24 CFR 81.13 - Central Cities, Rural Areas, and Other Underserved Areas Housing Goal.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Central Cities, Rural Areas, and...) Housing Goals § 81.13 Central Cities, Rural Areas, and Other Underserved Areas Housing Goal. (a) Purpose... cities, rural areas, and other underserved areas is intended to achieve increased purchases by the GSEs...

24 CFR 81.13 - Central Cities, Rural Areas, and Other Underserved Areas Housing Goal.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Central Cities, Rural Areas, and...) Housing Goals § 81.13 Central Cities, Rural Areas, and Other Underserved Areas Housing Goal. (a) Purpose... cities, rural areas, and other underserved areas is intended to achieve increased purchases by the GSEs...

Rural hospital wages

PubMed Central

Hendricks, Ann M.

1989-01-01

Average fiscal year 1982 wages from 2,302 rural American hospitals were used to test for a gradient descending from hospitals in counties adjacent to metropolitan areas to those not adjacent. Considerable variation in the ratios of adjacent to nonadjacent averages existed. No statistically significant difference was found, however. Of greater importance in explaining relative wages within States were occupational mix, mix of part-time and full-time workers, case mix, presence of medical residencies, and location in a high-rent county within the State. Medicare already adjusts payments for only two of these variables. PMID:10313454

Does Core Area Theory Apply to STIs in Rural Environments?

PubMed Central

Gesink, Dionne C; Sullivan, Ashleigh B; Norwood, Todd; Serre, Marc L; Miller, William C

2012-01-01

Background Our objective was to determine the extent to which geographical core areas for gonorrhea and syphilis are located in rural areas, as compared to urban areas. Methods Incident gonorrhea (January 1, 2005 to December 31, 2010) and syphilis (January 1, 1999 to December 31, 2010) rates were estimated and mapped by census tract and quarter. Rurality was measured using percent rural and rural-urban commuting area (RUCA; rural, small town, micropolitan, or urban). SaTScan was used to identify spatiotemporal clusters of significantly elevated rates of infection. Clusters lasting five years or longer were considered core areas; clusters of shorter duration were considered outbreaks. Clusters were overlaid on maps of rurality and qualitatively assessed for correlation. Results Twenty gonorrhea core areas were identified; 65% in urban centers, 25% in micropolitan areas, and the remaining 10% were geographically large capturing combinations of urban, micropolitan, small town and rural environments. Ten syphilis core areas were identified with 80% in urban centers and 20% capturing two or more RUCAs. All ten of the syphilis core areas (100%) overlapped with gonorrhea core areas. Conclusions Gonorrhea and syphilis rates were high for rural parts of North Carolina; however, no core areas were identified exclusively for small towns or rural areas. The main pathway of rural STI transmission may be through the interconnectedness of urban, micropolitan, small town and rural areas. Directly addressing STIs in urban and micropolitan communities may also indirectly help address STI rates in rural and small town communities. PMID:23254115

RURAL RECREATION ENTERPRISES FOR PROFIT, AN AID TO RURAL AREAS DEVELOPMENT.

ERIC Educational Resources Information Center

Department of Agriculture, Washington, DC.

MANY RURAL AREAS OF THE U.S. POSSESS ENOUGH SPACE AND NATURAL ATTRACTIONS TO SERVE AS A BASIS FOR ESTABLISHING EITHER PART OR FULL-TIME RECREATIONAL ENTERPRISES. MOST OUTDOOR LEISURE ACTIVITIES CENTER AROUND WATER, HUNTING AND FISHING, ADMIRING SCENERY, AND ENJOYING THE NATURAL RURAL LANDSCAPE. THUS THE DEVELOPMENT OF RURAL RECREATION RESOURCES IS…

Phosmet residues in an orchard and adjacent recreational area.

PubMed

MacNeil, J D; Hikichi, M

1986-10-01

Two cover sprays of phosmet were applied to an orchard adjoining a camping area and a bird sanctuary with a resident goose population. Insecticide residues were monitored on orchard leaves, orchard ground cover, ground cover in the camp-site and along the adjacent lakeshore. Despite attempts to minimize drift, significant spray residues were found outside the target area. Residues on ground cover and leaves were reduced by sprinkler irrigation subsequent to spray application.

