The Impact of Terrorism on Children: A Two-Year Experience

2003 ◽  
Vol 18 (3) ◽  
pp. 242-248 ◽  
Author(s):  
Yehezkel Waisman ◽  
Limor Aharonson-Daniel ◽  
Meirav Mor ◽  
Lisa Amir ◽  
Kobi Peleg
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Pediatric Population ◽  
Mass Casualty ◽  
Phase 2 ◽  
Surgical Interventions ◽  
Prehospital Phase ◽  
Hospital Resources ◽  
Triage Algorithm ◽  
The Impact

AbstractObjectives:To review and analyze the cumulative two-year, Israeli experience with medical care for children victims of terrorism during the prehospital and hospital phases.Methods:Data were collected from the: (1) Magen David Adom National Emergency Medical System Registry (prehospital phase); (2) medical records from the authors’ institutions (pediatric triage); and (3) Israel Tr auma Registry (injury characteristics and utilization of in-hospital resources). Statistical analyses were performed as appropriate.Introduction:During the recent wave of violence in Israel and the surrounding region, hundreds of children have been exposed to and injured by terrorist attacks. There is a paucity of data on the epidemiology and management of terror-related trauma in the pediatric population and its effects on the healthcare system. This study focuses on four aspects of terrorism-related injuries: (1) tending to victims in the prehospital phase; (2) triage, with a description of a modified, pediatric triage algorithm; (3) characteristics of trauma-related injuries in children; and (4) utilization of in-hospital resources.Results:During the study period, 41 mass-casualty events (MCEs) were managed by Magen David Adom. Each event involved on average, 32 regular and nine mobile intensive care unit ambulances with 93 medics, 19 paramedics, and four physicians. Evacuation time was 5–10 minutes in urban areas and 15–20 minutes in rural areas. In most cases, victims were evacuated to multiple facilities. To improve efficiency and speed, the Magen David Adom introduced the use of well-trained “first-responders” and volunteer, off-duty professionals, in addition to “scoop and run” on-the-scene management. Because of differences in physiology and response between children and adults, a pediatric triage algorithm was developed using four categories instead of the usual three. Analysis of the injuries sustained by the 160 children hospitalized after these events indicates that most were caused by blasts and penetration by foreign objects. Sixty-five percent of the children had multiple injuries, and the proportion of critical to fatal injuries was high (18%). Compared to children with non-terrorism-related injuries, the terrorism-related group had a higher rate of surgical interventions, longer hospital stays, and greater needs for rehabilitation services.Conclusion:Terrorism-related injuries in children are severe and increase the demand for acute care. The modifications in the management of pedi-atric casualties from terrorism in Israel may contribute to the level of preparedness of medical and paramedical personnel to cope with future events. Further studies of other aspects of traumatic injuries, such as its short- and long-term psychological consequences, will provide a more comprehensive picture of the damage inflicted on children by acts of terrorism.

Impact of Elected Women Representatives of Panchayati Raj in Physical and Financial and Business Assets Development of Rural Women: A Study among the Rural Women’s of Tiruvannamalai District, Tamil Nadu[1]

2017 ◽  
Vol 4 (24) ◽  
Author(s):  
Kalaichelvi Sivaraman ◽  
Rengasamy Stalin
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Direct Democracy ◽  
Tamil Nadu ◽  
Local Level ◽  
Rural And Urban Areas ◽  
The Government ◽  
The Impact ◽  
Panchayati Raj

This research paper is the part of Research Project entitled “Impact of Elected Women Representatives in the Life and Livelihood of the Women in Rural Areas: With Special Reference to Tiruvannamalai District, Tamil Nadu” funded by University of Madras under UGC-UPE Scheme.The 73rd and 74th amendments of the Constitution of India were made by the government to strengthen the position of women and to create a local-level legal foundation for direct democracy for women in both rural and urban areas. The representation for women in local bodies through reservation policies amendment in Constitution of India has stimulated the political participation of women in rural areas. However, when it’s comes to the argument of whether the women reservation in Panchayati Raj helps or benefits to the life and livelihood development of women as a group? The answer is hypothetical because the studies related to the impact of women representatives of Panchayati Raj in the life and livelihood development of women was very less. Therefore, to fill the gap in existing literature, the present study was conducted among the rural women of Tiruvannamalai district to assess the impact of elected women representatives in the physical and financial and business development of the women in rural areas. The findings revealed that during the last five years because of the women representation in their village Panjayati Raj, the Physical Asset of the rural women were increased or developed moderately (55.8%) and Highly (23.4%) and the Financial and Business Asset of the rural women were increased or developed moderately (60.4%) and Highly (18.7%).

