Service Area Research Articles

Relationship Between Participation of In-Hospital Cardiac Rehabilitation and Regional Characteristics in Japan - Insight From the Japanese Registry of All Cardiac and Vascular Diseases and the Diagnosis Procedure Combination.

The influence of various regional backgrounds on participation in cardiac rehabilitation (CR) remains underexplored. We investigated the regional characteristics that potentially promote CR participation. This was a nationwide cross-sectional cohort study using the Japanese Registry of All Cardiac and Vascular Diseases and the Diagnosis Procedure Combination. This study included a cohort of 2.7 million inpatients hospitalized between April 2012 and March 2021. The CR participation rate for each hospital was calculated as the percentage of eligible patients who underwent CR during their admission. Among all hospitals, those that do not perform CR were defined as No-CR hospitals. The remaining hospitals were categorized into High- and Low-CR hospitals based on the median level of the CR participation rate (41.5%). High-CR hospitals had significantly smaller medical service areas (P<0.0001), a higher number of physicians per population (P<0.0001), higher air temperature (P=0.02), and fewer primary industry workers (P=0.005) than the other 2 groups. Logistic regression analyses revealed that a lower consumer price index was a significant regional factor that characterized High-CR hospitals, and a lower population aged ≥65 years was a factor approaching significance that characterized the region where High-CR hospitals are located. High-CR hospitals were found in regions with a lower consumer price index and a trend towards a lower population aged ≥65 years.

Is naloxone where it needs to be? Using spatial analytics to examine equitable distribution of community-based naloxone sites

BackgroundOne of the most effective harm reduction services for preventing opioid overdose deaths is naloxone. Given the ongoing opioid crisis, which has led to a surge in overdose deaths across the country, expanding access to naloxone is critical. Community-based naloxone distributions sites in Palm Beach County can increase access to naloxone. However, several rural and disadvantaged regions rarely have any type of access to naloxone. The purpose of this descriptive paper is to examine the spatial distribution of and evaluate equitable accessibility to community-based naloxone sites in Palm Beach County. MethodsWe examined health equity in the distribution of community-based naloxone sites using a mixed-methods approach with ArcGIS Pro version 3.0, which is a geographic information system (GIS) software used for mapping, spatial analysis, and data visualization. ResultsThe Belle Glade region was identified as the location most adversely affected with health inequities and limited accessibility to naloxone distribution sites, as it ranked in the 100 % percentile for all social vulnerability index (SVI) themes. The 30-minute drive-time area calculated a county service area of 1885.3 km2 (km2), which covers about 34 % of the 478.0 km2 land area of census tracts. Drive-time areas did not account for periods of heavier traffic such as during rush hour. Maximum distances during heavier traffic may be smaller, thus decreasing accessibility to naloxone distribution sites. ConclusionThere is a need for effective policy-led strategies tailored to expanding our understanding of the challenges that are experienced by the individuals in need of naloxone and encountered by the distribution sites themselves, as accessible naloxone is crucial for preventing nonfatal and fatal overdoses and ensuring timely emergency responses in vulnerable communities.

THE HOUSING UNITS OF THE POSITIVE CLIMATE NEIGHBORHOOD PEDRA BRANCA SC/BR

In response to the global climate crisis, urgent measures are required to reduce greenhouse gas emissions in alignment with the goals of the Paris Agreement. As energy consumption accounts for 36% of total emissions, and buildings contribute significantly to both direct and indirect emissions, it is crucial to enhance the energy efficiency and self-sufficiency of buildings. This article conducts a case study to evaluate the formal structure, spatial layout, and sustainable strategies employed in residential units within the Pedra Branca neighborhood (Santa Catarina, Brazil), using the methodology developed by Brandão and Schneider. The findings indicate that the housing units predominantly consist of three bedrooms, along with two to four bathrooms. The analysis revealed partial integration between the kitchen and service areas, with full integration being less common. Corridor layouts were found to make the greatest contribution to sustainability and internal space quality. Although some configurations did not directly support cross-ventilation, there was a clear focus on environmental comfort and the use of passive design strategies. This study highlights the potential of such configurations to improve energy performance and contribute to the development of climate-positive neighborhoods.

