scholarly journals Decision-making on Public Transportation Services Based on the Socio-economic, Psychological, and Environmental Concern Factors

2020 ◽  
Vol 14 (1) ◽  
pp. 22-31
Author(s):  
Nattanin Ueasin
Keyword(s):  
Decision Making ◽  
Public Transportation ◽  
Environmental Concern ◽  
Service Selection ◽  
Well Being ◽  
Environmental Conservation ◽  
Transport Systems ◽  
Border Area ◽  
Transportation Services ◽  
The Impact

Aim: This research aims to study the socio-economic, psychological, and environmental factors which affect the decision making of passengers with regard to the use of public transportation route from Nong Khai province, which is considered as the border area of Thailand and Laos, to many destinations. Methods: The study was initially carried out by collecting data from 450 passengers using two public transportation services and 200 passengers using private cars. An analysis was conducted by means of descriptive statistics, factor analysis and binary logistic regression. Results: The results showed that the status, age, domicile, self-satisfaction and accomplishment, safety of life and property, and self-consciousness and environmental conservation practice influenced the choice of both the alternatives. Conclusion: To develop a service model, a variety of bus and van services must be provided to match the varied demand of passengers with different levels of purchasing power. It is also important to consider the impact of various factors that affect the public bus service selection, which may result in improved public transport systems. As a consequence, the well-being of border area citizens can be improved.

scholarly journals Lessons Learned From an Early Hotspot During the COVID-19 Pandemic

2021 ◽  
pp. 000313482199475
Author(s):  
Brett M. Chapman ◽  
George M. Fuhrman
Keyword(s):  
Decision Making ◽  
Surgical Education ◽  
Clinical Care ◽  
Well Being ◽  
Educational Environment ◽  
Lessons Learned ◽  
Residency Programs ◽  
Surgical Residency ◽  
The Impact

The Covid-19 pandemic has provided challenges for surgical residency programs demanding fluid decision making focused on providing care for our patients, maintaining an educational environment, and protecting the well-being of our residents. This brief report summarizes the impact of the impact on our residency programs clinical care and education. We have identified opportunities to improve our program using videoconferencing, managing recruitment, and maintaining a satisfactory caseload to ensure the highest possible quality of surgical education.

A comparison of treatment preferences, decision making, and psychosocial outcomes in advanced cancer patients with and without minor children: A matched cohort study.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 91-91
Author(s):  
Eliza Myung Park ◽  
Allison Mary Deal ◽  
Laura C. Hanson ◽  
Donald L. Rosenstein ◽  
Laura J. Quillen ◽  
...  
Keyword(s):  
Decision Making ◽  
Advanced Cancer ◽  
Psychosocial Functioning ◽  
Metastatic Cancer ◽  
Well Being ◽  
Influential Factor ◽  
Life Extension ◽  
Treatment Preferences ◽  
Minor Children ◽  
The Impact

91 Background: Patients with advanced cancer who have minor children face unique challenges when coping with their life-limiting illness and the impact of their illness on their families. The goal of this study was to examine whether psychosocial functioning, treatment preferences, and treatment decisions in advanced cancer differ by parental status. Methods: A cohort of 60 parents with metastatic solid tumors age-matched with 60 non-parents (N = 120) participated in three structured interviews assessing treatment preferences and decisions over six months with complementary medical record review. Participants also completed validated measures of psychosocial functioning. Results: Seventy percent (n = 85) of the sample completed all study assessments. Mean age (45 years, SD 8), mean performance status score (ECOG = 1.2, SD 0.9), median duration of metastatic illness (19 months, range 1-115), gender ratio (66% female), and dropout rates were similar between groups. Parents and non-parents reported similar overall health-related quality of life, but parents were more likely to report poorer emotional well-being (p = 0.006) and more symptoms of depression (p = 0.04) and anxiety (p = 0.04) than non-parents. Parents and non-parents were equally likely to describe life-extension as their primary goal of anti-neoplastic treatment. Parents reported greater willingness to live in pain (48% “very willing” vs 27%, p = 0.007) and accept intubation/ventilation (40% vs 20%, p = 0.01) for life-extension. Compared to non-parents, parents were more likely to report their family members as the most influential factor in their decision-making (44% vs 12%) and less likely to cite their oncologist’s recommendation (25% vs 41%). There were no significant differences between groups for completion of a health care power of attorney or living will. Conclusions: Compared to similarly aged adults with metastatic cancer, parents experience greater psychological distress, are more willing to live in pain for life extension, and place greater importance on family-related factors in their cancer treatment decision-making.

