scholarly journals Should Comorbidities be Considered in the Decision to Discharge COVID-19 Patients From Hospital? A Case Series

2021 ◽  
Author(s):  
Bahar Saberzadeh-Ardestani ◽  
Majid Sorouri ◽  
Bardia Khosravi ◽  
Ali Reza Sima ◽  
Reza Malekzadeh
Keyword(s):  
Pulmonary Disease ◽  
Clinical Condition ◽  
Clinical Management ◽  
Case Series ◽  
Patient Demographics ◽  
The World ◽  
Good Clinical Condition ◽  
The Impact ◽  
The City

An outbreak of COVID-19 started in December 2019 in the city of Wuhan and is now rapidly spreading across the world. We report two cases of confirmed COVID-19 with pre-existing comorbidities who were discharged from the hospital with a good clinical condition and in concordance with interim discharge protocols. However, they were readmitted and died on the discharge day. Here we discuss the importance of patient demographics in clinical management vs. the resolution of the pulmonary disease alone and raise a question about the impact of comorbidities on discharge protocols.

A case study of noise pollution levels during the restrictions period due to COVID-19.

2021 ◽  
Vol 263 (6) ◽  
pp. 206-214
Author(s):  
David Montes-González ◽  
Juan Miguel Barrigón-Morillas ◽  
Ana Cristina Bejarano-Quintas ◽  
Manuel Parejo-Pizarro ◽  
Guillermo Rey-Gozalo ◽  
...  
Keyword(s):  
Noise Pollution ◽  
Urban Environments ◽  
Control Measures ◽  
Acoustic Measurements ◽  
Pollution Levels ◽  
The World ◽  
The Impact ◽  
The City

The pandemic of coronavirus disease (COVID-19) led to the need for drastic control measures around the world to reduce the impact on the health of the population. The confinement of people in their homes resulted in a significant reduction in human activity at every level (economic, social, industrial, etc.), which was reflected in a decrease in environmental pollution levels. Studying the evolution of parameters, such as the level of environmental noise caused by vehicle traffic in urban environments, makes it possible to assess the impact of this type of measure. This paper presents a case study of the acoustic situation in Cáceres (Spain) during the restriction period by means of long-term acoustic measurements at various points of the city.

scholarly journals Influence of Tourism Destination Products and Images on Tourist Visiting Decision to Kota Seribu Sungai Banjarmasin

2018 ◽  
Vol 2 (2) ◽  
pp. 73
Author(s):  
Devin Cahya Triansya ◽  
Beta Budisetyorini
Keyword(s):  
Positive Influence ◽  
Destination Image ◽  
Tourism Destination ◽  
Tourist Destination ◽  
Tourist Destinations ◽  
Tourism Sector ◽  
The World ◽  
Tourism Destinations ◽  
The Impact ◽  
The City

 AbstractThe continuous rapidly growth of tourism sector with the tight competition in the field of tourismmakes not all tourist destinations in the world always experience an increase in the number of tourist visits each year. Banjarmasin City, dubbed the “Kota Seribu Sungai” or "City of Thousand Rivers" and is known as the Thousand Rivers tourist destination has experiencedfluctuate number of tourist arrivals and tend to decline. The fluctuate number of tourist arrivalssourced from tourist visiting decisions can be influenced by various factors, including tourism destination productsand image. This study aims to see the effects of tourism destination products consisting of physical products, people, packages, and programsalsothe image of tourism destinations consisting of cognitive image and affective image on tourists visiting decision to the city of Thousand River Banjarmasin. The data obtained were taken by questionnaire to 123 tourists by accidental sampling. The results of the research were analyzed using multiple linear regression with two equations, namely (I) The influence of tourism destination products on tourist visiting decision and (II) The impact of tourism destination image on tourist visiting decision. The resultsfound the positive influence of tourism destination products to thetourist visiting decision of 54.5% and the image of tourism destination on the tourist visiting decision of 53.4% and the rest of 45.5% and 46.6% influenced by other factors not examined. The results of the analysis also showed the effect of tourism destination products variable partially consisting of physical products, packages, and programs have an effect on the decision of tourists while people have no influence. As for the variable image of tourism destinations in partial consisting of cognitive image and affective image affect the decision of tourists visiting to Kota Seribu Sungai Banjarmasin. 

