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Metal and metalloid concentrations in the eggs of threatened Florida scrub-jays in suburban habitat from south-central Florida.

Monitoring and assessing changes in contaminants in urban and suburban environments is essential to assessing ecosystem well-being in human-influenced landscapes. We analyzed metal and metalloid levels in the eggs of the threatened Florida scrub-jay (Aphelocoma coerulescens), an extremely sedentary and modestly long-lived passerine bird that is federally threatened and endemic only in Florida. Eggs that failed to hatch were collected in a suburban environment to compare with the long-term study of this species at the Archbold Biological Station, located 8 km south in a more rural part of south-central Florida. Florida scrub-jays remain in a permanent territory in scrub oak habitat where they feed mainly on insects and acorns, but in suburban habitats human-provided foods comprise 30% of their diet. From the data previously collected at Archbold, and their low position on the food chain, we expected levels of contaminants to be comparatively low and remain relatively constant over time. Except for the low mercury value, all means were within the range of mean values reported for a wide range of non-passerine species (including those at higher tropic levels), are lower than concentrations associated with abnormalities in birds, and are lower than those previously reported for scrub-jays from Archbold Biological Station. A significant increase in selenium occurred from 1996 to 2001, but did not appear associated with changes in human density.

Animals↗

Circulation of Toxocara spp. in suburban and rural ecosystems in the Slovak Republic.

Toxocara spp., the common roundworms of domestic and wild animals, are the causative agents of larval toxocarosis in humans. The migration of Toxocara larvae in men causes clinical syndrome, called larva migrans visceralis or larva migrans ocularis. The objective of the present work was to investigate the prevalence of toxocarosis in dogs, red foxes (Vulpes vulpes), and small mammals in the Slovak Republic. T. canis infection was diagnosed in 16.6% out of 145 dogs examined. Young animals showed significantly higher positivity (50.0%) than adults (12.4%). Coprological investigation of 310 red foxes showed 8.1% prevalence of T. canis, with higher occurrence in animals from rural conditions (8.6%) than from suburban environment (5.6%). Out of 710 small mammals examined, anti-Toxocara antibodies were detected in 7.7% of the animals. The most frequently seropositive species was Apodemus agrarius (15.9%). Seropositivity of small mammals from suburban localities was higher (10%) compared with rural areas (5.8%), with adult animals exhibiting higher seropositivity (8.0%) than subadults (6.8%). Our results have confirmed the importance of dogs, red foxes and small mammals in circulation of this serious helminthozoonosis in suburban and rural ecosystems.

Age Factors↗

Characterization of chemical species in PM2.5 and PM10 aerosols in suburban and rural sites of central Taiwan.

Aerosol samples for PM2.5 (particulate matter with aerodynamic diameters less than 2.5 microns), PM2.5-10 (particulate matter with aerodynamic diameters between 2.5 and 10 microns) and TSP were collected from June to September 1998 at THU (suburban) and HKIT (rural) sites in central Taiwan. The ratios of PM2.5/PM10 averaged 0.70 for the daytime and 0.63 for the nighttime at THU, respectively. At HKIT, the PM2.5/PM10 ratios averaged 0.56 for the daytime and 0.72 in the nighttime, respectively. These results indicated that the PM2.5 concentrations contribute the majority of the PM10 concentration and PM10 concentrations contribute the majority of the TSP at both sites. The averaged PM2.5 concentrations at THU are higher than those measured at HKIT during the daytime period. However, the average PM2.5-10 concentrations in THU are lower than those measured at HKIT during nighttime. The samples collected were also analyzed by atomic absorption spectrophotometry for the elemental analysis of Ca, Fe, Pb, Zn, Cu, Mn and Cr. Meanwhile ion chromatography was used to analyze for the water-soluble ions: sulphate, nitrate and chloride in the Universal samples. The concentrations of heavy metals in PM10 during daytime were all higher than nighttime at THU. However, the averaged concentrations of metal elements in PM10 during day and night period were distributed irregularly at HKIT. The results indicated that for metal elements collected at HKIT have different emission sources. The concentrations of metal elements during daytime in PM10 at THU were generally higher than HKIT. The phenomena owing to the averaged PM2.5 particle concentrations at THU (suburban) were higher than those measured at HKIT (rural) and PM2.5 occupied the major portions of PM10 for both sites during the day period. For anion species, there are no significant differences between day and night period in PM10 concentrations at both suburban and rural sites.

