scholarly journals The Impact of the Physical Environment on Intrapartum Maternity Care: Identification of Eight Crucial Building Spaces

2019 ◽  
Vol 12 (4) ◽  
pp. 67-98
Author(s):  
Nicoletta Setola ◽  
Eletta Naldi ◽  
Grazia Giulia Cocina ◽  
Liv Bodil Eide ◽  
Laura Iannuzzi ◽  
...  
Keyword(s):  
Maternity Care ◽  
Physical Environment ◽  
Architectural Design ◽  
Well Being ◽  
Physical Characteristics ◽  
Interdisciplinary Studies ◽  
Room Size ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
The Impact

Objectives, Purpose, or Aim: This article investigates whether the physical environment in which childbirth occurs impacts the intrapartum intervention rates and how this might happen. The study explores the spatial physical characteristics that can support the design of spaces to promote the health and well-being of women, their supporters, and maternity care professionals. Background: Medical interventions during childbirth have consequences for the health of women and babies in the immediate and long term. The increase in interventions is multifactorial and may be influenced by the model of care adopted, the relationships between caregivers and the organizational culture, which is made up of many factors, including the built environment. In the field of birth architecture research, there is a gap in the description of the physical characteristics of birth environments that impact users’ health. Method: A scoping review on the topic was performed to understand the direct and indirect impacts of the physical environment on birth intervention rates. Results and Discussion: The findings are organized into three tables reporting the influence that the physical characteristics of a space might have on people’s behaviors, experiences, practices and birth health outcomes. Eight building spaces that require further investigation and research were highlighted: unit layout configuration, midwives’ hub/desk, social room, birth philosophy vectors, configuration of the birth room, size and shape of the birth room, filter, and sensory elements. Conclusions: The findings show the importance of considering the physical environment in maternity care and that further interdisciplinary studies focused on architectural design are needed to enrich the knowledge and evidence on this topic and to develop accurate recommendations for designers.

scholarly journals Walking on Visual Illusions

i-Perception ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 204166952098110
Author(s):  
Greig Dickson ◽  
Daria Burtan ◽  
Shelley James ◽  
David Phillips ◽  
Jasmina Stevanov ◽  
...  
Keyword(s):  
Architectural Design ◽  
Visual Illusion ◽  
Fear Of Falling ◽  
Well Being ◽  
Physical Characteristics ◽  
Built Environments ◽  
Control Pattern ◽  
3D Effects ◽  
Research Questions ◽  
The Impact

In nature, sensory and physical characteristics of the environment tend to match; for example, a surface that looks bumpy is bumpy. In human-built environments, they often don’t. Here, we report observations from people exploring if mismatch between visual and physical characteristics affected their perceived walking experience. Participants walked across four flat floors, each comprising of a visual illusion: two patterns perceived as alternating 3D “furrows and ridges,” the Primrose Field illusion, and a variant of the Cafe Wall illusion as a control pattern without perceived 3D effects. Participants found all patterns intriguing to look at; some describing them as “playful” or “gentle.” More than half found some of the patterns uncomfortable to walk on, aversive, affecting walking stability, and occasionally even evoking fear of falling. These experiences raise crucial research questions for the vision sciences into the impact of architectural design on well-being and walkability.

THE IMPACT OF THE PHYSICAL ENVIRONMENT ON RESIDENTS’ SELF-RATED HEALTH: A CASE STUDY IN PENANG, MALAYSIA

2020 ◽  
Vol 6 (1) ◽  
pp. 109
Author(s):  
Massoomeh Hedayati ◽  
Aldrin Abdullah ◽  
Mohammad Javad Maghsoodi Tilaki
Keyword(s):  
Physical Environment ◽  
Fear Of Crime ◽  
Structural Equation ◽  
Well Being ◽  
Living Environment ◽  
Housing Quality ◽  
Self Rated Health ◽  
Environment And Health ◽  
The Impact ◽  
The Relationship

There is continuous debate on the impact of house quality on residents’ health and well-being. Good living environment improves health, and fear of crime is recognised as a mediator in the relationship between physical environment and health. Since minimal studies have investigated the relationship, this study aims to examine the impact of the house quality on fear of crime and health. A total of 230 households from a residential neighbourhood in Malaysia participated in the study. Using structural equation modelling, the findings indicate that housing quality and fear of crime can account for a proportion of the variance in residents’ self-rated health. However, there is no significant relationship between housing quality and fear of crime. Results also show that fear of crime does not mediate the relationship between housing quality and health. This study suggests that the environment-fear relationship should be re-examined theoretically.  

