scholarly journals Visit to the Emergency Room: A Time Analysis of 119 Ambulances, Private Cars, and Taxis

2021 ◽  
Vol 35 (5) ◽  
pp. 81-88
Author(s):  
Kyunghee Kang

This study analyzed the transportation time of 119 ambulances, private cars, and taxis to arrive at the emergency room, and estimated the factors influencing the time using individual and household characteristics and emergency statistics from the 2018 annual data of the Korea Health Panel Study (Version 1.7). Out of 2,032 cases that were analyzed, 427 cases (21.0%) were brought by 119 ambulances; 1,276 (62.8%) by private cars; and 329 cases (16.2%) by taxis. On average, the 119 ambulances took 23.14 minutes, private cars took 25.06 minutes, and taxis took 19.01 minutes to reach the emergency room. The overall average was 23.68 minutes. Moreover, the difference between urban and rural areas was a statistically significant factor influencing the time for all three methods of transport. It took approximately 7-10 minutes longer in rural areas than in urban areas. In addition, the lower the income, the longer it took in the case of private cars. If the transportation time for ambulance services is efficiently managed in terms of economic and social characteristics or regional factors, the quality of the ambulance service is expected to improve significantly.

2017 ◽  
Vol 25 (3) ◽  
pp. 22-32 ◽  
Author(s):  
Myung-Bae Park ◽  
Chun-Bae Kim ◽  
Chhabi Ranabhat ◽  
Chang-Soo Kim ◽  
Sei-Jin Chang ◽  
...  

Happiness is a subjective indicator of overall living conditions and quality of life. Recently, community- and national-level investigations connecting happiness and community satisfaction were conducted. This study investigated the effects of community satisfaction on happiness in Nepal. A factor analysis was employed to examine 24 items that are used to measure community satisfaction, and a multiple regression analysis was conducted to investigate the effects of these factors on happiness. In semi-urban areas, sanitation showed a positive relationship with happiness. In rural areas, edu-medical services were negatively related to happiness, while agriculture was positively related. Gender and perceived health were closely associated with happiness in rural areas. Both happiness and satisfaction are subjective concepts, and are perceived differently depending on the socio-physical environment and personal needs. Sanitation, agriculture (food) and edu-medical services were critical factors that affected happiness; however, the results of this study cannot be generalized to high-income countries.


2021 ◽  
Author(s):  
Shekhar Chauhan ◽  
Shobhit Srivast ◽  
Pradeep Kumar ◽  
Ratna Patel

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.


2020 ◽  
Author(s):  
◽  
Mpumelelo Dolo

Water is regarded as the most important substance found on earth. There is no substitute for it. The daily running of production businesses, industrial firms and agricultural production that help sustain the economy of countries are largely dependent on the availability of water for them to function. The importance of water cannot be over emphasised. The food which is consumed daily depends on water; it can therefore be safely concluded that without water there would be no food, and without food there would be no life. Despite the importance of water in relation to human life, animals and plants, research studies show that the its availability becoming increasingly deficient around the globe. Water levels of major dams and rivers around the world are dropping, limiting the supply of potable water to those dependent on them. Global warming is one factor that is influencing the dropping of water levels, through evaporation. Other factors include climate change, drought and population growth. In South Africa, the government has been fighting a continuous battle of trying to address the backlog of water infrastructure, particularly in the areas which were disadvantaged by the apartheid government. These areas include rural areas, small towns (semi-urban) and townships. The Eastern Cape province in South Africa is top of the list from a backlog point of view. Rural dwellers migrate to urban areas for various reasons such as better education, better health care, job opportunities and more efficient services. Water supply is one of the services which is more adequately supplied in the cities compared to the rural areas. Even though the supplied water in the urban areas of the Eastern Cape is not the best standard when compared to other cities around the country or the world, it is still at an acceptable standard. Thus, this study was conducted to seek ways of improving the supply of water in the urban and rural areas of the Eastern Cape. The availability and the quality of water differs between the urban and rural areas. The purpose of this study was to seek ways of bridging the gap between these areas while improving the standard of water supply in both rural and urban areas. While working towards improving the lives of the Eastern Cape people, the study also seeks to promote water preservation and awareness to the people of the province. In order to find better alternatives which have been tested in various places around the world, an in-depth literature review was conducted in the study. This functioned as an effective comparison of what is obtained in different places around the world and the context of this study, which is the Eastern Cape. A survey method was used to gather data regarding the problems surrounding water supply and options that could be adopted to remedy those problems. The survey was conducted in the form of a self-observation assessment, questionnaire for households in urban and rural areas and interview sessions with prominent government entities and local technical service providers. The survey covered the whole spectrum of individuals and groups that play a major role in the supply and usage of water. The study was conducted within three municipalities of the Eastern Cape. These municipalities cover approximately two-third of the Eastern Cape considering the size of population in those areas. The municipalities covered by the study were: Amathole District Municipality (ADM), Buffalo City Metropolitan Municipality (BCMM) and OR Tambo District Municipality (ORTDM). The findings from the study showed that indeed the standard of water supply between urban and rural areas was not equal. This relates to the purification methods, the convenience of collecting water by users, the quality of infrastructure being constructed (due to good or poor monitoring during construction) and the quality of the water as well as operation and maintenance response from the various service providers. Moreover, it was found that there was an acceptable level of awareness by citizens when it comes to using water, and precautions to save it were being taken by some. However, some dominant factors such as poor management, poor infrastructure resulting in leaks, climate change, run-offs and population growth were putting a strain on the existing water resources which is not coping with the increasing demand by people. Recommendations made in the study to balance the supply of water in rural areas and urban areas include: improving the purification of water so as to achieve a standard quality within the Eastern Cape; that rural areas be allowed to have an option of having yard or house connections, particularly those who are willing to pay rates at a scale suiting their class or standard; and that water service providers make it their responsibility to extend reticulation networks if there is expansion or development of more houses in rural areas in order to keep the distance minimal to standpipes


