Dedicated to the acceptance, medical treatment, & legal protection of individuals in the process of correcting the misalignment of their anatomical sex, & supporting their transition into society.
St. Louis, MO, USA. Often referred to as the Gateway to the West, St. Louis is located in the central part of the United States on the western banks of the Mississippi River, just south of the confluence with the Missouri river.
The city has a population: 344,362 and is located approximately 86.5 miles from Springfield (MO) and 146.6 miles from Peoria (IL).
Both the Mississippi and Missouris River have cut large valleys with wide flood plains. The city is built primarily on bluffs and terraces that rise 100-200 feet above the river bank.
• Total area: 66.2 mi² (171.3 km²)
• Land area: 61.9 mi² (160.4 km²)
• Water area: 4.2 mi² (11.0 km² or 6.39%)
The surrounding area is a fertile and gently rolling prairie that features low hills and broad, shallow valleys.
St. Louis, MO, USA. Imagine a bunch of curious Japanese tourists stepping gingerly through the ruins of a once-grand avenue of urban America, gawking at deserted and burned-out hulks of historic buildings, wondering how a great city could have sunken so low.
Eleven years ago, Washington Avenue in St. Louis was declining rapidly, the downtown prospects grim. And the rest of the St. Louis region didn’t seem to care.
So in a 1997 series for the St. Louis Post-Dispatch, my Citistates Group coauthor Curt Johnson and I arbitrarily picked 2010 as the year foreigners might come poking through the ruins of Washington Avenue. They’d be witnessing, we suggested, the tragic end point of thhe flight from of Americans fom their once-proud cities.
The good news is how wrong we were. Reel forward (or back!) to this June 7. The yearly competition for one of the National Civic League (NCL)’s coveted All America Cities Awards is taking place in Tampa, Fla. There’s huge suspense-- which cities (out of 100 original entries) will a critical jury select to receive the coveted awards?
St. Louis makes the cut! It’s received its first All America City award since 1956. And what’s the top talking point St. Louis used to win? It’s the downtown, focus of our dire warning of 1997.
That year the “doers” of the comeback — public officials, entrepreneurs, investors, community groups — were just assembling in a group called Downtown Now! They focused heavily on restoring the city’s grand architectural legacy, tapping a landmark state historic preservation tax credit.
And the “going back to the future” strategy paid off handsomely. Richard C.D. Fleming, president of the St. Louis Regional Chamber and Growth Assn. and a leader in getting the Missouri Legislature to pass the credit explains: “The total new investment in downtown is almost $5 billion. And close to 90 percent of it is historic preservation -- great old structures rehabilitated for offices, condos and more -- not just a bunch of new megastructures.”
The downtown residential population, close to zero in 1997, is up to 10,000, and growing.
But St. Louis, for decades bedeviled by deep population loss and widely scattered suburban sprawl, also won its award by pointing to a stunning regional advance. It’s the new River Ring project, which eventually will be a 600-mile web of 45 biking trails and greenways designed to encircle and connect the entire region — a big “green” advance and also a way to help the metro St. Louis compete with other areas in environmentally-friendly outdoor life.
Just completed: a renovation of the historic McKinley Bridge across the Mississippi River, with a 6,600-foot bikeway and pedestrian way offering spectacular views of downtown St. Louis and its landmark Gateway Arch. The remade bridge will be connected in the next 12 months to a converted railway trestle going five more miles into the heart of the city.
Yet the greenway advance wouldn’t have happened unless both the Missouri and Illinois legislatures, along with the voters of St. Louis, two adjacent Missouri counties and four in Illinois hadn’t agreed in 2000 to fund a bistate regional park district to set up the interconnecting parks, trails and greenways.
But there was a third side to the St. Louis All America City award — an ingenious arts and youth breakthrough. A community-based collaborative, St. Louis Art Works, helps aspiring artists place their work in public spaces of corporations -- where it’s offered for sale. In the last two years, Art Works reached out to help inner city high school artists form a nonprofit subsidiary — the Boomerang Press — producing commissioned art.
Four of the student artists traveled with Mayor Francis Slay, CEOs and civic leaders to make St. Louis’ presentation in Tampa. One can only imagine what an amazing experience it was — only one student had ever been on an airplane before. Yet sources tell me their presence was critical to St. Louis’ victory.
And that wasn’t the end of the story. Through St. Louis-based Anheuser-Busch, the students were granted a client interview with leaders of Busch Gardens near Tampa. Result: they came home with a contract to design and provide holiday cards for Busch Gardens this year.
Several other exemplary towns won the All America City Awards, among them New Haven (CT), Akron (OH), and Aurora (CO).
But St. Louis was the only winning region. And its victory says something significant about America today: Recovered and triumphant downtowns — provided there’s visionary local leadership — are on a roll. Without the special “green” value incorporated in new parks, greenways, natural settings, no metropolitan area can draw the best talent and become truly competitive. Arts, livability are in — all the more exciting if they can be inclusive too.
Finally, it takes a whole region — cities, suburbs working as a team — to produce the most glowing results .
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I did not get the surgery to have sex. Nor did I get it for legal recognition. When I got SRS neither of those were a guaranteed matter. I signed a surgical consent form which acknowledged I might never climax again. I was in a good relationship. The legal issues were still being worked out.
Richard Smith, Editor-in-Chief, introduces Cases Journal. Dr. Smith urges all physicians to submit their case reports to the new open access Cases Journal, which publishes case reports from any area of healthcare.
Cases Journal will publish any case report that is understandable, ethical, authentic, and includes all essential information. A more selective companion, the Journal of Medical Case Reports, publishes original and interesting case reports that contribute significantly to medical knowledge. Article submissions are subject to potential publication by either journal. All reports will be entered in a common and open access database.