urban health
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2022 ◽  
Author(s):  
Piyush Kumar

BackgroundAcute treatment in emergency case management is required for survival and stabilization of critical patients, followed by a shifting to the relevant medical department for further care. However, for the seriously ill critical patients, i.e., when the care provided by the Emergency Department (ED) of the hospital is not enough to enable transfer, death may occur while treatment in the emergency department. This aspect of emergency management is often overlooked, and very few researcher and government is really serious regarding who dies in the ED. Aim and ObjectiveThe aim of my study was to determine the total Mortality occurring in India from 1st January 2019 to 31st May 2021(limitation here due to data availability is limited from accredited source) of emergency department admissions of public and private health facilities. The objective is to find out if there is increase or decrease in mortality of emergency department admissions during the covid-19 pandemic era by comparing average mortality of ED per month of public, private, rural, urban health facilities before the pandemic from 1st and 2nd year of pandemic i.e. 2020 and 2021 respectively MethodsThis research study is a cross sectional retrospective analysis of the mortality occurring at the emergency department of public and private, rural, urban hospitals from 1st January 2019 to May31st 2021 with aim to find out impact of covid-19. Electronic patient records from HMIS (health management information system) of MoHFW (ministry of health and family welfare) , Government of India is collected, observed, analyzed, compared for all patients deaths occurring at Emergency Department (ED) of public and private, rural, urban health facilities (n = 452102) during the period January 2019 to May 2021. ResultsThe study results found that largest total number of death occurred in the ED during may 2021 whereas the least number of deaths occurred in February 2019 (limitation is data availability up to May 2021 from accredited sources). During the first year of the pandemic, average mortality per month (Jan2020-Dec2020) in the emergency department (ED) of rural, urban, public and private hospitals in India was 16067per month whereas before the pandemic it was 12542 per month while during second year of pandemic i.e. 2021 the average mortality increased to 21758 per month (up to May 2021).DiscussionRecently a new strain omicron has again disrupted the normal life and lockdown and other measures are being implemented by different countries to save lives. The mortality at ED are having various etiologies, clinical severity at time of admission has a direct correlation with mortality, which requires the necessity of advanced triage system. There exists a lack of proper knowledge and advanced directives in the beginning i.e. December 2019 of the covid-19 pandemic era.Conclusions Due to novel disease majority of clinicians have challenging situation as well as Emergency Medicine (EM) teams faced a sudden increase in the number of cases with limited resources. Furthermore, a lack of proper knowledge and directives may have hindered access to proper care, as witnessed in many part of the world and available in various literatures. The authors hope that this study will help global researchers as well as policy makers to promote further research and discussion into preparation methods for such pandemics to reduce patient’s risk of death in the ED. KeywordsEmergency department, Death, Covid-19, Pandemic, Health facilities,


2022 ◽  
Vol 14 (2) ◽  
pp. 688
Author(s):  
Roberta Cocci Grifoni ◽  
Giorgio Caprari ◽  
Graziano Enzo Marchesani

This paper presents a new methodological approach for analysing the impacts of climate change on the urban habitat and improving the quality of life for citizens. The study falls within the diagnostic phase of the Climate Change and Urban Health Resilience (CCUHRE) research project applied to the rationalist neighbourhood of Monticelli, a suburb of Ascoli Piceno (Italy). The methodological approach tests innovative and multidisciplinary cognitive tools to quantify the impacts of climate change and create refined risk maps combining remote sensing, spatial data, satellite images, and thermal fluid dynamic (CFD) simulations. These tools created an atlas of green areas and surfaces using scientific indexes that describe the relationship between the urban form and heat and between the type of ground and materials. The information yielded by geoprocessing will allow critical aspects in the context to be addressed with site-specific strategies. In fact, through downscaling, it is possible to analyse the thermal fluid dynamics characteristics of the most significant urban areas and identify the related weather/climate characteristics, perceptual scenarios, and thermal stressed regions. The results have provided a dataset that defines the degree of vulnerability of the neighbourhood and identifies the areas exposed to thermal risk.


Cureus ◽  
2022 ◽  
Author(s):  
Ruben D Vega Perez ◽  
Lyndia Hayden ◽  
Jefri Mesa ◽  
Nina Bickell ◽  
Pamela Abner ◽  
...  

Author(s):  
Jinhee Kim ◽  
Evelyne de Leeuw ◽  
Ben Harris-Roxas ◽  
Peter Sainsbury
Keyword(s):  

2022 ◽  
pp. 20-46
Author(s):  
Vasiliki Geropanta ◽  
Triantafyllos Ampatzoglou

The countermeasures taken during the COVID-19 pandemic opened discussions regarding their status as temporal or ephemeral as they designated the positive environmental effects of the COVID-19 anthropause. The necessity to think about city transformation in times of environmental and health crises has revealed a number of digital tools and greening practices that might shape new policy and planning models to affront global challenges. Among these tools, a number of ‘urban acupuncture' activities have revealed the role of greening and gardening in urban spaces and how they assist in tackling challenges of environmental sustainability and city resilience. The authors investigate the contribution of vertical gardening (VG) as urban health enhancer and its prospects within smart city. They select and assess two case studies that integrate synergies between VG and machine learning (ML) approaches in an effort to showcase the tools' combined effect in realizing environmental control. These experiments imply hints for potential future research and implementation to broaden environments.


IJID Regions ◽  
2022 ◽  
Author(s):  
Jorge A. Huete-Pérez ◽  
Robert C. Colgrove ◽  
Cristiana Cabezas-Robelo ◽  
Lucía Páiz-Medina ◽  
Bhanasut Hunsajarupan ◽  
...  
Keyword(s):  

Appetite ◽  
2022 ◽  
Vol 168 ◽  
pp. 105672
Author(s):  
Soo Jin Park ◽  
Heather Yeatman ◽  
Joanna Russell ◽  
Catherine MacPhail
Keyword(s):  

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