Aerosols↗

Spatial and geographical variations of urban, suburban and rural atmospheric concentrations of phenols and nitrophenols.

GOAL, SCOPE AND BACKGROUND: Atmospheric sampling (gas and particles) of 5 phenols (phenol, m-cresol, p-cresol, o-cresol, pentachlorophenol) and 15 nitrophenols (3-methyl-2-nitrophenol, 3-nitrophenol, 4-methyl-2-nitrophenol, 5-methyl-2-nitrophenol, 2-methyl-3-nitrophenol, 3-methyl-4-nitrophenol, 2,6-dinitrophenol, bromoxynil, 2,5-dinitrophenol, 2,6-dinitropcresol, 2,4-dinitrophenol, ioxynil, DNOC, 3,4-dinitrophenol, dinoseb) on XAD-2 resin (20 gr) and glass fibre filters, respectively, were performed in 2002 by using 'Digitel DA80' high volume sampiers. These measurements were undertaken in order to show spatial and geographical variations of concentrations and the role of traffic in the emissions of these compounds to the atmosphere. METHODS: Sampling were performed in Strasbourg (eastern France), in its vicinity (Schiltigheim) and in Erstein. Sites were chosen to be representative of urban (Strasbourg), suburban (Schiltigheim) and rural (Erstein) conditions. Field campaigns were undertaken simultaneously in urban and suburban sites during all the seasons during 4 hours at a flow rate of 60 m3 h(-1), which gives a total of 240 m3 of air per sample. Period of sampling varied between 06h00 to 10h00, 11h00 to 15h00 and 18h00 to 22h00 in order to evaluate a variation of concentration during automobile traffic between urban, suburban and rural areas. Gas and particle samples were separately Soxhlet extracted for 12 h with a mixture of CH2Cl2 / n-hexane (50:50 v/v), concentrated to about 1 mL with a rotary evaporated and finally dried under nitrogen. Dry extracts were dissolved in 1 mL of CH3CN. Before analysis, extracts were sylilated by using MTBSTFA. Analysis was performed by GC/MSD in the SIM mode. RESULTS AND DISCUSSION: Partitioning of phenolic compounds between gas and particle phases seems to be mainly correlated with vapour pressure. Among phenolic compounds analysed, phenol, p-cresol, pentachlorophenol and 2.4-dinitrophenol were detected in all samples and emissions from traffic seems to be the major source for the presence of these compounds to the atmosphere. No increase of concentrations in autumn tend to confirm this hypothesis since, with the use of domestic heating in colder months, increases of PAHs concentrations were observed and these compounds are known to be emitted by all combustion processes, Pentachlorophenol is a special case since this molecule is only used as wood preservative. Its presence in all atmospheric samples, whatever the locations and the period of time is the consequence of its persistence. CONCLUSIONS AND PERSPECTIVES: These measurements demonstrate that phenols and nitrophenols are emitted to the atmosphere and further measurements, in order to confirm their sources, their behaviour and their potential impact to the air quality and to human health should be undertaken especially since the literature collected is relatively old. Concentrations of pentachlorophenol measured are very low and, due to its toxicity, further investigations should be undertaken.

Air Movements↗

Behavioral and familial correlates of episodic heroin abuse among suburban adolescents.

