolitan Statistical Areas With 1980 Populations of 250,000 or more A Appendix A to Subpart A of Part 490 Energy..., Subpt. A, App. A Appendix A to Subpart A of Part 490—Metropolitan Statistical Areas/Consolidated...

  7. Differences in Human Papillomavirus Vaccination Among Adolescent Girls in Metropolitan Versus Non-metropolitan Areas: Considering the Moderating Roles of Maternal Socioeconomic Status and Health Care Access.

    PubMed

    Monnat, Shannon M; Rhubart, Danielle C; Wallington, Sherrie Flynt

    2016-02-01

    This study is among the first to examine metropolitan status differences in human papillomavirus (HPV) vaccine initiation and completion among United States adolescent girls and is unique in its focus on how maternal socioeconomic status and health care access moderate metropolitan status differences in HPV vaccination. Using cross-sectional data from 3573 girls aged 12-17 in the U.S. from the 2008-2010 Behavioral Risk Factor Surveillance System, we estimate main and interaction effects from binary logistic regression models to identify subgroups of girls for which there are metropolitan versus non-metropolitan differences in HPV vaccination. Overall 34 % of girls initiated vaccination, and 19 % completed all three shots. On average, there were no metropolitan status differences in vaccination odds. However, there were important subgroup differences. Among low-income girls and girls whose mothers did not complete high school, those in non-metropolitan areas had significantly higher probability of vaccine initiation than those in metropolitan areas. Among high-income girls and girls whose mothers completed college, those in metropolitan areas had significantly higher odds of vaccine initiation than those in non-metropolitan areas. Moreover, among girls whose mothers experienced a medical cost barrier, non-metropolitan girls were less likely to initiate vaccination compared to metropolitan girls. Mothers remain essential targets for public health efforts to increase HPV vaccination and combat cervical cancer. Public health experts who study barriers to HPV vaccination and physicians who come into contact with mothers should be aware of group-specific barriers to vaccination and employ more tailored efforts to increase vaccination.

  8. 2000 Metropolitan Bicycle and Pedestrian Plan

    DOT National Transportation Integrated Search

    2000-12-01

    The Metropolitan Bicycle and Pedestrian Plan establishes a 20-year vision for bicycle and pedestrian facilities in the Fargo-Moorhead metropolitan area and its environs. It is the intent of the Metropolitan Bicycle and Pedestrian Committee, which gui...

  9. Metro U.S.A. Data Sheet: Population Estimates and Selected Demographic Indicators for the Metropolitan Areas of the United States. Special edition of the United States Population Data Sheet.

    ERIC Educational Resources Information Center

    Population Reference Bureau, Inc., Washington, DC.

    This poster-size data sheet presents population estimates and selected demographic indicators for the nation's 281 metropolitan areas. These areas are divided into 261 Metropolitan Statistical Areas (MSAs) and 20 Consolidated Metropolitan Statistical Areas (CMSAs), reporting units which replace the Standard Metropolitan Statistical Areas (SMSAs)…

  10. Metropolitan ITS deployment tracking : extract of data on traffic signals

    DOT National Transportation Integrated Search

    2000-03-01

    Metropolitan deployment tracking uses surveys targeted at state county, and local agencies within the metropolitan planning boundary for 78 of the largest metropolitan areas. Data were gathered in this manner in 1997 and these data were updated in 19...

  11. The Prevalence of Multiple Sclerosis in the Metropolitan Area of Rome: A Capture-Recapture Analysis.

    PubMed

    Farcomeni, Alessio; Cortese, Antonio; Sgarlata, Eleonora; Alunni Fegatelli, Danilo; Marfia, Gerolama Alessandra; Buttari, Fabio; Mirabella, Massimiliano; De Fino, Chiara; Prosperini, Luca; Pozzilli, Carlo; Grasso, Maria Grazia; Iasevoli, Luigi; Di Battista, Giancarlo; Millefiorini, Enrico

    2018-03-02

    Limited data are available on the prevalence of multiple sclerosis (MS) in central Italy. The objective of this study is to estimate MS prevalence in the metropolitan area of Rome. We used the capture-recapture method to calculate prevalence estimates in the study area. The selected prevalence day was December 31, 2015. A total of 1,007 patients, with a definite diagnosis of MS according to the revised McDonald's criteria, were considered for crude, age- and sex-specific prevalence estimation. The overall crude prevalence rate was 146.2 cases per 100,000 (95% CI 119.9-172.5). A higher prevalence rate was recorded in females (194.1, 95% CI 149.6-238.6) than in males (93.0, 95% CI 67.2-118.8) with a female to male ratio of 1.8. Age-specific prevalence peaked in the 25-34 , 35-44 and 45-54 years class; moreover, it was found to increase up to the 45-54 years age group in females and the 35-44 years age group in males, decreasing thereafter. The results confirm that the metropolitan area of Rome is a high-risk area for MS. © 2018 S. Karger AG, Basel.

  12. Estimating the health and economic benefits associated with reducing air pollution in the Barcelona metropolitan area (Spain).

    PubMed

    Pérez, Laura; Sunyer, Jordi; Künzli, Nino

    2009-01-01

    To estimate the health and economic benefits that would result from two scenarios of improved air quality in 57 municipalities of the metropolitan area of Barcelona. We used attributable fractions and life tables to quantify the benefits for selected health outcomes, based on published concentration-response functions and economic unit values. The mean weighted concentration of PM(10) for the study population was estimated through concentration surface maps developed by the local government. The annual mean health benefits of reducing the mean PM(10) exposure estimated for the population in the study area (50microg/m(3)) to the annual mean value recommended by the World Health Organization (20microg/m(3)) were estimated to be 3,500 fewer deaths (representing an average increase in life expectancy of 14 months), 1,800 fewer hospitalizations for cardio-respiratory diseases, 5,100 fewer cases of chronic bronchitis among adults, 31,100 fewer cases of acute bronchitis among children, and 54,000 fewer asthma attacks among children and adults. The mean total monetary benefits were estimated to be 6,400 million euros per year. Reducing PM(10) to comply with the current European Union regulatory annual mean level (40microg/m(3)) would yield approximately one third of these benefits. This study shows that reducing air pollution in the metropolitan area of Barcelona would result in substantial health and economic benefits. The benefits are probably underestimated due to the assumptions made in this study. Assessment of the health impact of local air pollution is a useful tool in public health.

  13. 76 FR 43183 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... Metropolitan Air Quality Management District (SMAQMD or District) portion of the California State... Designee. (i) Incorporation by Reference. (A) Sacramento Metropolitan Air Quality Management District. (1...

  14. 75 FR 18068 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... final action to approve revisions to the Sacramento Metropolitan Air Quality Management District (SMAQMD...) * * * (362) * * * (i) * * * (C) Sacramento Metropolitan Air Quality Management District. (1) Rule 450...

  15. Metropolitan-area estimates of binge drinking in the United States.

    PubMed

    Nelson, David E; Naimi, Timothy S; Brewer, Robert D; Bolen, Julie; Wells, Henry E

    2004-04-01

    We estimated adult binge drinking prevalence in US metropolitan areas. We analyzed 1997 and 1999 Behavioral Risk Factor Surveillance System data for 120 metropolitan areas in 48 states and the District of Columbia. The prevalence of binge drinking varied substantially across metropolitan areas, from 4.1% in Chattanooga, Tenn, to 23.9% in San Antonio, Tex, (median = 14.5%). Seventeen of the 20 metropolitan areas with the highest estimates were located in the upper Midwest, Texas, and Nevada. In 13 of these areas, at least one third of persons aged 18 to 34 years were binge drinkers. There were significant intrastate differences for binge drinking among metropolitan areas in New York, Tennessee, and Utah. Metropolitan-area estimates can be used to guide local efforts to reduce binge drinking.

  16. Burden of group A streptococcal meningitis in Salvador, Brazil: report of 11 years of population-based surveillance

    PubMed Central

    Santos, Milena Soares; de Sousa Ribeiro, Guilherme; Oliveira, Tainara Queiroz; Santos, Renan Cardoso Nery; Gouveia, Edilane; Salgado, Kátia; Takahashi, Daniele; Fontes, Cleuber; Campos, Leila Carvalho; Reis, Mitermayer Galvão; Ko, Albert Icksang; Reis, Joice Neves

    2009-01-01

    1.2 Summary Background Over recent decades, a resurgence of invasive group A streptococcal (GAS) infections has been observed; GAS remains a rare cause of pyogenic meningitis. We report herein population-based findings of long-term surveillance for GAS meningitis in Salvador, Brazil, and estimate the overall burden of invasive GAS infections. Methods From February 1996 to January 2006 we conducted active surveillance for GAS meningitis in the state reference hospital for infectious diseases in Salvador, Brazil. Data on clinical presentation, laboratory records, and outcome were collected through interviews and chart review. GAS isolates were evaluated for antimicrobial susceptibility and emm type. Results We identified 20 cases of GAS meningitis, which accounted for 0.9% of all culture-proven bacterial meningitis in the study period. The mean annual incidence of GAS meningitis was 0.03 cases per 100 000 population in metropolitan Salvador and peaked in children <1 year of age (0.67 cases per 100 000 population). Among 17 cases with clinical information available, 41% required intensive care unit support and 25% died. Tested isolates were susceptible to penicillin and exhibited large emm type diversity. Based on the incidence of GAS meningitis, we estimate that the annual incidence of GAS infection is 3 cases per 100 000 population in metropolitan Salvador. Conclusions Although rare, GAS is a life-threatening cause of bacterial meningitis. Knowledge of the incidence and emm type variability of the disease is necessary for planning immunization strategies. PMID:19019714

  17. The Impact of a Case of Ebola Virus Disease on Emergency Department Visits in Metropolitan Dallas-Fort Worth, TX, July, 2013-July, 2015: An Interrupted Time Series Analysis.

    PubMed

    Molinari, Noelle-Angelique M; LeBlanc, Tanya Telfair; Stephens, William

    2018-03-20

    The first Ebola virus disease (EVD) case in the United States (US) was confirmed September 30, 2014 in a man 45 years old. This event created considerable media attention and there was fear of an EVD outbreak in the US. This study examined whether emergency department (ED) visits changed in metropolitan Dallas-Fort Worth--, Texas (DFW) after this EVD case was confirmed. Using Texas Health Services Region 2/3 syndromic surveillance data and focusing on DFW, interrupted time series analyses were conducted using segmented regression models with autoregressive errors for overall ED visits and rates of several chief complaints, including fever with gastrointestinal distress (FGI). Date of fatal case confirmation was the "event." Results indicated the event was highly significant for ED visits overall (P<0.05) and for the rate of FGI visits (P<0.0001). An immediate increase in total ED visits of 1,023 visits per day (95% CI: 797.0, 1,252.8) was observed, equivalent to 11.8% (95% CI: 9.2%, 14.4%) increase ED visits overall. Visits and the rate of FGI visits in DFW increased significantly immediately after confirmation of the EVD case and remained elevated for several months even adjusting for seasonality both within symptom specific chief complaints as well as overall. These results have implications for ED surge capacity as well as for public health messaging in the wake of a public health emergency.

  18. 75 FR 61369 - Revisions to the California State Implementation Plan; Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-05

    ... the California State Implementation Plan; Sacramento Metropolitan Air Quality Management District... approve a revision to the Sacramento Metropolitan Air Quality Management District's portion of the... Metropolitan Air Quality Management District (SMAQMD) adopted the ``Ozone State Implementation Plan Revision...

  19. 76 FR 20242 - Revisions to the California State Implementation Plan; Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... the California State Implementation Plan; Sacramento Metropolitan Air Quality Management District... a revision to the Sacramento Metropolitan Air Quality Management District's portion of the... (Permit No. 17359), which was issued by the Sacramento Metropolitan Air Quality Management District...

  20. 78 FR 53270 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-29

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

  1. The Enduring Challenge of Concentrated Poverty in America: Case Studies from Communities Across the U.S.

    ERIC Educational Resources Information Center

    Erickson, David, Ed.; Reid, Carolina, Ed.; Nelson, Lisa, Ed.; O'Shaughnessy, Anne, Ed.; Berube, Alan, Ed.

    2008-01-01

    This report--a joint effort of the Federal Reserve's Community Affairs function and the Brookings Institution's Metropolitan Policy Program--examines the issue of concentrated poverty and profiles 16 high-poverty communities from across the country, including immigrant gateway, Native American, urban, and rural communities. Through these case…

  2. THE CASE FOR THE CONTRIBUTION OF CRISTAIS RIVER NITRO-AMINOBENZENE DYES TO THE MUTAGENICITY OF AMBIENT SAMPLES

    EPA Science Inventory

    In order to verify if dyestuffs within an effluent of a textile industry was contributing to the systematic mutagenicity detected in the Cristais River, within the metropolitan region of Sao Paulo, mutagenic samples of the industrial effluent, crude water, and treated silt of the...

  3. LEGAL ASPECTS OF METROPOLITAN SOLUTIONS FOR PROBLEMS OF RACIAL ISOLATION.

    ERIC Educational Resources Information Center

    1967

    PUBLIC SCHOOL SYSTEMS IN THE UNITED STATES HAVE BEEN ORGANIZED IN DIFFERENT WAYS, BOTH WITHIN THE STATES AND FROM STATE TO STATE. IN SOME CASES SCHOOL DISTRICT STRUCTURE IS COTERMINOUS WITH LOCAL GOVERNMENTAL UNITS AND IS "DEPENDENT" ON THEM. HOWEVER, 78 PERCENT OF PUBLIC SCHOOL ENROLLMENTS ARE IN "INDEPENDENT" SCHOOL DISTRICTS…

  4. New Report Clearly Demonstrates Value of a High School Education

    ERIC Educational Resources Information Center

    Armistead, Lew

    2010-01-01

    While educators have long argued that when local schools are successful, local communities benefit; there's now clear evidence that is the case. A new report, "The Economic Benefits from Halving the Dropout Rate: A Boom to Businesses in the Nation's Largest Metropolitan Areas," released in January by the Alliance for Excellent Education…

  5. Sex Discrimination in Professional Employment: A Case Study.

    ERIC Educational Resources Information Center

    Osterman, Paul

    1979-01-01

    A study analyzed sex discrimination with data on over 700 professional employees in a metropolitan publishing firm. It was found that the sex differential in earnings within clusters of similar jobs was much greater if marriage and children variables were excluded: men received a large "payoff" from being married and having children. (JH)

  6. Perceptions and Perspectives of Music Teachers in Urban Settings: Isolation, Conversation and Collaboration

    ERIC Educational Resources Information Center

    Sindberg, Laura K.

    2014-01-01

    Seven teachers from three schools in a major metropolitan community in the upper Midwest region of the USA participated in this case study designed to better understand the nature of music teacher isolation and interaction in the urban setting. Data analysis revealed several themes: "experiences of isolation," "urban factors,"…

  7. Students' Attitude to Cloud-Based Learning in University Diverse Environment: A Case of Russia

    ERIC Educational Resources Information Center

    Atabekova, Anastasia; Gorbatenko, Rimma; Chilingaryan, Kamo

    2015-01-01

    The paper explores the ways how Russian students with different social background view the cloud- based foreign language learning. The empirical data was collected through questionnaires and in-depth interviews of students from metropolitan and regional universities, taking into account the students' family incomes, ethnic and religious…

  8. A Historical Case Study on Interagency Collaboration for Culturally Diverse Immigrant Children and Families.

    ERIC Educational Resources Information Center

    Bhavnagri, Navaz Peshotan; Krolikowski, Sue; Vaswani, Thrity G.

    To meet the needs of immigrant children and their families, educators can collaborate with community agencies. This paper discusses the International Institute of Metropolitan Detroit, an agency that has historically addressed the needs of immigrants by collaborating with schools and other community agencies. The paper first describes the history…

  9. Corporate and Higher Education Collaboration to Improve Teaching: A Case Study.

    ERIC Educational Resources Information Center

    Bloom, Darrell; Koenig, Pam

    This paper explores an innovative approach to funding school improvement programs. It looks at a series of programs initiated by the National College of Education in collaboration with several corporations and foundations in the Chicago metropolitan area. The evolution of the College's participation in these endeavors is reported as well as the…

  10. Using Open Educational Practices to Support Institutional Strategic Excellence in Teaching, Learning & Scholarship

    ERIC Educational Resources Information Center

    Carey, Thomas; Davis, Alan; Ferreras, Salvador; Porter, David

    2015-01-01

    This paper explores the integration of Open Educational Practices (OEP) into an institutional strategy to develop distinctive excellence in teaching, learning and scholarship. The institution in the case study is a public polytechnic university serving a metropolitan area in Canada. If emerging Open Educational Practices are to flourish at our…

  11. Problems of Adolescents and Youths: Symposium IV C.

    ERIC Educational Resources Information Center

    Nagaraja, Jaya; Suppiah, Chandraseagran

    This symposium contains reports on: (1) a study of drug abuse among adolescents in India, by Jaya Nagaraja; and (2) a case study of factors contributing to drug addiction among Malaysian youth, by Chandraseagran Suppiah. Based on a sample of 1,000 adolescents attending metropolitan city colleges, findings of the Indian study concern psychological…

  12. Implications of Bullying to School Policy Reform

    ERIC Educational Resources Information Center

    Knight, Nina Marie

    2014-01-01

    Governmental attention to bullying in kindergarten through Grade 3 continues to be a challenge in a metropolitan school district in the eastern United States. This has presented a case for school policy reform. The purpose of this quantitative correlational study was to examine how bullying and office discipline related to suspension referrals,…

  13. Formal Service Practitioners' Views of Family Caregivers' Responsibilities and Difficulties

    ERIC Educational Resources Information Center

    Guberman, Nancy; Lavoie, Jean-Pierre; Pepin, Jacinthe; Lauzon, Sylvie; Montejo, Maria-Elisa

    2006-01-01

    This article identifies home care practitioners' perceptions of the responsibilities, difficulties, and needs for support of caregivers. It is based on a study undertaken in Quebec with 55 practitioners and 10 administrators from 10 CLSCs located in rural, urban, and metropolitan areas. The study had a qualitative, multiple-case design and used…

  14. Obstacles to Enhancing Professional Development with Digital Tools in Rural Landscapes

    ERIC Educational Resources Information Center

    Hunt-Barron, Sarah; Tracy, Kelly N.; Howell, Emily; Kaminski, Rebecca

    2015-01-01

    This case study examines the use of online tools, including blogs, as a means of enhancing face-to-face professional development in writing instruction for teachers in rural districts. Since many rural districts serve large physical areas that are geographically distant from larger metropolitan areas and/or colleges and universities, teachers in…

  15. From Hypothermia to Cephalosomatic Anastomoses: The Legacy of Robert White (1926-2010) at Case Western Reserve University of Cleveland.

    PubMed

    Manjila, Sunil; Alambyan, Vilakshan; Singh, Gagandeep; Satish, Priyanka; Geertman, Robert T

    2018-05-01

    Dr. Robert J. White (1926-2010) was an eminent neurosurgeon and bioethicist, renowned for his classic work in hypothermia and pioneering mammalian head transplant experiments. He founded the Division of Neurosurgery at the Cleveland Metropolitan General Hospital (currently MetroHealth Medical Center, a level 1 trauma county hospital) and became the youngest full professor at the Case Western Reserve University in Cleveland, Ohio. With over 500 research articles to his credit, he founded the Brain Research Laboratory at what was then the Cleveland Metropolitan General Hospital, which was also home to future leaders in neurosurgery, neurosciences, and allied specialties. He transferred a healthy monkey head onto a surgically beheaded monkey body under deep hypothermic conditions drawing both laurels and criticisms alike. Despite a largely controversial neurosurgical research career, his original contributions to deep hypothermia have found profound clinical applications in modern trauma and vascular neurosurgery. The new fusogens and myelorrhaphy methods being tried in Europe hold promise for a future of reanastomosing 2 homologous or heterologous tracts in the neuraxis. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Police service in Victorian and Edwardian London: a somwhat atypical case of a hazardous occupation.

    PubMed

    Shpayer-Makov, H

    1995-01-01

    British society in the nineteenth century showed a growing concern with public-health issues and with occupational hazards. Police service, which is at the centre of this paper, was not viewed by many as a hazardous occupation. Using the London Metropolitan Police as a case study, the paper suggests that working conditions in the Victorian and Edwardian police had detrimental effects on the health of officers. It is true that medical statistics of the time showed that police officers in London had a lower death rate than the average working man, but this comparison should not obscure the fact that policemen entered the force much healthier than when they retired and that this gap was not merely age-related. The paper sets out to answer the following questions: What were the prevalent injuries and illnesses in the Metropolitan Police? What was the work experience of the police officer and what impact did it have on his state of health? In addition to accounting for the deteriorating health of police officers, the paper provides the views of contemporary observers on the subject.

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

    PubMed Central

    Jessop, E G

    1996-01-01

    OBJECTIVE: To test the hypothesis that the relationship between deprivation and mortality is weaker among residents of non-metropolitan areas of England and Wales than among residents of metropolitan areas. DESIGN: This study compared mortality, expressed as standardised mortality ratios (SMRs), in residents of metropolitan and non-metropolitan districts at three levels of deprivation classified by an electoral ward deprivation score and by home and car ownership. SMRs were computed for all causes of death, for bronchitis and asthma (ICD9 codes 490-493), and for accident, violence, and poisoning (ICD9 codes 800-999). SETTING: England and Wales. PARTICIPANTS: Members of the longitudinal study of the Office of Population Censuses and Surveys, a quasi-random 1% sample of the population of England and Wales. MAIN RESULTS: There was an association between deprivation and mortality which was clear for all cause mortality, more noticeable for respiratory disease, and less clear for deaths from accident, violence, and poison. In general, the results showed a remarkable similarity between metropolitan and non-metropolitan areas. CONCLUSIONS: This study does not support the hypothesis that the relationship between mortality and deprivation differs between residents of metropolitan and non-metropolitan areas of England and Wales. PMID:8944858

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

    PubMed

    Jessop, E G

    1996-10-01

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

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

    NASA Astrophysics Data System (ADS)

    Supriyadi Rustidja, E.

