91 research outputs found

    Neighborhood decline and the economic crisis : an introduction

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    Some of Maarten van Ham’s time on this project has received funding from the European Research Council under the European Union's Seventh Framework Programme (FP/2007-2013) / ERC Grant Agreement n. 615159 (ERC Consolidator Grant DEPRIVEDHOODS, Socio-spatial inequality, deprived neighbourhoods, and neighbourhood effects) and from the Marie Curie programme under the European Union's Seventh Framework Programme (FP/2007-2013) / Career Integration Grant n. PCIG10-GA-2011-303728 (CIG Grant NBHCHOICE, Neighbourhood choice, neighbourhood sorting, and neighbourhood effects), Platform31 (The Netherlands).Urban neighborhoods are still important in the lives of its residents. Therefore, it is important to find out how the recent global financial and economic crisis affects these neighborhoods. Which types of neighborhoods and which residents suffer more than others? This introduction provides an overview of the papers in this special feature that focus on this question. It concludes with the statement that governments should specifically pay attention to the poor neighborhoods and the people living there, because here the effects of the crisis are very prominent and in many cases probably long-lasting.PostprintPeer reviewe

    Spatial Knock-On Effects of Area-Based Urban Policies: Practices From Utrecht, the Netherlands

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    In many West European countries the welfare state is retreating and instruments of urban policy have changed. Urban policies are now often area based, which means that action is taken in a spatially defined area. One of the problems of this approach is that it leads to a so called spatial knock-on effect. This is when an area-based approach causes side effects in other areas, that are not involved in the policy. So far, most interest is in the effects for the targeted area, and less attention is being paid to the side effects for other areas. In our opinion this has to change in order to have sound evaluations of the effectiveness of area based urban policies. The aim of this paper is to take a closer look at the effects of area based urban policies in both targeted areas and non targeted areas from a quantitative and a qualitative perspective. In the quantitative approach we examine how the amount of problems in both targeted and non targeted areas has changed since area based urban policy has been implemented. In the qualitative approach information is gathered by interviewing policymakers to find out in what way they deal with spatial knock-on effects. All of this has been studied in the context of three cities in the Netherlands. In the end of the paper we aim to explain spatial knock-on effects and try to strengthen this explanation with several theoretical insights. We also draw some conclusions for further research that can be useful for policymakers

    Neighborhood Decline and the Economic Crisis

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    Neighborhood decline is a complex and multidimensional process. National and regional variation in economic and political structures (including variety in national welfare state arrangements), combined with differences in neighborhood history, development and population composition, makes it extremely difficult to identify a unilateral process of neighborhood decline over time. Some scholars have tried to develop all-encompassing models to explain neighborhood decline; others have studied more deeply the relevance of a limited number of factors and developments in processes of decline. The literature has paid little attention to the influence of economic development on neighborhood development, and surprisingly, few studies have focused on the effects of the economic crisis on urban neighborhoods. The recent global economic and financial crisis affected many European and North-American cities in terms of growing unemployment levels and rising poverty in concentrated areas. At the same time, urban investments such as urban restructuring and neighborhood improvement programs have decreased, or come to a halt altogether. By reviewing existing literature, this paper aims to contribute to an understanding of neighborhood decline in light of the economic crisis. By formulating ten hypotheses about the ways in which the economic crisis might interact with processes of neighborhood decline, this paper aims to push the debate on neighborhood decline forward and calls for more contextualized research on neighborhood change. We will highlight challenges for future research and point to factors that need to be taken into consideration in a post-crisis society