scholarly journals Impact of Entrepreneurship Extracurricular Activities and Inspiration on Entrepreneurial Intention: Mediator and Moderator Effect

SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110321
Author(s):  
Thuy Thu Nguyen ◽  
Linh Thi Phuong Nguyen ◽  
Hoa Thi Thanh Phan ◽  
Anh Trong Vu
Keyword(s):  
Extracurricular Activities ◽  
Structural Equation ◽  
Entrepreneurial Intention ◽  
Equation Modeling ◽  
Moderator Effect ◽  
Technical Students ◽  
Research Findings ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
The Impact

This empirical study proposed a comprehensive model testing the direct and indirect impacts of entrepreneurship extracurricular activities and entrepreneurship inspiration on students’ entrepreneurial intention. With the sample consisting of 640 students from 11 universities in Vietnam, the study used structural equation modeling analysis approach. The results revealed that entrepreneurship extracurricular activities and entrepreneurship inspiration are significantly related to students’ entrepreneurial intention, and entrepreneurship self-efficacy partially mediates these relations. The impact of entrepreneurship education on entrepreneurial intention differs across the field of study. Technical students generally get more benefits from entrepreneurship educational activities than business and economics students do. The research findings recommended some implications for fostering graduates’ entrepreneurship in emerging countries.

scholarly journals Evidence-Based Design in Architectural Education: Designing the First Maggie’s Centre in Israel

2021 ◽  
pp. 193758672110079
Author(s):  
Nirit Putievsky Pilosof ◽  
Yasha Jacob Grobman
Keyword(s):  
Literature Review ◽  
Architectural Design ◽  
Early Stage ◽  
Scientific Research ◽  
Well Being ◽  
Architectural Education ◽  
Local Context ◽  
Evidence Based ◽  
Architecture Education ◽  
The Impact

Objective The study examines the integration of the Evidence-based Design (EBD) approach in healthcare architecture education in the context of an academic design studio. Background Previous research addressed the gap between scientific research and architectural practice and the lack of research on the use of the EBD approach in architectural education. Methods The research examines an undergraduate architectural studio to design a Maggie’s Centre for cancer care in Israel and evaluates the impact of the EBD approach on the design process and design outcomes. The research investigates the impact of the integration of three predesign tasks: (1) literature review of healing architecture research, (2) analysis and comparison of existing Maggie’s Centres, and (3) analysis of the context of the design project. Results The literature review of scientific research supported the conceptual design and development of the projects. The analysis of existing Maggie’s centers, which demonstrated the interpretation of the evidence by different architects, developed the students’ ability to evaluate EBD in practice critically, and the study of the projects’ local context led the students to define the relevance of the evidence to support their vision for the project. Conclusions The research demonstrates the advantages of practicing EBD at an early stage in healthcare architectural education to enhance awareness of the impact of architectural design on the users’ health and well-being and the potential to support creativity and innovative design. More studies in design studios are needed to assess the full impact of integrating EBD in architectural education.

scholarly journals Perspective: a healthy planet for healthy people

2019 ◽  
Vol 2 ◽  
Author(s):  
Paul Ekins ◽  
Joyeeta Gupta
Keyword(s):  
Food Security ◽  
Human Health ◽  
Ecosystem Health ◽  
Well Being ◽  
Healthy People ◽  
Global Environment ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
Health And Well Being ◽  
Nations Environment

Non-technical abstract This perspective article from the co-chairs of the United Nations Environment Programme's Sixth Global Environment Outlook (GEO-6) uses the assessment of the literature in the GEO-6 to show how a healthy planet and healthy people are linked together. It argues that the health of the planet is deteriorating and that this deteriorating ecosystem health has major direct and indirect impacts on human health and well-being. Direct impacts include the impacts of polluted air on the lungs of people, while indirect impacts include the impacts of land degradation on food security. Therefore, protecting the environment will also have major benefits for human health and well-being.

scholarly journals COVID-19 policies in practice and their direct and indirect impacts in Northern California jails