Behavioral and familial correlates of predominantly White, suburban heroin abusers were investigated to determine whether such abuse was self-contained experimentation or suggestive of generalized personality disorders and impaired family relationships. Twenty of 296 male high school students recruited from 10 middle-class suburban schools had engaged in episodic heroin abuse. Of 29 antisocial behaviors other than heroin abuse assessed, heroin abusers engaged in 16 significantly more frequently. Heroin abusers found their fathers to be significantly less nice, honest, strong, and kind than did nonabusers, according to semantic differential technique. They found themselves to be significantly less strong than did nonabusers, suggesting failure to model themselves after adequately coping fathers. Heroin abusers also found their mothers to be significantly less fair, honest, and valuable than did nonabusers. It was concluded that episodic heroin abuse among suburban adolescents is suggestive both of generalized antisocial behavior and of impaired family relationships.

Adolescent↗

A suburban focus of endemic typhus in Los Angeles County: association with seropositive domestic cats and opossums.

Thirty-three cases of locally acquired murine typhus were reported in Los Angeles County residents from May 1984 through February 1988. Only eight cases were reported over the previous 20-year period. Thirty (91%) cases resided within a suburban area encompassing approximately 50 km2 in northcentral Los Angeles or had contact with an animal from this area. Serologic testing (complement fixation and indirect fluorescent antibody) of selected animals in close association with human cases revealed a high prevalence of seropositivity among domestic cats and opossums. Nine (90%) of 10 resident cats tested had demonstrable antibody titers compared with none (0%) of 20 cats from a control area (P < 0.001). Suburban typhus cases were more likely than neighborhood controls to own a cat or dog (odds ratio = 6.9, 95% confidence interval = 1.8, 25.9, P = 0.002). Sixteen (42%) of 38 opossums trapped in close proximity to the residences of cases were seropositive versus none (0%) of 36 opossums from control areas (P < 0.001) A low frequency (2.8%) of seropositivity was found in commensal rodents, and the classic vector of murine typhus, Xenopsylla cheopis, was not found. Ectoparasite indices form seropositive opossums revealed heavy infestations with the cat flea, Ctenocephalides felis (mean flea count = 104.7), a species that readily bites humans. These data provide evidence that a suburban focus of murine typhus exists in Los Angeles that differs substantially from the classic transmission cycle, and that cats, opossums and C. felis may play an important role in the occurrence of human cases.

Adolescent↗

Dental caries in 12-year-old suburban Nigerian school children.

BACKGROUND: Dental caries is one of the commonest oral diseases in children. Despite this fact, not much attention has been given to studies on this issue among suburban Nigerian children. OBJECTIVE: To investigate the prevalence of dental caries, dental attendance and oral health behaviours among the 12- year-old suburban Nigerian children. SUBJECTS AND METHODS: Four hundred and two schoolchildren (349 boys, 153 girls) from both private and public schools age 12-year-old participated in the study in 2003. One examiner was calibrated and performed the screening procedures using standard method of WHO diagnostic criteria. RESULTS: The prevalence of caries was 13.9 % and mean DMFT was 0.14. The decayed component accounted for 77.2 % of the DMFT while filling and missing teeth accounted for 15.8% and 7% respectively. Over 85 % of the children examined were caries free. Seventy seven per cent of the teeth affected by caries were untreated. The probability of having caries experience DMFT> 0 was significantly associated with the type of school and regular sweet consumption p < 0.05. The children who had not visited the dentist had higher caries prevalence than other children. This was statistically significant p < 0.05. Dental attendance was generally poor in both public (90.6%) and private (83.1%) school children. CONCLUSION: The findings in this study for the caries prevalence in 12 year-old suburban Nigerian schoolchildren was as low as in developed countries of central Europe and lower than the global standard according to WHO references for the year 2000.

Child↗

The metropolitanization and suburbanization of the U.S. elderly population: 1970-1988.

