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The archetype of the self underlies the ego-complex at its root and source in the unconscious. None of these assigns to the self the role that I feel to be so essential in the syndrome. SP 50-52 sp In regard to the method of study of these processes of the archaic, unconscious psyche in psychosis, I find myself baffled as to how to set up anything like a scientific approach to the material. In this hypothesis the model is easy to visualize but difficult to understand in terms of experience; the self is seen in this case as the center of the total psychic organism, and the ego is subsumed within this totality as the center of the field of consciousness only, that is, of contents accessible to consciousness; between the two are the autonomous complexes, which are groupings of contents not accessible to ego-consciousness (Figure 1). Reconstitutive process in the psychopathology of the self1: The following paper by J.W. Perry is published with permission from the Annals of the New York Academy of the Sciences where it was first published in January 1962. The imagery I refer to is a whole class of symbolic representations of centrality and organization, of order and highest authority; I hope to demonstrate that in these we see representations of the self and processes that transform or reorganize the self in the unconscious psyche. [Extracted from the article]

Background: Malnutrition is associated with increased morbidity, mortality, and healthcare costs. Early detection is important for timely intervention. This paper assesses the ability of a machine learning screening tool (MUST‐Plus) implemented in registered dietitian (RD) workflow to identify malnourished patients early in the hospital stay and to improve the diagnosis and documentation rate of malnutrition. Methods: This retrospective cohort study was conducted in a large, urban health system in New York City comprising six hospitals serving a diverse patient population. The study included all patients aged ≥ 18 years, who were not admitted for COVID‐19 and had a length of stay of ≤ 30 days. Results: Of the 7736 hospitalisations that met the inclusion criteria, 1947 (25.2%) were identified as being malnourished by MUST‐Plus‐assisted RD evaluations. The lag between admission and diagnosis improved with MUST‐Plus implementation. The usability of the tool output by RDs exceeded 90%, showing good acceptance by users. When compared pre‐/post‐implementation, the rate of both diagnoses and documentation of malnutrition showed improvement. Conclusion: MUST‐Plus, a machine learning‐based screening tool, shows great promise as a malnutrition screening tool for hospitalised patients when used in conjunction with adequate RD staffing and training about the tool. It performed well across multiple measures and settings. Other health systems can use their electronic health record data to develop, test and implement similar machine learning‐based processes to improve malnutrition screening and facilitate timely intervention. Key points/Highlights: Malnutrition is prevalent among hospitalised patients and frequently goes unrecognised, with the potential for severe sequelae. Accurate diagnosis, documentation and treatment of malnutrition have the potential of having a positive impact on morbidity rate, mortality rate, length of inpatient stay, readmission rate and hospital revenue. The tool's successful application highlights its potential to optimise malnutrition screening in healthcare systems, offering potential benefits for patient outcomes and hospital finances. [ABSTRACT FROM AUTHOR]

Kain's spatial mismatch hypothesis (SMH) (1968) highlights the segregation of Black population in the inner city as well as the decentralization of jobs, both of which played a role in the poor labor market outcomes for Black residents in the inner city. Demographic and economic changes in U.S. metropolitan areas since the late 20th century have transformed the urban spatial structure. This paper aims to revisit the SMH and investigate whether the spatial pattern of mismatch has changed as a result of geographic shifts in the Black population. This paper specifically examines how the suburbanization of the Black population has affected the geographic patterns of mismatch and whether the mismatch is disappearing in the major U.S. metropolitan areas. Using spatial measures of mismatch, this paper presents intra‐metropolitan spatial mismatch patterns that capture the clustering of jobs and the Black population based on their relative distributions, showing that the overall level of spatial mismatch declined in major U.S. metropolitan areas between 2000 and 2015. However, geographical evidence reveals that the spatial mismatch has shifted to the outer suburbs, replicating city‐suburb spatial inequality, implying that although mismatch may have declined in the inner city due to Black suburbanization, spatial mismatch continue to persist in U.S. metropolitan areas in Black suburbs. The findings also demonstrate that although spatial mismatch generally declined in the inner city, it increased in cities with high inner city polarization, particularly New York, Chicago, San Francisco, and Seattle. [ABSTRACT FROM AUTHOR]

A growing body of literature demonstrates that both place attachment and social capital play considerable, and likely interdependent, roles in disaster recovery. This paper contributes to our understanding of these constructs by presenting findings from a longitudinal, mixed‐methods study of communities impacted by a home buyout program implemented in New York after Hurricane Sandy (N = 111). Results suggest a dynamic balance between place dependence, place identity, and bonding social capital, in which the relative importance of each construct can shift over time, and where losses in one of these areas may lead to cascading losses in the other areas. For buyout participants, increases in place dependence were associated with increases in bonding social capital, indicating that relocatees either regained both place dependence and bonding social capital in their new homes and communities, or they lost and did not regain both, depending on whether their new home and community met their emotional and functional needs sufficiently. For residents who remained in place, higher levels of place dependence were associated with losses in bonding social capital, reflecting the potential consequences of living in postdisaster limbo. Implications for future buyout research, policy, and practice are discussed. Highlights: There is a dynamic balance between place dependence, place identity, and social capital in disasters.Comparative data suggest significant, unrecovered losses in communities affected by home buyouts.Disaster survivors face tradeoffs in recovery between aspects of place attachment and social capitalPostdisaster relocation had negative effects on place identity and bonding social capitalWe must consider the substantial losses associated with buyouts in balance with potential benefits [ABSTRACT FROM AUTHOR]

COVID‐19 pandemic brings to light similarities to the 1918 influenza pandemic, one of the deadliest outbreaks in United States history. The work of the Henry Street Visiting Nurse Service also referred to the public health nurses for that time, was a critical part of the New York City response. This case study examined Lillian Wald's leadership in directing the public health nursing response in New York City during the second wave of the influenza pandemic, from September through December of 1918. A historical social framework was used. Primary sources included the Lillian Wald Papers in the Rare Book and Manuscript Library, Columbia University in New York, Wald's (1934) Windows on Henry Street, medical, public health and nursing documents, journals, and newspaper articles published during the early 20th century. Secondary source material include works by historians Sarah Abrams, Arlene Keeling, Karen Buhler‐Wilkerson, Sandra Lewenson, John Barry, and Alfred Crosby. Key findings included developing a community wide strategic plan, using data driven decisions, implementing visiting nursing services, teaching in the home, and maintaining a diverse workforce. Lessons learned can guide leadership in emergency planning, system change, infection control and disease prevention, all familiar practices of public health nursing. [ABSTRACT FROM AUTHOR]

