Search

This study’s main objective is to assess the relative importance of fiscal and monetary policies on the Asia-Pacific Economies. We have empirically investigated both the original St. Louis equation and its expanded version to study the comparative relevance of one over the other. Our empirical results indicate that both monetary and fiscal policies are essential in promoting economic growth. In both models, monetary policy is more effective than fiscal policy. In the expanded St. Louis model, exports, exchange rate and inflation variables substantially impact gross domestic product than the conventional monetary and fiscal measures.

Access to and use of parks is associated with physical activity participation. Our Voice is a systematic method blending community-based participatory research (CBPR) and citizen science. As part of a comprehensive, mixed-methods study in St. Louis, Missouri (PARCS), we tested the feasibility of the Our Voice method for gathering community input on the barriers to and facilitators of accessibility and use of large metropolitan parks, by describing the implementation of the Our Voice method among recreational and commuter users of a large metropolitan park in St. Louis, MO. Due to challenges posed by COVID-19, the Our Voice methodology was adapted for remote participation. Twenty-three citizen scientists (14 recreational park users and 9 commuters) collected and analyzed geolocated route, photo, and audio or text data on facilitators and barriers to park use and access. They identified 6 priority themes and 12 solution ideas, and presented them to stakeholders. In contrast to previous Our Voice studies, separate user groups (recreation and commuter users) independently prioritized many of the same themes. Adaptation of the Our Voice protocol to virtual practices during COVID-19 revealed positive implications for cost, reach, and scale of studies grounded in CBPR and citizen science. We provide a set of recommended practices for using Our Voice as a method to evaluate and promote equity of access and use of metropolitan parks.

CONTEXT St Louis City has been demolishing vacant buildings at an increasing rate. Demolition can cause lead dust spread, and childhood lead exposure can have negative effects on cognition, growth, and development. Previous studies show an association between exposure to multiple demolitions and elevated blood lead levels (EBLLs) in children, but St Louis City does not monitor the effects of demolitions on children's blood lead levels. OBJECTIVES The purpose of this study was to measure the association between exposure to demolitions and EBLLs in children younger than 6 years in St Louis City from 2017 to 2020. DESIGN/SETTING/PARTICIPANTS We analyzed blood lead testing data for children 0 to 72 months of age (n = 22 192) and proximity to demolitions. Exposure was the presence of demolitions within 400 ft of a child's address in the 33 days before their first lead test. MAIN OUTCOME MEASURE We used logistic regression to test the association between proximity to demolition and EBLLs (≥5 µg/dL). RESULTS The percentage of children living in proximity to 1 or more demolitions was slightly higher among those with EBLLs (n = 21; 1.3%) than among those without EBLLs (n = 250; 1.2%). However, after adjusting for age, sex, year home was built, season, neighborhood socioeconomic percentile, and neighborhood racial composition, the odds of EBLLs were not significantly different for children exposed to 1 or more demolitions (OR = 0.82; 95% CI, 0.5-1.25) compared with exposed to zero demolitions. CONCLUSIONS Although this study found no association between exposure to demolitions and EBLLs, results should be interpreted with caution, given numerous limitations. Given the consequences of childhood lead exposure, it is recommended that St Louis City conduct a similar analysis on demolitions conducted after 2020 using systematically collected demolition dates. Targeted testing or soil and air monitoring could also be informative.

This article investigates the first documented performance of a Plautine comedy in Latin in the USA. In 1884, The Ladies’ Literary Society of Washington University in St. Louis, Missouri, staged Plautus’ Rudens in Latin with an all-female cast. This performance offers a unique opportunity to analyse the Society’s understanding and interpretation of Plautus’ play as well as its adaptation for the nineteenth-century stage. Furthermore, the Society provided an English translation for its academic and especially its non-academic audience, evidence of how the Society dealt with the Plautine Latin text. Based on this translation and contemporary newspaper and journal articles, this article outlines the main characteristics of the Society’s adaptation. First, this production merits scrutiny in the historical context of staging ancient Greek and Roman plays in the USA during the late-nineteenth century, since the Society followed the trend, started by Harvard University’s staging of Sophocles’ Oedipus Tyrannus in 1881, of presenting ancient plays ‘authentically’. Nevertheless, the Society seems to have staged this Roman comedy as a feminist response to Harvard’s production of a Greek tragedy. Secondly, the Society modernised Plautus’ comedy by adding strong melodramatic elements, and thirdly, it reflected the contemporary socio-cultural context by alluding to current American concerns.