scholarly journals Understanding the Incremental Impact of Built Environment on Climate Change of Metropolitan City Karachi

2020 ◽  
Vol 39 (4) ◽  
pp. 678-685
Author(s):  
Nimra Kanwal ◽  
Nuhzat Khan
Keyword(s):  
Climate Change ◽  
Energy Consumption ◽  
Residential Buildings ◽  
Building Design ◽  
High Energy ◽  
Metropolitan City ◽  
Green Area ◽  
The World ◽  
The Impact ◽  
The City

Buildings are the most important part of development activities, consumed over one-thirds of the global energy. Household used the maximum energy around the world, likewise in Pakistan residential buildings consumed about half of total energy (45.9% per year). The study aims to analyze the impact of building design on climate of Metropolitan City Karachi, Pakistan and to evaluate the change in urbanization patterns and energy consumption in the buildings. To have better understanding of the issues correlations was established amongst population, urbanization patterns, green area, number of buildings (residential and commercial), building design, energy consumption and metrological records (climate change parameters) by collecting the data from the respective departments. With the help of the collected data amount of carbon dioxide was estimated. The results reveled that during last 36 years the urban population of Karachi increased exponentially from 5,208,000 (1981) to 14,737,257 (2017) with increase in urbanized area from 8.35 km2 (1946) to 3,640 km2 (2017) that may led to reduce the green area of the city from 495,000 hectors (1971) to 100,000 hectors (2015). Moreover, the building’s design and numbers are being changed from 21 high-rise buildings (2009) to 344 (2017). It may be concluded that change in temperature pattern and climatic variability of the city may be due to increase in population and change in lifestyle that lead to high energy consumption that is prime source of increased in CO2 emission in the environment of Karachi city, However, Greenhouse Gases (GHG) releases are much lower than the levels reported from metropolitan cities around the world.

scholarly journals WADAH KOMUNITAS DAN REKREASI SEBAGAI RUANG KE - 3 DENGAN URBAN AKUPUNTUR METODE MENGHIDUPKAN DAN MENGEMBALIKAN CITRA PASAR BARU

2020 ◽  
Vol 2 (2) ◽  
pp. 1427
Author(s):  
Stephen Stephen ◽  
Franky Liauw
Keyword(s):  
Shopping Center ◽  
Small Scale ◽  
Urban Spatial Structure ◽  
Social Culture ◽  
Shopping Area ◽  
The World ◽  
To Come ◽  
The Times ◽  
The Impact ◽  
The City