This paper analyzes U.S. Census, Current Population Survey data from 1970 to 1988. It establishes that the young-old (age 65-74) and old-old (75 plus) populations are now more likely to live in metropolitan areas, especially within suburban areas, and are occupying residential locations that are less segregated from other age groups. As early as 1977 the majority of metropolitan elderly people lived in suburban areas, and by 1988 only just over one-quarter of the U.S. elderly population lived in nonmetropolitan areas.

Aged↗

Urine testing for drugs of abuse: a survey of suburban parent-adolescent dyads.

BACKGROUND: The American Academy of Pediatrics is opposed to involuntary diagnostic testing for drugs of abuse. OBJECTIVE: To gather data about attitudes of parents and their teenagers about involuntary drug testing on parental request. DESIGN: Adolescents and their accompanying parents separately answered a printed survey in the offices of their private pediatrician. The survey posed 2 hypothetical questions about urine testing: (1) Do parents have the right to ask a teenager's physician to order a urine test for drugs of abuse without the teenager's knowledge-if the teenager has falling school grades, an uncooperative attitude, and major untruthfulness? (2) In such a case, should the teenager's physician obtain a urine test for drugs on parental request only, without the teenager's consent? RESULTS: A total of 393 paired evaluable surveys were collected: 77.6% from Virginia and 22.4% from Ohio. There were no significant differences in answers between the 2 study sites. Of the students, 85.8% had either an A or a B grade point average. Current marijuana use was unusually low in our teenaged respondents. Of the parents surveyed, 81.7% would want a physician to be able to perform a urine test for drugs of abuse for a problematic teenager without the young person's consent. The answers to the 2 questions about urine drug tests had poor kappa coefficients of agreement between teenagers and parents (0.04 and 0.09, respectively). Reanalysis, using the variables of age, grade point average, and frequency of marijuana smoking, showed little difference in agreement scores. CONCLUSIONS: In the 2 suburban pediatric practices surveyed, parental opinions and expectations were at variance with the American Academy of Pediatrics policy statement on nonconsensual urine drug testing in the presence of clinical problems. Pediatricians need to be conscious of this clinical-ethical dilemma, become familiar with the American Academy of Pediatrics policy on drug testing, and develop their own position and expertise in this area. The dyad method (parent-teenager survey) is novel and improved the methodology of our study. We surveyed middle-class suburban adolescents while previous studies of adolescents surveyed inner-city populations.

Adolescent↗

Validation of a self-administered lead exposure questionnaire among suburban teenagers.

Teenagers represent a unique population in which to evaluate lead exposure. A self-administered questionnaire was developed to evaluate the current and historic lead exposures of teenagers. This work evaluates the exposure questionnaire for both its ability to predict lead exposure and the accuracy of the teenage respondents. Subjects received the survey at school and were instructed to get assistance from their parents in questionnaire completion. Environmental samples (dust, soil, and water) were collected from 30 suburban Boston homes to evaluate the questionnaire's predictiveness. To evaluate the accuracy of subjects' responses, independent information about housing was obtained. The questionnaire was effective in identifying predictors of dust and soil lead levels, but not for water lead levels. Fine dust lead loading (< 150 microns) varied significantly among the six housing age categories (pre-1940, 1940-1949, 1950-1959, 1960-1969, 1970-1979, and > 1979) and traffic levels. Fine dust lead concentrations varied significantly with decade of housing construction. Mean soil lead levels varied significantly among housing age categories, traffic levels, and exterior construction materials. For the important predictors, there was excellent agreement between the teenagers' self-report and confirmatory information. For housing age categories, the observed agreement was 69%; for traffic level, the observed agreement was 88%. These results illustrate that questionnaires continue to be useful in evaluating home lead levels even in suburban homes and that teenagers are accurate respondents.

Adolescent↗

A survey of psychiatric consultations at a suburban emergency room.

