York Area Research Articles

Toward Safe and Confident Silver Drivers: Interview Study Investigating Older Adults' Driving Practices.

As the aging population in the United States continues to increase rapidly, preserving the mobility and independence of older adults becomes increasingly critical for enabling aging in place successfully. While personal vehicular transport remains a popular choice among this demographic due to its provision of independence and control over their lives, age-related changes may heighten the risk of common driving errors and diminish driving abilities. This study aims to investigate the driving practices of older adults and their efforts to maintain safe and confident driving habits. Specifically, we sought to identify the factors that positively and negatively influence older adults' driving performance and confidence, as well as the existing efforts put into sustaining their driving abilities. We recruited 20 adults aged ≥65 years who remained active drivers during the recruitment from the greater New York area. Then, we conducted semistructured interviews with them to examine their perceptions, needs, and challenges regarding safe and confident driving. Our findings uncovered a notable disparity between older adults' self-perceived driving skills and the challenges they face, particularly caused by age-related limitations and health conditions such as vision and memory declines and medication routines. Drawing on these findings, we proposed strategies to bridge this gap and empower older adults to drive safely and confidently, including fostering a realistic understanding of their capabilities, encouraging open dialogue regarding their driving, encouraging regular assessments, and increasing awareness of available resources. This study uncovered a noticeable disparity between the perceived driving competence of older adults and the actual challenges they confront while driving. This divergence underscores a significant need for better support beyond the existing aid available to preserve older adults' driving skills. We hope that our recommendations will offer valuable insights for practitioners and scholars committed to enhancing the overall well-being and quality of life for older adults as they age in their homes.

Local government perspectives on housing buyouts in New York after Hurricane Sandy

ABSTRACT Understanding government experience with hazard buyouts can enhance future efforts. We conducted a study of state and local government perspectives about buyouts after Hurricane Sandy in the New York area, including three jurisdictions that participated in buyouts and two that did not. Respondents differentiated outcomes for buyout participants, which they saw as financially beneficial, and outcomes for residents remaining, including limited open space and risk reduction benefits. The perceived benefits and drawbacks of buyouts were dependent on site and local government characteristics. Buyouts were seen as most appropriate as a last resort, in response to financial losses for homeowners. Increasing partnerships and opportunities for cross-jurisdictional learning, expanding time frames for buyout participation, and revisiting buyout costs and benefits over time could enhance buyout programmes.

Contemporary burden and trends of opioid-overdose mortality in New York State

BackgroundLimited research exists on contemporary opioid overdose mortality burden and trends in New York State, with most studies focusing on New York City. This study aimed to assess opioid overdose burden and death trends in New York State by age, sex, race/ethnicity, geographic area, opioid type, and overdose intent from 1999 to 2020. MethodsMortality data were obtained from the Centers for Disease Control and Prevention's WONDER database. Opioid overdose decedents were identified using relevant International Classification of Diseases, 10th Revision codes. Joinpoint regression analyzed trends, estimating annual and average annual percentage changes in age-adjusted mortality rates (AAMR). 95% confidence intervals were derived using the Parametric Method. ResultsFrom 1999 to 2020, New York State recorded 34,109 opioid overdose deaths (AAMR = 7.9 per 100,000 persons; 95% CI: 7.8–7.9). The overall trend increased by 12.6% per year (95% CI: 10.8, 14.4) from 2004 to 2020. Subgroups exhibited varying trends, with an 11.1% yearly increase among Non-Hispanic White persons from 2007 to 2020 (95% CI: 9.0, 13.2), a 24.6% annual rise among Non-Hispanic Black persons from 2012 to 2020 (95% CI: 17.7, 31.8), and an 18.3% increase yearly among Hispanic individuals from 2011 to 2020 (95% CI: 14.0, 22.9). Recent trends have worsened in both males and females, across all age groups, in both New York City (NYC) and areas outside NYC, and for heroin, natural and semisynthetic opioids, and synthetic opioids. ConclusionsOpioid overdose mortality in New York State has worsened significantly in the last two decades. Further research is essential to identify driving factors for targeted public health interventions.