    The Global Financial Crisis and neighborhood decline

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    The Global Financial Crisis (GFC), which started in 2008, has had a major impact on many Western European and North American countries. In the years preceding the crisis, many countries in the Global North experienced rising house prices, accompanied by an expansion of mortgage financing (Wachter, 2015). As the financial market has become increasingly global, the collapse of the subprime mortgage market and house price bubble in the United States (US) has had repercussions on a global scale (Martin, 2011). While there were significant differences between impacted countries in the timing and macroeconomic processes underlying the GFC, the characteristics of the subsequent economic recession have been similar: stagnating economic growth, a sovereign debt crisis, and rising unemployment (Aalbers, 2015). Many governments have responded to the declining economy and growing unemployment levels with the implementation of major budget cuts for social provisions (Peck, 2012). This has contributed to both relative and absolute growth in the number of economically disadvantaged households and has exacerbated poverty on both sides of the Atlantic. While the average income of the top 10% of the populations of OECD countries was essentially unaffected by the crisis, the average income of households in the lowest income decile experienced an annual decline of 2% between 2007 and 2010 (OECD, 2013a). In many countries, the GFC has also had a major impact on the housing market, evidenced by a large drop in home prices and declining sales of both existing and new-build housing (Van Der Heijden et al., 2011). Today, many countries are slowly recovering from the first shocks of the GFC and the economic recession that followed. However, in many Southern European countries, unemployment rates continue to be very high and, although unemployment is declining in places like the United States and Germany, long-term unemployment appears to be a persistent problem in many countries (OECD, 2014; Shierholz, 2014). Similarly, despite graudual stock market recoveries and some modest increases in house prices, repercussions from the GFC and economic recession persist in all countries. In many countries, the GFC has had predictable effects on the supply side of the housing market - the willingness of banks to lend money to prospective owners has generally declined. In some countries, investors in real estate became more selective, avoiding projects with too much risk; in the United States, in contrast, investors of another ilk have bought large numbers of foreclosed, real estate owned (REO) properties with the main goal of making a profit (e.g. Mallach, 2010b). Regeneration and restructuring initiatives have been put on hold throughout Western Europe (Boelhouwer & Priemus, 2014; Raco & Tasan-Kok, 2009; Schwartz, 2011). While some governments, such as the United Kingdom and the Netherlands, implemented stimulus programs to generate more (affordable) housing in the years after the crisis, recent budget cuts have put an end to these programs (Scanlon & Elsinga, 2014; Schwartz, 2011). The demand side of the housing market has also changed. Banks have tightened lending terms, making it more difficult for many households to obtain a mortgage (Goodman et al., 2015). As a result, there is more demand for private rentals and social or public housing. The GFC has affected employment on both sides of the Atlantic, in terms of either high unemployment levels or a shift toward more casualized labor contracts such as zero hour or temporary employment contracts (Aalbers, 2015; Puno & Thomas, 2010). This has led to financial strain and housing affordability problems for many households (JCHS, 2015). In the United States, households that are behind on their mortgage payments, and that are unable to obtain a mortgage modification with their lender, are faced with displacement due to foreclosure. This results in a large group of residents with badly damaged credit ratings who are in search of post-foreclosure housing in nearby areas (Martin, 2012). In other countries where the option of foreclosure is often not available, households that are unable to pay their rent or mortgage often have to move to cheaper dwellings and less attractive neighborhoods, while others have to stay put, because moving is too expensive or alternatives are not available, or because negative equity makes it impossible for them to move. All of these developments have contributed to rising inequality in the Global North, particularly in terms of income and housing (e.g. Immervoll et al., 2011; Bellman & Gerner, 2011). The GFC therefore raises questions about the future development of neighborhoods, especially because inequality tends to have specific spatial outcomes including increased segregation, increased spatial concentrations of low-income groups, and negative neighborhood effects (e.g., European Commission, 2010; Glaeser et al., 2009; Van Eijk, 2010; Zwiers & Koster, 2015). While there has been little research on the effects of the GFC at the neighborhood level, the evidence described above suggests that the effects are distributed unevenly across urban areas (Foster & Kleit, 2015;   Batson & Monnat, 2015). As households in the bottom income decile have experienced the sharpest drop in income, the effects of the GFC are likely to be felt most acutely in the most disadvantaged neighborhoods (see also Rugh & Massey, 2010; Thomas, 2013). In view of these concerns, this article sets out to identify factors that affect neighborhood decline in the aftermath of the GFC. Many economists have pointed to structural changes in national housing markets and to the changing role of states as important consequences of the GFC (e.g. Wachter, 2015), yet, few researchers analyze how these changes play out at the neighborhood level. Similarly, housing researchers have identified multiple drivers behind neighborhood decline, but many of them focus on within-neighborhood processes at the expense of developments at higher scale levels (Van Beckhoven et al., 2009). In this paper, we aim to bridge this gap by presenting 10 hypotheses on how changes at different geographical scales affect neighborhood decline. Our goal is not to create the next ideal-type model of neighborhood decline processes; rather, we seek to further the intellectual debate on neighborhood decline call for more research on the spatial consequences of the GFC, specifically on neighborhoods as an important territorial dimension of increasing inequality. Our hypotheses mainly pertain to the Global North. Although these countries have very different political, economic, and social structures, research on neighborhood change in different contexts in the Global North has often led to broadly similar findings. This suggests that many of the underlying processes of neighborhood change are comparable across countries. In the same vein, the increasingly global nature of financial and housing markets (Aalbers, 2015) yields similarities in the effects of the GFC and the economic recession between countries. However, the effects of the GFC are mediated by national policies, local (housing market) circumstances, and intra-neighborhood processes, meaning that the GFC has different outcomes in different places. The next section of this article presents a short discussion of definitions of neighborhoods and neighborhood decline. We then highlight important elements from existing studies to formulate 10 hypotheses about the effects of the GFC and the economic recession on neighborhood decline. These hypotheses are divided over three sections, each with a different geographical focus. The conclusion brings our arguments together and calls for more contextualized longitudinal research.&nbsp

