Circular 73

An assessment of Growth of Infrastructure Booms have been a common element in the development of frontier areas in the 19th and 20th centuries. Most commonly, the booms have been associated with resource development such as the mineral booms of the western United States. Booms usually involve some type of dramatic short- term change which has wide-ranging implications (Gilmore, 1976). Since the arrival of the Russians in Alaska, six major booms have occurred: furs, whales, salmon, minerals, military, and petroleum. Each of these booms has, to some degree, created changes in the landscape of Alaska, in particular, the infrastructural base, which in turn has facilitated subsequent development, either another major boom, or a smaller development. For example, agricultural development has been enhanced by mineral, military, and petroleum booms in Alaska. The cumulative impact on infrastructure of more than one boom, or multibooms, as it is referred to here, is the focus of this paper. One problem encountered in studying booms is that there is no general agreement on what constitutes a boom. Detailed studies of booms in communities such as Dixon’s (1978) analysis of Fairbanks and Gilmore’s multi-community work in the Great Plains—Rocky •mountain regions, contained no specific definition of the term “boom”. Yet it was clear in each study that something dramatic had occurred. More general historical studies of the Western mineral bonanzas (Greever, 1963) or the Klondike gold rush (Berton, 1958) likewise suggest a number of factors such as population rise, influx of money, resource extraction, and infrastructure expansion. But in each case, there is no specific factor or define rate of something that specifically qualifies a time period as a boom. In this study, we are concerned with dramatic change of events which have had a major impact on the geographic landscape of an area, As a framework for the initial study, we review those events which have been given attention as boom-type activities in the historical literature of Alaska (Rogers, 1962; Naske and Slotnick, 1987)

Cardiac Procedures among American Indians and Alaska Natives compared to Non-Hispanic Whites Hospitalized with Ischemic Heart Disease in California

BackgroundAmerican Indians/Alaska Natives (AIAN) experience a high burden of cardiovascular disease with rates for fatal and nonfatal heart disease approximately twofold higher than the U.S. population.ObjectiveTo determine if disparities exist in cardiac procedure rates among AIAN compared to non-Hispanic whites hospitalized in California for ischemic heart disease defined as acute myocardial infarction or unstable angina.DesignCross-sectional study. EVENTS: A total of 796 ischemic heart disease hospitalizations among AIAN and 90971 among non-Hispanic whites in 37 of 58 counties in California from 1998-2002.MeasurementsCardiac catheterization, percutaneous cardiac intervention, and coronary artery bypass graft surgery procedure rates from hospitalization administrative data.Main resultsAIAN did not have lower cardiac procedure rates for cardiac catheterization and percutaneous cardiac intervention compared to non-Hispanic whites (unadjusted OR 1.00, 95% CI 0.87-1.16 and OR 1.04, 95% CI 0.90-1.20, respectively). Adjustment for age, sex, comorbidities, and payer source did not alter the results (adjusted OR 0.95, 95% CI 0.82-1.10 and OR 0.98, 95% CI 0.85-1.14, respectively). We found higher odds (unadjusted OR 1.36, 95% CI 1.09-1.70) for receipt of coronary artery bypass graft surgery among AIAN hospitalized for ischemic heart disease compared to non-Hispanic whites which after adjustment attenuated some and was no longer statistically significant (adjusted OR 1.26, 95% CI 1.00-1.58).ConclusionAIAN were not less likely to receive cardiac procedures as non-Hispanic whites during hospitalizations for ischemic heart disease. Additional research is needed to determine whether differences in specialty referral patterns, patients' treatment preferences, or outpatient management may explain some of the health disparities due to cardiovascular disease that is found among AIAN

Like gold dust these days’: domestic violence fact-finding hearings in child contact cases

Fact-finding hearings may be held to determine disputed allegations of domestic violence in child contact cases in England and Wales, and can play a vital role for mothers seeking protection and autonomy from violent fathers. Drawing on the author’s empirical study, this article examines the implications for the holding of fact-finding hearings of judges’ and professionals’ understandings of domestic violence and the extent to which they perceive it to be relevant to contact. While more judges and professionals are developing their understanding of domestic violence, the ambit of when and how it is considered relevant to contact has grown increasingly narrow, which suggests that many disputed allegations of domestic violence are disregarded and women and children continue to be put at risk from violent fathers. This bifurcated approach is likely to have significant implications for recent developments in this area of family law which are considered in this article

Character and theme in Strindberg's Röda rummet

Germanic Studie