At present the activity of buying and selling/trading has been developing rapidly for decades. The growth of new malls spread throughout Jakarta. Making Jakarta the city with the largest and most shopping center in the world, with more than 173 malls. Coupled with the help of technology, an online shop platform has emerged that makes it easy for visitors to shop without having to come to the store. With the help of electronic media tools such as tablets or Smartphones. Nowadays, malls are not only a place to shop but also a place for recreation, socializing, or just for a walk alone. The progress of technology and human culture is changing. It's one of the factors that influence the impact of the decline in visitors at the old shopping center, every year such as a Pasar Baru shopping center. Re-Imagine Pasar Baru is a project that aims as a motor/propeller for Pasar Baru Community. Inviting the local people and Shop Owners to take part in making a change. Through a new program that strengthens unity and diversity to bring the conciseness cooperation (Gotong-royong) attitude that has been lost with the development of the times. Creating a place where people can socialize and interact, get closer, get to know each other, and also as a means of recreation for residents, visitors, shop owners, and also this project hopes to bring the Pasar Baru shopping area to life. Through the Urban Acupuncture method by analyzing the needs, potentials, deficiencies, demographics, ecology, etc. that characterize the Pasar Baru area. Where it can present a new program, and produce small-scale changes, but social catalytic intervention into the urban spatial structure. In physical and social-culture in Pasar Baru. Keywords: Community; Gotong Royong; Pasar Baru; Recreation; Urban Acupuncture  AbstrakSaat ini aktivitas Jual-beli/perdagangan sudah berkembang pesat selama beberapa dekade. Tumbuhnya mall-mall baru tersebar di seluruh Jakarta. Menjadikan Jakarta sebagai kota dengan pusat perbelanjaan terbanyak dan terbesar di dunia, dengan lebih dari 173 mall. Ditambah dengan bantuan teknologi, platform online shop memudahkan pengunjung untuk berbelanja tanpa perlu datang ke toko. Dengan bantuan alat media elektronik seperti tablet atau Smartphones. Saat ini, mall bukan hanya menjadi tempat untuk berbelanja melainkan menjadi tempat rekreasi, bersosialisasi, atau hanya sekedar untuk jalan-jalan semata. Kemajuan teknologi serta budaya manusia yang berubah, merupakan salah satu faktor yang berpengaruh terhadap dampak penurunan pengunjung di pusat perbelanjaan lama setiap tahunnya, seperti pusat perbelanjaan Pasar Baru. Re-Imagine Pasar Baru Merupakan proyek yang bertujuan sebagai motor / pengerak daerah Pasar Baru. Mengajak masyarakat dan para pedagang untuk ikut andil dalam melakukan suatu perubahan. Lewat program yang mempererat kesatuan dan persatuan guna memunculkan sikap gotong royong yang sudah hilang seiring berkembangnya zaman. Menciptakan tempat dimana warga dapat bersosialisasi dan berinteraksi, mendekatkan, saling mengenal satu sama lain dan juga sebagai sarana rekreasi warga lokal, dan proyek ini berharap dapat menghidupkan kawasan perbelanjaan Pasar Baru. Lewat metode Urban Acupunture yaitu dengan menganalisis kebutuhan, potensi, kekurangan, demografi, ekologi yang menjadi ciri khas dari kawasan Pasar Baru. Dimana dapat menghadirkan suatu program baru, dan menghasilkan perubahan skala kecil, tetapi intervensi katalitik sosial ke dalam tatanan ruang kota. Bukan hanya sekedar bentuk fisik, tetapi juga berdampak pada sosial dan budaya Kawasan Pasar Baru sendiri. 

MARKETING RESEARCH ON THE IMPACT OF THE WORLD CUP ON THE RESULTS OF THE RESTAURANT KAVIST

2020 ◽  
Author(s):  
Marta Iurevna Grigoryan ◽  
◽  
Yulia Adolfovna Kosikova ◽  
Keyword(s):  
Marketing Research ◽  
World Cup ◽  
Positive Information ◽  
Revenue Growth ◽  
The World ◽  
Average Revenue ◽  
Public Catering ◽  
Almost All ◽  
The Impact ◽  
The City

This article discusses the results of marketing research of the market of public catering enterprises. In 2018, Russia was the mistress of the world championship on football. This event could not but affect the attendance of catering establishments in the cities hosting fans. Almost all restaurateurs agree on one thing - the championship had a great impact on business. On average, revenue growth in restaurants and bars in Moscow ranged from 10% on the outskirts of the city and up to 150% in the center. Beer sales have increased significantly. The staff has increased and improved qualitatively. This laid the Foundation for the further growth of the popularity of Russia, as satisfied customers will transmit positive information in their homeland, inviting more and more tourists to visit us.

City-to-City and Temporal Assessment of Peer City Scooter Policy

2020 ◽  
Vol 2674 (7) ◽  
pp. 219-232 ◽  
Author(s):  
Caroline Janssen ◽  
William Barbour ◽  
Erin Hafkenschiel ◽  
Mark Abkowitz ◽  
Craig Philip ◽  
...  
Keyword(s):  
Temporal Analysis ◽  
The United States ◽  
Device Removal ◽  
Directed Movement ◽  
The World ◽  
Convergence Point ◽  
The Impact ◽  
The City ◽  
Operating Company ◽  
Temporal Assessment

This paper presents a micromobility scooter policy comparison between 10 mid-sized peer cities with respect to 12 policy dimensions. Because of the evolutionary nature of the policy, a temporal analysis of policy dimensions is required, which we conduct and present in this work. The impact of these individual policies reaches across the city itself, the operating company, and the mobility user—all of which are assessed throughout this work. Many of these policy dimensions are acute pain points for cities, such as fleet caps, permitting fees, and equity requirements. In the temporal analysis, some dimensions show not just happenstance variability in attempts to manage forms of micromobility, but appreciable trends. Approximately 1 year after the deployment of dockless electric scooters in cities throughout the United States and the world, cities have made multiple attempts at regulations and legislation to handle the new mobility mode. Throughout this time, cities have agreed from the start in some aspects of policy such as device removal, safety, speed limit, and bonds. In other dimensions, such as fleet expansion plans, equity regulations, and parking requirements, cities see directed movement over time toward a convergence point.

