scholarly journals Risk and space: modelling the accessibility of stroke centers using day- & nighttime population distribution and different transportation scenarios

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
S. Rauch ◽  
H. Taubenböck ◽  
C. Knopp ◽  
J. Rauh
Keyword(s):  
Urban Areas ◽  
Population Distribution ◽  
Health Care Facilities ◽  
Traffic Situation ◽  
Driving Time ◽  
Initial Care ◽  
The Difference ◽  
Administrative Units ◽  
Building Level ◽  
Population Counts

Abstract Purpose Rapid accessibility of (intensive) medical care can make the difference between life and death. Initial care in case of strokes is highly dependent on the location of the patient and the traffic situation for supply vehicles. In this methodologically oriented paper we want to determine the inequivalence of the risks in this respect. Methods Using GIS we calculate the driving time between Stroke Units in the district of Münster, Germany for the population distribution at day- & nighttime. Eight different speed scenarios are considered. In order to gain the highest possible spatial resolution, we disaggregate reported population counts from administrative units with respect to a variety of factors onto building level. Results The overall accessibility of urban areas is better than in less urban districts using the base scenario. In that scenario 6.5% of the population at daytime and 6.8% at nighttime cannot be reached within a 30-min limit for the first care. Assuming a worse traffic situation, which is realistic at daytime, 18.1% of the population fail the proposed limit. Conclusions In general, we reveal inequivalence of the risks in case of a stroke depending on locations and times of the day. The ability to drive at high average speeds is a crucial factor in emergency care. Further important factors are the different population distribution at day and night and the locations of health care facilities. With the increasing centralization of hospital locations, rural residents in particular will face a worse accessibility situation.

scholarly journals Modeling Spatiotemporal Population Changes by Integrating DMSP-OLS and NPP-VIIRS Nighttime Light Data in Chongqing, China

2021 ◽  
Vol 13 (2) ◽  
pp. 284
Author(s):  
Dan Lu ◽  
Yahui Wang ◽  
Qingyuan Yang ◽  
Kangchuan Su ◽  
Haozhe Zhang ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Relative Error ◽  
Urban Areas ◽  
Large Scale ◽  
Population Distribution ◽  
Spatial Optimization ◽  
Distribution Data ◽  
Mountainous Areas ◽  
Mean Relative Error ◽  
Nighttime Light

The sustained growth of non-farm wages has led to large-scale migration of rural population to cities in China, especially in mountainous areas. It is of great significance to study the spatial and temporal pattern of population migration mentioned above for guiding population spatial optimization and the effective supply of public services in the mountainous areas. Here, we determined the spatiotemporal evolution of population in the Chongqing municipality of China from 2000–2018 by employing multi-period spatial distribution data, including nighttime light (NTL) data from the Defense Meteorological Satellite Program’s Operational Linescan System (DMSP-OLS) and the Suomi National Polar-orbiting Partnership Visible Infrared Imaging Radiometer Suite (NPP-VIIRS). There was a power function relationship between the two datasets at the pixel scale, with a mean relative error of NTL integration of 8.19%, 4.78% less than achieved by a previous study at the provincial scale. The spatial simulations of population distribution achieved a mean relative error of 26.98%, improved the simulation accuracy for mountainous population by nearly 20% and confirmed the feasibility of this method in Chongqing. During the study period, the spatial distribution of Chongqing’s population has increased in the west and decreased in the east, while also increased in low-altitude areas and decreased in medium-high altitude areas. Population agglomeration was common in all of districts and counties and the population density of central urban areas and its surrounding areas significantly increased, while that of non-urban areas such as northeast Chongqing significantly decreased.

scholarly journals 152. Applying A Difference-in-Difference Analysis to Assess Effect of Antimicrobial Stewardship Strategies on Changes in Antimicrobial Use

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S86-S86
Author(s):  
Ann F Chou ◽  
Yue Zhang ◽  
Makoto M Jones ◽  
Christopher J Graber ◽  
Matthew B Goetz ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Clinical Pharmacist ◽  
Antibiotic Use ◽  
Feedback Mechanism ◽  
Health Care Facilities ◽  
Antimicrobial Use ◽  
Time Points ◽  
The Difference ◽  
The Impact ◽  
Over Time

