HOSPITAL SERVICES FOR CHILDREN

PEDIATRICS ◽  
1953 ◽  
Vol 12 (3S) ◽  
pp. 7-12

THE practice of pediatrics, in its broadest aspects, parallels and is influenced by developments in the general field of medicine. At the same time, it possesses special characteristics largely dictated by the nature of the age group which it serves. Hospital care for children is influenced in the same way both by developments in the general field of hospital care and by the special needs of the pediatric age group. Immediately preceding the collection of data for the pediatric study, the entire hospital field was surveyed by the Commission on Hospital Care. The results were published by the Commonwealth Fund in Hospital Services in the United Stales. These data, plus those derived from the American Academy of Pediatric's study of child health services, provide a rich background of information as to the amount and distribution of hospital facilities for children. In the latter study, attention was also given to quality of care. Areas of Need Amount and Distribution of Hospital Facilities for Children Hospital services for children show the same trends which the Study brought out in other fields—that facilities are more readily available in urban areas and poorest in the rural areas; that there are more in northeastern United States and less in the Southeast; that there are more and better facilities in the wealthy areas and fewer and poorer in the areas with a lower per capita income. A number of communities have improved their hospital facilities independently, using the information in Hospital Services in the United States as a guide in solving their problems.

Author(s):  
Libby Thomas ◽  
Krista Nordback ◽  
Rebecca Sanders

This paper presents an overview of prevalent bicyclist crash types in the United States, providing insights for practitioners that may be useful in planning safer networks and taking other proactive and risk-based approaches to treatment. The study compares fatal bicyclist crash types from national data with serious injury and all-severity bicyclist collisions from the state of North Carolina (NC) and the city of Boulder, Colorado. Overall, bicyclist fatalities in the United States are more prevalent in urban areas (69%) than rural areas (29%). Though the majority of all-severity crashes are at intersections, most fatal and disabling injury bicyclist crashes occur at non-intersection locations, including nearly one-third of bicyclists who die from collisions involving overtaking motorists. Top intersection crash types across national fatal and all-severity crashes in NC and Boulder include bicyclists failing to yield and motorists turning across a bicyclist’s path. However, many of the top all-severity types in the two jurisdictions differ from the top fatal crash types nationwide. These comparisons provide a fresh look at bicyclist crash type trends and have potential importance with respect to planning safer networks for Vision Zero communities, since a key finding is that locations and crash types most prevalent among fatal and serious injuries may differ from the most prevalent types for all-severity crashes. The findings could be useful to agencies lacking their own resources for risk-based assessment, but also suggest it is important to analyze higher severity crash types and jurisdiction-specific data when possible.


2006 ◽  
Vol 8 (3) ◽  
pp. 89-97 ◽  
Author(s):  
Robert J. Buchanan ◽  
Randolph Schiffer ◽  
Alexa Stuifbergen ◽  
Li Zhu ◽  
Suojin Wang ◽  
...  

This study compares demographic and disease-related characteristics of people with multiple sclerosis (MS) living in urban and rural areas. The data analyzed for this study were collected from a survey of 1518 people with MS living throughout the United States from October 2004 through January 2005. We found significant urban-rural differences in various MS characteristics, including type of MS. A significantly larger proportion of people with MS in remote rural areas than their urban counterparts responded that they had primary progressive MS. People with MS in rural areas were significantly more likely than those in urban areas to report that MS symptoms interfered with their independence. A significantly larger proportion of people with MS in remote rural areas than in urban areas were not receiving disease-modifying medications. Our results suggest that MS disease expression varies across urban-rural gradients. Although the findings are not definitive, we hope that other investigative groups will build on these results and work toward confirming and understanding them.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Sadiya S. Khan ◽  
Amy E. Krefman ◽  
Megan E. McCabe ◽  
Lucia C. Petito ◽  
Xiaoyun Yang ◽  
...  