Educational Institution Administration using the Principles of Good Governance by Educational Institution Administrators under the Jurisdiction of the Udon Thani Primary Educational Service Area Office 3

Background and Aims: Successful human resource management. It is critical to rely on good management principles. Both the public and private sectors can use it for administration purposes. Good governance is a principle that is widely applied in modern administration. The objectives of this research are to 1) study educational institution administration using Dhamma principles; and governance of educational institution administrators. Udon Thani Primary Educational Service Area Office 3. 2) Compare educational institution administration based on good governance principles for administrators. The Udon Thani Primary Educational Service Area Office 3 is responsible for classifying educational levels. Work experience and size of the educational institution. 3) Research guidelines for developing educational institution administration based on the principles of good governance for educational institution administrators. Udon Thani Primary Educational Service Area Office 3. Methodology: This study used a sample of 341 school administrators and teachers. The sample size was determined using Krejci and Morgan's table and randomly assigned to groups. The research tool was a 5-point rating scale questionnaire. The consistency index ranged between 0.80 and 1.00, and the overall reliability of the questionnaire was 0.87. Statistics used for data analysis include frequency, percentage, mean, standard deviation, T-value, and F-value tests. Results: The study's findings revealed that: (1) Educational institution administrators apply good governance principles. Under the jurisdiction of the Udon Thani Primary Educational Service Area Office 3, the overall level is high. (2) Comparing opinions on school administration among administrators based on good governance principles. Udon Thani Primary Educational Service Area Office Area 3 is responsible for categorizing students by educational level. Work experience and the size of educational institutions It was discovered that the overall and individual aspects were not different. (3) Guidelines for promoting educational institution administration using good governance principles by educational institution administrators under the jurisdiction of the Udon Thani Primary Educational Service Area Office, Area 3, which consists of six areas: 1) The rule of law requires administrators to follow the principles of correctness. This means that the problem is being considered and diagnosed. Making decisions and issuing orders in accordance with national law and civil servant rules, regulations, and discipline, as well as teacher ethics. 2) The principle of morality requires executives to follow the principle of appropriateness, which means knowing how to think, speak, conduct business, and perform work in the appropriate time, person, society, and situation. 3) The principle of transparency. Executives must adhere to the principle of innocence, which requires a diagnosis. Order that work be completed with honesty, that is, with intention and pure, transparent thoughts. Use information systems that can be verified at any time. 4) The principle of participation requires administrators to allow those with a stake in the provision of education, such as teachers, students, parents, and members of the community, to participate in educational projects and activities held throughout the academic year in the form of committees. 5) The principle of responsibility requires executives to take responsibility for their duties and results in relation to the goals they have set. That responsibility should be on a level that meets public expectations. 6) The principle of value for money applies to the management and utilization of available resources. Limited to provide the greatest benefit to the public. By encouraging Thai people to be frugal and make good use of their resources. Create high-quality products and services capable of competing on a global scale while also ensuring the sustainability of natural resources. Conclusion: The study found that educational institution administration under Udon Thani Primary Educational Service Area Office 3 adheres to good governance principles. Furthermore, there are no significant differences in attitudes toward governance-based school administration across educational levels, work experiences, or school sizes. The promotion of good governance in these institutions emphasizes six key principles: rule of law, morality, transparency, participation, responsibility, and value for money, all of which aim to improve educational effectiveness and accountability.

Walmart Foundation grants available for local community projects

The Walmart Foundation is currently accepting applications for funding under its Spark Good Local Grant program, which it established to support nonprofit organizations operating within the service areas of individual U.S.‐based Walmart stores, Sam's Clubs and logistics facilities. These grants are smaller and more locally focused than the foundation's national programs, which tend to fund a broader range of program areas, and range from $250 up to $5,000 each, the foundation said.