21. VIEW OF AXLE AND WHEEL ASSEMBLY STORAGE AREA, adjacent ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

21. VIEW OF AXLE AND WHEEL ASSEMBLY STORAGE AREA, adjacent to Erecting Shop and Machine Shop. - Juniata Shops, Erecting Shop & Machine Shop, East of Fourth Avenue, between Fourth & Fifth Streets, Altoona, Blair County, PA

Updating Rurality Index for Small Areas in Spain

ERIC Educational Resources Information Center

Prieto-Lara, Elisa; Ocana-Riola, Ricardo

2010-01-01

Nowadays, there is a wide debate about what rural means. An operational definition of rural concept is essential in order to measure health problems, optimize resource allocation and facilitate decision making aimed at closing the gap on inequity between areas. In 2005, the rurality index for Small Areas in Spain (IRAP) was developed using the…

Profiles in Rural Economic Development: A Guidebook of Selected Successful Rural Area Initiatives.

ERIC Educational Resources Information Center

Thomas, Margaret G.

This guidebook presents 64 profiles of successful economic development initiatives in the small towns and rural areas of 37 states. Intended for use by rural and small town leaders and rural economic development specialists, the guide provides ideas, encouragement, and an "insider perspective" on alternative rural development strategies.…

Rurality Index for Small Areas in Spain

ERIC Educational Resources Information Center

Ocana-Riola, Ricardo; Sanchez-Cantalejo, Carmen

2005-01-01

An operational definition for "rural area" is pivotal if proposals, policies and decisions aimed at optimising the distribution of resources, closing the gap on inequity between areas and raising standards of living for the least advantaged populations are to be put in place. The concept of rurality, however, is often based on…

Water resources of the Waccasassa River Basin and adjacent areas, Florida

USGS Publications Warehouse

Taylor, G.F.; Snell, L.J.

1978-01-01

This map report was prepared in cooperation with the Southwest Florida Water Management District which, with the Waccasassa River Basin Board, had jurisdiction over waters within the Waccasassa River basin, the coastal areas adjacent to the basin, and other adjacent areas outside the basin. New water management district boundaries, effective January 1977, place most of the Waccasassa River basin in the Suwannee River Water Management District. The purpose of the report is to provide water information for consideration in land-use and water development which is accelerating, especially in the northeastern part of the study area. It is based largely on existing data in the relatively undeveloped area. Of the total area included in the topographic drainage basin for the Waccasassa River about 72 percent is in Levy County, 18 percent in Alachua County, 9 percent in Gilchrist County, and 1 percent in Marion County. The elongated north-south drainage basin is approximately 50 mi in length, averages 13 mi in width, and lies between the Suwannee River, the St. Johns River, and the Withlacoochee River basins. (Woodard-USGS)

Recommendations from Transgender Healthcare Consumers in Rural Areas

PubMed Central

Knutson, Douglas; Martyr, Meredith A.; Mitchell, Travis A.; Arthur, Tori; Koch, Julie M.

2018-01-01

Abstract Purpose: Scholars indicate that rates of mental and physical health issues (e.g., substance use, anxiety, depression) may be much higher among transgender individuals relative to the general population. This disparity may be even greater for transgender individuals in rural areas. Clinical researchers suggest using affirmative therapeutic approaches and interventions to address the health concerns of transgender individuals, specifically to connect individuals with the transgender community. However, little is known about the content of information that is shared in transgender communities in rural areas. Method: For this qualitative study, researchers asked transgender individuals in rural areas (n=10) what recommendations they would offer to other transgender individuals in rural areas regarding healthcare access. Results: Results were organized into four domains: Access care, Quality control, Difficulties, and Mentorship. Within these domains, we identified 11 sub-domains: Get physical healthcare, Get mental healthcare, Provider search, Provider vetting, Treatment verification, It will be difficult, Know who you are, Believe in yourself, Move, Connect to community, and Other. Conclusions: We discuss implications of our findings for healthcare provision in rural areas, and we provide recommendations for future research.

Summary geochemical maps, Hoover Wilderness and adjacent study area, Mono and Tuolumne counties, California

USGS Publications Warehouse

Chaffee, M.A.; Hill, R.H.; Sutley, S.J.

1984-01-01

The Hoover Wilderness and the adjacent Hoover Extension (East), Hoover Extension (West), and Cherry Creek A Roadless Areas (the adjacent study area) encompass approximately 153,900 acres (241 mi2; 623 km2) in the Inyo, Stanislaus, and Toiyabe Naitonal Forests, Mono and Tuolumne Counties, Calif. These two areas lie along and mostly east of the crest of the Sierra Nevada, along the north and east sides of Yosemite National Park. Elevations vary from a high of 12,446 ft (3,793 m) on the crest of the Sierra Nevada to a low of about 6,500 ft (1,981 m) near the Bridgeport Ranger Station. Access to the Hoover Wilderness and adjacent study area is by U.S. Highway 395, California State Highways 108 (Sonora Pass) and 120 (Tioga Pass), and by other paved and graded roads that lead off of these U.S. and State highways.