    2018-03-01

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

  20. 75 FR 14465 - Notice of Inventory Completion: Riverside Metropolitan Museum, Riverside, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-25

    ... made by the Riverside Metropolitan Museum professional staff in consultation with the Barona Group of... Metropolitan Museum, Riverside, CA AGENCY: National Park Service, Interior. ACTION: Notice. Notice is here... of the Riverside Metropolitan Museum, Riverside, CA. The human remains and associated funerary...

  1. Spending Patterns of Metropolitan Universities: A Longitudinal Study.

    ERIC Educational Resources Information Center

    Schuh, John H.

    2002-01-01

    Using data from the Integrated Post-secondary Education Data System relational database, assessed the financial resources and expenditure patterns of members of the Coalition of Urban and Metropolitan Universities and compared them to non-metropolitan peers. Verified that metropolitan institutions have fewer resources to work with than others in…

  2. 76 FR 41323 - Notice of Availability of the Final Environmental Assessment for the Metropolitan Branch Trail

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-13

    ... Environmental Assessment for the Metropolitan Branch Trail AGENCY: Federal Highway Administration, District of.... ACTION: Notice of availability of the Final Environmental Assessment for the Metropolitan Branch Trail... availability of the Final Environmental Assessment (Ea) for the Metropolitan Branch Trail Project, pursuant to...

  3. Education, Demand, and Unemployment in Metropolitan America

    ERIC Educational Resources Information Center

    Rothwell, Jonathan; Berube, Alan

    2011-01-01

    This report examines education gaps and industry demand in the nation's 100 largest metropolitan areas. Metropolitan areas are a natural unit of analysis given that they offer the best approximation of a regional labor market. Moreover, the wide variation in metropolitan area economic performance, as documented by the Brookings MetroMonitor…

  4. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 18 2014-07-01 2014-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  5. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  6. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 18 2012-07-01 2012-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  7. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  8. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 18 2013-07-01 2013-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  9. 40 CFR 81.17 - Metropolitan Los Angeles Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Los Angeles Air Quality...) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.17 Metropolitan Los Angeles Air Quality Control Region. The Metropolitan Los...

  10. 40 CFR 81.17 - Metropolitan Los Angeles Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 18 2012-07-01 2012-07-01 false Metropolitan Los Angeles Air Quality...) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.17 Metropolitan Los Angeles Air Quality Control Region. The Metropolitan Los...

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

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 18 2014-07-01 2014-07-01 false Metropolitan Los Angeles Air Quality...) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.17 Metropolitan Los Angeles Air Quality Control Region. The Metropolitan Los...

  12. 40 CFR 81.17 - Metropolitan Los Angeles Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 18 2013-07-01 2013-07-01 false Metropolitan Los Angeles Air Quality...) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.17 Metropolitan Los Angeles Air Quality Control Region. The Metropolitan Los...

  13. 24 CFR 1710.13 - Metropolitan Statistical Area (MSA) exemption.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Metropolitan Statistical Area (MSA... Requirements § 1710.13 Metropolitan Statistical Area (MSA) exemption. (a) Eligibility requirements. The sale of... since April 28, 1969. (2) The lot is located within a Metropolitan Statistical Area (MSA) as defined by...

  14. 40 CFR 81.102 - Metropolitan Quad Cities Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Quad Cities Interstate... Designation of Air Quality Control Regions § 81.102 Metropolitan Quad Cities Interstate Air Quality Control Region. The Metropolitan Quad Cities Interstate Air Quality Control Region (Illinois-Iowa) consists of...

  15. 40 CFR 81.102 - Metropolitan Quad Cities Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Quad Cities Interstate... Designation of Air Quality Control Regions § 81.102 Metropolitan Quad Cities Interstate Air Quality Control Region. The Metropolitan Quad Cities Interstate Air Quality Control Region (Illinois-Iowa) consists of...

  16. 24 CFR 570.510 - Transferring projects from urban counties to metropolitan cities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... counties to metropolitan cities. 570.510 Section 570.510 Housing and Urban Development Regulations Relating... GRANTS Grant Administration § 570.510 Transferring projects from urban counties to metropolitan cities... county to a new metropolitan city, provided: the city was an included unit of general local government in...

  17. 40 CFR 81.25 - Metropolitan Kansas City Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Kansas City Interstate... Designation of Air Quality Control Regions § 81.25 Metropolitan Kansas City Interstate Air Quality Control Region. The Metropolitan Kansas City Interstate Air Quality Control Region (Missouri-Kansas) consists of...

  18. 24 CFR 570.510 - Transferring projects from urban counties to metropolitan cities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... counties to metropolitan cities. 570.510 Section 570.510 Housing and Urban Development Regulations Relating... GRANTS Grant Administration § 570.510 Transferring projects from urban counties to metropolitan cities... county to a new metropolitan city, provided: the city was an included unit of general local government in...

  19. 40 CFR 81.25 - Metropolitan Kansas City Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Kansas City Interstate... Designation of Air Quality Control Regions § 81.25 Metropolitan Kansas City Interstate Air Quality Control Region. The Metropolitan Kansas City Interstate Air Quality Control Region (Missouri-Kansas) consists of...

  20. 40 CFR 81.17 - Metropolitan Los Angeles Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Los Angeles Air Quality...) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.17 Metropolitan Los Angeles Air Quality Control Region. The Metropolitan Los...

  1. 24 CFR 1710.13 - Metropolitan Statistical Area (MSA) exemption.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Metropolitan Statistical Area (MSA... Requirements § 1710.13 Metropolitan Statistical Area (MSA) exemption. (a) Eligibility requirements. The sale of... since April 28, 1969. (2) The lot is located within a Metropolitan Statistical Area (MSA) as defined by...

  2. New Insights into the Geographic Distribution of Mycobacterium leprae SNP Genotypes Determined for Isolates from Leprosy Cases Diagnosed in Metropolitan France and French Territories.

    PubMed

    Reibel, Florence; Chauffour, Aurélie; Brossier, Florence; Jarlier, Vincent; Cambau, Emmanuelle; Aubry, Alexandra

    2015-01-01

    Between 20 and 30 bacteriologically confirmed cases of leprosy are diagnosed each year at the French National Reference Center for mycobacteria. Patients are mainly immigrants from various endemic countries or living in French overseas territories. We aimed at expanding data regarding the geographical distribution of the SNP genotypes of the M. leprae isolates from these patients. Skin biopsies were obtained from 71 leprosy patients diagnosed between January 2009 and December 2013. Data regarding age, sex and place of birth and residence were also collected. Diagnosis of leprosy was confirmed by microscopic detection of acid-fast bacilli and/or amplification by PCR of the M. leprae-specific RLEP region. Single nucleotide polymorphisms (SNP), present in the M. leprae genome at positions 14 676, 1 642 875 and 2 935 685, were determined with an efficiency of 94% (67/71). Almost all patients were from countries other than France where leprosy is still prevalent (n = 31) or from French overseas territories (n = 36) where leprosy is not totally eradicated, while only a minority (n = 4) was born in metropolitan France but have lived in other countries. SNP type 1 was predominant (n = 33), followed by type 3 (n = 17), type 4 (n = 11) and type 2 (n = 6). SNP types were concordant with those previously reported as prevalent in the patients' countries of birth. SNP types found in patients born in countries other than France (Comoros, Haiti, Benin, Congo, Sri Lanka) and French overseas territories (French Polynesia, Mayotte and La Réunion) not covered by previous work correlated well with geographical location and history of human settlements. The phylogenic analysis of M. leprae strains isolated in France strongly suggests that French leprosy cases are caused by SNP types that are (a) concordant with the geographic origin or residence of the patients (non-French countries, French overseas territories, metropolitan France) or (b) more likely random in regions where diverse migration flows occurred.

  3. Earth observation taken by the Expedition 33 crew.

    NASA Image and Video Library

    2012-10-16

    ISS033-E-014186 (16 Oct. 2012) --- A nighttime view of Baltimore, Maryland is featured in this image photographed by an Expedition 33 crew member in the International Space Station. Baltimore is located on the U.S. mid-Atlantic coastline along the terminus of the Patapsco River into Chesapeake Bay, and is the largest seaport along this part of the coast. Like many large U.S. metropolitan areas, the most brightly lit area corresponds to the highest density of buildings and typically indicates the urban core -- in this case, downtown Baltimore at center. Highways and large arterial streets appear as bright yellow-orange lines extending outwards from the downtown area into the surrounding suburban regions (light violet and reddish brown regions of diffuse lighting). Dark areas beyond the suburban zone are rural - or to the southeast, indicate the waters of Chesapeake Bay. Small dark patches within the metropolitan area are open space including parks, cemeteries, and the Baltimore Zoo (top left). Two large, brightly-lit areas along Chesapeake Bay are commercial/industrial regions, and include the major port facilities for Baltimore. The City of Baltimore was incorporated in 1796, after serving as the de facto capital of the nascent United States of America during the Second Continental Congress (from Dec. 20, 1776 to March 4, 1777). Today, the Baltimore metropolitan area (as defined by the Baltimore Metropolitan Council) includes over 2.5 million people and includes six Maryland counties (Anne Arundel, Baltimore, Carroll, Harford, and Howard) in addition to the City of Baltimore. The region is also a focus of urban ecological research through the Baltimore Ecosystem Study.

  4. Effects and mechanisms of an allied health research position in a Queensland regional and rural health service: a descriptive case study.

    PubMed

    Wenke, Rachel J; Tynan, Anna; Scott, Annette; Mickan, Sharon

    2017-10-30

    The aim of the present case study is to illustrate the outcomes of a dedicated allied health (AH) research position within a large Queensland regional and rural health service. The secondary aim of the case study is to describe the enabling and hindering mechanisms to the success of the role. Semistructured interviews were conducted with the Executive Director of Allied Health and the current AH research fellow incumbent within the health service. A focus group was also undertaken with six stakeholders (e.g. clinicians, team leaders) who had engaged with the research position. Outcomes of the AH research fellow included clinical and service improvements, enhanced research culture and staff up-skilling, development of research infrastructure and the formation of strategic research collaborations. Despite being a sole position in a geographically expansive health service with constrained resources, key enabling mechanisms to the success of the role were identified, including strong advocacy and regular communication with the Executive. In conclusion, the case study highlights the potential value of an AH research position in building research capacity within a large non-metropolitan health service. Factors to facilitate ongoing success could include additional research and administrative funding, as well as increased use of technology and team-based research. What is known about the topic? Dedicated research positions embedded within health care settings are a well cited strategy to increase research capacity building of allied health professionals (AHPs). However the majority of these positions are within metropolitan health settings and unique challenges exist for these roles in regional and rural areas. Few studies have described the impact of dedicated AH research positions within regional health centres or the factors which facilitate or hinder their role. What does this paper add? Dedicated research positions within a non-metropolitan Australian health service may have a positive impact on AH clinical services, research culture, staff upskilling, research infrastructure and research collaborations. Key enabling mechanisms to support the role may include advocacy from higher level management, strong networks and communication channels. Additional research and administrative funding, the use of technology and team based research may enhance sustainability of such roles. What are the implications for practitioners? AH research positions have potential value in building research capacity within a large non-metropolitan health service. Health managers and researchers should be aware of the unique challenges to these roles and consider mechanisms that may best enhance and sustain outcomes of the positions including: the development of infrastructure (i.e. technology, website of resources), networks, and communication strategies (i.e. regular meetings with leadership and promotion internally).

  5. Invasive Cancer Incidence, 2004–2013, and Deaths, 2006–2015, in Nonmetropolitan and Metropolitan Counties — United States

    PubMed Central

    Anderson, Robert N.; Thomas, Cheryll C.; Massetti, Greta M.; Peaker, Brandy; Richardson, Lisa C.

    2017-01-01

    Problem/Condition Previous reports have shown that persons living in nonmetropolitan (rural or urban) areas in the United States have higher death rates from all cancers combined than persons living in metropolitan areas. Disparities might vary by cancer type and between occurrence and death from the disease. This report provides a comprehensive assessment of cancer incidence and deaths by cancer type in nonmetropolitan and metropolitan counties. Reporting Period 2004–2015. Description of System Cancer incidence data from CDC’s National Program of Cancer Registries and the National Cancer Institute’s Surveillance, Epidemiology, and End Results program were used to calculate average annual age-adjusted incidence rates for 2009–2013 and trends in annual age-adjusted incidence rates for 2004–2013. Cancer mortality data from the National Vital Statistics System were used to calculate average annual age-adjusted death rates for 2011–2015 and trends in annual age-adjusted death rates for 2006–2015. For 5-year average annual rates, counties were classified into four categories (nonmetropolitan rural, nonmetropolitan urban, metropolitan with population <1 million, and metropolitan with population ≥1 million). For the trend analysis, which used annual rates, these categories were combined into two categories (nonmetropolitan and metropolitan). Rates by county classification were examined by sex, age, race/ethnicity, U.S. census region, and cancer site. Trends in rates were examined by county classification and cancer site. Results During the most recent 5-year period for which data were available, nonmetropolitan rural areas had lower average annual age-adjusted cancer incidence rates for all anatomic cancer sites combined but higher death rates than metropolitan areas. During 2006–2015, the annual age-adjusted death rates for all cancer sites combined decreased at a slower pace in nonmetropolitan areas (-1.0% per year) than in metropolitan areas (-1.6% per year), increasing the differences in these rates. In contrast, annual age-adjusted incidence rates for all cancer sites combined decreased approximately 1% per year during 2004–2013 both in nonmetropolitan and metropolitan counties. Interpretation This report provides the first comprehensive description of cancer incidence and mortality in nonmetropolitan and metropolitan counties in the United States. Nonmetropolitan rural counties had higher incidence of and deaths from several cancers related to tobacco use and cancers that can be prevented by screening. Differences between nonmetropolitan and metropolitan counties in cancer incidence might reflect differences in risk factors such as cigarette smoking, obesity, and physical inactivity, whereas differences in cancer death rates might reflect disparities in access to health care and timely diagnosis and treatment. Public Health Action Many cancer cases and deaths could be prevented, and public health programs can use evidence-based strategies from the U.S. Preventive Services Task Force and Advisory Committee for Immunization Practices (ACIP) to support cancer prevention and control. The U.S. Preventive Services Task Force recommends population-based screening for colorectal, female breast, and cervical cancers among adults at average risk for these cancers and for lung cancer among adults at high risk; screening adults for tobacco use and excessive alcohol use, offering counseling and interventions as needed; and using low-dose aspirin to prevent colorectal cancer among adults considered to be at high risk for cardiovascular disease based on specific criteria. ACIP recommends vaccination against cancer-related infectious diseases including human papillomavirus and hepatitis B virus. The Guide to Community Preventive Services describes program and policy interventions proven to increase cancer screening and vaccination rates and to prevent tobacco use, excessive alcohol use, obesity, and physical inactivity. PMID:28683054

  6. 76 FR 60115 - Notice of Availability of the Finding of No Significant Impact for the Metropolitan Branch Trail

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... Significant Impact for the Metropolitan Branch Trail AGENCIES: Federal Highway Administration, District of.... ACTION: Notice of availability of the Finding of No Significant Impact for the Metropolitan Branch Trail... availability of the Finding of No Significant Impact (FONSI) for the Metropolitan Branch Trail Project...

  7. Metropolitan and Nonmetropolitan Migration Streams in Wisconsin 1965-1970. Population Series 70. 6. Research Series No. 1.

    ERIC Educational Resources Information Center

    Davis, Nancy J.; Fuguitt, Glenn V.

    Population growth rates in the 1950-1975 period indicate that metropolitan and nonmetropolitan streams of migration are of virtually the same magnitude in Wisconsin; metropolitan residents are moving to nonmetropolitan places as frequently as their nonmetropolitan counterparts are migrating to metropolitan communities. When migration streams are…

  8. 40 CFR 81.39 - Metropolitan Dallas-Fort Worth Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Dallas-Fort Worth... Designation of Air Quality Control Regions § 81.39 Metropolitan Dallas-Fort Worth Intrastate Air Quality Control Region. The Metropolitan Dallas-Fort Worth Intrastate Air Quality Control Region (Texas) has been...

  9. 40 CFR 81.39 - Metropolitan Dallas-Fort Worth Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Dallas-Fort Worth... Designation of Air Quality Control Regions § 81.39 Metropolitan Dallas-Fort Worth Intrastate Air Quality Control Region. The Metropolitan Dallas-Fort Worth Intrastate Air Quality Control Region (Texas) has been...

  10. 40 CFR 81.18 - Metropolitan St. Louis Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan St. Louis Interstate Air... Air Quality Control Regions § 81.18 Metropolitan St. Louis Interstate Air Quality Control Region. The Metropolitan St. Louis Interstate Air Quality Control Region (Missouri-Illinois) is revised to consist of the...

  11. 40 CFR 81.63 - Metropolitan Fort Smith Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  12. 40 CFR 81.86 - Metropolitan Sioux City Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Sioux City Interstate Air... Air Quality Control Regions § 81.86 Metropolitan Sioux City Interstate Air Quality Control Region. The Metropolitan Sioux City Interstate Air Quality Control Region (Iowa-Nebraska-South Dakota) consists of the...

  13. 40 CFR 81.86 - Metropolitan Sioux City Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Sioux City Interstate Air... Air Quality Control Regions § 81.86 Metropolitan Sioux City Interstate Air Quality Control Region. The Metropolitan Sioux City Interstate Air Quality Control Region (Iowa-Nebraska-South Dakota) consists of the...

  14. 76 FR 57037 - Notice to All Interested Parties of the Termination of the Receivership of 10000, Metropolitan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... Receivership of 10000, Metropolitan Savings Bank, Pittsburgh, PA Notice is Hereby Given that the Federal Deposit Insurance Corporation (``FDIC'') as Receiver for Metropolitan Savings Bank, (``the Receiver... Metropolitan Savings Bank on February 2, 2007. The liquidation of the receivership assets has been completed...

  15. Strategic planning and marketing research for older, inner-city health care facilities: a case study.

    PubMed

    Wood, V R; Robertson, K R

    1992-01-01

    Numerous health care facilities, located in downtown metropolitan areas, now find themselves surrounded by a decaying inner-city environment. Consumers may perceive these facilities as "old," and catering to an "urban poor" consumer. These same consumers may, therefore, prefer to patronize more modern facilities located in suburban areas. This paper presents a case study of such a health care facility and how strategic planning and marketing research were conducted in order to identify market opportunities and new strategic directions.

  16. American cutaneous leishmaniasis cases in the metropolitan region of Manaus, Brazil: association with climate variables over time.

    PubMed

    Ferreira de Souza, Rodrigo Augusto; Andreoli, Rita Valéria; Toshie Kayano, Mary; Lima Carvalho, Afrânio

    2015-05-18

    A temporal series of the normalized difference vegetation index (NDVI) and other environmental parameters covering the years 2002- 2009 was used for the study of the potential association between the climate and the number of cases of American cutaneous leishmaniasis (CL) in Manaus Metropolitan Region (MMR), State of Amazonas, Brazil. The results show that CL has a marked seasonality and a strong linkage with local climate conditions. Dry and warm conditions favor the vector, while the maximum number of CL cases occurs during the following wet season. This has a clear relation to the El Niño/La Niña Southern Oscillation (ENSO) and the results presented here show that uncharacteristic dry conditions in the MMR follow El Niño after a lag period of 3 months, while wet conditions follow La Niña, again after a lag period of 3 months. El Niño brings dry conditions with warming of the land surface leading to increased growth of trees and bushes as indicated by rising NDVI values, eventually producing increased numbers of CL cases, with a peak of new cases occurring 4 to 5 months later. La Niña, on the other hand, produces wet and cool weather, which is less favorable for the leishmaniasis vector and therefore results in comparatively lower number of CL cases. Since these seasonal climate changes affect the dynamics of the CL vector, and thus the number of CL cases, a close watch of the ENSO phenomenon and the weather type it brings should be useful for monitoring and control of CL in the MMR.

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

    PubMed

    1983-01-01

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

  18. Rethinking Adolescent Risk-Taking Behavior and the Peer Leader Dynamic.

    ERIC Educational Resources Information Center

    Carter, D. S. G.; And Others

    The nature of the interactions that occur among peer leaders, peer influence, and the dynamics of the peer reference group in the context of health, interpersonal relations and lifestyle choice were the subjects of this study. Its first stage (of two) employed a case study of a single metropolitan senior high school in Australia. Adolescent peer…

  19. Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : identification of institutional issues, working paper #2

    DOT National Transportation Integrated Search

    1997-06-18

    Intelligent Transportation Systems (ITS) utilize advanced technology components on a local as well as a regional basis. On a regional basis, as is the case in this study, funding, knowledge and operations resources are often pooled from many sources....

  20. Analyzing the effects of transit network change on agency performance and riders in a decentralized, small-to-mid-sized US metropolitan area : a case study of Tallahassee, Florida.

    DOT National Transportation Integrated Search

    2013-05-01

    On July 11, 2011, StarMetro, the local public transit agency in Tallahassee, Florida, restructured its entire bus network from a : downtown-focused radial system to a decentralized, grid-like system that local officials and agency leaders believed wo...

