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The relative influence of natural selection and geography on gene flow in guppies.

Two general processes may influence gene flow among populations. One involves divergent selection, wherein the maladaptation of immigrants and hybrids impedes gene flow between ecological environments (i.e. ecological speciation). The other involves geographic features that limit dispersal. We determined the relative influence of these two processes in natural populations of Trinidadian guppies (Poecilia reticulata). If selection is important, gene flow should be reduced between different selective environments. If geography is important, gene flow should be impeded by geographic distance and physical barriers. We examined how genetic divergence, long-term gene flow, and contemporary dispersal within a watershed were influenced by waterfalls, geographic distance, predation, and habitat features. We found that waterfalls and geographic distance increased genetic divergence and reduced dispersal and long-term gene flow. Differences in predation or habitat features did not influence genetic divergence or gene flow. In contrast, differences in predation did appear to reduce contemporary dispersal. We suggest that the standard predictions of ecological speciation may be heavily nuanced by the mating behaviour and life history strategies of guppies.

Animals↗

The effects of geography and spatial behavior on health care utilization among the residents of a rural region.

OBJECTIVE: This analysis determines the importance of geography and spatial behavior as predisposing and enabling factors in rural health care utilization, controlling for demographic, social, cultural, and health status factors. DATA SOURCES: A survey of 1,059 adults in 12 rural Appalachian North Carolina counties. STUDY DESIGN: This cross-sectional study used a three-stage sampling design stratified by county and ethnicity. Preliminary analysis of health services utilization compared weighted proportions of number of health care visits in the previous 12 months for regular check-up care, chronic care, and acute care across geographic, sociodemographic, cultural, and health variables. Multivariable logistic models identified independent correlates of health services utilization. DATA COLLECTION METHODS: Respondents answered standard survey questions. They located places in which they engaged health related and normal day-to-day activities; these data were entered into a geographic information system for analysis. PRINCIPAL FINDINGS: Several geographic and spatial behavior factors, including having a driver's license, use of provided rides, and distance for regular care, were significantly related to health care utilization for regular check-up and chronic care in the bivariate analysis. In the multivariate model, having a driver's license and distance for regular care remained significant, as did several predisposing (age, gender, ethnicity), enabling (household income), and need (physical and mental health measures, number of conditions). Geographic measures, as predisposing and enabling factors, were related to regular check-up and chronic care, but not to acute care visits. CONCLUSIONS: These results show the importance of geographic and spatial behavior factors in rural health care utilization. They also indicate continuing inequity in rural health care utilization that must be addressed in public policy.

Adult↗

Geography, private costs and uptake of screening for abdominal aortic aneurysm in a remote rural area.

BACKGROUND: The relationship between geographical location, private costs, health provider costs and uptake of health screening is unclear. This paper examines these relationships in a screening programme for abdominal aortic aneurysm in the Highlands and Western Isles of Scotland, a rural and remote area of over 10,000 square miles. METHODS: Men aged 65-74 (n = 9323) were invited to attend screening at 51 locations in 50 settlements. Effects of geography, deprivation and age on uptake were examined. Among 8,355 attendees, 8,292 completed a questionnaire detailing mode of travel and costs incurred, time travelled, whether accompanied, whether dependants were cared for, and what they would have been doing if not attending screening, thus allowing private costs to be calculated. Health provider (NHS) costs were also determined. Data were analysed by deprivation categories, using the Scottish Indices of Deprivation (2003), and by settlement type ranging from urban to very remote rural. RESULTS: Uptake of screening was high in all settlement types (mean 89.6%, range 87.4-92.6%). Non-attendees were more deprived in terms of income, employment, education and health but there was no significant difference between non-attendees and attendees in terms of geographical access to services. Age was similar in both groups. The highest private costs (median 7.29 pound sterling per man) and NHS screening costs (18.27 pound sterling per man invited) were observed in very remote rural areas. Corresponding values for all subjects were: private cost 4.34 pound sterling and NHS cost 15.72 pound sterling per man invited. CONCLUSION: Uptake of screening for abdominal aortic aneurysm in is remote and rural setting was high in comparison with previous studies, and this applied across all settlement types. Geographical location did not affect uptake, most likely due to the outreach approach adopted. Private and NHS costs were highest in very remote settings but still compared favourably with other published studies.

