Mobility Analysis of Persons with Disabilities

This study presents the results of the research on travel behaviour for persons with different types of disabilities. Persons with disabilities are a group of participants with specific traffic requirements often not included in traffic research and consequently adequate planning of urban transport. To obtain the data, a home interview was conducted on a representative sample. The paper presents the main results of the research and indicates the specificity of the requirements of this group of users. The results are compared with the results of the same research conducted for the development of the Smart Plan of Novi Sad and the results of similar research abroad. The main goal is to obtain a qualitative and quantitative database of the requirements of this group of users as a basis for creating sustainable urban mobility plans.

Return Home Interviews for Missing Older Adults With Dementia: A Scoping Review

Introduction Persons living with dementia are at risk of becoming lost. When a person is returned home safely after a missing incident, an interview with the person or care partner may identify ways to prevent repeat incidents. It is not known if these interviews are being conducted for this population. Objectives: The purpose of this review was to understand return home interviews and whether they are being used with persons who have dementia. Methods Scholarly and grey literature were searched in 20 databases. Articles were included from any language, year, study design if they included terms resembling “return home interview”, “missing,” “lost,” or “runaway”. Results Eleven articles in scholarly, and 94 in grey literature sources were included, most from the United Kingdom. The majority of academic (55%) and grey (61%) articles were related to missing children, and none were specifically about persons living with dementia. Interviews were typically conducted within 72 hours after a missing person was returned, and by police or charitable organizations. The main reasons were to understand the causes of the incident and confirm the missing person’s safety, identify support needs, and to provide support to reduce repeat missing incidents. Conclusion Existing reasons for interviews can also apply to persons with dementia. This review informs future research on return home interviews. It also informs community organizations, and police services interested in adopting this practice with persons living with dementia. Evaluations would confirm if these interviews can reduce repeat incidents and help keep people with dementia safe.

Home-Delivered Meals: Characterization of Food Intake in Elderly Beneficiaries

Objective. In this study, we focus on elderly people (≥70 years old) benefiting from a home delivery meal service as part of a social welfare program. We aimed to: (i) assess the gap between the recommended and actual nutritional intake in this population and (ii) study the relationship between the intake of nutrients and the variables characterizing the participants’ health and nutritional status. Design. A dietary survey (24-hour record) was conducted during a home interview, with 64 people receiving a home delivery meal service (75% women; 70–97 years old). At the same time, the participants answered questionnaires assessing their nutritional and health status. Results. Our data showed that the consumption of 70 to 80% participants was not sufficient for reaching the nutritional recommendations for energy and macronutrients. Additionally, the data showed that the lower the energy and protein intakes, the higher the risk of malnutrition. In addition, one third of the participants were both overweight or obese and at risk of undernutrition or undernourished. Our study demonstrated that the heavier the person, the more difficult it was for them to meet the nutritional recommendations based on kilograms of body weight. Finally, individuals receiving two to three delivered meals per day had higher energy and protein intakes than those receiving a single meal. Conclusion. These results suggest that it is important that home meal delivery companies improve the quality of their meals and service so that their recipients can better meet nutritional recommendations.

Risk factors for cutaneous leishmaniasis in a high-altitude forest region of Peru

Background American cutaneous leishmaniasis (CL) is a neglected tropical disease typically associated with men working in remote, sylvatic environments. We sought to identify CL risk factors in a highly deforested region where anecdotal reports suggested an atypical proportion of women and children were infected with CL raising concern among authorities that transmission was shifting towards domestic spaces and population centers. Methods We describe the characteristics of CL patients from four participating clinics after digitizing up to 10 years of patient data from each clinic’s CL registries. We assessed risk factors of CL associated with intradomestic, peridomestic, or non-domestic transmission through a matched case-control study with 63 patients who had visited these same clinics for CL (cases) or other medical reasons (controls) between January 2014 and August 2016. The study consisted of an in-home interview of participants by a trained field worker using a standard questionnaire. Risk factors were identified using bivariable and multivariable conditional logistic regression. Results Between 2007 and 2016, a total of 529 confirmed CL positives were recorded in the available CL registries. Children and working aged women made up 58.6% of the cases. Our final model suggests that the odds of sleeping in or very near an agricultural field were five times greater in cases than controls (p = 0.025). Survey data indicate that women, children, and men have similar propensities to both visit and sleep in or near agricultural fields. Conclusions Women and children may be underappreciated as CL risk groups in agriculturally dependent regions. Despite the age-sex breakdown of clinical CL patients and high rates of deforestation occurring in the study area, transmission is mostly occurring outside of the largest population centers. Curbing transmission in non-domestic spaces may be limited to decreasing exposure to sandflies during the evening, nighttime, and early morning hours. Our paper serves as a cautionary tale for those relying solely on the demographic information obtained from clinic-based data to understand basic epidemiological trends of vector-borne infections.

