How Perceived Sensory Dimensions of Forest Park Are Associated with Stress Restoration in Beijing?

A growing number of studies suggest that the perceived sensory dimensions (PSDs) of green space are associated with stress restoration offered by restorative environment. However, there is little known about PSDs and stress restoration as well as their relationship to forest park. To fill this gap, an on-site questionnaire survey was conducted in three forest parks in Beijing, as a result of which a total number of 432 completed responses were collected and analyzed. The mean values of PSDs were used to represent PSDs of forest park. Using independent sample t-test and ANOVA, this study analyzed the individual characteristics that affected PSDs and stress restoration. Linear mixed model was used to identify the relationship between PSDs and stress restoration of forest park, which took into account the interactions of stress level and PSDs. The results showed that: (1) the perceived degree of PSDs in forest park from strong to weak was Serene, Space, Nature, Rich in species, Prospect, Refuge, Social and Culture, which varied with visitors’ gender, age, level of stress, visit frequency, activity intensity, visit duration and commuting time; (2) in PSDs, Refuge, Serene, Social and Prospect had significantly positive effects on the stress restoration of forest parks (3) there was no significant difference in the effect of the eight PSDs on the stress restoration between different stress groups; (4) stress restoration was influenced by visitors’ gender, age, visit frequency and visit duration. These findings can offer references for managers to improve the health benefits of forest park for visitors, and can enrich the knowledge about PSDs and stress restoration.

Virtual user geography of library websites

The author generalizes the results of library user survey. The survey was held within the framework of the study “Webometric monitoring of libraries”. The study goal was to assess the virtual geography of library website users and to specify target audience. The user audience of 11 library websites was assessed by following criteria: geographical data (user location, probable user residence area); user demographic data (sex, age); loyalty indicators (bounce rate, visit depth, visit duration); website user desired actions (estimation of desired action conversion). Based on the findings, the author concludes that: library offline services impact website user geography; there is a close interdependence between library location and website traffic; users resident in the library region make the most loyal website users; women prevail in the library user audience. The target website user audience is identified; recommendations are offered for the further strategic development in the web-space. The study conclusions and recommendations would facilitate generated demanded content and efficient promotion of library information resources and services in the web-space.

Identifying regional variation in place visit behavior during a global pandemic

The emergence of the SARS-CoV-2 virus in 2019 lead to a global pandemic that altered the activity behavior of most people on our planet. While government regulations and public concern modified visitation patterns to places of interest, little research has examined the nuanced changes in the length of time someone spends at a place, nor the regional variability of these changes. In this work, we examine place visit duration in four major U.S. cities, identify which place types saw the largest and smallest changes, and quantify variation between cities. Furthermore, we identify socio-economic and demographic factors that contribute to changes in visit duration and demonstrate the varying influence of these factors by region. The results of our analysis indicate that the pandemic's impact on visiting behavior varies between cities, though there are commonalities found in certain types of places. Our findings suggest that places of interest within lower income communities experienced less change in visit duration than others. An increase in the percentage of younger, Black or Hispanic populations within a community also resulted in a smaller decrease in visit duration than in other communities. These findings offer insight into the factors that contribute to changes in visiting behavior and the resilience of communities to a global pandemic.

Eye-tracking based quantification of the safety of human-machine interfaces of complementary protective system functions

Complementary protective measures are of increasing importance with rising degree of automation. As free robots become part of our daily life in industry, on shop floors and beyond, the overall safety of persons has to be ensured. However, assessing the reliability of complementary safety functions remains a challenge, particularly when humans are in the loop. The paper shows how to use the eye-tracking methodology to gain data for assessing the reliability of the human interaction with machine interfaces for complementary protective measures. The paper first identifies factors relevant for eye-tracking, then selects related eye tracking test parameters and finally provides a systematic procedure to assess both, in particular regarding visibility and susceptibility. The methodology is applied and the parameter selection is validated. It is found that in particular the identified and measured parameters fixation count for area of interest (AOI) and the associated average visit duration can be used to assess the factor perceptibility. The parameter deviation of fixation can thereby be used to assess usability. Based on this, a full-scale eye-tracking assessment is proposed for the reliability of the interaction of humans with the machine interfaces of supplementary protective measures. In summary, the preliminary test run execution shows that eye-tracking technology is a promising method for measuring and quantifying the human reliability when interacting with safety-related human-machine interfaces.

