Lack Of Parks Research Articles

What patients with cancer think about the dehospitalization. A survey of Cipomo.

Ministerial Decrete 77 (DM 77) promotes dehospitalization for chronic patients and defines out-of-hospital health facilities at this purpose. It has never been investigated how much patients with cancer know and judge this decree law. The Collegio italiano dei primari oncologi medici ospedalieri (Cipomo) carried out a survey with a dedicated questionnaire on oncological patients attending public hospital to investigate the liking of DM 77. Anonymous responses were obtained from 1.443 patients. Median age 64ys, 42% males, 21% live alone, 70% have a companion. 19% thinks that oral chemotherapy could be managed outside the hospital, 26.68% carried out follow-up (FU),19.15% parenteral therapy, 32.16% basic examinations. Home is preferred by 21.8%, a health facility close to home by 36.3%, hospital by 37.54%. 59.67% would like FU in hospital by their personal oncologist, 5.47% by GP, 35.41% by both together and 9.45% by oncologist outside the hospital. Asked what they might feel about being followed out of the hospital, 29.94% say of not being treated at its best, 12.68% of not being able to be visited in hospital anymore, 5.27% of being abandoned, 30.7% of being freer and 10.88% of feeling less sick. Regarding the use of new technical tools to favor dehospitalisation, 44.15% answered yes, 15.88% no and 30.07% did not know. About the distance or traveling time from home to the therapy administration side, 20.26% answered this should be no more than 15 km or 30 mins, 9.91% no more than 30 km or 45 mins, 5.47% no more than 50 km or 60 mins but 39.5% say that the distance does not matter to them but only the continuity of care. The question related to the inconveniences with going to hospital for therapy: 40.81% waiting time, 20.47% lack of parking, 17.02% rotation of doctors,12.76% travel time and 5.62% bureaucracy. The patients' answers suggest that dehospitalization could improve their quality of life, but at the condition of being able to maintain a close relationship with the personal oncologist.

ЗАКОРДОННИЙ ДОСВІД ФОРМУВАННЯ ВЕЛОСИПЕДНОЇ МЕРЕЖІ ТА ЙОГО ВПЛИВ НА СТВОРЕННЯ ВЕЛОЦЕНТРІВ В УКРАЇНІ

In recent years, the number of residents of Ukraine choosing to travel by bicycle has been steadily growing, as has the number of activities held on bicycles, but a significant proportion of the population is still unsure of the possibility of safe bicycle use due to the lack of an appropriate bicycle network, safe conditions of movement and lack of parking in cities and the corresponding infrastructure. In this regard, there is a need to create an extensive bicycle infrastructure in the cities of Ukraine for safe urban mobility, reducing the number of motor vehicles and replacing them with bicycles. This will provide an opportunity to improve the ecology of cities and attract residents to an active and healthy lifestyle and include Ukraine in the global cycling community. Riding a bicycle helps to maintain good physical shape, prolongs life, promotes the production of the "hormone of happiness" and allows you to receive new emotions and an incredible charge of energy every day, gives the opportunity to freely move through city streets (which is especially relevant for residents of megacities). But this requires an appropriate infrastructure, which includes bike lanes, bike parking, bike services, relevant legislation and general municipal support. This study began before the full-scale invasion of Russia and analyzed the situation that developed in peacetime, as well as the development of cities in Ukraine designed for peacetime. The article analyzes the municipal policy of cities in which significant attention is paid to bicycle infrastructure, cycling and objects of this infrastructure are promoted. An attempt was made to formulate the factors that contribute to the emergence of bicycle networks in cities and the functional filling of the bicycle center as one of the important elements of these networks.

Brasilia neighborhood unity: a re-reading of its meaning, limits and possibilities

The objective of this article is to analyze the limits and possibilities of the pilot neighborhood unity, anchored in the existing literature on the history and experience of the neighborhood unity in Lúcio Costa's urban project. Among the significant concepts in the debate about Brasília's residential superblocks are “isolation” and “exclusion” in relation to preserving intimacy and tranquility of living. Limitations and possibilities are part of the experience of a neighborhood unity in Brasília in the opinion of people who live in the superblock. Limiters include vacant spaces on holiday days and weekends, violence, lack of parking, great noise, great mobility of cars and pedestrians due to events on the main axis. On the other hand, public schools, subway station, proximity to public and private health units, commerce, transportation and job opportunities stand out as favorable aspects. The article allowed us to understand more clearly the concept of neighborhood unity and its relationship with the city of Brasília, as well as serving as an incentive to continue researching the topic.

