Poor Planning Research Articles

Comprehensive analysis and risk assessment of fine road dust in Abbottabad city (Pakistan) with heavy traffic for potentially toxic elements

Human activities have far-reaching impact on natural ecosystems, causing increasing disturbances and disruptions to the delicate balance of the environment. Poor land use planning, urbanization, infrastructure development, and unplanned tourism exacerbate contamination and degradation in tourist destinations, yet the pollution of potentially toxic elements (PTEs) in these environments remains inadequately explored. To address this issue, we investigated the concentrations of acid-digested PTEs in road dust in Abbottabad city (Pakistan) with heavy traffic. The current study also evaluated PTE associated pollution, ecological and health risks, and potential sources of these elements. The average concentrations (in mg kg–1) of PTEs in road dust were highest for Fe (15540), followed by Mn (304), Zn (139), Cu (50.0), Pb (21.5), Cr (13.0), Ni (10.3), Co (6.66), and Cd (0.236). The levels of Co, Cr, Mn, Ni, and Fe were below the upper continental crust (UCC) averages, while Cd, Cu, Pb, and Zn exceeded them. Spatially, Cd, Cu, Pb, and Zn were found at higher levels near traffic hotspots, bus stands and automobile workshops. Road dust in Abbottabad exhibited unpolluted to moderate pollution levels (geo-accumulation index), with Cd, Cu, Zn, and Pb at 23% of the sites. The enrichment factor results indicated a significant anthropogenic influence, with Cd being significantly enriched and Zn, Cu, and Pb moderately enriched. The contamination factor results revealed moderate contamination by (Cd: 2.62, Zn: 2.08, Cu: 1.79, Pb: 1.27). Single metal risk index showed that 61% of the sites posed considerable to very high ecological risks due to Cd, which was highlighted as a significant concern. The absolute principal component scores-multiple linear regression model identified three factors contributing to PTE pollution: lithogenic (Co, Fe, Mn, Ni), traffic-related (Cd, Cu, Pb, Zn), and mixed sources (Cr), with contributions of 52.8%, 35.8%, and 11.4%, respectively. The PTE hazard quotient and total hazard index values for children and adults were below the safe risk level of 1, indicating no non-carcinogenic health risks. The cumulative carcinogenic risk values to the residents were also within acceptable limits. However, children's susceptibility to non-carcinogenic risks is higher due to their behavior and lower body weight. This study highlights the accumulation of PTEs in Abbottabad's environment, which poses challenges to long-term sustainability, particularly amid unplanned tourism. Therefore, urgent measures are necessary to mitigate PTE pollution and preserve tourist spots and public health.

Analysing the emerging discourses in the Ghanaian media around perennial flooding in Accra

ABSTRACT Climate change coupled with poor urban planning has facilitated the occurrence of flood disasters across cities in the Global South. While the media landscape remains a vibrant platform where expert knowledge is shared about the causes, patterns, risks and mitigation measures of the ravaging flood disasters, there is limited scientific knowledge about how the media narratives evolve and inform better policy formulation in addressing the floods. Using a Corpus-Assisted Discourse Studies (CADS) approach, we explore the discursive construction of perennial flooding in Accra in the Ghanaian press to bring to light emerging discourses around the phenomenon and how that contribute to remedying the problem. The findings revealed a hazy identification of the major causes of the floods in the news, and underscore the urgent need to embrace cogent measures and more proactive policies, firm commitment from the government, stakeholders and the inhabitants in the city to tackle the perennial floods.

Dengue Outbreak Control and Prevention: A Case Study of Gampaha District, Sri Lanka