Gabapentin (Neurontin) is an anti-epileptic drug that has had wide off-label prescription use since market release due to presumed negligible abuse potential. However, trends in drug misuse have demonstrated that gabapentin misuse is occurring, particularly in those with a history of opioid misuse. This is concerning, because although gabapentin has no direct ligand activity at opioid receptors, it does potentiate the analgesic effect of opioids, and concurrent use of gabapentin and opioids may increase the risk of respiratory depressive effects of opioids. This study investigates the incidence of gabapentin detected in urine samples collected for clinical drug screening purposes in a local hospital emergency department and in postmortem samples submitted by medical examiners in the St. Louis metropolitan area. The prevalence of gabapentin and co-detected drugs in both populations is contrasted, compared, and discussed. This study found that 30% of urine samples collected from patients with suspected drug intoxication presenting to SSM Health Saint Louis University Hospital, a quaternary care medical center, were positive for gabapentin, and nearly two thirds of those were also positive for oxycodone. Over a 6-month period, the incidence of gabapentin positive postmortem cases increased from 18% to 20%. Nearly all gabapentin positive postmortem cases were also positive for an opioid, the most significant being fentanyl, suggesting that gabapentin misuse may be due to its potentiating effect of opioid drug action. This study also highlights the limited utility of immunoassay-based urine drug screens.

Construction workers, especially carpenters, have a significant number of complaints about knee disorders. Thus, it is desired to identify incident cases of knee disorders and to examine the distribution of specific knee disorders. Clinically sensible algorithms were developed to investigate the medical claims data from the union health plan for car- penters in St. Louis. As a result, 4,900 incident cases of knee disorders were identified among 23,245 medical claims dur- ing 1998-2008 and the incidence rate was approximately 153 per 10,000 FTEs (Full-time equivalents). The distribution of knee disorders was 33.1% for acute, 37.1% for subacute, and 29.8% for chronic of the total cases. The majority of carpen- ters among the total incident cases were Outside Journeymen, who had a much higher percentage of osteoarthritis (32.6% of their total cases). However, it was also noteworthy that Floor Layer Journeymen were diagnosed with more bursitis (32.1%) and Outside Apprentices had a higher percentage of ACL (Anterior cruciate ligament) or PCL (Posterior cruciate ligament) sprain (13.6%) and fracture (10.9%). These results describe the characteristics of knee disorders among union carpenters and provide fundamental health outcome information for further study of knee disorders and occupational risk factors.

Starting in late May 1939, a humanitarian crisis developed when some 900 German Jews were denied the use of prearranged Cuban temporary immigration permits in the port of Havana after having arrived on board of the MS St. Louis, a luxury German liner. The event soon attracted much media attention because of its dramatic character and negotiations immediately began to find a safe haven for the stranded passengers elsewhere on the Atlantic seacoast. Eventually, after a few days, all efforts in this respect failed and the captain of the MS St. Louis, Gustav Schröder, was forced to contemplate bringing his human cargo back to Western Europe where four countries allowed the passengers to disembark. This article discusses the involvement of the Canadian government and media in this crisis, and the role that the Mackenzie-King cabinet played in denying the German Jewish refugees any hope of being welcomed in the country. Of particular interest here is the fact that the Canadian public was not well informed of the fate of the St. Louis passengers, in either official language, and that largely for this reason no serious pressure was put on the government to bring a different resolution of the crisis. À la fin du mois de mai 1939, une crise humanitaire est apparue quand quelque 900 Juifs allemands, arrivés à bord du paquebot le Saint-Louis, n’ont pu bénéficier dans le port de La Havane de permis d’immigration temporaires cubains déjà émis. L’événement n’a pas tardé à attirer beaucoup d’attention de la part des médias par son côté dramatique et des négociations ont immédiatement été lancées afin de trouver sur la côte atlantique un autre port d’accueil pour les réfugiés apatrides. Après quelques jours, le capitaine du navire, Gustav Schröder a toutefois dû se résoudre à regagner l’Europe de l’Ouest, où quatre pays ont accepté de prendre en charge les passagers. Cet article s’intéresse au rôle joué par le gouvernement et par les médias canadiens dans cette crise, et en particulier au fait qu’aucun geste concret n’ait été fait pour accueillir les réfugiés juifs au pays. L’auteur porte une attention spéciale au fait que le sort des passagers du Saint-Louis n’ait pas fait l’objet de reportages dans les journaux canadiens, dans aucune des langues officielles, et que pour cette raison le cabinet de Mackenzie-King a senti peu de pression de la part des citoyens canadiens pour trouver une résolution différente à la crise.