This article offers for inspection the proposition that the adversarial evidence-based litigation process is unsuitable for resolving custody cases in general and relocation cases in particular. It analyzes the leading cases from New York, Massachusetts, California, England, Canada, and Australia. It reaches a conclusion that no jurisdiction has devised a legal standard or formula that enables a judge to predict the future best interest of a child if that child is allowed to relocate with one parent away from the other. For this reason, the court has a duty to offer as sophisticated and friendly a settlement process and atmosphere as possible. However, knowing that judges will still be required to resolve these difficult cases because they often seem impervious to settlement, the article offers thirty-six factors that a court should consider in all move-away cases. By relying on each of these factors that is relevant to the case, the parents will have an understanding of why the decision was made the way it was and it will also allow for effective appellate review. [ABSTRACT FROM AUTHOR]

The agency of interpreters has been kept out of view in human geography. This paper corrects this by focusing on embodied interpretation: bodies, freighted with their own relations, expectations, and experiences in the context of "emotionscapes," settings for emotional communication. Conceptually, "emotionscapes" enable the exploration of the potentiality of an emotion in its spatial setting. Emotionally expressive behaviour is a process of the emotion; a potentiality to be realised. Emotions are distinctively connected to specific sites and spaces. This potentiality shifts the analytical focus away from what emotion is to what emotion can do to the alteration or reproduction of relations. I argue that this is vitally important to understanding geopolitical exchange, that is, how global politics is made and remade. However, the potentiality of emotions is made more complicated when interpretive bodies are involved in geopolitical exchange. They are intrinsic to the relational fluxes, currents, and flows of emotion – its potentialities – they identify and relay emotionally laden language of others for others in geopolitical communication. They observe, relay, and mutate emotional potentiality in "emotionscapes." In doing so, they wrestle with more than just words. They seek to capture emotions and geopolitics between real‐life people in real places. Understanding their endeavour should challenge us therefore to [re]consider geopolitical exchange in "emotionscapes" and the mediatory and performative roles played by interpretive bodies in these spaces of geopolitical knowledge production. This is my key purpose in this paper. Underpinning the paper's conceptual ideas are qualitative data on the role of interpretive bodies in realising emotional potentialities in the "emotionscape" of the UN Security Council in New York, arguably the most high‐profile geopolitical institution. This paper provides a study of emotions and their capture in the UN Security Council through the new conceptual lens of "emotionscapes." [ABSTRACT FROM AUTHOR]

The construction introduced by Gross, Hacking and Keel in (Several Complex Variables (Springer, New York, NY, 1976))allows one to construct a formal mirror family to a pair (S,D) where S is a smooth rational projective surface and D a certain type of Weil divisor supporting an ample or anti-ample class. In that paper, they proved two convergence results when the intersection matrix of D is not negative semi-definite and when the matrix is negative definite. In the original version of that paper, they claimed that if the intersection matrix were negative semi-definite, then family extends over an analytic neighbourhood of the origin but gave an incorrect proof. In this paper, we correct this error. We reduce the construction of the mirror to such a surface to calculating certain log Gromov--Witten invariants. We then relate these invariants to the invariants of a new space where we can find explicit formulae for the invariants. From this we deduce analytic convergence of the mirror family, at least when the original surface has an I4 fibre. [ABSTRACT FROM AUTHOR]

This paper proposes an ensemble predictor for the weekly increase in the number of confirmed COVID‐19 cases in the city of New York at zip code level. Within a Bayesian model averaging framework, the baseline is a Poisson regression for count data. The set of covariates includes autoregressive terms, spatial effects, and demographic and socioeconomic variables. Our results for the second wave of the coronavirus pandemic show that these regressors are more significant to predict the number of new confirmed cases as the pandemic unfolds. Both pointwise and interval forecasts exhibit strong predictive ability in‐sample and out‐of‐sample. [ABSTRACT FROM AUTHOR]

This paper argues for attention to place dialogue, rethinking how place meanings emerge through interactions between human agency and the nonhuman agency of place. To speak is to act, so what is in play here is acknowledging place not only as a 'speaker' and a 'listener' but also as an agent. In addition to developing posthumanist geographies, the article proposes a new direction for geographical studies of communication, building on the semiotic theory of C.S. Peirce and closely related research in philosophical pragmatism. Communication geography research on place‐in‐communication (representations) and communication‐in‐place (infrastructures) should be complemented by a third approach that recognises place as an interlocutor intervening in meaningful ways with human and nonhuman inhabitants' lives. In calling for this sort of recognition of place dialogue, we trace an ontological shift already prescribed by Indigenous geography, assemblage theory, philosophical pragmatism and posthumanism. The body of the article offers glimpses of three place dialogues: a research meeting taking place in an outdoor seating area of a bakery/cafe, a short viral video featuring a resourceful rat living in the New York subway, and a trip to a nature preserve to climb a mountain. In each example, we show how geographers can return to the non‐modern idea that place acts and speaks. [ABSTRACT FROM AUTHOR]

Wildfires are a significant source of PM2.5 that adversely affect local and regional air quality. However, tracking wildfire smoke and their impacts are difficult. This study explores how a ground‐based Doppler lidar network can improve monitoring of long‐range transported wildfire smoke. As a case study, this paper reviews the transported wildfire smoke and its impact on air quality across New York State (NYS) during two events: 18–21 and 25–27 July 2021. Observations of wildfire smoke and enhancement of PM2.5 across NYS during those events were consistent across ground‐based sensors, satellites, back trajectory analyses, and model forecasts. However, for some of the days, the model over/under‐forecasted smoke plumes. Overall, this study highlights the value of the NYS Mesonet Profiler Network to monitor wildfire smoke with high spatiotemporal resolution. Such a relatively dense network can be a valuable observational tool for evaluating PM2.5, and aiding satellite measurements and air quality forecasting models. Plain Language Summary: Anthropogenic emissions of PM2.5 have declined across New York State (NYS) and nationally over the last two decades. However, increasing frequency and intensity of wildfire activity threatens to reverse this long‐term PM2.5 trend. During July 2021, wildfire smoke from Southern Canada and Northwestern US significantly elevated PM2.5 (in exceedance of the US EPA standards) 5,000 km away in NYS. Yet, air quality forecasting models performed poorly in the presence of the wildfire smoke. Thus, it has become increasingly important to monitor transported wildfire smoke and understand its impact on surface air‐quality. The New York State Mesonet Profiler Network is one such tool that can be used to monitor long‐range transported wildfire smoke, track its vertical and spatial extent across NYS in real‐time, assess its impact on air quality and complement/augment air quality forecasting models and satellite observations. Key Points: A long‐range transported wildfire smoke event significantly enhanced PM2.5 across New York State in July 2021Multi‐platform observations are used to understand the details of the eventA lidar network can help to monitor smoke event, assess impacts on surface PM2.5, aid satellite measurements and improve forecasting models [ABSTRACT FROM AUTHOR]