Research on the Delineation Method of Urban Community Living Circle Based on Transportation Network Analysis in Yuanping, China

In the context of accelerating global urbanization and the demands for high-quality and sustainable development, the exploration of an urban community living area delineation method based on traffic network analysis offers a fresh perspective for defining urban living areas. This paper employs a traffic network analysis method rooted in objective analysis. It leverages open-source big data on Points of Interest (POI) from public facilities and road network data obtained from relevant urban planning to construct a comprehensive road network dataset for the central urban area. Following the construction of the road network dataset, the paper conducts a service area and accessibility analysis of public facilities, which serves as an initial step in outlining the boundaries of the urban community living area. Subsequently, the delineation is further refined by considering factors such as development boundaries, as well as natural and man-made constraints such as rivers, railways, and major roads. The boundaries of the urban community living area undergo further adjustments, taking into account the scope of the development boundary and various constraining elements such as rivers, railways, and main roads. A final revision is made by considering subjective factors, where the boundaries of the ten-minute urban community living area are ultimately determined through extensive communication and coordination with various stakeholders. This approach is aimed at meeting the current societal development needs, which include breaking down segregation, fostering social interactions, strengthening neighbourly relationships, enhancing overall quality of life, promoting sustainable development, and creating a more humane and sustainable city. Its ultimate goal is to enable residents to feel a sense of belonging and happiness within the bustling urban environment.

Try a Little Tendering: Institutional, Political, and Financial Influence on Local Contracting in Norway

ABSTRACT The motivations behind local government contracting are an area of theoretical and empirical interest that can shed light on the forces shaping decision-making in public organizations. This paper examined the role of policy diffusion, political factors, and fiscal stress for local contracting. We used local government data from Norway in the period 2004–2016 containing information on whether the municipal administration used competition in 15 service areas during the last election period. The results indicate that policy diffusion played a significant role in competitive tendering for social services and that municipalities governed by liberal-conservative parties had a higher use of tendering.

Digital Transformation In Business - The Impact Of AI In Enhancing Customer Experience

Background: This study investigates how artificial intelligence (AI) enhances customer experience as part of digital business transformation. With businesses increasingly relying on AI for personalization and real-time engagement, this research seeks to understand AI's role in improving customer satisfaction, particularly in service areas like social media marketing and call centers. Materials and Methods: The research uses a secondary research approach, analyzing literature and reports from 2018 to 2024. Data was gathered from peer-reviewed articles, case studies, and industry reports, and thematic analysis was applied to identify the key impacts of AI on customer experience. Results: The findings reveal a positive correlation between AI and improved customer experience, with AI accounting for 26.4% of the variance. Key benefits include personalized services (22.9%) and better after-sale support (7%). AI has also reduced waiting times and improved real-time engagement, particularly in customer service. Conclusion: AI offers significant benefits for enhancing customer experience, but the challenges remain, including adoption barriers and privacy concerns. This study concludes that balancing technological advancements with ethical considerations is crucial for successful AI integration

Genetic counseling development and milestone in Oman

Genetic counseling as an emerging profession has seen an expansion around the world. In the Sultanate of Oman, the profession has developed with the establishment of clinical and biochemical genetic services in 2010 and genetic counseling services in 2011. Currently, three main genetic counseling teams serve the country through qualified genetic counselors who completed internationally-recognized MSc program. The genetic counselors are working in governmental clinical genetic units and play vital roles in enhancing the quality of genetic services dealing with pediatric and adult-onset disorders. The impact of the service is reflected in the escalated demand for preventative measures such as alternative reproductive options, premarital genetic counseling and testing as well as predictive counseling and testing. Despite the limited resources and absence of a licensing body, the genetic counseling profession in Oman is progressing. This special report describes the development of genetic counseling in Oman and the milestones reached. It details the areas of service, scope of practice, and the unique social and cultural nuances inherent to genetic counseling in Oman.

