Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Urbanization”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,081 records · Page 60Linked to original sources

Classifying urban rivers.

Classification systems have been developed over the last century as a tool to aid managers in the preservation, conservation, enhancement and management of rivers. The classification systems developed to date have been designed to differentiate between relatively unimpacted, mainly rural rivers. Urban rivers typically show poor water quality and biological diversity, and so most current classification systems tend to group urban rivers into a single "poor" category. In this paper we describe a hierarchical framework for recording information about urban rivers that allows a more sensitive description of these rivers enabling subdivision into several classes according to the purpose of the classification. The different levels in the hierarchy, the types of attributes that are to be recorded at each level, and the relational database structure for storing the data are described. The 100-500 m river stretch level in the hierarchy relates to the engineered modification of urban rivers and is the key to their classification. An example classification at this scale illustrates a link between engineering modification, bank and bed materials and the number and diversity of physical habitats present. This classification underlines the importance of adopting a hierarchy of nested spatial scales for data collection, classification and interpretation since it illustrates a clear link between characteristics at the stretch scale and at the finer habitat scale. The classification also illustrates the varied nature of urban rivers and the fact that even quite heavily engineered stretches can contain a diversity of habitat types.

Cities↗

Prediction of the amount of urban waste solids by applying a gray theoretical model.

Urban waste solids are now becoming one of the most crucial environmental problems. There are several different kinds of technologies normally used for waste solids disposal, among which landfill is more favorable in China than others, especially for urban waste solids. Most of the design works up to now are based on a roughly estimation of the amount of urban waste solids without any theoretical support, which lead to a series problems. To meet the basic information requirements for the design work, the amount of the urban waste solids was predicted in this research by applying the gray theoretical model GM (1,1) through non-linear differential equation simulation. The model parameters were estimated with the least square method (LSM) by running a certain MATALAB program, and the hypothesis test results show that the residual between the prediction value and the actual value approximately comply with the normal distribution N (0, 0.21(2)), and the probability of the residual within the range ( -0.17, 0.19) is more than 95%, which indicate obviously that the model can be well used for the prediction of the amount of waste solids and those had been already testified by the latest two years data about the urban waste solids from Loudi City of China. With this model, the predicted amount of the waste solids produced in Loudi City in the next 30 years is 8049000 ton in total.

Cities↗

[Carbon output through urban domestic garbage in Haikou].

Carbon output through urban domestic garbage is one part of carbon cycle in urban ecosystem which is related to some environmental pollution. Researches on carbon output through urban domestic garbage is the foundational work on carbon cycle in urban ecosystem, but also can help to analyze the influences of residents' consumption on environment. Based on data got through sampling and collecting, the status and trend of carbon output through domestic garbage in Haikou was analyzed. The results showed that, the total carbon output through 26.92 x 104 t of domestic garbage is 10.51 x 104 t and the carbon output per capita everyday is 0.326 kg/(cap. d)(-1) in 2001. About 31% of the total carbon will be transferred into methane, carbon dioxide and organic matter in extravasate. About 69% of the total carbon will be sequestrated in landfill. Because 33% of the sequestrated carbon originate from atmosphere, urban domestic garbage may be a carbon sink. From 1991 to 1999, the carbon output through Haikou's domestic garbage is annually increasing by 9.55%, and the output of sequestrated carbon is annually increasing remarkably by 13.23%. The increase of carbon output is significantly correlated with the increase of expenditure per capita and population, which shows expenditure per capita and population have some effect on carbon output.

Carbon↗

Nutritional status comparison of rural with urban school children in Faisalabad District, Pakistan.

INTRODUCTION: Health and nutrition problems are the result of unsatisfactory food intake or severe and repeated infections, or a combination of both, and are closely linked to inadequate health services and an unhealthy environment. In Pakistan, there is a significant difference in the economic status, life style and nutrition between urban and rural populations, and between male and female children. Such differences affect the health and nutritional status of children. This study was undertaken in order to assess the nutritional and growth status of male and female school-going children aged 6-12 years from rural and urban areas in Pakistan. METHODS: Data were collected from male and female school-going children aged 6-12 years in and around Faisalabad, Pakistan. A total of 2042 children (853 male, 1189 female) were studied for being underweight, and for stunting and wasting. Of the males, 42.3% were from urban and 57.7% were from rural areas. Of the females, 72.7% were from urban and 27.3% were from rural areas. RESULTS: A total of 36.1% children were stunted and 45.3% were underweight; 25.2% were below standard weight for height. Among the urban children, 33% were below the standard for height (stunted), and 32.3% were below the standard for weight (underweight); 32.7% were wasted. Of the rural children, 40.9% were stunted, 64.7% were underweight and 33.3% were wasted. The rural female group was the most affected and malnourished with 61.8% stunted and 84% underweight; 67.1% were wasted. CONCLUSION: It is suggested that a comprehensive strategy be implemented in developing countries, especially Pakistan, in order to prevent infant and child under-nourishment. In addition to poverty alleviation, the underlying causes that work against food security, food safety, womens' education, safe water supply, sanitation and adequate health care must be addressed.