Objectives: In 2019 the United States experienced the largest outbreak of measles in 27 years, 19 years after the United States declared measles eliminated. The purpose of this paper was to present a population study of a measles outbreak within Orthodox Jewish communities in New York that led to the elimination of religious exemption for school mandated vaccines. Methods: Peer reviewed articles, news media, health department, and government resources were used to investigate environmental factors that led to this outbreak. State, county, and city immunization records were accessed to explore measles compliance rates before and after policy change. Results: Rockland County had low compliance rates compared to the rest of the state, and the elimination of religious exemptions raised compliance rate almost to state level. In all but one affected New York City zip codes, compliance following policy change rose to 97.95%–99.15%. Conclusions: Overall, changes in measles compliance rates reflect policy goals, but localized differences imply a need for more customized interventions for each unique community. Public health planning to promote vaccination should be sensitive to the concerns and perceptions of each community in order for health interventions to have a positive effect. [ABSTRACT FROM AUTHOR]

COVID‐19 has led to procedural changes in vascular access services to protect healthcare workers and patients from further spread of the virus. Operational changes made by the vascular access service at a healthcare system in New York City during the first wave of the COVID‐19 (SARS‐CoV‐2) pandemic included a team‐based approach as well as consideration for types of lines placed to address the increase in patient volume while providing safety to healthcare workers and conserving personal protective equipment. The study consists of two samples of adult inpatients admitted to Mount Sinai Hospital in New York City in need of vascular access. Chi‐square tests of independence were used to analyze trends in data. By the fourth wave, usage of shorter lifespan ultrasound‐guided peripheral intravenous lines increased significantly and the use of longer lasting intravenous catheters decreased significantly between the first and fourth waves of COVID‐19. This paper aims to show that with greater knowledge about proper personal protective equipment and mindful resource use, hospitals are able to become more comfortable and efficient while providing increasingly frequent vascular access services in the current and future pandemics. [ABSTRACT FROM AUTHOR]

The mortality risk factors for coronavirus disease (COVID‐19) must be early predicted, especially for severe cases, to provide intensive care before they develop to critically ill immediately. This paper aims to develop an optimized convolution neural network (CNN) for predicting mortality risk factors for COVID‐19 patients. The proposed model supports two types of input data clinical variables and the computed tomography (CT) scans. The features are extracted from the optimized CNN phase and then applied to the classification phase. The CNN model's hyperparameters were optimized using a proposed genetic‐based adaptive momentum estimation (GB‐ADAM) algorithm. The GB‐ADAM algorithm employs the genetic algorithm (GA) to optimize Adam optimizer's configuration parameters, consequently improving the classification accuracy. The model is validated using three recent cohorts from New York, Mexico, and Wuhan, consisting of 3055, 7497,504 patients, respectively. The results indicated that the most significant mortality risk factors are: CD 8+ T Lymphocyte (Count), D‐dimer greater than 1 Ug/ml, high values of lactate dehydrogenase (LDH), C‐reactive protein (CRP), hypertension, and diabetes. Early identification of these factors would help the clinicians in providing immediate care. The results also show that the most frequent COVID‐19 signs in CT scans included ground‐glass opacity (GGO), followed by crazy‐paving pattern, consolidations, and the number of lobes. Moreover, the experimental results show encouraging performance for the proposed model compared with different predicting models. [ABSTRACT FROM AUTHOR]

When a major policy change occurs, policy entrepreneurs—advocates who devote substantial time, energy, and resources to campaigning for a specific policy outcome—are often credited as critical influences. However, there has been a little quantitative, large‐n cross‐sectional study of whether policy entrepreneurship effectuates policy change, how policy entrepreneurs pursue their goals, and whether particular entrepreneur attributes are more or less facilitative to that end. This paper aims to fill that gap by investigating policy entrepreneurship in municipalities across the State of New York, where between 2008 and 2012 hundreds of local jurisdictions passed policies to ban or restrict high‐volume hydraulic fracturing (fracking), often encouraged by anti‐fracking advocates. It demonstrates that policy entrepreneurs have a consequential, positive impact on policy adoption; that their characteristics, strategies, and goals classify into distinct archetypes; and that archetypes vary in their policy impact. [ABSTRACT FROM AUTHOR]

Over 50,000 defendants are referred for competency to stand trial evaluations each year in the United States (Psychological evaluations for the courts: A handbook for mental health professionals and lawyers, New York, NY: The Guildford Press; 2018). Approximately 20% of those individuals are found by courts to be incompetent and are referred for "restoration" or remediation (Psychological evaluations for the courts: A handbook for mental health professionals and lawyers, 4th edn. New York, NY: The Guildford Press; 2018; Bull Am Acad Psychiatry Law. 1991;19:63–9). The majority of those incompetent defendants meet criteria for psychotic illnesses (J Am Acad Psychiatry Law. 2007;35:34–43). Forensic mental health professionals frequently have such patients/defendants decline recommended treatment with psychotropic medication. For a significant minority of defendants diagnosed with psychotic disorders, treatment with medication is thought to be necessary to restore their competency to stand trial. Without psychiatric intervention to restore competency, defendants may be held for lengthy and costly hospitalizations while criminal proceedings are suspended. In these situations, clinicians are guided by the Supreme Court decision, Sell v. United States (2003). The Sell opinion describes several clinical issues courts must consider when determining whether a defendant can be treated involuntarily solely for the purpose of restoring his/her competency. This paper offers some guidance to clinicians and evaluators who are faced with making recommendations or decisions about involuntary treatment. Using a question and answer format, the authors discuss data that support a decision to request, or not request, court authorization for involuntary treatment. Specifically, eight questions are posed for forensic evaluators to consider in determining the prognosis or viability of successful treatment and restoration. Finally, a clinical vignette is also presented to highlight important factors to consider in Sell‐related evaluations. [ABSTRACT FROM AUTHOR]