IMPACT OF DIGITAL MARKETING: THE PRESENT SCENARIO IN TELANGANA STATE – AN EMPERICAL STUDY

2021 ◽  
Vol 8 (65) ◽  
pp. 15164-15172
Author(s):  
S. Pratap ◽  
Aziz Fatima
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Digital Marketing ◽  
Rural And Remote ◽  
Remote Areas ◽  
Wide Range ◽  
Rural And Remote Areas ◽  
Telangana State ◽  
The Impact ◽  
Made In

In present scenario of COVID-19, the effect of pandemic on Digital Marketing is visible not only in urban areas but also in rural areas. Customers are searching for various products and services through Google by which they can purchase wide range of products and services to fill their needs and desires at relatively low price. The freedom to select numerous products is available by browsing various websites. Hence this study focuses on Impact of digital marketing particularly in the selected rural areas of Telangana state. This state been formed recently but in the IT sector it is receiving much attention throughout the globe, as many MNC’s are establishing their operations in this state. Therefore, an attempt has been made in this study to find out how the Impact of digital marketing is trickling down in the rural and remote areas of newly formed Telangana state. Hence this study focuses the impact of digital marketing in the selected areas of Telangana state.

Impact of adenotonsillectomy on the quality of life of patients operated on at the Hospital de Clínicas, Paraguay

2021 ◽  
pp. 1-7
Author(s):  
Carlos Mena Canata ◽  
Rebeca Noemí Ruiz Vallejos
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Rural Areas ◽  
Urban Areas ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Before And After ◽  
The Impact

The objective of this study is to determine the impact of adenotonsillectomy on the quality of life of postoperative patients.The study is observational, cross-sectional, and retrospective. The files of all postoperative adenotonsillectomy patients in Otorhinolaryngology Service, Hospital de Clínicas, San Lorenzo Paraguay. The Obstructive sleep apnea – 18 questionnaire (OSA 18) was applied, asking patients about symptoms before and after surgery. An effective sample of 143 postoperative patients was obtained. The average age was 6.05 ± 2.08 years, 55.10% (81) were male and 44.89% (66) were female, 65.30% (96) were from urban areas and 34.69% (51) from the rural areas. The t test was performed for means of two paired samples, comparing the results of the Obstructive sleep apnea – 18 questionnaire surveys before and after surgery which presented a significant difference (p <0.05) with a tendency to improve the quality of life after surgery. It has been shown that there is a significant difference, a considerable improvement in the quality of life of patients after adenotonsillectomy.

scholarly journals Modeling Charging Infrastructure Requirements to Achieve a Holistic E-Mobility Integration in Regional Energy Systems

2021 ◽  
Author(s):  
Dominik Husarek ◽  
Simon Paulus ◽  
Michael Metzger ◽  
Vjekoslav Salapic ◽  
Stefan Niessen
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Mobility Model ◽  
Residential Areas ◽  
Charging Infrastructure ◽  
Charging System ◽  
Charging Station ◽  
Grid Operators ◽  
Regional Energy Systems ◽  
The Impact

Since E-Mobility is on the rise worldwide, large Charging Infrastructure (CI) networks are required to satisfy the upcoming Charging Demand (CD). Understanding this CD with its spatial and temporal uncertainties is important for grid operators to quantify the grid impact of Electric Vehicle integration and for Charging Station (CS) operators to assess long-term CI investments. Hence, we introduce an Agent-based E-Mobility Model assessing regional CI systems with their multi-directional interactions between CSs and vehicles. A Global Sensitivity Analysis (GSA) is applied to quantify the impact of 11 technical levers on 17 relevant charging system outputs. The GSA evaluates the E-Mobility integration in terms of grid impact, economic viability of CSs and Service Quality of the deployed Charging Infrastructure (SQCI). Based on this impact assessment we derive general guidelines for E-Mobility integration into regional systems. We found, inter alia, that CI policies should aim at allocating CSs across different types of locations to utilize cross-locational effects such as CSs at public locations affecting the charging peak in residential areas by up to 18%. Additionally, while improving the highway charging network is an effective lever to increase the SQCI in urban areas, public charging is an even stronger lever in rural areas.