How Did the Recent Infant Formula Shortage Affect Breastfeeding Rates in Northeast New York [ID 2683397

INTRODUCTION: To determine the effect of the recent infant formula shortage on breastfeeding rates in the northeast New York area. METHODS: This was a retrospective analysis of the Northeast New York (NENY) Regional Birth Registry database from January 2021 to June 2022. Breastfeeding rates of patients in the first 6 months of 2022 were compared to those from 2021. Maternal demographics, obstetrical history, breastfeeding, and delivery information were collected. We wanted to determine whether the recent infant formula shortage in the United States affected the breastfeeding rates. Statistical analyses were performed using STATA software (Stata/SE 12.1). A P value of <.05 was considered statistically significant. This study was approved by the IRB at Albany Medical Center. We controlled for maternal marital status, education level, ethnicity, and employment status during pregnancy in our statistical analysis. RESULTS: We identified 19,610 patients in the NENY database from January 2021 to June 2022. 170 (0.87%) were excluded from our study due to breastfeeding data not being available. The exclusive breastfeeding rate increased from 55.97% to 57.25%. However, this was not statistically significant (P<.104). The formula-only rates essentially stayed the same, 17.94% versus 17.54%. The rates of the infants who were supplemented with formula had a nonsignificant decrease from 25.23% to 24.33% (P<.185). We did a secondary analysis in which the data were excluded for those infants who were admitted to the neonatal intensive care unit and the differences were even smaller with an overall P value of 0.949. CONCLUSION: Although the recent infant formula shortage in the United States led to a slight increase in exclusive breastfeeding rates and decrease in formula feeding in a first 6 months of 2022, none of these were statistically significant. These differences were not statistically significant even after controlling for demographic factors such as marital status, race, and education level and BMI.

Patient Education and Decision Support for Long-Acting Injectable HIV Antiretroviral Therapy: Protocol for Tool Development and Pilot Testing with Ryan White HIV/AIDS Program Medical Case Management Programs in New York.

Long-acting injectable (LAI) HIV antiretroviral therapy (ART) presents a major opportunity to facilitate and sustain HIV viral suppression, thus improving health and survival among people living with HIV and reducing the risk of onward transmission. However, realizing the public health potential of LAI ART requires reaching patients who face barriers to daily oral ART adherence and thus can clinically benefit from alternative treatment modalities. Ryan White HIV/AIDS Program Part A medical case management (MCM) programs provide an array of services to address barriers to HIV care and treatment among economically and socially marginalized people living with HIV. These programs have demonstrated effectiveness in improving engagement along the continuum of care, but findings of limited program impact on durable viral suppression highlight the need to further innovate and hone strategies to support long-term ART adherence. This study aims to adapt and expand Ryan White MCM service strategies to integrate LAI ART regimen options, with the larger goal of improving health outcomes in the populations that could most benefit from alternatives to daily oral ART regimens. In 3 phases of work involving patient and provider participants, this study uses role-specific focus groups to elicit perceptions of LAI versus daily oral ART; discrete choice experiment (DCE) surveys to quantify preferences for different ART delivery options and related supports; and a nonrandomized trial to assess the implementation and utility of newly developed tools at 6 partnering Ryan White HIV/AIDS Program Part A MCM programs based in urban, suburban, and semirural areas of New York. Findings from the focus groups and DCEs, as well as feedback from advisory board meetings, informed the design and selection of the tools: a patient-facing, 2-page fact sheet, including frequently asked questions and a side-by-side comparison of LAI with daily oral ART; a patient-facing informational video available on YouTube (Google Inc); and a patient-provider decision aid. Implementation outcomes, measured through provider interviews, surveys, and service reporting, will guide further specification of strategies to integrate LAI ART options into MCM program workflows. The study was funded in late April 2021 and received approval from the institutional review board in May 2021 under protocol 20-096. Focus groups were conducted in late 2021 (n=21), DCEs ran from June 2022 to January 2023 (n=378), and tools for piloting were developed by May 2023. The trial (May 2023 through January 2024) has enrolled >200 patients. This study is designed to provide evidence regarding the acceptability, feasibility, appropriateness, and utility of a package of patient-oriented tools for comparing and deciding between LAI ART and daily oral ART options. Study strengths include formative work to guide tool development, a mixed methods approach, and the testing of tools in real-world safety-net service settings. Clinicaltrials.gov NCT05833542; https://clinicaltrials.gov/study/NCT05833542. DERR1-10.2196/56892.

Young Adults at the National Epicenter of the COVID-19 Outbreak: Understanding the Impact and Future Challenges of Social Distancing on Mental Health Outcomes.