2022 ◽  
Author(s):  
Yiran E Liu ◽  
Christopher LeBoa ◽  
Marcela Rodriguez ◽  
Beruk Sherif ◽  
Chrisele Trinidad ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Infection Control ◽  
Well Being ◽  
Poor Mental Health ◽  
Northern California ◽  
Increased Risk ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
Survey Responses

Context: Although the increased risk of COVID-19 in carceral facilities is well documented, little is known about the practical barriers to infection control and indirect impacts of pandemic policies in these settings. Evidence in jails is especially scarce. Methods: Between July 8, 2020 and April 30, 2021 we performed SARS-CoV-2 serology testing and administered a questionnaire among residents and staff in four Northern California jails. We analyzed seroprevalence in conjunction with demographic factors and survey responses of self-perceived COVID-19 risk, recent illness, COVID-19 test results, and symptom reporting behaviors. We additionally assessed COVID-19 policies in practice and evaluated their impacts on court dates, mental health, and routine health care. We engaged stakeholder representatives, including incarcerated individuals and their advocates, to guide study design, conduct, and interpretation. Findings: We enrolled 788 incarcerated individuals and 380 staff across four county jails. Most seropositive individuals had not previously tested positive for COVID-19, despite many suspecting prior infection. Among incarcerated participants, we identified deficient access to face masks and prevalent symptom underreporting associated with fears of isolation and perceptions of medical neglect in jail. Incarcerated participants also reported substantial hindrances to court cases and reductions in routine health care due to COVID-19. Incarcerated individuals and staff both cited worsened mental health due to COVID-19, which for incarcerated individuals was largely attributable to further isolation from loved ones and other pandemic restrictions on recreation and programming. Conclusions: Perceptions of inadequate protection from COVID-19 were pervasive among incarcerated individuals. Simultaneously, restrictive measures compounded poor mental health and fostered fears of isolation that undermined effective infection control. Custody officials should work to systematically improve provision of masks, understand and mitigate fears and mistrust, and take proactive steps to minimize the detrimental impacts of restrictive policies on residents' mental health and well-being.

scholarly journals AGRICULTURE’S IMPACT FOR THE ECONOMY: INTER-INDUSTRY LINKAGES AND MULTIPLIER EFFECTS

2018 ◽  
Author(s):  
Giedrė DZEMYDAITĖ
Keyword(s):  
Rural Areas ◽  
Well Being ◽  
Output Analysis ◽  
Agriculture Sector ◽  
Multiplier Effects ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
Sectoral Linkages ◽  
The Eu

The role of agriculture sector is understood as being vital for economic development and well being of rural areas. Common agriculture policies in the EU and production shocks in agriculture sector reflect in production changes that causes direct and indirect effects for other industries development in the region, as well as, households’ income. This paper aimed to evaluate agriculture sector’s direct and indirect impacts for the economy by analyzing sectoral linkages and multiplier effects. Input-output analysis techniques were applied. Both output and income multipliers were evaluated. This paper supports the idea that agriculture sectors were more multiplying the economy than other sectors on average. This sector remains important catalyst of the economy, especially while taking into account development challenges in rural areas.

scholarly journals PERUBAHAN PENGELOLA DTW TANAH LOT DAN DAMPAKNYA TERHADAP MASYARAKAT LOKAL

2016 ◽  
Author(s):  
I Putu Krisna Arta Widana
Keyword(s):  
Qualitative Method ◽  
Local Community ◽  
Tourist Attraction ◽  
Private Land ◽  
Tourist Attractions ◽  
Tourist Satisfaction ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
Management Changes ◽  
The Impact

This article discusses the impact of the management changes ofTanah Lot tourist attraction on community of Beraban village,Tabanan, Bali, and efforts of the new management in realizing Tanah Lot as a sustainable tourist attraction. The research method used is a qualitative method with data collection techniques, namely observation, interviews, and documentation. The management changes of Tanah Lot tourist attraction have direct and indirect impacts to the local community. The impacts are divided into three aspects, namely physical, social cultural and economic aspect. Efforts made by the new management in order to realize Tanah Lot includes adding tourist attractions, tourism facilities, distributes the location of trade, organising and supervising activities of the tourism business, and forming a group of merchants as well as establishing good relationship and communication with private land owner. Indicators used as a benchmark is the Magic Pentagon, namely a healthy economy,the welfare of the local community, does not change the natural,healthy culture, and tourist satisfaction.