Journal Article↗

Analysis of scenarios for wastewater and urban drainage systems in Brazil based on an integrated modeling approach.

Brazil is currently facing widespread problems in the urban environment associated with inadequate wastewater and urban drainage systems, particularly for low-income communities. These problems are promoted by the rapid and often unplanned urbanization process in developing cities and are compounded by a lack of funding, absence of planning, ineffective institutional arrangements, and inappropriate policies to provide the framework for integrated wastewater and stormwater management. Because planning for the provision of wastewater and urban drainage systems is a complex task, an integrated-modeling approach is proposed to provide a practical methodology for sanitation and urban drainage planning in Brazilian cities. In the model development, as well as technical aspects, other aspects related to institutional, financial, socio-economic, environmental and public health issues were also taken into account.

Brazil↗

Urban-rural differences in the management of breast cancer.

We conducted a population-based study with medical-record review of breast cancer patients as part of a larger study of an oncology outreach program to improve cancer management for rural patients within their community hospital. This analysis compares the breast cancer care received by the rural population before the oncology outreach program with that of the contiguous urban population. All 1986-87 cases in selected Illinois (United States) counties were identified using the Illinois State Cancer Registry. Data were obtained by hospital record audit and physician survey. Case follow-back was 98 percent complete. Rural cases were evaluated separately when they were diagnosed in an urban facility. State-of-the-art management was defined by the 1986-87 Physician Data Query and included diagnostic evaluation, prognostic evaluation, and stage-specific treatment. A summary variable incorporated whether or not the most appropriate management was offered. Compared with urban cases, rural cases diagnosed in rural hospitals were less likely to have staged tumors and more likely to have node dissections. Rural cases traveling to urban centers were less likely to have limited surgery, hormone therapy, and a biopsy as a first-step surgical procedure, and more likely to have node dissection.

Aged↗

Fundamental issues in nonlinear urban population dynamic models: theory and a synthesis.

"The main purpose of this paper is to examine certain basic similarities between three nonlinear models of urban dynamics which appeared in [1980], and seem to be driven by somewhat different mechanisms.... By looking at their implicit assumptions we set the stage for addressing certain fundamental premises underlying the process of urban growth or decline. Searching for these fundamental assumptions permits the construction of a comprehensive-unifying theory of urban population dynamics placing urban evolution squarely within the domain of evolutionary theory."

Demography↗

Hospital wage gradients within U.S. urban areas.

Average wages from 2,275 general hospitals in metropolitan areas across the U.S. were used to test for a wage gradient descending from hospitals in the central city through those in urbanized and finally non-urbanized areas of each county-defined metropolitan area. Significant gradients were found in MSAs of all sizes. Urbanized-area wages were 3 to 6 percent lower than those in central cities of the same metropolitan area. Non-urbanized suburban wages were 10 to 12 percent lower than those in central cities. The explanations for the gradients differ somewhat between large and small areas. For example, while the relative mix of high-wage and low-wage occupations in each hospital is a significant explanatory variable for wages in all metropolitan area sizes, the relative use of part-time workers is not significant in those metropolitan areas with fewer than 250,000 people. Relative crime in each hospital's city is highly significant in explaining relative wages only for areas with populations of more than one million.

Catchment Area, Health↗

Cervical cancer screening in an urban emergency department.

STUDY OBJECTIVES: To determine the feasibility of Pap screening and follow-up of urban emergency department patients and the prevalence of cervical dysplasia and carcinoma in this group. DESIGN: During a four-month period, Pap smears were added to pelvic examinations performed in the ED. Follow-up, including repeat Pap smear or biopsy, was attempted on all abnormal smears. SETTING: Urban county hospital-based ED. INTERVENTIONS: Pap screening and follow-up. RESULTS: Dysplasia was present in 8% of screening Pap smears. Eighty-two percent of patients with dysplasia on screening Pap smear returned for follow-up. Four percent of screened patients received a confirmed diagnosis of CIN 1 or more following repeat Pap smear or biopsy. Two invasive cervical cancers were identified. CONCLUSIONS: There is a high prevalence of cervical dysplasia among women screened with Pap smears in an urban ED. Routine Pap screening in urban EDs can be an important component of cervical cancer control programs for high-risk women.