Recruiting and retaining high-quality teachers in rural areas.

PubMed

Monk, David H

2007-01-01

In examining recruitment and retention of teachers in rural areas, David Monk begins by noting the numerous possible characteristics of rural communities--small size, sparse settlement, distance from population concentrations, and an economic reliance on agricultural industries that are increasingly using seasonal and immigrant workers to minimize labor costs. Many, though not all, rural areas, he says, are seriously impoverished. Classes in rural schools are relatively small, and teachers tend to report satisfaction with their work environments and relatively few problems with discipline. But teacher turnover is often high, and hiring can be difficult. Monk observes that rural schools have a below-average share of highly trained teachers. Compensation in rural schools tends to be low, perhaps because of a lower fiscal capacity in rural areas, thus complicating efforts to attract and retain teachers. Several student characteristics, including relatively large shares of students with special needs and with limited English skills and lower shares of students attending college, can also make it difficult to recruit and retain high-quality teachers. Other challenges include meeting the needs of highly mobile children of low-income migrant farm workers. With respect to public policy, Monk asserts a need to focus on a subcategory of what might be called hard-to-staff rural schools rather than to develop a blanket set of policies for all rural schools. In particular, he recommends a focus on such indicators as low teacher qualifications, teaching in fields far removed from the area of training, difficulty in hiring, high turnover, a lack of diversity among teachers in the school, and the presence of migrant farm workers' children. Successful efforts to stimulate economic growth in these areas would be highly beneficial. He also calls attention to the potential for modern telecommunication and computing technologies to offset some of the drawbacks associated with teaching

50 CFR Figure 4 to Subpart E of... - Prince William Sound Rural and Non-Rural Areas

Code of Federal Regulations, 2014 CFR

2014-10-01

... 50 Wildlife and Fisheries 11 2014-10-01 2014-10-01 false Prince William Sound Rural and Non-Rural Areas 4 Figure 4 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED... to Subpart E of Part 300—Prince William Sound Rural and Non-Rural Areas ER04NO09.010 [74 FR 57110...

50 CFR Figure 4 to Subpart E of... - Prince William Sound Rural and Non-Rural Areas

Code of Federal Regulations, 2013 CFR

2013-10-01

... 50 Wildlife and Fisheries 11 2013-10-01 2013-10-01 false Prince William Sound Rural and Non-Rural Areas 4 Figure 4 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED... to Subpart E of Part 300—Prince William Sound Rural and Non-Rural Areas ER04NO09.010 [74 FR 57110...

50 CFR Figure 4 to Subpart E of... - Prince William Sound Rural and Non-Rural Areas

Code of Federal Regulations, 2012 CFR

2012-10-01

... 50 Wildlife and Fisheries 11 2012-10-01 2012-10-01 false Prince William Sound Rural and Non-Rural Areas 4 Figure 4 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED... to Subpart E of Part 300—Prince William Sound Rural and Non-Rural Areas ER04NO09.010 [74 FR 57110...

50 CFR Figure 4 to Subpart E of... - Prince William Sound Rural and Non-Rural Areas

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Prince William Sound Rural and Non-Rural Areas 4 Figure 4 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED... to Subpart E of Part 300—Prince William Sound Rural and Non-Rural Areas ER04NO09.010 [74 FR 57110...

50 CFR Figure 4 to Subpart E of... - Prince William Sound Rural and Non-Rural Areas

Code of Federal Regulations, 2011 CFR

2011-10-01

... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false Prince William Sound Rural and Non-Rural Areas 4 Figure 4 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED... to Subpart E of Part 300—Prince William Sound Rural and Non-Rural Areas ER04NO09.010 [74 FR 57110...

Characterizing Rural Food Access in Remote Areas.