scholarly journals Rationalizing Urban Transportation using Smart Card Data

2019 ◽  
Vol 8 (11S) ◽  
pp. 507-515
Keyword(s):  
Smart Card ◽  
Public Transport ◽  
Public Transportation ◽  
Urban Population ◽  
Transport Systems ◽  
Living Standard ◽  
Transit System ◽  
Advantages And Disadvantages ◽  
Smart Card Data ◽  
The Impact

The urban population in 2014 accounted for 54% of the total global population, up from 34% in 1960, and continues to grow. The global urban population is expected to grow approximately 1.84%, 1.63% and 1.44% between 2015 and 2020, 2020 and 2025, and 2025 and 2030 respectively. This growing population puts pressure on government not only to accommodate the current and potential citizens but also provide them facilities and services for a better living standard. Providing a sustainable growing environment for the citizens is the biggest challenge for the government. As the populations increase, complexity network of transportation, water and sanitation, emergency services, etc. will increase many folds. SMART CITY Mission is being implemented to resolve this issue. As the cities turn smart, so should the transportation facilities. India on June 2018 had only 20 cities with populations of over 500,000 have organized public transport systems, pointing to the large gap to be bridged in their journey to turn smart. The aim of this paper is to examine the impact of smart card data from public transport for improving the predictions and planning of public transport usage and congestions. The mobile apps like M-Indicator, Google Maps don’t interlink, do not have a real time tracking of vehicles, fare distribution, congestion-based route mapping for public transportation. These factors are addressed in the paper with its advantages and disadvantages. This paper also talks about how information from smart card is to be extracted, how Big Data is to be managed and finally come to a smart, sustainable Urban Transit System. This paper also brings into light the data security issues and measures to curb those issues. This paper proposes and emphasizes on a single smart card for all modes of public transport

scholarly journals What is the evidence for the impact of gardens and gardening on health and well-being: a scoping review and evidence-based logic model to guide healthcare strategy decision making on the use of gardening approaches as a social prescription

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036923 ◽  
Author(s):  
Michelle Howarth ◽  
Alison Brettle ◽  
Michael Hardman ◽  
Michelle Maden
Keyword(s):  
Decision Making ◽  
Scoping Review ◽  
Grey Literature ◽  
Well Being ◽  
Evidence Based ◽  
Long Term Conditions ◽  
Logic Models ◽  
Health Strategy ◽  
The Impact ◽  
Health And Well Being

ObjectiveTo systematically identify and describe studies that have evaluated the impact of gardens and gardening on health and well-being. A secondary objective was to use this evidence to build evidence-based logic models to guide health strategy decision making about gardens and gardening as a non-medical, social prescription.DesignScoping review of the impact of gardens and gardening on health and well-being. Gardens include private spaces and those open to the public or part of hospitals, care homes, hospices or third sector organisations.Data sourcesA range of biomedical and health management journals was searched including Medline, CINAHL, Psychinfo, Web of Knowledge, ASSIA, Cochrane, Joanna Briggs, Greenfile, Environment Complete and a number of indicative websites were searched to locate context-specific data and grey literature. We searched from 1990 to November 2019.Eligibility criteriaWe included research studies (including systematic reviews) that assessed the effect, value or impact of any garden that met the gardening definition.Data extraction and synthesisThree reviewers jointly screened 50 records by titles and abstracts to ensure calibration. Each record title was screened independently by 2 out of 3 members of the project team and each abstract was screened by 1 member of a team of 3. Random checks on abstract and full-text screening were conducted by a fourth member of the team and any discrepancies were resolved through double-checking and discussion.ResultsFrom the 8896 papers located, a total of 77* studies was included. Over 35 validated health, well-being and functional biometric outcome measures were reported. Interventions ranged from viewing gardens, taking part in gardening or undertaking therapeutic activities. The findings demonstrated links between gardens and improved mental well-being, increased physical activity and a reduction in social isolation enabling the development of 2 logic models.ConclusionsGardens and gardening can improve the health and well-being for people with a range of health and social needs. The benefits of gardens and gardening could be used as a ‘social prescription’ globally, for people with long-term conditions (LTCs). Our logic models provide an evidence-based illustration that can guide health strategy decision making about the referral of people with LTCs to socially prescribed, non-medical interventions involving gardens and gardening.