Abstract Background Geographic heterogeneity in COVID-19 outcomes in the United States is well-documented and has been linked with factors at the county level, including sociodemographic and health factors. Whether an integrated measure of place-based risk can classify counties at high risk for COVID-19 outcomes is not known. Methods We conducted an ecological nationwide analysis of 2,701 US counties from 1/21/20 to 2/17/21. County-level characteristics across multiple domains, including demographic, socioeconomic, healthcare access, physical environment, and health factor prevalence were harmonized and linked from a variety of sources. We performed latent class analysis to identify distinct groups of counties based on multiple sociodemographic, health, and environmental domains and examined the association with COVID-19 cases and deaths per 100,000 population. Results Analysis of 25.9 million COVID-19 cases and 481,238 COVID-19 deaths revealed large between-county differences with widespread geographic dispersion, with the gap in cumulative cases and death rates between counties in the 90th and 10th percentile of 6,581 and 291 per 100,000, respectively. Counties from rural areas tended to cluster together compared with urban areas and were further stratified by social determinants of health factors that reflected high and low social vulnerability. Highest rates of cumulative COVID-19 cases (9,557 [2,520]) and deaths (210 [97]) per 100,000 occurred in the cluster comprised of rural disadvantaged counties. Conclusions County-level COVID-19 cases and deaths had substantial disparities with heterogeneous geographic spread across the US. The approach to county-level risk characterization used in this study has the potential to provide novel insights into communicable disease patterns and disparities at the local level.


2011 ◽  
Vol 42 (3) ◽  
pp. 371-391 ◽  
Author(s):  
Scott Alan Carson

Body mass index (bmi) values reflect the net balance between nutrition, work effort, and calories consumed to fight disease. Nineteenth-century prison records in the United States demonstrate that the bmi values of blacks and whites were distributed symmetrically; neither underweight nor obese individuals were common among the working class. bmi values declined throughout the nineteenth century. By modern standards, however, nineteenth-century bmis were in healthy weight ranges, though the biological living standards in rural areas exceeded those in urban areas. The increase in bmis during the twentieth century did not have its origin in the nineteenth century.


2020 ◽  
pp. 152483802091559 ◽  
Author(s):  
Kathryn Maguire-Jack ◽  
Brooke Jespersen ◽  
Jill E. Korbin ◽  
James C. Spilsbury

Topic of Review: The current study sought to review the state of existing knowledge on rural maltreatment. Method of Review: We conducted a scoping literature review to answer two research questions: (1) Is maltreatment higher in rural areas compared to urban areas? and 2) Are there unique correlates of maltreatment in rural areas? Number of Research Studies Meeting the Criteria for Review: This review included studies that compared child maltreatment in rural and urban areas in the United States (9) and predictors of maltreatment in rural areas (7). Criteria for Inclusion: Studies that compared child maltreatment in rural and urban areas in the United States were included. For our second research question, related to understanding maltreatment in rural areas, we included those studies that exclusively examined rural areas, when maltreatment was the outcome variable. How Research Studies Were Identified: Studies were reviewed from relevant databases ( Annual Reviews, PsychINFO, PubMed, Web of Science) between 1975 and 2019. Major Findings: Findings were mixed on whether rates of maltreatment were higher or lower in rural areas. While five studies reported higher rates of maltreatment in rural areas, four reported higher rates in urban areas. Overall, child maltreatment rates tended to be higher in urban areas among people of color and higher in rural areas among White people. One study found that community economic factors were not related to maltreatment in a rural area, in stark contrast to robust findings from urban areas.


