Do Employees From Less-Healthy Communities Use More Care and Cost More? Seeking to Establish a Business Case for Investment in Community Health.

INTRODUCTION: Few studies have examined the impact of community health on employers. We explored whether employed adults and their adult dependents living in less-healthy communities in the greater Philadelphia region used more care and incurred higher costs to employers than employees from healthier communities. METHODS: We used a multi-employer database to identify adult employees and dependents with continuous employment and mapped them to 31 zip code regions. We calculated community health scores at the regional level, by using metrics similar to the Robert Wood Johnson Foundation (RWJF) County Health Rankings but with local data. We used descriptive analyses and multilevel linear modeling to explore relationships between community health and 3 outcome variables: emergency department (ED) use, hospital use, and paid claims. Business leaders reviewed findings and offered insights on preparedness to invest in community health improvement. RESULTS: Poorer community health was associated with high use of ED services, after controlling for age and sex. After including a summary measure of racial composition at the zip code region level, the relationship between community health and ED use became nonsignificant. No significant relationships between community health and hospitalizations or paid claims were identified. Business leaders expressed interest in further understanding health needs of communities where their employees live. CONCLUSION: The health of communities in which adult employees and dependents live was associated with ED use, but similar relationships were not seen for hospitalizations or paid claims. This finding suggests a need for more primary care access. Despite limited quantitative evidence, business leaders expressed interest in guidance on investing in community health improvement

Mitigating the impact of air pollution on brain health and dementia: Policy and practice brief

Emerging research suggests exposure to high levels of air pollution at critical points in the life course is detrimental to brain health, including cognitive decline and dementia. Social determinants such as socio-economic deprivation, environmental factors, and heightened health and social inequalities also play a significant role and make the problem more complicated. While policy and practice strategies have been proposed to address air pollution’s impact on public health more generally, their benefits for brain health, including dementia, remain undeveloped [1, 2]. This policy brief suggests necessary advances across policy and practice to mitigate air pollution and its impact on brain health and dementia

UNDERSTANDING MOBILE ECOSYSTEM DYNAMICS: A DATA-DRIVEN APPROACH

The mobile ecosystem consists of a heterogeneous and continuously evolving set of firms that are interconnected through a complex, global network of relationships. However, there is very little theoretical understanding how these networks emerge and evolve and no well-established methodology to study these phenomena. Traditional approaches have primarily utilized alliance data of relatively established firms; however, these approaches ignore the vast number of relevant ecosystem activities that occur at the personal, entrepreneurial, and university level. We argue and empirically illustrate that a data-driven approach, using both alliance and socially-curated datasets, can provide important complementary explanatory insights into the dynamics of the mobile ecosystem. We present our approach through two recently formed mobile ecosystem relationships – the strategic partnership between Nokia and Microsoft and Google’s acquisition of Motorola Mobility. Our analysis is complemented using network visualization techniques. The paper concludes with implications and future research opportunities

Rainfall and Soils, Not Grazing Intensity, Determine the Composition and Productivity of Annual Plants in a Biodiverse Arid Winter Rainfall Region

Concentration of grazer activity around watering points and stock posts has led to well-documented vegetation impacts in arid and semi-arid rangelands. Effect of grazing and abiotic factors on perennial plant diversity have been reported in the bio-diverse winter rainfall vegetation of the Succulent Karoo in South Africa, but the impact on annuals had not been investigated. The aim of this study was to assess the effect of rainfall, soil nutrients, land forms and grazing on forage depletion, soil chemistry and the composition, diversity, richness and biomass production of annual plants in the Richtersveld National park, which is a contractual national park used by semi-nomadic pastoralists to herd goats and sheep. A grazing gradient away from stock posts at 100m, 500m and 1000m on sandy plains and rocky foothills at five study sites with different mean annual rainfall and vegetation types were used. Distance from stock posts corresponded to a gradient of forage depletion and resulted in changes in soil chemistry with distance. Biomass production, richness and diversity of annuals were correlated with rainfall but not significantly affected by landform or distance from stock posts. Rainfall and soil variables had a greater influence on species composition than grazing in this arid ecosystem. The decrease in perennial cover and richness near the stock posts was not accompanied by increase in biomass production or richness of annuals, which is expected to have adverse effects on overall plant diversity and forage availability. Keywords: Piosphere, Pastoralists, Rangeland, Succulent Karoo DOI: 10.7176/JNSR/12-10-04 Publication date:May 31st 202

Prevalence and correlates of mild cognitive impairment among diverse Hispanics/Latinos: Study of Latinos-Investigation of Neurocognitive Aging results.

IntroductionWe estimated the prevalence and correlates of mild cognitive impairment (MCI) among middle-aged and older diverse Hispanics/Latinos.MethodsMiddle-aged and older diverse Hispanics/Latinos enrolled (n = 6377; 50-86 years) in this multisite prospective cohort study were evaluated for MCI using the National Institute on Aging-Alzheimer's Association diagnostic criteria.ResultsThe overall MCI prevalence was 9.8%, which varied between Hispanic/Latino groups. Older age, high cardiovascular disease (CVD) risk, and elevated depressive symptoms were significant correlates of MCI prevalence. Apolipoprotein E4 (APOE) and APOE2 were not significantly associated with MCI.DiscussionMCI prevalence varied among Hispanic/Latino backgrounds, but not as widely as reported in the previous studies. CVD risk and depressive symptoms were associated with increased MCI, whereas APOE4 was not, suggesting alternative etiologies for MCI among diverse Hispanics/Latinos. Our findings suggest that mitigating CVD risk factors may offer important pathways to understanding and reducing MCI and possibly dementia among diverse Hispanics/Latinos