PubMed

Bardenhagen, Chris J; Pinard, Courtney A; Pirog, Rich; Yaroch, Amy Lazarus

2017-10-01

Residents of rural areas may have limited access to healthy foods, leading to higher incidence of diet related health issues. Smaller grocers in rural areas experience challenges in maintaining fresh produce and other healthy foods available for customers. This study assessed the rural food environment in northeast Lower Michigan in order to inform healthy food financing projects such as the Michigan Good Food Fund. The area's retail food businesses were categorized using secondary licensing, business, and nutrition program databases. Twenty of these stores were visited in person to verify the validity of the categories created, and to assess the availability of healthy foods in their aisles. In-depth interviews with key informants were carried out with store owners, economic development personnel, and other food system stakeholders having knowledge about food access, in order to learn more about the specific challenges that the area faces. Out-shopping, seasonality, and economic challenges were found to affect healthy food availability. Mid-sized independent stores were generally found to have a larger selection of healthy foods, but smaller rural groceries also have potential to provide fresh produce and increase food access. Potential healthy food financing projects are described and areas in need of further research are identified.

Youth Unemployment in Rural Areas. Work and Opportunity Series.

ERIC Educational Resources Information Center

Cartmel, Fred; Furlong, Andy

This study investigated factors leading to employment and unemployment for young people living in urban and rural areas in Scotland. Surveys and interviews were conducted with 817 youths, 40 rural employers, and 25 professionals from across Scotland. Findings include: (1) long-term youth unemployment was less common in rural than in urban areas,…

OPPORTUNITIES FOR RURAL YOUTH IN RURAL AREAS.

ERIC Educational Resources Information Center

DOWLER, LLOYD

AGRIBUSINESS IS DEFINED AS THE SUM TOTAL OF ALL OPERATIONS INVOLVED IN THE MANUFACTURE AND DISTRIBUTION OF FARM SUPPLIES, PRODUCTION AGRICULTURE ON THE FARM, AND THE STORAGE, PROCESSING, AND DISTRIBUTION OF FARM COMMODITIES AND ITEMS MADE FROM THEM. WITHIN THESE THREE AREAS ARE SEEN MANY JOB OPPORTUNITIES FOR RURAL AND URBAN YOUTH HAVING COLLEGE…

Collaborative Information Technology Center (CITC) for Rural Areas.

ERIC Educational Resources Information Center

Fontenot, Dean; Driskill, David A.

The digital divide remains a formidable issue in rural areas where the only broadband access to the Internet may be at public schools or city governments. As the only locations in rural areas with adequate technological resources, schools, libraries, health facilities, and agricultural extension facilities can be places where citizens learn about…

7 CFR 1737.61 - Cost allocation for rural and nonrural areas.

Code of Federal Regulations, 2013 CFR

2013-01-01

... TELECOMMUNICATIONS LOANS Project Cost Estimation Procedures § 1737.61 Cost allocation for rural and nonrural areas... 7 Agriculture 11 2013-01-01 2013-01-01 false Cost allocation for rural and nonrural areas. 1737.61... serve subscribers in nonrural areas, RUS shall allocate costs between rural and nonrural areas. This...

7 CFR 1737.61 - Cost allocation for rural and nonrural areas.

Code of Federal Regulations, 2010 CFR

2010-01-01

... TELECOMMUNICATIONS LOANS Project Cost Estimation Procedures § 1737.61 Cost allocation for rural and nonrural areas... 7 Agriculture 11 2010-01-01 2010-01-01 false Cost allocation for rural and nonrural areas. 1737.61... serve subscribers in nonrural areas, RUS shall allocate costs between rural and nonrural areas. This...

7 CFR 1737.61 - Cost allocation for rural and nonrural areas.

Code of Federal Regulations, 2014 CFR

2014-01-01

... TELECOMMUNICATIONS LOANS Project Cost Estimation Procedures § 1737.61 Cost allocation for rural and nonrural areas... 7 Agriculture 11 2014-01-01 2014-01-01 false Cost allocation for rural and nonrural areas. 1737.61... serve subscribers in nonrural areas, RUS shall allocate costs between rural and nonrural areas. This...

7 CFR 1737.61 - Cost allocation for rural and nonrural areas.

Code of Federal Regulations, 2011 CFR

2011-01-01

... TELECOMMUNICATIONS LOANS Project Cost Estimation Procedures § 1737.61 Cost allocation for rural and nonrural areas... 7 Agriculture 11 2011-01-01 2011-01-01 false Cost allocation for rural and nonrural areas. 1737.61... serve subscribers in nonrural areas, RUS shall allocate costs between rural and nonrural areas. This...