Adult↗

Women's health status and use of health services in a rapidly growing peri-urban area of South Africa.

Women's health in South Africa and particularly women living in peri-urban areas is being influenced by three major factors. These include the political transition that is occurring in the country, urbanization and the international interest in women's health. Changes in the delivery of health care to the population, and in particular to women are being planned. It is therefore important that data are available for the purpose of planning and evaluation of health services. This paper describes a household survey in which 661 women were interviewed. Socio-demographic patterns of women living in a rapidly urbanizing area were determined and related to health status, use of health services and knowledge of the services. Poverty appeared to be an overriding factor affecting the health of the population. One third of the women were living in unserviced shacks. There was a high rate of unemployment and those who were employed worked in low status jobs and earned very little. Rates of reported acute and chronic illness were lower than described elsewhere in similar household interview surveys. A third of the acute illnesses were due to respiratory disease. Reported rates of diabetes and hypertension were low indicating undiagnosed disease in the area. Being a member of an alliance household-a mixture of family, friends and lodgers-was the main predictor of acute illness. For chronic disease, age and increasing educational status were the main predictors. Knowledge of services apart from those for cervical cancer screening was good. The latter improved with increasing education, urbanization and being a member of an alliance household. As many of the women lived in unserviced areas and had little or no income the provision of infrastructural services and development programs are essential if their health is to be improved. The existing health services need to be developed to provide a comprehensive primary care service with special attention being paid to the health of women. The service should be close to their homes and be affordable. The information gathered in this survey will be used to plan services for women in the area and will act as baseline data for evaluation.

Acute Disease↗

Obstetric factors, urbanization and psychosis.

BACKGROUND: Epidemiologic evidence as early as the 1930s has suggested urbanization is linked to schizophrenia, either by place of admission, place of upbringing, or, more recently, place of birth. In the past decade, obstetric complications have been implicated in the etiology of schizophrenia. METHODS: With appropriate protections for anonymity, the files of the Danish Medical Birth Register were linked with the files of the Danish Psychiatric Case Register. The linkage produced 132 cases of schizophrenia and 69 cases of affective psychosis, who were born in 1973 or later, who entered a Danish psychiatric hospital before 1994. Controls were drawn from a 10% sample of the Medical Birth Register. Analysis was by logistic regression. RESULTS: The risk of hospitalization for schizophrenia was 4.20 times higher (95% CI=2.4-7.4) for those born in Copenhagen versus those born in rural areas of Denmark, and a linear relationship was demonstrated between urbanization of birthplace and risk. There was no difference in risk of hospitalization for affective psychosis for those born in Copenhagen versus rural areas. Obstetric complications had a moderate sized relationship to schizophrenia, but the relationship of urban birth to schizophrenia was unaffected by adjustment for obstetric complications. CONCLUSION: Urban birth is a strong risk factor for schizophrenia, not mediated by obstetric complications, which deserves further exploration.

Adult↗

Urbanization, mental health, and social deviancy. A review of issues and research.

This article reviews the international research literature on the relationship of urbanization, mental health, and social deviancy. Attention is called to the multidisciplinary and multisectoral nature of the topic, and to its associated definitional, conceptual, and methodological issues and challenges. Selected research literature on rural-urban differences in mental health and social deviancy is reviewed. There is little consensus on the causal relationship between urbanization, mental health, and social deviancy, although numerous environmental and social pathogenic processes have been posited and investigated. Data indicate rural and urban milieus can have both pernicious and salutary consequences and that more research is needed to specify critical etiological factors and their relationship to subpopulation characteristics. Suggestions for improving future research efforts are offered, including the use of more complex theoretical models, measurement indices, and data analysis procedures.

Adolescent↗

Urbanization, malaria transmission and disease burden in Africa.

Many attempts have been made to quantify Africa's malaria burden but none has addressed how urbanization will affect disease transmission and outcome, and therefore mortality and morbidity estimates. In 2003, 39% of Africa's 850 million people lived in urban settings; by 2030, 54% of Africans are expected to do so. We present the results of a series of entomological, parasitological and behavioural meta-analyses of studies that have investigated the effect of urbanization on malaria in Africa. We describe the effect of urbanization on both the impact of malaria transmission and the concomitant improvements in access to preventative and curative measures. Using these data, we have recalculated estimates of populations at risk of malaria and the resulting mortality. We find there were 1,068,505 malaria deaths in Africa in 2000 - a modest 6.7% reduction over previous iterations. The public-health implications of these findings and revised estimates are discussed.