Since the founding of the Missouri Botanical Garden (MBG) in 1859, the emphasis on research and the distribution of research findings in botany has been, and will remain, one of the central components of the garden’s mission. Likewise, Washington University in St. Louis (WUSTL), the MBG’s partner in graduate programs since 1885, has had a continuous and similarly strong emphasis on research and the dissemination of research findings in plant science through publications. Since the beginning of this partnership, the ongoing extension of common research themes has been critical, through the early focus on traditional botanical studies (1885–1930) at the MBG, the move toward a focus on physiology and the emerging field of ecology (1930–1960), and eventually the shift to the study of biochemistry, molecular biology, and genomic studies in plant science (1960–present), primarily at WUSTL. For more than 135 years (1885–2020), this St. Louis–based collaboration has had a prominent place in the region’s rich history in plant science. In recent years, collaboration with and contributions from other St. Louis–area degree-granting institutions in the field (such as Saint Louis University [SLU] and the University of Missouri–St. Louis [UMSL]) have steadily increased. Couple this with the addition of the Donald Danforth Plant Science Center (Danforth Center) in 2000, which, like the MBG, has undertaken research and training in plant science, and you now have impressive depth and diversity within St. Louis’s plant science offerings. As a result, both organizations train students and carry out peer-reviewed research funded by the same agencies (i.e., National Institutes of Health, National Science Foundation, U.S. Department of Agriculture) as the region’s degree-granting institutions. Every year, a significant number of master’s degree and Ph.D. graduates in this consortium comprise an impressive pool of talent available for postdoctoral training, research, and teaching positions, as well as employment in government entities and private and public life science corporations. To this end, St. Louis has one of the largest concentrations of plant science Ph.D.’s in the world (with more than 1,000 such individuals residing in the region [BioSTL, 2018]), as well as a broad diversity of disciplines represented. In addition, the faculties at both the Danforth Center and MBG frequently serve as adjunct members of university departments and as advisors to graduate students, and greatly increase the breadth of topics offered in the St. Louis plant science community, particularly in areas not directly supported by the universities. Both organizations contribute to an increasingly important part of this ecosystem. Below is a short history of the relationship between the MBG and WUSTL, and how this collaboration, primarily through graduate research education, has been foundational for the St. Louis area’s impressive plant science ecosystem. This is not a detailed review of the science generated by these organizations, but rather an account of the initial events and leaders that led to the region becoming the present-day hub for plant science.

L’histoire française de Saint-Louis débute sous la dépendance de Québec par l’émergence d’un poste colonial appelé P(a)in-Cour(t). Ce premier nom a vite présenté une énigme historique aux États-Unis et embarrassé les analyses d’explications anecdotiques. Des indices reposaient cependant dans le Canada du XVIIIe siècle, d’où provenaient en majorité les pionniers de Saint-Louis. Traditionnellement négligée, l’influence de la vallée du Saint-Laurent sur celle du Mississippi s’exprime par leur parenté toponymique. Les noms P(a)in-Cour(t) et Vide-Poche, perçus comme des créations propres au Pays des Illinois, renvoient en vérité à de vieux noms de lieux laurentiens. La saillance de cette paire toponymique au Missouri a favorisé leur identification inédite dans les registres paroissiaux de Kamouraska contemporains du peuplement canadien aux Illinois. Le prolongement de cette recherche au Canada et en France apporte des données originales à la compréhension du nom P(a)in-Cour(t) et invite l’hypothèse d’origines multiples susceptibles d’avoir anciennement nourri une confusion lexicale.