The utilization of psychiatric crisis teams in urban hospitals is well documented. However, little is reported describing patients who use crisis teams in suburban general hospital emergency rooms. This is a descriptive survey of 1707 suburban patient visits. This study relates patient demographics with the length of time required to provide crisis intervention and disposition. A regression model is used to analyze the duration of service time and utilization patterns in relation to eight variables: season, month, day, shift, diagnosis, method of payment, age, and disposition. Five predictors are identified as significantly relating to the duration of the psychiatric consultation process. These predictors may enable hospital administrators and medical staff to plan and implement psychiatric emergency room care.

Adolescent↗

Elderly support in rural and suburban villages: implications for future support system in China.

This study compares current elderly support between rural and suburban elderly, drawn from a 1987 and 1989 cluster sample involving 6 Chinese villages purposely selected to reflect geographic variations and different standards of living. The results of the study indicate that social support for the elderly through pension and subsidy is improving, particularly in suburban villages where there is greater level of economic development and there are increasingly more industrial enterprises. The current pension or subsidy status is mainly a function of the presence of well-developed economy (as represented by our proxy variables RURALITY, and PRIORJOB). In terms of family support, our study shows it serves largely as a substitute for social support. Elderly not receiving pension support are more likely to receive monetary support from their children. The implications of these findings are analyzed in the context of the socioeconomic and demographic transitions in China and alternative solutions to elderly support are discussed.

Aged↗

The prevalence of hepatitis B serologic markers in suburban paramedics.

Urban emergency medical services personnel have documented hepatitis B virus (HBV) seropositivity rates ranging from 0.6% to 25%. We studied 85 suburban paramedics for Hepatitis B serologic markers. All paramedics answered a questionnaire describing age, race, duration of employment, known hepatitis exposure, blood transfusions, gamma globulin injections, and Hepatitis B vaccination. HBV surface antibodies (Anti-HBs) were present in 6/85 (7.1%) paramedics of whom one (1.2%) had reactive HBV core antibodies (Anti-HBc). No paramedic had HBV surface antigen (HBsAg). Seropositivity was not associated with duration of employment, or exposure to a patient with either jaundice (28.2%) or confirmed hepatitis B (20.0%) within the six months prior to testing. The 7.1% prevalence of HBV markers found in this group of suburban paramedics is intermediate between previously reported rates for urban paramedics. We conclude that prehospital personnel do not constitute a homogenous occupational category at risk for hepatitis B infection.

Adult↗

Meconium-stained amniotic fluid--perinatal outcome and obstetrical management in a low-risk suburban population.

OBJECTIVE: To determine whether amniotic fluid (MSAF) affects obstetrical interventions and immediate perinatal outcome in a low-risk suburban population. STUDY DESIGN: A retrospective cohort study examined 11,226 deliveries at Tübingen University Hospital (1998-2003). Thousand one hundred and twenty-three women (10%) had MSAF during labor. A control group of matched pairs was created, assigning to each patient the next woman that gave birth without MSAF. Exclusion criteria were: gestational age less than 37+0 weeks, primary Cesarean (C-)section, multiple gestation, severe maternal disease, preeclampsia and fetal malformations. RESULTS: Only small differences were noted between the meconium and non-meconium groups with regard to arterial pH and Apgar scores: mean arterial-pH was 7.26 (+/-0.7) for both. Five minutes Apgar scores <6 occurred in 0.9% versus 0.4%. Obstetrical interventions were more common in the meconium group: C-section rates were 17.4% versus 9.6%, vaginal operative delivery rates 13.9% versus 6.2% and scalp pH rates 9.5% versus 3.7%, respectively. CONCLUSIONS: In a low-risk suburban population the effect of MSAF on the newborn during the immediate postpartum period was small. However, obstetrical management was significantly effected by the presence of MSAF, possibly reflecting a combination of more difficult labor and a lower threshold for obstetric intervention.

Adult↗

Mouse allergen exposure and mouse skin test sensitivity in suburban, middle-class children with asthma.