Waiting times, patient flow, and occupancy density in South African primary health care clinics: implications for infection prevention and control

Background Transmission of respiratory pathogens, such as Mycobacterium tuberculosis and severe acute respiratory syndrome coronavirus 2, is more likely during close, prolonged contact and when sharing a poorly ventilated space. In clinics in KwaZulu-Natal (KZN) and Western Cape (WC) provinces, South Africa, we estimated clinic visit duration, time spent indoors and outdoors, and occupancy density of waiting rooms. Methods We used unique barcodes to track attendees' movements in 11 clinics in two provinces, multiple imputation to estimate missing arrival and departure times, and mixed-effects linear regression to examine associations with visit duration. Results 2,903 attendees were included. Median visit duration was 2 hours 36 minutes (interquartile range [IQR] 01:36–3:43). Longer mean visit times were associated with being female (13.5 minutes longer; p<0.001) and attending with a baby (18.8 minutes longer; p<0.01), and shorter mean times with later arrival (14.9 minutes shorter per hour after 0700; p<0.001) and attendance for tuberculosis or ante/postnatal care (24.8 and 32.6 minutes shorter, respectively, than HIV/acute care; p<0.01). Overall, attendees spent more of their time indoors (median 95.6% [IQR 46–100]) than outdoors (2.5% [IQR 0–35]). Attendees at clinics with outdoor waiting areas spent a greater proportion (median 13.7% [IQR 1–75]) of their time outdoors. In two clinics in KZN (no appointment system), occupancy densities of ~2.0 persons/m2 were observed in smaller waiting rooms during busy periods. In one clinic in WC (appointment system), occupancy density did not exceed 1.0 persons/m2 despite higher overall attendance. Conclusions Longer waiting times were associated with early arrival, being female, and attending with a young child. Attendees generally waited where they were asked to. Regular estimation of occupancy density (as patient flow proxy) may help staff assess for risk of infection transmission and guide intervention to reduce time spent in risky spaces.

A Retrospective Study of Disparities in an Academic Ophthalmic Emergency Department

Purpose Emergency medicine is a common access point to health care; disparities in this care by demographic characteristics, including race and ethnicity, may affect outcomes. The Massachusetts Eye and Ear (MEE) Emergency Department (ED) is a subspecialty emergency department; data from this site can be utilized to better understand social determinants of quality ophthalmic care. Design This is a retrospective cross sectional cohort study in the MEE ED examining patient visits from June 1, 2016 to June 30, 2019. Methods Using the electronic medical record system, all unique visits were identified between June 1, 2016 and June 30, 2019 (inclusive); patient demographics (sex, race, ethnicity [Hispanic vs. non-Hispanic], primary care provider [PCP] status, insurance type, zip code, primary language), date of visit, triage category and outcomes (final diagnosis, visit duration, and next visit at MEE within 3 months of the ED visit) were collected. Kaplan-Meier plots were used to visualize likelihood of follow-up visit to MEE for urgent patients based on demographics. Multivariate linear regression was used to examine factors affecting visit durations, as stratified by urgency, and Cox proportional hazards regression was used to establish hazard ratios for next visit to MEE. Results Of the 46,248 ophthalmology ED initial visits, only triage status, season of visit, out-of-state residency, Medicare coverage, and Medicaid coverage led to statistically significant differences in visit durations for urgent visits compared with the respective reference groups. Similar trends persisted within the non-urgent visit cohort for visit durations. Residency, insurance coverage, season of visit, race, PCP status, and sex were identified as statistically significant predictors of the likelihood of a follow-up visit. Conclusion Data from an ophthalmic emergency department suggest that demographic factors do impact patient visit duration and time to follow-up visit. These findings suggest a continued need for attention to social determinants of health and equitable care of patients within ophthalmology.

Investigating the Effects of Distillers Grains on Heifer Feeding Behavior in the Finishing Phase

The objective was to determine the effect of low inclusion levels of dried distillers grains (DDG) on feeding behavior in heifers consuming a high-moisture corn-based diet in the finishing phase. Simmental × Angus heifers (N = 90; 323 ± 50 kg) were fed for 180 d. Heifers were blocked by initial body weight (BW) into two groups, stratified by sire, and assigned to 15 pens with six heifers each. Pens were randomly assigned to one of three dietary treatments: 0% DDG inclusion (0DG), 7% DDG inclusion (7DG), or 14% DDG inclusion (14DG). Treatments did not affect (p > 0.59) BW, average daily gain, and gain:feed. Although there was a treatment × time effect (p = 0.05) for dry matter intake (DMI), with 0DG having greater DMI during the last 70 d, no differences in overall DMI were detected. Treatment affected (p < 0.01) bunk visit duration and head down duration, with 7DG and 14DG having less minutes per day. Bunk visit frequency (p = 0.02) was less variable for heifers fed 14DG and DMI tended (p = 0.08) to be less variable for both distillers treatments. While dietary inclusion of DDG has minimal effects on overall heifer performance, low levels of DDG inclusion can affect feeding behavior and intake variation.