scholarly journals Differences in hospital admissions practices following self-harm and their influence on population-level comparisons of self-harm rates in South London: an observational study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e032906
Author(s):  
C Polling ◽  
Ioannis Bakolis ◽  
Matthew Hotopf ◽  
Stephani L. Hatch
Keyword(s):  
Hospital Admissions ◽  
Population Level ◽  
City Centre ◽  
Spatial Patterning ◽  
Patient Demographics ◽  
Admission Data ◽  
Self Harm ◽  
Hospital Practices ◽  
The Impact ◽  
The City

ObjectivesTo compare the proportions of emergency department (ED) attendances following self-harm that result in admission between hospitals, examine whether differences are explained by severity of harm and examine the impact on spatial variation in self-harm rates of using ED attendance data versus admissions data.SettingA dataset of ED attendances and admissions with self-harm to four hospitals in South East London, 2009–2016 was created using linked electronic patient record data and administrative Hospital Episode Statistics.DesignProportions admitted following ED attendance and length of stay were compared. Variation and spatial patterning of age and sex standardised, spatially smoothed, self-harm rates by small area using attendance and admission data were compared and the association with distance travelled to hospital tested.ResultsThere were 20 750 ED attendances with self-harm, 7614 (37%) resulted in admission. Proportion admitted varied substantially between hospitals with a risk ratio of 2.45 (95% CI 2.30 to 2.61) comparing most and least likely to admit. This was not altered by adjustment for patient demographics, deprivation and type of self-harm. Hospitals which admitted more had a higher proportion of admissions lasting less than 24 hours (54% of all admissions at highest admitting hospital vs 35% at lowest). A previously demonstrated pattern of lower rates of self-harm admission closer to the city centre was reduced when ED attendance rates were used to represent self-harm. This was not altered when distance travelled to hospital was adjusted for.ConclusionsHospitals vary substantially in likelihood of admission after ED presentation with self-harm and this is likely due to the differences in hospital practices rather than in the patient population or severity of self-harm seen. Public health policy that directs resources based on self-harm admissions data could exacerbate existing health inequalities in inner-city areas where these data may underestimate rates relative to other areas.

scholarly journals STRATEGI COMPETITIVE ADVANTAGE UNTUK MEMBANGUN CITY BRANDING KOTA BATU SEBAGAI KOTA WISATA

IQTISHODUNA ◽  
2016 ◽  
Vol 10 (2) ◽  
pp. 89-98
Author(s):  
Uyunur Rochmawati Miladiyah ◽  
Slamet Slamet
Keyword(s):  
Competitive Advantage ◽  
Competitive Advantages ◽  
City Branding ◽  
Tourist Attractions ◽  
City Brand ◽  
The Public ◽  
Tourism Sector ◽  
The World ◽  
The Impact ◽  
The City

Globalization led to tough competition among cities around the world to win the competition toattract visitors and increase investment. Therefore, not only the company, the cities are also struggling tocreate uniqueness to gain an advantage in competition. It is very important to communicate the competitiveadvantages owned by these cities to the public and all parties to ensure the achievement of objectives. Citybranding is a method used to re-brand the city as identification which is expected to reflect the advantages aswell as its uniqueness. Therefore, in 2013 Shining Batu was introduced as a city brand wich expected to bereflect the competitive advantage of Batu City. The purpose of this study is to reveal aspects of the competitiveadvantages Batu City; strategies that are used in communicating it; as well as how big the impact of thecommunication strategy for the visitors Batu City. The paradigm of this research is qualitatively by case studydesign. Data were obtained by interview and documentation. The results showed that the Batu City has threeinterrelated aspects superior to one another that supports the creation of competitive advantages: geographicand agricultural sectors are packed in the development of the tourism sector. At the same time, the governmentdeveloped the program as a means of communicating Shining Batu and reflects the benefits of the city to thepublic. Shining Batu communicated through various forms of promotion that utilizes a wide variety ofcommunication tools; a variety of Tour Package; and held aa variety of routine and incidental events.Questionnaire showed that aim to dominate the number of respondents traveled, which consists of a visitor,where recreational tourist attractions types over a favorite choice than any natural attractions. Hotel is a topchoice for a place to stay. Most visitors make a visit to Batu City more than once.