  1. Customer Relationship Management: A Case Study from a Metropolitan Campus of a Regional University

    ERIC Educational Resources Information Center

    Pember, Edward R.; Owens, Alison; Yaghi, Shazhi

    2014-01-01

    This paper investigates the users and uses of a centralised customer relationship management (CRM) system at a regional Australian university to improve the understanding of the staff experience of interacting with this customised technology. How and why the software is used by a cross section of university departments is explored through…

  2. Urban School Choice and Integration: The Effect of Charter Schools in Little Rock

    ERIC Educational Resources Information Center

    Ritter, Gary W.; Jensen, Nathan C.; Kisida, Brian; Bowen, Daniel H.

    2016-01-01

    We examine the impact of charter schools on school integration in the Little Rock, Arkansas metropolitan area. We find that charters are less likely to be hyper-segregated than traditional public schools (TPS), but TPS have compositions more closely reflecting the region. However, differences in each case are slight. Using student-level data to…

  3. The Shaping of Policy: Exploring the Context, Contradictions, and Contours of Privilege in "Milliken v. Bradley," over 40 Years Later

    ERIC Educational Resources Information Center

    Green, Terrance L.; Gooden, Mark A.

    2016-01-01

    Background/Context: "Milliken v. Bradley" (1974) ("Milliken I") is a pivotal Supreme Court case that halted a metropolitan school desegregation remedy between Detroit and 53 surrounding suburban school districts. In a 5-4 Supreme Court decision, the "Milliken" ruling was a significant retraction from the landmark…

  4. "BELTEK" Project for the Training and Employability of Women in Turkey

    ERIC Educational Resources Information Center

    Yavuz, Erisen; Nadir, Celikoz; Mehmet, Sahin; Kurtkan, Kapicioglu M. Osman; Sait, Atas; Cemal, Akyol; Cagla, Girgin

    2010-01-01

    This is a case study based on BELTEK, which is a training organisation under Ankara metropolitan Municipality in Turkey. BELTEK is one of the initiatives aiming to train women and help to boost their employability. In this descriptive study, the goals, structure, training activities for the training and employability of women are put under…

  5. The Transformation of Metropolitan Universities: A Case Study of Rutgers University-Newark and Its Community Engagement Programs, 1967-2010

    ERIC Educational Resources Information Center

    Hill, Diane

    2012-01-01

    During the past decade, urban colleges and universities have been undergoing changes attributable to the reemergence of outreach initiatives. More recently, these outreach efforts have been specifically designed to increase community engagement among faculty and students and to lend the institution's scientific, policy and social service expertise…

  6. Peer Evaluation of Teachers in Maricopa County's Teacher Incentive Fund Program

    ERIC Educational Resources Information Center

    Milanowski, Anthony; Heneman, Herbert G., III; Finster, Matthew

    2015-01-01

    This case study describes the peer evaluation system the Maricopa County Educational Services Agency (MCESA) is using in the districts participating in its Teacher Incentive Fund (TIF) 3 and 4 grants. Maricopa County's TIF districts cover much of the Phoenix, Arizona, metropolitan area. Including both TIF 3 and 4 cohorts, 12 districts with a total…

  7. Gangs a Suburban Problem Too! "Taking the Gang Threat Seriously."

    ERIC Educational Resources Information Center

    Stabile, Michael J.

    Gangs are no longer the exclusive problem of large metropolitan areas. Suburban schools and communities are now vulnerable, and the problem is spreading. To combat the problem, it is essential to overcome denial in the school and community. The case study of Chris, a junior high school student, exemplifies suburban youth gang members.…

  8. Learning Financial Accounting in a Tertiary Institution of a Developing Country. An Investigation into Instructional Methods

    ERIC Educational Resources Information Center

    Abeysekera, Indra

    2011-01-01

    This study examines three instructional methods (traditional, interactive, and group case-based study), and student opinions on their preference for learning financial accounting in large classes at a metropolitan university in Sri Lanka. It analyses the results of a survey questionnaire of students, using quantitative techniques to determine the…

  9. Mobile Technology and the Challenge to Promote a Communicative City in Indonesia. Case Study Bandung Metropolitan Area

    ERIC Educational Resources Information Center

    Sutriadi, Ridwan

    2011-01-01

    The objective of this study is to assess the role of mobile technology to promote a communicative city in Indonesia. The focus is on mobile technologies as symbols of the latest information and communication technology (ICT). Communication influences the capacity building of the governmental planning employees to conduct better planning…

  10. The Influence of Catholic Schools on the Desegregation of Public School Systems: A Case Study of White Flight in Boston.

    ERIC Educational Resources Information Center

    Hannon, James T.

    White flight from public schools to avoid desegregation can result in educational and residential resegregation, defeating the purpose of desegregation efforts. One form of white flight is pupil transfer to private schools, which in most metropolitan areas are predominantly Catholic. Unlike residential relocation, transfers to Catholic schools…

  11. Multilingualism among University Staff: A Case Study of Language Management at an Australian University

    ERIC Educational Resources Information Center

    Marriott, Helen

    2013-01-01

    Employing the language management framework, this paper reports on multilingual use among the staff of a major metropolitan university in Melbourne and covers both simple and organised management. It describes a top-down attempt to survey staffs' (academic and general) background in Languages other than English (LOTE), LOTE usage and evaluative…

  12. Surface air temperature in a maritime metropolitan region

    Treesearch

    J. D. McTaggart-Cowen; J. W. S. Young

    1977-01-01

    In investigations of the micrometeorology of any area, one of the basic parameters required is the spatial and temporal distribution of the surface air temperature. A mobile instrument mounted on an automobile was used for measuring temperatures within the surface mixed layer. Details are presented of a case study at Saint John, New Brunswick, in a summer period. The...

  13. A Case Study: Bilingualism - The Link to International Trade in Miami.

    ERIC Educational Resources Information Center

    Cote, Andre; Cote, Ellyn

    The metropolitan Miami area is a thriving bilingual community that uniquely exemplifies the utility of Spanish for business careers. Miami is unique in its large Latin population, the success of this population, and the proximity of Miami to the Caribbean and Latin American markets. The impact of the Latin population of Miami on education and…

  14. Academic Reading Strategies Used by Leeds Metropolitan University Graduates: A Case Study

    ERIC Educational Resources Information Center

    Sohail, Samira

    2015-01-01

    Academic reading is different from other forms of reading because it is complex and discipline-specific. It involves a measured, challenging, and multifaceted process in which students are dynamically engaged with a range of reading strategies. Academic reading improvement is possible, provided students work on it and there are no short cuts or…

  15. Art Therapy with Hispanic Clients: Results of a Survey Study

    ERIC Educational Resources Information Center

    Bermudez, Diana; ter Maat, Mercedes

    2006-01-01

    Despite the growing number of Hispanics in the US and in caseloads of art therapists, previous literature on this topic is scarce and predominantly based on case studies. This survey assessed the perceptions of 27 art therapists from large metropolitan areas regarding the use of art therapy with Hispanic clients. These perceptions included client…

  16. Reconceptualization Sexuality and Rethinking Homophobia in Metropolitan Campus Spaces

    ERIC Educational Resources Information Center

    Deniz, Caglar

    2017-01-01

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

  17. Vital Signs: Health Care–Associated Legionnaires’ Disease Surveillance Data from 20 States and a Large Metropolitan Area — United States, 2015

    PubMed Central

    Barskey, Albert E.; Shah, Priti P.; Schrag, Stephanie; Whitney, Cynthia G.; Arduino, Matthew J.; Reddy, Sujan C.; Kunz, Jasen M.; Hunter, Candis M.; Raphael, Brian H.; Cooley, Laura A.

    2017-01-01

    Background Legionnaires’ disease, a severe pneumonia, is typically acquired through inhalation of aerosolized water containing Legionella bacteria. Legionella can grow in the complex water systems of buildings, including health care facilities. Effective water management programs could prevent the growth of Legionella in building water systems. Methods Using national surveillance data, Legionnaires’ disease cases were characterized from the 21 jurisdictions (20 U.S. states and one large metropolitan area) that reported exposure information for ≥90% of 2015 Legionella infections. An assessment of whether cases were health care–associated was completed; definite health care association was defined as hospitalization or long-term care facility residence for the entire 10 days preceding symptom onset, and possible association was defined as any exposure to a health care facility for a portion of the 10 days preceding symptom onset. All other Legionnaires’ disease cases were considered unrelated to health care. Results A total of 2,809 confirmed Legionnaires’ disease cases were reported from the 21 jurisdictions, including 85 (3%) definite and 468 (17%) possible health care–associated cases. Among the 21 jurisdictions, 16 (76%) reported 1–21 definite health care–associated cases per jurisdiction. Among definite health care–associated cases, the majority (75, 88%) occurred in persons aged ≥60 years, and exposures occurred at 72 facilities (15 hospitals and 57 long-term care facilities). The case fatality rate was 25% for definite and 10% for possible health care–associated Legionnaires’ disease. Conclusions and Implications for Public Health Practice Exposure to Legionella from health care facility water systems can result in Legionnaires’ disease. The high case fatality rate of health care–associated Legionnaires’ disease highlights the importance of case prevention and response activities, including implementation of effective water management programs and timely case identification. PMID:28594788

  18. Specialized care for people with AIDS in the state of Ceara, Brazil

    PubMed Central

    Pedrosa, Nathália Lima; Santos, Vanessa da Frota; Paiva, Simone de Sousa; Galvão, Marli Teresinha Gimeniz; de Almeida, Rosa Lívia Freitas; Kerr, Ligia Regina Franco Sansigolo

    2015-01-01

    OBJECTIVE To analyze if the distribution of specialized care services for HIV/AIDS is associated with AIDS rates. METHODS Ecological study, for which the distribution of 10 specialized care services in the Ceara state, Northeastern Brazil, was obtained, and the mean rates of the disease were estimated per mesoregion. We evaluated 7,896 individuals who had been diagnosed with AIDS, were aged 13 years or older, lived in Ceara, and had been informed of their condition between 2001 and 2011. Maps were constructed to verify the relationship between the distribution of AIDS cases and institutionalized support networks in the 2001-2006 and 2007-2011 periods. BoxMap and LisaMap were used for data analysis. The Voronoi diagram was applied for the distribution of the studied services. RESULTS Specialized care services concentrated in AIDS clusters in the metropolitan area. The Noroeste Cearense and west of the Sertoes Cearenses had high AIDS rates, but a low number of specialized care services over time. Two of these services were implemented where clusters of the disease exist in the second period. The application of the Voronoi diagram showed that the specialized care services located outside the metropolitan area covered a large territory. We identified one polygon that had no services. CONCLUSIONS The scenario of AIDS cases spread away from major urban areas demands the creation of social support services in areas other than the capital and the metropolitan area of the state; this can reduce access barriers to these institutions. It is necessary to create specialized care services for HIV/AIDS in the Noroeste Cearense and north of Jaguaribe. PMID:26487292

  19. A numerical study of the effect of urbanization on the climate of Las Vegas metropolitan area

    NASA Astrophysics Data System (ADS)

    Kamal, S. M.; Huang, H. P.; Myint, S. W.

    2014-12-01

    Las Vegas is one of the fastest growing desert cities. Its developed area has doubled in the last 30 years. An accurate prediction of the effect of urbanization on the climate of the city is crucial for resource management and planning. In this study, we use the Weather Research and Forecasting (WRF) model coupled with a land surface and urban canopy model to investigate the effects of urbanization on the regional climate pattern around Las Vegas. High resolution numerical simulations are performed with a 3 km resolution over the metropolitan area. With identical lateral boundary conditions, three land-use land-cover maps, representing 2006, 1992 and hypothetical 1900, are used in multiple simulations. The differences in the simulated climate among those cases are used to quantify the urban effect. The simulated surface air temperature is validated against observational data from the weather station at the McCarran airport. It is found that urbanization affects substantial warming during the night but a minor cooling during the day. Detailed diagnostics of the surface energy budget are performed to help interpret this result. In addition, the emerging urban structures are found to have a mechanical effect of slowing down the climatological wind field over the urban area. The change in wind, in turn, leads to a secondary modification of the temperature structure within the air shed of the city. This finding suggests the need to combine the mechanical and thermodynamic effects to construct a complete picture of the influence of land cover on urban climate. In all cases of the simulations, it is also demonstrated that urbanization influences surface air temperature mainly within the metropolitan area.

  20. A new GIS-based tsunami risk evaluation: MeTHuVA (METU tsunami human vulnerability assessment) at Yenikapı, Istanbul

    NASA Astrophysics Data System (ADS)

    Cankaya, Zeynep Ceren; Suzen, Mehmet Lutfi; Yalciner, Ahmet Cevdet; Kolat, Cagil; Zaytsev, Andrey; Aytore, Betul

    2016-07-01

    Istanbul is a mega city with various coastal utilities located on the northern coast of the Sea of Marmara. At Yenikapı, there are critical vulnerable coastal utilities, structures, and active metropolitan life. Fishery ports, commercial ports, small craft harbors, passenger terminals of intercity maritime transportation, waterfront commercial and/or recreational structures with residential/commercial areas and public utility areas are some examples of coastal utilization that are vulnerable to marine disasters. Therefore, the tsunami risk in the Yenikapı region is an important issue for Istanbul. In this study, a new methodology for tsunami vulnerability assessment for areas susceptible to tsunami is proposed, in which the Yenikapı region is chosen as a case study. Available datasets from the Istanbul Metropolitan Municipality and Turkish Navy are used as inputs for high-resolution GIS-based multi-criteria decision analysis (MCDA) evaluation of tsunami risk in Yenikapı. Bathymetry and topography database is used for high-resolution tsunami numerical modeling where the tsunami hazard, in terms of coastal inundation, is deterministically computed using the NAMI DANCE numerical code, considering earthquake worst case scenarios. In order to define the tsunami human vulnerability of the region, two different aspects, vulnerability at location and evacuation resilience maps were created using the analytical hierarchical process (AHP) method of MCDA. A vulnerability at location map is composed of metropolitan use, geology, elevation, and distance from shoreline layers, whereas an evacuation resilience map is formed by slope, distance within flat areas, distance to buildings, and distance to road networks layers. The tsunami risk map is then computed by the proposed new relationship which uses flow depth maps, vulnerability at location maps, and evacuation resilience maps.

  1. Visualizing diurnal population change in urban areas for emergency management.

    PubMed

    Kobayashi, Tetsuo; Medina, Richard M; Cova, Thomas J

    2011-01-01

    There is an increasing need for a quick, simple method to represent diurnal population change in metropolitan areas for effective emergency management and risk analysis. Many geographic studies rely on decennial U.S. Census data that assume that urban populations are static in space and time. This has obvious limitations in the context of dynamic geographic problems. The U.S. Department of Transportation publishes population data at the transportation analysis zone level in fifteen-minute increments. This level of spatial and temporal detail allows for improved dynamic population modeling. This article presents a methodology for visualizing and analyzing diurnal population change for metropolitan areas based on this readily available data. Areal interpolation within a geographic information system is used to create twenty-four (one per hour) population surfaces for the larger metropolitan area of Salt Lake County, Utah. The resulting surfaces represent diurnal population change for an average workday and are easily combined to produce an animation that illustrates population dynamics throughout the day. A case study of using the method to visualize population distributions in an emergency management context is provided using two scenarios: a chemical release and a dirty bomb in Salt Lake County. This methodology can be used to address a wide variety of problems in emergency management.

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

    PubMed

    Brussoni, Mariana; George, M Anne; Jin, Andrew; Lalonde, Christopher E; McCormick, Rod

    2016-05-13

    Disparities in injury rates between Aboriginal and non-Aboriginal populations in British Columbia (BC) are well established. Information regarding the influence of residence on disparities is scarce. We sought to fill these gaps by examining hospitalization rates for all injuries, unintentional injuries and intentional injuries across 24 years among i) Aboriginal and total populations; ii) populations living in metropolitan and non-metropolitan areas; and iii) Aboriginal populations living on- and off-reserve. We used data spanning 1986 through 2010 from BC's universal health care insurance plan, linked to vital statistics databases. Aboriginal people were identified by insurance premium group and birth and death record notations, and their residence was determined by postal code. "On-reserve" residence was established by postal code areas associated with an Indian reserve or settlement. Health Service Delivery Areas (HSDAs) were classified as "metropolitan" if they contained a population of at least 100,000 with a density of 400 or more people per square kilometre. We calculated the crude hospitalization incidence rate and the Standardized Relative Risk (SRR) of hospitalization due to injury standardizing by gender, 5-year age group, and HSDA. We assessed cumulative change in SRR over time as the relative change between the first and last years of the observation period. Aboriginal metropolitan populations living off-reserve had the lowest SRR of injury (2.0), but this was 2.3 times greater than the general British Columbia metropolitan population (0.86). For intentional injuries, Aboriginal populations living on-reserve in non-metropolitan areas were at 5.9 times greater risk than the total BC population. In general, the largest injury disparities were evident for Aboriginal non-metropolitan populations living on-reserve (SRR 3.0); 2.5 times greater than the general BC non-metropolitan population (1.2). Time trends indicated decreasing disparities, with Aboriginal non-metropolitan populations experiencing the largest declines in injury rates. Metropolitan/non-metropolitan residence appears to be a more important predictor than on/off-reserve residence for all injuries and unintentional injuries, and the relationship was even more pronounced for intentional injuries. The persistent disparities highlight the need for culturally sensitive and geographically relevant injury prevention approaches.

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

    PubMed

    Geyer, H S

    1993-07-01

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

  4. TELECOMMUNICATIONS. GSA Action Needed to Realize Benefits of Metropolitan Area Acquisition Program

    DTIC Science & Technology

    2002-04-01

    Reform, House of RepresentativesApril 2002 TELECOMMUNICATIONS GSA Action Needed to Realize Benefits of Metropolitan Area Acquisition Programa GAO-02...Needed to Realize Benefits of Metropolitan Area Acquisition Program Contract Number Grant Number Program Element Number Author(s) Project Number...TELECOMMUNICATIONS GSA Action Needed to Realize Benefits of Metropolitan Area Acquisition Program This is a test for developing highlights for a GAO report

  5. 36. DETAILS FOR SCREENING MACHINERY, DEER ISLAND PUMPING STATION, METROPOLITAN ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    36. DETAILS FOR SCREENING MACHINERY, DEER ISLAND PUMPING STATION, METROPOLITAN WATER AND SEWERAGE BOARD, METROPOLITAN SEWERAGE WORKS, DECEMBER 1909. Aperture card 6611-1 - Deer Island Pumping Station, Boston, Suffolk County, MA

  6. First-Hand Experience with Engineering Design and Career Interest in Engineering: An Informal STEM Education Case Study

    ERIC Educational Resources Information Center

    Ayar, Mehmet C.

    2015-01-01

    The purpose of this study is to present students' experiences, interest in engineering, and personal narratives while participating in a robotics summer camp in a metropolitan city in Turkey. In this study, I used qualitative data collection methods such as interviews, field notes, and observations. I used the four principles of Engle and Conant…

  7. Community Attitudes about Economic Impacts of Colleges: A Case Study. AIR 1996 Annual Forum Paper.

    ERIC Educational Resources Information Center

    Stout, Robert J.

    This study examined attitudes of people about benefits of the economic impacts of two local colleges (Palmer College of Chiropractic and Scott Community College) in the metropolitan Quad Cities area of Rock Island County (Illinois) and Scott County (Iowa). The study compared impacts considered important by the community with those estimated by the…

  8. How Busing Burdened Blacks: Critical Race Theory and Busing for Desegregation in Nashville-Davidson County

    ERIC Educational Resources Information Center

    Woodward, Jennifer R.

    2011-01-01

    This article uses critical race theory, court opinions, newspapers, and interviews to explain how the burden of busing for desegregation was placed upon Blacks in Nashville, Tennessee and why the agenda of the litigants in the Kelley v. Metropolitan Board of Education cases shifted over time. The deliberate pace of the initial desegregation…

  9. Locating provisioning ecosystem services in urban forests: Forageable woody species in New York City, USA

    Treesearch

    Patrick T. Hurley; Marla R. Emery

    2017-01-01

    Scholarship on the ecosystem services provided by urban forests has focused on regulating and supporting services, with a growing body of research examining provisioning and cultural ecosystem services from farms and gardens in metropolitan areas. Using the case of New York, New York, USA, we propose a method to assess the supply of potential provisioning ecosystem...

  10. Uncertainty in a College-Town Housing Market: The Case of the University of Illinois at Urbana- Champaign

    ERIC Educational Resources Information Center

    Sadayuki, Taisuke

    2015-01-01

    This paper empirically investigates the costs that arise from uncertainty in the college-town housing market in the Urbana-Champaign metropolitan area, the home of the University of Illinois. This research resulted in two principal findings. First, the rental price of housing owned by property owners having more than 10 claims filed against them…

  11. Social Integration as a Factor in Academic Achievements of Children: A Case Study of African Immigrants in Louisville, Kentucky

    ERIC Educational Resources Information Center

    Odetunde, Florence Olayinka

    2013-01-01

    This study explored how social integration of African immigrants in the Louisville metropolitan area of Kentucky could be a factor in the academic achievements of their children. It involved critically investigating how the process of their adjustments as immigrants might have been shaped by various personal and environmental factors such as…

  12. The Use of Ethical Frameworks for Implementing Science as a Human Endeavour in Year 10 Biology

    ERIC Educational Resources Information Center

    Yap, Siew Fong; Dawson, Vaille

    2014-01-01

    This research focuses on the use of ethical frameworks as a pedagogical model for socio-scientific education in implementing the "Science as a Human Endeavour" (SHE) strand of the Australian Curriculum: Science in a Year 10 biology class in a Christian college in metropolitan Perth, Western Australia. Using a case study approach, a mixed…

  13. Let's talk it over : interagency cooperation facilities success : a case study : the New York, New Jersey, Connecticut metropolitan area TRANSMIT operational test : ensuring integration of intelligent transportation systems products and services

    DOT National Transportation Integrated Search

    1989-01-01

    This manual provides basic background information and step-by-step procedures for conducting traffic conflict surveys at signalized and unsignalized intersections. The manual was prepared as a training aid and reference source for persons who are ass...