Association between antibiotic prescribing and visit duration among patients with respiratory tract infections

Time constraints have been suggested as a potential driver of antibiotic overuse for acute respiratory tract infections. In this cross-sectional analysis of national data from visits to offices and emergency departments, we identified no statistically significant association between antibiotic prescribing and the duration of visits for acute respiratory tract infections.

Retrospective Analysis of a Nationwide Telelactation Program

BackgroundTelelactation is a modality for delivering remote clinical lactation care using telecommunications technology. Sonder Health, in partnership with Amwell, began offering synchronous video telelactation services to health plans and employer groups in 2016.MethodsWe completed a retrospective data analysis on a randomized selection of 1,087 telelactation visits covered by a health plan or employee-sponsored health plan conducted between 2016–2019. Our aim is to describe a telelactation model and review selected visits for technical modalities utilized, clinical workflow, top self-reported chief conditions, patient satisfaction, visit duration, acuity levels, alternative care options, peak visit time, visits conducted during or after business hours, and days visits took place, and discuss the potential for telelactation to bridge the gaps in timely access to IBCLC-level breastfeeding support.ResultsUsing a 5-star rating system, 95% of patients gave a 5-star rating; 52% of visits occurred outside normal business hours. Top three conditions identified: latching (31%), supply (24%), and nipple/breast pain (15%). Without access to the service, 59% reported they would have accessed an urgent care, emergency department, retail health clinic, or other office appointment; 41% reported they would have sought care “nowhere.”ConclusionsThis telelactation program provided access to skilled, comprehensive clinical lactation care and documents a strong use case for telelactation services.

Estimation of direct and social effects of feeding duration in growing pigs using records from automatic feeding stations

Automatic feeding systems in pig production allow for the recording of individual feeding behavior traits, which might be influenced by the social interactions among individuals. This study fitted mixed models to estimate the direct and social effects on visit duration at the feeder of group-housed pigs. The dataset included 74,413 records of each visit duration time (min) event at the automatic feeder from 135 pigs housed in 14 pens. The sequence of visits at the feeder was employed as a proxy for the social interaction between individuals. To estimate animal effects, the direct effect was apportioned to the animal feeding (feeding pig), and the social effect was apportioned to the animal that entered the feeder immediately after the feeding pig left the feeding station (follower). The data were divided into two subsets: “non-immediate replacement” time (NIRT, N = 6,256), where the follower pig occupied the feeder at least 600 s after the feeding pig left the feeder, and “immediate replacement” time (IRT, N = 58,255), where the elapsed time between replacements was less than or equal to 60 s. The marginal posterior distribution of the parameters was obtained by Bayesian method. Using the IRT subset, the posterior mean of the proportion of variance explained by the direct effect (Prpσ^d2) was 18% for all models. The proportion of variance explained by the follower social effect (Prpσ^f2) was 2%, and the residual variance (σ^e2) decreased, suggesting an improved model fit by including the follower effect. Fitting the models with the NIRT subset, the estimate of Prpσ^d2 was 20% but the Prpσ^f2 was almost zero and σ^e2 was identical for all models. For the IRT subset, the predicted best linear unbiased predictor (BLUP) of direct (Direct BLUP) and social (Follower BLUP) random effects on visit duration at the feeder of an animal was calculated. Feeder visit duration time was not correlated with traits, such as weight gain or average feed intake (P &gt; 0.05), whereas for the daily feeder occupation time, the estimated correlation was positive with the Direct BLUP (r^ = 0.51, P &lt; 0.05) and negative with the Follower BLUP (r^= −0.26, P &lt; 0.05). The results suggest that the visit duration of an animal at the single-space feeder was influenced by both direct and social effects when the replacement time between visits was less than 1 min. Finally, animals that spent a longer time per day at the feeder seemed to do so by shortening the meal length of the preceding individual at the feeder.