Dengue fever remains a persistent public health challenge in Gampaha District, Sri Lanka. Despite ongoing efforts by the Ministry of Healthcare, Nutrition & Indigenous Medicine, the district reported 10,212 cases in 2022, with significant hospital admissions and deaths in high-risk areas like MC Negombo, Gampaha, and Minuwangoda. The study examines Dengue control and prevention strategies implemented from November 2022 to March 2023. Data was collected from existing records, interviews with key informants, and field observations. Major challenges were identified and prioritised using evidence-based methodologies, including the "Five Whys" root cause analysis. The analysis revealed significant challenges categorised into program-related and non-program-related issues. Key issues include inadequate use of existing data, insufficient evidence-based control measures, and operational inefficiencies. The root cause analysis identified core problems such as lack of funding, poor planning, and limited community engagement. The study highlights the critical need for data-driven decision-making and enhanced collaborative efforts. Establishing a technical body, develop context-specific programs, and improve community involvement. Resource mobilisation for research and forecasting epidemics was also emphasised. This case study provides valuable insights into the challenges and strategic interventions necessary for effective Dengue control in the Gampaha District. Emphasising evidence-based decision-making and a comprehensive action plan underscores the importance of collaborative efforts to combat Dengue in the region.

Wildlife Tourism and Climate Change: Perspectives on Maasai Mara National Reserve

The impact of climate change on nature-based tourism is gaining significance. This study evaluated the impacts of climate change and tourism stakeholders’ perspectives on the subject in the Maasai Mara National Reserve and World Heritage Site. Surveys and interviews were used to collect data. The main climate-related threats to tourism were heavy rain, floods, and extreme droughts. These events adversely impacted infrastructure, such as roads, bridges, and accommodation facilities, and outdoor tourism activities, such as game viewing, cultural tours, birdwatching, and hot air ballooning. They also exacerbated human–wildlife conflicts. The key challenges identified in dealing with impacts were poor planning, non-prioritizing climate change as a threat, a lack of expertise, inadequate research, and a lack of internal early warning systems. The key recommendations included prioritization of climate change planning, development of internal early warning systems, and building resilience toward climate-related disasters. This study contributes to practice by making recommendations for management and other stakeholders. It also extends the discussions of climate change and tourism to wildlife tourism destinations in Africa.

Забутий геноцид: як шведські шкільні підручники історії розповідають про Голодомор

This article explores how Swedish school history textbooks address the famine-genocide of 1932–1933 in Ukraine. By analyzing how this historical event is represented in educational materials, the article aims to determine the extent to which the Holodomor is acknowledged, contextualized, and explained within the broader narrative of Soviet interwar history presented to Swedish students. The source material consists of textbooks used in Swedish schools, ranging from lower secondary to upper secondary education. 20 textbooks were reviewed, and interviews were conducted with six teachers and one author. It underscores the practical importance of accurately representing the Holodomor within history education, particularly in terms of the consequences of insufficient education about past genocides and crimes against humanity. The article highlights challenges within the Swedish education system, including curricular limitations, limited resources, and the prioritization of events like the Holocaust and the Gulag over the Holodomor, shedding light on how these factors could influence students’ understanding of historical events and the broader context of past atrocities. The article reveals that, while the Holodomor is mentioned in some literature, it is only briefly addressed, with the Gulag instead becoming symbolic of communism’s crimes against humanity. As one teacher suggested, there may be a geographical perspective at play, prompting more focus on events closer to home. A noticeable trend over time also emerges in school literature, with more recent publications being more likely to address the Holodomor using accurate terminology, while older works tend to avoid it. Additionally, there is a tendency to explain the Holodomor, when mentioned, as a result of poor economic planning (i.e., communism) rather than as a deliberate act driven by ethnic hatred toward Ukrainians within the framework of Russian imperialism. In fact, no Swedish schoolbooks clearly present the Holodomor as a genocide. Consequently, this report identifies three possible outcomes: 1) the Holodomor is not mentioned at all, 2) mass starvation is referenced but not as the Holodomor, or 3) the Holodomor is acknowledged but explained primarily as a result of forced collectivization in Soviet agriculture rather than an outcome of Russian imperialism or ethnic hatred aimed at eliminating Ukrainians as a people. Thus, a portrayal of the Holodomor as both an event in its own right and as genocide could not be demonstrated, nor was any such literature found. Keywords: History, Holodomor, Genocide Education, History Didactics, Soviet History, Ukraine, Sweden

A Mixed-Methods Quality Analysis of Behavior Intervention Plans for Students With Extensive Support Needs