  14. Gifts on a High Note: A Case Study of Major Donors to Music Programs in Higher Education

    ERIC Educational Resources Information Center

    Barascout, Roger

    2012-01-01

    This study is an examination of the giving decision-making process, as well as the factors, characteristics, and motivators of major donors to music programs in higher education. The college and the conservatory of music selected for this study are part of large, public, doctoral, research universities in metropolitan areas with at least three…

  15. ADOPTING A MODERN ECOLOGICAL VIEW OF THE METROPOLITAN LANDSCAPE: THE CASE OF A GREENSPACE SYSTEM FOR THE NEW YORK CITY REGION. (R825792)

    EPA Science Inventory

    Abstract

    Concern about environmental quality and the long-term livability of urban areas is now a driving paradigm for planning professionals. Although a modern ecological framework exists, inappropriate or outdated concepts continue to be used in the context of land-u...

  16. The Educational Aspirations and Expectations of Japanese Immigrant Mothers: Narratives of Raising Bicultural "Nikkei" Children in the Post-1965 Diaspora

    ERIC Educational Resources Information Center

    Endo, Rachel

    2016-01-01

    This qualitative case study analyzed the diverse narratives of 10 Japanese immigrant mothers who reared their second-generation children in a midsize metropolitan community in the Midwest. The primary research questions are as follows: How have Japanese immigrant mothers envisioned academic success in relation to contemporary interpretations of…

  17. Aligning Academic Offerings with Industry Needs and Facility Construction, While Making Space for Relevant Public Private Partnerships (P3s)

    ERIC Educational Resources Information Center

    Golich, Vicki L.; Haynes, Sandra; Hillhouse, Erin; Pfeifer, David

    2018-01-01

    Metropolitan State University of Denver (MSU Denver) has been educating students for Colorado's urban workforce for over fifty years. The following case study of MSU Denver's new Aerospace Engineering Sciences (AES) Building reveals the roles played by partnerships among universities, faculty, and local civic and industry leaders in creating new…

  18. Chemical footprint method for improved communication of freshwater ecotoxicity impacts in the context of ecological limits.

    PubMed

    Bjørn, Anders; Diamond, Miriam; Birkved, Morten; Hauschild, Michael Zwicky

    2014-11-18

    The ecological footprint method has been successful in communicating environmental impacts of anthropogenic activities in the context of ecological limits. We introduce a chemical footprint method that expresses ecotoxicity impacts from anthropogenic chemical emissions as the dilution needed to avoid freshwater ecosystem damage. The indicator is based on USEtox characterization factors with a modified toxicity reference point. Chemical footprint results can be compared to the actual dilution capacity within the geographic vicinity receiving the emissions to estimate whether its ecological limit has been exceeded and hence whether emissions can be expected to be environmentally sustainable. The footprint method was illustrated using two case studies. The first was all inventoried emissions from European countries and selected metropolitan areas in 2004, which indicated that the dilution capacity was likely exceeded for most European countries and all landlocked metropolitan areas. The second case study indicated that peak application of pesticides alone was likely to exceed Denmark's freshwater dilution capacity in 1999-2011. The uncertainty assessment showed that better spatially differentiated fate factors would be useful and pointed out other major sources of uncertainty and some opportunities to reduce these.

  19. Segregation in Post-Civil Rights America: Stalled Integration or End of the Segregated Century?

    PubMed Central

    Massey, Douglas S.; Rugh, Jacob S.

    2016-01-01

    In this paper we adjudicate between competing claims of persisting segregation and rapid integration by analyzing trends in residential dissimilarity and spatial isolation for African Americans, Hispanics, and Asians living in 287 consistently defined metropolitan areas from 1970 to 2010. On average, black segregation and isolation have fallen steadily but still remain very high in many areas, particularly those areas historically characterized by hypersegregation. In contrast, Hispanic segregation has increased slightly but Hispanic isolation has risen substantially owing to rapid population growth. Asian segregation has changed little and remains moderate, and although Asian isolation has increased it remains at low levels compared with other groups. Multivariate analyses reveal that segregation and isolation are being actively produced in some areas by restrictive density zoning regimes, large and/or rising minority percentages, lagging minority socioeconomic status, and active expressions of anti-black and anti-Latino sentiment, especially in large metropolitan areas. Areas displaying these characteristics are either integrating very slowly (in the case of blacks) or becoming more segregated (in the case of Hispanics), whereas those lacking these attributes are clearly moving toward integration, often quite rapidly. PMID:26966459

  20. A Development Program for Metropolitan Junior College, Kansas City. Volume Three: The Economy, Population, and Manpower Requirements of the Kansas City Metropolitan Area.

    ERIC Educational Resources Information Center

    Little (Arthur D.), Inc., San Francisco, CA.

    The economy, population, and manpower requirements of the Kansas City metropolitan area are examined in this volume of a report for the planning and development of Metropolitan Junior College (MJC). Part I looks at the Kansas City economy, first from a historical perspective and then in terms of recent trends in economic growth; the comparative…

  1. Approving for a community aged care package: experiences and perceptions of six metropolitan aged care assessment service teams.

    PubMed

    Stephens, Delwyne; Wells, Yvonne; Gardner, Ian

    2011-06-01

    To establish whether the experiences and perceptions of different metropolitan Aged Care Assessment Service (ACAS) teams when approving people for Community Aged Care Packages (CACPs) were similar. Six semi-structured 30-minute group interviews were completed. ACAS team approval processes for CACPs were similar. The primary criterion for approval was need for case management. Many factors, however, impinged on the approval process. Barriers to making approvals included long waiting times, a lack of confidence in the priority rating system, and consideration of whether a person was better off with Home and Community Care services because of the impact of the Australian Government's Cost Recovery policy. ACAS teams have competing considerations when approving a person for a CACP. In particular, structural barriers, such as cost recovery policies, can have a significant negative impact on approval decisions. © 2010 The Authors. Journal compilation © 2010 ACOTA.

  2. Multi-criteria GIS-based siting of transfer station for municipal solid waste: The case of Kumasi Metropolitan Area, Ghana.

    PubMed

    Bosompem, Christian; Stemn, Eric; Fei-Baffoe, Bernard

    2016-10-01

    The increase in the quantity of municipal solid waste generated as a result of population growth in most urban areas has resulted in the difficulty of locating suitable land areas to be used as landfills. To curb this, waste transfer stations are used. The Kumasi Metropolitan Area, even though it has an engineered landfill, is faced with the problem of waste collection from the generation centres to the final disposal site. Thus in this study, multi-criteria decision analysis incorporated into a geographic information system was used to determine potential waste transfer station sites. The key result established 11 sites located within six different sub-metros. This result can be used by decision makers for site selection of the waste transfer stations after taking into account other relevant ecological and economic factors. © The Author(s) 2016.

  3. How best shall we serve? Case study.

    PubMed

    Rabkin, M T; Bayley, C; Beauchamp, D E

    1993-01-01

    Four disparate proposals for hospital programs, varying in their funding requirements and revenue-generating capacity, have been made to the chief executive officer (CEO) of a metropolitan nonprofit general hospital that has always prided itself on being responsive to community needs. Although the hospital faces severe financial pressures, the CEO has determined that one of the proposals can be supported. Three commentaries on this case discuss what ethical criteria should be considered in evaluating the four proposals, and what role the hospital ethics committee should play in the decision.

  4. Journal of Air Transportation, Volume 10, No. 2

    NASA Technical Reports Server (NTRS)

    Bowen, Brent (Editor); Unal, Mehmet (Editor); Gudmundsson, Sveinn Vidar (Editor); Kabashkin, Igor (Editor)

    2005-01-01

    Topics discussed include: Mitigation Alternatives for Carbon Dioxide Emissions by the Air Transport Industry in Brazil; Air Transport Regulation Under Transformation: The Case of Switzerland; An Estimation of Aircraft Emissions at Turkish Airports; Guide to the Implementation of Iso 14401 at Airports; The Impact of Constrained Future Scenarios on Aviation and Emissions; The Immediate Financial Impact of Transportation Deregulation on the Stockholders of the Airline Industry; Aviation Related Airport Marketing in an Overlapping Metropolitan Catchment Area: The Case of Milan's Three Airports; and Airport Pricing Systems and Airport Deregulation Effects on Welfare.

  5. Enhanced planning review of the St. Louis metropolitan area

    DOT National Transportation Integrated Search

    1996-06-01

    The Intermodal Surface Transportation Act of 1991 (ISTEA) introduced an era of : dynamic change in metropolitan transportation planning. This report on : transportation planning in the St. Louis (Missouri) Metropolitan Area is the : ninth in a series...

  6. Des Moines metropolitan area ITS strategic plan

    DOT National Transportation Integrated Search

    1998-08-19

    The Des Moines Area Metropolitan Organization (MPO) completed an early deployment study for the Des Moines metropolitan area in late 1997. The purpose of the study was to develop a strategic plan for Intelligent Transportation Systems (ITS) deploymen...

  7. Project Scoping Guidebook for Metropolitan Planning Organization Transportation Projects

    DOT National Transportation Integrated Search

    2017-08-01

    To obtain state and federal funding for proposed transportation projects in metropolitan areas, local governments submit project proposals to their Metropolitan Planning Organization (MPO) during the early stages of project planning. The purpose of t...

  8. ITS regional architecture for the Albuquerque metropolitan area (AMPA) : evaluation report.

    DOT National Transportation Integrated Search

    2009-08-11

    The Albuquerque Metropolitan Planning Area (AMPA) Regional ITS Architecture is the : roadmap for transportation systems integration in the Albuquerque Metropolitan Area over the : next 20 years. This architecture was developed through a supportive ef...

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

    PubMed

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

    2012-01-01

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

  10. Hygiene behaviour and hospitalized severe childhood diarrhoea: a case-control study.

    PubMed

    Baltazar, J C; Tiglao, T V; Tempongko, S B

    1993-01-01

    The relationship between personal and domestic hygiene behaviour and hospitalized childhood diarrhoea was examined in a case-control study of 356 cases and 357 controls from low-income families in metropolitan Manila. Indices of hygiene behaviour were defined for overall cleanliness, kitchen hygiene, and living conditions. Only the indices for overall cleanliness and kitchen hygiene were significantly associated with diarrhoea. An increasing excess risk of hospitalization with severe diarrhoea was noted as the ratings for standards of hygiene became lower, and this excess risk persisted even after controlling for confounding variables. The implications of our findings for the control of diarrhoeal disease are discussed.

  11. Hygiene behaviour and hospitalized severe childhood diarrhoea: a case-control study.

    PubMed Central

    Baltazar, J. C.; Tiglao, T. V.; Tempongko, S. B.

    1993-01-01

    The relationship between personal and domestic hygiene behaviour and hospitalized childhood diarrhoea was examined in a case-control study of 356 cases and 357 controls from low-income families in metropolitan Manila. Indices of hygiene behaviour were defined for overall cleanliness, kitchen hygiene, and living conditions. Only the indices for overall cleanliness and kitchen hygiene were significantly associated with diarrhoea. An increasing excess risk of hospitalization with severe diarrhoea was noted as the ratings for standards of hygiene became lower, and this excess risk persisted even after controlling for confounding variables. The implications of our findings for the control of diarrhoeal disease are discussed. PMID:8324851

  12. Mobility 2025 update : the metropolitan transportation plan : executive summary

    DOT National Transportation Integrated Search

    2009-01-01

    Mobility 2025 Update: The Metropolitan Transportation Plan website. Mobility 2025 Update is the defining vision for transportation systems and services in the Dallas-Fort Worth metropolitan area. Serving as a guide for the expenditure of state and fe...

  13. 23 CFR 450.314 - Metropolitan planning agreements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Metropolitan planning agreements. 450.314 Section 450.314 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and Programming § 450.314...

  14. 23 CFR 450.314 - Metropolitan planning agreements.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Metropolitan planning agreements. 450.314 Section 450.314 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and Programming § 450.314...

  15. 23 CFR 450.314 - Metropolitan planning agreements.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Metropolitan planning agreements. 450.314 Section 450.314 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and Programming § 450.314...

  16. Deploying the integrated metropolitan intelligent transportation systems (ITS) infrastructure : FY 2003 report

    DOT National Transportation Integrated Search

    2003-01-01

    In January 1996, the Secretary of Transportation set a goal of deploying the integrated metropolitan Intelligent Transportation System (ITS) infrastructure in 75 of the nation's largest metropolitan areas by 2005. Using data from surveys administered...

  17. Deploying the integrated metropolitan intelligent transportation systems (ITS) infrastructure : FY 2004 report

    DOT National Transportation Integrated Search

    2005-07-01

    In January 1996, the Secretary of Transportation set a goal of deploying the integrated metropolitan Intelligent Transportation System (ITS) infrastructure in 75 of the nation's largest metropolitan areas by 2005. Using data from surveys administered...

  18. Review of State DOT Approaches to Distribute Federal Metropolitan Planning (PL) Funds to MPOs

    DOT National Transportation Integrated Search

    2015-03-10

    Metropolitan Planning Funds (PL funds) are provided from the Federal Highway Trust Fund and distributed by State Departments of Transportation (DOTs) to Metropolitan Planning Organizations (MPOs) to conduct the planning activities required by Title 2...

  19. Prevalence of Streptococcus pneumoniae serotype 6C among invasive and carriage isolates in metropolitan Salvador, Brazil from 1996-2007

    PubMed Central

    Campos, Leila C.; Carvalho, Maria da Gloria S.; Beall, Bernard W.; Cordeiro, Soraia M.; Takahashi, Daniele; Reis, Mitermayer G.; Ko, Albert I.; Reis, Joice N.

    2009-01-01

    The newly described Streptococcus pneumoniae serotype 6C accounted for 2.3% (16/709) of meningitis cases and 3.2% (3/95) of nasopharyngeal isolates from healthy individuals in Brazil. The strains were multidrug resistant (18.8%) and genetically diverse. Despite low serotype 6C prevalence, continuous surveillance is necessary to guide vaccine strategies. PMID:19709842

  20. EXPLORING RELATIONSHIPS BETWEEN OUTDOOR AIR PARTICULATE-ASSOCIATED POLYCYCLIC AROMATIC HYDROCARBON AND PM2.5: A CASE STUDY OF BENZO(A)PYRENE IN CALIFORNIA METROPOLITAN REGIONS

    EPA Science Inventory

    Polycyclic aromatic hydrocarbons (PAHs) and particulate matter (PM) are co-pollutants emitted as by-products of combustion processes. Convincing evidence exists for PAHs as a primary toxic component of fine PM (PM2.5). Because PM2.5 is listed by the US EPA a...

  1. Challenges Faced by African International Students at a Metropolitan Research University: A Phenomenological Case Study

    ERIC Educational Resources Information Center

    Evivie, Loretta Gbemudu

    2009-01-01

    The number of international students coming to the United States has increased from 48,486 in 1959-1960 to 623,805 in the 2007-2008 academic years (Open Doors, 2008). These students contributed $15.5 billion to the United States economy, making education the nation's fifth largest service export (Open Doors, 2008). The literature has focused on…

  2. Isolated free intra-abdominal fluid on CT in blunt trauma: The continued diagnostic dilemma.

    PubMed

    Kong, Victor Y; Jeetoo, Damon; Naidoo, Leah C; Oosthuizen, George V; Clarke, Damian L

    2015-01-01

    The clinical significance of isolated free fluid (FF) without solid organ injury on computed to- mography (CT) continues to pose significant dilemma in the management of patients with blunt abdominal trauma (BAT). We reviewed the incidence of FF and the clinical outcome amongst patients with blunt abdominal trauma in a metropolitan trauma service in South Africa. We performed a retrospective study of 121 consecutive CT scans over a period of 12 months to determine the incidence of isolated FF and the clinical outcome of patients managed in a large metropolitan trauma service. Of the 121 CTs, FF was identified in 36 patients (30%). Seven patients (6%) had isolated FF. Of the 29 patients who had free fluid and associated organ injuries, 33 organ injuries were identified. 86% (25/ 29) of all 29 patients had a single organ injury and 14% had multiple organ injuries. There were 26 solid organ injuries and 7 hollow organ injuries. The 33 organs injured were: spleen, 12; liver, 8; kidney, 5; pancreas, 2; small bowel, 4; duodenum, 1. Six (21%) patients required operative management for small bowel perforations in 4 cases and pancreatic tail injury in 2 cases. All 7 patients with isolated FF were initially observed, and 3 (43%) were eventually subjected to operative intervention. They were found to have an intra-peritoneal bladder rupture in 1 case, a non-expanding zone 3 haematoma in 1 case, and a negative laparotomy in 1 case. Four (57%) patients were successfully managed without surgical interventions. Isolated FF is uncommon and the clinical significance remains unclear. Provided that reli- able serial physical examination can be performed by experienced surgeons, an initial non-operative approach should be considered.

  3. New Insights into the Geographic Distribution of Mycobacterium leprae SNP Genotypes Determined for Isolates from Leprosy Cases Diagnosed in Metropolitan France and French Territories

    PubMed Central

    Reibel, Florence; Chauffour, Aurélie; Brossier, Florence; Jarlier, Vincent; Cambau, Emmanuelle; Aubry, Alexandra

    2015-01-01

    Background Between 20 and 30 bacteriologically confirmed cases of leprosy are diagnosed each year at the French National Reference Center for mycobacteria. Patients are mainly immigrants from various endemic countries or living in French overseas territories. We aimed at expanding data regarding the geographical distribution of the SNP genotypes of the M. leprae isolates from these patients. Methodology/Principal findings Skin biopsies were obtained from 71 leprosy patients diagnosed between January 2009 and December 2013. Data regarding age, sex and place of birth and residence were also collected. Diagnosis of leprosy was confirmed by microscopic detection of acid-fast bacilli and/or amplification by PCR of the M. leprae-specific RLEP region. Single nucleotide polymorphisms (SNP), present in the M. leprae genome at positions 14 676, 1 642 875 and 2 935 685, were determined with an efficiency of 94% (67/71). Almost all patients were from countries other than France where leprosy is still prevalent (n = 31) or from French overseas territories (n = 36) where leprosy is not totally eradicated, while only a minority (n = 4) was born in metropolitan France but have lived in other countries. SNP type 1 was predominant (n = 33), followed by type 3 (n = 17), type 4 (n = 11) and type 2 (n = 6). SNP types were concordant with those previously reported as prevalent in the patients’ countries of birth. SNP types found in patients born in countries other than France (Comoros, Haiti, Benin, Congo, Sri Lanka) and French overseas territories (French Polynesia, Mayotte and La Réunion) not covered by previous work correlated well with geographical location and history of human settlements. Conclusions/Significance The phylogenic analysis of M. leprae strains isolated in France strongly suggests that French leprosy cases are caused by SNP types that are (a) concordant with the geographic origin or residence of the patients (non-French countries, French overseas territories, metropolitan France) or (b) more likely random in regions where diverse migration flows occurred. PMID:26441080

  4. Tracking the deployment of the integrated metropolitan ITS infrastructure in Columbus : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  5. Tracking the deployment of the integrated metropolitan ITS infrastructure in Fresno : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  6. Tracking the deployment of the integrated metropolitan ITS infrastructure in Sacramento : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  7. Tracking the deployment of the integrated metropolitan ITS infrastructure in Bakersfield : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  8. Tracking the deployment of the integrated metropolitan ITS infrastructure in Albuquerque : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  9. Tracking the deployment of the integrated metropolitan ITS infrastructure in Springfield : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  10. Tracking the deployment of the integrated metropolitan ITS infrastructure in Knoxville : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  11. Tracking the deployment of the integrated metropolitan ITS infrastructure in Wichita : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  12. Tracking the deployment of the integrated metropolitan ITS infrastructure in Phoenix : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  13. Tracking the deployment of the integrated metropolitan ITS infrastructure in Baltimore : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

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

    DOT National Transportation Integrated Search

    2000-01-01

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

  15. Tracking the deployment of the integrated metropolitan ITS infrastructure in Austin : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  16. Tracking the deployment of the integrated metropolitan ITS infrastructure in Toledo : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

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

    DOT National Transportation Integrated Search

    2000-01-01

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

  18. Tracking the deployment of the integrated metropolitan ITS infrastructure in Louisville : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  19. Tracking the deployment of the integrated metropolitan ITS infrastructure in Nashville : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  20. Tracking the deployment of the integrated metropolitan ITS infrastructure in Rochester : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  1. Tracking the deployment of the integrated metropolitan ITS infrastructure in Honolulu : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  2. Tracking the deployment of the integrated metropolitan ITS infrastructure in Birmingham : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  3. Tracking the deployment of the integrated metropolitan ITS infrastructure in Memphis : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  4. Tracking the deployment of the integrated metropolitan ITS infrastructure in Jacksonville : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  5. Tracking the deployment of the integrated metropolitan ITS infrastructure in Indianapolis : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  6. Tracking the deployment of the integrated metropolitan ITS infrastructure in Tulsa : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  7. Tracking the deployment of the integrated metropolitan ITS infrastructure in Atlanta : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  8. Tracking the deployment of the integrated metropolitan ITS infrastructure in Syracuse : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  9. Tracking the deployment of the integrated metropolitan ITS infrastructure in Washington : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  10. Tracking the deployment of the integrated metropolitan ITS infrastructure in Dallas : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  11. Evolution and devolution : a national perspective on the changing role of metropolitan planning organizations in areawide intermodal planning.

    DOT National Transportation Integrated Search

    1997-01-01

    The Intermodal Surface Transportation Efficiency Act of 1991 (ISTEA) dramatically changed the metropolitan planning process by presenting new opportunities and responsibilities to the institutions in charge of metropolitan planning. The legislation f...