Abstract Background About 30–50% of inpatient antimicrobial therapy is sub-optimal. Health care facilities have utilized various antimicrobial stewardship (AS) strategies to optimize appropriate antimicrobial use, improve health outcomes, and promote patient safety. However, little evidence exists to assess relationships between AS strategies and antimicrobial use. This study examined the impact of changes in AS strategies on antimicrobial use over time. Methods This study used data from the Veterans Affairs (VA) Healthcare Analysis & Informatics Group (HAIG) AS survey, administered at 130 VA facilities in 2012 and 2015, and antimicrobial utilization from VA Corporate Data Warehouse. Four AS strategies were examined: having an AS team, feedback mechanism on antimicrobial use, infectious diseases (ID) attending physicians, and clinical pharmacist on wards. Change in AS strategies were computed by taking the difference in the presence of a given strategy in a facility between 2012–2015. The outcome was the difference between antimicrobial use per 1000 patient days in 2012–2013 and 2015–2016. Employing multiple regression analysis, changes in antimicrobial use was estimated as a function of changes in AS strategies, controlling for ID human resources in and organizational complexity. Results Of the 4 strategies, only change in availability of AS teams had an impact on antimicrobial use. Compared to facilities with no AS teams at both time points, antibiotic use decreased by 63.9 uses per 1000 patient days in facilities that did not have a AS team in 2012 but implemented one in 2015 (p=0.0183). Facilities that had an AS team at both time points decreased use by 62.2 per 1000 patient days (p=0.0324). Conclusion The findings showed that AS teams reduced inpatient antibiotic use over time. While changes in having feedback on antimicrobial use and clinical pharmacist on wards showed reduced antimicrobial use between 2012–2015, the differences were not statistically significant. These strategies may already be a part of a comprehensive AS program and employed by AS teams. In further development of stewardship programs within healthcare organizations, the association between AS teams and antibiotic use should inform program design and implementation. Disclosures All Authors: No reported disclosures

scholarly journals A Quantitative Method for Evaluation of Visual Privacy in Residential Environments

Buildings ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 272
Author(s):  
He Zheng ◽  
Bo Wu ◽  
Heyi Wei ◽  
Jinbiao Yan ◽  
Jianfeng Zhu
Keyword(s):  
Urban Areas ◽  
Architectural Design ◽  
Ground Level ◽  
High Density ◽  
Rapid Expansion ◽  
High Rise ◽  
Visual Exposure ◽  
Building Management ◽  
Visual Privacy ◽  
Building Level

With the rapid expansion of high-rise and high-density buildings in urban areas, visual privacy has become one of the major concerns affecting human environmental quality. Evaluation of residents’ visual exposure to outsiders has attracted more attention in the past decades. This paper presents a quantitative indicator; namely, the Potential Visual Exposure Index (PVEI), to assess visual privacy by introducing the damage of potential visual incursion from public spaces and neighborhoods in high-density residences. The method for computing the PVEI mainly consists of three steps: extracting targets and potential observers in a built environment, conducting intervisibility analysis and identifying visible sightlines, and integrating sightlines from building level and ground level to compute the PVEI value of each building opening. To validate the proposed PVEI, a case study with a sample building located at the center of Kowloon, Hong Kong, was evaluated. The results were in accordance with the common-sense notion that lower floors are subjected to poor visual privacy, and privacy is relatively well-preserved in upper floors in a building. However, residents of middle floors may suffer the worst circumstances with respect to visual privacy. The PVEI can be a useful indicator to assess visual privacy and can provide valuable information in architectural design, hotel room selection, and building management.

scholarly journals Environmental Risk Assessment of Vehicle Exhaust Particles on Aquatic Organisms of Different Trophic Levels

Toxics ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 261
Author(s):  
Konstantin Pikula ◽  
Mariya Tretyakova ◽  
Alexander Zakharenko ◽  
Seyed Ali Johari ◽  
Sergey Ugay ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Sea Urchin ◽  
Urban Areas ◽  
Aquatic Organisms ◽  
Artemia Salina ◽  
Trophic Levels ◽  
Submicron Particles ◽  
Vehicle Exhaust ◽  
Exhaust Particles ◽  
The Difference