Adolescent↗

The outcome of the urban renal patient: the importance of social factors and center effects.

Caring for the urban renal patient can be a challenge to providers for many reasons. Although racial and socioeconomic factors have an impact on the health of this population, one must also consider the effect of the urban environment on the ill, especially those with renal disease. This article reviews the state of health among the poor and nonwhite minorities, who tend to inhabit the urban regions of this country, and then highlights the unique characteristics of those with renal disease. The impact of the Medicare end-stage renal disease (ESRD) program and center-specific quality of care on the outcome of the urban patient with ESRD is explored.

Academic Medical Centers↗

Interurban migration and the dynamics of a system of cities: 1. The stochastic framework with an application to the French urban system.

"A stochastic framework for the modelling of interurban migration is presented. The model is an extension of a recently developed master-equation approach to interregional migration. The population dynamics of the French urban system, described by a set of 78 cities, is investigated within the period 1954-82. The importance of synergy effects (self-reinforcing collective effects) as well as socioeconomic macrovariables for the understanding of urban dynamics becomes obvious. A forecasting of urban dynamics...[up to the year 2002 confirms] this result and [gives] further insight into the nested structure of urban systems."

Demography↗

Variation in levels of uptake of enhanced primary care item numbers between rural and urban settings, November 1999 to October 2001.

We aimed to report on variation in levels of uptake of enhanced primary care item numbers between rural and urban Divisions of General Practice between November 1999 and October 2001. Most providers of EPC services and most services (close to 70%) are located in capital cities and other metropolitan centres. The average number of health assessments done per provider was slightly lower (8-14) in remote than urban and rural (20-30) areas. A similar pattern was observed for care plans, but rates of case conferences were similar in rural and urban areas. However, adjusted for population aged 75 years and over, in all jurisdictions except South Australia, between 30% and 144% more health assessments were done per full time equivalent general practitioner (FTE GP) in rural divisions. For rural and urban Divisions of General Practice, there is a wide range in the rate of services provided, between and within Divisions. However, overall, more services are provided per FTE GP in rural Divisions.

Aged↗

The effect of urbanization on the distribution of cord serum lipids in Riyadh, Saudi Arabia: a pilot study.

The objectives of this study were to examine the distribution and effects of sex and urbanization on cord serum lipids, and to determine the cut-off point for calculating prevalence of hypercholesterolaemia in neonates in Saudi Arabia. The study sample was 200 full-term newborns at four different hospitals selected on a quota basis from the urban and rural areas of Saudi Arabia. Total cholesterol, triglyceride and high density lipoprotein (HDL) were the serum lipids assayed. The results showed that the serum total cholesterol and HDL concentration were significantly higher in urban than in rural areas. However, there was no significant sex differential in the lipids. The cut-off points for the calculation of prevalence of hypercholesterolaemia were 1.79 mmol/l in rural areas and 2.56 mmol/l in urban areas. The study also showed that the 95th percentiles of the three lipid parameters were lower than those reported from other countries, e.g. Australia and Finland. This study provides the distributional form of total cholesterol, HDL cholesterol and triglyceride in cord blood, and may serve as a pilot for a large-scale study which incorporates the prevalence of familial hypercholesterolaemia in Saudi Arabia.

Female↗

Child health in an urbanizing world.

UNLABELLED: The aim of this study is to document and comment on the effects of urbanization on child health, internationally, using published reports and the author's personal experience. Urbanization is having profound effects on the health and well-being of infants and children in industrialized and developing countries. This will affect generations into the future. The changes are not confined to cities and large towns; they rapidly influence transitional societies in remote and rural areas, because globalization is changing infant feeding practices and children's diets and lifestyles. In developing countries, overcrowding and environmental pollution are massive problems made worse by undernutrition and infections, particularly respiratory and diarrhoeal diseases. In developed societies there are many other problems, e.g. injuries, poisonings, violence, drug abuse, exposure to industrial and atmospheric pollutants, including pesticides, sexually transmissible diseases, and "lifestyle", diseases including obesity and cardiovascular disease risk. There is an urgent need for paediatricians, health planners, policy-makers, governments and the community to understand these issues and work towards minimizing their harmful effects on children. CONCLUSION: Urbanization has profound effects on child health, globally; these must be recognised so that harmful influences of urbanization can be reduced for the benefit of all children.

Australia↗