  12. Tracking the deployment of the integrated metropolitan ITS infrastructure in Omaha : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  13. The Geography of Metropolitan Carbon Footprints

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Brown, Dr. Marilyn Ann; Southworth, Frank; Sarzynski, Andrea

    2009-01-01

    The world s metropolitan carbon footprints have distinct geographies that are not well understood or recognized in debates about climate change, partly because data on greenhouse gas emissions is so inadequate. This article describes the results of the most comprehensive assessment of carbon footprints for major American metropolitan areasavailable to date, focusing on residential and transportation carbon emissions for the largest 100 metropolitan areas in the United States. These findings are put into the context of effortsacross the country and the globe to characterize carbon impacts and policy linkages.

  14. Pediatric bacterial meningitis in French Guiana.

    PubMed

    Elenga, N; Sicard, S; Cuadro-Alvarez, E; Long, L; Njuieyon, F; Martin, E; Kom-Tchameni, R; Balcaen, J; Moreau, B; Boukhari, R

    2015-01-01

    Controlling vaccine-preventable infectious diseases is a public health priority in French Guiana but there is currently no epidemiological data on pediatric bacterial meningitis in this overseas department. Our aim was to describe data related to pediatric bacterial meningitis in French Guiana and compare it with that of metropolitan France. We conducted a multicenter retrospective study from 2000 to 2010 to describe the clinical picture, biological data, epidemiology, and outcome of pediatric bacterial meningitis case patients in French Guiana. The median age of bacterial meningitis patients was 6months [0-15] and the sex ratio 1.06. We observed a total of 60 bacterial meningitis case patients. Most presented with pneumococcal meningitis (24 patients; 40%); 11 with Haemophilus influenzae type b meningitis (23%), five with group B streptococcal meningitis (8.5%), and five others (8.5%) with staphylococcal meningitis (three patients presented with coagulase-negative staphylococci and two with Staphylococcus aureus). Only one patient presented with group B meningococcal meningitis, an 18-month-old infant. We recorded 14 deaths (overall case fatality: 23%); eight were due to Streptococcus pneumoniae (case fatality: 33%). The overall sequelae rate was 28%. It was 32% for patients presenting with pneumococcal meningitis. We observed that 38% of children who had never been vaccinated were infected by a vaccine-preventable bacterium. We observed many differences in the distribution of the bacteria and in the patients' prognosis when comparing the French Guiana data with that of metropolitan France. Improving vaccination coverage would decrease the incidence of H. influenzae meningitis. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  15. Modeling ozone uptake by urban and peri-urban forest: a case study in the Metropolitan City of Rome.

    PubMed

    Fusaro, Lina; Mereu, Simone; Salvatori, Elisabetta; Agliari, Elena; Fares, Silvano; Manes, Fausto

    2018-03-01

    Urban and peri-urban forests are green infrastructures (GI) that play a substantial role in delivering ecosystem services such as the amelioration of air quality by the removal of air pollutants, among which is ozone (O 3 ), which is the most harmful pollutant in Mediterranean metropolitan areas. Models may provide a reliable estimate of gas exchanges between vegetation and atmosphere and are thus a powerful tool to quantify and compare O 3 removal in different contexts. The present study modeled the O 3 stomatal uptake at canopy level of an urban and a peri-urban forest in the Metropolitan City of Rome in two different years. Results show different rates of O 3 fluxes between the two forests, due to different exposure to the pollutant, management practice effects on forest structure and functionality, and environmental conditions, namely, different stressors affecting the gas exchange rates of the two GIs. The periodic components of the time series calculated by means of the spectral analysis show that seasonal variation of modeled canopy transpiration is driven by precipitation in peri-urban forests, whereas in the urban forest seasonal variations are driven by vapor pressure deficit of ambient air. Moreover, in the urban forest high water availability during summer months, owing to irrigation practice, leads to an increase in O 3 uptake, thus suggesting that irrigation may enhance air phytoremediation in urban areas.

  16. Tracking the deployment of the integrated metropolitan ITS infrastructure in Oklahoma City : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  17. Tracking the deployment of the integrated metropolitan ITS infrastructure in Houston, Galveston, Brazoria : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  18. Tracking the deployment of the integrated metropolitan ITS infrastructure in Allentown, Bethlehem, Easton : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  19. Tracking the deployment of the integrated metropolitan ITS infrastructure in Dayton, Springfield : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  20. The Principal in Metropolitan Schools.

    ERIC Educational Resources Information Center

    Erickson, Donald A., Ed.; Reller, Theodore L., Ed.

    This collection of articles is designed to help metropolitan school principals meet the challenges of their positions. It is especially concerned with how principals can contribute to effective education for students of markedly heterogenous backgrounds. The authors deal with such issues as the principalship and metropolitan administration, the…

  1. 75 FR 40726 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-14

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

  2. Tracking the deployment of the integrated metropolitan ITS infrastructure in Miami, Ft. Lauderdale : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  3. Tracking the deployment of the integrated metropolitan ITS infrastructure in New Orleans : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  4. Tracking the deployment of the integrated metropolitan ITS infrastructure in Raleigh-Durham : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  5. Tracking the deployment of the integrated metropolitan ITS infrastructure in Boston, Lawrence, Salem : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  6. Tracking the deployment of the integrated metropolitan ITS infrastructure in Pittsburgh, Beaver Valley : FY99 results

    DOT National Transportation Integrated Search

    1999-01-01

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

  7. Tracking the deployment of the integrated metropolitan ITS infrastructure in Richmond, Petersburg : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  8. 40 CFR 81.89 - Metropolitan Cheyenne Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

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

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  10. 40 CFR 81.101 - Metropolitan Dubuque Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  11. 40 CFR 81.89 - Metropolitan Cheyenne Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  12. 40 CFR 81.78 - Metropolitan Portland Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  13. Tracking the deployment of the integrated metropolitan ITS infrastructure in San Juan : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  14. Tracking the deployment of the integrated metropolitan ITS infrastructure in Las Vegas : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  15. Tracking the deployment of the integrated metropolitan ITS infrastructure in Greenville, Spartanburg : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  16. 49 CFR 613.100 - Metropolitan transportation planning and programming.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  17. 49 CFR 613.100 - Metropolitan transportation planning and programming.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  18. 49 CFR 613.100 - Metropolitan transportation planning and programming.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  19. Tracking the deployment of the integrated metropolitan ITS infrastructure in St. Louis : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  20. Tracking the deployment of the integrated metropolitan ITS infrastructure in Harrisburg, Lebanon, Carlisle : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  1. Tracking the deployment of the integrated metropolitan ITS infrastructure in San Antonio : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  2. Tracking the deployment of the integrated metropolitan ITS infrastructure in Grand Rapids : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  3. Tracking the deployment of the integrated metropolitan ITS infrastructure in Scranton, Wilkes-Barre : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  4. Tracking the deployment of the integrated metropolitan ITS infrastructure in Youngstown, Warren : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  5. Tracking the deployment of the integrated metropolitan ITS infrastructure in Sarasota-Bradenton : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  6. Tracking the deployment of the integrated metropolitan ITS infrastructure in El Paso : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  7. Project 1990: Educational Planning at the Metropolitan Level.

    ERIC Educational Resources Information Center

    Swanson, Austin D.; Lamitie, Robert E.

    This paper describes a project designed to provide educational decisionmakers with projections of and forecasts about future metropolitan conditions and problems, and information about the implications of alternative ways of solving metropolitan problems. Project components included (1) population and economic projections and forecasts, (2)…

  8. Tracking the deployment of the integrated metropolitan ITS infrastructure in Seattle, Tacoma : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  9. 40 CFR 81.16 - Metropolitan Denver Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.16 Metropolitan Denver Intrastate Air Quality Control Region. The Metropolitan Denver Intrastate Air Quality Control Region (Colorado) consists of the territorial area...

  10. 40 CFR 81.16 - Metropolitan Denver Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.16 Metropolitan Denver Intrastate Air Quality Control Region. The Metropolitan Denver Intrastate Air Quality Control Region (Colorado) consists of the territorial area...

  11. 40 CFR 81.31 - Metropolitan Providence Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.31 Metropolitan Providence Interstate Air Quality Control Region. The Metropolitan Providence Interstate Air Quality Control Region (Rhode Island-Massachusetts) consists of the...

  12. 40 CFR 81.16 - Metropolitan Denver Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.16 Metropolitan Denver Intrastate Air Quality Control Region. The Metropolitan Denver Intrastate Air Quality Control Region (Colorado) consists of the territorial area...

  13. 40 CFR 81.31 - Metropolitan Providence Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.31 Metropolitan Providence Interstate Air Quality Control Region. The Metropolitan Providence Interstate Air Quality Control Region (Rhode Island-Massachusetts) consists of the...

  14. 40 CFR 81.28 - Metropolitan Baltimore Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.28 Metropolitan Baltimore Intrastate Air Quality Control Region. The Metropolitan Baltimore Intrastate Air Quality Control Region (Maryland) consists of the territorial area...

  15. 40 CFR 81.78 - Metropolitan Portland Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.78 Metropolitan Portland Intrastate Air Quality Control Region. The Metropolitan Portland Intrastate Air Quality Control Region (Maine) consists of the territorial area...

  16. 40 CFR 81.78 - Metropolitan Portland Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.78 Metropolitan Portland Intrastate Air Quality Control Region. The Metropolitan Portland Intrastate Air Quality Control Region (Maine) consists of the territorial area...

  17. 40 CFR 81.28 - Metropolitan Baltimore Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.28 Metropolitan Baltimore Intrastate Air Quality Control Region. The Metropolitan Baltimore Intrastate Air Quality Control Region (Maryland) consists of the territorial area...

  18. 40 CFR 81.28 - Metropolitan Baltimore Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.28 Metropolitan Baltimore Intrastate Air Quality Control Region. The Metropolitan Baltimore Intrastate Air Quality Control Region (Maryland) consists of the territorial area...

  19. 40 CFR 81.31 - Metropolitan Providence Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.31 Metropolitan Providence Interstate Air Quality Control Region. The Metropolitan Providence Interstate Air Quality Control Region (Rhode Island-Massachusetts) consists of the...

  20. 40 CFR 81.44 - Metropolitan Memphis Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.44 Metropolitan Memphis Interstate Air Quality Control Region. The Metropolitan Memphis Interstate Air Quality Control Region (Arkansas-Mississippi-Tennessee) consists of the...

  1. 40 CFR 81.28 - Metropolitan Baltimore Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.28 Metropolitan Baltimore Intrastate Air Quality Control Region. The Metropolitan Baltimore Intrastate Air Quality Control Region (Maryland) consists of the territorial area...

  2. 40 CFR 81.19 - Metropolitan Boston Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.19 Metropolitan Boston Intrastate Air Quality Control Region. The Metropolitan Boston Intrastate Air Quality Control Region (Massachusetts) consists of the territorial area...

  3. 40 CFR 81.19 - Metropolitan Boston Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.19 Metropolitan Boston Intrastate Air Quality Control Region. The Metropolitan Boston Intrastate Air Quality Control Region (Massachusetts) consists of the territorial area...

  4. 40 CFR 81.44 - Metropolitan Memphis Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.44 Metropolitan Memphis Interstate Air Quality Control Region. The Metropolitan Memphis Interstate Air Quality Control Region (Arkansas-Mississippi-Tennessee) consists of the...

  5. 40 CFR 81.16 - Metropolitan Denver Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.16 Metropolitan Denver Intrastate Air Quality Control Region. The Metropolitan Denver Intrastate Air Quality Control Region (Colorado) consists of the territorial area...

  6. 40 CFR 81.19 - Metropolitan Boston Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.19 Metropolitan Boston Intrastate Air Quality Control Region. The Metropolitan Boston Intrastate Air Quality Control Region (Massachusetts) consists of the territorial area...

  7. 40 CFR 81.19 - Metropolitan Boston Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.19 Metropolitan Boston Intrastate Air Quality Control Region. The Metropolitan Boston Intrastate Air Quality Control Region (Massachusetts) consists of the territorial area...

  8. 40 CFR 81.44 - Metropolitan Memphis Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.44 Metropolitan Memphis Interstate Air Quality Control Region. The Metropolitan Memphis Interstate Air Quality Control Region (Arkansas-Mississippi-Tennessee) consists of the...

  9. 40 CFR 81.31 - Metropolitan Providence Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.31 Metropolitan Providence Interstate Air Quality Control Region. The Metropolitan Providence Interstate Air Quality Control Region (Rhode Island-Massachusetts) consists of the...

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

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.44 Metropolitan Memphis Interstate Air Quality Control Region. The Metropolitan Memphis Interstate Air Quality Control Region (Arkansas-Mississippi-Tennessee) consists of the...

  11. Tracking the deployment of the integrated metropolitan ITS infrastructure in Cleveland, Akron, Lorain : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  12. Tracking the deployment of the integrated metropolitan ITS infrastructure in Kansas City : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  13. Tracking the deployment of the integrated metropolitan ITS infrastructure in Cincinnati, Hamilton : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  14. Tracking the deployment of the integrated metropolitan ITS infrastructure in Minneapolis, St. Paul : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  15. Tracking the deployment of the integrated metropolitan ITS infrastructure in Denver, Boulder : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  16. Tracking the deployment of the integrated metropolitan ITS infrastructure in Hampton Roads : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  17. Tracking the deployment of the integrated metropolitan ITS infrastructure in Detroit, Ann Arbor : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  18. Tracking the deployment of the integrated metropolitan ITS infrastructure in Philadelphia, Wilmington, Trenton : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  19. Tracking the deployment of the integrated metropolitan ITS infrastructure in Portland, Vancouver : FY99 results

    DOT National Transportation Integrated Search

    1999-01-01

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

  20. Tracking the deployment of the integrated metropolitan ITS infrastructure in Buffalo, Niagara Falls : FY99 results

    DOT National Transportation Integrated Search

    2000-05-23

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

  1. Tracking the deployment of the integrated metropolitan ITS infrastructure in San Diego : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  3. Tracking the deployment of the integrated metropolitan ITS infrastructure in Baton Rouge : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  4. 40 CFR 81.44 - Metropolitan Memphis Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.44 Metropolitan Memphis Interstate Air Quality Control Region. The Metropolitan Memphis Interstate Air Quality Control Region (Arkansas-Mississippi-Tennessee) consists of the...

  5. 40 CFR 81.16 - Metropolitan Denver Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.16 Metropolitan Denver Intrastate Air Quality Control Region. The Metropolitan Denver Intrastate Air Quality Control Region (Colorado) consists of the territorial area...

  6. 40 CFR 81.28 - Metropolitan Baltimore Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.28 Metropolitan Baltimore Intrastate Air Quality Control Region. The Metropolitan Baltimore Intrastate Air Quality Control Region (Maryland) consists of the territorial area...

  7. 40 CFR 81.19 - Metropolitan Boston Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.19 Metropolitan Boston Intrastate Air Quality Control Region. The Metropolitan Boston Intrastate Air Quality Control Region (Massachusetts) consists of the territorial area...

  8. 40 CFR 81.78 - Metropolitan Portland Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.78 Metropolitan Portland Intrastate Air Quality Control Region. The Metropolitan Portland Intrastate Air Quality Control Region (Maine) consists of the territorial area...

  9. 40 CFR 81.31 - Metropolitan Providence Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.31 Metropolitan Providence Interstate Air Quality Control Region. The Metropolitan Providence Interstate Air Quality Control Region (Rhode Island-Massachusetts) consists of the...

  10. 49 CFR 613.100 - Metropolitan transportation planning and programming.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  11. Tracking the deployment of the integrated metropolitan ITS infrastructure in New Haven, Meriden : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  12. Tracking the deployment of the integrated metropolitan ITS infrastructure in Milwaukee, Racine : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  13. University and Local Government in Metropolitan Environmental Management

    ERIC Educational Resources Information Center

    Laffite, Nicolas Baya

    2008-01-01

    This article addresses the role of universities in the sustainable management of metropolitan areas, drawing on the outputs from a workshop that brought together academics, professionals and politicians responsible for the urban environmental management of the metropolitan areas of Buenos Aires, Argentina, and Sao Paulo, Brazil. Urban…

  14. 77 FR 47535 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... final action to approve revisions to the Sacramento Metropolitan Air Quality Management District portion... ``significant regulatory action'' subject to review by the Office of Management and Budget under Executive Order...

  15. 76 FR 28942 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... Metropolitan Air Quality Management District (SMAQMD or District) portion of the California State... action: Is not a ``significant regulatory action'' subject to review by the Office of Management and...

  16. 77 FR 63743 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... final action to approve revisions to the Sacramento Metropolitan Air Quality Management District (SMAQMD..., this action: Is not a ``significant regulatory action'' subject to review by the Office of Management...

  17. Tracking the deployment of the integrated metropolitan ITS infrastructure in Providence, Pawtucket, Fall River : FY99 results

    DOT National Transportation Integrated Search

    1999-01-01

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

  18. Navigating trade-offs in complex systems : deliberative multi criteria decision analysis of CCMPO metropolitan transportation plan, 2010-2035.

    DOT National Transportation Integrated Search

    2011-07-15

    "Metropolitan Planning Organizations (MPOs) are required by Federal law to develop a long-range Metropolitan Transportation Plan (MTP) at least every five years. This research focuses on assessing the trade-offs between business-as-usual MTP scenario...

  19. 40 CFR 81.87 - Metropolitan Boise Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  20. 40 CFR 81.75 - Metropolitan Charlotte Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  1. 40 CFR 81.87 - Metropolitan Boise Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  2. Tracking the deployment of the integrated metropolitan ITS infrastructure in Los Angeles, Anaheim, Riverside : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  3. Tracking the deployment of the integrated metropolitan ITS infrastructure in the USA : FY99 results

    DOT National Transportation Integrated Search

    2000-05-01

    This report describes the results of a major data gathering effort aimed at tracking deployment of nine infrastructure components of the metropolitan ITS infrastructure in 78 of the largest metropolitan areas in the nation. The nine components are: F...

  4. Tracking the deployment of the integrated metropolitan ITS infrastructure in Hartford, New Britain, Middletown : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  5. Tracking the deployment of the integrated metropolitan ITS infrastructure in Little Rock, North Little Rock : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  6. Tracking the deployment of the integrated metropolitan ITS infrastructure in Charlotte, Gastonia, Rock Hill : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  7. 40 CFR 81.75 - Metropolitan Charlotte Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.75 Metropolitan Charlotte Interstate Air Quality Control Region. The Metropolitan Charlotte Interstate Air Quality Control Region (North Carolina-South Carolina) has been revised...

  8. 40 CFR 81.45 - Metropolitan Atlanta Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.45 Metropolitan Atlanta Intrastate Air Quality Control Region. The Metropolitan Atlanta Intrastate Air Quality Control Region (Georgia) has been revised to consist of the...

  9. 40 CFR 81.34 - Metropolitan Dayton Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.34 Metropolitan Dayton Intrastate Air Quality Control Region. The Metropolitan Dayton Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

  10. 40 CFR 81.43 - Metropolitan Toledo Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.43 Metropolitan Toledo Interstate Air Quality Control Region. The Metropolitan Toledo Interstate Air Quality Control Region (Ohio-Michigan) consists of the territorial area...

  11. 40 CFR 81.45 - Metropolitan Atlanta Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.45 Metropolitan Atlanta Intrastate Air Quality Control Region. The Metropolitan Atlanta Intrastate Air Quality Control Region (Georgia) has been revised to consist of the...

  12. 40 CFR 81.41 - Metropolitan Birmingham Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.41 Metropolitan Birmingham Intrastate Air Quality Control Region. The Metropolitan Birmingham Intrastate Air Quality Control Region (Alabama) has been revised to consist of the...

  13. 40 CFR 81.34 - Metropolitan Dayton Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.34 Metropolitan Dayton Intrastate Air Quality Control Region. The Metropolitan Dayton Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

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

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.41 Metropolitan Birmingham Intrastate Air Quality Control Region. The Metropolitan Birmingham Intrastate Air Quality Control Region (Alabama) has been revised to consist of the...

  15. 40 CFR 81.20 - Metropolitan Cincinnati Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.20 Metropolitan Cincinnati Interstate Air Quality Control Region. The Metropolitan Cincinnati Interstate Air Quality Control Region (Ohio-Kentucky-Indiana) is revised to consist of...

  16. 40 CFR 81.34 - Metropolitan Dayton Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.34 Metropolitan Dayton Intrastate Air Quality Control Region. The Metropolitan Dayton Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

  17. 40 CFR 81.41 - Metropolitan Birmingham Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.41 Metropolitan Birmingham Intrastate Air Quality Control Region. The Metropolitan Birmingham Intrastate Air Quality Control Region (Alabama) has been revised to consist of the...

  18. 40 CFR 81.41 - Metropolitan Birmingham Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.41 Metropolitan Birmingham Intrastate Air Quality Control Region. The Metropolitan Birmingham Intrastate Air Quality Control Region (Alabama) has been revised to consist of the...

  19. 40 CFR 81.34 - Metropolitan Dayton Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.34 Metropolitan Dayton Intrastate Air Quality Control Region. The Metropolitan Dayton Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

  20. 40 CFR 81.43 - Metropolitan Toledo Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.43 Metropolitan Toledo Interstate Air Quality Control Region. The Metropolitan Toledo Interstate Air Quality Control Region (Ohio-Michigan) consists of the territorial area...

  1. 40 CFR 81.45 - Metropolitan Atlanta Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.45 Metropolitan Atlanta Intrastate Air Quality Control Region. The Metropolitan Atlanta Intrastate Air Quality Control Region (Georgia) has been revised to consist of the...

  2. 40 CFR 81.20 - Metropolitan Cincinnati Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.20 Metropolitan Cincinnati Interstate Air Quality Control Region. The Metropolitan Cincinnati Interstate Air Quality Control Region (Ohio-Kentucky-Indiana) is revised to consist of...