Acceptability of a home-based visual field test (Eyecatcher) for glaucoma home monitoring: a qualitative study of patients’ views and experiences

ObjectivesTo explore the acceptability of home visual field (VF) testing using Eyecatcher among people with glaucoma participating in a 6-month home monitoring pilot study.DesignQualitative study using face-to-face semistructured interviews. Transcripts were analysed using thematic analysis.SettingParticipants were recruited in the UK through an advertisement in the International Glaucoma Association (now Glaucoma UK) newsletter.ParticipantsTwenty adults (10 women; median age: 71 years) with a diagnosis of glaucoma were recruited (including open angle and normal tension glaucoma; mean deviation=2.5 to −29.9 dB).ResultsAll participants could successfully perform VF testing at home. Interview data were coded into four overarching themes regarding experiences of undertaking VF home monitoring and attitudes towards its wider implementation in healthcare: (1) comparisons between Eyecatcher and Humphrey Field Analyser (HFA); (2) capability using Eyecatcher; (3) practicalities for effective wider scale implementation; (4) motivations for home monitoring.ConclusionsParticipants identified a broad range of benefits to VF home monitoring and discussed areas for service improvement. Eyecatcher was compared positively with conventional VF testing using HFA. Home monitoring may be acceptable to at least a subset of people with glaucoma.

Strengthening Urban-Rural Resource Flow through Regional Circular and Ecological Sphere (R-CES) Approach in Nagpur, India

Urban and rural areas within a regional space are closely linked through a variety of linkages including the flow of people. The increasing pace of development transformations with discrete planning of urban and rural areas has raised serious concerns for achieving coordinated development at the regional level. In that regard, the concept of Regional Circular and Ecological Sphere (R-CES) has recently been introduced by the Government of Japan to localize the flow of resources between urban and rural areas. To understand the applicability of the R-CES approach, this study aims to visualize the flow of people within a defined cluster of Nagpur Metropolitan Area (NMA) in India. A “home interview method” Origin-Destination survey was adopted to analyze the flow patterns of people and their key purposes. Based on the collected information, flows of people were represented using a desire line diagram in ArcGIS 10.4.1. The study results revealed that the maximum flow of the rural and forest population is directed towards nearby or distant urban settlements to avail the higher-order urban services. Based on the key R-CES principles of a low-carbon society, circular economy, and harmony with nature, the authors suggest feasible directions for localizing the urban–rural flow of people in NMA.

Hypertension Prevalence Increasing Among Mexican Americans: NHANES 1999–2016

Objectives The objective of this project was to determine current and past hypertension prevalence trends among Mexican Americans (MAs) and non-Hispanic whites (NH-whites) using NHANES data from 1999 to 2016 using the current American Heart Association (AHA) and American College of Cardiology (ACC) blood pressure guidelines of 2017. Methods This project included 28,000 NHANES adult participants above the age of 20 who participated in both the home interview and the physical examination in the mobile examination center. Results Using the 2017 AHA/ACC Blood Pressure Guidelines, the actual prevalence of hypertension in 2005–16 was 39.6% in MAs and 48.6% in NH-whites. Since 2005, the prevalence of hypertension increased significantly among MAs, but not for NH-whites. The age-adjusted prevalence is now higher in MAs (51%) than NH-whites (49%). Hypertension risk factors (age, obesity prevalence, abdominal obesity, and acculturation) have significantly increased among MAs. Conclusions Hypertension is a major and increasing health problem for MAs. Detection and control of hypertension among MAs should be a healthcare priority for this population. Funding Sources None.