Vehicle emission particles (VEPs) represent a significant part of air pollution in urban areas. However, the toxicity of this category of particles in different aquatic organisms is still unexplored. This work aimed to extend the understanding of the toxicity of the vehicle exhaust particles in two species of marine diatomic microalgae, the planktonic crustacean Artemia salina, and the sea urchin Strongylocentrotus intermedius. These aquatic species were applied for the first time in the risk assessment of VEPs. Our results demonstrated that the samples obtained from diesel-powered vehicles completely prevented egg fertilization of the sea urchin S. intermedius and caused pronounced membrane depolarization in the cells of both tested microalgae species at concentrations between 10 and 100 mg/L. The sample with the highest proportion of submicron particles and the highest content of polycyclic aromatic hydrocarbons (PAHs) had the highest growth rate inhibition in both microalgae species and caused high toxicity to the crustacean. The toxicity level of the other samples varied among the species. We can conclude that metal content and the difference in the concentrations of PAHs by itself did not directly reflect the toxic level of VEPs, but the combination of both a high number of submicron particles and high PAH concentrations had the highest toxic effect on all the tested species.

scholarly journals A Study of the Understated Violence Within Social Contexts Against Adolescent Girls

2017 ◽  
Vol 8 (2) ◽  
pp. 29-41
Author(s):  
Shivangi Nigam ◽  
Niranjana Soperna
Keyword(s):  
Adolescent Girls ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Issues ◽  
Well Being ◽  
Structured Interview ◽  
Social Contexts ◽  
The Social ◽  
The Difference ◽  
The Individual

Violence against women is linked to their disadvantaged position in the society. It is rooted in unequal power relationships between men and women in society and is a global problem which is not limited to a specific group of women in society. An adolescent girl’s life is often accustomed to the likelihood of violence, and acts of violence exert additional power over girls because the stigma of violence often attaches more to a girl than to the  perpetrator. The experience of violence is distressing at the individual emotional and physical level. The field of research and programmes for adolescent girls has traditionally focused on sexuality, reproductive health, and behaviour, neglecting the broader social issues that underpin adolescent girls’ human rights, overall development, health, and well-being. This paper is an endeavour to address the understated or disguised form of violence which the adolescent girls experience within the social contexts. The parameters exposed under this research had been ignored to a large extent when it comes to studying the dimension of violence under the social domain. Hence, the researchers attempted to explore this camouflaged form of violence and discovered some specific parameters such as: Diminished Self Worth and Esteem, Verbal Abuse, Menstruation Taboo and Social Rigidity, Negligence of Medical and Health Facilities and Complexion- A Prime Parameter for Judging Beauty. The study was conducted in the districts of Haryana (India) where personal interviews were taken from both urban and rural adolescent girls (aged 13 to 19 years) based on  a structured interview schedule. The results revealed that the adolescent girls, both in urban as well as rural areas were quite affected with the above mentioned issues. In urban areas, however, due to the higher literacy rate, which resulted in more rational thinking, the magnitude was comparatively smaller, but the difference was still negligible.  

scholarly journals Observed decreases in on-road CO<sub>2</sub> concentrations in Beijing during COVID-19 restrictions

2021 ◽  
Vol 21 (6) ◽  
pp. 4599-4614
Author(s):  
Di Liu ◽  
Wanqi Sun ◽  
Ning Zeng ◽  
Pengfei Han ◽  
Bo Yao ◽  
...  
Keyword(s):  
Urban Areas ◽  
Low Cost ◽  
Working Hours ◽  
Weather Conditions ◽  
Co2 Concentration ◽  
Mobile Platforms ◽  
Local Standard ◽  
Transportation Emissions ◽  
Enhancement Method ◽  
The Difference