Students with extensive support needs are at risk of demonstrating challenging behavior due to inadequate support of their individual needs or class-wide factors such as low quality of instruction. Students with extensive support needs are also among the students who are most likely to experience aversive interventions and be placed in segregated educational placements. The purpose of this mixed-methods study was to investigate behavior intervention plans (BIPs) written for students with extensive support needs to understand their structural features and technical adequacy, trends across components of plans, and the alignment of the BIP with the student’s individualized education program (IEP). We analyzed BIPs that were developed by IEP teams including a teacher candidate enrolled in a master’s program, a mentor teacher, or a colleague. We found BIPs were of low technical adequacy with patterns of errors reflecting harmful assumptions about students, lack of operational definitions, and intervention procedures that were not aligned with other components of the plan. BIPs and IEPs were not well-aligned, a finding that reflected overall poor planning for students with extensive support needs. Implications for research and practice are presented with a focus on the critically important nature of effective behavior supports for students with extensive support needs.

Long live the cat: Ocelot population viability in a planned reintroduced population in Texas, USA

AbstractReintroductions are often needed to recover carnivore populations and restore ecological processes. Felids are common subjects of reintroduction efforts, but published population models informing felid reintroduction plans are uncommon, and poor planning has sometimes caused issues in felid reintroduction programs. In the United States, ocelots (Leopardus pardalis pardalis) are classified as endangered, and recovery requires population expansion into historic habitat. A multi‐organization effort is underway to establish a new ocelot population in Texas by releasing ocelots into an area of 478 km2 of suitable habitat in ocelots' historic but now unoccupied range. In this study, we used population viability analyses to compare different ocelot reintroduction strategies for the identified reintroduction area. Based on a potential ocelot breeding program's limitations, we modeled reintroduction using a founding population of no more than six ocelots and no more than four ocelots released per year for no more than 15 subsequent years. Within these limitations, we assessed projected population abundances and extinction risks after 30 years for 20 different reintroduction strategies. We found that long‐term releases are necessary to establish a viable population; under conservative model assumptions, releasing six ocelots in the initial year and then releasing four individuals annually for an additional 10–15 years is necessary for attaining a projected population greater than 36.62 ocelots (baseline) with <6% extinction risk. We also found that ocelot population abundance is about equally sensitive to post‐release mortality and inbreeding depression. This highlights the importance of not only supporting reintroduced ocelots' survival but also managing for high genetic diversity in the reintroduction program. Further, we found that realistic but more liberal assumptions on the carrying capacity of the reintroduction area and the age of first reproduction for ocelots increase projected population abundances (53.95 individuals and 61.26 individuals, respectively), and thus reintroduction success. The model's sensitivity to carrying capacity suggests that long‐term habitat protection and expansion are among the most important management actions to support ocelot reintroduction. Our study establishes the first population viability model for an ocelot reintroduction plan anywhere across the species' wide geographic range, and it reinforces several key considerations for wildlife reintroduction efforts worldwide.

Analysis of the environmental factors contributing to road traffic accidents involving school-aged pedestrian children in urban Algerian settings

Despite efforts by the Algerian government and civil society to improve road safety, traffic accidents remain a significant issue, particularly affecting children and youth. Data from the National Delegation for Road Safety (NDSR) reveals that this demographic is especially vulnerable, with 371 child fatalities recorded during the 2020-2021 school year. This study evaluated road safety around twelve primary schools in Oued El Abtal district, Mascara province, and aimed to identify effective interventions through a participatory approach involving 1,074 students. An anonymous questionnaire was used to capture students' perceptions of road risks, and the data were analyzed using IBM SPSS Statistics V27. Chi-square and Fisher’s exact tests were applied to examine associations between gender and variables like travel mode, school accompaniment, student behavior, and crossing locations. The sample was balanced by gender, consisting of 50.9% boys and 49.1% girls. Walking was the predominant travel mode (75.2%; n=808). Key risk factors included inadequate infrastructure (3.2%), insufficient signage (11.7%), sidewalk obstructions (5.1%), dangerous driving behaviors (12.2%, with speeding at 29.5%), heavy traffic (16.2%), and poor urban planning (e.g., lack of speed bumps and low visibility). These findings highlight the urgent need for targeted interventions to improve the safety of school commutes. This research identifies critical risk factors in school travel, providing a foundation for developing strategies aimed at enhancing road safety for children in Algeria.