Many kindergarten through grade 12 (K-12) schools offering in-person learning have adopted strategies to limit the spread of SARS-CoV-2, the virus that causes COVID-19 (1). These measures include mandating use of face masks, physical distancing in classrooms, increasing ventilation with outdoor air, identification of close contacts,* and following CDC isolation and quarantine guidance† (2). A 2-week pilot investigation was conducted to investigate occurrences of SARS-CoV-2 secondary transmission in K-12 schools in the city of Springfield, Missouri, and in St. Louis County, Missouri, during December 7-18, 2020. Schools in both locations implemented COVID-19 mitigation strategies; however, Springfield implemented a modified quarantine policy permitting student close contacts aged ≤18 years who had school-associated contact with a person with COVID-19 and met masking requirements during their exposure to continue in-person learning.§ Participating students, teachers, and staff members with COVID-19 (37) from 22 schools and their school-based close contacts (contacts) (156) were interviewed, and contacts were offered SARS-CoV-2 testing. Among 102 school-based contacts who received testing, two (2%) had positive test results indicating probable school-based SARS-CoV-2 secondary transmission. Both contacts were in Springfield and did not meet criteria to participate in the modified quarantine. In Springfield, 42 student contacts were permitted to continue in-person learning under the modified quarantine; among the 30 who were interviewed, 21 were tested, and none received a positive test result. Despite high community transmission, SARS-CoV-2 transmission in schools implementing COVID-19 mitigation strategies was lower than that in the community. Until additional data are available, K-12 schools should continue implementing CDC-recommended mitigation measures (2) and follow CDC isolation and quarantine guidance to minimize secondary transmission in schools offering in-person learning.

Dividing the City uses a newly discovered, parcel-level, record of restrictive covenants (circa 1850-1950) to document the scope, variety, location, timing, dissemination, and impact of racial restrictions in the City of St. Louis. We underscore the important differences, in their use and their impact, between new subdivision restrictions and petition-based restrictive agreements in older neighborhoods. And we establish the importance of these restrictions to both a dramatic increase in residential segregation before 1950 and the maintenance of that segregation—through public and private policies that emulated and adapted these restrictions even after the Supreme Court held them unenforceable—across the ensuing decades.

This study employs risk terrain modeling to identify the spatial correlates of aggravated assault and homicide in St. Louis, MO. We build upon the empirical literature by (1) replicating recent research examining the role of vacancy in the concentration of criminal violence and (2) examining whether the environmental correlates of violence vary between north and south St. Louis, a boundary that has long divided the city along racial and socioeconomic lines. Our results indicate that vacancy presents a strong, consistent risk for both homicide and aggravated assault and that this pattern emerges most clearly in the northern part of the city which is majority African American and has suffered chronic disinvestment. The concentration of criminal violence in South City is driven primarily by public hubs including housing, transportation, and schools. Our results underscore the importance of vacancy as a driver of the spatial concentration of violent crime and point to potential heterogeneity in risk terrain modeling results when applied to large metropolitan areas. Situational crime prevention strategies would be well served to consider such spatial contingencies as the risk factors driving violent crime are neither uniformly distributed across space nor uniform in their impact on criminal violence.

Pruitt-Igoe, in St Louis, Missouri, United States, was one of the most notorious social housing projects of the twentieth century. Charles Jencks argued opening his book The Language of Post-Modern Architecture, ‘Modern Architecture died in St Louis, Missouri on July 15, 1972 at 3.32 pm (or thereabouts) when the infamous Pruitt-Igoe scheme, or rather several of its slab blocks, were given the final coup de grâce by dynamite.’ However, the magazine Architectural Forum had heralded the project as ‘the best high apartment’ of the year in 1951. Indeed, one of its first residents in 1957 described Pruitt-Igoe as ‘like an oasis in a desert, all of this newness’. But a later resident derided the housing project as ‘Hell on Earth’ in 1967. Only eighteen years after opening, the St Louis Public Housing Authority (PHA) began demolishing Pruitt-Igoe in 1972 [1]. It remains commonly cited for the failures of modernist design and planning.

This article examines the desegregation of Major League Baseball (MLB) from a new angle. Much has been written about Jackie Robinson breaking the color barrier on the field in 1947, but lit...