Research on the meteorological data transmission system of civil aircraft based on BeiDou satellite

Abstract With the official opening of the Beidou-3 global satellite navigation system, Beidou has entered a new era of global services, extending its service area to the whole world. With the advantages of sufficient data volume and high data security, the BeiDou-3 short message satellite communication system can provide global communication services for airlines, realize two-way data transmission between air and land, and effectively reduce the operating costs of airline companies. Aiming at the demand for low-cost civil aircraft weather data transmission proposed by domestic and foreign airline companies, the current development of civil aviation weather information transmission and the current application status of BeiDou in civil aviation were studied, and the BeiDou satellite-based civil aircraft weather data transmission system was designed. The system architecture, detailed functions and data transmission workflow were analyzed, and the message coding structure was designed using bit-based coding technology. Finally, the feasibility of the scheme is verified through the data demand analysis of weather news and the onboard flight test on a domestic aircraft. The results show that t-he BeiDou short message function has the ability to realize the weather data transmission of a civilian aircraft.

Getting a colonoscopy at The Valley Hospital.

71 Background: Colorectal cancer (CRC) is the 3rd most common cancer in the U.S., yet it is preventable with evidence-based strategies such as early screening. The Valley Hospital (TVH) located in Bergen County NJ, is recognized for its high insured payer mix and median household income. According to the 2016 TVH Community Health Needs Assessment, only 71.4% of patients in TVH service area have had a CRC screening. The American Cancer Society National Colorectal Cancer Roundtable (NCCRT) campaigned to reach CRC screening rates of 80% and higher in communities across the nation. The Fast Track Screening Colonoscopy Program (FTSCP) at TVH was created to streamline the process of obtaining a screening colonoscopy and reach the NCCRT’s goal. Through the FTSCP, patients can omit the initial consultation with a gastroenterologist or colorectal surgeon. Patients are instead screened via a telephone call by a Physician Assistant (PA) or Advanced Practice Nurse (APN). The FTSCP is cost effective for patients as it potentially eliminates the initial consultation copayment and/or coinsurance. Methods: The purpose of the FTSCP is to achieve the NCCRT’s 80% goal of CRC screenings in TVH service area. An interdisciplinary team of gastroenterologists, colorectal surgeons, oncologists, anesthesiologists, and administration collaborated to create the FTSCP. A screening questionnaire was developed using the Lincoln Hospital in NYC’s existing criteria for patients who are eligible for a direct endoscopy referral. The questionnaire criteria ensures patients are safe to eliminate the initial consultation. A PA or APN determines the patients’ eligibility for the FTSCP over a screening telephone call. To qualify, patients cannot have significant medical comorbidities or exhibit signs or symptoms of CRC. If deemed eligible, the PA or APN sends a bowel preparation prescription to the patient’s pharmacy, reviews the instructions with them, and meets with them on the day of the procedure at TVH to perform a pre-procedural physical exam. To promote awareness and education of the FTSCP, multiple ongoing outreach events are held in the community. Patients also learn about the FTSCP through primary and specialty care referrals. Results: Since the inception of FTSCP in 2018, over 1300 patients have been screened for CRC. Additionally, adenocarcinomas, carcinoid tumors and tubular adenomas with high grade dysplasia have been detected. 394 tubular adenomas (30%) were identified and removed. In 2018, 59 patients were screened. The number of patients increased by 500% to 296 in 2023. The 2022 TVH Community Health Needs Assessment showed an increase to 79.6% of patients in TVH service area who have undergone CRC screening. Conclusions: The FTSCP at TVH is maximizing patient’s access to the prevention and timely screening for CRC. Additionally, TVH’s relocation from Ridgewood, NJ to Paramus, NJ offers further opportunities to educate a new community on CRC prevention.