COVID‐19 has extraordinarily impacted every facet of the health care facilities' operations. Various strategies and policies were implemented promptly to preserve resources, not only to provide medical care to the expected massive numbers of COVID‐19 patients, but also to mitigate the contagion spread at the workplace to ensure safety of healthcare workers. All routine, non‐essential medical services and procedures were ramped down and workers deemed non‐essential were directed to work remotely from home to reduce the number of people at hospital premises and preserve much needed personal protective equipment that were in short supply at the outset of the pandemic. The laboratories did not remain unscathed and were under immense pressure to maintain workplace safety while being operational and provide best patient care with limited resources. In this paper, we share our experience and challenges that we faced in a cytopathology laboratory at a major academic centre in New York, USA during the peak of infection. This study reviews the impact of COVID‐19 on cytopathology specimen numbers during the peak of pandemic in New York City. Most specimens decreased in number and proportion except for effusion cytology which almost doubled. The rate of malignant and indeterminate diagnostic categories significantly increased while the benign category decreased, and the non‐diagnostic category remained the same. Adaptations to staffing and clinical operations to provide continuous patient care and trainee education while maintaining workplace safety are described. [ABSTRACT FROM AUTHOR]

The financial and capacity pressures facing healthcare systems call for new strategies to deliver high‐quality, efficient services. 'Coproduction' is a concept gaining recognition as an approach to create patient partnerships that enable better functioning healthcare systems. Yet, this framing obscures coproduction's 'everyday and unavoidable' character, already part of healthcare service delivery. This paper aims to understand these everyday and unavoidable dimensions of coproduced healthcare services by drawing upon thematic and process analyses of a 15‐month ethnography of 45 patients in three HIV clinics in New York. A 'health practices' approach guided exploring patients' activities, their effects on clinical processes, and the conditions surrounding their performances. By constructing a typology of activity types – Building, Accepting, and Objecting – and tracing patients' descriptions of activity performances, the paper shows how coproduction is forged by making and relying upon clinic‐based relationships, and for patients also with a broader human community. These dynamics reveal how patients' bodily and temporal understandings are brought into and shape coproduced services. From these insights, we recommend that healthcare practitioners incorporate into their coproduction analytic methods and perspectives to engage patients as capable and aware individuals, who can support clinic efficiencies while producing new delivery possibilities. [ABSTRACT FROM AUTHOR]

Seabirds have long been thought to exploit social information when searching for their prey, the distribution of which is often patchy and variable. The fact that most seabirds breed colonially has led to speculation that colonies serve as "information centers," allowing their inhabitants to learn about the distribution of food by observing or following other successful foragers, though this hypothesis is controversial and the evidence for it is mixed. However, several recent studies have documented behaviors that suggest some seabirds do exploit social orientation cues at or near their colonies in order to orient toward food. In this paper, I explore in‐depth one such social orientation behavior, which I call "visual trail following." I derived a simple model of information transfer and showed that trail following should be favored over other commonly hypothesized foraging behaviors. An individual‐based simulation model was then used to test this theoretical prediction against several other foraging strategies while varying prey patchiness and colony size. The model's results showed that trail following was the optimal strategy across a wide range of conditions. Finally, I used radar data recorded at a tern colony in coastal New York to demonstrate evidence for trail following in the movements of wild seabirds. These results show that trail following and similar behaviors are effective foraging strategies that are likely important for seabirds and other colonial animals. [ABSTRACT FROM AUTHOR]

Background: New evidence has found breast and cervical cancer risk factors unique to African American women. Thus, there is a significant need to increase their knowledge and understanding of relevant risk factors and the potential protective benefits associated with breast‐feeding and HPV vaccination. The National Witness Project is a robust, evidence‐ and community‐based lay health advisor programme that uses group education, navigation and survivor narratives to increase cancer screening among diverse underserved women. Methods: A multi‐phase, community‐based participatory research study was conducted across three sites in Buffalo, NY, New York City and Arkansas between October 2016 and January 2017. Pre‐/post‐test surveys were administered during volunteer trainings and community programmes. An evaluation survey was also administered at the Annual Meeting for Education and Networking. Paired sample t tests were used to compare pre‐/post‐test survey scores. Results: Trainee survey results showed the overall mean per cent correct pre‐/post‐test scores were 47.7% (SD: 21.87) and 79.2% (SD: 16.14). Altogether, 31 educational programmes reached 332 community participants. Participants' breast and cervical cancer knowledge scores were significantly higher after the education programme (84.4%) than before (55.3%) with a mean change score of 29% (P ≤.001). Conclusion: This paper reveals the underlying complexities to update the educational curriculum content of a multi‐site, community‐based outreach organization. The new curriculum significantly improved African American women's knowledge about breast and cervical cancer by 10%‐36%, clearly demonstrating that this information was new to them. The need for education programming in African American communities to disseminate cancer prevention and risk information remains high. [ABSTRACT FROM AUTHOR]

Medicare Advantage and the Affordable Care Act's insurance marketplaces provide coverage to millions of beneficiaries. This paper assesses network design and access to percutaneous coronary intervention (PCI or angioplasty with stent) in New York for both programs. A specific focus is on access to higher quality providers. The findings indicate that both programs significantly restricted access and choice as compared to an unconstrained network. However, network design only rarely created areas devoid of any providers. In terms of access to quality, both programs tended to have slightly worse mean and median quality ratings than the overall physician supply. Findings with regard to access to above‐average providers were mixed. With respect to access to the highest quality providers, both ACA and Medicare Advantage plans generally fared slightly worse than unrestricted networks. In micropolitan and rural areas, access issues became apparent. Network regulation may do little to address these concerns. However, adding non‐emergency medical transportation benefits to insurance coverage may prove to be desirable going forward. [ABSTRACT FROM AUTHOR]

Abstract: During the early 1970s Denise Kandel and her colleagues documented an ‘invariant sequence’ in initiation of drug use: starting with alcohol and tobacco, progressing to cannabis and then to other illicit, or ‘harder’ drugs. This observation, which became known as the ‘gateway sequence’ of drug use, has been influential in policy debates but remains highly contentious, with the area of greatest controversy focusing upon whether cannabis use increases risk causally for initiation of other illicit drugs. While numerous studies have replicated Kandel's initial findings (sequence of onset) and reported that associations between cannabis use and the use of other illicit drugs remain after controlling for potentially confounding factors, the mechanisms underlying these observed associations remain hotly debated. In particular, it is possible that the observed associations are non‐causal but reflect the influence of confounding factors which influence both early‐onset drug use and subsequent progressions. However, research employing a range of techniques to address this issue has been unable to discount the possibility that associations between earlier and subsequent drug use reflect causal processes. This paper reviews Kandel's ongoing contributions to this field, which span 45 years, and discusses both the influence of her work and the controversy that it has aroused. [ABSTRACT FROM AUTHOR]