scholarly journals Integrated Passenger Transport System in Rural Areas – A Literature Review

2020 ◽  
Vol 32 (6) ◽  
pp. 863-873
Author(s):  
Branimir Maretić ◽  
Borna Abramović
Keyword(s):  
Literature Review ◽  
Transport System ◽  
Rural Areas ◽  
Urban Areas ◽  
Planning System ◽  
Passenger Transport ◽  
Public Transport System ◽  
Urban And Rural Areas ◽  
Set Up ◽  
The Impact

The planning and organisation of public passenger transport in rural areas is a complex process. The transport demand in rural areas is often low, which makes it hard to establish and run a financially sustainable public transport system. A solution is integrated passenger transport that eliminates deficiencies and provides benefits for all participants in the public passenger transport process. This paper describes the impact of integrated passenger transport on mobility in rural areas and critically evaluates different literature sources. Integration of passenger transport in urban areas has been described in the context of rural areas, and the challenges of integration of public passenger transport specific to rural areas have been analysed. Through the application in urban and rural areas, the planning of integrated and non-integrated passenger transport has been functionally analysed. The analysis found an increase in the degree of mobility in the areas that use integrated passenger transport compared to the non-integrated one. This research of the literature review has identified the rural areas of mobility as under-researched. The mobility research can set up a more efficient passenger transport planning system in rural areas.

scholarly journals Áhrif siðbótarinnar á Íslandi. Tilraun til jafnvægisstillingar. Fyrri grein.

Ritið ◽  
2019 ◽  
Vol 19 (1) ◽  
pp. 255-288
Author(s):  
Hjalti Hugason
Keyword(s):  
Middle Ages ◽  
Rural Areas ◽  
Urban Areas ◽  
18Th Century ◽  
Small Population ◽  
Church Culture ◽  
The Reformation ◽  
Church And Society ◽  
The Impact ◽  
The Church

n 2017 the 500th anniversary of the Lutheran Reformation was celebrated. Then there was a huge discussion about the impact of the Reformation on church, culture and society. In this article and in a second one that follows, this question will be raised, especially in Icelandic context.Here it is assumed that it is only possible to state that a change has occurred or a novelty has arised because of Lutheran influence if it can be demonstrated that the Reformation is a necessary prerequisite for the change / innovation being discussed. Here it is particularly pointed out that various changes that until now have been traced to the Reformation can have been due to the development of the central-con-trolled state power. It is also pointed out that, due to the small population, rural areas and simple social structure, various changes that occurred in urban areas did not succeed in Iceland until long after the Reformation. Such cases are interpret-ed as delayed Lutheran effects. Then, in Iceland, many changes, which were well matched to the core areas of the Reformation, did not work until the 18th century and then because of the pietism. Such cases are interpreted as derivative Lutheran effects.In Iceland two generalizations have been evident in the debate on the influence of the Lutheran Reformation. The first one emphasizes an extensive and radical changes in many areas in the Reformation period and subsequent extensive decline. It is also stated that this regression can be traced directly to the Reformation and not to other fenomenons, e.g. the development of modern, centralized state. The other one states that the Reformation was most powerful in the modernization in both the church and society in Iceland.This article focuses on the influence of the Reformation on religious and church life. Despite the fact that the Reformation has certainly had the broadest and most direct effects on this field, it is noteworthy that the church organization itself was only scarsely affected by the Reformation. After the Reformation the Icelandic church was for example almost as clergy-orientaded as in the middle Ages.