Association between Regional Market Competition and Early Femoropopliteal Interventions for Claudication

ObjectivesRegional market competition is known to impact practice patterns in surgical care. We aimed to investigate the association of regional market competition with the utilization of early peripheral vascular interventions (PVI) for the treatment of claudication, and the subsequent impact on clinical outcomes. MethodsWe conducted a retrospective analysis of 100% Medicare fee-for-service claims data from 01/2019 to 12/2021 to identify patients with a new diagnosis of claudication. We calculated the Herfindahl-Hirschman Index for all sites of service performing PVI according to Health Service Area. Multivariable logistic regression and Cox proportional hazards models were used to assess the association of regional market competition with early (<6 months) PVI for claudication, and progression to chronic limb-threatening ischemia (CLTI), repeat PVI, and major amputation. ResultsWe identified 300,492 patients with a new diagnosis of claudication (mean age 73.8 years, 51.6% male, 11.1% Black), of which 6.1% underwent an early PVI for claudication. Most patients (72.4%) were treated in low-competition markets. After adjusting for patient characteristics, patients treated in moderate-competition markets had the highest odds of receiving an early PVI. Regional market competition was not associated with conversion to CLTI or repeat PVI (P>0.05), but patients treated in high- (aHR 0.70, 95%CI 0.56-0.86) and moderate- (aHR 0.82, 95%CI 0.69-0.92) competition markets had lower hazards of major amputation compared to patients treated in low-competition markets. Early PVI was significantly associated with worse clinical outcomes after adjusting for all factors including market competition (all, P<0.05). ConclusionsThere is a complex interplay between regional market competition, early PVI utilization, and subsequent clinical outcomes for patients with claudication. Early PVI continues to demonstrate a strong association with unfavorable clinical outcomes even when accounting for market competition.

Regional Variation in Deescalated Therapy in Older Adults With Early-Stage Breast Cancer

Although trial data support the omission of axillary surgery and radiation therapy (RT) in women aged 70 years or older with T1N0 hormone receptor-positive (HR+) breast cancer, potential overtreatment in older adults with frailty persists. To determine how much geospatial variation in locoregional therapy may be attributed to region vs patient factors. This retrospective cross-sectional study included women aged 70 years or older who were diagnosed with HR+/ERBB2-negative (ERBB2-) breast cancer from January 1, 2013, to December 31, 2017. Data came from Surveillance, Epidemiology, and End Results-Medicare. Hierarchical multivariable modeling was used to evaluate the variance in deescalated care attributable to 4 domains, ie, (1) random, (2) region (health service area [HSA]), (3) patient factors, and (4) unexplained. Patient factors included age, frailty (validated claims-based measure), Charlson Comorbidity Index (CCI), and socioeconomic status (Yost index). Analyses were performed from January to October 2023. HSA. Deescalated care, defined as omission of axillary surgery, RT, or both. Standard therapy was defined as lumpectomy, axillary surgery, and RT or mastectomy with axillary surgery. Multivariable logistic regression was used to identify factors associated with deescalated care receipt. Of 9173 patients (mean [SD] age, 76.5 [5.2] years), 2363 (25.8%) were aged 80 years or older, 705 (7.7%) had frailty, and 419 (4.6%) had a CCI of 2 or greater. While 4499 (49.1%) underwent standard therapy, 4674 (50.9%) underwent deescalated therapy (1193 [13.0%] of the population omitted axillary surgery and 4342 [55.5%] of patients undergoing lumpectomy omitted RT). Of the total variance, random variation explained 27.3%, region/HSA explained 35.3%, patient factors explained 2.8%, and 34.5% was unexplained. In adjusted models, frailty and increased age were associated with a higher likelihood of undergoing deescalated therapy (frailty: odds ratio [OR], 1.70; 95% CI, 1.43-2.02; age, by 1-year increment: OR, 1.10; 95% CI, 1.09-1.11), but CCI was not. Patients in rural areas compared with those in urban areas (OR, 0.82; 95% CI, 0.68-0.99) and Asian and Pacific Islander patients compared with non-Hispanic White patients (OR, 0.68; 95% CI, 0.54-0.85) had a lower likelihood of undergoing deescalated therapy. In this retrospective cross-sectional study of women aged 70 years or older diagnosed with T1N0 HR+/ERBB2- breast cancer, region/HSA contributed more to the variation in deescalated therapy use than patient factors. Unexplained variation may be attributed to unmeasured characteristics, such as multidisciplinary environment and patient preference. Decision support efforts to address overtreatment should target regions with low rates of evidence-based deescalation.