Aged↗

The devil is in the details: trends in avoidable hospitalization rates by geography in British Columbia, 1990-2000.

BACKGROUND: Researchers and policy makers have focussed on the development of indicators to help monitor the success of regionalization, primary care reform and other health sector restructuring initiatives. Certain indicators are useful in examining issues of equity in service provision, especially among older populations, regardless of where they live. AHRs are used as an indicator of primary care system efficiency and thus reveal information about access to general practitioners. The purpose of this paper is to examine trends in avoidable hospitalization rates (AHRs) during a period of time characterized by several waves of health sector restructuring and regionalization in British Columbia. AHRs are examined in relation to non-avoidable and total hospitalization rates as well as by urban and rural geography across the province. METHODS: Analyses draw on linked administrative health data from the province of British Columbia for 1990 through 2000 for the population aged 50 and over. Joinpoint regression analyses and t-tests are used to detect and describe trends in the data. RESULTS: Generally speaking, non-avoidable hospitalizations constitute the vast majority of hospitalizations in a given year (i.e. around 95%) with AHRs constituting the remaining 5% of hospitalizations. Comparing rural areas and urban areas reveals that standardized rates of avoidable, non-avoidable and total hospitalizations are consistently higher in rural areas. Joinpoint regression results show significantly decreasing trends overall; lines are parallel in the case of avoidable hospitalizations, and lines are diverging for non-avoidable and total hospitalizations, with the gap between rural and urban areas being wider at the end of the time interval than at the beginning. CONCLUSION: These data suggest that access to effective primary care in rural communities remains problematic in BC given that rural areas did not make any gains in AHRs relative to urban areas under recent health sector restructuring initiatives. It remains important to continue to monitor the discrepancy between them as a reflection of inequity in service provision. In addition, it is important to consider alternative explanations for the observed trends paying particular attention to the needs of rural and urban populations and the factors influencing local service provision.

Age Distribution↗

Where in the world am I? Sex and handedness differences in knowledge of geography.

218 college students (96 men and 122 women, including nearly equal numbers of right-handers and left-handers) were administered a modified version of the "Gallup Geography Test." Men outperformed women, and left-handed women outperformed right-handed women. We suggest that these results cannot be easily explained by any credible sociocultural model but are consistent with a neuropsychological model of sex and handedness differences in spatial ability advanced by Harshman, Hampson, and Berenbaum in 1983.

Adolescent↗

Spatial location judgments: a cross-national comparison of estimation bias in subjective North American geography.

We examined alternate explanations for distortions in the subjective representation of North American geography. One explanation, based on physical proximity, predicts that bias in location estimates should increase with the distance from a participant's home city or region. An alternative is that biases arise from combining accurate and inaccurate beliefs about the cities and the superordinate regions to which they belong, including beliefs that may have social or cultural origins. To distinguish these, Canadians from Alberta and Americans from Texas judged the latitudes of cities in Canada, the U.S., and Mexico. The Texans' estimates of Mexican locations were 16" (approximately 1,120 miles) more biased than their estimates of Canadian locations that were actually about 840 miles farther away. This finding eliminates proximity as a primary source of geographic biases and underscores the role of categorical beliefs as an important source of biased judgments.

Geography↗

Future hospitals from the viewpoint of "hospital geography".

The aim of this paper is to discuss what future direction will be indicated for Japanese healthcare buildings. The paper falls into two parts. Brief comparative study between USA and Japan is described in Part I, because current Japanese health care system was influenced a great deal at the first stage of its development since the end of the World War II, and it will be necessary to understand the fact at first. In Part II, the concept of "Hospital Geography" will be proposed as a new point of view for planning of healthcare buildings in 21st century.