Background Current electrocardiographic and echocardiographic measurements in heart failure (HF) do not take into account the complex interplay between electrical activation and local wall motion. The utilization of novel technologies to better characterize cardiac electromechanical behavior may lead to improved response rates with cardiac resynchronization therapy (CRT). Electromechanical wave imaging (EWI) is a noninvasive ultrasound-based technique that uses the transient deformations of the myocardium to track the intrinsic EW that precedes myocardial contraction. In this paper, we investigate the performance and reproducibility of EWI in the assessment of HF patients and CRT. Methods EWI acquisitions were obtained in five healthy controls and 16 HF patients with and without CRT pacing. Responders (n = 8) and nonresponders (n = 8) to CRT were identified retrospectively on the basis of left ventricular (LV) reverse remodeling. Electromechanical activation maps were obtained in all patients and used to compute a quantitative parameter describing the mean LV lateral wall activation time (LWAT). Results Mean LWAT was increased by 52.1 ms in HF patients in native rhythm compared to controls (P < 0.01). For all HF patients, CRT pacing initiated a different electromechanical activation sequence. Responders exhibited a 56.4-ms ± 28.9-ms reduction in LWAT with CRT pacing (P < 0.01), while nonresponders showed no significant change. Conclusion In this initial feasibility study, EWI was capable of characterizing local cardiac electromechanical behavior as it pertains to HF and CRT response. Activation sequences obtained with EWI allow for quantification of LV lateral wall electromechanical activation, thus providing a novel method for CRT assessment. [ABSTRACT FROM AUTHOR]

In 1913 Jung made a trip to New York which was to have an important impact on the creation of modern American culture. At the invitation of Beatrice Hinkle, the first Jungian analyst in the country, he spoke to the Liberal Club, a forum for discussing progressive topics. Jung was the leading spokesman for psychoanalysis and his ideas about creative fantasy resonated with popular interest in the ideas of William James and Henri Bergson. This paper will document that visit and the influence that Hinkle had on the young people who had gravitated to Greenwich Village. She promoted Jungian psychology through her analytical practice and her translation of Jung's Wandlungen und Symbole der Libido as Psychology of the Unconscious. Her influence is evident in four key neighbourhood institutions: The Masses, a socialist magazine, The Seven Arts, an avant-garde literary magazine, the Provincetown Players theatre ensemble, and the Heterodoxy Club, America's first feminist group. Her influence is also evident at The New School where several pioneering anthropologists employed the theory of psychological types as a tool for understanding social behaviour. This paper will demonstrate that a cultural moment usually seen through a Freudian lens had, in fact, a remarkably Jungian character. [ABSTRACT FROM AUTHOR]

This paper documents the results of a twelve-year tracking study of New York State (NYS) manufacturers of scientific instruments (1994–2005). The main goal of the tracking exercise was to probe for firm-level changes in the use of external producer services, notably in technical fields such as industrial design, contract research, and engineering. Another goal was to assess the extent to which these outside inputs have been contributing to the product innovation efforts of users. The results show that innovation and service utilization rates have converged across NYS's three major regions (i.e., Western New York, Upstate/Central, and the New York City metropolitan area). This convergence has been powered by Internet-based technologies, as well as by strategic management change at the company level. The link between recourse to external technical help and successful innovation is found to be statistically stronger in 2005 than it was twelve years ago. Of special importance is the fact that a growing number of manufacturers have been outsourcing research, design, and product development activities at levels that far exceed those reported in the 1990s. The paper concludes with a brief discussion of the implications of these trends for the geography of innovation within high-technology sectors. [ABSTRACT FROM AUTHOR]

This paper, based on dissertation fieldwork among Mexican migrant organizations in New York, examines differing modes of mobilization in two Bronx parish-based voluntary associations. Even though the Mexican community in New York is consistently described as “new”, “young” and its migration as “recent”, there are some migrants who arrived decades ago, in the early 1980s, whose children and grandchildren have been born in the United States and whose experiences are quite different than those of newer migrants. Nonetheless, the network of fraternal societies founded on Guadalupan devotion which together comprises the largest and most visible Mexican organization in the city assumes commonalty of experiences, identity, faith and needs, based on the premise, “We are all undocumented”. In this paper I will unpack that “we” using ethnographic data from two Bronx parish Guadalupan committees to examine how a collective we is produced, contested, and complicated through time. What are the implications for the organizational strategies of the city-wide association if some of the most established activists are no longer undocumented? What kinds of tensions exist within a community imagined to be unified but constantly faced with class and ethnic differences? These organizations posit a “citizenship” premised on all human beings sharing the same mother, the Virgin of Guadalupe, and ensuring the dignity and rights of all, irrespective of migratory status or nationality. What does it mean when some involved in the production of this discourse “regularize” their migratory status and are no longer in need of an alternative mode of citizenship? How effective will assertions of Mexican national identity linked to Guadalupan devotion be among second-generation youths who are US citizens and have possibly never seen Mexico? What happens when activists begin to say “I was an immigrant”? [ABSTRACT FROM AUTHOR]

Some complex geographic events are associated with multiple point locations. Such events include, but are not limited to, those describing linkages between and among places. The term multi-location event is used in the paper to refer to these geographical phenomena. Through formalization of the multi-location event problem, this paper situates the analysis of multi-location events within the broad context of point pattern analysis techniques. Two alternative approaches (vector autocorrelation analysis and cluster correspondence analysis) to the spatial dependence of paired-location events (i.e., two-location events) are explored, with a discussion of their appropriateness to general multi-location event problems. The research proposes a framework of cluster correspondence analysis for the detection of local non-stationarities in the spatial process generating multi-location events. A new algorithm for local analysis of cluster correspondence is proposed. It is implemented on a large-scale dataset of vehicle theft and recovery location pairs in Buffalo, New York. [ABSTRACT FROM AUTHOR]