Comprehensive Risk Analysis of Emergency Medical Response Systems in Serbian Healthcare: Assessing Systemic Vulnerabilities in Disaster Preparedness and Response.

Emergency Medical Response Systems (EMRSs) play a vital role in delivering medical aid during natural and man-made disasters. This quantitative research delves into the analysis of risk and effectiveness within Serbia's Emergency Medical Services (EMS), with a special emphasis on how work organization, resource distribution, and preparedness for mass casualty events contribute to overall disaster preparedness. The study was conducted using a questionnaire consisting of 7 sections and a total of 88 variables, distributed to and collected from 172 healthcare institutions (Public Health Centers and Hospitals). Statistical methods, including Pearson's correlation, multivariate regression analysis, and chi-square tests, were rigorously applied to analyze and interpret the data. The results from the multivariate regression analysis revealed that the organization of working hours (β = 0.035) and shift work (β = 0.042) were significant predictors of EMS organization, explaining 1.9% of the variance (R2 = 0.019). Furthermore, shift work (β = -0.045) and working hours (β = -0.037) accounted for 2.0% of the variance in the number of EMS points performed (R2 = 0.020). Also, the availability of ambulance vehicles (β = 0.075) and financial resources (β = 0.033) explained 4.1% of the variance in mass casualty preparedness (R2 = 0.041). When it comes to service area coverage, the regression results suggest that none of the predictors were statistically significant. Based on Pearson's correlation results, there is a statistically significant correlation between the EMS organization and several key variables such as the number of EMS doctors (p = 0.000), emergency medicine specialists (p = 0.000), etc. Moreover, the Chi-square test results reveal statistically significant correlations between EMS organization and how EMS activities are conducted (p = 0.001), the number of activity locations (p = 0.005), and the structure of working hours (p = 0.001). Additionally, the results underscore the necessity for increased financial support, standardized protocols, and enhanced intersectoral collaboration to strengthen Serbia's EMRS and improve overall disaster response effectiveness. Based on these findings, a clear roadmap is provided for policymakers, healthcare administrators, and EMS personnel to prioritize strategic interventions and build a robust emergency medical response system.

Artificial Intelligence (AI) in the Banking Industry: A Review of Service Areas and Customer Service Journeys in Emerging Economies

The banking industry's shift towards digitalization, particularly Web 2.0 banking, signifies a profound change in the bank-client relationship. This transformation integrates digital elements into consumers' lives, digitising everyday activities and highlighting the importance of online social platforms and digital business operations. AI's growing interest in academia and commerce underscores its significant role in customer service. The study examines AI strategies in the banking industry, focusing on service areas and adaptation to the evolving technological landscape, particularly in customer service in developing economies. By adopting an interpretivist philosophy emphasising practicality, a qualitative approach was employed through a systematic literature review of 90 articles using thematic analysis. The research highlights AI's growing use in process automation, customer experience, stock market trend prediction, credit risk management, online banking, marketing management, and auditing. It concludes AI's positive impact on banking operational efficiency and customer service by recommending ethical AI usage, stakeholder collaboration, trust in data handling, and robust internal control systems. Additionally, it suggests exploring the association between organisational culture, leadership, and AI integration in developing economies. The research contributes to the theoretical and empirical frameworks that explain how AI is optimally integrated into banking operations, guiding policymakers and practitioners in leveraging AI to foster financial inclusion and economic growth. Future researchers should include non-profit institutions and non-financial performance metrics to gain insights into AI’s sustainability implications in banks beyond financial metrics.