2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
A F Nunes ◽  
A S Nunes ◽  
P Monteiro ◽  
C R Martins ◽  
H Forte

Abstract Introduction Anisometropia is characterized by a refractive inter ocular difference greater than 1.00 dioptre (D). It is the main cause of amblyopia and loss of binocular vision. Its prevalence depends on several factors, being different values in different geographical areas of the world and in different age groups. Objectives To estimate the frequency of anisometropia in children of the 2nd cycle of Basic Education. Methodology A total of 519 children attending the 5th and 6th school years, from Covilhã schools, from urban and rural areas, aged between 9 and 14 years (10.8 ± 0.8 years) were enrolled in the study. The refractive error was measured with a paediatric auto refractometer (Plusoptix), without cycloplegic and in binocular conditions. Anisometropia was defined as the inter ocular difference in spherical equivalent or cylindrical, greater than 1.00 D and a separate analysis for values greater than 2.00 D. Results The sample was symmetrically divided into genders (50.9% Male), between school grade (53% 5th year) and higher in urban areas (70.1%). The prevalence of anisometropia with cut-off points of 1.00 D and 2.00 D was 12.3% and 5.0%, respectively. There was a higher prevalence among males, in rural areas and in 6th grade. The Chi-square test (□2) shows that the difference is statistically significant only between years of schooling, with a higher prevalence in the 6th grade (p = 0.001). Conclusion There was a slightly higher prevalence of spherical and cylindrical anisometropia (5% and 12.3%) than is reported in the literature (rates between 4.4% and 9.4%). The 6th school year presented rates significantly higher than the 5th year, which points out that anisometropia increases with age, as was also advocated by other authors. Visual screening programs in adolescence for the detection of anisometropia are fundamental, since their timely correction allows to safeguard the binocular vision.


Atmosphere ◽  
2018 ◽  
Vol 9 (8) ◽  
pp. 312 ◽  
Author(s):  
Changqing Lin ◽  
Alexis Lau ◽  
Ying Li ◽  
Jimmy Fung ◽  
Chengcai Li ◽  
...  

To more effectively reduce population exposure to PM2.5, control efforts should target densely populated urban areas. In this study, we took advantage of satellite-derived PM2.5 data to assess the difference in PM2.5 variations between urban and rural areas over eastern China during the past three Five-Year Plan (FYP) periods (2001–2015). The results show that urban areas experienced less of a decline in PM2.5 concentration than rural areas did in more than half of the provinces during the 11th FYP period (2006–2010). In contrast, most provinces experienced a greater reduction of PM2.5 concentration in urban areas than in rural areas during the 10th and 12th FYP periods (2001–2005 and 2011–2015, respectively). During the recent 12th FYP period, the rates of decline in PM2.5 concentration in urban areas were more substantial than in rural areas by as much as 1.5 μg·m−3·year−1 in Beijing and 2.0 μg·m−3·year−1 in Tianjin. These results suggest that the spatial difference in PM2.5 change was conducive to a reduction in the population exposure to PM2.5 in most provinces during recent years.