Data science model canvas for health research: a systematic review

Data science in the healthcare sector is rapidly growing and attracting significant investments. Over the past 10 years, the number of research and publications on artificial intelligence has tripled. However, many data science projects fail due to poor planning. Canvas models emerge as effective tools for planning. A systematic review was conducted to analyze canvas models tailored for data science and focused on healthcare research. This analysis uncovered gaps in the models, particularly in addressing essential issues like ethics, security, data preservation, and sharing. We identified opportunities to enhance the models by integrating project management elements and the Data Management Plan (DMP) to address these shortcomings.

Aging With Emerging Social Welfare and Disappearing Filial Piety: Chinese Migrant Workers' Pathways Toward Financial Retirement Planning.

This study examines the pathways and mechanisms linking Chinese migrant workers' migration experiences and their financial retirement planning. Using a mixed-methods approach with 1083 surveys and 32 interviews, this study finds that having a good financial status and social support system and maintaining a hopeful attitude toward retirement are direct pathways toward good financial retirement planning. Good health and hope for retirement are further enhanced by a good financial status and social support. Conversely, poor health and negative employment experiences are linked to poor financial retirement planning. The qualitative findings provide a contextual understanding of the pathways identified in the quantitative analyses. Migrant workers often face a dilemma between self-reliance for retirement and relying on filial piety. These findings apply not only to Chinese migrant workers but also to all migrant workers with limited access to healthcare and public pensions for retirement.

Spatio-temporal tendencies of urban land surface temperature on the Andean piedmont under climate change: A case study of Metropolitan Lima, Peru (1986–2024)

The increase in land surface temperature (LST) in megacities has contributed to global warming due to poor urban planning and high population concentration. This study analyzes spatio-temporal trend patterns of LST in the city of Metropolitan Lima, Peru, during the summers of 1986–2024. The Mann-Kendall tests and the Theil-Sen Slope method were used to analyze the spatio-temporal trends of LST, relating R2 and the Mann-Kendall p-value of the annual average LST in each district. A hierarchical cluster analysis was performed to group districts according to their average yearly LST. Urban heat islands were identified based on basin configuration and distance to the sea at 1 km intervals. The results reveal a significant increase in LST (p < 0.001) related to El Niño-Southern Oscillation phenomena, in addition to urban growth and land cover change. The significant positive trend of LST showed a heterogeneous distribution in all districts. The districts were grouped into three clusters with statistically significant differences in LST (p < 0.001), spatially configured radially from the sea to the foot of the Andes, up to 1179 m a.s.l. Urban heat islands did not correlate with significant positive trends in basins. Still, they showed a considerable increase in LST in areas of high economic activity, including dense commercial, industrial, and residential areas. This information is crucial to managing climate change adaptation and mitigation measures and contributing to sustainable urban planning focused on the population's well-being.

Government Expenditure On Manufacturing, Infrastructure, Agriculture Components, And The Level Of Economic Growth In Kenya 1985-2021

