scholarly journals Home-Based Telepsychiatry in US Urban Area

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Alireza Amirsadri ◽  
Jaclynne Burns ◽  
Albert Pizzuti ◽  
Cynthia L. Arfken

Telepsychiatry expands access to psychiatric care. However, telepsychiatry for elderly adults is only reimbursed in the US if the patient is assessed while in a clinical setting. This case study presents a homebound older woman previously hospitalized for schizophrenia who had not seen a psychiatrist in over 20 years. Care was provided with hybrid telepsychiatry (team-based practice with social worker traveling to the home with electronic tablet for connection with psychiatrist). The intervention resulted in detecting unrecognized depression and complex trauma. The treatment plan included adding an antidepressant and therapy plan, eliminating one psychiatric medication, and reducing dosage of pain medication. The outcomes were improved function and quality of life. The patient and caregiver were both highly satisfied with the services. This hybrid telepsychiatry is a reasonable option for homebound elderly patients living in urban areas and less expensive than nursing home admission.

Author(s):  
Dr. Vidhyasri M ◽  
Dr. S. M. Pasha

Introduction: This is the case report of child who was diagnosed with LCA reported with complaints of large-amplitude, slow-frequency, roving nystagmus, frequent tendency to press on his eyes, enopthalmos, with completely normal ophthalmoscopic examination with normal appearing optic nerve and retina and has a non recordable ERG; considering this condition under the lines of Vataja Nanatmaja Vyadhi treatment was structured to render effective visual rehabilitation which showed marked results. Methods: 4 years old male child who was diagnosed with lebers congenital amaurosis was brought by his parents to Eye OPD, GAMC, Bengaluru. The presentation of this case includes bibliographic review of the subject, presentation of a clinical case and description of the importance of Ayurvedic prespective of handling of these patients. Results: The child showed improvement in fixing for light and also nystagmus showed marked improvement and there were considerable behavioural changes observed. Discussion: It is important to deepen the environment of the disease to know the possible implications in Ayurvedic management, recognize the magnitude of visual disability that our patient presents for the establishment of the treatment plan and provide an integral care of excellence in an interdisciplinary way in favor of visual rehabilitation of our patients and also help to restore quality of life with no potential risks of side effects.


2015 ◽  
Vol 10 (1) ◽  
pp. 91-100
Author(s):  
Ali Bastin

The modified law of Iranian Administrative divisions has greatly altered the pattern of settlement in recent decades. The promotion of rural areas to urban areas has shifted from mere population standard to combined population-administrative standards. However, all censuses suggest that many rural areas reported as smaller than the minimum population standard have been promoted to urban areas. In the last two decades, this is a clearly prominent phenomenon in the urban system of Iran. This paper evaluates the effects and consequences of promoting small and sparsely populated rural areas to urban areas in the Bushehr province. The used methodology is analytic-descriptive using a questionnaire distributed among 380 members of the target population. Data analysis is conducted in physical, economic, social and urban servicing domains using one-sample T-test and the utility range. The results show that promotion of rural areas to urban areas has positive outcomes such as improved waste disposal system, improved quality of residential buildings, increased monitoring of the construction, increased income, prevented migration and improved health services. However, the results of utility range show that the negative consequences of this policy are more than its positive outcomes, which have been studied in detail.


2020 ◽  
Vol 12 (17) ◽  
pp. 6836
Author(s):  
Rocío Santo-Tomás Muro ◽  
Carlota Sáenz de Tejada Granados ◽  
Eva J. Rodríguez Romero

Providing conditions for health and well-being, especially for those most exposed to social and environmental inequalities, is a precondition for sustainable development. Green infrastructures in peri-urban areas have the potential to improve the quality of life of locals by fostering healthy practices, providing views, or bringing nature closer to the city. This work explores the local perception of well-being within urban green infrastructures (UGI) in the peri-urban fringe of Madrid (Spain) through a combination of qualitative methods: “go-alongs” and “semi-structured static interviews”. The grounded-theory based codification of the data using NVivo software and their subsequent analysis results in the identification of social, natural, and perceptual elements that prove to play a relevant role in locals’ perception of well-being. Among these, connectivity with other green spaces, panoramic views and place-based memories are aspects that seem to make UGI serve the community at its full potential, including perceived physical and psychological well-being. We identify in each case study both positive characteristics of UGI and dysfunctional aspects and areas of opportunity. Lastly, a methodological, geographical, and theoretical discussion is made on the relevance of the case studies and pertinence of the two interview methods as valuable tools for analysis and intervention in the peri-urban landscape.