To understand the role and future implications of social distancing on mental health and substance use in young adults between the ages of 18 and 35 living in high-disease-prevalent areas of New York. Participants completed a self-administered online survey through Qualtrics. 43.9% of the sample met criteria for moderate or severe anxiety, and 53.1% of the sample met criteria for moderate to severe depression. 76.1% of the sample experienced both anxiety and depressive symptoms. Despite this, the rates of lifetime mental health diagnoses, treatment, and access to mental health services were low. Rates of depression and anxiety differed across socio-demographic variables (gender, income, sexuality, education, and insurance status). Experiencing severe symptoms of the COVID-19 virus, poor coping skills, loneliness, increased alcohol use, and sleep disturbances were linked to higher rates of depression, anxiety, or both. As the first epicenter of COVID-19 in the United States, New York represents an important location for prevention researchers to learn about how COVID-19 affected a diverse population of young adults. It is essential that researchers and practitioners proactively develop early and appropriate interventions to address the ongoing mental health crisis and also plan for future crises.

Planning and design of three USACE New York District projects

The United States Army Corps of Engineers (USACE) New York District (NYD) has had a tremendous impact on an approximately $6 billion comprehensive coastal storm risk management program in the last 10 years since Hurricane Sandy caused significant damage in the New York (NY) and New Jersey (NJ) area. There was 2013- 2014 emergency repair and restoration to existing beach nourishment and navigation projects, but also USACE NYD accomplished the planning and design for multiple coastal storm risk management projects in the NY and NJ area. Of those projects, specific coastal risk reduction features are described for the Sea Bright to Manasquan, NJ; East Rockaway Inlet to Rockaway Inlet, NY; and Montauk Point Lighthouse Stabilization, NY. The planning and design for these projects exemplifies resilience principles and planned adaptability to withstand the challenges of the dynamic coastal environment. The USACE NYD is faced with numerous challenges such as environmental restrictions, politics, real estate, sea level change, etc.; the magnitude of coastal planning, design and construction that has occurred over these past 10 years for the NYD studies and projects demonstrates the fortitude of collaboration combined with current and innovative engineering principles.

Re-purposed drive-through vaccination set-up for Mpox, New York Metropolitan Area

This report details how one large medical center in the Metropolitan New York area re-purposed a drive-through COVID-19 vaccination structure to handle a surge in Mpox cases in July 2022.Methods/Results: Simultaneous to on-going COVID -19 vaccination and testing, Mpox vaccination was rolled out in the same drive through structure. More than 1,820 Jynneos (Smallpox and Monkeypox Vaccine, Live, Non-replicating) vaccine dosages were delivered subcutaneously and then intradermally to 1,123 individuals through the open window of their vehicles, averaging 8-10 patients an hour. Five vaccine recipients suffered Mpox rash; there was no exposure among healthcare providers. Drive-through vaccination is an efficient model to be redeployed for future unexpected vaccine initiatives.

The impact of 1-star physician ratings on new patient volume.

To quantify the impact of 1-star reviews across multiple physician rating websites (PRWs) on new patient volume. Retrospective analysis of 1.12 million new patient appointments and 12,882 physician reviews from a proprietary data set from a large single-specialty practice in the New York and New Jersey area. We compiled new patient appointments scheduled and kept between January 1, 2015, and April 25, 2018, and the reviews of the practice's affiliated physicians from 10 PRWs. Assuming that reviews are read prior to appointment creation, an ordinary least squares regression model was run with a time series analysis to compare patient volume in the period immediately prior to the posting of a 1-star review with patient volume in the period immediately after a 1-star review was posted. An additional sensitivity analysis was performed at 4, 6, 8, 10, 12, 14, and 16 weeks to validate a robust effect. The majority of reviews on PRWs were overwhelmingly positive, with only 6.7% of reviews (n = 733) rating a physician with 1 star. A mean of 6.2 new patient appointments were made per half-day session. The mean new patient volume decreased 2.3% to 2.6% following a 1-star review, with effects of the 1-star review affecting patient volume for at least 16 weeks. Given the limited yet longitudinal negative impact of 1-star reviews and the growing influence of PRWs, physicians should consider the magnitude of the effect as they consider responding to bad reviews.