Social Science: Caring for Children in Young Family Due to Pregnant Outside Marriage

Writing this paper aims to determine the function and influence of the family on a child, young families as a result of marride will be accidentally influenced by child care, where ideal care will be seen at the time of loyalty, attention and attention of parents to children in order to grow into a better generation. However, being too young to get married will hamper the knowledge of young couples about ideal parenting. The purpose of this study is to describe the knowledge of parenting in young families, to describe the problems of childcare and to describe the forms of care for young families as a result of accidental marriage. This research was conducted with a qualitative approach. The results of this study are the lack of knowledge about ideal parenting, so that parenting has changed the function of young families into their grandmothers or sisters. Care for young families with problems is seen from three factors: parenting, actors playing and the obstacles faced while having children. There are four forms of parenting namely democratic parenting, authoritarian parenting, permissive parenting and parenting style. Different parents will apply different parenting styles as well. However, the mayor of a young family uses democratic nurturing because they prioritize the importance of children but remain under the supervision of parents, parents are more rational, realistic, open, and able to communicate well with children. Democratic parenting style is mainly used to produce characteristics of children who are independent, obedient, honest, good communication and cooperative with others. There are several important questions in this paper, first. What is the ideal childcare method. Second. What is the impact of parents' lack of attention on a child. Third. How is the solution to bring together families who are broken home. Interview, data collection, and documentation methods are used in this paper to obtain maximum and concrete results. So that this paper can be used as a solution for families who are experiencing problems both internally and externally.

Population Synthesis for a City in a Developing Country

Activity-based approach in transportation studies increased the demand for detailed disaggregate data. To overcome the tedious and costly data collection, synthesized data are widely used in activity based modeling practices in developed countries. In the case of developing economies, time, resource and monetary constraints hinder the development of new generation travel demand models. Population synthesis practices are the need of the hour in developing countries. Through this study, the authors proposed a method for population synthesis for a medium sized city, in a developing country. Details from 9901 households, collected through home-interview survey in 2011 formed the database for this work. The proposed synthesis procedure makes use of Monte Carlo process along with logit modeling technique to simulate population attributes using the survey data. The procedure is developed as a Visual Basic Application in spreadsheet platform. By adopting this method, various household level and person level attributes are simulated. Comparison of observed data from survey and simulated data showed consistent results and low differences. It is expected that this study will assist the planning authorities to better understand the city′s population characteristics.

Total Usual Micronutrient Intakes Compared to the Dietary Reference Intakes among U.S. Adults by Food Security Status

This study examined total usual micronutrient intakes from foods, beverages, and dietary supplements (DS) compared to the Dietary Reference Intakes among U.S. adults (≥19 years) by sex and food security status using NHANES 2011–2014 data (n = 9954). DS data were collected via an in-home interview; the NCI method was used to estimate distributions of total usual intakes from two 24 h recalls for food and beverages, after which DS were added. Food security status was categorized using the USDA Household Food Security Survey Module. Adults living in food insecure households had a higher prevalence of risk of inadequacy among both men and women for magnesium, potassium, vitamins A, B6, B12, C, D, E, and K; similar findings were apparent for phosphorous, selenium, and zinc in men alone. Meanwhile, no differences in the prevalence of risk for inadequacy were observed for calcium, iron (examined in men only), choline, or folate by food security status. Some DS users, especially food secure adults, had total usual intakes that exceeded the Tolerable Upper Intake Level (UL) for folic acid, vitamin D, calcium, and iron. In conclusion, while DS can be helpful in meeting nutrient requirements for adults for some micronutrients, potential excess may also be of concern for certain micronutrients among supplement users. In general, food insecure adults have higher risk for micronutrient inadequacy than food secure adults.