Data Collection↗

Grapes, galls, and geography: the distribution of nuclear and mitochondrial DNA variation across host-plant species and regions in a specialist herbivore.

Studies of patterns of molecular variation in natural populations can provide important insights into a number of evolutionary problems. Among these, the question of whether geographic factors are more important than ecological factors in promoting population differentiation and ultimately speciation has been an important and contentious area in evolutionary biology. Systems involving herbivorous insects have played a leading role in this discussion. This study examined the distribution of molecular variation in a highly specialized gall-forming insect, grape phylloxera (Daktulosphaira vitifoliae Fitch), that is found on both sympatric and allopatric host-plant species of the genus Vitis. In addition, the relationship of insects in the introduced range in the United States to ancestral populations in the native range was examined. Evidence for differentiation along host-plant lines from both nuclear (RAPD) and mitochondrial (COI) DNA was confounded with the effect of geography. Differentiation was found where hosts were allopatric or parapatric, but no evidence was found for such differentiation on two hosts, V. vulpina and V. aestivalis, that are broadly sympatric. The question of population differentiation onto these sympatric hosts can be considered to be resolved--it has not occurred in spite of a long history of association. Evidence was equivocal, but suggestive of a period of divergence in allopatry prior to reestablishment of contact, for insects associated with another host plant species, V. cinerea, found in both sympatric and parapatric populations. A low level of diversity and placement of samples collected from the grape species V. riparia at the tip of a phylogenetic tree supports the hypothesis that this host has been recently colonized from populations from the Mississippi Valley. A polyphyletic origin for biotype B grape phylloxera was supported: Although most samples collected from vineyards in the introduced range in California had similar haplotypes, they were closely related to natives on V. vulpina from the Atlantic Coast-Piedmont region. All samples collected from vineyards in Oregon and Washington were closely related to natives on V. riparia in the northern United States.

Adaptation, Physiological↗

[Identifying the author of Gazi Ayintab (1926): a survey on medical geography in the southeastern province].

The Ministry of Health of the young Turkish Republic launched a project to survey the physical and organizational infrastucture of health services inherited from the Ottoman Empire. The first monography was published in 1922 by Dr. Riza Nur, the Minister of Health himself on his native Sinop province. A total of 17 reports were compiled and published before 1928, the year of latinization of the Turkish alphabet. The authors of this collection titled The Medical and Social Geography of Turkey were contemporary local health authorities. In one of these monographs published in 1976 on Gazi Ayintab the author was not noted. Our research indicates that this author was Dr. Hamdi (Kasim) Ozkan. Gazi Ayintab is reviewed briefly.

Geography↗

The geography of age.

"This article examines the geography of age across the counties of England and Wales and the regions of Scotland [and in Northern Ireland]." Sections are included on national and subnational age structures and on spatial patterns for childhood ages, working ages, and retired ages.

Age Distribution↗

Trade restrictions, migration, and economic geography.

"This paper investigates why Third World cities have been growing in the last several decades much more quickly than cities in industrialized countries. For this purpose, we develop a Krugman-type model of economic geography with two continents, North and South, each of which consisting of two regions, East and West. We study the impact different levels of transport costs and tariffs exert on the distribution of economic activities among the regions. We find that lower costs for transport between the regions in the South, for instance, induced by an improved infrastructure, as well as lower tariffs on intercontinental trade tend to lead to less concentrated economies." (SUMMARY IN GER AND FRE)

Demography↗

The geography of adult mortality: results from the fuzzy clumping method.

"This study analyses provincial differences in adult mortality (separately for men and women, aged 30-64 years) in Italy between 1984 [and] 1987.... By applying the fuzzy clumping method to mortality rates by cause...groups of provinces can be identified where mortality profiles (irrespective of the intensity) are not only similar for all or only for some of the mortality causes considered, but also specify the grade of similarity common to the provinces in the same group. This method, whereby any single province can belong to several groups, provides an image of the geography of mortality where homogeneous groups are not separated by fixed boundaries but may actually have provinces in common." (SUMMARY IN ITA)

Cause of Death↗

Women's health in northern British Columbia: the role of geography and gender.