Varicolored Marble in the Central Metasedimentary Belt, Grenville Supergroup. I. Circumstantial Evidence of Melting

Abstract Large expanses of granulite-facies white marble occur in the Central Metasedimentary Belt of the Grenville orogen in western Quebec and in contiguous areas of eastern Ontario and New York. Locally, the white rock is transformed into “varicolored” marble, ranging from pink, orange, yellow, green, gray to blue marble, in some cases closely juxtaposed. We have dissected specimens from three target areas in western Quebec. A powerful analytical workflow including high-resolution ZEISS Atlas 5 large-area imaging was employed in combination with detailed energy-dispersive spectroscopy analyses to create digital map-like online datasets of entire samples to display the textures and characteristics in their entirety. We describe in detail the texture and mineralogy of marble specimens collected from exposures created during the construction of Autoroute 5 near Wakefield and of Autoroute 50 near Grenville-sur-la-Rouge and two specimens collected near Bryson, Quebec. At the inferred pressure and temperature and in the presence of H2O, the white marble seems to have melted. A carbonate melt, a powerful flux, can dissolve silicate wallrocks along a mutual contact. In this way, a marble-derived melt has assimilated wallrocks ranging from peridotite to granite. This melting event may have occurred more than once in the 350-million-year lifespan of the Grenville event; the thermal event associated with the Rigolet stage, during gravitational collapse of the orogen approximately one billion years ago, was the most intense. The marble samples contain no vestiges of older deformed assemblages. Whereas the varicolored marble undoubtedly is metasedimentary, a coeval influx of mantle-derived carbonatitic melt and related fluids from a subjacent complex may have caused localized metasomatism of the marble prior to and after melting.

Mind-mindedness in a high-risk sample: Differential benefits for developmental outcomes based on child maltreatment.

Mind-mindedness is associated with positive developmental outcomes. However, much of the literature uses mostly White, middle to high socioeconomic status (SES) samples despite evidence that the benefits of mind-mindedness may vary based on degree of social risk. Additionally, few studies have examined relations between mind-mindedness and language development. The current study investigates whether mind-mindedness predicts children's language development and behavioral functioning and if family history of childhood maltreatment moderates the relation of mind-mindedness to these outcomes. Participants were 98 mothers (49.0% Black, 24.5% White, 13.3% Latina, 7.2% multiracial; 81.6% low SES per Hollingshead classifications) and their children (49 boys, 49 girls) from the Rochester, New York area recruited at Time 1 (Mage = 13.34 months) and followed up twice (Mages = 27.51 [Time 2] and 39.31 months [Time 3]). Mother-child dyads participated in videotaped free play interactions at Times 1 and 2. Using transcripts of these interactions, we coded mind-mindedness at Times 1 and 2 and children's internal state language at Time 2. Mothers reported on children's behavioral functioning at Time 3. Findings revealed that Time 2 mind-mindedness predicted fewer Time 3 behavioral difficulties in children from maltreating families but did not predict behavioral difficulties in children from nonmaltreating families. Additionally, Time 1 mind-mindedness predicted children's Time 2 use of decontextualized internal state language. Findings highlight the importance of examining mind-mindedness in higher risk populations and how mind-mindedness can be leveraged as a protective factor to prevent future maladjustment in children at risk for adverse outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

GWS-Geo: A graph neural network based model for street-level IPv6 geolocation

IP geolocation is a technique for inferring geolocation of a device based on characteristics of its IP addresses such as network measurements or queryable information. Traditional IPv4 geolocation methods are often inapplicable to IPv6 networks or produce unsatisfactory results due to the imperfection of network routing and the sparsity of IPv6 addresses. To improve the accuracy of IPv6 geolocation, we proposed GWS-Geo, a street-level IPv6 geolocation model based on Graph Neural Network(GNN). Our model includes preprocessing, pre-training, an improved GraphSAGE algorithm, and hierarchical classification. In the preprocessing step, we process node features and transform them into node embeddings, and transform landmarks’ latitude and longitude coordinates into area numbers. During pretraining, we assign weights to edges between IP addresses and input node information into the improved GraphSAGE algorithm. After pruning according to edge weights, the improved GraphSAGE executes graph convolution operations. Finally, we use hierarchical classification to divide the geolocation into finer granularity to obtain the location of the target IP address. Experimental results on three datasets (covering the Tokyo, New York, and Shanghai areas) show that the median error distance is within a range of 5.53km to 9.46 km, which is close to the level of street-level accuracy. Compared to popular geolocation algorithms such as SLG, IRLD, and MLP-Geo, our model reduces the median error distance by at least 15.99% and the average error distance by at least 16.36%.