Abstract. To prevent the spread of the COVID-19 epidemic, restrictions such as “lockdowns” were conducted globally, which led to a significant reduction in fossil fuel emissions, especially in urban areas. However, CO2 concentrations in urban areas are affected by many factors, such as weather, biological sinks and background CO2 fluctuations. Thus, it is difficult to directly observe the CO2 reductions from sparse ground observations. Here, we focus on urban ground transportation emissions, which were dramatically affected by the restrictions, to determine the reduction signals. We conducted six series of on-road CO2 observations in Beijing using mobile platforms before (BC), during (DC) and after (AC) the implementation of COVID-19 restrictions. To reduce the impacts of weather conditions and background fluctuations, we analyze vehicle trips with the most similar weather conditions possible and calculated the enhancement metric, which is the difference between the on-road CO2 concentration and the “urban background” CO2 concentration measured at the tower of the Institute of Atmospheric Physics (IAP), Chinese Academy of Sciences. The results showed that the DC CO2 enhancement was decreased by 41 (±1.3) parts per million (ppm) and 26 (±6.2) ppm compared to those for the BC and AC trips, respectively. Detailed analysis showed that, during COVID-19 restrictions, there was no difference between weekdays and weekends during working hours (09:00–17:00 local standard time; LST). The enhancements during rush hours (07:00–09:00 and 17:00–20:00 LST) were almost twice those during working hours, indicating that emissions during rush hours were much higher. For DC and BC, the enhancement reductions during rush hours were much larger than those during working hours. Our findings showed a clear CO2 concentration decrease during COVID-19 restrictions, which is consistent with the CO2 emissions reductions due to the pandemic. The enhancement method used in this study is an effective method to reduce the impacts of weather and background fluctuations. Low-cost sensors, which are inexpensive and convenient, could play an important role in further on-road and other urban observations.

scholarly journals Decomposing Urban-rural Differences in Multimorbidity Among Older Adults in India: A Study Based on Lasi Data

2021 ◽  
Author(s):  
Shekhar Chauhan ◽  
Shobhit Srivast ◽  
Pradeep Kumar ◽  
Ratna Patel
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Urban Areas ◽  
Decomposition Analysis ◽  
The Public ◽  
Analysis Techniques ◽  
Ageing Study ◽  
Urban Rural ◽  
The Difference ◽  
Urban And Rural Areas

Abstract Background: Multimorbidity is defined as the co-occurrence of two or more than two diseases in the same person. With rising longevity, multimorbidity has become a prominent concern among the older population. Evidence from both developed and developing countries shows that older people are at much higher risk of multimorbidity, however, urban-rural differential remained scarce. Therefore, this study examines urban-rural differential in multimorbidity among older adults by decomposing the risk factors of multimorbidity and identifying the covariates that contributed to the change in multimorbidity.Methods: The study utilized information from 31,464 older adults (rural-20,725 and urban-10,739) aged 60 years and above from the recent release of the Longitudinal Ageing Study in India (LASI) wave 1 data. Descriptive, bivariate, and multivariate decomposition analysis techniques were used.Results: Overall, significant urban-rural differences were found in the prevalence of multimorbidity among older adults (difference: 16.3; p<0.001). Moreover, obese/overweight and high-risk waist circumference were found to narrow the difference in the prevalence of multimorbidity among older adults between urban and rural areas by 8% and 9.1%, respectively.Conclusion: There is a need to substantially increase the public sector investment in healthcare to address the multimorbidity among older adults, more so in urban areas, without compromising the needs of older adults in rural areas.

scholarly journals Authors Response: Clinical differences between children with asthma and rhinitis in rural and urban areas

2019 ◽  
Vol 50 (1) ◽  
pp. 47-48
Author(s):  
Jorge Sánchez ◽  
Andrés Sánchez ◽  
Ricardo Cardona
Keyword(s):  
Sample Size ◽  
Urban Area ◽  
Rural Area ◽  
Urban Areas ◽  
Sample Size Calculation ◽  
Study Cohort ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Children With Asthma ◽  
The Difference