scholarly journals Resisting recommended treatment for prostate cancer: a qualitative analysis of the lived experience of possible overdiagnosis

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026960 ◽  
Author(s):  
Kirsten McCaffery ◽  
Brooke Nickel ◽  
Kristen Pickles ◽  
Ray Moynihan ◽  
Barnett Kramer ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Lived Experience ◽  
Treatment Decision ◽  
Well Being ◽  
Management Options ◽  
Treatment Decision Making ◽  
Recommended Treatment ◽  
Qualitative Interview Study ◽  
The Impact

ObjectiveTo describe the lived experience of a possible prostate cancer overdiagnosis in men who resisted recommended treatment.DesignQualitative interview studySettingAustraliaParticipants11 men (aged 59–78 years) who resisted recommended prostate cancer treatment because of concerns about overdiagnosis and overtreatment.OutcomesReported experience of screening, diagnosis and treatment decision making, and its impact on psychosocial well-being, life and personal circumstances.ResultsMen’s accounts revealed profound consequences of both prostate cancer diagnosis and resisting medical advice for treatment, with effects on their psychological well-being, family, employment circumstances, identity and life choices. Some of these men were tested for prostate-specific antigen without their knowledge or informed consent. The men felt uninformed about their management options and unsupported through treatment decision making. This often led them to develop a sense of disillusionment and distrust towards the medical profession and conventional medicine. The findings show how some men who were told they would soon die without treatment (a prognosis which ultimately did not eventuate) reconciled issues of overdiagnosis and potential overtreatment with their own diagnosis and situation over the ensuing 1 to 20+ years.ConclusionsMen who choose not to have recommended treatment for prostate cancer may avoid treatment-associated harms like incontinence and impotence, however our findings showed that the impact of the diagnosis itself is immense and far-reaching. A high priority for improving clinical practice is to ensure men are adequately informed of these potential consequences before screening is considered.

scholarly journals The Energy Efficiency and Public Health in the ASEAN Plus Three Cooperation

2020 ◽  
Vol 57 ◽  
pp. 004695802093566
Author(s):  
Ching-Cheng Lu ◽  
Xin Wu ◽  
Xiang Chen ◽  
Chih-Yu Yang
Keyword(s):  
Energy Efficiency ◽  
Energy Consumption ◽  
Dynamic Network ◽  
Well Being ◽  
Environmental Conservation ◽  
Data Envelopment ◽  
Improve Energy Efficiency ◽  
Energy Technologies ◽  
The Impact ◽  
Health Efficiency

This study pays more attention to the energy consumption saving, environmental pollution, and health efficiency improvement. We employ the Slack-based measure of Dynamic network Data Envelopment Analysis (DEA) model (DNSBM) to assess the impact of forestry area on annual and overall energy and health efficiency in 2 intertemporal stages, and also put forward on direction and magnitude to be improved respect to the slack variables. For the empirical study, this study employs the 13 countries in the Association of Southeast Asian Nations Plus Three Cooperation (hereinafter referred to as APT) during 2011-2015. From the empirical evidence, it is not easy to raise gross domestic product while reducing energy consumption and PM2.5 emissions to improve energy efficiency. What makes people neglect is the impact of reduced forestry area on health efficiency. Optimistically, all economies are able to adopt measures from policy and technical perspectives, for instance, appropriately adjust energy-related policies, energetically develop innovative energy technologies, and preserve forestry areas, to create a harmonious atmosphere featuring economic development, environmental conservation, and national health and well-being.

scholarly journals Change of car driver`s stress index during different periods of the day in urban traffic conditions

2020 ◽  
Vol 2020 (2) ◽  
pp. 23-32
Author(s):  
Yuri Davidich ◽  
◽  
Yevhen Kush ◽  
Denys Ponkratov ◽  
◽  
...  
Keyword(s):  
Decision Making ◽  
Traffic Safety ◽  
Transport Process ◽  
Well Being ◽  
Urban Traffic ◽  
Transport Systems ◽  
Stress Index ◽  
Traffic Conditions ◽  
Driving Assistance ◽  
Almost All