Teachers’ perceptions of ICT issues in education: an approximation by gender and region in Mexico

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Florina Guadalupe Arredondo-Trapero ◽  
José Carlos Vázquez-Parra ◽  
Martín De Jesús González-Martínez
Keyword(s):  
Information And Communication Technologies ◽  
Rural Areas ◽  
Digital Technology ◽  
Urban Areas ◽  
Well Being ◽  
Teaching Staff ◽  
Content Type ◽  
Teachers Perceptions ◽  
Validated Questionnaire ◽  
The Impact

Purpose The aim of this study is to analyse teachers’ perceptions of information and communication technologies (ICT) and the effect they have on their students, comparing male and female teachers in rural and urban areas of Mexico. Design/methodology/approach This is a quantitative study with a validated questionnaire that records the perception of school teachers from a state in the northeast of Mexico. The questionnaire was designed by interviewing 20 teachers who have had problematic situations in the use of technology by students. The main problems that were perceived in their students were cyberbullying, cyberviolence, online pornography, excessive use of videogames and also lack of ability to use digital technology. Hypothesis testing was applied to identify differences between gender (female or male) and region (rural or urban), considering these problems and the efforts made by the school to address these issues. Findings Both the gender of the teaching staff and the region where the school is located are variables that are influencing the willingness to incorporate ICT issues that are affecting the well-being of students into the educational agenda. While teachers are the main actors in preparing their students on how to face these challenges, students in schools with mostly male teachers, or located in rural areas, will be in a situation of greater vulnerability to be victims of the problems that arise as part of ICT risks in a digital society Research limitations/implications This article only offers a first approach to ICT and teachers’ perceptions. It is necessary to broaden the scope of this type of research to include different educational contexts and to ask questions that reveal in greater detail how schools are dealing with ICT and its possible risks and the factors that have influenced the successes or failures they are having in these attempts. Practical implications This finding can help schools to promote programs focused to apply ICT for student flourishment and help them to deal with the risk that digital technology is generating in young students. Originality/value Although multiple research have been conducted to address teachers’ perception about diverse topics, there has been no specific research on the self-perception of teachers in dealing with technology and preparing students for the problems presented by ICT and its risks. This research contributes to the literature on the impact that teachers’ perceptions can have on the adoption of technology in education, and how this can be different by gender and region.

ASSESSMENT OF IMMUNIZATION OF UNDER FIVE CHILDREN OF RURAL AND URBAN AREAS OF UDAIPUR DISTRICT, RAJASTHAN

2021 ◽  
pp. 5-6
Author(s):  
Ganesh Salvi ◽  
Maitri Hathi
Keyword(s):  
Economic Development ◽  
Health Education ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Groups ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Socio Economic Development ◽  
Level Of Knowledge ◽  
The Impact

Background: The impact of immunization is not uniform in different social groups till today despite of EPI since long. Current study was held to assess the level of knowledge and actual practice of immunization by mothers of under ve children in a rural and urban belt of Udaipur district. A cross sect Methods: ional study was conducted in blocks Binder, Badgav, Ladiya , Kotra, Girva and Salumber of Udaipur district. Randomly 400 families (200 urban, 200 rural) were selected. Ample health education should be given to parents residing in rural areas to rai Result and conclusion: se their knowledge regarding immunization. In rural areas anganwadi workers, ASHA etc should play a signicant role in bringing awareness about immunization and their benets. The group based approach, frequent camps would be more rewarding compared to area approach due to poor socio-economic development of marginalized group likes rural area for programmes like immunization of children.

scholarly journals The impact of the COVID-19 pandemic on the wellbeing of Irish Men’s Shed members

2020 ◽  
Author(s):  
Aisling McGrath ◽  
Niamh Murphy ◽  
Noel Richardson
Keyword(s):  
Physical Activity ◽  
Life Satisfaction ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Promotion Program ◽  
Activity Levels ◽  
Health And Wellbeing ◽  
Self Rated Health ◽  
Increased Risk ◽  
The Impact

