Perthes’ disease of the hip: socioeconomic inequalities and the urban environment

2012 ◽  
Vol 97 (12) ◽  
pp. 1053-1057 ◽  
Author(s):  
Daniel C Perry ◽  
Colin E Bruce ◽  
Daniel Pope ◽  
Peter Dangerfield ◽  
Mary Jane Platt ◽  
...  

IntroductionPerthes’ disease is a puzzling childhood hip disorder for which the aetiology is unknown. It is known to be associated with socioeconomic deprivation. Urban environments have also been implicated as a risk factor, however socioeconomic deprivation often occurs within urban environments and it is unclear if this association is the result of confounding. The objective of the current work was to gain a greater understanding of the influence of the urban/rural environment in Perthes’ disease.MethodsThis was a descriptive observational study using the Scottish Morbidity Record, based in Scotland, UK using data from 2000–2010. A total of 443 patients with a discharge diagnosis of Perthes’ disease were included. Socioeconomic deprivation was determined using the Scottish Index of Multiple Deprivation, and exposure to the ‘urban environment’ was recorded based on the Scottish Urban–Rural Classification.ResultsThere was a strong association with socioeconomic deprivation, with rates among the most deprived quintile more than twice those of the most affluent (RR 2.1 (95% CI 1.5 to 2.9)). Urban areas had a greater rate of Perthes’ disease discharges (RR 1.8 (95% CI 1.1 to 3.2)), though this was a reflection of greater deprivation in urban areas. Stratification for socioeconomic deprivation revealed similar discharge rates in urban and rural environments, suggesting that the aetiological determinants were not independently associated with urban environments.ConclusionsThe occurrence of Perthes’ disease within urban environments is high, yet this appears to be a reflection of higher socioeconomic deprivation exposure. Disease rates appear equivalent in similarly deprived urban and non-urban areas, suggesting that the determinant is not a consequence of the urban environment.

2017 ◽  
Vol 284 (1862) ◽  
pp. 20171349 ◽  
Author(s):  
Pablo Salmón ◽  
Johan F. Nilsson ◽  
Hannah Watson ◽  
Staffan Bensch ◽  
Caroline Isaksson

Urban environments pose novel challenges, as well as opportunities, for urban-dwelling wildlife. Although differences have been reported in several phenotypic traits (e.g. morphology, physiology and behaviour) between urban and rural populations, it is poorly understood whether this affects individual fitness. Telomere dynamics are posited as one possible mechanism underlying senescence and mortality. It was recently shown that telomere shortening is accelerated when growing up in an urban, compared with a rural, environment. However, the implications of accelerated telomere attrition for fitness are still unclear. Here, we examine the relationship between telomere length (TL) and survival in a bird common to urban and rural environments, and during both early and later life. The results reveal that TL is a strong predictor of post-fledging survival and recruitment in both habitats but, crucially, selective disappearance of individuals with short telomeres early in life is more pronounced in the urban environment, resulting in a longer average TL among the adult population. However, following recruitment, we found no difference in the relationship between TL and survival between the urban and rural environments. This indicates that the urban environment has negative effects in early life, while during later life the benefits could potentially outweigh the costs.


2021 ◽  
Author(s):  
Shiran Havivi ◽  
Stanley R. Rotman ◽  
Dan G. Blumberg ◽  
Shimrit Maman