2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Erdal Akyol ◽  
Mutlu Alkan ◽  
Ali Kaya ◽  
Suat Tasdelen ◽  
Ali Aydin

In recent years, life quality of the urban areas is a growing interest of civil engineering. Environmental quality is essential to display the position of sustainable development and asserts the corresponding countermeasures to the protection of environment. Urban environmental quality involves multidisciplinary parameters and difficulties to be analyzed. The problem is not only complex but also involves many uncertainties, and decision-making on these issues is a challenging problem which contains many parameters and alternatives inherently. Multicriteria decision analysis (MCDA) is a very prepotent technique to solve that sort of problems, and it guides the users confidence by synthesizing that information. Environmental concerns frequently contain spatial information. Spatial multicriteria decision analysis (SMCDA) that includes Geographic Information System (GIS) is efficient to tackle that type of problems. This study has employed some geographic and urbanization parameters to assess the environmental urbanization quality used by those methods. The study area has been described in five categories: very favorable, favorable, moderate, unfavorable, and very unfavorable. The results are momentous to see the current situation, and they could help to mitigate the related concerns. The study proves that the SMCDA descriptions match the environmental quality perception in the city.


2018 ◽  
Vol 121 ◽  
pp. 181-190
Author(s):  
Łukasz Koperski ◽  
Paweł Zmuda-Trzebiatowski

The paper addresses the issue of assessing the condition of the public transport stops infrastructure in urban areas. A set of eight criteria was used for the assessment. The first six criteria assess the occurrence of certain infrastructure elements categorized as: basic equipment; additional equipment; passenger information system; equipment increasing accessibility for people with disabilities; as well as equipment increasing security and safety. The other two criteria reflect the subjective assessment of the degree of destruction and visual quality of the stop. The method was used to assess 68 stops located in Poznań’s district Łazarz.


2012 ◽  
Vol 112 (1) ◽  
pp. 203-220 ◽  
Author(s):  
Mohammad Reza Rezvani ◽  
Hossain Mansourian ◽  
Mohammad Hossain Sattari
Keyword(s):  

GeoTextos ◽  
2012 ◽  
Vol 8 (1) ◽  
Author(s):  
Gabriel Salles Maria de Macedo Rego ◽  
João Luis Jesus Fernandes

O trabalho em questão analisa, segundo o prisma da Geografia, a importância do patrimônio natural em ambiente urbano. Como objetivo principal, pretende compreender a percepção que os residentes na cidade de Coimbra (Portugal) têm da natureza e do papel que o património natural pode desempenhar na qualidade de vida da cidade. Para alcançar esses objetivos, inicia-se o texto com uma reflexão teórica que percorre conceitos como a topofilia e os olhares sociais sobre o ambiente e a natureza em contexto citadino. Depois, seguem-se dois procedimentos diferentes, mas complementares: (1) Como forma de registro da presença e do estado de conservação da natureza em Coimbra e da interação entre os cidadãos e o patrimônio natural naquele espaço geográfico, fez-se uma análise de campo com a montagem de um banco de dados fotográficos que representam excertos deste território; (2) Inquéritos por meio de entrevistas, em dois bairros da cidade – Vale das Flores e Monte Formoso – privilegiando adultos com idades superiores aos 30 anos. Apesar de a pesquisa ter revelado algumas contradições entre a prática e o discurso na percepção e na relação topofílica para com as áreas verdes urbanas, concluiu-se que a presença do patrimônio natural no ambiente urbano ainda se apresenta como uma questão secundária. Contudo, também se verificou que, para reforço desta relação simbólica e/ou funcional, o patrimônio natural deve estar presente em todo o contínuo urbano e não ficar restrito aos bairros mais elitizados ou aos parques. Abstract THE CITIZENS TOPOPHILIA AND THE NATURAL URBAN PATRIMONY: COIMBRA’S CASE STUDY This paper analyzes the importance of natural patrimony in the urban environment, under the prism of geography. The main objective of this study is to understand how nature is perceived in the city of Coimbra (Portugal) and the role that green areas and natural patrimony has in the quality of urban life. To achieve these objectives, this article discusses the conceptual argument about environmental perception, topophilia and the nature in the city. For this, it was used two different procedures: (1) Field analysis on the city of Coimbra with purpose to setting up a photographic database, to verify the presence, conservation and relationship to the natural patrimony inserted in urban environment; (2) Investigation through interviews in two neighborhoods of the city – Vale das Flores and Monte Formoso. The data revealed that the perception and the topophilic relationship to urban green areas are marked by the contradiction between practice and discourse. It was concluded that the presence of natural patrimony in the urban environment still present itself as a secondary issue. Moreover, it was concluded that to strengthen this relationship symbolically and/or functionally the natural patrimony must be present throughout all the continuous urban areas and should not be restricted to elite neighborhoods or parks.


