scholarly journals From prospective clinical trial to reducing social inequalities in health: The DESSEIN trial, concept and design of a multidisciplinary study in precarious patients with breast cancer

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Charlotte Ngô ◽  
Aurélia Dinut ◽  
Audrey Bochaton ◽  
Hélène Charreire ◽  
Caroline Desprès ◽  
...  

Abstract Background In France during the last 15 years, precariousness among women has increased. In breast cancer, precariousness has been associated with an increase in mortality, but the links between precariousness, stage at diagnosis and care pathway are little explored. Our study aims to evaluate the impact of precariousness on care pathways, treatment and recovery phase according to a multidisciplinary analysis. Methods and design Comparative prospective observational multicenter study of exposed / unexposed category. Patients with breast cancer are recruited in the Ile de France area. Three scores are used to identify precarious patients. Precarious patients are matched to non-precarious patients by age group. Questionnaires are distributed to patients at different times of care. The main objective is to compare the stage of the disease at diagnosis between two groups. The secondary objectives are: comparison of socio-economic and geographical characteristics, direct and indirect costs, personal trajectories of care and health. Analysis include multidisciplinary approaches. A geographical information systems method will evaluate the accessibility to health facilities and the characteristics of the places of residence of the patients. An anthropological analysis will be conducted through observation of consultations and semi-directed interviews with patients. These methods will allow to analyze the diagnostic and therapeutic routes, placing it in a life history and an economic, socio-cultural and health environment. The economic analysis will include a comparison of direct, indirect costs and out-off pocket costs, from the patient’s point of view and from the societal perspective. Discussion Conducted in a clinical setting and coupled with a qualitative study, this study will provide a better understanding of how contextual factors, combined with individual factors, can influence the course of health and thus the stage of the disease at diagnosis. The multidisciplinary approach, involving clinicians, geographers, an anthropologist, an economist and a health epidemiologist, will allow a multidimensional approach to the impact of precariousness on breast cancer. Trial registration ClinicalTrials.gov Identifier: NCT02948478 registered October 28, 2016. ID RCB: 2016-A00589–42. protocol version: 2.1. decembre 13, 2018.

2021 ◽  
Vol 8 (3) ◽  
pp. 618-644
Author(s):  
Hoshmand Jawhar Abbas ◽  
Sanger Ahmed Hussein ◽  
Fatimah Qader Mustafa

 The impact of the recreational services that exist within the group of services that are practiced within the geographical framework of the city, is not limited to the lives of its residents and their activities, but also on the residents of the surrounding areas. Recreational services contribute to providing diversified investment opportunities for leisure time, so that they are appropriate and beneficial to the health, comfort and well-being of the population at the lowest possible cost, without the goal of their establishment being financial gain, as they lead to the creation of mental, psychological and physical balance on the level of one individual and on the basis of society in a way. In general, recreational services are an integral part of urban activities in most cities of the world. Rather, the concept of modernity and urbanization in contemporary urban centers is measured to some extent by the availability of recreational facilities for their inhabitants, and the study also showed the low level of efficiency of recreational services in terms of their spatial distribution and numbers. As it is concentrated in some neighborhoods of the city, while it is less or absent in other neighborhoods, as well as not taking into account the planning standards in its distribution and during its construction in line with the population increase, urban expansion and the residents' needs for these services. The success in providing these different types of recreational facilities depends on how they are distributed geographically. The balanced distribution of these activities determines the success of the adopted plans in achieving the required goals and policies.


Author(s):  
Aysu Altaş

Technology has penetrated every aspect of life and it proceeds with the aim of facilitating people's lives. Geographical information systems as a part of the developing technology provide services in every area with different forms. One of these areas is museology. The desire to make visual and written information and cultural heritage that are presented by museums with auditory and interactive experiences has brought together digital technologies and cultural and historical activities. From this point of view, the “Müze Asist” is a remarkable application in terms of the fact that it is a local app and in use in most of the museums in Turkey and the convenience provided for all tourists who want to visit a museum, especially for those who prefer self-guided tours. This chapter may be a guide to its objects and to the next researchers.


Author(s):  
Sandy Martedi ◽  
Sébastien Callier ◽  
Hideo Saito ◽  
Pega Sanoamuang ◽  
Milica Muminović

In this paper, we explore a visualization method using augmented maps for urban prediction. Our implementation allows users to determine the location for prediction in a paper map. As an application example, we examine an area before and after new train station is built. We use the difference between two maps for simulating the changes or predicting the impact if a new train station is built on a location in a paper map. In off-line phase, we gather knowledge data from several reference locations by comparing two aerial maps (before and after the train station is built). We then analyze the difference of green spaces between those two maps using color extraction. We observe that the green space around the new train station mostly decreases due to the area development. This information is then stored for prediction reference. In on-line phase, we use a monocular setup that consists of one camera and a monitor display. A paper map is captured using a web camera and tracked using its geometrical features. These features can be provided using the available data from Geographical Information Systems (GIS) or automatically extracted from the texture. The map is then matched with the reference map in database. When the map is matched, we can overlay the simulation on how the green space will change due to the existence of new train stations on a new location inputted by the user.


Author(s):  
John Reid ◽  
Giovanni Leonardi ◽  
Alex G. Stewart

This chapter describes the impact of air pollution, including particulate matter and nitrogen oxides, on human health, through a case scenario where an increase in respiratory disease has been associated with changes in traffic density and increases in pollution indices. Background information on pollutants and air quality measurements is given based on WHO criteria. The importance of multidisciplinary input to such investigations is emphasized, involving specialists in toxicology and environmental science, as well as health protection staff. The role of geographical information systems in mapping air pollution levels to identify localities where guideline values are exceeded is emphasized, together with health impact assessments to monitor public health outcomes. The complex local, social, and political aspects that may arise are considered, and so endure engagement and communication with different interest groups. The final part clearly outlines currently unanswered questions and how they should be studied and managed in the future.