Some issues of improving the activities of the National Police of Ukraine and local self-government bodies regarding law enforcement at the local level under martial law

The publication highlights the issues of improving the organisation of the work of community police officers and district police inspectors in preventing and combating crime in the territory of service. The importance of implementing security audits of territories and buildings into the activities of community police officers and district police inspectors is proved. Security audits are the main tool that community police officers or district police inspectors can use to identify local security problems specific to a particular area or facilities, identify ways to address relevant risks and threats, and engage all stakeholders in working together to improve their own and others’ safety. The essence of the concept of “Crime Prevention through Environmental Design (CPTED)” and its impact on the formation of a proper state of the security environment at the local level of the community is revealed. It is emphasised that the CPTED principles are universal and can be applied to improve the security of any territory or facility. At the same time, their effectiveness largely depends on the completeness of the identification of security risks and threats. The article suggests the following areas for improvement of the regulatory and legal support for the activities of community police officers: 1) adoption of a separate regulatory legal act on the activities of district police officers, taking into account the peculiarities of police work in the city; 2) approval of instructions on the procedure for carrying out control and supervision activities in the service area. This regulatory act should provide for the forms of such files, the procedure for their completion, registration, verification and control; 3) inclusion of individual cases on security audits of the territory or individual buildings or facilities in the official records of a community police officer. Relevant security audit forms should be officially approved; 4) adoption of methodological recommendations for organising security audits and applying the principles of CPTED (Crime Prevention through Environmental Design) in professional activities.

The impact of birth preparedness and complication readiness (BPCR) on maternal outcomes among postpartum mothers

&lt;pre&gt;&lt;strong&gt;&lt;em&gt;Background: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;Birth preparedness and complications readiness (BPCR) is a strategy to prevent three late causes of maternal death. Previous study results focused on BPCR intermediate outcomes, such as utilizing healthcare facilities during pregnancy and delivery,&lt;/em&gt;&lt;em&gt; rather than maternal outcomes like maternal near miss, morbidity, and mortality.&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/pre&gt;&lt;pre&gt;&lt;strong&gt;&lt;em&gt;Objectives:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; This study examined the correlation between BPCR practices and maternal outcomes among postpartum mothers&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/pre&gt;&lt;pre&gt;&lt;strong&gt;&lt;em&gt;Methods: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;This cross-sectional research was conducted on postpartum mothers in the working area of the Sumberbaru Primary Health Service, Jember Regency, which was carried out from April to June 2023. A total of 78 postpartum mothers were selected using simple random sampling. The interview instrument was adopted from the BPCR JHPIEGO questionnaire, and maternal outcome observations were made using the MCH book. Data were analyzed using the chi-square test to examine the relationship between BPCR and maternal outcome. The level of statistical significance was set to p-value &amp;lt; 0.05&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/pre&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Results: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The results of this study indicated that 69.2% of postpartum mothers had less prepared BPCR practices, and for most postpartum women, 55.1% recovered. There was a relationship between BPCR practices and maternal outcomes among postpartum mothers (p-value&amp;lt;0.05). Postpartum mothers with well-prepared BPCR practices had a 3.48 times higher chance of experiencing a complete recovery in maternal outcomes than those with less prepared BPCR practices.&lt;/em&gt;&lt;/p&gt;&lt;pre&gt;&lt;strong&gt;&lt;em&gt;Conclusions: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The practice of BPCR in postpartum mothers is in the poor category; most mothers' maternal outcomes are in the fully recovered category. BPCR is an essential factor influencing maternal outcomes, so increasing counseling for mothers and families regarding BPCR is necessary to ensure more optimal maternal outcomes.&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/pre&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;