There is often contention and discussion regarding the optimal way to allocate public funds to different expenditure components and how they promote economic growth. Government spending has several importance; it raises aggregate demand, and increases employment levels. This eventually spurs a country's economic growth. Public expenditure also helps provide public goods due to market failures and economic exploitation. Public goods such as infrastructure (roads, bridges, airports), education, healthcare, and security are essential for economic growth. Public expenditure also improves the macroeconomy supply side, enhancing economic growth. In addition, the government can offer subsidies to sectors that might require financial assistance for their operations or expansion, which stimulates investment, promotes innovation, increases capital expenditure, and then job creation, which leads to economic growth. It also helps to redistribute income and promote social welfare. The study's main objective was to establish the effect of various public expenditure components on Kenya's economic growth. The specific objectives were to scrutinize the effect of the manufacturing component of government spending on Kenyan economic growth, assess the effect of the infrastructure component of government spending on Kenyan economic growth, and scrutinize the effect of the agricultural component of government spending on Kenyan economic growth. The study adopted a nonexperimental longitudinal research design. Secondary time series data between 1985 and 2021 from Economic Surveys, Statistical Abstracts, Economic reports, and public expenditure reports of the government of Kenya was sed. The study conducted the stationary test, cointegration, and causality test on the data and employed the Vector Error Correction Model in data analysis. The results showed that public expenditure's manufacturing and agricultural components had a positive impact on Kenyan economic growth, while infrastructure had a negative impact in the long run. Manufacturing drives industrialization, which leads to economies of scale, technological advancements, and more efficient production methods. This conforms to endogenous growth theory. Agricultural investment helps sustain economic growth by supporting rural development, reducing poverty, and improving food security. The structural transformation theory suggests that as agricultural productivity improves, resources (e.g., labor and capital) are freed up to be employed in other, more productive sectors. The results of infrastructure negatively impacting economic growth align with fiscal sustainability theory, which states that infrastructure spending may eventually become unsustainable if it leads to persistent fiscal deficits. Governments might need to increase taxes or cut spending in other productive areas (e.g., social services and education), which could dampen economic growth in the long term. Overall, the outcome showed that government spending and potential Kenyan economic expansion are correlated through a sustained relationship. This is evidenced by the R squared, which is at 0.8975. This implies that public expenditure explains 89.75% of the variations in GDP. The study recommends that the government choose the critical area of infrastructure component to invest in. In the long run, the findings showed that infrastructure spending negatively impacts economic growth, which could suggest inefficiencies or corruption in the allocation or execution of infrastructure projects. However, poor infrastructure planning, corruption, cost overruns, or investments in non-productive or underutilized projects could explain the negative long-term impact. The Kenyan government should invest more in the manufacturing sector in areas like agro-processing, the textile industry, pharmaceuticals, healthcare products, automotive assembly, and parts manufacturing, which helps to reduce imports that tend to be high in Kenya. With the agricultural component having a positive effect on Kenyan economic expansion, the state could invest in agriculture sector's areas like Irrigation and Water Management, Sustainable Agriculture, Climate Resilience crops, Agricultural Research and Extension Services, High-Value Crops, agro-processing, and Value Addition

Nonmetallic Carbon Fiber-Reinforced Polyetheretherketone Implants Vs Titanium Implants: Analysis of Clinical Outcomes and Influence on Postoperative Radiotherapy Planning in Metastatic Spine Tumor Surgery.

Titanium has been the conventional implant material of choice for fixation in both primary and metastatic spine tumor surgeries (MSTS). However, these implants result in artifact generation during postoperative computed tomography or magnetic resonance imaging, resulting in poor planning of radiotherapy (RT) and suboptimal tumor surveillance. Carbon fiber-reinforced polyetheretherketone (CFR-PEEK) implants have gained momentum for instrumentation in MSTS due to their radiolucent properties. In this study, the perioperative outcomes, postoperative imaging artifacts, and dosimetric data of CFR-PEEK implants to titanium implants were compared to assess for potential benefits in postoperative RT planning in patients undergoing MSTS. This is a retrospective study involving 62 patients who underwent operations for MSTS. The cohort of CFR-PEEK fixations (n = 20) was compared with a series of patients operated using titanium implants (n = 42). Patient-related data, including demographics, tumor pathology and extent of morbidity, intraoperative data, functional outcome, and RT-related data, were recorded for both groups. Primary outcome measures for RT data were amount of artifact generated on postoperative imaging and the time taken to contour them. All patients were followed up postoperatively for a minimum of 2 years or until death, whichever was earlier. Both groups had similar clinical outcomes for pain and overall survival predictability preoperatively (P = 0.786). The mean number of levels instrumented by titanium screws was 5.69 ± 2.64, while for CFR-PEEK screws it was 4.26 ± 1.05. Mean volume of artifact generated during postoperative computed tomography was 73.4 ± 50.43 mm3 in the titanium group and 20.0 ± 20.7 mm3 in the CFR-PEEK group (P < 0.001). The mean time taken to contour the artifacts was 17.3 ± 5.84 minutes in titanium group and 9.60 ± 7.17 minutes in CFR-PEEK group (P = 0.049). Our study confirms that CFR-PEEK screws significantly reduce artifact generation and the time taken to contour them during postoperative RT planning while delivering equivalent clinical and functional outcomes as compared with standard titanium implants.