    Місце України в процесах глобалізації світового туристичного ринку

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    Мета статті: визначити, чи має Україна можливості для активної участі в процесах глобалізації шляхом глибокого аналізу рекреаційного потенціалу окремих її туристичних регіонів

    Hyper-diversity in/and geographies of childhood and youth

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    This paper reviews recent work on childhood, youth and diversity in geography. It argues for a need to move from conceptualisations of super-diversity to notions of hyper-diversity. Such a move recognises how multiple facets of social difference extend beyond commonly used identity categories deployed in intersectional or superdiverse analyses. In particular, the notion of hyper-diversity enables an exploration of how identity categories articulate with materialities, feelings and everyday practices. The paper sets out some starting propositions for theorisations of hyper-diversity, childhood and youth, whilst recognising the need for critical reflection upon the term’s usefulness, especially when set alongside other conceptual languages for understanding intersections of age with other forms of difference. Finally, the paper introduces the four articles that comprise this special issue

    A Nationwide Study on the Impact of Routine Testing for EGFR Mutations in Advanced NSCLC Reveals Distinct Survival Patterns Based on EGFR Mutation Subclasses

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    SIMPLE SUMMARY: The presence of an EGFR activating mutation in tumors of non-small-cell lung cancer patients enables effective targeted therapy towards EGFR. Studies that describe a nationwide uptake of EGFR testing, the impact of the switch from single-gene EGFR to multi-gene testing, and the clinical response towards EGFR inhibitors in first-line treatment are limited. From 2013 to 2017 the percentage of patients routinely tested for EGFR mutations increased from 73% to 81% in the Netherlands. A strong shift towards EGFR testing as part of a multi-gene next generation sequencing analysis was observed. However, this did not change the percentage of EGFR mutations that were reported for this patient population, which remained stable at 12%. When treated with EGFR inhibitors that were available in a routine clinical setting prior to 2018, clear differences were observed between the type of EGFR mutation and survival. ABSTRACT: EGFR mutation analysis in non-small-cell lung cancer (NSCLC) patients is currently standard-of-care. We determined the uptake of EGFR testing, test results and survival of EGFR-mutant NSCLC patients in the Netherlands, with the overall objective to characterize the landscape of clinically actionable EGFR mutations and determine the role and clinical relevance of uncommon and composite EGFR mutations. Non-squamous NSCLC patients diagnosed in 2013, 2015 and 2017 were identified in the Netherlands Cancer Registry (NCR) and matched to the Dutch Pathology Registry (PALGA). Overall, 10,254 patients were included. Between 2013–2017, the uptake of EGFR testing gradually increased from 72.7% to 80.9% (p < 0.001). Multi-gene testing via next-generation sequencing (increased from 7.8% to 78.7% (p < 0.001), but did not affect the number of detected EGFR mutations (n = 925; 11.7%; 95% confidence interval (CI), 11.0–12.4) nor the distribution of variants. For patients treated with first-line EGFR inhibitors (n = 651), exon 19 deletions were associated with longer OS than L858R (HR 1.58; 95% CI, 1.30–1.92; p < 0.001) or uncommon, actionable variants (HR 2.13; 95% CI, 1.60–2.84; p < 0.001). Interestingly, OS for patients with L858R was similar to those with uncommon, actionable variants (HR 1.31; 95% CI, 0.98–1.75; p = 0.069). Our analysis indicates that grouping exon 19 deletions and L858R into one class of ‘common’ EGFR mutations in a clinical trial may mask the true activity of an EGFR inhibitor towards specific mutations

    The decline and rise of neighbourhoods: the importance of neighbourhood governance

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    There is a substantial literature on the explanation of neighbourhood change. Most of this literature concentrates on identifying factors and developments behind processes of decline. This paper reviews the literature, focusing on the identification of patterns of neighbourhood change, and argues that the concept of neighbourhood governance is a missing link in attempts to explain these patterns. Including neighbourhood governance in the explanations of neighbourhood change and decline will produce better explanatory models and, finally, a better view about what is actually steering neighbourhood change

    Hypoxia inducible factor 2α (HIF2α/EPAS1) is associated with development of pulmonary hypertension in severe congenital diaphragmatic hernia patients

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    We show that hypoxia inducible factor 2α (HIF2α) is highly expressed in patients with pulmonary hypertension (PH). HIF2α is expressed in every patient with congenital diaphragmatic hernia, while only half of the controls express HIF2α. Our data suggest that HIF2α is a link between hypoxia and the development of PH
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