City-regionalism as a politics of collective provision : regional transport infrastructure in Denver, USA

The rise of the city-region concept has focused attention on the nature of territorial politics underpinning city-regionalism. This paper investigates the relationship between territorial politics, city-regionalism and the collective provision of mass transport infrastructure in the USA. It deploys a case study of the Denver region, examining the state and governance structures driving forward FasTracks, a long-term project to expand the Denver Regional Transportation District’s light and commuter rail system. FasTracks represents a programme to retrofit the Denver city-region for integrated mass transit but its funding has fostered tensions around new regionalist governance arrangements. The paper uses the findings of the case study to reflect upon the balance of bottom–up versus top–down geopolitical forces shaping the landscape of city-regionalism in the USA. It emphasises the variety of ways in which struggles around infrastructure provision shape the emergence of new city-regionalist structures inside the competition state

Urban fiscal austerity, infrastructure provision and the struggle for regional transit in 'Motor City'

Studies suggest that urban fiscal crises trigger the institutional separation of strategic services from general purpose municipal functions. Traditional reformists have highlighted the economic benefits of regional approaches. Global austerity has created fiscal problems for central cities and suburbs alike, transforming the motives for regional solutions. This paper examines how the City of Detroit engineered a new regional arrangement with the surrounding suburbs to raise debt for the delivery of mass transit infrastructure. It represents a dual 'spatial fix' in the form of (i) a 'state territorial fix' providing fiscally stressed municipalities access to municipal bond markets and (ii) a 'speculative spatial fix' that benefits the Detroit growth coalition by linking regional mass transit to the prospect of land-use intensification. © The Author 2014

Quantum Einstein Gravity as a Topological Field Theory

General covariance in quantum gravity is seen once one integrates over all possible metrics. In recent years topological field theories have given us a different route to general covariance without integrating over all possible metrics. Here we argue that Einstein quantum gravity may be viewed as a topological field theory provided a certain constrant from the path integral measure is satisfied.Comment: 10 pages, LaTe

Effects of Evidence-Based Fall Reduction Programing on the Functional Wellness of Older Adults in a Senior Living Community: A Clinical Case Study.

BACKGROUND: Older adults at a high risk of falls may be referred to a physical therapist. A physical therapy episode of care is designed for the transition of an older adult from a high fall risk to a moderate to low fall risk. However, these episodes of care are limited in time and duration. There is compelling evidence for the efficacy of group-based exercise classes to address risk, and transitioning an older adult from physical therapy to a group-based program may be an effective way to manage risk through the continuum of care. OBJECTIVES: The purpose of this study was to translate research findings into a real world setting, and demonstrate the efficacy of integrating evidence-based fall prevention exercises into pre-existing exercise classes at a senior living facility as a proof of concept model for future programing. METHODS: Twenty-four participants aged 65 years and older living in a senior living community and the community were stratified into group-based exercise classes. Cutoff scores from functional outcome measures were used to stratify participants. Exercises from The Otago Exercise Program were implemented into the classes. Functional outcome measures collected included the 10-Meter Walk Test, 30-Second Sit to Stand, and Timed Up and Go (TUG). Number of falls, hospitalizations, and physical therapy episodes of care were also tracked. Data were compared to a control group in a different senior living community that offered classes with similar exercises aimed at improving strength and mobility. The classes were taught by an exercise physiologist and were of equal duration and frequency. RESULTS: Participants demonstrated significant improvements in all functional outcome measures. TUG mean improved from 13.5 to 10.4 s (p = 0.034). The 30-Second Sit to Stand mean improved from 10.5 to 13.4 (p = 0.002). The 10-Meter Walk Test improved from 0.81 to 0.98 m/s (p \u3c 0.0001). Participants did not experience any falls or hospitalizations, and two participants required physical therapy episodes of care. CONCLUSION: Implementing an evidence-based fall reduction program into a senior living program has a positive effect on strength, balance, fall risk, gait speed, fall rate, hospitalizations, and amount of physical therapy intervention