Distribution of room size in hospitals. (1/568)

In the design of such complex buildings as hospitals the planner's problem is to provide a minimal amount of permanent structure so that it shall not get in the way of functional behavior of the occupants and their ability to change their environment. The purpose of this study was to discover which intervals seem to occur in hospitals by measuring the room size distribution found in existing buildings or buildings ready for construction. The results seem to confirm that the range of room sizes required is small and that exceptions are relatively rare.  (+info)

A population-based study of environmental hazards in the homes of older persons. (2/568)

OBJECTIVES: This study sought to estimate the population-based prevalence of environmental hazards in the homes of older persons and to determine whether the prevalence of these hazards differs by housing type or by level of disability in terms of activities of daily living (ADLs). METHODS: An environmental assessment was completed in the homes of 1000 persons 72 years and older. Weighted prevalence rates were calculated for each of the potential hazards and subsequently compared among subgroups of participants characterized by housing type and level of ADL disability. RESULTS: Overall, the prevalence of most environmental hazards was high. Two or more hazards were found in 59% of bathrooms and in 23% to 42% of the other rooms. Nearly all homes had at least 2 potential hazards. Although age-restricted housing was less hazardous than community housing, older persons who were disabled were no less likely to be exposed to environmental hazards than older persons who were nondisabled. CONCLUSIONS: Environmental hazards are common in the homes of community-living older persons.  (+info)

Place recognition monitored by location-driven operant responding during passive transport of the rat over a circular trajectory. (3/568)

Spatial memory of animals is usually tested in navigation tasks that do not allow recognition and recall processes to be separated from the mechanisms of goal-directed locomotion. In the present study, place recognition was examined in rats (n = 7) confined in an operant chamber mounted on the periphery of a slowly rotating disk (diameter 1 m, angular velocity 9 degrees /s). The animals were passively transported over a circular trajectory and were rewarded for bar pressing when they passed across a 60 degrees -wide segment of the path. This segment was recognizable with reference to room landmarks visible from the operant box. Responding defined in the coordinate system of the room increased when the chamber entered the 60 degrees -wide approach zone, culminated at the entrance into the reward sector, was decreased inside it by eating the available reward, and rapidly declined to zero at the exit from this zone. When reward was discontinued, the skewed response distribution changed into a symmetric one with a maximum in the center of the reward sector. With advancing extinction, the response peak in the reward sector decreased in most rats proportionally to the overall decline of bar pressing. The rewarded and nonrewarded response patterns indicate that passively transported rats can recognize their position in the environment with an accuracy comparable to that of actively navigating animals and that location-driven operant responding can serve as a useful tool in the analysis of the underlying neural mechanisms.  (+info)

Is it feasible to construct a community profile of exposure to industrial air pollution? (4/568)

OBJECTIVE: An epidemiological investigation to assess the validity of residential proximity to industry as a measure of community exposure. METHODS: 19 Housing estates in Teesside (population 1991: 77 330) in north east England were grouped into zones: A=near; B=intermediate; C=further from industry. With residential proximity of socioeconomically matched populations as a starting point a historical land use survey, historical air quality reports, air quality monitoring, dispersion modelling data, and questionnaire data, were examined. RESULTS: The populations in zones A, B, and C were similar for socioeconomic indicators and smoking history. Areas currently closest to industry had also been closest for most of the 20th century. Historical reports highlighted the influence of industrial emissions to local air quality, but it was difficult to follow spatial pollution patterns over time. Whereas contemporary NO(x) and benzene concentrations showed no geographical variation, dispersion modelling of emissions (116 industrial stacks, traffic, and domestic sources) showed a gradient associated with industry. The presumed exposure gradient of areas by proximity to industry (A>B>C) was evident for all of zone A and most of zones B and C. CONCLUSIONS: It was feasible to assemble a picture of community exposure by integration of measurements from different sources. Proximity of residence was a reasonable surrogate for complex community exposure.  (+info)

Does fitness erode in the absence of selection? An experimental test with Tribolium. (5/568)

In the absence of natural selection, average fitness in the population is expected to decline due to the accumulation of deleterious mutations. Replicate populations of flour beetles (Tribolium confusum) were maintained for 22 generations in the virtual absence of selection (random mating, favorable environment, excess of food, and mortality of only 3%). Larva-to-adult survivorship rates were similar in the stock population and selection-free populations. In contrast, starvation resistance of adult beetles from selection-free populations was significantly reduced (by more than 2% per generation). When tested in the favorable environment, beetles in one selection-free population had significantly slower development and smaller sizes of females than beetles from the stock population. Since such changes in these fitness components are usually maladaptive, they indicate possible erosion of fitness under relaxed selection at the rate of 0.1-0.2% per generation. No fitness erosion was detectable in the second selection-free population.  (+info)

The economic implications of self-care: the effect of lifestyle, functional adaptations, and medical self-care among a national sample of Medicare beneficiaries. (6/568)

OBJECTIVES: Self-care includes actions taken by individuals to promote or ensure their health, to recover from diseases or injuries, or to manage their effects. This study measured associations between self-care practices (lifestyle practices, adaptations to functional limitations, and medical self-care) and Medicare expenditures among a national sample of adults 65 years and older. METHODS: Regression models of Medicare use and expenditures were estimated by using the National Survey of Self-Care and Aging and Medicare claims for 4 years following a baseline interview. RESULTS: Lifestyle factors (swimming and walking) and functional adaptations (general home modifications) were associated with reductions in monthly Medicare expenditures over a 12-month follow-up period. Expenditure reductions were found over the 48-month follow-up period for participation in active sports, gardening, and medical self-care. Practices associated with increases in expenditures included smoking, physical exercise (possibly of a more strenuous nature), and specific home modifications. CONCLUSIONS: Certain self-care practices appear to have significant implications for Medicare expenditures and presumptively for the health status of older adults. Such practices should be encouraged among older adults as a matter of national health policy.  (+info)

The association of school environments with youth physical activity. (7/568)

OBJECTIVES: This study assessed the association of school environmental characteristics with student physical activity on campus. METHODS: Physical activity areas (n = 137) at 24 public middle schools were assessed for area type, size, and improvements (e.g., basketball courts). Student physical activity and the presence of equipment and supervision were directly observed before school, after lunch, and after school. RESULTS: Environmental characteristics explained 42% of the variance in the proportion of girls who were physically active and 59% of the variance for boys. CONCLUSIONS: School environments with high levels of supervision and improvements stimulated girls and boys to be more physically active.  (+info)

Crash and injury reduction following installation of roundabouts in the United States. (8/568)

OBJECTIVES: This study estimated potential reductions in motor vehicle crashes and injuries associated with the use of roundabouts as an alternative to signal and stop sign control at intersections in the United States. METHODS: An empiric Bayes procedure was used to estimate changes in motor vehicle crashes following conversion of 24 intersections from stop sign and traffic signal control to modern roundabouts. RESULTS: There were highly significant reductions of 38% for all crash severities combined and of 76% for all injury crashes. Reductions in the numbers of fatal and incapacitating injury crashes were estimated at about 90%. CONCLUSIONS: Results are consistent with numerous international studies and suggest that roundabout installation should be strongly promoted as an effective safety treatment.  (+info)