Author(s):  
Franklin E. Gbologah ◽  
Simon Berrebi ◽  
Angshuman Guin ◽  
Michael O. Rodgers

United States federal guidelines recommend systematic illumination of roundabouts in both rural and urban areas. However, competing conventional intersections in rural areas can be kept unlit. Highway illumination is also a major contributor to intersection operating and maintenance costs. This paper reviews roundabout illumination policies from 44 countries to determine if systematic illumination is normal practice and if not, to identify the warranting conditions. In addition, this paper compares the illumination level requirements and implied costs for three reference U.S. rural roundabouts with their equivalents from 15 selected countries. Professional lighting design software, DIALux®, was used to build roundabout illumination models corresponding to the recommended illuminances in the study countries and the simulation outputs were converted into annual operating costs to facilitate the comparisons. The findings indicate that most countries (approximately 59%) do not require systematic illumination of roundabouts in rural areas. While a few countries (approximately 16%) do attempt to illuminate all roundabouts it is more common to find such a requirement in urban areas. The study also finds that the average minimum maintained illuminance is higher in the U.S.A. than in Europe and the United Kingdom. However, the U.S. tax payer pays significantly less than their counterparts in the other countries studied. These findings are significant because the desired proliferation of roundabouts in the U.S.A. would receive a significant boost if the U.S.A. were to adopt lower illuminance levels, a non-systematic illumination policy, or both, for rural roundabouts.


1972 ◽  
Vol 32 (4) ◽  
pp. 919-937 ◽  
Author(s):  
Thomas Weiss

The purpose of this article was to present the estimates of the urban and rural workforces derived from census data. These censusbased estimates present a fairly consistent pattern of change over time, and appear useful even in their present state. These estimates should be tested further against other time series so that we will eventually have a sound urban and rural workforce series with which to better analyze the process of structural change. The limited use to which these estimates were put in the present article yielded some interesting results, as well as some suggestions for further research.In terms of the United States workforce, changes in the industrial distribution reflect predominantly the relative shift in population from rural to urban areas, and little change in the workforce structure of either area. Indeed, at the sectoral level, there appears to have been more change occurring in rural than in urban areas. On the other hand, within the service sector there was more erratic change occurring in the rural areas than in the cities, but the differences may be easily reconciled. The urban sector experienced a more rapid increase and greater variability in the participation rate than did the rural sector. The pattern of variability was compared with the known evidence on unemployment, and variation in the former appears explicable in terms of variation in the latter.


Art History ◽  
2014 ◽  
Author(s):  
Constance Cortez

The history of Chicana/o art is a relatively new field. The emergence of scholarly treatments of Chicana/o art—art produced by American artists of Mexican descent who self-identify as Chicanas/os—coincided with the Chicano movement (el movimiento) of the 1960s and 1970s. As is the case for many Latinas/os (Americans of Latin American descent), for Chicanas/os, this period marked a watershed in political activities and in the growing desire for self-determination and solidarity. Thus, many early scholars of Chicana/o art focused primarily on the political implications of the artwork vis-à-vis national dialogues regarding race, education, and labor equity. Over the last five decades, scholarly examinations of art works and artists have become more heterogeneous in format as well as methodological approach. This is, in part, a result of the backgrounds of the writers themselves, most of whom are not from art-historical backgrounds. Anthropologists, historians, artists, film critics, psychologists, and collectors have all contributed to the shape of the current discourse on Chicana/o art. However, while educational training may vary, many of these scholars come from activist backgrounds, and all of them are invested in the unique visions of the American experience put forward by the artists. Further, it can be argued that these educational dissimilarities themselves actually enhance the dynamic of the scholarship, and that they reflect an intracultural diversity found in the art forms and their practitioners. Another factor impacting the Chicana/o scholarship is the geographic location of the artists themselves, who come from communities throughout the United States. Most Chicanas/os live in the Southwest (Texas, New Mexico, Colorado, Arizona, California), but there is also a significant, more recently arrived, population in Chicago. The development and the choices of visual vocabulary utilized by artists is influenced by contemporary and, sometimes, colonial histories and experiences, all of which vary from region to region and, sometimes, from city to city. Further, since most Chicanas/os make their homes in large urban areas, the scholarship seems to be focused on art production in large cities, such as Los Angeles or San Antonio. Ultimately, this weight given to urban centers has had the effect of precluding the production of more in-depth explorations of artwork produced by artists located in smaller towns and rural areas. Scholarly diversity and the intracultural diversity of Chicanas/os clearly impact the methodological and historical trajectory of the field. The historic venues for scholarship differ markedly from more established art-historical fields. While surveys of artists and art (in Italian Renaissance studies, for instance) begin almost with the inception of the period, surveys of Chicana/o art and artists are much more recent. With the exception of a single publication in (Quirarte 1973, cited under General Overviews), all date from the late 1980s. This situation, in part, is connected to patronage and the art market. The recent growth in survey texts is also clearly reflective of the growth in Chicano studies programs as well as of the changing demographics of Latinas/os in the United States. The principal vehicle for scholarly literature has been exhibition catalogues, a constant presence since the inception of the Chicano movement. Initially, catalogues and exhibitions were produced and hosted by small community-based galleries and centers. Since the 1990s, exhibitions and catalogue production are now part of the programming of major museums. As collecting and exposure increased, so too did the publication of monographs and articles on various aspects of Chicana/o Art.