2019 ◽  
Author(s):  
Lihua Zhang ◽  
Tingting Zhen ◽  
Qinyou Meng ◽  
Shimin Yang ◽  
Jiaxue Pan ◽  
...  

Abstract Background: Although a large number of studies have shown that maternal mortality in rural areas is higher than that in urban areas, few reports discussed about the detailed situation and the behind causes. Here, we summarized the maternal mortality from 1995 to 2018 in Jinan and the reason behind it was deeply discussed. It is expected to reveal the difference and its behind reasons, thus providing a basis for policy makers to develop interventions. Methods: Data about maternal mortality in the selected city from 1995 to 2018 were collected through the local maternal and child health care network. Maternal death age, maternal death delivery location, maternal death location, number of pregnancies, number of deliveries and maternal death causes were analyzed. The composition ratio of above factors were compared in order to indicate the differences between rural areas and urban areas. Results: The study showed that 75.34% of maternal deaths in urban areas occurred in tertiary hospitals, which were 2.13 times higher than that in rural areas(P<0.05). 16.67% of maternal deaths in rural areas delivered in primary hospitals, which were 12.17 times higher than that in urban areas (P<0.05) . The main cause of death in rural areas were attributed to direct obstetrics reasons, which were indirect obstetric reasons for urban areas (P<0.05). There was no difference of maternal deaths in the death age, number of births, and number of pregnancies between rural areas and urban areas.(P>0.05) Conclusion: Policy makers should focus on the construction of medical institutions in rural areas, the improvement of rescue capabilities in rural areas and the convenience of transport in rural areas in order to narrow the gap between rural and urban areas. Key words: Maternal Mortality; Differences between urban and rural areas; China


2016 ◽  
Author(s):  
Florin Constantin MIHAI

Water pollution is caused in rural areas, especially by uncontrolled wastedeposits located in river bed and in urban areas is discharged, irregular,untreated sewage. The Cuejdiu River is a tributary of the Bitriţa River inthe left side,with a total length of 24 km. Evaluation of water quality of the CuejdiuRiver was achieved by processing the results obtained from tests analyzedfor 30 samples, taken on March 17, 2012, between the mouth of the RiverBestriţa and upto the exit of the village Cuiejdi. Analysis of water samples was performedin the laboratory of the Department of Geography, at the Faculty ofGeography and Geology and was taken into account several parameters such asconductivity, pH, total acidity, nitrates, chlorine. The values obtainedwere cartographically represented to highlight differences between thesector that cross of the rural area and the sector located in the urbanarea. Water Management System Neamţ realizes assessments of the ecologicaland chemical status of the river Cuejdiu only in urban areas, classifyingwater quality in relation to general indicators. Thus, data obtained over aperiod of 10 years, from 2000 to 2010, and performing through charts,helped us to observe the time evolution of water quality in the area. Theimpact of human activities is evident in both urban and rural areas. In theurban area the connections made by citizens, particularly those who live onthe ground blocks, to the rainwater system, instead of sewerage systems,lead to the degradation of water quality. As regards the rural area, thesituation is just as difficult, meaning that the waste discharged into theriverbed changes the chemical composition of water.


Author(s):  
Hsiu-Ju Huang ◽  
Chih-Wei Lee ◽  
Tse-Hsi Li ◽  
Tsung-Cheng Hsieh

This cross-sectional study aimed to investigate the difference in ranking of risk factors of onset age of acute myocardial infarction (AMI) between urban and rural areas in Eastern Taiwan. Data from 2013 initial onset of AMI patients living in the urban areas (n = 1060) and rural areas (n = 953) from January 2000 to December 2015, including onset age, and conventional risk factors including sex, smoking, diabetes, hypertension, dyslipidemia, and body mass index (BMI). The results of multiple linear regressions analysis showed smoking, obesity, and dyslipidemia were early-onset reversible risk factors of AMI in both areas. The ranking of impacts of them on the age from high to low was obesity (β = −6.7), smoking (β = −6.1), and dyslipidemia (β = −4.8) in the urban areas, while it was smoking (β = −8.5), obesity (β= −7.8), and dyslipidemia (β = −5.1) in the rural areas. Furthermore, the average onset ages for the patients who smoke, are obese, and have dyslipidemia simultaneously was significantly earlier than for patients with none of these comorbidities in both urban (13.6 years) and rural (14.9 years) areas. The findings of this study suggest that the different prevention strategies for AMI should be implemented in urban and rural areas.