<p>The damage caused by a natural disaster in rural areas differs in nature, extent, landscape and in structure, from the damage in urban environments. Previous and current studies focus mainly on mapping damaged structures in urban areas after catastrophe events such as an earthquake or tsunami. Yet, research focusing on the damage level or its distribution in rural areas is absent. In order to apply an emergency response and for effective disaster management, it is necessary to understand and characterize the nature of the damage in each different environment. </p><p>Havivi et al. (2018), published a damage assessment algorithm that makes use of SAR images combined with optical data, for rapid mapping and compiling a damage assessment map following a natural disaster. The affected areas are analyzed using interferometric SAR (InSAR) coherence. To overcome the loss of coherence caused by changes in vegetation, optical images are used to produce a mask by computing the Normalized Difference Vegetation Index (NDVI) and removing the vegetated area from the scene. Due to the differences in geomorphological settings and landuse\landcover between rural and urban settlements, the above algorithm is modified and adjusted by inserting the Modified Normalized Difference Water Index (MNDWI) to better suit rural environments and their unique response after a disaster. MNDWI is used for detection, identification and extraction of waterbodies (such as irrigation canals, streams, rivers, lakes, etc.), allowing their removal which causes lack of coherence at the post stage of the event. Furthermore, it is used as an indicator for highlighting prone regions that might be severely affected pre disaster event. Thresholds are determined for the co-event coherence map (≤ 0.5), the NDVI (≥ 0.4) and the MNDWI (≥ 0), and the three layers are combined into one. Based on the combined map, a damage assessment map is generated. </p><p>As a case study, this algorithm was applied to the areas affected by multi-hazard event, following the Sulawesi earthquake and subsequent tsunami in Palu, Indonesia, which occurred on September 28th, 2018. High-resolution COSMO-SkyMed images pre and post the event, alongside a Sentinel-2 image pre- event are used as inputs. The output damage assessment map provides a quantitative assessment and spatial distribution of the damage in both the rural and urban environments. The results highlight the applicability of the algorithm for a variety of disaster events and sensors. In addition, the results enhance the contribution of the water component to the analysis pre and post the event in rural areas. Thus, while in urban regions the spatial extent of the damage will occur in its proximity to the coastline or the fault, rural regions, even in significant distance will experience extensive damage due secondary hazards as liquefaction processes.     </p>


2020 ◽  
Vol 2 (5) ◽  
pp. 19-24
Author(s):  
P. Evdokimov

the article describes the problems of assessing the anthropogenic impact of human activity on natural com-plexes surrounding urbanized territories. Among the main research tasks are development of methodological foundations for assessing the quanti-tative and qualitative composition at anthropogenic impact on natural complexes surrounding urban areas. The main method of this research include a dialectical approach that focuses on generally accepted logi-cal research methods (analysis, systematic approach, generalization) and their synthesis using relevant in-formation materials. The author considered various methods of assessing the impact of various factors on the environment, and also carried out the examination of urban decisions related to the appointment of a category (status) the natural resources included in the urban environment in Moscow. The Russian capital is a European metropolis, the largest city-millionaire in Europe and a typical object of research to identify the effects of various anthropogenic factors. The implementation at economic activity in the metropolis is accompanied by the emergence of problems, the solution of which has not been found yet. Analysis of methods for assessing the impact at the various factors on the environment was carried out taking into account the provisions in regulatory documents governing the appointment for protected areas urban environment. Provisions of regulatory documents and decisions of executive authorities designed to use natural (forest) resources in urban environments. The absence of approved methods for assessing certain types of land plots with a protected status was identified. The main factors affecting the quality of biogeocenosis were identified. The main features of the applica-tion methods for assessing the status and possibility in recreational development in territories of varying de-grees at development are considered.


Author(s):  
Marija Šperac ◽  
Dino Obradović

The urbanization process significantly reduced the permeability of land surfaces, which affected the changes of runoff characteristics and the relations in the hydrological cycle. In urban environments, the relationships within the hydrological cycle have changed in quantity, in particular: precipitation, air temperature, evaporation, and infiltration. By applying the green infrastructure (GI) to urban environments is beneficial for the water resources and the social community. GI has an effect on the improvement of ecological, economic, and social conditions. Using GI into urban areas increases the permeability of land surfaces, whereby decreasing surface runoff, and thus the frequency of urban floods. It also has a significant influence on the regulation of air quality, water purification, climate change impact, and the changes in the appearance of the urban environment. When planning and designing the GI, it is necessary to identify the type of GI and determine the size and location of the selected GI. Since each urban environment has its own characteristics, it is necessary to analyze them before deciding on the GI. The paper analyzed meteorological parameters (precipitation, air temperature, insolation, air humidity) affecting the selection of GI types, using the specific example of an urban environment – the City of Osijek, Croatia. Significant parameters when designing GI are operation and maintenance These parameters directly affect the efficiency of GI. The proper selection of GI and its location results in maximum gains: the reduction of land surface drainage - drainage of the sewage system, purification and retention of precipitation at the place of production, the improvement of air quality, and the improvement of living conditions in urban environments


