A study of the use and impacts of LifeStraw™ in a settlement camp in southern Gezira, Sudan

This paper reports a study of the LifeStraw™ in El-Masraf camp within Gezira State, Sudan. A total of 647 eligible subjects participated in the study. Two week incidence of diarrhoeal rates were estimated by a community survey some four months before and again four months after provision of the LifeStraw™. In addition counts were kept of people attending at the community clinic with diarrhoea. Compliance rates were good with 86.5% of people saying they always used it and only 3.7% saying they had never used it. In a before implementation survey 15.3% of participants reported diarrhoea in the previous 2 weeks compared with only 2.3% in a survey after implementation. Similarly 58 people presented to the clinic as a new case of diarrhoea in the four months before compared with only six in the four months after implementation. When compared with diarrhoeal attendances at the regional hospital, this was a statistically significant decline in attendances (p<0.0001). The LifeStraw™ is likely to find a role as an adjunct to water quality interventions aimed at the home. However, more research is needed to assess the long-term impact and uptake of these devices before their definitive value can be assessed.

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Wet weather water quality modelling of a Portuguese urban catchment: difficulties and benefits

Water Science & Technology ◽

10.2166/wst.2002.0071 ◽

2002 ◽

Vol 45 (3) ◽

pp. 131-140 ◽

Cited By ~ 6

Author(s):

L.M. David ◽

R.S. Matos

Keyword(s):

Water Quality ◽

River Flow ◽

Integrated Approach ◽

Integrated Modelling ◽

Sewer System ◽

Deterministic Modelling ◽

Short And Long Term ◽

Long Term Impact ◽

The Impact

This paper discusses the use of water quality deterministic modelling together with an integrated approach to assess the impact of urban stormwater discharges into ephemeral watercourses, based on the study of a Portuguese catchment. The description of the main aspects, difficulties and benefits found during data collection and model calibration and verification is presented, and the associated uncertainties and errors discussed. Experimental results showed a strong short- and long-term impact of sewer discharges on rivers, and confirmed deposition, resuspension and transport of pollutants as important processes for the water quality. However, the resuspension of riverbed sediment pollutants during storms was probably more significant than the direct impact of the urban discharges. The HydroWorks™ model was used since it allows for the calculation of pollutant build-up on catchment surfaces and in gully pots, their wash-off, and the deposition and erosion of sediments in sewers. However, it uses several constants, which could not be independently calibrated, increasing the uncertainty already associated with the data. River flows have quite different magnitude from the sewer system overflows, which, together with the difficulties in evaluating river flow rates, makes the integrated modelling approach rather complex and costly.

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The Impact of Renovation Capital Expenditure on Hotel Property Performance

Cornell Hospitality Quarterly ◽

10.1177/1938965518779538 ◽

2018 ◽

Vol 60 (1) ◽

pp. 25-39 ◽

Cited By ~ 4

Author(s):

Michael J. Turner ◽

James W. Hesford

Keyword(s):

Customer Satisfaction ◽

Capital Expenditure ◽

Significant Decline ◽

Capital Expenditures ◽

Short Term ◽

Beneficial Impact ◽

Long Term Impact ◽

The Impact ◽

Property Performance

This study investigates the impact of renovation capital expenditure on multiple measures of hotel property performance. We conduct analyses in two time periods: for a 3-year period immediately following renovation (short-term impact), and 3 to 6 years following renovation (long-term impact). The study is based on proprietary project, operational and financial data obtained for 305 renovation capital expenditure projects of individual properties within a single budget hospitality chain. We find renovation capital expenditures offer significant short-term beneficial impact in terms of increased revenue, profitability gains, higher customer satisfaction, and decreased repair and maintenance expense. Altogether, these outcomes should be advantageous to hotel property performance. In the long-term, a significant decline is apparent in revenue and profitability. Surprisingly, customer satisfaction does not decline, and repair and maintenance expense does not increase, which are both favorable.

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Liming a humic acid lake: long-term impact on biodiversity and water quality

SIL Proceedings 1922-2010 ◽

10.1080/03680770.1998.11901691 ◽

2000 ◽

Vol 27 (4) ◽

pp. 2498-2503

Author(s):

Anna Hillbricht-Ilkowska

Keyword(s):

Water Quality ◽

Humic Acid ◽

Acid Lake ◽

Impact On Biodiversity ◽

Long Term Impact

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Academic Nurse-Managed Community Clinics Transitioning to Telehealth: Case Report on the Rapid Response to COVID-19

JMIR Nursing ◽

10.2196/24521 ◽

2020 ◽

Vol 3 (1) ◽

pp. e24521

Author(s):

Rebecca Sutter ◽

Alison E Cuellar ◽

Megan Harvey ◽

Y Alicia Hong

Keyword(s):