This paper examines how certain cultural arguments gain the authority necessary to explain the social problem of domestic violence. I begin by demonstrating the existence of competing explanations for the question of why abusive relationships continue. I find that a certain kind of explanation, multiple victimization arguments that emphasize the numerous ways battered women are victimized, are most common. Through an analysis of social science citations, news papers, and legislative and judicial decisions, I conclude that one multiple victimization argument in particular, Lenore Walker's battered woman syndrome (Walker, 1979, The Battered Woman. New York: Harper & Row; Walker, 1984, The Battered Woman Syndrome. New York: Springer), has become the most recognized explanation for why abusive relationships continue. The syndrome was best able to meet the criteria necessary for gaining cultural authority put forth by Schudson (1989, Theory and Society 18:153–180): retrievability, rhetorical force, resonance, resolution, and institutional retention. In recent years, however, this authority has been threatened as social and cultural conditions have changed, leaving competing understandings of the domestic violence issue to challenge Walker's claims. [ABSTRACT FROM AUTHOR]

When the Occupy Wall Street movement burst on to the political scene in 2011 an analysis developed by the Lacanian theorist Slavoj Žižek (and others) became a critical lens by which to understand the events. Yet this was not the first instance of widespread dissent in the United States to follow from the crisis of 2008. In 2009, the Tea Party Movement had emerged as a major agent of dissent. In this paper, we seek to apply Žižek's analysis to the Tea Party Movement and, in so doing, point to the relative merits and limitations of such an approach. Copyright © 2015 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

This paper examines one aspect of child-care arrangements that has been largely ignored by previous research: that most day care is relatively temporary, changing often over the course of a few years. The data come from a four-year longitudinal study of a representative sample of New York City mothers of preschool children. The findings indicate that most mothers change care arrangements frequently. Substitution of group day care and multiple care arrangements for care by relatives was the most common pattern found. The paper discusses some of the implications of these frequent changes in day care for women's employment. [ABSTRACT FROM AUTHOR]

Two papers have appeared in the literature recently reporting the use of the Severity of Opiate Dependence Questionnaire (SODQ) with American and British samples of opiate addicts. This paper presents the findings of a third study. The SODQ was completed by a further 126 subjects attending the original New York Clinic and the results largely confirmed our earlier findings: first the four main sections of the SODQ each give a strong first factor and secondly when these are combined a strong overall factor emerges. These results are again at variance with those found in the British sample and possible reasons briefly discussed. [ABSTRACT FROM AUTHOR]

Global climate warming is predicted to lead to global and regional changes in the distribution of organisms. One influential approach to test this prediction using temporally repeated mapping surveys of organisms was suggested in a seminal paper by Thomas & Lennon (1999, Nature). The Thomas & Lennon approach corrects observed changes in the range margin for changes in the range size, and thus potentially controls for other broad-scale environmental changes between surveys, however the approach does not necessarily account for potential biases in sampling effort. To verify whether the issue of variation in sampling effort affects empirical estimates of shifts in range margin, we reanalyzed all three published studies exploring range margin changes of breeding birds in Great Britain ( GB), Finland, and New York State ( NY). Accounting for changes in survey effort on range margins lowered the estimated shift for breeding birds in New York, but the shift remained statistically significant. For Great Britain and Finland, for which no direct estimate of survey effort is available, we used species richness (a strong correlate of survey effort in New York) as a proxy and found that in both cases the estimated shift in range margin was significantly reduced and became nonsignificant. To understand how robust the approach is to sampling biases, we use a simulation model to show that the Thomas & Lennon approach is, under certain conditions, sensitive to changes in detection probability (probability to detect true occupancy) which in turn may be affected by changes in surveying effort between surveys. We thus found evidence that temporal changes in the distribution of breeding birds based on repeated mapping surveys may be inflated by changes in survey effort along range boundaries. We discuss possible approaches to deal with this issue in the analysis and design of national or regional surveys. [ABSTRACT FROM AUTHOR]

Ahrental access tunnel at the Brenner broken through / Zufahrtstunnel Ahrental am Brenner durchgeschlagen S10 - Start of the Neumarkt Tunnel / S10 - Tunnelanschlag Neumarkt Alpine completes the first underground tunnel for the Singapore Downtown Line / Alpine stellt ersten U-Bahn Tunnel der Singapur Downtown Line fertig German Railways DB awards Albaufstieg tunnels / Deutsche Bahn vergibt Tunnelbauwerke des Albaufstiegs Hochtief extends the subway in New York / Hochtief erweitert die U-Bahn in New York Crossrail TBMs for the east section to start soon / Crossrail-TBMs für den Ostabschnitt vor dem Start Works acceptance for Danzig TBM / Werksabnahme für Danziger TBM Call for papers - Themes for the next issues of Geomechanics and Tunnelling / Themen für die nächsten Ausgaben der 'Geomechanics and Tunnelling' [ABSTRACT FROM AUTHOR]

Although the scholarship on social capital and immigrant economic incorporation has sufficiently documented how immigrants mobilize social capital in their search for employment which often leads to the formation of immigrant niches, how social capital is processed after immigrants acquire employment and its significance for the preservation of immigrant employment niches is less well explored. This paper addresses this gap in the literature with a case study of immigrant Punjabi taxi drivers in the New York metropolitan area. In particular, this study shows how a group of immigrant Punjabi taxi drivers mobilized social capital via embeddedness in co-ethnic social networks and improved their working conditions - a process that must be considered in explanations of the Punjabi niche in the taxi industry for more than two decades. The study has implications for the relationship between social capital and the structure of the workplace or industry where immigrants are incorporated and its subsequent impact on immigrant economic trajectories. Further, this study contributes to the debate on the usefulness of ethnic communities for the adaptation of immigrant groups. Additionally, this research is relevant to the scholarship on the economic adaptation of South Asian (a subset of Asian Americans) immigrants, an understudied immigrant group in the United States. [ABSTRACT FROM AUTHOR]