An important role of postearthquake emergency management is to minimize the restoration time, which is the sum of the travel time and the response time. The travel time is the time needed to reach the affected area from the dispatch location, whereas the response time is the time required to bring the situation under control after reaching the affected area. A number of built environment variables, e.g., building collapse probability, and natural variables, e.g., flooding probability, are known to affect the restoration time. Data from St. Louis, MO, USA, are used in conjunction with a discrete-event-based simulation model to identify the statistically significant variables via an analysis of variance. The experimental results show that in order to reduce the loss of life, the volume of resources and the building collapse and flooding probabilities are significant factors that should be accounted for in the emergency-response planning for an earthquake.

East St. Louis educators provide critical counter-narratives to Jonathan Kozol’s depiction of teaching and learning in East St. Louis, Illinois in Savage Inequalities. Teachers, educators, and administrators provide a complex view of urban schooling beyond deficiency, inadequacy, and despair. Findings highlight educators’ voices as they privilege “unnamed” forms of capital (such as aspirational, navigational, social, familial, and resistant) identified by Yosso (2005) that influence their practices. Ultimately, this study provides a comprehensive and unfettered account of the meaning of teaching and learning in urban communities.

This article analyses the role of LaClede Town, a nationally lauded housing development in St Louis (USA), in metropolitan and national contests over race, segregation and urban equity from the 1960s to 1990s. Built on the site of a massive slum-clearance project, the federally supported complex gained widespread fame for its startlingly heterogeneous racial mix and ostensibly colour-blind lifestyles. As the article argues, the quasi-utopian language applied to the neighbourhood illustrates the contours and limitations of a 1960s racial liberalism that sought to overcome structural inequalities through face-to-face neighbourly contact. Yet the project's 1990s demise signals that older ideology's supersession by a newly dominant urban neoliberalism.

Urban greenspace and green infrastructure are often cited for their many ecosystem services and benefits including stormwater management. However, the localized nature and limited range of effects of these benefits and the type of greenspace and green infrastructure, make planning and placement critical components to selecting for and maximizing desired benefits. Here, the authors test a framework to demonstrate a practical approach to simultaneously manage excess stormwater and maximize distribution of ecosystem services to underserved areas using spatial analysis. St. Louis was subdivided using census block polygons and polygons identified have combined sewer systems with high aggregate annual discharge. Additionally, indicators representing social, economic, and environmental characteristics, which have demonstrated effects from greenspace, were mapped to identify spatial distribution and overlap. The analysis identified one polygon that could promote multiple desired ecosystem services, while reducing annual discharge into combined sewers, and provide these services to an underserved demographic.

Blending the tools of micro-history with historical Geographical Information Systems (GIS) permits us to chart the social networks and everyday journeys of black working-class women activists and the middle-class men with whom they came into contact in Reconstruction St. Louis. Social and spatial ties shaped the activism of St. Louis’ working-class women; mapping these ties reveals the links between everyday acts of resistance and organized efforts of African Americans to carve out a space for themselves in the restructuring city and make visible a collective activism that crossed class and racial boundaries.

Extensive USGS data tables and detailed, 1 m2 LiDAR surveys are used to determine the optimal power n that relates discharge (Q) to stage (h*) above channel bottom (ho) at 39 gauging stations on small streams in the St. Louis, Missouri area, all of which have catchments of 0.6 to 220 km2. Four different methodologies are employed to determine both n and ho: (1) optimizing linearity in a plot of Q1/nvs. local stage (hL) using USGS field measurements at each site; (2) optimizing linearity in a plot of Q1/nvs. hL using USGS rating tables at each site; (3) a mathematical inverse method applied to the same USGS rating tables; (4) use of LiDAR data on channel geometry to determine the power dependences of channel area A and hydraulic radius H on h*, combined with the Manning and rational equations to predict n. Of these methods, only methods 2 and 3 compare favorably, and these values compare poorly with Method 1 based on field data, and with method 4 based on theoretical and empirical relationships. Because Method 4 is predictive, it provides a useful alternative to methods 1–3 that are based on USGS field measurements, which are heavily weighted toward low discharges. We conclude that the apparent values of n in the USGS rating tables are systematically too low for small streams.

