scholarly journals Factors affecting the location of medical complexes relative to the network of passages and model presentation

Author(s):  
Seyed Farzin Faezi ◽  
Nezal Murteza

Introduction: choosing the right place to set up a health care center, including important decisions that can have significant impacts on the functioning of the health care center, adjacent uses, and the pedestrian network around. To have it in the long run. The purpose of this study is to prioritize the factors affecting the location of medical complexes over urban pedestrian networks and present a location model. Methods: This is a descriptive-analytical research. The required information has been used from the master plan reports, the detailed plan, the Yazd city transportation plan, the field observation and the survey. In addition, two types of questionnaires were designed. The first questionnaire was designed to identify the problems of the location of existing medical centers and the second questionnaire was designed to prioritize the effective factors in locating the medical centers. The results were analyzed by SPSS-22 ,AHP Expert Choice، ArcGIS Results: The results showed that seven main criteria are effective in locating health care centers, including: 1-therapeutic use with first-class communication network, 2-distance from Mosiley, 3-distance from industrial workshops, 4-distance. 5- Distance from major business centers, 6-distance from bus terminals and railway station and 7-intersection to health center. Also, according to the obtained criteria and the proposed method, suitable location for construction of new medical clinics and complexes in Yazd city was identified as a case study. Finally, a suitable location model for medical complexes was presented. Conclusion: therapeutic use with first-class communication network in order to provide fast and desirable access to clients, is a priority for the selection agents of the location of medical complexes.  

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hemat AbdEl-Salam Ahmed Salama ◽  
Heba MohamedHamed Shaltoot ◽  
Samia Ahmed Abdul-Rahman ◽  
Diaa Marzouk Abd El-Hamid

Abstract Background Poor adherence to medications is a major public health problem. Non-adherence results in disease progression, reduced functional abilities, a lower quality of life, waste of medication and increase use of medical resources such as nursing homes, hospital visits and hospital admissions. Objective To measure the prevalence and factors affecting adherence to medications among T2DM patients attending primary health care center of Saraya El Quobba. To measure the agreement between MTA (Measure Treatment Adherence) and ARMS (Adherence to Refills and Medications Scale) questionnaires as a tool of measurement treatment adherence. Methods A Cross sectional study was carried out in family medicine center of Saraya El Qubba in Cairo on 130 participants who had been diagnosed T2DM at least3 months before. Patients with T1DM, Patients with known history of psychiatric illness or cognitive impairment, Patients with communication problems such as aphasia, severe hearing or visual impairment were excluded. Selection of participants was done through Systematic Random Sampling. Data about adherence was collected using structured questionnaires MTA (Measurement Treatment Adherence) and ARMS (Adherence to Refills and Medications Scale) questionnaires. Results 62.6% of our sample were females, 38.9% belonged to age group of 60 -70 years, 71.8% were married, 29% had intermediate education, 61.8% were unemployed. The level of adherence among patients attending primary health centre of Saraya El Quobba was 65.6%. Many factors were found to affect medication adherence as regular monitoring of blood glucose level (76.7%), regular follow up visit (75.9%), presence of family support (20.6), monthly income (84.2%) and educational level. There was a statistically significant strong negative correlation between the 2 measurements scores (r=-0.8644, p < 0.001). Conclusion The level of adherence was high among the participants in the current study. Many factors were found to affect medication adherence as regular monitoring of blood glucose level, regular follow up visit, presence of family support, monthly income, both high and low educational level. Agreement between to questionnaires was found.


Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.


2019 ◽  
Vol 11 (1) ◽  
pp. 01-04
Author(s):  
Mangal Mahajan ◽  
◽  
Yadav Munde ◽  
Priscilla Joshi ◽  
John Dsousa ◽  
...  

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