  3. 40 CFR 81.43 - Metropolitan Toledo Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.43 Metropolitan Toledo Interstate Air Quality Control Region. The Metropolitan Toledo Interstate Air Quality Control Region (Ohio-Michigan) consists of the territorial area...

  4. 40 CFR 81.20 - Metropolitan Cincinnati Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.20 Metropolitan Cincinnati Interstate Air Quality Control Region. The Metropolitan Cincinnati Interstate Air Quality Control Region (Ohio-Kentucky-Indiana) is revised to consist of...

  5. 40 CFR 81.43 - Metropolitan Toledo Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.43 Metropolitan Toledo Interstate Air Quality Control Region. The Metropolitan Toledo Interstate Air Quality Control Region (Ohio-Michigan) consists of the territorial area...

  6. 40 CFR 81.75 - Metropolitan Charlotte Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.75 Metropolitan Charlotte Interstate Air Quality Control Region. The Metropolitan Charlotte Interstate Air Quality Control Region (North Carolina-South Carolina) has been revised...

  7. 40 CFR 81.14 - Metropolitan Chicago Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.14 Metropolitan Chicago Interstate Air Quality Control Region. The Metropolitan Chicago Interstate Air Quality Control Region (Illinois-Indiana) is revised to consist of the...

  8. 40 CFR 81.14 - Metropolitan Chicago Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.14 Metropolitan Chicago Interstate Air Quality Control Region. The Metropolitan Chicago Interstate Air Quality Control Region (Illinois-Indiana) is revised to consist of the...

  9. 40 CFR 81.14 - Metropolitan Chicago Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.14 Metropolitan Chicago Interstate Air Quality Control Region. The Metropolitan Chicago Interstate Air Quality Control Region (Illinois-Indiana) is revised to consist of the...

  10. 40 CFR 81.20 - Metropolitan Cincinnati Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.20 Metropolitan Cincinnati Interstate Air Quality Control Region. The Metropolitan Cincinnati Interstate Air Quality Control Region (Ohio-Kentucky-Indiana) is revised to consist of...

  11. 40 CFR 81.14 - Metropolitan Chicago Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.14 Metropolitan Chicago Interstate Air Quality Control Region. The Metropolitan Chicago Interstate Air Quality Control Region (Illinois-Indiana) is revised to consist of the...

  12. 40 CFR 81.45 - Metropolitan Atlanta Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.45 Metropolitan Atlanta Intrastate Air Quality Control Region. The Metropolitan Atlanta Intrastate Air Quality Control Region (Georgia) has been revised to consist of the...

  13. 40 CFR 81.87 - Metropolitan Boise Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.87 Metropolitan Boise Intrastate Air Quality Control Region. The Metropolitan Boise Intrastate Air Quality Control Region (Idaho) consists of the territorial area encompassed...

  14. 40 CFR 81.75 - Metropolitan Charlotte Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.75 Metropolitan Charlotte Interstate Air Quality Control Region. The Metropolitan Charlotte Interstate Air Quality Control Region (North Carolina-South Carolina) has been revised...

  15. Tracking the deployment of the integrated metropolitan ITS infrastructure in Chicago, Gary, Lake County : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  16. Tracking the deployment of the integrated metropolitan ITS infrastructure in San Francisco, Oakland, San Jose : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  17. Tracking the deployment of the integrated metropolitan ITS infrastructure in Tampa, St. Petersburg, Clearwater : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  18. Tracking the deployment of the integrated metropolitan ITS infrastructure in Greensboro, Winston-Salem, High Point : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  19. Tracking the deployment of the integrated metropolitan ITS infrastructure in Salt Lake City, Ogden : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  20. 40 CFR 81.43 - Metropolitan Toledo Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.43 Metropolitan Toledo Interstate Air Quality Control Region. The Metropolitan Toledo Interstate Air Quality Control Region (Ohio-Michigan) consists of the territorial area...

  1. 40 CFR 81.20 - Metropolitan Cincinnati Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.20 Metropolitan Cincinnati Interstate Air Quality Control Region. The Metropolitan Cincinnati Interstate Air Quality Control Region (Ohio-Kentucky-Indiana) is revised to consist of...

  2. 40 CFR 81.75 - Metropolitan Charlotte Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.75 Metropolitan Charlotte Interstate Air Quality Control Region. The Metropolitan Charlotte Interstate Air Quality Control Region (North Carolina-South Carolina) has been revised...

  3. 40 CFR 81.14 - Metropolitan Chicago Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.14 Metropolitan Chicago Interstate Air Quality Control Region. The Metropolitan Chicago Interstate Air Quality Control Region (Illinois-Indiana) is revised to consist of the...

  4. 40 CFR 81.45 - Metropolitan Atlanta Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.45 Metropolitan Atlanta Intrastate Air Quality Control Region. The Metropolitan Atlanta Intrastate Air Quality Control Region (Georgia) has been revised to consist of the...

  5. 40 CFR 81.41 - Metropolitan Birmingham Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.41 Metropolitan Birmingham Intrastate Air Quality Control Region. The Metropolitan Birmingham Intrastate Air Quality Control Region (Alabama) has been revised to consist of the...

  6. 40 CFR 81.34 - Metropolitan Dayton Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS (CONTINUED) DESIGNATION OF AREAS FOR AIR QUALITY PLANNING PURPOSES Designation of Air Quality Control Regions § 81.34 Metropolitan Dayton Intrastate Air Quality Control Region. The Metropolitan Dayton Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

  7. Metropolitan Universities: An Emerging Model in American Higher Education.

    ERIC Educational Resources Information Center

    Johnson, Daniel M., Ed.; Bell, David A., Ed.

    This volume contains 29 readings reprinted from the journal "Metropolitan Universities: An International Forum," selected to demonstrate the unique mission and characteristics of metropolitan universities and to recognize the special challenges they face in addressing the nation's major urban issues. The papers include: "What Is a Metropolitan…

  8. 78 FR 10589 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

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

  9. 75 FR 18143 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ... ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 [EPA-R09-OAR-2010-0045; FRL-9124-4] Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... approve revisions to the Sacramento Metropolitan Air Quality Management District (SMAQMD) portion of the...

  10. 77 FR 63781 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 [EPA-R09-OAR-2012-0754; FRL-9740-6] Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality Management Districts... approve revisions to the Sacramento Metropolitan Air Quality Management District (SMAQMD) portion of the...

  11. 77 FR 47581 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ... ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 [EPA-R09-OAR-2012-0311; FRL-9687-2] Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District... approve revisions to the Sacramento Metropolitan Air Quality Management District (SMAQMD) portion of the...

  12. Telecommunications for Metropolitan Areas: Opportunities for the 1980's.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Assembly of Engineering.

    This report intended for officials responsible for solving metropolitan problems identifies ways that telecommunications could improve the delivery of public services to metropolitan communities during the 1980's. Areas included in this study are delivery of public services to the home, operation of mobile public services, personal security…

  13. 40 CFR 81.87 - Metropolitan Boise Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 18 2014-07-01 2014-07-01 false Metropolitan Boise Intrastate Air Quality Control Region. 81.87 Section 81.87 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.87 Metropolitan Boise Intrastate Air Quality Control Region. The...

  14. 40 CFR 81.87 - Metropolitan Boise Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 18 2012-07-01 2012-07-01 false Metropolitan Boise Intrastate Air Quality Control Region. 81.87 Section 81.87 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.87 Metropolitan Boise Intrastate Air Quality Control Region. The...

  15. 7 CFR 3550.10 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... adjusted for household size) for the county or Metropolitan Statistical Area where the property is or will... excess of 10,000 but not in excess of 20,000, is not contained within a Metropolitan Statistical Area..., 1990, (even if within a Metropolitan Statistical Area), with a population exceeding 10,000, but not in...

  16. Tracking the deployment of the integrated metropolitan ITS infrastructure in West Palm Beach, Boca Raton, Delray : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  17. Metropolitan School Organization: Basic Problems and Patterns. Volume 1.

    ERIC Educational Resources Information Center

    McKelvey, Troy V., Ed.

    This anthology describes and discusses the study and development of metropolitan educational delivery systems--the process of bringing education under the control of one system spanning the city and its suburbs. Substantive works focus on the forces presently surrounding the problem of metropolitan educational reform and the present state of…

  18. 40 CFR 52.227 - Control strategy and regulations: Particulate matter, Metropolitan Los Angeles Intrastate Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...: Particulate matter, Metropolitan Los Angeles Intrastate Region. 52.227 Section 52.227 Protection of... IMPLEMENTATION PLANS California § 52.227 Control strategy and regulations: Particulate matter, Metropolitan Los... does not provide for attainment and maintenance of the secondary standards for particulate matter in...

  19. 40 CFR 52.227 - Control strategy and regulations: Particulate matter, Metropolitan Los Angeles Intrastate Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...: Particulate matter, Metropolitan Los Angeles Intrastate Region. 52.227 Section 52.227 Protection of... IMPLEMENTATION PLANS California § 52.227 Control strategy and regulations: Particulate matter, Metropolitan Los... does not provide for attainment and maintenance of the secondary standards for particulate matter in...

  20. Detroit Metropolitan Library Research and Demonstration Project. Background Data.

    ERIC Educational Resources Information Center

    Kremer, Helen

    The Detroit Metropolitan Region, including six countries in southeastern Michigan, is the focus for the Detroit Metropolitan Library Research and Demonstration Project. This document provides background data on the region for the Project. Data included are (1) population, (2) educational facilities, (3) numbers of elementary and secondary pupils…

  1. Tracking the deployment of the integrated metropolitan ITS infrastructure in New York, northern New Jersey, southwestern Connecticut : FY99 results

    DOT National Transportation Integrated Search

    2000-01-01

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

  2. 40 CFR 52.229 - Control strategy and regulations: Photochemical oxidants (hydrocarbons), Metropolitan Los Angeles...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...: Photochemical oxidants (hydrocarbons), Metropolitan Los Angeles Intrastate Region. 52.229 Section 52.229... oxidants (hydrocarbons), Metropolitan Los Angeles Intrastate Region. (a) [Reserved] (b) The following rules... (hydrocarbons) as required by section 110 of the Clean Air Act. (1) Southern California APCD. (i) Regulation IV...

  3. Development of evaluation metod of flood risk in Tokyo metropolitan area

    NASA Astrophysics Data System (ADS)

    Hirano, J.; Dairaku, K.

    2012-12-01

    Flood is one of the most significant natural hazards in Japan. In particular, the Tokyo metropolitan area has been affected by several large flood disasters. Investigating potential flood risk in Tokyo metropolitan area is important for development of climate change adaptation strategy. We aim to develop a method for evaluating flood risk in Tokyo Metropolitan area by considering effect of historical land use and land cover change, socio-economic change, and climatic change. Ministry of land, infrastructure, transport and tourism in Japan published "Statistics of flood", which contains data for flood causes, number of damaged houses, area of wetted surface, and total amount of damage for each flood at small municipal level. Based on these flood data, we constructed a flood database system for Tokyo metropolitan area for the period from 1961 to 2008 by using ArcGIS software.Based on these flood data , we created flood risk curve, representing the relation ship between damage and exceedbability of flood for the period 1976-2008. Based on the flood risk cruve, we aim to evaluate potential flood risk in the Tokyo metropolitan area and clarify the cause of regional difference in flood risk at Tokyo metropolitan area by considering effect of socio-economic change and climate change

  4. A systematic review of professional supervision experiences and effects for allied health practitioners working in non-metropolitan health care settings

    PubMed Central

    Ducat, Wendy H; Kumar, Saravana

    2015-01-01

    Introduction In regional, rural, and remote settings, allied health professional supervision is one organizational mechanism designed to support and retain the workforce, provide clinical governance, and enhance service delivery. A systematic approach to evaluating the evidence of the experience and effects of professional supervision for non-metropolitan allied health practitioners and their service delivery is needed. Methods Studies investigating the experience and effects of professional supervision across 17 allied health disciplines in non-metropolitan health services were systematically searched for using standardized keywords across seven databases. The initial search identified 1,574 references. Of these studies, five met inclusion criteria and were subject to full methodological appraisal by both reviewers. Two studies were primarily qualitative with three studies primarily quantitative in their approach. Studies were appraised using McMaster critical appraisal tools and data were extracted and synthesized. Results Studies reported the context specific benefits and challenges of supervision in non-metropolitan areas and the importance of supervision in enhancing satisfaction and support in these areas. Comparison of findings between metropolitan and non-metropolitan settings within one study suggested that allied health in non-metropolitan settings were more satisfied with supervision though less likely to access it and preferred supervision with other non-metropolitan practitioners over access to more experienced supervisors. One study in a regional health service identified the lack of an agreed upon definition and functions of supervision when supervisors from diverse allied health disciplines were surveyed. While methodologically weak, all studies reported positive perceptions of supervision across professionals, supervisors, and managers. This is in accordance with previous research in the wider supervision literature. Discussion Considering the large pool of studies retrieved for further investigation, few of these met inclusion criteria demonstrating the paucity of primary research in this area. Increased training, policies, and implementation frameworks to ensure the definition and functions of supervision are agreed upon across the allied health disciplines in non-metropolitan areas is needed. Furthermore, systematic evaluation of supervision implementation in non-metropolitan settings, investigation of the experience and effects of distance based supervision (versus face-to-face), and increased rigor in research studies investigating non-metropolitan allied health profession supervision is needed. PMID:26347446

  5. Metropolitan Spokane Region Water Resources Study. Appendix 1. Institutional Analysis

    DTIC Science & Technology

    1976-01-01

    projects in the State of Washington. -It- h"Ithe- ath- -ority to require compliance from all local... projects of relatively modest scope. -rojec- financ- ing is based, as in the case of irrigation districts, on assessments lev- ied on district lands. The ...treatment -facilities would be phased out at that time. The other interim facilities all west of Five Mile Prairie are projected to remain in service

  6. Safety Training Evaluation: The Case of Construction Induction Training and the Impact on Work-Related Injuries in the Western Australian Construction Sector

    ERIC Educational Resources Information Center

    Bahn, Susanne; Barratt-Pugh, Llandis

    2014-01-01

    This paper presents the findings of an evaluation of the mandatory Construction Induction Training initiative (CIT). The paper details a pilot study conducted in 2010 with the commercial construction sector and a subsequent study in 2011 of the housing and civil sectors conducting business in the metropolitan area of Perth and in regional Western…

  7. Case-control study of urinary bladder cancer in metropolitan Nagoya.

    PubMed

    Ohno, Y; Aoki, K; Obata, K; Morrison, A S

    1985-12-01

    We conducted a population-based case-control study of patients with bladder cancer and of controls drawn randomly from the general population of Metropolitan Nagoya and interviewed both groups. The incidence rates of bladder cancer were 2.42 and 7.05/100,000 for females and males, respectively. The analysis, based on 293 patients and 589 controls who were frequency matched for age, sex, and residence, provided the following major findings. Age-adjusted relative risks of 1.89 (1.15-3.10) and 3.53 (1.71-7.27) were found in male and female cigarette smokers, respectively. Significant relative risk was also found in males who drank cocoa. Elevated risk with a dose-response relationship was observed among women who used hair dye and who smoke, but this risk was insignificant, with the disappearance of a dose-response relationship, when it was adjusted for smoking. Age- and smoking-adjusted relative risk of coffee drinking was insignificant with no dose-response relationship. Relative risk of artificial sweetener use was below 1 with adjustment for age and smoking. Intake of alcoholic beverages and cola was insignificantly associated. Reduced risk of significance was suggested for the intake of black tea and matcha (powdered green tea) in females and of fruit juice in males.

  8. Modeling study of biomass burning plumes and their impact on urban air quality; a case study of Santiago de Chile

    NASA Astrophysics Data System (ADS)

    Cuchiara, Gustavo C.; Rappenglück, Bernhard; Angelica Rubio, Maria; Lissi, Eduardo; Gramsch, Ernesto; Garreaud, Rene D.

    2017-04-01

    Wildfires are a significant direct source of atmospheric pollutants; on a global scale biomass burning is believed to be the largest source of primary fine particles in the atmosphere and the second largest source of trace gases after anthropogenic emission sources. During the summer of 2014, an intense forest and dry pasture wildfire occurred nearby the city of Santiago de Chile. The biomass-burning plume was transported towards the metropolitan area of Santiago and exacerbated the air quality in this region. In this study, we investigated this wildfire event using a forward plume-rise and a chemistry (WRF/Chem) simulation. These data sets provided an opportunity to validate a regional air-quality simulation over Santiago, and a unique case to assess the performance of biomass burning plume modeling in complex topography and validated against an established air quality network. The results from both meteorological and air quality models provide insights about the transport of biomass-burning plumes from the wildfire region towards the metropolitan region of Santiago de Chile. We studied a seven-day period between January 01-07, 2014, and the impact of biomass burning plume emissions estimated by Fire Inventory from NCAR version 1 (FINNv1) on the air quality of Santiago de Chile.

  9. Home drowning among preschool age Mexican children.

    PubMed Central

    Celis, A.

    1997-01-01

    OBJECTIVES: To estimate the risk of drowning by different bodies of water in and near the home for children aged 1 to 4 years. SETTING: The Metropolitan Area of Guadalajara, Mexico. METHODS: A population case-control study. Cases (n=33) were children 1 to 4 years old who drowned at their home; controls (n=200) were a random sample of the general population. RESULTS: The risk of drowning for children whose parents reported having a water well at home was almost seven times that of children in homes without a water well (adjusted odds ratio (OR)=6.8, 95% confidence interval (CI)=2.2 to 20.5). Risk ratio estimates for other bodies of water were: swimming pools (OR=5.8, 95% CI=0.9 to 37.5), water barrel (OR=2.4, 95% CI=1.0 to 5.6), underground cistern (OR=2.1, 95% CI=0.8 to 5.2), and a basin front (courtyard pool to store water) of 35 or more litres (OR=1.8, 95% CI=0.8 to 4.4). CONCLUSION: Drowning at home is frequent in the Metropolitan Area of Guadalajara, but the causes are different from those reported in developed countries. Accordingly, the preventive strategies must also be different. Images PMID:9493619

  10. Minority stress and community connectedness among gay, lesbian and bisexual Australians: a comparison of rural and metropolitan localities.

    PubMed

    Morandini, James S; Blaszczynski, Alexander; Dar-Nimrod, Ilan; Ross, Michael W

    2015-06-01

    To determine whether lesbian, gay and bisexual (LGB) Australians residing in rural-remote and other non-inner metropolitan localities experience increased levels of minority stress and reduced social support relative to their inner metropolitan counterparts. A convenience sample of (n=1306) LGB Australians completed an online survey that assessed minority stressors, level of connection with other LGB individuals and social isolation. Postcodes provided were coded into three metropolitan and two rural zones. A series of hierarchical regression analyses were undertaken to examine the effect of locality on minority stress and social support independent of sex, age, ethnicity, education and income. Those residing in rural-remote localities reported significantly increased concealment of sexuality from friends, more concern regarding disclosure of sexuality, less LGB community involvement, fewer friendships with other LGB people and, among men, higher levels of internalised homophobia than those residing in inner metropolitan areas. Unexpectedly, those residing in outer metropolitan areas of major cities experienced comparable levels of minority stress and LGB disconnection to those in rural and remote Australia. LGB individuals in rural-remote and outer metropolitan areas of major cities face increased exposure to a number of minority stressors and less LGB community connectedness. These are risk factors associated with psychiatric morbidity in LGB populations. Health promotion targeted at reducing homophobia and discrimination in rural-remote and outer metropolitan communities and additional services to assist LGB Australians struggling with stigma and isolation in non-inner city areas may help mitigate the disadvantages faced by these LGB populations. © 2015 Public Health Association of Australia.

  11. Prevalence of autism in a US metropolitan area.

    PubMed

    Yeargin-Allsopp, Marshalyn; Rice, Catherine; Karapurkar, Tanya; Doernberg, Nancy; Boyle, Coleen; Murphy, Catherine

    2003-01-01

    Concern has been raised about possible increases in the prevalence of autism. However, few population-based studies have been conducted in the United States. To determine the prevalence of autism among children in a major US metropolitan area and to describe characteristics of the study population. Study of the prevalence of autism among children aged 3 to 10 years in the 5 counties of metropolitan Atlanta, Ga, in 1996. Cases were identified through screening and abstracting records at multiple medical and educational sources, with case status determined by expert review. Autism prevalence by demographic factors, levels of cognitive functioning, previous autism diagnoses, special education eligibility categories, and sources of identification. A total of 987 children displayed behaviors consistent with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for autistic disorder, pervasive developmental disorder-not otherwise specified, or Asperger disorder. The prevalence for autism was 3.4 per 1000 (95% confidence interval [CI], 3.2-3.6) (male-female ratio, 4:1). Overall, the prevalence was comparable for black and white children (black, 3.4 per 1000 [95% CI, 3.0-3.7] and white, 3.4 per 1000 [95% CI, 3.2-3.7]). Sixty-eight percent of children with IQ or developmental test results (N = 880) had cognitive impairment. As severity of cognitive impairment increased from mild to profound, the male-female ratio decreased from 4.4 to 1.3. Forty percent of children with autism were identified only at educational sources. Schools were the most important source for information on black children, children of younger mothers, and children of mothers with less than 12 years of education. The rate of autism found in this study was higher than the rates from studies conducted in the United States during the 1980s and early 1990s, but it was consistent with those of more recent studies.

  12. Information through Cooperative Action Library Services in Metropolitan Washington. Annual Report, 1975-1976.

    ERIC Educational Resources Information Center

    Gell, Marilyn, Ed.