scholarly journals The impact of school reopening on COVID-19 dynamics in Bogotá, Colombia

2021 ◽  
Author(s):  
Guido España ◽  
Zulma M. Cucunubá ◽  
Hernando Diaz ◽  
Sean Cavany ◽  
Nelson Castañeda ◽  
...  
Keyword(s):  
Public Schools ◽  
Social Contact ◽  
Multidimensional Poverty ◽  
Face Mask ◽  
Poverty Index ◽  
Middle Income ◽  
Multidimensional Poverty Index ◽  
The World ◽  
The Impact ◽  
The City

The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has affected millions of people around the world. In Colombia, 1.65 million cases and 43,495 deaths were reported in 2020. The exacerbation of poverty is a critical consequence of the pandemic, particularly in low- and middle-income countries. Schools have been closed in many places around the world to slow down the spread of SARS-CoV-2 and particularly in Latin America. In Bogotá, Colombia, public schools were closed since March 2020 and stayed closed for in-person instruction for the rest of the year, except for some schools that were open as a pilot for testing policies. To reconcile these two priorities in health and poverty, we estimated the impact of school reopening for in-person instruction in 2021. We used an agent-based model of SARS-CoV-2 transmission, considering social contact. The model includes schools that represent the set of private and public schools in terms of age, enrollment, location, and size. The model is calibrated to daily incidence of deaths in Bogotá. We simulated school reopening at different capacities, assuming high use of face mask, and evaluated the impact on the number of deaths in the city of different scenarios of school reopening by grade, and multidimensional poverty index. We found that school reopening, based on a correct use of face masks at 75% in >8 years of age, at 35% capacity had a small impact on the number of deaths reported in the city, assuming that overall mobility in the city was similar to the mobility during November. The increase in deaths was smallest when only pre-kinder was opened, and largest when secondary school was opened. Even at larger capacities, the impact on the number of deaths of opening pre-kinder was below 10%. Reopening other grades above 50% of capacity could significantly increase the number of deaths in the city. Reopening schools based on the multidimensional poverty index resulted in a similar increase in the number of deaths, independently on the level of poverty of schools. We conclude that the impact of schools reopening for in-person instruction is lower for pre-kinder grades and the magnitude of additional deaths associated with school reopening can be minimized by adjusting capacity in older grades. In addition, opening lower grades could allow adults, especially the poorest women to return to work.

scholarly journals Culinary Influence on Bengaluru as a Tourism Destination

2019 ◽  
Vol 8 (4) ◽  
pp. 766-774
Keyword(s):  
Food Habits ◽  
Market Segment ◽  
Tourism Destination ◽  
Tourist Destination ◽  
Culinary Tourism ◽  
Tourism Experience ◽  
The World ◽  
The Impact ◽  
The City ◽  
Regression Tests

Bengaluru, the capital of Karnataka, attracts tourists from far and wide every day of the year. The city is home to people of various cultures and nationalities, and is amongst the fastest growing cities of the world. Bengaluru has a huge potential with regard to tourism and this hence forms the area of study for this study. In relation to the tourism component, the author establishes a connection with the culinary offerings of the city. The city boasts of busting restaurants and streets filled with local vendors offering the authentic dishes of the lands cuisine. This article aims to study the food habits and preferences of inward tourists in order to estimate the impact of culinary aspects of the city on its tourism. The study was carried out by surveying the visitors of Bengaluru, who sought out to identify their food values and perceptions. This was done in relevance to potential scope for tourism opportunities for the city. The article thus holds scope for further research on the potential of culinary tourism in Bengaluru. The study was undertaken by surveying 246 visitors by administering a questionnaire that was aimed at acquiring their opinions on the culinary aspects of the city. The study is built based on their responses which were statistically analysed using reliability, association, variance and regression tests. The research results helped conclude that the aspects of culinary and gastronomy of a tourist destination do play an important role in the tourism experience. This study holds future scope for culinary tourism as a specific market segment for destinations that show the importance of culinary aspects. This study thus fills in the gap between studies that determine the factors that affect tourism experience and studies that explain culinary tourism.

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