2021 ◽  
Vol 936 (1) ◽  
pp. 012043
Author(s):  
Meiga Nugrahani ◽  
Purnama Budi Santosa

Abstract According to information of areas at high risk of drought provided by Central Java disaster risk assessment in 2016 - 2020, Klaten Regency is in the top ten at high risk of drought in Central Java. Drought is an annual disaster in this region, which usually occurs during the dry season. The impact of the drought has caused some areas to experience a lack of clean water. For the purpose of disaster mitigation in anticipating and minimizing drought disasters losses, it is necessary to analyze the level of drought with a decision-making system by comparing two methods, namely the AHP with TOPSIS. Both methods are decision-making methods that are composed of various criteria to obtain an alternative sequence of choices. Both the AHP and TOPSIS methods produces weight values and a positive ideal solution value, respectively. These are used as input data in the mapping of drought vulnerability analysis with Geographical Information Systems (GIS). The results of the analysis are visualized with a map that shows the level of drought vulnerability. AHP and TOPSIS method decision making generates the order of the drought classes in predicting the distribution of areas experiencing drought. To validate the model, the authors compare the results of the analysis of drought vulnerability of the two methods with drought data from BPBD (Local Agency for Disaster Prevention) and DPUPR (Public Works and Public Housing Department). The results show that AHP provides better results than TOPSIS based on results validation with BPBD and DPUPR data. By comparing the two models with BPBD data, the results show that the percentage of AHP suitability is higher than TOPSIS at 47,619% and 19,048% respectively.


X ◽  
2020 ◽  
Author(s):  
Camillo Berti ◽  
Massimiliano Grava

The use of toponymy as an indicator of settlements and fortified structures: the Tuscan caseThe purpose of this contribution is to analyze the spatial distribution of the place names referred to the Tuscan territory, to fortified structures and settlements, through the study of the place names recorded geodatabase RE.TO.RE. (Regional Toponymic Repertory) created by the Tuscany Region with the scientific contribution of the Universities of Pisa, Florence and Siena. The Tuscan toponyms has been the object of both a synchronic study within each of the cartographic sources that make up the geographical database, and a diachronic analysis between the temporal thresholds in which the archive is articulated. The database, extrapolated from cartographic supports, in fact covers a time span between the first decades of the nineteenth century (nineteenth century land registries) and the most recent information series produced in the regional context (Carta Tecnica Regionale). In the contribution, the place names related in various ways to different types of structures and fortified settlements, such as castle, fort, tower, fortress, has been analyzed both in relation to the distribution and spatial aspects, and in reference to their evolutionary dynamics (persistence, disappearance, transformation), with the aim of identifying possible relationships between the territory and the distribution in time and space of the different types of fortifications. From a methodological point of view, the study has been carried out, in addition to the traditional tools of the topomastic survey, especially taking advantage of the potential of spatial analysis functions typical of geographical information systems.


Author(s):  
Norman Etherington

The first well-attested maps showing Southern Africa date from the late 15th century. Before the 19th century, maps provided little information about the interior but depicted coastlines in great detail, thanks to the requirements of seaborne navigators. Information about the inhabitants was scanty and skewed by misconceptions about the nature of African societies. Land-based exploration activity increased dramatically in the 1830s but the poorly trained and equipped human agents made many errors that had significant historical consequences. Accuracy in the mapping of physical topography improved with the advent of skilled civil and military surveyors, but entanglement with advancing forces of European colonialism resulted in biased representations of the nature and distribution of the indigenous people. Competition among European invaders during the so-called Scramble for Africa in the last decades of the 19th century made cartography a volatile element in the general mix of combustible material. Continual war among Europeans and Africans also affected the production of maps. The impact of African resistance to colonial surveys and land seizures on map making was for too long neglected by historians. By the end of World War I, the geopolitical boundaries of the region assumed their present configuration, marking off South Africa from its neighbors. The imposition of European rule, racial inequality, and segregation introduced cartographical distinctions between areas in which land was held in freehold title by members of a ruling racial elite and so-called African reserves and locations where land was held communally under the surveillance of traditional authorities. Decolonization beginning in the 1960s swept away the colonial racial order but did not abolish its legacy of boundaries, inequality, and parallel systems of land governance. The advent of geographical information systems, digital mapping, and satellite imaging has revolutionized cartography.


2011 ◽  
pp. 298-319 ◽  
Author(s):  
Yvan Bedard ◽  
Sonia Rivest ◽  
Marie-Josée Proulx

It is recognized that 80% of data have a spatial component (ex. street address, place name, geographic coordinates, map coordinates). Having the possibilities to display data on maps, to compare maps of different phenomena or epochs, and to combine maps with tables and statistical charts allows one to get more insights into spatial datasets. Furthermore, performing fast spatio-temporal analysis, interactively exploring the data by drilling on maps similarly to drilling on tables and charts, and easily synchronizing such operations among these views is nowadays required by more and more users. This can be done by combining Geographical Information Systems (GIS) with On-Line Analytical Processing (OLAP), paving the way to “SOLAP” (Spatial OLAP). The present chapter focuses on the spatial characteristics of SOLAP from a geomatics engineering point of view: concepts, architectures, tools and remaining challenges.


Author(s):  
Ruffo Freitas-Junior ◽  
Carolina M Gonzaga ◽  
Maria-Paula Curado ◽  
Ana-Luiza L Sousa ◽  
Marta R Souza

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