China has begun a rapid move towards Sponge City implementation, which will include widespread installation of various Low Impact Development (LID) stormwater infrastructure. Ambitious goals have been set for all Sponge Cities, including a target capture rate of 80-85% of annual precipitation in Beijing. However, there has so far been limited investigation into whether these goals are obtainable at the catchment scale given the physical restrictions of the existing urban landscape. This paper demonstrates the use of long-term continuous hydrologic modelling to evaluate the potential of meeting rainfall capture goals over a long time period for a case study area in Beijing. Detailed land cover classification derived from satellite imagery aided in the parameterization of a SWMM (Stormwater Management Model) model representing a 133 km urban study area. The calibrated and validated model demonstrated satisfactory agreement between computed and observed runoff for a variety of precipitation events ranging from 10 to 207 mm. A synthetic high resolution rainfall time series was generated from historic daily observations then used as input to run the model continuously for a 35 year period. Feasible LID model scenarios based on varying degrees of implementation of rain gardens, permeable pavements and green roofs were compared in terms of their potential volume capture of annual rainfall. Modelling results demonstrated that the conversion of 30% of roof area to green roof, 10% of green areas to rain gardens and 35% of paved areas to permeable pavement could increase the baseline volume capture ratio from 59.9% to 82.2%, indicating that Sponge City goals can be met within the case study area with realistic levels of LID implementation. This study provides a decision-making basis for future planning in the study area.
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http://dx.doi.org/10.1016/j.jenvman.2019.05.134 | DOI Listing |
Cancer Epidemiol Biomarkers Prev
January 2025
University of Kentucky, Lexington, KY, United States.
Background: Kentucky is within the top five leading states for breast mortality nationwide. This study investigates the association between neighborhood socioeconomic disadvantage and breast cancer outcomes, including surgical treatment, radiation therapy, chemotherapy, and survival, and how associations vary by race and ethnicity in Kentucky.
Methods: We conducted a retrospective cohort analysis using data from the Kentucky Cancer Registry (KCR) for breast cancer patients diagnosed between 2010 and 2017, with follow-up through December 31, 2022.
AIDS Patient Care STDS
January 2025
Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, Oakland, California, USA.
Community health workers (CHWs) play a significant role in supporting health services delivery in communities with few trained health care providers. There has been limited research on ways to optimize the role of CHWs in HIV prevention service delivery. This study explored CHWs' experiences with offering HIV prevention services [HIV testing and HIV pre- and post-exposure prophylaxis (PrEP and PEP)] during three pilot studies in rural communities in Kenya and Uganda, which aimed to increase biomedical HIV prevention coverage via a structured patient-centered HIV prevention delivery model.
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Department of Global Health, School of Public Health, Boston University, Boston, Massachusetts.
Importance: Semaglutide, a novel glucagon-like peptide-1 (GLP-1) receptor agonist medication, was approved for weight management in individuals with obesity in June 2021. There is limited evidence on factors associated with uptake among individuals in this subgroup without diabetes.
Objective: To explore factors associated with semaglutide initiation among a population of commercially insured individuals with obesity but no diagnosed diabetes.
JAMA Netw Open
January 2025
Division of Endocrinology and Metabolism, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Importance: Using albumin-adjusted calcium is commonly recommended for for measuring calcium, but with little empirical evidence to support the practice.
Objective: To assess the correlation between total calcium measurements (with or without adjustment) vs the ionized calcium level as a reference standard.
Design, Setting, And Participants: This was a population-based cross-sectional study in the province of Alberta, Canada, including adults tested for serum total calcium and ionized calcium simultaneously between January 1, 2013, and October 31, 2019.
JAMA Netw Open
January 2025
Department of Surgery, University of Washington, Seattle.
Importance: Timely access to care is a key metric for health care systems and is particularly important in conditions that acutely worsen with delays in care, including surgical emergencies. However, the association between travel time to emergency care and risk for complex presentation is poorly understood.
Objective: To evaluate the impact of travel time on disease complexity at presentation among people with emergency general surgery conditions and to evaluate whether travel time was associated with clinical outcomes and measures of increased health resource utilization.
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