2020 ◽  
pp. 120633122091136
Author(s):  
Fernanda da Cruz MOSCARELLI

Communities living in Latin American slums present more vulnerability of diseases, high rates of infant mortality, and low life expectancy, generally as a result of the high levels of soil contamination. Furthermore, in our case study of the 4th District of Porto Alegre, the community depends on recycling materials from waste for their livelihood. In consequence, the public spaces are used as a garbage dump, accentuating health problems and making social interactions difficult. In this context, our applied research group aims to construct social spaces, improving the inhabitants’ quality of life through participative methodologies that encourage the use of the public spaces of these districts without prejudice of the economic system based on garbage. Our strategy relies on the actions and interactions of humans and the place in sub developed urban areas.


2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e11603-e11603
Author(s):  
Deepa Lalla ◽  
Melissa Brammer ◽  
Annie Guérin ◽  
Geneviève Gauthier ◽  
Philippe Giguere-Duval ◽  
...  

e11603 Background: It is unknown if quality of care received by patients (pts) with BC is impacted by the location at which care is received. Using a sample of pts with HER2+ BC receiving adjuvant trastuzumab (T), we compared T treatment patterns between pts treated in office/clinic (MD) or outpatient hospital (HOSP) settings. Methods: Non-metastaticBCadult women who received ≥2 T infusions in an MD or HOSP setting from 2008-2012 were selected from the US-based Humana database. Based on the site of care where T was received, pts were classified into MD or HOSP cohorts. Pts were followed from first T infusion date to treatment discontinuation, first metastasis, or end of continuous eligibility, for a maximum of 12 months (mos). T treatment duration, discontinuation (treatment gap of ≥45 consecutive days), and the proportion of pts completing the recommended 12 mos treatment indication were compared between cohorts. Results: 730 pts were included; 67% received T in an MD setting vs. 33% in a HOSP setting. Differences between cohorts were observed in terms of healthcare insurance plan: more pts in the HOSP setting had Medicare coverage (55.5% vs. 67.1%; p=.003). Average T duration was shorter in the HOSP setting (MD cohort: 241.9 days ; HOSP cohort: 191.3 days). Among pts observed for 12 mos, a higher proportion in the MD cohort completed the 12-mo treatment (84.3% in MD vs. 75.6% in HOSP [p=.034]). After adjusting for confounding factors, the HOSP cohort was 2.4 times more likely to discontinue treatment compared to the MD cohort ( p<.001). Conclusions: Duration of adjuvant T treatment for pts with non-metastatic HER2+ BC differed based on the site at which treatment was received. This suggests that oncology pts treated in an HOSP setting, vs. MD, may be at higher risk for treatment discontinuation or to receive a shorter course of treatment than recommended. Further research should explore the impact of these differing treatment patterns on outcomes.


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