Toward an Equitable Transport Strategy by Assessing Cycling Initiatives and Identifying Barriers to Implementing Cycling Equity Policies

This study aims to evaluate equity in cycling initiatives and their operational challenges by reviewing a wide range of cycling initiatives implemented in Auckland, New Zealand. The effectiveness of current initiatives with respect to various target groups or resulting beneficiaries is discussed, along with potential additional initiatives, barriers to implementing cycling equity initiatives in practice, and possible solutions to address such barriers. By interviewing policymakers, decision-makers, planners, designers, and transportation professionals, 44 cycling initiatives are identified. Results suggest that the geographical distribution of some of the current initiatives implemented could be more equitable. While some initiatives are equitable, there remain challenges with respect to their implementation. Additionally, there are limited initiatives focusing on the safety of female cyclists in Auckland, and no initiatives specifically aimed at Māori and Pacific people, groups that can both be considered disadvantaged with respect to cycling in Auckland. Potential additional policy initiatives include e-bike/bicycle subsidies, policy and law changes, education and awareness campaigns, better urban planning, policies aimed at making cycling easier, and better monitoring and evaluation. Barriers to the implementation of cycling equity initiatives in practice include sociocultural issues, financial constraints, poor planning, human resource limitations, and the built environment. Suggested strategies to help overcome some of these issues include adopting an equity lens and providing equity assessments for all initiatives, thus providing a wider coverage with respect to diversity in the population, enhanced engagement with the community, and the empowerment of people.

Mechanism for allocating delay to constituent activities in project management

Project delays are common in construction due to unavoidable factors such as severe weather and human factors such as poor planning. These delays originate from the constituent activities within the project. A critical challenge in project management is accurately assigning delays to specific activities. However, this issue remains poorly understood. This study aims to address the allocation of delays to constituent activities by developing a mechanism using the Shapley value. We also propose solution methods to effectively solve the delay allocation problem. Moreover, we conduct numerical experiments that demonstrate the efficiency and applicability of the proposed mechanism and solution methods. This study can provide guidelines for allocating project delays (e.g., identifying the activity that contributes most to project delay) and project appraisal. Overall, this study contributes to a better understanding of the allocation of project delays, providing reference for project management and decision-making in the construction industry.

Strategic Management Practices and Performance of Small and Medium-Sized Enterprises in Nairobi County, Kenya

This study aimed to assess the relationship of strategic management practices and the performance of Small and Medium Enterprises (SMEs) in Nairobi County, Kenya. The research was motivated by the significant role that SMEs play in economic development, particularly in reducing unemployment and contributing to the GDP. However, SMEs often face challenges such as limited resources, inadequate technology adoption, and poor strategic planning, which hinder their competitiveness. The study adopted a quantitative approach, targeting 250 top-ranked SMEs in Nairobi. Data collection was conducted using structured questionnaires, focusing on the four strategic management practices: strategy formulation, strategy implementation, strategy evaluation, and strategic control. The results of the study revealed that all the strategic management practices examined had a positive and significant effect on the performance of SMEs. Specifically, strategy formulation had the highest impact, followed by strategic control, strategy implementation, and strategy evaluation. The findings indicated that SMEs in Nairobi County that adopted comprehensive strategic management practices were more likely to experience improved business performance. The study also confirmed the importance of involving all levels of staff in the strategic management process, as it fosters a sense of ownership and facilitates successful implementation. Furthermore, the research demonstrated that superior strategies positively contribute to organizational performance. Based on these findings, the study concluded that strategic management practices are crucial for the growth and competitiveness of SMEs. It recommended that SME managers focus on developing and implementing superior strategies through detailed situational analysis and participatory mechanisms. Additionally, continuous evaluation of strategies was advised to ensure sustained performance improvements. This research contributes to the existing literature by highlighting the specific role of strategic management in enhancing SME performance, particularly in the context of developing economies like Kenya

Identifying urban prone areas to flash floods: The case of Santa Cruz de Tenerife