Prevalence and factors influencing physical activity among secondary school adolescents: A cross-sectional study

Introduction: Physical inactivity is a major health concern among adolescents and is an independent, modifiable risk factor for several non-communicable diseases. Despite the World Health Organization recommended physical activity levels, many adolescents do not meet these guidelines. This study was conducted among secondary school students in Palpa district of Nepal to assess their physical activity levels and associated factors. Methods: A modified version of the Physical Activity Questionnaire Adolescents was used to collect data from 506 grade eight and nine students from six schools in Palpa district. Results: The results revealed that only 25.31% of students engaged in physical activity quite often or always, and only 23.10% met the daily WHO recommendation of at least 60 minutes of physical activity per day. Additionally, females were less likely to achieve the recommended physical activity level compared with males. Conclusions: The low levels of physical activity among secondary school students in Palpa district of Nepal highlight the need for interventions to promote physical activity. This study identified several factors associated with low physical activity levels, including limited break time at school, lack of parks or playgrounds near homes, and gender differences.

SULTAN'S WISDOM IN PRESERVING CULTURE AS SUSTAINABLE TOURISM DEVELOPMENT

From the perspectives of economic, social, politics, and cultural preservation, the sultan's wisdom can have an impact on the entire ecosystem in the implementation of policies toward sustainable tourism destinations in the Jeron Beteng Region - Yogyakarta. The Jeron Beteng neighborhood, which is inside the palace fortress, is currently dealing with global phenomena like population growth, declining public service quality, decreasing availability of residential areas, traffic congestion, a lack of parking, rising levels of energy consumption, garbage buildup, and rising crime rates. As a result, the Jeron Beteng region can continue to be sustainable thanks to palace culture, which has been described by the sultan's knowledge in formulating policies, along with standards and principles for managing the quality of life.The Yogyakarta Palace, which is the de facto owner and authority of the land and the culture inside it, as well as other supporting papers are used in the research's descriptive qualitative methodologies to gather both primary and secondary data from government officials, community members, and other sources. The methods of gathering data include interviews, observation, and documentation. The study's findings demonstrate the sultan's wisdom toward environmentally friendly tourist attractions in Yogyakarta's Jeron Beteng district, which is deeply concerned with cultural preservation. However, the sultan's position is still crucial in encouraging people to adhere to legal requirements.

Data-Driven Prediction of Urban Micromobility: A Study of Dockless Electric Scooters [Applications of Control

Since the early modern age, the development of various means of transit has contributed to a dramatic improvement in quality of life. However, in past decades (particularly in urban environments), the simultaneous utilization of mobility options has resulted in poor air quality, traffic congestion, and a lack of parking. To solve these problems without imposing severe restrictions on personal mobility, alternatives to cars powered by internal combustion engines are necessary (see “Summary”).

Shaping health: conducting a community health needs assessment in culturally diverse peripheral population groups