The Impact of Macro Economics on Firm Values and Financial Performance as an Intervening Variable: An Empirical Study of LQ-45 Banking Industries in Indonesia

2015 ◽  
Vol 3 (1) ◽  
pp. 88-94
Author(s):  
Indra Siswanti ◽  
Eko Ganis Sukoharsono ◽  
Embun Prowanta
Keyword(s):  
Exchange Rate ◽  
Central Bank ◽  
Exchange Rates ◽  
Financial Performance ◽  
Firm Value ◽  
Return On Assets ◽  
Bank Rate ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
The Impact

Objective - The Purpose of the paper is to empirically investigate both direct and indirect impacts of the macro economy, which are Exchange Rates, Inflation, Central Bank Rate, as independent variables, on Value Firms (Price to Book Value), as a dependent variable, and its Financial Performance (Return on Assets), as an interning variable. Methodology/Technique - The study uses a path analytical method of the SPSS for determining a strong causal relationship between the independent variable and the dependent variable either directly or indirectly. Findings - The paper finds that Exchange Rate does not impact on ROA; Inflation negative significantly impacts on ROA; Central Bank Rates positive significantly impact on ROA; ROA does not impact on PBV; Exchange Rate negative significantly impact on PBV; Inflation does not impact on PBV; Central Bank Rate does not impact on PBV; ROA does not mediate its impact of Exchange Rates on Firm Value (PBV); ROA does not mediate its impact of Inflation on Firm Value (PBV) Dan ROA mediate its impact of Central Bank Rates on Firm Value (PBV).. Novelty - The paper uses corporate performance (Return on Assets) as an intervening variable to test the indirect effect on firm values (PBV). Type of Paper - Empirical Keywords: Exchange Rates, Inflation, Central Bank Rates, Return on Assets and Firm Values (PBV)

scholarly journals Journey to facility birth in Zanzibar: a questionnaire-based cohort study of patients’ perspectives on preparedness, access and quality of care

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e040381
Author(s):  
Tanneke Herklots ◽  
Lara D'haene ◽  
Khairat Said Mbarouk ◽  
Mubina Rajhy ◽  
Simone Couperus ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Maternity Care ◽  
Formal Education ◽  
Informed Choice ◽  
Well Being ◽  
Referral Hospital ◽  
Near Miss ◽  
Access And Quality ◽  
The Impact

IntroductionTackling substandard maternity care in health facilities requires engaging women’s perspectives in strategies to improve outcomes. This study aims to provide insights in the perspectives of women with severe maternal morbidity on preparedness, access and quality of care in Zanzibar’s referral hospital.MethodsIn a prospective cohort from April 2017 to December 2018, we performed semistructured interviews with women who experienced maternal near-miss complications and matched controls. These focused on sociodemographic and obstetric characteristics, perceived accessibility to and quality of facility care with 15 domains, scored on a one-to-five scale. Participants’ comments and answers to open questions were employed to illustrate quantitative outcomes. Zanzibar’s Medical Research and Ethics Committee approved the study (ZAMREC/0002/JUN/17).ResultsWe included 174 cases and 151 controls. Compared with controls, patients with a near-miss had less formal education (p=0.049), perceived their wealth as poor (p=0.002) and had a stillbirth more often (p<0.001). Many experienced a delay in deciding to seek care. More than controls, near-miss patients experienced barriers in reaching care (p=0.049), often of financial nature (13.8% vs 4.0%). Quality of care was perceived as high, with means above 3 out of 5, in 14 out of 15 domains. One-fifth had an overall suboptimal experience, mostly regarding informed choice and supplies availability. Additional comments were expressed by a minority of participants.ConclusionMost patients promptly sought, accessed and received maternity care in Zanzibar’s referral hospital. A minority experienced barriers, mostly financial, in reaching care and more so among patients with near-miss complications. Quality of facility care was generally highly rated. However, some reported insightful critical perceptions. This study highlights the impact of sociodemographic differences on health, the value of involving patients in decisions regarding maternity care and the need to ensure availability of medical supplies, all which will contribute to improved maternal well-being.

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