2020 ◽  
Vol 18 (3) ◽  
pp. 159-170
Author(s):  
Tri Noviyanti Nurzanah ◽  
Zakianis Zakianis ◽  
Bambang Wispriyono ◽  
Athena Anwar

ABSTRACT   Bengkulu Province is the fourth-lowest province in Indonesia for sanitation facilities and drinking water availability. The difference in socioeconomic conditions and very low access to sanitation in Bengkulu Province poses a major challenge to ensuring water and sanitation services for all, so as to attempt to control a large number of infectious diseases. The purpose of this study was to determine the description of sanitation and drinking water between urban and rural areas in Bengkulu Province. Data analyzed were Village Potential data (PODES) in 2018 and the sample were 148 villages. Research results show that sanitation facilities and the availability of clean water in urban areas are better than in rural areas. In rural areas the majority of sewage is unsanitary or without latrines/open defecation, garbage disposal is carried out by dumping it into the pit of natural soil or being burnt, the sewage is still open, the water source is still a dug well as a source of clean water. In conclusion, there are still gaps in terms of access to sanitation in rural areas and urban safe drinking water. An evaluation is needed to increase community access to sanitation in rural areas and drinking water in cities.   Keywords: Saniation, drinking water, urban areas, rural areas     ABSTRAK   Provinsi Bengkulu merupakan salah satu provinsi dengan sarana sanitasi dan ketersediaan air minum ke empat terendah di Indonesia. Perbedaan kondisi sosial ekonomi dan akses sanitasi yang sangat rendah di Provinsi Bengkulu menimbulkan tantangan besar untuk memastikan layanan air dan sanitasi bagi semua, sehingga membantu mengendalikan sejumlah besar penyakit menular. Tujuan penelitian ini adalah untuk mengetahui gambaran sanitasi dan air minum antara wilayah perkotaan dan perdesaan di Provinsi Bengkulu. Data yang dianalisis adalah data Potensi Desa (PODES) tahun 2018 dengan unit analisis desa. Jumlah sampel sebesar 148 desa di daerah perkotaan dan perdesaan di Provinsi Bengkulu. Hasil analisis menunjukkan bahwa sarana sanitasi dan ketersediaan air bersih di wilayah perkotaan lebih baik daripada di wilayah perdesaan.  Di wilayah perdesaan mayoritas pembuangan tinja tidak saniter atau tanpa jamban/buang air besar sembarangan, pembuangan sampah dilakukan sdengan membuang ke dalam lubang tanah atau dibakar, saluran pembuangan air limbah masih terbuka, dan sumber air adalah  sumur gali sebagai sumber air bersih. Dapat disimpulkan bahwa masih terdapat kesenjangan dalam hal akses sanitasi dan air minum antara di perdesaan dan  perkotaan. Perlu adanya evaluasi peningkatan akses masyarakat terhadap sanitasi di pedesaan dan air minum di perkotaan.   Kata kunci: Sanitasi, air minum, perkotaan, pedesaan


2012 ◽  
Vol 178-181 ◽  
pp. 1635-1640
Author(s):  
Bin Wang ◽  
Xue Dong Yan ◽  
Mei Wu An ◽  
Cui Ping Zhang ◽  
Lu Ma

Traffic safety in rural and urban areas is a serious public issue worldwide. In this paper, the weighted hazard index (WHI) was adopted to describe risk distributions in rural and urban areas. At the beginning, the WHI analysis results were shown in the GIS-based maps and the visual display of the hazardous segments was illustrated by ArcGIS software, which would help policymakers to assume more targeted improvement measures. Then logistic regression is introduced to assess the difference of incidence of total crashes and incidence of the fatal/injure crashes between urban and rural areas. Based on the estimation results of logistic regression analysis, the ADT (average daily traffic) and length of segments have more evident impact on the two risk factors, namely the incidence of total crashes and incidence of fatal/injure crashes. Furthermore, the differences between rural and urban areas are obvious in total crashes and fatal/injure crashes and more specifically they are all lower in rural areas with other attributes being fixed.


Sign in / Sign up

Export Citation Format

Share Document