IntroductionThe impact of social determinants on health status and outcomes has been widely established. However, it is recognized that health systems' ability to address community health needs may be limited. To better understand the interrelation between social determinants of health and health outcomes, health systems need to understand the health concerns and needs of populations. The aim of this study was to map the perceived health needs of Israel's northern periphery’s diverse ethnic and religious communities and regional clusters by conducting a community health needs assessment (CHNA).MethodsThe study employed a mixed-methods approach. We conducted a CHNA in the Galilee between November 2019 to January 2020 (n = 750). Additionally, we conducted focus groups using design thinking methodology to better understand the underlying causes of existing gaps between community and healthcare representatives (n = 42). Quantitative data was analyzed using multiple logistic regressions and qualitative data was analyzed using a content and thematic analysis.ResultsGalilee residents perceived sense of community (78%) as the major strength while cancer (53%) was perceived as the major health problem followed by heart disease and stroke (28.4%). The adjusted odds ratios for the association of each predictor with each perceived social and structural determinants of health among respondents indicated that Arab respondents were more likely to report race/ethnicity discrimination, domestic violence, lack of parks and recreation, neighborhood violence, limited places to exercise, school dropout and limited access to healthy food, as determinants affecting health than Jews. Conversely, Jews were more likely than Arabs to report access to mental health services, access to transportation, lack of job opportunities and access to a doctor's office as determinants affecting their health. Qualitative analysis revealed residents felt a 'lack of health security' as a result of problematic access to specialty and mental health services, especially for elderly populations.ConclusionsCHNA can inform the design of tailored interventions that will improve health for Galilee residents addressing their socioeconomic-cultural–geographical characteristics. The study's findings raise the need to create such tailored approaches to address the lack of health security felt by residents and improve not only health services provision but the social determinants affecting their health.

Longitudinal Associations of Physical Activity Patterns and the Environment: An 18-Year Follow-Up to the MESA Study.

Introduction: Cross-sectional association between the neighborhood-built environment and physical activity (PA) has been demonstrated previously, indicating the importance of neighborhood perception characteristics such as walkability, safety, and the connectivity of streets on PA levels. Our study aimed to assess the longitudinal data from participants of the Multi-Ethnic Study of Atherosclerosis (MESA) to evaluate the potential relationship between perceived environment and PA patterns. Methods: We analyzed data from a subset of participants (n = 3097) with available PA data who participated in a prospective cohort conducted from 2000 to 2018. The exposure variables were the perceived aspects of the neighborhood environment and the perception of safety, and the outcome was patterns of PA. Patterns were defined as categories reflecting meeting versus not meeting PA guidelines over time. We created the following categories: adopters (individuals who did not meet guidelines at baseline but met guidelines at Exam 6), relapsers (individuals who met guidelines at baseline but did not meet guidelines at Exam 6), maintainers (individuals who met guidelines both at baseline and Exam 6), and insufficiently active (individuals who did not meet guidelines at either baseline or Exam 6). The maintainers’ group was considered the reference category. We estimated the relative risk to assess the magnitude effect of the association between environmental perceptions and the outcome. Results: Individuals who reported that lack of parks and playgrounds was “not a problem” in their neighborhood had a 2.3-times higher risk of decreasing their physical activity (i.e., the “relapser” category) compared to maintainers. After full adjustment, perceiving poor sidewalks as “somewhat a serious problem” was associated with a 64% lower risk of becoming an adopter than a maintainer. When compared to those who perceive the neighborhood as “very safe”, perception of the neighborhood as “safe” to “not at all safe” (ratings 3, 4, and 5, respectively, on the perceived safety scale) was significantly associated with being classified in the adopter category. Conclusions: As the first longitudinal study of the association of perceived environment and physical activity within the MESA cohort, we conclude that a few aspects are longitudinally associated with being physically active among adults.

Development of a Quality Assessment Tool for Outpatient Infusion Clinics: A Literature Review and Pilot Survey.

This study aimed to develop a quality assessment tool for outpatient infusion clinics, as a lack of literature exists on the subject. The authors conducted a literature review targeting studies since 2016 to identify variables that affect patient satisfaction in outpatient infusion clinics. Due to the limited number of relevant studies found, the authors shadowed 2 infusion clinic nurses to capture additional determinants of outpatient infusion clinic quality. A total of 72 variables relevant to an outpatient infusion quality assessment tool were listed. From this list of variables, a pilot survey was conducted at an outpatient rheumatology infusion clinic to assess patient satisfaction with 16 variables of interest. The pilot survey (N = 43) revealed that patients were relatively dissatisfied with walking to clinics, lack of access to public transit, lack of parking and/or free parking, lack of privacy, and flexible scheduling and/or cancellation policies. These findings demonstrate how the assessment tool may highlight specific areas of concern at an infusion clinic to identify targets for future quality improvement initiatives. Therefore, the tool presented has the potential to improve the quality of care provided to patients attending infusion facilities.