Health Care ◽

Case Report ◽

Professional Education ◽

Health Care Organizations ◽

Care Delivery ◽

Safety Net ◽

Community Clinics ◽

Community Clinic ◽

Long Term Impact

Background In response to the COVID-19 pandemic, many health care organizations have adopted telehealth. The current literature on transitioning to telehealth has mostly been from large health care or specialty care organizations, with limited data from safety net or community clinics. Objective This is a case report on the rapid implementation of a telehealth hub at an academic nurse-managed community clinic in response to the national COVID-19 emergency. We also identify factors of success and challenges associated with the transition to telehealth. Methods This study was conducted at the George Mason University Mason and Partners clinic, which serves the dual mission of caring for community clinic patients and providing health professional education. We interviewed the leadership team of Mason and Partners clinics and summarized our findings. Results Mason and Partners clinics reacted quickly to the COVID-19 crisis and transitioned to telehealth within 2 weeks of the statewide lockdown. Protocols were developed for a coordination hub, a main patient triage and appointment telephone line, a step-by-step flowchart of clinical procedure, and a team structure with clearly defined work roles and backups. The clinics were able to maintain most of its clinical service and health education functions while adapting to new clinic duties that arose during the pandemic. Conclusions The experiences learned from the Mason and Partners clinics are transferable to other safety net clinics and academic nurse-led community clinics. The changes arising from the pandemic have resulted in sustainable procedures, and these changes will have a long-term impact on health care delivery and training.

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Long-term impact of poultry manure on crop yield, soil and water quality, and crop revenue

Journal of Environmental Management ◽

10.1016/j.jenvman.2019.109582 ◽

2019 ◽

Vol 252 ◽

pp. 109582 ◽

Cited By ~ 6

Author(s):

Natasha L. Hoover ◽

Ji Yeow Law ◽

Leigh Ann M. Long ◽

Ramesh S. Kanwar ◽

Michelle L. Soupir

Keyword(s):

Water Quality ◽

Crop Yield ◽

Poultry Manure ◽

Long Term Impact ◽

Soil And Water

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Long-term impact of Central Basin hypoxia and internal phosphorus loading on north shore water quality in Lake Erie

Inland Waters ◽

10.1080/20442041.2019.1568072 ◽

2019 ◽

Vol 9 (3) ◽

pp. 362-373 ◽

Cited By ~ 1

Author(s):

Gertrud K. Nürnberg ◽

Todd Howell ◽

Michelle Palmer

Keyword(s):

Water Quality ◽

Lake Erie ◽

Phosphorus Loading ◽

Central Basin ◽

North Shore ◽

Internal Phosphorus Loading ◽

Long Term Impact

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Academic Nurse-Managed Community Clinics Transitioning to Telehealth: Case Report on the Rapid Response to COVID-19 (Preprint)

10.2196/preprints.24521 ◽

2020 ◽

Author(s):

Rebecca Sutter ◽

Alison E Cuellar ◽

Megan Harvey ◽

Y Alicia Hong

Keyword(s):

Health Care ◽

Case Report ◽

Professional Education ◽

Health Care Organizations ◽

Care Delivery ◽

Safety Net ◽

Community Clinics ◽

Community Clinic ◽

Long Term Impact

BACKGROUND In response to the COVID-19 pandemic, many health care organizations have adopted telehealth. The current literature on transitioning to telehealth has mostly been from large health care or specialty care organizations, with limited data from safety net or community clinics. OBJECTIVE This is a case report on the rapid implementation of a telehealth hub at an academic nurse-managed community clinic in response to the national COVID-19 emergency. We also identify factors of success and challenges associated with the transition to telehealth. METHODS This study was conducted at the George Mason University Mason and Partners clinic, which serves the dual mission of caring for community clinic patients and providing health professional education. We interviewed the leadership team of Mason and Partners clinics and summarized our findings. RESULTS Mason and Partners clinics reacted quickly to the COVID-19 crisis and transitioned to telehealth within 2 weeks of the statewide lockdown. Protocols were developed for a coordination hub, a main patient triage and appointment telephone line, a step-by-step flowchart of clinical procedure, and a team structure with clearly defined work roles and backups. The clinics were able to maintain most of its clinical service and health education functions while adapting to new clinic duties that arose during the pandemic. CONCLUSIONS The experiences learned from the Mason and Partners clinics are transferable to other safety net clinics and academic nurse-led community clinics. The changes arising from the pandemic have resulted in sustainable procedures, and these changes will have a long-term impact on health care delivery and training.

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Crisis Phones - Suicide Prevention Versus Suggestion/Contagion Effects

Crisis ◽

10.1027/0227-5910/a000313 ◽

2015 ◽

Vol 36 (3) ◽

pp. 220-224 ◽

Cited By ~ 3

Author(s):

Steven Stack

Keyword(s):

Suicide Prevention ◽

Contagion Effects ◽

Long Term Impact

Abstract. Background: There has been no systematic work on the short- or long-term impact of the installation of crisis phones on suicides from bridges. The present study addresses this issue. Method: Data refer to 219 suicides from 1954 through 2013 on the Skyway Bridge in St. Petersburg, Florida. Six crisis phones with signs were installed in July 1999. Results: In the first decade after installation, the phones were used by 27 suicidal persons and credited with preventing 26 or 2.6 suicides a year. However, the net suicide count increased from 48 in the 13 years before installation of phones to 106 the following 13 years or by 4.5 additional suicides/year (t =3.512, p < .001). Conclusion: Although the phones prevented some suicides, there was a net increase after installation. The findings are interpreted with reference to suggestion/contagion effects including the emergence of a controversial bridge suicide blog.

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