    The Librarians Technical Committee of the Metropolitan Washington D.C. Council of Governments (COG) is responsible for developing cooperative programs among libraries in the Washington metropolitan area (including parts of Maryland and Virginia), among libraries of all types, and between libraries and other agencies. The committee facilitates use…

  13. 78 FR 10554 - Interim Final Determination To Stay and Defer Sanctions, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... Determination To Stay and Defer Sanctions, Sacramento Metropolitan Air Quality Management District AGENCY... on a proposed approval of a revision to the Sacramento Metropolitan Air Quality Management District... therefore is not subject to review by the Office of Management and Budget. This action is not subject to...

  14. Deploying and operating integrated intelligent transportation systems : twenty questions and answers : guidance from the evaluation of the Metropolitan Model Deployment Initiative sites

    DOT National Transportation Integrated Search

    2000-01-01

    This report describes the results of a major data gathering effort aimed at tracking deployment of nine infrastructure components of the metropolitan ITS infrastructure in 78 of the largest metropolitan areas in the nation. The nine components are: F...

  15. 23 CFR 420.109 - What are the requirements for distribution of metropolitan planning funds?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  16. Work Experience Program at a Metropolitan Paediatric Hospital: Assisting Rural and Metropolitan Allied Health Professionals Exchange Clinical Skills.

    ERIC Educational Resources Information Center

    Parkin, Ann E.; McMahon, Sandra; Upfield, Nancy; Copley, Jodie; Hollands, Karen

    2001-01-01

    A clinical experience program provided 29 rural Australian allied health professionals with experience in pediatric clinical areas and opportunities to share clinical knowledge and develop networks with metropolitan peers. Questionnaires and focus groups indicated that networking, clinical skills, knowledge, confidence, and awareness of rural…

  17. Taking the Metropolitan University to a Rural Community: The Role of a Needs Assessment Survey.

    ERIC Educational Resources Information Center

    Ahmed, Shamima

    1999-01-01

    When metropolitan universities refer to serving the entire metropolitan area, they often refer to rural fringes as well as concentrated urban populations. Working with rural communities requires somewhat different approaches to planning programs and understanding needs. Survey research helps the campus understand the perceptions and realities of…

  18. 31. RECORD PLAN, METROPOLITAN SEWER, GENERAL PLAN OF PUMPING STATION ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    31. RECORD PLAN, METROPOLITAN SEWER, GENERAL PLAN OF PUMPING STATION GROUNDS, DEER ISLAND. METROPOLITAN SEWERAGE COMMISSION, JUNE 1896. Photocopy of image of aperture card 4977-1. Aperture cards and original drawings at Massachusetts Water Resources Authority Archives, Building 39, Charlestown Navy Yard, Boston, MA - Deer Island Pumping Station, Boston, Suffolk County, MA

  19. Changing International Constructs: How Metropolitan Universities Must Engage Globally

    ERIC Educational Resources Information Center

    Leventhal, Mitch; Zimpher, Nancy L.

    2007-01-01

    The mission of American metropolitan universities has never before been so relevant, both to the future of institutions themselves and to the United States. The success of the mission requires that we develop a deep understanding of the impact of both urbanization and de-urbanization, as well as the challenges metropolitan universities face with…

  20. Set of Comparable Carbon Footprints for Highway Travel in Metropolitan America

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Southworth, Frank; Sonnenberg, Anthon

    2011-01-01

    The authors describe the development of a set of carbon dioxide emissions estimates for highway travel by automobile, truck, bus and other public transit vehicle movements within the nation s 100 largest metropolitan areas, in calendar year 2005. Considerable variability is found to exist across metropolitan areas when these greenhouse gas emissions are measured on a per capita and a per gross metropolitan product (GMP) basis. Least square regression modeling shows a relationship between emissions per capita and per GMP with truck traffic share, transit share, employment density, population dispersion within the metro area, and GMP per capita. As amore » result many of the nation s largest metropolitan areas tend to have lower CO2 emissions per capita and per GMP than smaller and more recently developed metro areas.« less

  1. Earth Observations taken by the Expedition 35 Crew

    NASA Image and Video Library

    2013-03-16

    ISS035-E-005438 (16 March 2013) --- One of the Expedition 35 crew members on the International Space Station used a still camera with a 400 millimeter lens to record this nocturnal image of the Phoenix, Arizona area. Like many large urban areas of the central and western United States, the Phoenix metropolitan area is laid out along a regular grid of city blocks and streets. While visible during the day, this grid is most evident at night, when the pattern of street lighting is clearly visible from above – in the case of this photograph, from the low Earth orbit vantage point of the International Space Station. The urban grid form encourages growth of a city outwards along its borders, by providing optimal access to new real estate. Fueled by the adoption of widespread personal automobile use during the 20th century, the Phoenix metropolitan area today includes 25 other municipalities (many of them largely suburban and residential in character) linked by a network of surface streets and freeways. The image area includes parts of several cities in the metropolitan area including Phoenix proper (right), Glendale (center), and Peoria (left). While the major street grid is oriented north-south, the northwest-southeast oriented Grand Avenue cuts across it at image center. Grand Avenue is a major transportation corridor through the western metropolitan area; the lighting patterns of large industrial and commercial properties are visible along its length. Other brightly lit properties include large shopping centers, strip centers, and gas stations which tend to be located at the intersections of north-south and east-west trending streets. While much of the land area highlighted in this image is urbanized, there are several noticeably dark areas. The Phoenix Mountains at upper right are largely public park and recreational land. To the west (image lower left), agricultural fields provide a sharp contrast to the lit streets of neighboring residential developments. The Salt River channel appears as a dark ribbon within the urban grid at lower right.

  2. The survival benefit of bystander cardiopulmonary resuscitation in a paramedic served metropolitan area.

    PubMed Central

    Guzy, P M; Pearce, M L; Greenfield, S

    1983-01-01

    We investigated the survival benefit bystander cardiopulmonary resuscitation (CPR) for out-of-hospital emergencies in a paramedic served area of metropolitan Los Angeles. Clinical information for all events occurring between January 1 and December 31, 1978 was obtained from paramedic report forms and hospital medical records. Bystander CPR was performed for 93 cases and, of these, 20 (22 per cent) survived to hospital discharge, as compared to 7 (5 per cent) of the 150 patients not receiving bystander CPR (p less than 0.001). Twelve (27 per cent) of the 45 patients in ventricular fibrillation (VF) who had bystander CPR survived, as compared to 4 (6 per cent) of 70 VF patients without bystander CPR (p less than 0.01). We conclude that bystander CPR, initiated prior to arrival of paramedics, produced a fourfold improvement in survival. Overall there was a 10 per cent survival rate at hospital discharge. Survival rates reported from Seattle may not necessarily be generalized to larger cities. PMID:6859360

  3. Reduced West Nile Virus Transmission Around Communal Roosts of Great-Tailed Grackle (Quiscalus mexicanus)

    PubMed Central

    Komar, Nicholas; Colborn, James M.; Horiuchi, Kalanthe; Delorey, Mark; Biggerstaff, Brad; Damian, Dan; Smith, Kirk; Townsend, John

    2016-01-01

    West Nile virus has caused several outbreaks among humans in the Phoenix metropolitan area (Arizona, southwest USA) within the last decade. Recent ecologic studies have implicated Culex quinquefasciatus and Culex tarsalis as the mosquito vectors and identified three abundant passerine birds—great-tailed grackle (Quiscalus mexicanus), house sparrow (Passer domesticus), and house finch (Haemorhous mexicanus)—as key amplifiers among vertebrates. Nocturnal congregations of certain species have been suggested as critical for late summer West Nile virus amplification. We evaluated the hypothesis that house sparrow (P. domesticus) and/or great-tailed grackle (Q. mexicanus) communal roost sites (n = 22 and n = 5, respectively) in a primarily suburban environment were spatially associated with West Nile virus transmission indices during the 2010 outbreak of human neurological disease in metropolitan Phoenix. Spatial associations between human case residences and communal roosts were non-significant for house sparrows, and were negative for great-tailed grackle. Several theories that explain these observations are discussed, including the possibility that grackle communal roosts are protective. PMID:25480320

  4. The perils of healthcare workforce forecasting: a case study of the Philadelphia metropolitan area.

    PubMed

    Smith, David Barton; Aaronson, William

    2003-01-01

    In 1996, a widely circulated and influential forecast for the Philadelphia Metropolitan Area stated that a decline in hospital and healthcare employment in the region would occur over the next five years. It also suggested that this decline would exacerbate the problem of an oversupply of nurses seeking hospital employment. The forecast reflected a regional leadership and expert consensus on the impact of the managed care transformation on workforce needs and was supported by short-term statistical trends in regional utilization and employment. Confounding these predictions was the fact that hospital and healthcare employment actually grew. By the end of 2001, hospitals in the region were experiencing problems in recruiting sufficient numbers of nurses, pharmacists, and technicians. The forecast failed to anticipate the impact of a strong regional economy on supply and underestimated the resilience of underlying forces that have driven the long-term growth in healthcare workforce demand. More effective ongoing monitoring can help moderate the fluctuation of workforce shortages and surpluses.

  5. Ozone modeling in an ethanol, gasoline and diesel fuels environment: The metropolitan area of Sao Paulo, Brazil

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Andrade, M.F.; Miguel, A.H.; Seinfeld, J.H.

    1995-12-01

    Over the past several years, in the Metropolitan Area of Sao Paulo (MASP), ambient ozone concentrations have reached over five times the concentration considered protective of public health by the World Health Organization, with routine occurrence of levels that exceed Brazil`s 1 hour National Ambient Air Quality Standard (160 {mu}g/m{sup 3}). For the past 19 years, ethanol has been used both as fuel (E95) and as gasoline additive (E20G80) in light duty vehicles. This talk will discuss the results of the application of the CIT photochemical airshed model to the February 16-17, 1989 meteorological experiment carried out in the MASP.more » Simulated hourly ozone concentrations for the 1989 vehicular fleet included three cases: (1) the actual fleet (F.95, E20G80, and diesels), (2) a light duty fleet fueled with E95 only, and (3) entirely with gasoline.« less

  6. Is sprawl associated with a widening urban-suburban mortality gap?

    PubMed

    Fan, Yingling; Song, Yan

    2009-09-01

    This paper examines whether sprawl, featured by low development density, segregated land uses, lack of significant centers, and poor street connectivity, contributes to a widening mortality gap between urban and suburban residents. We employ two mortality datasets, including a national cross-sectional dataset examining the impact of metropolitan-level sprawl on urban-suburban mortality gaps and a longitudinal dataset from Portland examining changes in urban-suburban mortality gaps over time. The national and Portland studies provide the only evidence to date that (1) across metropolitan areas, the size of urban-suburban mortality gaps varies by the extent of sprawl: in sprawling metropolitan areas, urban residents have significant excess mortality risks than suburban residents, while in compact metropolitan areas, urbanicity-related excess mortality becomes insignificant; (2) the Portland metropolitan area not only experienced net decreases in mortality rates but also a narrowing urban-suburban mortality gap since its adoption of smart growth regime in the past decade; and (3) the existence of excess mortality among urban residents in US sprawling metropolitan areas, as well as the net mortality decreases and narrowing urban-suburban mortality gap in the Portland metropolitan area, is not attributable to sociodemographic variations. These findings suggest that health threats imposed by sprawl affect urban residents disproportionately compared to suburban residents and that efforts curbing sprawl may mitigate urban-suburban health disparities.

  7. Geographic Distribution of Urologists in Korea, 2007 to 2012

    PubMed Central

    Song, Yun Seob; Shim, Sung Ryul; Jung, Insoo; Sun, Hwa Yeon; Song, Soo Hyun; Kwon, Soon-Sun; Ko, Young Myoung

    2015-01-01

    The adequacy of the urologist work force in Korea has never been investigated. This study investigated the geographic distribution of urologists in Korea. County level data from the National Health Insurance Service and National Statistical Office was analyzed in this ecological study. Urologist density was defined by the number of urologists per 100,000 individuals. National patterns of urologist density were mapped graphically at the county level using GIS software. To control the time sequence, regression analysis with fitted line plot was conducted. The difference of distribution of urologist density was analyzed by ANCOVA. Urologists density showed an uneven distribution according to county characteristics (metropolitan cities vs. nonmetropolitan cities vs. rural areas; mean square=102.329, P<0.001) and also according to year (mean square=9.747, P=0.048). Regression analysis between metropolitan and non-metropolitan cities showed significant difference in the change of urologists per year (P=0.019). Metropolitan cities vs. rural areas and non-metropolitan cities vs. rural areas showed no differences. Among the factors, the presence of training hospitals was the affecting factor for the uneven distribution of urologist density (P<0.001).Uneven distribution of urologists in Korea likely originated from the relatively low urologist density in rural areas. However, considering the time sequencing data from 2007 to 2012, there was a difference between the increase of urologist density in metropolitan and non-metropolitan cities. PMID:26539009

  8. Geographic Distribution of Urologists in Korea, 2007 to 2012.

    PubMed

    Song, Yun Seob; Shim, Sung Ryul; Jung, Insoo; Sun, Hwa Yeon; Song, Soo Hyun; Kwon, Soon-Sun; Ko, Young Myoung; Kim, Jae Heon

    2015-11-01

    The adequacy of the urologist work force in Korea has never been investigated. This study investigated the geographic distribution of urologists in Korea. County level data from the National Health Insurance Service and National Statistical Office was analyzed in this ecological study. Urologist density was defined by the number of urologists per 100,000 individuals. National patterns of urologist density were mapped graphically at the county level using GIS software. To control the time sequence, regression analysis with fitted line plot was conducted. The difference of distribution of urologist density was analyzed by ANCOVA. Urologists density showed an uneven distribution according to county characteristics (metropolitan cities vs. nonmetropolitan cities vs. rural areas; mean square=102.329, P<0.001) and also according to year (mean square=9.747, P=0.048). Regression analysis between metropolitan and non-metropolitan cities showed significant difference in the change of urologists per year (P=0.019). Metropolitan cities vs. rural areas and non-metropolitan cities vs. rural areas showed no differences. Among the factors, the presence of training hospitals was the affecting factor for the uneven distribution of urologist density (P<0.001). Uneven distribution of urologists in Korea likely originated from the relatively low urologist density in rural areas. However, considering the time sequencing data from 2007 to 2012, there was a difference between the increase of urologist density in metropolitan and non-metropolitan cities.

  9. Declining incidence of candidemia and the shifting epidemiology of Candida resistance in two US metropolitan areas, 2008-2013: results from population-based surveillance.

    PubMed

    Cleveland, Angela Ahlquist; Harrison, Lee H; Farley, Monica M; Hollick, Rosemary; Stein, Betsy; Chiller, Tom M; Lockhart, Shawn R; Park, Benjamin J

    2015-01-01

    Recent reports have demonstrated a decline in bacterial bloodstream infections (BSIs) following adherence to central line insertion practices; however, declines have been less evident for BSIs due to Candida species. We conducted active, population-based laboratory surveillance for candidemia in metropolitan Atlanta, GA and Baltimore, MD over a 5-year period. We calculated annual candidemia incidence and antifungal drug resistance rates. We identified 3,848 candidemia cases from 2008-2013. Compared with 2008, candidemia incidence per 100,000 person-years decreased significantly by 2013 in both locations (GA: 14.1 to 9.5, p<0.001; MD: 30.9 to 14.4, p<0.001). A total of 3,255 cases (85%) had a central venous catheter (CVC) in place within 2 days before the BSI culture date. In both locations, the number of CVC-associated cases declined (GA: 473 to 294; MD: 384 to 151). Candida albicans (CA, 36%) and Candida glabrata (CG, 27%) were the most common species recovered. In both locations, the proportion of cases with fluconazole resistance decreased (GA: 8.0% to 7.1%, -10%; MD: 6.6% to 4.9%, -25%), while the proportion of cases with an isolate resistant to an echinocandin increased (GA: 1.2% to 2.9%, +147%; MD: 2.0% to 3.5%, +77%). Most (74%) echinocandin-resistant isolates were CG; 17 (<1%) isolates were resistant to both drug categories (multidrug resistant [MDR], 16/17 were CG). The proportion of CG cases with MDR Candida increased from 1.8% to 2.6%. We observed a significant decline in the incidence of candidemia over a five-year period, and increases in echinocandin-resistant and MDR Candida. Efforts to strengthen infection control practices may be preventing candidemia among high-risk patients. Further surveillance for resistant Candida is warranted.

  10. 76 FR 34576 - Washington, DC Metropolitan Area Special Flight Rules Area; OMB Approval of Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ...-2004-17005; Amdt. No. 1-63 and 93-90] RIN 2120-AI17 Washington, DC Metropolitan Area Special Flight... collection. The rule titled ``Washington, DC Metropolitan Area Special Flight Rules Area'' was published on... document for the flight plans and other information collected under that rule. That information collection...

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

    ERIC Educational Resources Information Center

    Alkin, Marvin C.

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

  12. Economic Impact of the Metropolitan Community Colleges on the Kansas City Region. Final Report.

    ERIC Educational Resources Information Center

    Manning, Sherry

    This study assesses the economic impact of the Metropolitan Community Colleges (MCC) on the four-county region of metropolitan Kansas City, Missouri. The total economic impact is composed of a network of interactive cash flows between the colleges, business, government, and individuals, and may be derived by adding three distinct components:…

  13. The Economic Base of Recent Population Growth in Nonmetropolitan Settings.

    ERIC Educational Resources Information Center

    Long, Larry; DeAre, Diana

    In the late 1970s both jobs and population were growing more rapidly outside metropolitan areas. As a group, nonmetropolitan counties not adjacent to a metropolitan area experienced a faster rate of employment growth than metropolitan areas between 1975-79. Even in rural counties (no urban place of 2,500 or more) not adjacent to a metropolitan…

  14. Where Is the Metropolitan U.S.?

    ERIC Educational Resources Information Center

    Crews, Kimberly A.

    1987-01-01

    A Metropolitan Statistical Area (MSA) may be comprised of one or more counties, can cross state lines, and must contain a city or urbanized area of 50,000 or more people. The population of the whole county (or counties) is included in the MSA even if part of the county is rural. A Consolidated Metropolitan Statistical Area (CMSA) must have over…

  15. Techniques of data analysis and presentation for planners of the metropolitan environment

    Treesearch

    Joelee Normand

    1977-01-01

    Relationships between the characteristics of the physical environment of a metropolitan area and the activities of its human inhabitants can be used to predict probable future dynamic trends, both demographic and environmental. Using simple linear regression, we were able to highlight several dynamic features of the metropolitan area of Tulsa, Oklahoma. Computer movies...

  16. Metropolitan Growth and Economic Opportunity for the Poor: If You're Poor Does Place Matter?

    ERIC Educational Resources Information Center

    Foster-Bey, John A.

    This paper focuses on why metropolitan areas vary in their capacity to translate generally high employment rates into economic opportunity for the disadvantaged. Data come from the Urban Institute's Urban Underclass Database, which includes poverty and employment data for 1980 and 1990 for the 100 largest metropolitan areas down to the Census…

  17. Athletic participation in children with symptomatic spondylolysis in the New York area.

    PubMed

    Ladenhauf, Hannah N; Fabricant, Peter D; Grossman, Eric; Widmann, Roger F; Green, Daniel W

    2013-10-01

    The purpose of this study was to assess athletic activities associated with spondylolysis in children and adolescents in a New York metropolitan tertiary referral center. We retrospectively evaluated 137 consecutive cases of symptomatic spondylolysis presenting to one of two pediatric orthopedic spine surgeons. Ten patients who did not participate in any organized athletics were excluded, leaving 127 children for analysis. Data regarding spondylolysis and athletic participation were gathered for analysis. One hundred and twenty-seven patients were analyzed (mean age, 13.9 ± 2.2 yr). All patients had initial x-rays, with nearly all obtaining further advanced level imaging to confirm the diagnosis of spondylolysis. Magnetic resonance imaging was obtained in 42.5% of cases, limited computed tomography scan in 29.1% of cases, and single-photon emission computed tomography scan in 23.6% of cases. The most common location of spondylolysis was at the L5 level (74%), of which 43.6% were bilateral. Of the overall cohort, 2.4% had spondylolysis at multiple levels. The most common athletic activities associated with spondylolysis in this cohort were soccer (19.3%), basketball (17.2%), and lacrosse (9.4%). Although previous reports have implicated participation in various sports in the development of symptomatic spondylolysis in children, lacrosse and baseball have rarely been associated with spondylolysis. We found that in the New York metropolitan area, soccer, basketball, lacrosse, baseball, tennis, and football were most commonly associated with spondylolysis. Therefore, we emphasize consideration of spondylolysis in these children if they present with low back pain. These results may be used to counsel parents and young athletes about the possibility of spondylolysis as an etiology of lumbar back pain and in educating coaches, teachers, school nurses, and primary care providers.

  18. The Properties of Large Amplitude Whistler Mode Waves in the Magnetosphere: Propagation and Relationship with Geomagnetic Activity

    NASA Technical Reports Server (NTRS)

    Wilson, L. B., III; Cattell, C. A.; Kellogg, P. J.; Wygant, J. R.; Goetz, K.; Breneman, A.; Kersten, K.

    2011-01-01

    Wepresent resultsof a studyof the characteristicsof very large amplitude whistler mode waves inside the terrestrial magnetosphere at radial distances of less than 15 RE using waveform capture data from the Wind spacecraft. We observed 247 whistler mode waves with at least one electric field component (105/247 had !80 mV/m peak!to!peak amplitudes) and 66 whistler mode waves with at least one search coil magnetic field component (38/66 had !0.8 nT peak!to!peak amplitudes). Wave vectors determined from events with three magnetic field components indicate that 30/46 propagate within 20 of the ambient magnetic field, though some are more oblique (up to "50 ). No relationship was observed between wave normal angle and GSM latitude. 162/247 of the large amplitude whistler mode waves were observed during magnetically active periods (AE > 200 nT). 217 out of 247 total whistler mode waves examined were observed inside the radiation belts. We present a waveform capture with the largest whistler wave magnetic field amplitude (^8 nT peak!to!peak) ever reported in the radiation belts. The estimated Poynting flux magnitude associated with this wave is ^300 mW/m2, roughly four orders of magnitude above estimates from previous satellite measurements. Such large Poynting flux values are consistent with rapid energization of electrons.