군산스테이션 여성선교사 연구

There were 29 female missionaries who were active based in the Gunsan Station in 1896-1940. They were largely women from the new Southern middle class of American society and church in the second half of the 19th century. The missionary ladies who were devoted to their families in Gunsan along with unmarried missionaries originated from the Victorian values of the Southern society of America in the 19th century. It was a patriarchal society, but they opened the religious domain such as overseas missions to women and encouraged their participation. As for the area of service, 17 were wives of missionaries, 4 were in women’s ministry, 2 were in educational ministry, and 6 were in nursing ministry. Hired by the Executive Committee(선교 본부), they exerted their professionalism according to the personnel appointments and institutional(financial) support of the Mission(선교부) within the scope of their designated duties. The unmarried female missionaries suffered the diverse cultural pressures of Korean society in those days just because they were single. Their helplessness of isolation as “the loneliest beings” stroke them often. They engaged in comfortable middle-class economic activities based on their salaries that were not insufficient from the Mission, the infrastructure of the station, and the continuous supply and support from their motherland. They were able to continue their ministry for many years, and the driving force came from their intimate friendship and visits with colleague missionaries inside and outside, parties &amp; play, reading &amp; exercise, domestic and foreign travel, and sabbatical leaves.

Dynamic vulnerability assessment framework for urban flood disasters considering real-time population changes

ABSTRACT Flood vulnerability assessment is an important means to cope with urban flood disasters. However, urban population mobility and land-use changes bring significant uncertainty to vulnerability assessments. In order to respond to the refined and dynamic needs of urban flood disaster prevention and control, a multi-scale and multi-categorized urban flood dynamic vulnerability assessment framework that considers real-time population changes was proposed in this study. The framework used the comprehensive function of exposure, sensitivity, and coping ability under population dynamic changes to characterize urban flood dynamic vulnerability, and constructed urban flood disaster vulnerability assessment models at both grid and regional scales. The results show that population mobility has a significant impact on the vulnerability of urban flood disasters. The vulnerability of flood disasters in Zhengzhou City is highest at 8:00 and 18:00, and high-vulnerability areas are mainly concentrated in residential areas in the central part of the city and main transportation channels. From 10:00 to 15:00, the high-vulnerability areas migrate to public service areas in the eastern part of Zhengzhou City. In the evening, the vulnerability degree of flood disasters is relatively low. The research results can provide a theoretical basis for urban flood managers to prevent and control flood disasters.

Amplifying Influence: Unveiling the Dynamic Role of Speech and Language Therapists within ICPOP Specialist Community Teams across Ireland

Abstract Background Integrated Care Programme for Older People (ICPOP) provide services for people with complex needs requiring specialist community multidisciplinary assessment and intervention. This national programme aims to shift care from hospitals, toward communities. As of October 2023, 23 of 30 planned ICPOP teams have been established (Butler, 2023). The Irish Association for Speech and Language Therapists, recommend speech and language therapists (SLT) be included on all frailty intervention teams across all service areas, ensuring equal access regardless of geographical area. Currently 10 ICPOP teams have an SLT in post. The contribution of SLT within these teams remains unstudied. Understanding the role of SLTs within ICPOP, exploring similarities and differences, is essential for informing professional clinical guidelines and practice. Methods This study utilised an anonymous, non-experimental, cross-sectional survey design. The survey design incorporated the Tailored Research Method to enhance response rates. Survey Monkey (http://www.surveymonkey. com) was used to create and disseminate the open survey. All SLTs working on ICPOP teams were invited to participate. Results Findings highlight the diverse roles and responsibilities of SLTs within ICPOP. While some commonalities were observed in services provided by SLTs, such as dysphagia assessment and communication support, variations existed based on team location, setting, and individual professional experience. The majority of SLTs participated in non SLT specific activities such as triaging, conducting assessments and administrative duties. Rural SLTs faced challenges related to resources and coordination of care. Urban SLTs had greater access to specialist instrumental assessments. Conclusion This study underscores the importance of recognising and addressing the varied roles of SLTs within ICPOP teams to guide professional guidelines and promote consistency. By understanding the unique challenges and opportunities faced by SLTs in different geographical and organisational contexts, policymakers and healthcare leaders can better support professionals to meet the diverse needs of older individuals across Ireland.