Current recommendations regarding the size of wide local excision (WLE) margins for Merkel cell carcinoma (MCC) are not well established. WLE and pathologic margins were respectively reviewed from 79 patients with stage I or II MCC, who underwent WLE at Washington University in St Louis from 2005 to 2019. Outcomes included local recurrence-free survival (LRFS), regional recurrence-free survival (RRFS), distant recurrence-free survival (DRFS), disease-free survival (DFS), and disease-specific survival (DSS). Thirty-two percent of patients received adjuvant radiotherapy (aRT). At 1 year, DFS was 51.3%, 71.4%, and 87.8% for patients with WLE margins

The Broken Heart of America: St. Louis and the Violent History of the United States, by Walter Johnson, is no ordinary history book. The author is also no ordinary academic. While teaching at NYU a...

This article calls attention to the saliency of secondary education within the community and its utility in constructing social categories, in order to consider how it affects linguistic variation. Older St. Louisans draw on secondary education to construct a divide between those who attended Catholic high schools and those who attended public schools. I show that speakers in a sample of older St. Louisans differ in production of thethoughtvowel based on education type. This effect is weakened in apparent time when we consider a larger sample that includes both older and younger speakers. I draw on Brubaker's (2004) view of groups as events and actions to argue that these categories were indexed only while they had a high degree of groupness, and suggest that social changes that led to diminished groupness between Catholics and Publics also resulted in the loss of a linguistic distinction between the groups. (Education, groups, Northern Cities Shift, Catholicism)*

In 1940, St. Louis Public Schools named Dr. Ruth Harris, the first African American female President of the Stowe Teachers College (now named, Harris–Stowe State University). Like many African American administrators, prior to the Brown v. Board of Education decision, Harris had to creatively find ways to acquire resources. This article is an examination of her community engagement programs for preservice teachers and the African American community. Preservice teachers were intentionally immersed in the communities they would one day teach-in while the community learned from well-known African Americans in a nurturing environment removed from the Jim Crow stigma prevalent during the time. Using the community as classrooms for preservice teachers and the campus for public service revealed one educator’s resourcefulness in teaching the marginalized.

This article revisits the 1904 St. Louis World’s Fair as a primal scene of Philippine subjection to U.S. imperialism with a queer Filipinx Midwestern sensibility. While the Filipinx-as-dogeater tro...

The Greater St. Louis “dialect island” poses interesting problems for dialect documentation, partly because Greater St. Louis is a transitional area where many overlapping linguistic influences have left their mark and because it is an area with new immigrant communities, racial divides, and an aging population. Using a sample from survey and interview data from 815 participants over a seven-year period, the authors examine lexical diversity in Greater St. Louis, comprising counties in both Missouri and Illinois. They discover that both age and place are robust indicators of lexical selection in Southern Illinois and St. Louis. Their findings provide a concurring rationale with phonologically based studies that supports the existence of a unique dialect island in Greater St. Louis.

This essay proposes a new approach to world’s fairs. Local elites, representing manufacturing, banking, transportation, merchandizing, and commercial interests, organized pre–World War I expositions to create urban settings supporting trade and cultivating innovation on a long-term basis. These stimuli came in the form of systematized infrastructure and environmental improvements, resources for training technical workforce, educating public taste, and reputation building. Most historically important, the result was to constitute the public facet of the second industrial revolution, identified on the business side with new energy sources, integration of industrial production and consumption, transportation, and institutionalization of research allied with industry based on official reports and documents.

The St. Louis Corridor extending from Chicago, Illinois to St. Louis, Missouri has been described as a “breach” through the Midlands dialect region because of the presence of Inland North features there. Most notably, features associated with the Northern Cities Shift suddenly appeared in Corridor cities in the mid-twentieth century, but they have since largely retreated. Friedman's (2014) population study has uncovered complex relationships between the Corridor's geography and this pattern of advance and retreat, and this work elaborates on that investigation through computational simulations of the Corridor's population structure. Implementing a new network-analytic population model (Kodner & Cerezo Falco, 2018), I find support for Friedman's original hypothesis that migration into cities along Route 66 imported Inland North features into the Corridor first before it spread outward to communities farther away from the route and uncover questions about the Corridor's population that merit further study.