Challenges to Food Charity Resilience During the COVID-19 Pandemic

ABSTRACT The coronavirus 2019 (COVID-19) pandemic caused many significant disruptions to the food system, including the charitable food sector. Using qualitative interviewing, this research draws from the experiences of food pantry staff and volunteers during the early months of the pandemic in the greater Buffalo, New York area. Participants describe the impacts of the COVID-19 pandemic on product acquisition, distribution, and other challenges. Buffalo food charity organizations adapted to these challenges and demonstrated how diversified food supply lines, strong interorganizational relationships, and federal food assistance programs could increase food charity organizations’ resilience to emergencies like pandemics in the future.

The Swan incision: an underutilized conjunctival approach to strabismus surgery

The Swan incision is an easy-to-learn yet underutilized approach to strabismus surgery. We compare the Swan approach to the limbal and the fornix approaches and report the results of a survey of surgeons who had previously learned the technique. We distributed a survey to former fellows of the senior author (NBM) to determine which approaches to strabismus surgery they have continued to use. For comparison, we also distributed our survey to other strabismus surgeons practicing in the greater New York area. Surgeons in both groups reported using all three approaches. However, while 60% of those trained by NBM reported still utilizing the Swan approach, only 13% of other strabismus surgeons did. Those who utilize the Swan approach report employing it for both primary and secondary cases. Our survey results indicate that surgeons who employ the Swan approach as described here are satisfied with the results. The Swan incision provides an effective surgical approach to the muscles in strabismus surgery.

Quantifying the premature mortality and economic loss from wildfire-induced PM2.5 in the contiguous U.S.

Emissions from wildfires worsen air quality and can adversely impact human health. This study utilized the fire inventory from NCAR (FINN) as wildfire emissions, and performed air quality modeling of April–October 2012, 2013, and 2014 using the U.S. Environmental Protection Agency CMAQ model under two cases: with and without wildfire emissions. This study then assessed the health impacts and economic values attributable to PM2.5 from fires. Results indicated that wildfires could lead annually to 4000 cases of premature mortality in the U.S., corresponding to $36 billion losses. Regions with high concentrations of fire-induced PM2.5 were in the west (e.g., Idaho, Montana, and northern California) and Southeast (e.g., Alabama, Georgia). Metropolitan areas located near fire sources, exhibited large health burdens, such as Los Angeles (119 premature deaths, corresponding to $1.07 billion), Atlanta (76, $0.69 billion), and Houston (65, $0.58 billion). Regions in the downwind of western fires, although experiencing relatively low values of fire-induced PM2.5, showed notable health burdens due to their large population, such as metropolitan areas of New York (86, $0.78 billion), Chicago (60, $0.54 billion), and Pittsburgh (32, $0.29 billion). Results suggest that impacts from wildfires are substantial, and to mitigate these impacts, better forest management and more resilient infrastructure would be needed.

Abstract P463: E-cigarette Use and Seeking Professional Help for Depression Among Young Adults: Evidence From the VapeScan Study

Introduction: E-cigarettes (e-cigs) are the most commonly used tobacco product among youth. While cigarette use has been associated with a history of depression, research on the associations of e-cig use and depressive symptoms remains limited. While other studies have looked at the incidence of depression among e-cig users, the VapeScan study also factors in dual users who both smoke cigarettes and e-cigarettes. Hypothesis: We hypothesized that e-cig use is associated with seeking professional help for depression among young adult participants in the VapeScan Study. Methods: Participants aged 18 to 50 years were recruited from the greater New York area to participate in the VapeScan Study from May 2021 to October 2022. Participants were classified as exclusive current e-cig users (e-cig users), current e-cig and former cigarette users, current e-cig and cigarette users (dual users), or non-users of both e-cigs and cigarettes (controls); former vapers and exclusive cigarette users were excluded from the study. Participants self-reported if they had ever “seen a doctor or other health professional for depression.” Rates of professional care for depression were compared by logistic regression test. Logistic regression was used to test the association between e-cig use status and seeking professional help for depression, adjusted for age, sex, and race/ethnicity. Results: Among 147 participants, mean (SD) age was 28 (8) years, 54.42% (80 of 147) of participants were assigned female at birth, 36.73% (54 of 147) were Non-Hispanic White (ETC). There were 29 e-cig users, 42 dual users, and 76 controls. Forty-one percent of e-cig users (12 of 29) had seen a health professional for depression versus 64% (27 of 42) of dual users and 29% (22 of 76) of controls (p-value=0.0014). After adjustment, compared to controls, e-cig users were 1.66 times more likely to have sought professional care for depression (95%CI: 0.59-4.71) and dual users were 7.90 times more likely (95%CI: 2.99-20.88). Conclusions: E-cig use, and particularly dual use of e-cigs and cigarettes, was associated with having sought professional help for depression among young adults. Persons presenting with depressive symptoms should be screened for tobacco product use, and vice versa, to ensure provision of evidence-based mental health and tobacco cessation programs.