  19. Enzymatic evaluation of gingival crevicular fluid in cleft palate patients during orthodontic treatment: A clinico-biochemical study

    PubMed Central

    Kulal, Rithesh; Thomas, Biju; Ravi, M. S.; Shetty, Suchetha

    2013-01-01

    Background: Therapeutic goal in patients with cleft lip and palate is esthetics and long-term health of the stomatognathic system. Patients with cleft lip and palate routinely require extensive and prolonged orthodontic treatment. The osseous structures are absent or poorly developed in the osseous clefts and may be traumatized in the course of orthodontic therapy; hence require constant monitoring during orthodontic treatment. The aim of the study was to evaluate the tissue response of cleft palate patients by quantitative analysis of enzyme activity during orthodontic treatment and assess any difference in the tissue response with that of noncleft patients undergoing orthodontic treatment. Materials and Methods: 20 patients requiring orthodontic treatment agedbetween 15 to 25 years were included to participate in the studyof which ten were cleft palate patients (group I) and ten noncleft patients (group II). The GCF samples were collected at incisor and molar sites during orthodontic treatment on days as per the study design in both the groups. The GCF enzymatic levels were estimated and compared. Results: Both groups showed significant increased enzyme activity at the incisor site compared to molar site corresponding to the phases of tooth movement. Conclusion: There was significant difference in enzyme activity between the incisor adjacent to the cleft site and molar site. There was no difference in the tissue response between cleft palate patients and noncleft patients during orthodontic treatment. PMID:24049331

  20. Extracutaneous atypical syphilis in HIV-infected patients.

    PubMed

    Prieto, Paula; Imaz, Arkaitz; Calatayud, Laura; García, Olga; Saumoy, María; Podzamczer, Daniel

    2017-12-07

    We describe a series of cases of syphilis with atypical extracutaneous clinical presentation diagnosed in HIV-infected patients. Retrospective observational study. All cases of syphilis diagnosed in HIV-infected patients during the period between June 2013 and June 2016 in a tertiary hospital of the Barcelona metropolitan area were analysed. A total of 71 cases of syphilis were diagnosed, 32 of them presenting with clinical signs or symptoms. Seven of these cases (9.8% of the total and 21.8% of the symptomatic cases) had atypical presentations with extracutaneous involvement: ocular (4), gastric (1), multiple hepatic abscesses (1) and generalised adenopathies (1). Patients were treated with intramuscular or intravenous penicillin and the clinical and serological evolution was good in all of them. Extracutaneous atypical clinical presentations were observed in 21.8% of symptomatic cases of syphilis in HIV+ patients with ocular involvement being the most freqent. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  1. Sex trafficking of minors in metropolitan, micropolitan, and rural communities.

    PubMed

    Cole, Jennifer; Sprang, Ginny

    2015-02-01

    The purpose of the study was to examine professionals' awareness, knowledge, and experiences working with youth victims of sex trafficking in metropolitan and non-metropolitan communities. Professionals who worked with at-risk youth and/or crime victims were recruited from all counties in a southern, rural state in the U.S. to complete a telephone survey. Surveys included closed and open-ended questions, which were theme coded. Professionals' (n=289) were classified into one of four categories based on the counties in which they worked: metropolitan, micropolitan, rural, and all three community types. Although there were many similarities found in trafficking situations across the different types of communities, some expected differences were found. First, as expected, more professionals in metropolitan communities perceived CSEC as being a fairly or very serious problem in the state overall. Consistent with other studies, more professionals in metropolitan communities had received training on human trafficking and reported they were familiar with the state and federal laws on human trafficking (Newton et al., 2008). Significantly more professionals in metropolitan (54.7%) communities reported they had worked with a suspected or definite victim of STM compared to professionals in micropolitan communities (29.8%). There were few differences in victim characteristics, vulnerability factors, and trafficking situations (e.g., relationship to trafficker, traffickers' techniques for controlling victims, transportation, and Internet-facilitation of trafficking) across the community types. There is a continued need for awareness building of STM and training, particularly in non-metropolitan communities, as well as adoption of screening tools, integration of trauma-informed care, and identification of best practices. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. Regardless of where they give birth, women living in non-metropolitan areas are less likely to have an epidural than their metropolitan counterparts.

    PubMed

    Powers, Jennifer R; Loxton, Deborah J; O'Mara, Ashleigh T; Chojenta, Catherine L; Ebert, Lyn

    2013-06-01

    Can differences in Australian birth intervention rates be explained by women's residence at the time of childbearing?. Data were collected prospectively via surveys in 1996, 2000, 2003, 2006 and 2009 from women, born between 1973 and 1978, of the Australian Longitudinal Study on Women's Health. Analysis included data from 5886 women who had given birth to their first child between 1994 and 2009. Outcome measures were self-report of birth interventions: pharmacological pain relief (epidural and spinal block analgesia, inhalational analgesia and intramuscular injections), surgical births (an elective or emergency caesarean section) and instrumental births (forceps and ventouse). Primiparous women residing in non-metropolitan areas of Australia experienced fewer birth interventions than women residing in metropolitan areas: 43% versus 56% received epidural analgesia; 8% versus 11% had elective caesarean sections; and 16% versus 18% had emergency caesarean sections. Differences in maternal age and private health insurance status at first birth accounted for differences in surgical birth rates but did not fully explain differences in epidural analgesia. Non-metropolitan women had fewer birth interventions, particularly epidural analgesia, than metropolitan women. Differences in maternal age and private health insurance do not fully explain the differences in epidural analgesia rates, suggesting care provided to labouring women may differ by area of residence. The difference in epidural analgesia rates may be due to lack of choice in maternity services, however it could also be due to differing expectations leading to differences in birth interventions for primiparous women living in metropolitan and non-metropolitan areas. Copyright © 2012 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  3. Utility perspective on USEPA analytical methods program redirection

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Koch, B.; Davis, M.K.; Krasner, S.W.

    1996-11-01

    The Metropolitan Water District of Southern California (Metropolitan) is a public, municipal corporation, created by the State of California, which wholesales supplemental water trough 27 member agencies (cities and water districts). Metropolitan serves nearly 16 million people in an area along the coastal plain of Southern California that covers approximately 5200 square miles. Water deliveries have averaged up to 2.5 million acre-feet per year. Metropolitan`s Water Quality Laboratory (WQL) conducts compliance monitoring of its source and finished drinking waters for chemical and microbial constituents. The laboratory maintains certification of a large number and variety of analytical procedures. The WQL operatesmore » in a 17,000-square-foot facility. The equipment is state-of-the-art analytical instrumentation. The staff consists of 40 professional chemists and microbiologists whose experience and expertise are extensive and often highly specialized. The staff turnover is very low, and the laboratory is consistently, efficiently, and expertly run.« less

  4. Examining Urban Expansion Using Multi-Temporal Landsat Imagery: a Case Study of the Montreal Census Metropolitan Area from 1975 TO 2015, Canada

    NASA Astrophysics Data System (ADS)

    Ma, Lingfei; Zhao, He; Li, Jonathan

    2016-06-01

    Urban expansion, particularly the movement of residential and commercial land use to sub-urban areas in metropolitan areas, has been considered as a significant signal of regional economic development. In 1970s, the economic centre of Canada moved from Montreal to Toronto. Since some previous research have been focused on the urbanization process in Greater Toronto Area (GTA), it is significant to conduct research in its counterpart. This study evaluates urban expansion process in Montréal census metropolitan area (CMA), Canada, between 1975 and 2015 using satellite images and socio-economic data. Spatial and temporal dynamic information of urbanization process was quantified using Landsat imagery, supervised classification algorithms and the post-classification change detection technique. Accuracy of the Landsat-derived land use classification map ranged from 80% to 97%. The results indicated that continuous growth of built-up areas in the CMA over the study period resulted in a decrease in the area of cultivated land and vegetation. The results showed that urban areas expanded 442 km2 both along major river systems and lakeshores, as well as expanded from urban centres to surrounded areas. The analysis revealed that urban expansion has been largely driven by population growth and economic development. Consequently, the urban expansion maps produced in this research can assist decision-makers to promote sustainable urban development, and forecast potential changes in urbanization growth patterns.

  5. Human Exposure following Mycobacterium tuberculosis Infection of Multiple Animal Species in a Metropolitan Zoo

    PubMed Central

    Oh, Peter; Granich, Reuben; Scott, Jim; Sun, Ben; Joseph, Michael; Stringfield, Cynthia; Thisdell, Susan; Staley, Jothan; Workman-Malcolm, Donna; Borenstein, Lee; Lehnkering, Eleanor; Ryan, Patrick; Soukup, Jeanne; Nitta, Annette

    2002-01-01

    From 1997 to 2000, Mycobacterium tuberculosis was diagnosed in two Asian elephants (Elephas maximus), three Rocky Mountain goats (Oreamnos americanus), and one black rhinoceros (Diceros bicornis) in the Los Angeles Zoo. DNA fingerprint patterns suggested recent transmission. An investigation found no active cases of tuberculosis in humans; however, tuberculin skin-test conversions in humans were associated with training elephants and attending an elephant necropsy. PMID:12453358

  6. 76 FR 71616 - Culturally Significant Objects Imported for Exhibition Determinations: “The Steins Collect...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-18

    ... to the number of objects on temporary display at The Metropolitan Museum of Art, which is nine rather... about September 6, 2011, and the temporary display of nine of the objects at The Metropolitan Museum of... of the number of the objects to be on temporary display at The Metropolitan Museum of Art be...

  7. Demographic Transformation in a Policy Vacuum: The Changing Face of U.S. Metropolitan Society and Challenges for Public Schools

    ERIC Educational Resources Information Center

    Mordechay, Kfir; Orfield, Gary

    2017-01-01

    Educators and policy makers must confront the race and class disparities in learning opportunities across American society. Nowhere are these disparities more acute than in the country's great metropolitan areas. As the demographic landscape continues to shift, metropolitan areas are fueling the transition to a majority-minority country. This…

  8. Energy and the Transformation of a Metropolitan Landscape: Contrasting Contemporary and Future Settlement Geographies.

    ERIC Educational Resources Information Center

    Zeigler, Donald J.

    Because of the rising real cost of energy, geographic patterns that have dominated the contemporary metropolitan landscape are in a state of change. A conceptual model of the contemporary and future metropolitan landscape is presented to stimulate thought about the changes which may evolve in the spatial organization of urban regions as the real…

  9. The Economic Impact of Johnson County Community College on the Kansas City Metropolitan Area, 1988-89.

    ERIC Educational Resources Information Center

    Seybert, Jef

    In an effort to estimate the economic impact of Johnson County Community College (JCCC) on the Kansas City Metropolitan Area for 1988-89, the Ryan-New Jersey model was used to examine both direct and indirect economic influences of the college. Direct economic impact was assessed by examining institutional expenditures in the metropolitan area;…

  10. A Multi-Scale Comparative Study of Shape and Sprawl in Metropolitan Regions of the United States

    ERIC Educational Resources Information Center

    Kugler, Tracy A.

    2012-01-01

    This dissertation constitutes a multi-scale quantitative and qualitative investigation of patterns of urban development in metropolitan regions of the United States. This work has generated a comprehensive data set on spatial patterns of metropolitan development in the U.S. and an approach to the study of such patterns that can be used to further…

  11. State of Metropolitan America: On the Front Lines of Demographic Transformation

    ERIC Educational Resources Information Center

    Brookings Institution, 2010

    2010-01-01

    This report marks the inaugural edition of a regular summary report in Brookings' "State of Metropolitan America" series. It focuses on the major demographic forces transforming the nation and large metropolitan areas in the 2000s. In this sense, it previews what people will learn from the results of the 2010 census, as well as supplements those…

  12. Variations in Rural Hospital Costs: Effects of Market Concentration and Location

    PubMed Central

    Vogel, W. Bruce; Miller, Michael K.

    1995-01-01

    This article explores two neglected questions: (1) Does the relationship between hospital concentration and costs vary between urban and rural markets? and (2) Do hospital costs in non-metropolitan areas vary with rurality? Covariance model results using 1992 data reveal that: (1) Although metropolitan and urban markets exhibit a negative relationship between hospital average costs and market concentration, non-metropolitan and rural markets fail to exhibit any relationship between costs and concentration; and (2) among non-metropolitan hospitals, only hospitals located in single-hospital communities have lower costs than their counterparts in multiple-hospital communities, once other factors are held constant. PMID:10153476

  13. Adopting an ecological view of metropolitan landscape: the case of "three circles" system for ecological construction and restoration in Beijing area.

    PubMed

    Zhang, Feng; Zhang, Xin-shi

    2004-01-01

    Ecological construction and restoration for sustainable development are now a driving paradigm. It is increasingly recognized that ecological principles, especially landscape ecology theory, are not only necessary but also essential to maintain the long-term sustainability worldwide. Key landscape ecology principles-element, structure and process, dynamics, heterogeneity, hierarchies, connectivity, place and time were reviewed, and use Beijing area as a case study to illustrate how these principles might be applied to ecological construction and restoration, to eventually achieve sustainability. An example to more effectively incorporate the ecological principles in sustainable planning in China was presented.

  14. Anticipatory Water Management in Phoenix using Advanced Scenario Planning and Analyses: WaterSim 5

    NASA Astrophysics Data System (ADS)

    Sampson, D. A.; Quay, R.; White, D. D.; Gober, P.; Kirkwood, C.

    2013-12-01

    Complexity, uncertainty, and variability are inherent properties of linked social and natural processes; sustainable resource management must somehow consider all three. Typically, a decision support tool (using scenario analyses) is used to examine management alternatives under suspected trajectories in driver variables (i.e., climate forcing's, growth or economic projections, etc.). This traditional planning focuses on a small set of envisioned scenarios whose outputs are compared against one-another in order to evaluate their differing impacts on desired metrics. Human cognition typically limits this to three to five scenarios. However, complex and highly uncertain issues may require more, often much more, than five scenarios. In this case advanced scenario analysis provides quantitative or qualitative methods that can reveal patterns and associations among scenario metrics for a large ensemble of scenarios. From this analysis, then, a smaller set of heuristics that describe the complexity and uncertainty revealed provides a basis to guide planning in an anticipatory fashion. Our water policy and management model, termed WaterSim, permits advanced scenario planning and analysis for the Phoenix Metropolitan Area. In this contribution we examine the concepts of advanced scenario analysis on a large scale ensemble of scenarios using our work with WaterSim as a case study. For this case study we created a range of possible water futures by creating scenarios that encompasses differences in water supplies (our surrogates for climate change, drought, and inherent variability in riverine flows), population growth, and per capital water consumption. We used IPCC estimates of plausible, future, alterations in riverine runoff, locally produced and vetted estimates of population growth projections, and empirical trends in per capita water consumption for metropolitan cities. This ensemble consisted of ~ 30, 700 scenarios (~575 k observations). We compared and contrasted two metropolitan communities that exhibit differing growth projections and water portfolios; moderate growth with a diverse portfolio versus high growth for a more restrictive portfolio. Results illustrate that both communities exhibited an expanding envelope of possible, future water outcomes with rational water management trajectories. However, a more diverse portfolio resulted in a broad, time-insensitive decision space for management interventions. The reverse was true for the more restrictive water portfolio with high growth projections.

  15. Leading Causes of Death in Nonmetropolitan and Metropolitan Areas— United States, 1999–2014

    PubMed Central

    Garcia, Macarena C.; Bastian, Brigham; Rossen, Lauren M.; Ingram, Deborah D.; Faul, Mark; Massetti, Greta M.; Thomas, Cheryll C.; Hong, Yuling; Yoon, Paula W.; Iademarco, Michael F.

    2017-01-01

    Problem/Condition Higher rates of death in nonmetropolitan areas (often referred to as rural areas) compared with metropolitan areas have been described but not systematically assessed. Period Covered 1999–2014 Description of System Mortality data for U.S. residents from the National Vital Statistics System were used to calculate age-adjusted death rates and potentially excess deaths for nonmetropolitan and metropolitan areas for the five leading causes of death. Age-adjusted death rates included all ages and were adjusted to the 2000 U.S. standard population by the direct method. Potentially excess deaths are defined as deaths among persons aged <80 years that exceed the numbers that would be expected if the death rates of states with the lowest rates (i.e., benchmark states) occurred across all states. (Benchmark states were the three states with the lowest rates for each cause during 2008–2010.) Potentially excess deaths were calculated separately for nonmetropolitan and metropolitan areas. Data are presented for the United States and the 10 U.S. Department of Health and Human Services public health regions. Results Across the United States, nonmetropolitan areas experienced higher age-adjusted death rates than metropolitan areas. The percentages of potentially excess deaths among persons aged <80 years from the five leading causes were higher in nonmetropolitan areas than in metropolitan areas. For example, approximately half of deaths from unintentional injury and chronic lower respiratory disease in nonmetropolitan areas were potentially excess deaths, compared with 39.2% and 30.9%, respectively, in metropolitan areas. Potentially excess deaths also differed among and within public health regions; within regions, nonmetropolitan areas tended to have higher percentages of potentially excess deaths than metropolitan areas. Interpretation Compared with metropolitan areas, nonmetropolitan areas have higher age-adjusted death rates and greater percentages of potentially excess deaths from the five leading causes of death, nationally and across public health regions. Public Health Action Routine tracking of potentially excess deaths in nonmetropolitan areas might help public health departments identify emerging health problems, monitor known problems, and focus interventions to reduce preventable deaths in these areas. PMID:28081058

  16. Leading Causes of Death in Nonmetropolitan and Metropolitan Areas- United States, 1999-2014.

    PubMed

    Moy, Ernest; Garcia, Macarena C; Bastian, Brigham; Rossen, Lauren M; Ingram, Deborah D; Faul, Mark; Massetti, Greta M; Thomas, Cheryll C; Hong, Yuling; Yoon, Paula W; Iademarco, Michael F

    2017-01-13

    Higher rates of death in nonmetropolitan areas (often referred to as rural areas) compared with metropolitan areas have been described but not systematically assessed. 1999-2014 DESCRIPTION OF SYSTEM: Mortality data for U.S. residents from the National Vital Statistics System were used to calculate age-adjusted death rates and potentially excess deaths for nonmetropolitan and metropolitan areas for the five leading causes of death. Age-adjusted death rates included all ages and were adjusted to the 2000 U.S. standard population by the direct method. Potentially excess deaths are defined as deaths among persons aged <80 years that exceed the numbers that would be expected if the death rates of states with the lowest rates (i.e., benchmark states) occurred across all states. (Benchmark states were the three states with the lowest rates for each cause during 2008-2010.) Potentially excess deaths were calculated separately for nonmetropolitan and metropolitan areas. Data are presented for the United States and the 10 U.S. Department of Health and Human Services public health regions. Across the United States, nonmetropolitan areas experienced higher age-adjusted death rates than metropolitan areas. The percentages of potentially excess deaths among persons aged <80 years from the five leading causes were higher in nonmetropolitan areas than in metropolitan areas. For example, approximately half of deaths from unintentional injury and chronic lower respiratory disease in nonmetropolitan areas were potentially excess deaths, compared with 39.2% and 30.9%, respectively, in metropolitan areas. Potentially excess deaths also differed among and within public health regions; within regions, nonmetropolitan areas tended to have higher percentages of potentially excess deaths than metropolitan areas. Compared with metropolitan areas, nonmetropolitan areas have higher age-adjusted death rates and greater percentages of potentially excess deaths from the five leading causes of death, nationally and across public health regions. Routine tracking of potentially excess deaths in nonmetropolitan areas might help public health departments identify emerging health problems, monitor known problems, and focus interventions to reduce preventable deaths in these areas.

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

    PubMed Central

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

    2013-01-01

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

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

    PubMed

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

    2013-01-01

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

  19. Repairing casing at a gas storage field

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hollenbaugh, B.

    1992-09-01

    This paper reports on the Leyden gas storage field which is a 1.5-Bcf working volume underground gas storage facility locating at the northwest edge of the Denver, Colo., metropolitan area. The field is owned by Public Service Co. of Colorado and operated by its wholly owned subsidiary, Western Gas Supply Co. Logging technology was instrumental in locating casing damage at two wells, identifying the extent of the damage and ensuring a successful repair. The well casings were repaired by installing a liner between two packers, with one packer set above the damage and the other set below it. Special equipmentmore » and procedures were required for workover and drilling operations because of the complications associated with cavern storage. Logging technology can locate damaged casing and evaluate the type and extent of the damage, and also predict the probability of gas migration behind the casing.« less

  20. Urban Agglomeration and Extension in Northern Coast of West Java: A Transformation into Mega Region

    NASA Astrophysics Data System (ADS)

    Octifanny, Y.; Hudalah, D.

    2017-07-01

    In the past decade, at least three neighbouring metropolitan areas in the northwestern part of the island have been merging with each other: Jakarta Metropolitan Area (Jabodetabek), Bandung Metropolitan Area (Bandung Raya), and Cirebon Metropolitan Area (Ciayumajakuning). It is expected to be the first island-based mega-conurbation. This paper explores the potential emergence of mega region as a ground study, where mega region can be used for economic, logistic, transportation development. Authors use scoring analysis from economic and demographic indicators. The outcomes found a new and larger formation of city-region in the northern coast road networks (Pantura) - specifically western part of Java Island.

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