2020 ◽  
Vol 66 (Suppl.) ◽  
pp. 21-36
Author(s):  
Simone Fattorini ◽  
Cristina Mantoni ◽  
Davide Bergamaschi ◽  
Lorenzo Fortini ◽  
Francisco J. Sánchez ◽  
...  

Several works have investigated the impact of urbanisation on carabid activity density using urban-rural gradients. Such works compared activity density recorded from green spaces located in different parts of a city and assigned to categories of increasing urban intensity, which poses two problems: (1) since the gradient is divided into categories, it is impossible to model continuous variations in biotic responses, and (2) sites representative of different urbanisation levels are not true segments of the same ecological continuum. To surpass these problems, we modelled variations in carabid activity density along an urban-rural transect within a single green space extending from the city centre of Rome to rural environments. Carabids were sampled by pitfall traps from sites distributed along the entire gradient. We used breakpoint regressions to model how (1) carabid activity density, (2) carabids/beetles ratio, (3) carabids/insects ratio and (3) carabids/arthropods ratio varied along the gradient. As already observed for various organisms in urban environments, we found that activity density of carabids and their contribution to the abundance of beetles, insects and arthropods, peaked in the middle of the gradient. This supports the intermediate disturbance hypothesis, according to which moderate urbanisation may favour diversity by increasing habitat heterogeneity.


2006 ◽  
Vol 9 (2) ◽  
pp. 187-193 ◽  
Author(s):  
Gina Kennedy ◽  
Guy Nantel ◽  
Inge D Brouwer ◽  
Frans J Kok

AbstractObjectiveThe purpose of this paper is to examine the relationship between childhood undernutrition and poverty in urban and rural areas.DesignAnthropometric and socio-economic data from Multiple Indicator Cluster Surveys in Angola-Secured Territory (Angola ST), Central African Republic and Senegal were used in this analysis. The population considered in this study is children 0–59 months, whose records include complete anthropometric data on height, weight, age, gender, socio-economic level and urban or rural area of residence. In addition to simple urban/rural comparisons, the population was stratified using a wealth index based on living conditions and asset ownership to compare the prevalence, mean Z-score and odds ratios for stunting and wasting.ResultsIn all cases, when using a simple urban/rural comparison, the prevalence of stunting was significantly higher in rural areas. However, when the urban and rural populations were stratified using a measure of wealth, the differences in prevalence of stunting and underweight in urban and rural areas of Angola ST, Central African Republic and Senegal disappeared. Poor children in these urban areas were just as likely to be stunted or underweight as poor children living in rural areas. The odds ratio of stunting in the poorest compared with the richest quintile was 3.4, 3.2 and 1.5 in Angola ST, Senegal and Central African Republic, respectively.ConclusionsThis paper demonstrates that simple urban/rural comparisons mask wide disparities in subgroups according to wealth. There is a strong relationship between poverty and chronic undernutrition in both urban and rural areas; this relationship does not change simply by living in an urban environment. However, urban and rural living conditions and lifestyles differ, and it is important to consider these differences when designing programmes and policies to address undernutrition.


2020 ◽  
Vol 4 (2) ◽  
pp. 49-62
Author(s):  
Milan Tomić ◽  
Sandra Rover ◽  
Bojan Pejović ◽  
Nina Uremović