2021 ◽  
Vol 4 ◽  
Author(s):  
John A. Stanturf ◽  
Nicolas Mansuy

Information on the initial effects of a novel coronavirus, COVID-19, during 2020 on forests in Canada and the United States was derived from existing published studies and reports, news items, and policy briefs, amplified by information from interviews with key informants. Actions taken by governments and individuals to control the spread of the virus and mitigate economic impacts caused short-term disruptions in forest products supply chains and accelerated recent trends in consumer behavior. The COVID-19 containment measures delayed or postponed forest management and research; a surge in visitation of forests near urban areas increased vandalism, garbage accumulation, and the danger of fire ignitions. Forests and parks in remote rural areas experienced lower use, particularly those favored by international visitors, negatively affecting nearby communities dependent upon tourism. Physical distancing and isolation increased on-line shopping, remote working and learning; rather than emerging as novel drivers of change, these actions largely accelerated existing trends. On-line shopping sales had a positive effect on the packaging sector and remote working had a negative effect on graphic paper manufacturing. More time at home and low interest rates increased home construction and remodeling, causing historically high lumber prices and localized material shortages. The response to the pandemic has shown that rapid social change is possible; COVID-19 presents a once in-a-lifetime opportunity to shift the global development paradigm toward greater sustainability and a greener, more inclusive economy, in which forests can play a key role. In both Canada and the United States, the notion of directing stimulus and recovery spending beyond meeting immediate needs toward targeting infrastructure development has momentum.


2015 ◽  
Vol 22 (2) ◽  
pp. 399-408 ◽  
Author(s):  
Brian E. Whitacre

Abstract Objective To assess rural-urban differences in electronic medical record (EMR) adoption among office-based physician practices in the United States. Methods Survey data on over 270 000 office-based physician sites (representing over 1 280 000 physicians) in the United States from 2012 was used to assess differences in EMR adoption rates among practices in rural and urban areas. Logistic regression tests for differences in the determinants of EMR adoption by geography, and a nonlinear decomposition is used to quantify how much of the rural-urban gap is due to differences in measureable characteristics (such as type of practice or affiliation with a health system). Results Overall EMR adoption rates were significantly higher for practices in rural areas (56%) vs those in urban areas (49%) in 2012 (P < 0.001). Twenty-nine states had statistically significantly different adoption rates between rural and urban areas, with only two states demonstrating higher rates in urban areas. EMR adoption continues to be higher for primary care practices when compared to specialists (51% vs 49%, P < 0.001), and state-level rural-urban differences in adoption are more pronounced for specialists. The decomposition technique finds that only 14% of the rural-urban gap can be explained by differences in measurable characteristics between practices. Conclusions At the national level, rates of EMR adoption are higher for rural practices than for their urban counterparts, reversing earlier trends. This suggests that outreach efforts, namely the Regional Extension Centers created by the Office of the National Coordinator, have been particularly effective in increasing EMR adoption in rural areas.


Sign in / Sign up

Export Citation Format

Share Document