Summary COVID-19 disproportionately affects males especially those who are older and more socio-economically disadvantaged. This study assessed wellbeing outcomes among men’s shed members (Shedders) in Ireland at baseline (T1), 3 (T2), 6 (T3) and 12 months (T4) in response to a 10-week health promotion program ‘Sheds for Life’ (SFL). Two cohorts participated in SFL commencing in March and September 2019. This study compares the T3 findings from one cohort carried out during the COVID-19 pandemic [COVID cohort (n = 185)] with T3 findings from a comparator cohort [pre-COVID cohort (n = 195)], completed pre-COVID-19. Questionnaires assessing wellbeing [life satisfaction, mental health, loneliness, physical activity (PA), self-rated health and other lifestyle measures] were analyzed in both cohorts T1, T2 and T3. Self-rated Health and life satisfaction decreased in the COVID cohort at T3 (p &lt; 0.001), while loneliness scores increased (p &lt; 0.0005). Higher loneliness scores were correlated with lower health ratings, life satisfaction and PA during COVID-19 (p &lt; 0.001). Days PA decreased in the COVID cluster at T3 from T2 (p &lt; 0.01) with those in urban areas reporting lower activity levels than rural areas (p &lt; 0.05). Those sufficiently active at baseline managed to maintain PA during COVID-19 while those not meeting guidelines were more likely to report decreases (p &lt; 0.001). Shedders experiencing COVID-19 restrictions are at an increased risk of poorer wellbeing and increased levels of loneliness. Support and guidance are needed to safely encourage this cohort back into men’s sheds, settings that protect against loneliness and positively promote health and wellbeing. Lay summary The COVID-19 pandemic will have wide-reaching implications on wellbeing, particularly on those who are older and more vulnerable. Evidence also suggests that COVID-19 disproportionately affects males. This study aimed to understand the impact that COVID-19 has had on men in the setting of Men’s Sheds in Ireland. Two cohorts of men who were participating in a 10-week health and wellbeing program (Sheds for Life) at different stages were followed over time. At 6 months follow-up the first Cohort had not experienced COVID-19 whereas the second cohort was actively experiencing the COVID-19 pandemic. We measured wellbeing using questionnaires, comparing both groups of men for differences. We found that the men who were experiencing COVID-19 had lower self-rated health, physical activity and life satisfaction as well as higher rates of loneliness, with those who were more lonely reporting lower wellbeing scores. We also found that men in rural areas were more physically active during COVID-19 and that those were not active were more likely to become more inactive during COVID-19. This study suggests that support and guidance is needed to safely encourage this cohort back into Men’s Sheds, settings that protect against loneliness and positively promote health and wellbeing.

scholarly journals Socioeconomic status and survival among older adults with dementia and depression

2014 ◽  
Vol 204 (6) ◽  
pp. 436-440 ◽  
Author(s):  
Ruoling Chen ◽  
Zhi Hu ◽  
Li Wei ◽  
Kenneth Wilson
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Urban Areas ◽  
Computer Assisted ◽  
Late Life Depression ◽  
People With Dementia ◽  
Risk Of Mortality ◽  
The Impact

BackgroundPeople from lower socioeconomic groups have a higher risk of mortality. The impact of low socioeconomic status on survival among older adults with dementia and depression remains unclear.AimsTo investigate the association between socioeconomic status and mortality in people with dementia and late-life depression in China.MethodUsing Geriatric Mental Status – Automated Geriatric Examination for Computer Assisted Taxonomy (GMS-AGECAT) we interviewed 2978 people aged ⩾60 years in Anhui, China. We characterised baseline socioeconomic status and risk factors and diagnosed 223 people with dementia and 128 with depression. All-cause mortality was followed up over 5.6 years.ResultsIndividuals with dementia living in rural areas had a three times greater risk of mortality (multivariate adjusted hazard ratio (HR) = 2.96, 95% CI 1.45–6.04) than those in urban areas, and for those with depression the HR was 4.15 (95% CI 1.59–10.83). There were similar mortality rates when comparing people with dementia with lowv.high levels of education, occupation and income, but individuals with depression with lowv.high levels had non-significant increases in mortality of 11%, 50% and 55% respectively.ConclusionsOlder adults with dementia and depression living in rural China had a significantly higher risk of mortality than urban counterparts. Interventions should be implemented in rural areas to tackle survival inequality in dementia and depression.

Sign in / Sign up

Export Citation Format

Share Document