This article traces the rise and fall of an urban land tenure system in an industrializing American city, St. Louis, alongside efforts to regulate it in the name of health. Historians of tenement reform have placed the question of accountability at the center of reformist critiques of housing conditions in 19th- and early-twentieth-century America. Few, however, have incorporated informal and temporary housing into their analyses. This article argues that these spaces were both common and vital to the rise of St. Louis’ cyclical and often transient market in unskilled labor. Reformers, operating from an antebellum-era conception of property, sought to create a system of accountability that placed the burden of healthfulness on landlords. Yet, St. Louis’ emerging labor market undermined the accountability they sought. Confronted with a crisis of housing affordability, reformers failed to question the market or look beyond property regulation alone as a means to protect health.

Restoration of a good hand function and limitation of the sequelae are the main concerns in burns treatment. The intrinsic plus position is known as the safe position for hand splinting. This article aims at describing the technique of external fixation that have been developed in Saint Louis’ Burn Center in management of burned hands during the acute phase. Since 2013, a technique of external fixation has been developed in our burn center using Hoffmann II External Fixation System from Stryker® and pins from Medicalex®. External fixation of a deep burned hand is an efficient and safe way to immobilize the hand in a correct intrinsic plus position, to secure the skin grafts to improve graft take and to permit changes of the dressings without removing the immobilization device.

The primary aim of this study is to provide an evaluation of St. Louis’ Acoustic Gunshot Detection System’s (AGDS) ability to reduce gun violence. The study design is a quasi-experimental longitudinal panel study. We measure a variety of gun-related offenses across multiple treatment and control neighborhoods using a difference-in-difference approach. Because treatment neighborhoods were added to the experiment over time, changing experimental conditions, three separate study periods were examined. Results indicate AGDS has a mixed relationship to police response time and does not significantly reduce violent crime levels in any of the study periods. We do find consistent and substantial reductions (around 30%) in citizen-initiated calls for service for shots fired, but once new calls for AGDS are added, an overall 80% increase in gunshot responses is found. Although the study is limited to one city, results indicate AGDS may be of little benefit to police agencies with a pre-existing high call volume. Our results indicate no reductions in serious violent crimes, yet AGDS increases demands on police resources.

The article contains an attempt to reconstruct the communication of two thinkers of the 20th century – Bertrand Russell (1872‒1970) and Thomas Sterns Eliot (1888‒1965). Particularly detailed is the short time span of 1914‒1917, when their communication was most intense. This reconstruction is based on letters of T.S. Eliot and letters of B. Russell, Russell’s Autobiography, as well as two bi­ographies: Ray Monk Bertrand Russell: The Spirit of Solitude (1996) and Robert Crawford Young Eliot: From St Louis to the Waste Land (2015). Some cultural features of British society in the first third of the 20th century are shown by the example of communication between these two thinkers.

BackgroundCOVID-19 has overwhelmed the US healthcare system, with over 44 million cases and over 700,000 deaths as of October 6, 2021. There is evidence that some communities are disproportionately affected. This may result in geographic disparities in COVID-19 hospitalization risk that, if identified, could guide control efforts. Therefore, the objective of this study is to investigate Zip Code Tabulation Area (ZCTA)-level geographic disparities and identify predictors of COVID-19 hospitalization risk in the St. Louis area.MethodsHospitalization data for COVID-19 and several chronic diseases were obtained from the Missouri Hospital Association. ZCTA-level data on socioeconomic and demographic factors were obtained from the US Census Bureau American Community Survey. Age-adjusted COVID-19 and several chronic disease hospitalization risks were calculated. Geographic disparities in distribution of COVID-19 age-adjusted hospitalization risk, socioeconomic and demographic factors as well as chronic disease risks were investigated using choropleth maps. Predictors of ZCTA-level COVID-19 hospitalization risks were investigated using global negative binomial and local geographically weighted negative binomial models.ResultsThere were geographic disparities of COVID-19 hospitalization risks. COVID-19 hospitalization risks were significantly higher in ZCTAs with high diabetes hospitalization risks (pConclusionsThere is evidence of geographic disparities in COVID-19 hospitalization risks that are driven by differences in socioeconomic, demographic and health-related factors. The impacts of these factors vary by geographical location with some factors being more important predictors in some locales than others. Use of both global and local models leads to a better understanding of the determinants of geographic disparities in health outcomes and utilization of health services. These findings are useful for informing health planning to identify geographic areas likely to have high numbers of individuals needing hospitalization as well as guiding vaccination efforts.