A Cross-Sectional Study Rating the Perceived Impact and Reach of the Ministry of Health and Wellness Initiatives to Curb Physical Inactivity in Jamaica

Like other countries, Jamaica in the last 2 decades has seen an increase in physical inactivity, which has significantly increased the number of people living with chronic lifestyle diseases on the island. It can be argued that increased industrialization has resulted in several ecological concerns, such as violence that may deter people from engaging in physical exercise, pollution and polluted air, lack of parks, walkways, and sports/recreational amenities. Despite the causes of physical inactivity, there is a global mobilization by the World Health Organization (WHO) and individual countries to reduce physical inactivity levels by at least 15% by 2030. The COVID-19 pandemic has surely put a dent in the physical activity (PA) targets. Many countries initiated restrictive measures (lockdowns, curfews, and social distancing) to try and contain the spread of the COVID-19 virus. For countries such as Jamaica, combating physical inactivity seems to require strategies, interventions, motivation, and the promotion of physical activity (PA) culture from all stakeholders (integrated approach) to meet the WHO’s goals and standards by 2030. The purpose of this research was to assess the perceived impact and reach of Jamaica’s Ministry of Health and Wellness (MOHW) initiatives to promote PA, impact weight loss, and lifestyle while trying to reduce sedentary behaviors in Jamaica. A standardized questionnaire was used in a single cross-sectional design that surveyed 843 Jamaicans using Google Forms. Participants ages 12-71 years old were surveyed using a hybrid sample strategy that used convenience and snowballs sampling techniques. The results of the study indicated that there was a 35% participation rate in the MOHW initiatives, with only 14.3% of the participants believed that the initiatives were impacting their weight loss and lifestyle. Additionally, 51.6% of the participants did not believe the initiatives caused them to participate more in PA; on average, the initiatives by the MOHW were rated at 50% effective. The initiatives are not very effective in reaching most of the population, which is not achieving the goal of enhancing healthy lifestyle practices and reducing physical inactivity. These implications may potentially see an increase in Jamaica’s physical inactivity levels and chronic lifestyle diseases if these initiatives are not intensified to reach the majority of the population.

UNNATURAL NATURE: ANGLERS REIMAGININGS OF THE LOS ANGELES RIVER AS PARKLAND

abstract The Los Angeles River provides residents with much-needed access to nature and recreation opportunities in a city plagued by a lack of parks. Park access and use in Los Angeles varies greatly along racial and class lines, artifacts of the city’s history. Inequalities exist in how and where people can access urban nature and parks. Fishing on the L.A. River is a response to these inequities. Anglers create their own park spaces and nature experiences through fishing. In this study, videos of fishing activity on the L.A. River were probed and queried to get a sense of the angler experiences. Anglers fish for a variety of reasons, including social interaction, sport, and sustenance fishing to augment insecure food supplies. Angler experiences and constructions of the river are stratified, consistent with patterns of park use in Los Angeles. Anglers frame the river as both a classed and raced social space, mediating the inequities of the raced and classed city it flows through. Keywords: urban parks, fishing, socially constructed nature, YouTube videos

도시환경요소와 우울증과의 상호관계에 관한 연구

The purpose of this study is to suggest urban planning strategy for the deterioration of mental health, such as depression caused by the pandemic of coronavirus disease 19 (COVID-19). Considering the fact that the living environment has been changed in the current Covid-19 Pendemic, the relationship between depression and urban environmental factors are examined using data from the early 2010s when mental illness such as depression became serious issue. In summary, first, it is found that the prevalence of depression increases for people who feel stressed or those who are too active in physical activity. The incidence of depression is high in married, unemployed, obese, and older people. Second, the correlation between urban environmental factors and depression is quite high under the condition that variables on individual levels are controlled. Green areas and cultural and sports facilities can help prevent depression. Cities that have lack of parks and are surrounded by skyscrapers due to reckless development could have a significant negative impact on prevention of depression. With these findings, the study proposes the direction of urban planning for the prevention of mental illness, such as Corona Blue, during the ear of COVID-19. It is believed that low-carbon oriented urban planning and securing green space could be major urban planning strategies to cope with the era of COVID-19.