Baseline assessment of microplastics in commercially important marine bivalves from New York, U.S.A.

Microplastic (MP) contamination in bivalve mollusks has become a significant concern over the last few years. These ecologically and economically valuable species are popular seafood items for human consumption. As filter feeders, bivalves may ingest MPs in their bodies, possibly impacting their physiology and fitness. Additionally, a considerable amount of the seafood that humans consume comes from coastal areas where MP concentrations tend to be the highest. This research provides the first examination of MPs in eastern oysters (Crassostrea virginica) and hard clams (Mercenaria mercenaria) that were grown locally in coastal areas of New York, contributing to a baseline for the northeast and mid-Atlantic regions of the U.S. A total of 48 eastern oysters (n = 12 per site, at four sites) and hard clams (n = 24 per site, at two sites) were sampled in summer 2021. While MP fibers and fragments (i.e. polyethylene terephthalate, polystyrene, and polypropylene) were found in some oysters, other contaminants (e.g. indigo dye, phthalocyanine, dye 823, etc.) were found in both bivalve species. Particle composition was verified using Raman microspectroscopy. Although mean MP concentrations were low in eastern oysters (i.e. 0.008 MPs g−1 of soft tissue wet weight; 0.125 MPs ind−1) and not found in hard clams, more research is needed to assess the magnitude of contamination in these edible bivalves.

DECISION-BASED FUSION OF PANSHARPENED VHR SATELLITE IMAGES USING TWO-LEVEL ROLLING SELF-GUIDANCE FILTERING AND EDGE INFORMATION

Abstract. Pan-sharpening (PS) fuses low-resolution multispectral (LR MS) images with high-resolution panchromatic (HR PAN) bands to produce HR MS data. Current PS methods either better maintain the spectral information of MS images, or better transfer the PAN spatial details to the MS bands. In this study, we propose a decision-based fusion method that integrates two basic pan-sharpened very-high-resolution (VHR) satellite imageries taking advantage of both images simultaneously. It uses two-level rolling self-guidance filtering (RSGF) and Canny edge detection. The method is tested on Worldview (WV)-2 and WV-4 VHR satellite images on the San Fransisco and New York areas, using four PS algorithms. Results indicate that the proposed method increased the overall spectral-spatial quality of the base pan-sharpened images by 7.2% and 9.8% for the San Fransisco and New York areas, respectively. Our method therefore effectively addresses decision-level fusion of different base pan-sharpened images.

One country with two systems: The characteristics and development of higher education in the Guangdong–Hong Kong–Macau Greater Bay Area

The creation of bay areas is one way to develop economies and culture based on natural characteristics and regional connections; successful examples include the San Francisco, New York and Tokyo Bay Areas. In 2019, China established the Guangdong–Hong Kong–Macau Greater Bay Area (GBA). As a result of historical and geographical factors, the GBA is uniquely characterised by being subject to ‘one country, two systems’, ‘three customs territories’, and ‘three legal systems’. This study offered ample empirical evidence based on qualitative methods referring to in-depth interviews with academics and managers as well as publicly available policies and literature in the GBA. A thematic analysis was used to explore the context and characteristics of developing higher education (HE) in the GBA. The study emphasised that developing GBA’s HE improved its partnerships from co-operation to strategic co-ordination to resource sharing. This research contributes to HE and its governance in the GBA, a topic on which there is limited information in the extant international research literature. It is also useful to policymakers and scholars as it provides potential strategies and insights regarding the development of regional higher education.

Models for Measuring Light Pollution Risk

With the development of social economy, light pollution becomes more serious. In order to deal with double carbon policy and promote sustainable development of green economy, the reduction of light pollution has become an important task in today's society. This paper established a measurement model for evaluating the degree of light pollution (Model I) by integrating a large amount of data and principal component analysis, and applied it to four different types of areas. Combined with clustering algorithm, three strategies to solve the problem of light pollution were proposed (Model II), and the effect of each strategy on the prevention and control of light pollution was discussed. Finally, this paper applies these three measures to two different areas of Beijing and New York to get the most effective intervention strategies.