Different types of interactions between rural and urban areas have the effect of improving economic, social, cultural and political dimensions in both areas, separating these two areas by their type of activity. Rural and urban types of regions have different resources and means that can be used in a complementary way. In rural-urban interaction there is a possibility of occurrence of conflict of interest of these two areas. This kind of conflict should be overcome when applying the partnership approach between rural and urban areas. The types of rural areas, depending on the proximity of the urban center and the functions of these areas, are divided into suburban, agricultural and remote type areas. By determining the functions of each type of area, the type and intensity of the interactions of rural areas with the urban center are presented. Rural entrepreneurs are able to bridge rural-urban differences, possessing certain market knowledge and descriptions of the characteristics of urban environments, while benefiting from their position. Rural entrepreneurs' interaction with the urban environment can contribute to sustainable economic relations between citizens in urban and rural areas. This paper presents the results of research related to determining the functions of certain areas, their strengths, unused and utilized resources, the frequency of interaction with the urban environment and the perspectives of suburban, agricultural and remote type areas in the context of interaction with the urban environment.


Author(s):  
Philip James

In this chapter, the discussion focuses on the spatial variation of species within urban environment. Studies on urban–rural gradients are discussed. These are studies along gradients of disturbance and environmental stress. The extreme heterogeneity of urban environments, where contrasting urban forms are juxtaposed, is recognized as an issue in drawing generalities. Despite this, some limited generalities in the patterns of species richness and density can be detected. The intermediate disturbance hypothesis is discussed and its limitations identified. Examples are presented from a number of taxa where different spatial distribution patterns are observed. There is also a brief consideration of r- and K-selected species and of urban avoiders and adaptors and how their distributions are affected by urban environments. While it is possible to make general statements regarding the distribution of biodiversity across an urban environment, considerable variations exist in terms of individual species.


2021 ◽  
Author(s):  
Jack Thompson ◽  
Stuart James Turnbull-Dugarte

The literature on LGBT participation is growing, but there is still little empirical analysis on the importance of urbanicity in shaping Queer activism. In this paper, we address this critical gap by examining how patterns of participation among LGBT Americans vary by geographic context. Using data from the 2020 Cooperative Election Study (CES) to explore how patterns of LGBT participation differ across the urban-rural interface, we find that individuals identifying as LGBT living in urban areas exhibit higher rates of participation than those living in rural areas, and that these results hold across multiple urban-rural classification schemes. Estimating a multilevel model that leverages local-level data on the density of the LGBT population, we also provide strong empirical validation of the theoretical effects of intragroup contact and mobilization on LGBT participation in large metro areas. When we limit our sample to respondents living in the 55 largest metro areas in the US but vary the metro-level percentage of LGBT individuals, we find that LGBT individuals living in metro areas with a higher percentage of LGBT individuals exhibit higher rates of participation relative to metro areas with a lower percentage of LGBT individuals. The results indicate that urban contexts foster Queer participation by engendering intragroup contact and mobilization among LGBT populations.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Eleri Kent ◽  
Amy L W Schwartz ◽  
Sarah E Perkins

Abstract Wildlife-vehicle collisions are a major cause of mortality in animal populations and can cause significant population-level effects. Urban areas are typically associated with higher road densities and unique wildlife communities in comparison to rural areas, and therefore have the potential to be associated with high numbers of collisions, and roadkill risk. Here, we use a citizen science database of wildlife roadkill and species distribution models to assess how roadkill risk (probability of roadkill observation per km2) varied along an urban–rural gradient for British wildlife. Roadkill risk was positively associated with road density, until around 5000 m/km2, a value representing villages or the outskirts of towns and cities. Beyond 5000 m/km2, risk remained high for some species (hedgehog, fox, pigeons and gulls) but reduced for other species (badger, rabbit, pheasant). Roadkill risk was a function of live species distribution for badger, hedgehog and rabbit, with significant overlap between spatial patterns of roadkill risk and the species’ live distribution. This was not the case for fox, pheasant, pigeons and gulls. Fox roadkill risk was underrepresented in rural areas, possibly due to low road density, while pheasant risk was overrepresented. For pigeons and gulls—well-known urban exploiters—roadkill risk was overrepresented in urban areas given their live distributions, possibly due to risks associated with foraging, particularly roadkill scavenging by gulls. Our results highlight the dangers of the UK’s dense road networks to wildlife, even to species considered adapted to urban environments and human disturbance.


Sign in / Sign up

Export Citation Format

Share Document