We greatly appreciate the interest shown in the article "Clinical differences between children with asthma and rhinitis in rural and urban areas", which we hope will be one of several future articles that we intend to carry out in the study cohort. To the questions generated by the reader, one is focused on the calculation of the sample size, while the other two questions are focus in the method of analysis, and the reader suggests, it could be more robust. Regarding the sample size, we describe that infant asthma in urban areas of Medellin was 11% and rhinitis 23%, according to previous studies. There is no data available for the rural area. We note that with a confidence level of 95%, a power of 80% and a sample size error of 0.5%, the sample size was calculated; estimating 201 children for the urban area and 128 for the rural area. Finally, we recruited and were able to continue for a year, a total of 248 children from the urban area and 134 from the rural area. The complaint of the reader, is focus that the more appropriated technique would be "… the appropriate sample size calculation must have been the difference of means between two independent populations, although the authors did not report any ACT effect size based on previous studies."...

scholarly journals Cidade de Nampula: a Rainha do Norte de Moçambique

Finisterra ◽  
2012 ◽  
Vol 40 (79) ◽  
Author(s):  
Manuel Mendes Araújo
Keyword(s):  
Informal Economy ◽  
Rural Areas ◽  
Economic Activity ◽  
Urban Areas ◽  
Migrant Population ◽  
The North ◽  
Administrative Units ◽  
Military Control ◽  
The City ◽  
Demographic Growth

The city of Nampula, located in the Northern hinterland of Mozambique, has always been considered the «capital of the North». Founded with the aim of ensuring military control over the colonial penetration of the hinterland, it is an important crossroads where the litoral-hinterland and centre-North axes intersect. Just like Mozambique’sother urban areas, the city of Nampula underwent considerable demographic growth in the period that followed the independence of the country, including the period of civil war and the peace that ensued from 1992 onwards. This demographic growth was the result of a significant migration inflow originating in the rural areas. As the city’s infrastructure and economic activity was unable to keep apace with this growth, the idea of migrating to the city with the aim of improving the livelihood of the migrant population was nothing but a mirage, which eventually resulted in the proliferation of the informal economy as a means of livelihood. The «city of concrete» still exhibits a series of urban and demographic haracteristics that differ substantially from those of the surrounding urban administrative units.

Abstract 13706: Differences in the Distribution of Systolic Blood Pressure by Rural and Urban Residence

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Brittain Heindl ◽  
George Howard ◽  
Elizabeth A Jackson
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Racial Differences ◽  
Rural Areas ◽  
Urban Areas ◽  
Census Bureau ◽  
Urban Group ◽  
Rural And Urban ◽  
Urban Rural ◽  
The Difference

Introduction: The incidence of stroke is higher in rural areas. Hypertension is the leading risk factor for stroke, but the difference in systolic blood pressure (SBP) for those living in rural and urban areas is unknown. Hypothesis: We hypothesized that rural residence is associated with higher SBP levels, and this difference is modified by race, sex, and United States (US) division. Methods: We analyzed 26,113 participants enrolled in the REasons for Geographic And Racial Differences in Stroke (REGARDS) Study, recruited between 2003 and 2007. Participants were grouped based on the Rural-Urban Commuting Area (RUCA) scheme into urban, large-rural, and small-isolated rural groups. Resting SBP was measured during the initial home visit. Differences in percentiles of SBP distribution were compared using multivariate models with adjustment for age, race, sex, and US Census Bureau division. Results: Of the participants, 20,976 (80.3%) were classified as urban, 3,020 (11.6%) as large-rural, and 2,137 (8.2%) as small-isolated rural, reflecting the distribution of the population. The large-rural group had a 0.09 mmHg higher mean SBP compared to the urban group (95% CI, 0.33 to 1.52 mmHg, p = 0.0023), but the difference in SBP at the 95th percentile between these groups was 3.23 mmHg (95% CI, 1.43 to 4.73 mmHg, p = 0.0006). A similar difference was present between the small-isolated rural and urban groups at the highest percentiles. No urban-rural interaction was observed by race, sex, or US division. However, large SBP differences were present between US divisions, especially at the highest percentiles. To illustrate, SBP at the 95th percentile was 9.51 mmHg higher in the East North Central division than in the Pacific (95% CI, 6.41 to 12.61 mmHg, p < 0.0001). Conclusions: Residence in a rural area is associated with higher SBP, with larger differences at the highest percentiles of distribution. SBP differences are present between US divisions, independent of urban-rural status.

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