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(Inside an Ebola isolation unit- How doctors, nurses protect themselves)
(San Francisco vs. Houston- Which is the next great American city-)
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In the 200 years or so that New York has held its rank as the nation's preeminent city, its most powerful rivals have changed. Now the stage is set for Houston and San Francisco to move into contention for the top spot, according to Joel Kotkin, writing in the Daily Beast.
  
Caring for patients with Ebola comes with very strict guidelines for hospital workers. TODAY鈥檚 Matt Lauer observed the procedures firsthand during , where health care officials successfully treated Ebola patients Dr. Kent Brantly and Nancy Writebol.
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Kotkin, an urban studies professor at Chapman University in Orange, Calif., says the United States is in the process of establishing a new pecking order.
With questions now being raised about a possible protocol breach that led to , the Liberian victim who carried the disease to Texas, here's a look at the meticulous precautions in place at Emory to treat someone infected with Ebola, or any other highly infectious disease.
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Putting on the protective gear is聽always done聽in pairs.
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San Francisco is pushing ahead due to its heavy concentration of technology companies, Kotkin said.
TODAYSuiting up can take up to 20 minutes, and partners observe each other's every move: 鈥淲e're watching each other for safety,鈥?says Emory nurse Jill Morgan.
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Two sets of gloves and boots.
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"As a lure for the ambitious, Silicon Valley and San Francisco are replacing Wall Street," Kotkin wrote. "Google alone has 1,200 employees who formerly worked for large U.S. investment banks, and migration from the Big Apple to California is now at its highest level since 2006."
TODAY"We tape our first set of gloves on," Morgan says.
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The suit also includes a helmet with a built-in fan.
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Houston, Kotkin acknowledged, "hardly qualifies as one of the most physically attractive or temperate cities." Its power lies in the fact that it controls the energy industry and is home to more than 5,000 energy-related businesses, Kotkin said.
TODAYThe fan pulls outside air through a filter 鈥渟o he鈥檚 never breathing any air from the outside room,鈥?Morgan says.<br>
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TODAY"We're trying to make sure we don't carry any of that contamination out of that room."
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Although New York is still preeminent, it is "profoundly weak" in engineering talent, ranking 78th of 85 metro areas in engineers per capita, Kotkin said.
聽Workers may stay inside the isolation room for up to four hours at a time.
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TODAY鈥淲hen we are in that room, you are all in. Eating, drinking, taking a bathroom break all wait until you can come out of that suit,鈥?Morgan says.<br>
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Houston, by contrast, ranks second in engineers per capita, he said.
A second suited-up person always observes from outside, both as a backup and to watch for any mistakes or signs of contamination.
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TODAY鈥淚f I see anything that might be dangerous for them then we're going to interrupt that behavior right away,鈥?Morgan says.<br>
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By various measures, Houston outpaces San Francisco, in Kotkin's book. The Houston area is the nation's fastest-growing, while the Bay Area population has remained essentially flat, due in large part to inflated real estate prices, he said.
Leaving the isolation unit
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TODAYThe risk for self-contamination is highest when health care workers leave the isolation room and take off their suit, Morgan said. A three- to five-minute shower body scrub always follows.聽
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Grist writer Ben Adler, however, said Kotkin was confused, if not just plain wrong.
鈥淚t鈥檚 important to keep whatever's in this room, in this room, and keep it from getting out into any part of the environment," Morgan says.<p>Related Articles:</p><ul><li><a href=http://www.louisvuitton-pascher.com>Louis Vuitton Palermo</a></li><li><a href=http://www.louisvuitton-pascher.com>Louis Vuitton Pallas</a></li><li><a href=http://www.louisvuitton-pascher.com>Louis Vuitton Rendez-Vous</a></li></ul>
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"Central to Kotkin's thesis is a logical fallacy: that people who want "single-family homes" and "human-scale neighborhoods" necessarily want suburban-style houses," Adler wrote.
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Surveys have shown, Adler said, a growing preference for living in dense, walkable cities, especially among the young.
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Another factor that Kotkin overlooks, Adler said, is the federal government's subsidy of suburban sprawl through tax policies such as the home mortgage interest deduction.
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--Carol Christian, Houston Chronicle<p>Related Articles:</p><ul><li><a href=http://www.buycelinebags.com>Celine Handbags Outlet</a></li><li><a href=http://www.buycelinebags.com/celine-new-arrivals-35>Celine Bags New Arrivals</a></li><li><a href=http://www.buycelinebags.com/celine-trapeze-bags-36>Celine Trapeze Bags</a></li></ul>

Revision as of 23:42, 31 October 2014

@@@ In the 200 years or so that New York has held its rank as the nation's preeminent city, its most powerful rivals have changed. Now the stage is set for Houston and San Francisco to move into contention for the top spot, according to Joel Kotkin, writing in the Daily Beast.

Kotkin, an urban studies professor at Chapman University in Orange, Calif., says the United States is in the process of establishing a new pecking order.

San Francisco is pushing ahead due to its heavy concentration of technology companies, Kotkin said.

"As a lure for the ambitious, Silicon Valley and San Francisco are replacing Wall Street," Kotkin wrote. "Google alone has 1,200 employees who formerly worked for large U.S. investment banks, and migration from the Big Apple to California is now at its highest level since 2006."

Houston, Kotkin acknowledged, "hardly qualifies as one of the most physically attractive or temperate cities." Its power lies in the fact that it controls the energy industry and is home to more than 5,000 energy-related businesses, Kotkin said.

Although New York is still preeminent, it is "profoundly weak" in engineering talent, ranking 78th of 85 metro areas in engineers per capita, Kotkin said.

Houston, by contrast, ranks second in engineers per capita, he said.

By various measures, Houston outpaces San Francisco, in Kotkin's book. The Houston area is the nation's fastest-growing, while the Bay Area population has remained essentially flat, due in large part to inflated real estate prices, he said.

Grist writer Ben Adler, however, said Kotkin was confused, if not just plain wrong.

"Central to Kotkin's thesis is a logical fallacy: that people who want "single-family homes" and "human-scale neighborhoods" necessarily want suburban-style houses," Adler wrote.

Surveys have shown, Adler said, a growing preference for living in dense, walkable cities, especially among the young.

Another factor that Kotkin overlooks, Adler said, is the federal government's subsidy of suburban sprawl through tax policies such as the home mortgage interest deduction.

--Carol Christian, Houston Chronicle

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