Objective To assess whether preschoolers with attention-deficit/hyperactivity disorder (ADHD) behave differently during mother-child interaction tasks as a function of task palatability and whether differences are associated with the presence of comorbid oppositional defiant disorder (ODD). Methods Typically developing, ADHD, and ADHD + ODD children and their mothers participated in digitally recorded interactions, which included three 5-min tasks, differing in level of palatability/engagement and parental structure (Free Play Task = highly engaging, not structured; Paper and Pencil Task = not engaging, highly structured; Duplo Task = highly engaging, structured). Results Mixed ANOVAs revealed that positive engagement, but not structure, differentially improved the behaviour of children with ADHD + ODD. Discussion Although ADHD and ODD are associated with more negative behaviours during the mother-child interaction, those with comorbid ADHD + ODD exhibit differentially greater impairment during relatively boring tasks. Implications for treatment are discussed. Copyright © 2011 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Habitat restoration is costly and it is often necessary to justify the costs with evidence of benefits to society. These benefits are difficult to quantify because they are measured in terms of ecosystem services rather than currency. This paper introduces a somewhat novel restoration-related ecosystem service, a reduction in the risk of tick-borne disease, and incorporates it into a cost/benefit analysis of the restoration of a rare habitat. We use a cost-of-illness study to calculate the costs averted by preventing Lyme disease (LD), and a contingent-valuation survey to estimate the benefit of biodiversity protection. The restoration, removal of an invasive tree, reduced the risk of LD by approximately 98%. Cost-of-illness studies show that the restoration would be financially justifiable if it averted 75 cases of LD per year. Given the local LD rate and the visitation rate to the preserve, the habitat restoration can plausibly be justified solely on the benefit of LD cases averted. However, as we do not know how many cases of LD are contracted in the preserve, we also establish the perceived value of protecting biodiversity in a contingent-valuation survey. Results show that residents were willing to pay a significant fraction of the net cost of restoration to protect biodiversity. When these benefits are taken into account, the number of cases of disease that must be averted to justify remediation is reduced. This exercise spotlights an underappreciated ecosystem service that, when appropriate, can help establish the cost effectiveness of restoration. [ABSTRACT FROM AUTHOR]

This paper analyzes an urban space that functions, it is argued, as the commons in the neoliberal city. The space of community gardens in New York City is 'unpacked' according to three Lefebvrian moments of space: the material space, representations of space, and the lived space. Engaging alternative conceptualizations of social relations in the urban space, it complicates and explicates the notion of the commons and its actually existing manifestations. [ABSTRACT FROM AUTHOR]

It is well recognized that an interdisciplinary approach is essential in the development and implementation of solutions to address the current pediatric obesity epidemic. In two half-day meetings that included workshops and focus groups, faculty from diverse fields identified critically important research challenges, and gaps to childhood obesity prevention. The purpose of this white paper is to describe the iterative, interdisciplinary process that unfolded in an academic health center setting with a specific focus on underrepresented minority groups of Black and Hispanic communities, and to summarize the research challenges and gaps related to pediatric obesity that were identified in the process. Although the research challenges and gaps were developed in the context of an urban setting including high-risk populations (the northern Manhattan communities of Washington Heights, Inwood, and Harlem), many of the issues raised are broadly applicable. The processes by which the group identified research gaps and methodological challenges that impede a better understanding of how to prevent and treat obesity in children has resulted in an increase in research and community outreach collaborations and interdisciplinary pursuit of funding opportunities across units within the academic health center and overall university. Clin Trans Sci 2010; Volume 3: 172–177 [ABSTRACT FROM AUTHOR]

Objective: The objective of this paper is to report the implementation and assessment of the Comskil Training Curriculum at Memorial Sloan-Kettering Cancer Center. Method: Twenty-eight attending physicians and surgeons participated in communication skills training modules as part of a train-the-trainer program. Doctors were video recorded in clinical consultations with patients two times before training and two times after training, resulting in 112 video recordings for analysis. Recordings were coded using the Comskil Coding System. Results: Communication skills related to two of the six major skill sets, Establishing the Consultation Framework and Checking, increased following training. Limited changes emerged in three skill sets, while one skill set, Shared Decision Making, did not change. Doctors who attended more training modules had higher levels of change. Female participants demonstrated three skills more frequently than males post-training. Conclusions: The intervention produced significant communication skills uptake in a group of experienced attending clinicians, mediated by the amount of training. Future research should focus on the dose of training necessary to achieve skills uptake and the effect of skills training on patient outcomes. Copyright © 2009 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

This paper explores the hybridized realities of European, Native American and Afro-Caribbean/Afro-American residents of Sylvester Manor, New York and Constant Plantation, Barbados during the seventeenth century. It draws on archaeological and landscape evidence from two plantations that were owned and operated by different members of the same family during the seventeenth century. One of plantations, known as Sylvester Manor, encompassed all 8,000 acres of Shelter Island, New York. It was established in 1652 primarily to help in the provisioning of two large sugar plantations on Barbados, Constant and Carmichael plantations. Sylvester Manor was operated by Nathaniel Sylvester; an Englishman who spent the first twenty years of life living in Amsterdam where his father was a merchant. Constant and Carmichael plantations were operated by his brother Constant Sylvester. Both the Barbados and New York plantations relied upon a labor force of enslaved Afro-Caribbean's. Archaeological evidence from Sylvester Manor has also revealed that Native American laborers played a prominent role in the daily activities of this northern plantation. Material and landscape evidence reveal the construction of hybridized identities that in the case of Barbados, are still part of the fabric of a postcolonial reality. Evidence from Sylvester Manor provides detailed insights into the construction of hybridized identities under the exigencies of a plantation economy whose global connections are dramatically visible in the archaeological record. [ABSTRACT FROM AUTHOR]

This paper argues that a group of white residents on the Lower East Side of Manhattan use a New York City English (NYCE) feature – non-rhoticity in the syllable coda – in the construction of a place identity, one aspect of identity tied to localness and authenticity. A quantitative analysis confirms that the change in progress towards rhoticity in NYCE ( Labov 1966 ) continues to advance slowly, so that non-rhoticity remains a resource for New Yorkers, imbued with local social meaning. Ethnographic observation of the Lower East Side reveals conflict among residents, which motivates one group to highlight their place identity by using non-rhoticity. These Lower East Siders utilize micro-variation of /r/ in stretches of interview talk, increasing non-rhoticity when discussing neighborhood topics. Results support a social practice approach to stylistic and sociolinguistic variation, where Lower East Siders use /r/ in constructing a place identity in order to present themselves as authentic neighborhood residents. [ABSTRACT FROM AUTHOR]

