Evaluation of Knowledge Levels About Diabetes Foot Care and Self-Care Activities in Diabetic Individuals

Author(s):  
Damla Gökdeniz ◽  
Zümrüt Akgün Şahin

This study was conducted descriptively for the purpose of evaluating the knowledge levels concerning diabetic foot care and self-care activities in individuals with diabetes. The study was carried out with 120 patients who had applied to the internal medicine clinic and endocrine polyclinic in a public hospital in the city center of Turkey. It was determined that Diabetes Self-Care Scale (DSCS) score averages were significantly different between the patients in the age group of 56 to 65 years, who had been diagnosed diabetes for 21 years, and went to doctor every month ( P < .05). It was found that the Diabetes Foot Knowledge Questionnaire score average was 2.3 ± 1.5 (minimum = 0; maximum = 5), the DSCS score average was 76.6 ± 15.5 (minimum = 46; maximum = 124), and the FSOG score average was 55.5 ± 10.8 (minimum = 30; maximum = 74). It should be stated to the patients that an appropriate foot care in diabetes is certainly important to prevent wound development.

2019 ◽  
Vol 2 (2) ◽  
pp. 119-124
Author(s):  
I Gusti Bagus Rai Utama ◽  
Christimulia Purnama Trimurti

The Pelaga Agritourism area is dominantly visited by students, who are predominantly less than 20 years old, some of them are from the age group of 21 to 40 years. They are predominantly come from around the City of Denpasar and Badung Regency. They are interested in visiting Pelaga because a unique village tourist attraction, views of gardens and farmland, natural beauty, the beauty of the park, cultural friendly and environmentally friendly tourist attractions, public facilities, telecommunications, restaurants and centers the agriproduct market, the people who are friendly to tourist arrivals, easy to reach locations, the availability of transportation to the location, and the proximity to the city center. Dominant tourists willing to re-visit Pelaga significantly influenced by the unique village tourist attraction, views of the expanse of gardens or farmland, natural beauty, the beauty of the park, and the ease of reaching the Pelaga location from their residence.


2017 ◽  
Vol 43 (4) ◽  
pp. 360-366 ◽  
Author(s):  
Aprill Z. Dawson ◽  
Rebekah J. Walker ◽  
Leonard E. Egede

Background Diabetes affects more than 29 million people in the US and requires daily self-management in addition to knowledge of the disease. Three knowledge assessments used are the Michigan Brief Diabetes Knowledge Test (DKT), Starr County Diabetes Knowledge Questionnaire (DKQ), and Kaiser DISTANCE Survey (DISTANCE). Purpose The purpose of the study was to test the discriminate validity of 3 diabetes knowledge scales and determine which is best associated with diabetes self-care and glycemic control. Methods Three hundred sixty-one adults with type 2 diabetes were recruited from primary care clinics. Four analyses were conducted to investigate the validity and relationships of the scale: alpha statistic to test internal validity, factor analysis to determine how much of the variance was explained, Pearson’s correlation between the 3 scales, and Pearson’s correlation between each scale, self-care, and outcomes. Results The DKQ had an alpha of 0.75, the DKT had an alpha of 0.49, and DISTANCE had an alpha of 0.36. The DKQ was significantly correlated with glycemic control. The DKT scale was significantly associated with general diet, the DISTANCE survey was significantly associated with exercise, and both DKT and DISTANCE were significantly associated with foot care. Conclusion Correlations among the 3 scales were modest, suggesting the scales are not measuring the same underlying construct. These findings indicate that researchers should carefully select scales appropriate for study goals or to appropriately capture the information being sought to inform practice.


2012 ◽  
Vol 42 (2) ◽  
pp. 439-455 ◽  
Author(s):  
Saburo SAITO ◽  
Tran Ngoc HUY ◽  
Masakuni IWAMI ◽  
Takahiro SATO ◽  
Kosuke YAMASHIRO ◽  
...  

Author(s):  
Omar S. Asfour ◽  
Samar Abu Ghali

City centers worldwide are perceived as essential parts of the city, where city memories are preserved and its identity is expressed. They are planned to satisfy the functional requirements and pleasurable qualities of the city. Under the accelerating urbanization of the modern city, several challenges face these centers including demographic, economic, and environmental challenges. This requires a continuous and incremental urban development process based on clear strategy and action plans. Thus, this study focuses on urban development strategies of city centers, with a focus on Rafah city located in the Gaza Strip, Palestinian Territories. The geographic location of this city near the Palestinian-Egyptian borders makes it a promising commercial city at local and regional levels. Thus, the current situation of Rafah city center has been analyzed, and several development strategies have been proposed. This has been done through a field survey based on observation and a questionnaire directed to city center users. It has been found that there is a great potential of Rafah city center to be developed as a commercial center. In this regard, several strategies and required actions have been proposed in the fields of transportation, environmental quality, shopping activities, investment opportunities, and visual perception.