Cultural Competence, Race, and Ethnicity in Community Based Recovery Treatment Programs

Cultural competence is more than speaking the language or recognizing the cultural icons of a given group of individuals. Treating the individual is treating their culture. A culturally competent treatment professional must acknowledge an individual’s cultural strengths, values, and experiences while encouraging behavioral and attitudinal change. A significant variable in the change process is the relationship between racial or ethnic matching of clients and counselors. Successful treatment reveals a group of cultural dynamics on how this therapeutic alliance might affect treatment outcomes. To meet these complex cultural challenges, the movement towards a pluralistic cultural framework of helping with its bilingual and bicultural sensitivity appears to be a significant variable to engage the community and the individual in the healing process. Environmental exposures, such as pollution, high-crime areas, and lack of parks or playgrounds, social services, such as transportation, housing, and childcare, mental health care, significantly impact on lifestyle choices. Building strong, grassroots recovery community organizations (RCOs) and linking RCOs into a national movement to develop recovery leaders, offer many opportunities for the recovery community. It helps people in recovery, family members, friends, and allies to express their collective individual and neighborhood voices on issues of common concern by providing a forum for recovery-focused community services that support individual growth.

Risk and the result of the fire in multistorey car park

Abstract Most of big city inhabitant’s places face the issue of the parking and lack of parking. Missing place was solved with multistorey car park, bringing advantages together with certain danger. New fire safety requirements and firemen rescue works are needed. The paper describes public multistorey car park houses by steel structure. The main topic of the paper is to analyze thermo-mechanical load of the structure located in selected transport company determined for parking. Software tools and mathematical selected modeling will be used. Results obtained in modeling will be compared whit the simplified results according to standard the methodology. Critical heat of steel element is set in dependence of the usage ratio use scale.

Aspectos quantitativos e qualitativos sobre as barreiras para o uso de bicicleta em adultos de Curitiba, Brasil

The implementation of bicycling promotion programs should consider the barriers to this behavior. The aim of this study was to quantitative and qualitatively characterize barriers to leisure and commuting bicycle use for adults from Curitiba, Brazil. The first phase comprised a cross-sectional household survey involving 677 adults (53% women). Of these, 16.7% and 11.2% reported leisure and commuting bicycle use, respectively. Then, 24 bicycle users (50% women) were recruited and participated in focus group interviews. The content of answers was analyzed with a conceptual matrix. The most reported barriers to leisure bicycle use were “bad weather” (65.5%), “heavy traffic” (53.1%), “lack of bike lanes” (48.7%) and “lack of security “(44.2%). In commuting, the most reported were “bad weather” (69.7%), “heavy traffic”, “lack of safety” and “fear of accidents” (51.3% each). The comparative analysis between barriers reported in the survey and those reported in the focus groups showed a combination of seven of the 11 barriers reported in questionnaires. Some of the barriers identified in the survey were not mentioned in the focus groups (“poor street quality”, “pollution”, “not having a bicycle”, “lack of parking”, “distance to destinations”). The main barriers to bicycle use are related to physical environment and safety aspects, regardless of approach adopted and purpose of use.

Introducing a New Idea: Severance of Public Parking in Iran

In 1902, Mozafaredin Shah was familiar with the car on his trip to Europe and brought two cars to Iran. Gradually more cars were brought into the country. Since 1921, the body of Iran's major cities was affected by movement of vehicles. Nowadays, the unbridled use of cars affects Iran's urban management, particularly in cities with a population of more than fifty thousand persons. In addition to the many advantages, the vehicle presence in Iranian cities sometimes has negative consequences. Traffic, noise and air pollution are inevitable disadvantages. Lack of public and private parking is a serious issue for those involved in planning and urban management in Iran, leading to social and economic costs. Lack of parking in Iranian cities is affected by cultural and economic factors and administrative structures. The creation of public parking will not be improved without modification of the factors. Hence, this study introduces a new idea based on the reform approach which resolves a significant part of the problems. This idea is based on the revision and reform of registration rules. A corrective action in the event of operational supports leads to improving the construction of public parking. This new idea provides the severance of public parking and the possibility of issuing the entire document for each unit of parking.