Aims and objectives. To describe and analyse the nurses’ role in responding to the influenza epidemic in New York City in 1918. Background. Today the world is facing the threat of pandemic avian influenza and there is renewed interest in lessons learned from the influenza pandemic of 1918, one of the deadliest disease outbreaks recorded in history. Much of the published history has been written from a medical or military perspective. No comprehensive account of nursing’s role has been written. Design. A social history framework was used. Methods. Traditional historical methods were used for data collection, data immersion, the development of a chronology and themes. Critical analysis of social, political and economic context was also done. Primary sources included the Lillian D. Wald papers at the New York Public Library, newspapers, journal articles and other archival data. Results. In 1918, New York City nurses provided care to thousands of patients. They did so with minimal federal support, relying on local community agencies to establish makeshift hospitals and provide soup kitchens. The Henry Street Visiting Nurses, assisted by numerous social agencies and Red Cross volunteers, visited patients in their homes and provided them with the only treatment there was: nursing care. Conclusions. In 1918, immediate cooperation among a previously established network of nursing and other social organisations and prompt cooperation with the American Red Cross and the United States Public Health Service was essential to New York City’s response to the crisis. Relevance to clinical practice. Should an influenza pandemic occur today, as many as a billion people could fall ill. Shortages of antiviral drugs, the speed with which the pandemic could occur and its widespread effects are such that nursing, public health and medical professionals will need to rely on local personnel and supplies. Immediate cooperation and collaboration among federal, state and local organizations will be essential to the response. [ABSTRACT FROM AUTHOR]

Nitrate-nitrogen (NO3-N) concentrations in stream water often respond uniquely to changes in inter-annual conditions (e.g., biological N uptake and precipitation) in individual catchments. In this paper, we assess (1) how the spatial distribution of NO3-N concentrations varies across a dense network of nonnested catchments and (2) how relationships between multiple landscape factors [within whole catchments and hydrologically sensitive areas (HSAs) of the catchments] and stream NO3-N are expressed under a variety of annual conditions. Stream NO3-N data were collected during two synoptic sampling events across >55 tributaries and two synoptic sampling periods with >11 tributaries during summer low flow periods. Sample tributaries drain mixed land cover watersheds ranging in size from 0.150 to 312 km2 and outlet directly to Cayuga Lake, New York. Changes in NO3-N concentration ratios between each sampling event suggest a high degree of spatial heterogeneity in catchment response across the Cayuga Lake Watershed, ranging from 0.230 to 61.4. Variations in NO3-N concentrations within each of the large synoptic sampling events were also high, ranging from 0.040 to 8.7 mg NO3-N/l (March) and 0.090 to 15.5 mg NO3-N/l (October). Although Pearson correlation coefficients suggest that this variability is related to multiple landscape factors during all four sampling events, partial correlations suggest percentage of row crops in the catchments as the only similar factor in March and October and catchment area as the only factor during summer low flows. Further, the strength of the relationships is typically lower in the HSAs of catchment. Advancing current understanding of such variations and relationships to landscape factors across multiple catchments – and under a variety of biogeochemical and hydrological conditions – is important, as (1) nitrate continues to be employed as an indicator of regional aquatic ecosystem health and services and (2) a unified framework approach for understanding individual catchment processes is a rapidly evolving focus for catchment-based science and management. [ABSTRACT FROM AUTHOR]

This paper investigates the translation styles of court interpreters in New York City and the styles' social and pragmatic implications for multilingual interactions in court. Interpreters are found to vary between using first or third person to represent the voice of a translated source speaker, thereby varying between adherence to explicit institutional norms that require first person and accommodation to non-professional interpreting practices that favor the use of reported speech. In a quantitative and qualitative analysis, this variation is shown to be influenced by several pragmatic and social factors, and to index the interpreters' stances towards source speakers and towards the immigrant court users who are the recipients of translations from English. It is argued that translation styles have profound consequences for limited English speakers, as the insistence on institutional norms in translating to them is viewed as a gatekeeping behavior that may impede their full participation in the proceedings. [ABSTRACT FROM AUTHOR]

The use of emergency backup and storage facilities to supplement existing facilities in response to the potential effects of various natural and anthropogenic hazards (e.g., floods, fires, outages, and acts of malice) can be an effective way of reducing vulnerability and enhancing the resilience of supply chain and other logistics functions. Although there can be additional costs associated with utilizing emergency backup and storage facilities, they can be a particularly attractive and cost-effective alternative in those cases where long-term disruptions can, or should, be expected. In this paper we use set cover location modeling as a decision to determine the number of backup facilities to locate under varying cover, anticover, and complementary anticover distances. We then add the flexibility of allowing existing facilities to serve as backup facilities and explore the interrelationships among hazards, vulnerability, and location. Finally, these model formulations are applied to an example data set over 900 cities and towns in New England and New York. [ABSTRACT FROM AUTHOR]

In the aftermath of the New York World Trade Center attack, an emergent group of citizen volunteers organized to provide needed supplies to the workers at Ground Zero. The emergent-group phenomenon has been documented after many disasters. This paper examines the organization of this emergent group through the organizational characteristics of structure, legitimacy, communications, leadership and organizational change. Finally, it argues that through a better understanding of the organizational characteristics, emergency-management personnel will be better prepared to manage and coordinate the activities of disaster-related emergent groups. [ABSTRACT FROM AUTHOR]

Developing community capacity to improve health is a cornerstone of community-based public health. The concept of community capacity reflects numerous facets and dimensions of community life and can have different meanings in different contexts. This paper explores how members of one community identify and interpret key aspects of their community’s capacity to limit the availability and use of tobacco products. Particular attention is given to examining the interrelationship between various dimensions of community capacity in order to better understand the processes by which communities are able to mobilize for social change. The study is based on qualitative analysis of 19 in-depth interviews with key informants representing a variety of community sectors in Harlem, New York City. Findings indicate that the community is viewed as rich in human and social resources. A strong sense of community identity and connectedness underlies this reserve and serves as a catalyst for action. [ABSTRACT FROM AUTHOR]

Positional error is the error produced by the discrepancy between reference and recorded locations. In urban landscapes, locations typically are obtained from global positioning systems or geocoding software. Although these technologies have improved the locational accuracy of georeferenced data, they are not error free. This error affects results of any spatial statistical analysis performed with a georeferenced dataset. In this paper we discuss the properties of positional error in an address matching exercise and the allocation of point locations to census geography units. We focus on the error's spatial structure, and more particularly on impacts of error propagation in spatial regression analysis. For this purpose we use two geocoding sources, we briefly describe the magnitude and the nature of their discrepancies, and we evaluate the consequences that this type of locational error has on a spatial regression analysis of pediatric blood lead data for Syracuse, NY. Our findings include: (1) the confirmation of the recurrence of spatial clustering in positional error at various geographic resolutions; and, (2) the identification of a noticeable but not shockingly large impact from positional error propagation in spatial auto-binomial regression analysis results for the dataset analyzed. [ABSTRACT FROM AUTHOR]