2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.


Author(s):  
Baxter Shandobil ◽  
Ty Lazarchik ◽  
Kelly Clifton

There is increasing evidence that ridehailing and other private-for-hire (PfH) services such as taxis and limousines are diverting trips from transit services. One question that arises is where and when PfH services are filling gaps in transit services and where they are competing with transit services that are publicly subsidized. Using weekday trip-level information for trips originating in or destined for the city center of Portland, OR from PfH transportation services (taxis, transportation network companies, limousines) and transit trip data collected from OpenTripPlanner, this study investigated the temporal and spatial differences in travel durations between actual PfH trips and comparable transit trips (the same origin–destination and time of day). This paper contributes to this question and to a growing body of research about the use of ridehailing and other on-demand services. Specifically, it provides a spatial and temporal analysis of the demand for PfH transportation using an actual census of trips for a given 2 week period. The comparison of trip durations of actual PfH trips to hypothetical transit trips for the same origin–destination pairs into or out of the central city gives insights for policy making around pricing and other regulatory frameworks that could be implemented in time and space.


2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Yanan Liu ◽  
Dujuan Yang ◽  
Harry J. P. Timmermans ◽  
Bauke de Vries

AbstractIn urban renewal processes, metro line systems are widely used to accommodate the massive traffic needs and stimulate the redevelopment of the local area. The route choice of pedestrians, emanating from or going to the metro stations, is influenced by the street-scale built environment. Many renewal processes involve the improvement of the street-level built environment and thus influence pedestrian flows. To assess the effects of urban design on pedestrian flows, this article presents the results of a simulation model of pedestrian route choice behavior around Yingkoudao metro station in the city center of Tianjin, China. Simulated pedestrian flows based on 4 scenarios of changes in street-scale built environment characteristics are compared. Results indicate that the main streets are disproportionally more affected than smaller streets. The promotion of an intensified land use mix does not lead to a high increase in the number of pedestrians who choose the involved route when traveling from/to the metro station, assuming fixed destination choice.


Energies ◽  
2021 ◽  
Vol 14 (16) ◽  
pp. 4748
Author(s):  
Adrian Serrano-Hernandez ◽  
Aitor Ballano ◽  
Javier Faulin

Urban distribution in medium-sized cities faces a major challenge, mainly when deliveries are difficult in the city center due to: an increase of e-commerce, weak public transportation system, and the promotion of urban sustainability plans. As a result, private cars, public transportation, and freight transportation compete for the same space. This paper analyses the current state for freight logistics in the city center of Pamplona (Spain) and proposes alternative transportation routes and transportation modes in the last-mile city center distribution according to different criteria evaluated by residents. An analytic hierarchy process (AHP) was developed. A number of alternatives have been assessed considering routes and transportation modes: the shortest route criterion and avoiding some city center area policies are combined with traditional van-based, bike, and aerial (drone) distribution protocols for delivering parcels and bar/restaurant supplies. These alternatives have been evaluated within a multicriteria framework in which economic, environmental, and social objectives are considered at the same time. The point in this multicriteria framework is that the criteria/alternative AHP weights and priorities have been set according to a survey deployed in the city of Pamplona (Navarre, Spain). The survey and AHP results show the preference for the use of drone or bike distribution in city center in order to reduce social and environmental issues.


2021 ◽  
Vol 13 (3) ◽  
pp. 1209
Author(s):  
Mandar Khanal

The 20,000-student Boise State University campus is located about 3 km from the center of the city of Boise. There is a significant amount of travel between the campus and the city center as students and staff travel to the city to visit restaurants, shops, and entertainment centers. Currently, people make this trip by car, shuttle bus, bike, or walking modes. Cars and shuttle buses, which share the same road network, constitute about 76% of the total trips. As road congestion is expected to grow in the future, it is prudent to look for other modes that can fulfill the travel demand. One potential mode is an aerial tramway. However, an aerial tramway is not a common mode of urban travel in the US. This research describes how the stated preference method was used to estimate demand for a mode that does not currently exist. An online stated preference survey was sent out to 8681 students, faculty, and staff and 1821 valid responses were received. Only about 35% of the respondents expressed their willingness to choose an aerial tramway for various combinations of cost and convenience of the new mode. Respondents were also found to favor convenience over cost for the new mode.


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