Nowadays, the transport industry plays an important role in human well-being and the functioning of any settlement. Transport systems are involved in almost all areas of production and services. Therefore, any failure in its operation can lead to significant material costs. One of the most important such systems is “driver - vehicle - road - environment”. It should be noted, that the main link in it is “driver”. The correctness and duration of decision-making in different road situations depend on the driver`s functional state. This directly affects the level of traffic safety. Consequently, the tasks of modern transport research are the introduction of methods of the vehicle driver`s conditions monitoring and the detection of his fatigue in its early stages. That`s why the actuality of studying the human operator role in the transport process and the creation of modern means of driving assistance are increasing now.

scholarly journals Equity in public transport — a case of Bangalore’s city bus transport

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Deepak Baindur ◽  
Pooja Rao
Keyword(s):  
Low Income ◽  
Public Transport ◽  
Public Transportation ◽  
Urban Areas ◽  
Survey Study ◽  
Transport Systems ◽  
City Bus ◽  
Main Challenge ◽  
The Cost ◽  
The Impact

In most urban areas, buses are the most heavily used form of public transportation[1] and more so in Indian cities where buses make up for over 90% of public transport ridership[2]. In the selected Indian metro cities, where formal bus based PT systems are operated by public agencies, they are over-reliant on state support to sustain operations as fare box collections are inadequate in spite of having relatively high ridership. The main challenge for all this is to achieve long term financial sustainability of public transport systems while providing good quality and affordable bus services.This paper investigates internal and external factors that led to the steep and recurrent fare increases in the Bangalore city bus services in the period from 2012–2014 which are operated by Bangalore Metropolitan Transport Corporation. In order to estimate the impact of the recent bus fare increases that have had on the economically weaker sections of the society dependent on these services, the paper presents the results of a random sampling survey study carried out in a central locality in the city that has a large slum area.The key findings throw light on the various ways in which the low income bus users have adapted to reduce their travel costs through changes in travel behavior, travel pattern and modal shifts. The cost of the behavioral changes through lost opportunities and the cost of the modal shifts of the persons earlier favoring public transportation draw attention to the significance of public transport fare policies. Furthermore, the management and operations of the BMTC agency show scope for improvement which can translate into better revenue generation and consequent reduction in fares.

Key Elements of the Critical Care Work Environment Associated With Burnout and Compassion Satisfaction

2021 ◽  
Vol 30 (2) ◽  
pp. 113-120
Author(s):  
Lesly A. Kelly ◽  
Karen L. Johnson ◽  
R. Curtis Bay ◽  
Michael Todd
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Critical Care ◽  
Work Environment ◽  
Compassion Satisfaction ◽  
Well Being ◽  
Nurse Turnover ◽  
Effective Decision ◽  
Effective Decision Making ◽  
The Impact

Background As the role of a health care system’s influence on nurse burnout becomes better understood, an under-standing of the impact of a nurses’ work environment on burnout and well-being is also imperative. Objective To identify the key elements of a healthy work environment associated with burnout, secondary trauma, and compassion satisfaction, as well as the effect of burnout and the work environment on nurse turnover. Methods A total of 779 nurses in 24 critical care units at 13 hospitals completed a survey measuring burnout and quality of the work environment. Actual unit-level data for nurse turnover during a 5-month period were queried and compared with the survey results. Results Among nurses in the sample, 61% experience moderate burnout. In models controlling for key nurse characteristics including age, level of education, and professional recognition, 3 key elements of the work environment emerged as significant predictors of burnout: staffing, meaningful recognition, and effective decision-making. The latter 2 elements also predicted more compassion satisfaction among critical care nurses. In line with previous research, these findings affirm that younger age is associated with more burnout and less compassion satisfaction. Conclusions Efforts are recommended on these 3 elements of the work environment (staffing, meaningful recognition, effective decision-making) as part of a holistic, systems-based approach to addressing burnout and well-being. Such efforts, in addition to supporting personal resilience-building activities, should be undertaken especially with younger members of the workforce in order to begin to address the crisis of burnout in health care.

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