BACKGROUND: Exposure to mouse allergen is prevalent in inner-city homes and is associated with an increased risk of mouse skin test sensitivity in inner-city children with asthma. OBJECTIVE: To determine the distribution of mouse allergen and its relationship to mouse skin test sensitivity in a primarily suburban, middle-class population of asthmatic children. METHODS: Children with asthma, 6 to 17 years old, were recruited from 3 pediatric practices located in counties surrounding the city of Baltimore and from 1 practice located within the city limits. Participants underwent skin prick testing and completed a baseline questionnaire. Their homes were inspected, and settled dust samples were collected for allergen analysis. RESULTS: Two hundred fifty-seven of 335 (76.7%) participants resided outside the city, and 53.7% had annual incomes >$50,000. Mouse allergen was detected in 74.9% of bedrooms, and 13.1% were sensitized to mouse. Lower maternal education (odds ratio [OR], 2.17; 95% CI, 1.28-3.67), city residence (OR, 5.39; 95% CI, 2.23-13.02), and higher bedroom cockroach allergen levels (OR, 9.61; 95% CI, 1.17-79.03) were independent predictors of high bedroom mouse allergen. The risk of mouse skin test sensitivity increased with increasing bedroom Mus m 1 exposure (OR, 1.43; 95% CI, 1.04-1.96, with each increase in quartile), and dog skin test sensitivity was a strong independent predictor of mouse skin test sensitivity (OR, 7.23; 95% CI, 3.03-17.22). CONCLUSION: Mouse allergen exposure is common among suburban, middle-class asthmatic children. Increasing bedroom levels of Mus m 1 and dog skin test sensitivity are risk factors for mouse skin test sensitivity.

Adolescent↗

Breakfast and lunch meal skipping patterns among fourth-grade children from selected public schools in urban, suburban, and rural maryland.

The objective of this study was to describe breakfast and lunch consumption patterns of fourth-grade students from selected public schools in Maryland and how they differ by geographic location. Data were collected from a sample of 540 fourth-grade public school children (46% male, 62% white; mean age=9 years) from three geographically distinct regions of Maryland (30% rural, 30% suburban, and 40% urban). Data on breakfast and lunch consumption were collected using an in-classroom questionnaire. chi(2) tests were used to compare skipping meal behavior by geographic location. Twenty percent of fourth-grade students reported skipping breakfast and/or lunch at least three times per week. Urban students were more than twice as likely to skip breakfast and to eat school-prepared meals compared with suburban and rural students. Dietitians in all regions need to explore new ways to encourage regular meal consumption among students in their schools.

Child↗

What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and Veterans Affairs practices.

BACKGROUND: Despite strong evidence of the effectiveness of influenza vaccination, immunization rates have reached a plateau that is below the 2010 national goals. Our objective was to identify facilitators of, and barriers to, vaccination in diverse groups of older patients. METHODS: A survey was conducted in 2000 by computer-assisted telephone interviewing of patients from inner-city health centers, Veterans Affairs (VA) outpatient clinics, rural practices, and suburban practices. The inclusion criteria were age > or =66 years and an office visit after September 30, 1998. RESULTS: Overall, 1007 (73%) interviews were completed among 1383 patients. Influenza vaccination rates were 91% at VA clinics, 79% at rural practices, 79% at suburban practices, and 67% at inner-city health centers. There was substantial variability in vaccination rates among practices, except at the VA. Nearly all persons who were vaccinated reported that their physicians recommended influenza vaccinations, compared with 63% of unvaccinated patients (P <0.001). Thirty-eight percent of unvaccinated patients were concerned that they would get influenza from the vaccine, compared with only 6% of vaccinated persons (P <0.001). Sixty-three percent of those vaccinated, in contrast with 22% of unvaccinated persons, thought that an unvaccinated person would probably contract influenza (P <0.001). CONCLUSION: Older patients need intentional messages from physicians that recommend vaccination. Furthermore, more patient education is needed to counter myths about adverse reactions.

Aged↗