Floods are the natural hazard that causes the largest annual losses in the world Urban expansion and population growth have made cities the most hazardous areas, mainly due to poor planning, occupation of the drainage network and soil sealing. Santa Cruz de Tenerife is one of the many cities worldwide threatened by this phenomenon. Its typically Mediterranean rainfall pattern, characterized by extreme precipitation events in short periods of time, together with its orography of steep ravines, short length and width, as well as its disorderly growth, make it a space prone to the occurrence of flash floods. In addition, the increase in torrential rainfall as a consequence of climate change and the tendency towards greater irregularity in precipitation is considerably intensifying the problem. This paper studies the characteristics of these episodes and the black spots inventoried in its General Management Plan (PGO for its initials in Spanish). On the other hand, flood modeling is carried out based on the rainfall characterization, whose maximum flows, in total, range between 500 and 1600 m3/s. Finally, a methodology that allows integrating both analyses to obtain a detailed hazard map is proposed as an alternative to the more traditional flood hazard analyses. A design storm of 288 mm is applied and the data is validated against the largest rainfall event on record, March 31, 2002. It has been shown that in an urban drainage network, the main watercourses and those that have disappeared due to urbanization represent areas susceptible to flooding and are the sectors that should be emphasized during the implementation of risk reduction measures. Finally, emphasis is placed on the need to integrate future climate projections of precipitation to better define the maximum flood flows.

Factors affecting Implementation of Primary Health Care Services among Nurses in Level 3 Health Facilities in Kiambu County, Kenya

Primary health care is instrumental to delivery of quality basic health care services in communities. Its significance lies in ensuring that appropriate basic healthcare services are offered to all who need them competently, fairly and efficiently based on a people-centered approach. The study therefore sought to assess the factors affecting implementation of primary health care services among nurses in level 3 health facilities in Kiambu County, Kenya. This was an analytical cross-sectional study conducted among 141 nurses who worked in level 3 health facilities in Kiambu County and recruited using simple random sampling technique. They responded to a self-administered questionnaire. Data was probed descriptively with measures including proportions along with counts utilizing SPSS version 25.0. Relationships in study attributes were probed with chi-square test at 95% CI with outcomes shown in tables and figures. From the findings, majority (91.5%, n = 129) of the nurses rated the level of implementation of primary health care services in their work stations as sub-optimal. The factors found to strongly correlate with the poor implementation of the primary health care services were inadequate number of available healthcare personnel (p = 0.002); poor or low remuneration of health care providers (p = &lt; 0.000); poor supply of essential medicine/drugs (p = 0.011); unavailability of essential medical equipment (p = 0.000); poor planning of the PHC programs (p = 0.024); lack of or inadequate support to HCPs from the hospital management (p = 0.013) and significant underfunding of the primary health care services (p = 0.001). Efforts are therefore required on the part of relevant stakeholders in Kiambu County to address the various factors that impede effective delivery of primary health care services

Linguistic and cultural adaptation of the National Quality of Life Survey in Colombia for the deaf population

Abstract This article reports on the linguistic and cultural adaptation of Items of the National Quality of Life Survey (NQLS 2018), which are included in a National Survey that explores the availability of reasonable accommodation for Deaf users in a health care setting as well as health care access. We document the cultural and linguistic adaptation step-by-step, guided by a literature review, participatory group discussions, and qualitative testing. This research addresses the dearth of accessible research instruments for D‍/‍deaf persons in low and middle-income countries. This lack of accessible tools leads to double layers of exclusion, and data gaps often lead to erroneous generalizations that do not accurately represent D‍/‍deaf populations. Evidence gaps may result in poor service planning and inadequate policymaking. This study contributes to good practices in language interpreting in research settings, disability research, and global health.

Journal recommended guidelines for survey-based research.

Survey-based research is vital in education and social sciences, offering insights into human behaviors and perceptions. The prevalence of such studies in medical education has risen by 33% over the past decade. Despite this growth, the utility of survey findings depends on the study design quality and measure validity. Many manuscripts are rejected due to poor planning and lack of validity evidence. These guidelines aim to improve the rigor and reporting of survey-based research, ensuring credibility and reproducibility. They apply to various survey tools and evaluations, setting a standard for manuscript quality and informing the review process for Anatomical Science Education.