Integrating Environmental Justice into Public Health: Approaches for Understanding Cumulative Impacts

Communities located near multiple sources of pollution, including current and former industrial sites, major roadways, and agricultural operations, are often predominantly low-income, with a large percentage of minorities and non-English speakers. These communities face additional challenges that can affect the health of their residents, including limited access to health care, a shortage of grocery stores, poor housing quality, and a lack of parks and open spaces. Research is now showing that environmental exposures can interact with social stressors, thereby worsening health outcomes. Age, nutrition, genetic characteristics, and preexisting health conditions also increase the risk of adverse health effects from exposure to pollutants. There are existing approaches for characterizing cumulative impacts, which vary in their analytical method and level of community engagement. Biomonitoring, health risk assessment, ecological risk assessment, health impact assessment, burden of disease, and cumulative impacts mapping have all been used to evaluate aspects of this issue. Although such approaches have merit, they each also have significant constraints. New developments in exposure monitoring, mapping, toxicology, and genomics, especially when informed by community participation, have the potential to advance the science on cumulative impacts and to improve prioritization, resource allocation, and risk reduction.

Cumulative Environmental Impacts: Science and Policy to Protect Communities.

Many communities are located near multiple sources of pollution, including current and former industrial sites, major roadways, and agricultural operations. Populations in such locations are predominantly low-income, with a large percentage of minorities and non-English speakers. These communities face challenges that can affect the health of their residents, including limited access to health care, a shortage of grocery stores, poor housing quality, and a lack of parks and open spaces. Environmental exposures may interact with social stressors, thereby worsening health outcomes. Age, genetic characteristics, and preexisting health conditions increase the risk of adverse health effects from exposure to pollutants. There are existing approaches for characterizing cumulative exposures, cumulative risks, and cumulative health impacts. Although such approaches have merit, they also have significant constraints. New developments in exposure monitoring, mapping, toxicology, and epidemiology, especially when informed by community participation, have the potential to advance the science on cumulative impacts and to improve decision making.

The Experiences of Summer Visitors to Cape Rodney–Okakari Point (Goat Island) Marine Reserve, Auckland, New Zealand

Cape Rodney–Okakari Point (Goat Island) Marine Reserve, established in 1975, is New Zealand's oldest and most visited marine protected area (MPA). This study reports on the experiences of its visitors. A self-reply questionnaire (n=305) using the real-time satisfaction (RTS) measurement was utilized to investigate peak summer visitors' activities, satisfaction levels, and knowledge of marine protection. Results revealed a diversity of visitors who primarily identify the reserve as a place to “swim with the fish.” Visitors were mostly satisfied, but were dissatisfied with a number of aspects, primarily overcrowding and the lack of parking. Results indicated there is support for stronger managerial approaches to limit visitor numbers and restrict activities such as commercial tourism.

Neighborhood influences on recreational physical activity and survival after breast cancer.

Higher levels of physical activity have been associated with improved survival after breast cancer diagnosis. However, no previous studies have considered the influence of the social and built environment on physical activity and survival among breast cancer patients. Our study included 4,345 women diagnosed with breast cancer (1995-2008) from two population-based studies conducted in the San Francisco Bay Area. We examined questionnaire-based moderate/strenuous recreational physical activity during the 3 years before diagnosis. Neighborhood characteristics were based on data from the 2000 US Census, business listings, parks, farmers' markets, and Department of Transportation. Survival was evaluated using multivariable Cox proportional hazards models, with follow-up through 2009. Women residing in neighborhoods with no fast-food restaurants (vs. fewer fast-food restaurants) to other restaurants, high traffic density, and a high percentage of foreign-born residents were less likely to meet physical activity recommendations set by the American Cancer Society. Women who were not recreationally physically active had a 22% higher risk of death from any cause than women that were the most active. Poorer overall survival was associated with lower neighborhood socioeconomic status (SES) (p(trend) = 0.02), whereas better breast cancer-specific survival was associated with a lack of parks, especially among women in high-SES neighborhoods. Certain aspects of the neighborhood have independent associations with recreational physical activity among breast cancer patients and their survival. Considering neighborhood factors may aide in the design of more effective, tailored physical activity programs for breast cancer survivors.