INTRODUCTION: Although research interest in women's health is growing, much of the literature does not sufficiently describe the importance of geography and gender for the health of women. This qualitative study explored factors in the northern Canadian context that influence women's health by interviewing 25 women in northern Canada. RESULTS: Findings reveal that the importance of the northern context for women's health can be attributed to the north's historical location, and its physical, sociocultural and political environments. The northern context contributes to the marginalization of northern women that is characterized by isolation, limited options, limited power and being silenced. CONCLUSION: Health care practice and policy must attend to contextual as well as individual and sociocultural factors if women's health is to be advanced in northern settings.

Adult↗

[Methods of medical geography in the study of the effects of urban factors on the health of the population].

A possible approach to the medico-geographical study of the urban environment has been proposed by the medical geographers of the Institute of Geography of the USSR Academy of Sciences in conjunction with the international research on areas 1.2 and 1.3 of the Council for Mutual Economic Assistance. The approach comprised a non-economic assessment of the negative changes in the quality of urban environment under the effect of economic activity. The concept of the territorial anthropological-ecological system (TAES) was a theoretical prerequisite to its application. Elaboration of the method to evaluate the adverse effects of man on the urban environment according to the health criterion included development of evaluation algorithm, special questionnaire for interviewing the population, data processing, and result interpretation. The method elaborated for the towns of the Kursk model region was tested during the assessment of changes in the atmospheric air quality under the industrial and transport influences.

Air Pollution↗

A patient who had trouble with geography.

Aspects of geography are important in relation to the establishment of body ego, since they inevitably supply from the external world the early symbols that represent in the mind the basic elements of infantile experience in regard to body parts, functions, and relationships with primal objects. The accretional inter-twining of all subsequent psychic conflicts can therefore be expressed in symbolic geographic terms. These conflicts center on the developmentally evolving meanings of the mother's body as epitomized in the riddle of the Sphinx. Illustration of the concepts includes a brief clinical report and selected literary and mythological examples.

Ego↗

Blood group polymorphisms and geography in the Sierra de Gredos, Spain.

The present research is designed to contribute to our knowledge of the influence of geography on the genetic population structure in the Sierra de Gredos (central Spain). This mountain range separates two distinct areas: the Tormes-Alberche valley in the north and the Tiétar valley in the south. Unrelated blood donors (226), whose 4 grandparents were born in the study area, were tested for blood group markers (A1A2BO, RH, MNSs, Kell, P, and Lewis). R matrix analysis in relation to other Spanish populations agrees reasonably well with the cluster analysis of the Prevosti distance matrix using the UPGMA algorithm. Comparisons suggest a certain degree of genetic variation between the populations of these two valleys. The Sierra de Gredos can thus be considered a biological barrier limiting the gene flow between the valleys.

Algorithms↗

[New problems of military medical geography].

The new requirements to the military medico-geographical researches, to contents and structure of military medico-geographical descriptions are considered, caused by evolution of global geopolitical situation, by occurrence of the modern information technologies, the geographical information systems, by development of the medical ecology and information medical service. Principles of the concept of the ecological military-medical geography are proved. The priority problems and specific peculiarities of the units are stated. It is recommended wider use of the factor's approach and cartographic method to enhance the organization of medico-ecological maintenance of the Army and the Fleet personnel activity.

Ecology↗

The geography of highly skilled international migration.

"The present paper provides a research review of recent literature on international migration by the highly skilled. Its principal aim is to identify the themes which are being discussed, and suggest where research into the subject might best proceed.... [The authors outline] the two most important perspectives in extant research, economic and socio-cultural, [and review] what is known about the geography of migration by the highly skilled.... The paper proposes...a reconceptualisation of migration by the highly skilled as one element in the international movement of expertise."

Culture↗