7 CFR 1737.61 - Cost allocation for rural and nonrural areas.

Code of Federal Regulations, 2012 CFR

2012-01-01

... TELECOMMUNICATIONS LOANS Project Cost Estimation Procedures § 1737.61 Cost allocation for rural and nonrural areas... 7 Agriculture 11 2012-01-01 2012-01-01 false Cost allocation for rural and nonrural areas. 1737.61... serve subscribers in nonrural areas, RUS shall allocate costs between rural and nonrural areas. This...

Development Strategy for Mobilecommunications Market in Chinese Rural Area

NASA Astrophysics Data System (ADS)

Zhang, Liwei; Zhang, Yanjun; Xu, Liying; Li, Daoliang

Based on full analysis of rural mobile communication market, in order to explore mobile operators in rural areas of information services for sustainable development model, this paper presents three different aspects, including rural mobile communications market demand, the rural market for mobile communications business model and development strategies for rural mobile communications market research business. It supplies some valuable references for operators to develop rural users rapidly, develop the rural market effectively and to get access to develop a broad space.

7 CFR 25.301 - Selection factors for designation of nominated rural areas.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 1 2012-01-01 2012-01-01 false Selection factors for designation of nominated rural areas. 25.301 Section 25.301 Agriculture Office of the Secretary of Agriculture RURAL EMPOWERMENT ZONES... rural areas. In choosing among nominated rural areas eligible for designation as Empowerment Zone...

7 CFR 25.301 - Selection factors for designation of nominated rural areas.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 1 2013-01-01 2013-01-01 false Selection factors for designation of nominated rural areas. 25.301 Section 25.301 Agriculture Office of the Secretary of Agriculture RURAL EMPOWERMENT ZONES... rural areas. In choosing among nominated rural areas eligible for designation as Empowerment Zone...

7 CFR 25.301 - Selection factors for designation of nominated rural areas.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 1 2014-01-01 2014-01-01 false Selection factors for designation of nominated rural areas. 25.301 Section 25.301 Agriculture Office of the Secretary of Agriculture RURAL EMPOWERMENT ZONES... rural areas. In choosing among nominated rural areas eligible for designation as Empowerment Zone...

7 CFR 25.301 - Selection factors for designation of nominated rural areas.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 1 2010-01-01 2010-01-01 false Selection factors for designation of nominated rural areas. 25.301 Section 25.301 Agriculture Office of the Secretary of Agriculture RURAL EMPOWERMENT ZONES... rural areas. In choosing among nominated rural areas eligible for designation as Empowerment Zone...

7 CFR 25.301 - Selection factors for designation of nominated rural areas.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 1 2011-01-01 2011-01-01 false Selection factors for designation of nominated rural areas. 25.301 Section 25.301 Agriculture Office of the Secretary of Agriculture RURAL EMPOWERMENT ZONES... rural areas. In choosing among nominated rural areas eligible for designation as Empowerment Zone...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2010 CFR

2010-10-01

... businesses. 1852.219-74 Section 1852.219-74 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2012 CFR

2012-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2014 CFR

2014-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2011 CFR

2011-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

48 CFR 1852.219-74 - Use of rural area small businesses.

Code of Federal Regulations, 2013 CFR

2013-10-01

... and Clauses 1852.219-74 Use of rural area small businesses. As prescribed in 1819.7103, insert the following clause: Use of Rural Area Small Business (SEP 1990) (a) Definitions. Rural area means any county with a population of fewer than twenty thousand individuals. Small business concern, as used in this...

Attracting and retaining health workers in rural areas: investigating nurses’ views on rural posts and policy interventions

PubMed Central

2010-01-01

Background Kenya has bold plans for scaling up priority interventions nationwide, but faces major human resource challenges, with a lack of skilled workers especially in the most disadvantaged rural areas. Methods We investigated reasons for poor recruitment and retention in rural areas and potential policy interventions through quantitative and qualitative data collection with nursing trainees. We interviewed 345 trainees from four purposively selected Medical Training Colleges (MTCs) (166 pre-service and 179 upgrading trainees with prior work experience). Each interviewee completed a self-administered questionnaire including likert scale responses to statements about rural areas and interventions, and focus group discussions (FGDs) were conducted at each MTC. Results Likert scale responses indicated mixed perceptions of both living and working in rural areas, with a range of positive, negative and indifferent views expressed on average across different statements. The analysis showed that attitudes to working in rural areas were significantly positively affected by being older, but negatively affected by being an upgrading student. Attitudes to living in rural areas were significantly positively affected by being a student at the MTC furthest from Nairobi. During FGDs trainees raised both positive and negative aspects of rural life. Positive aspects included lower costs of living and more autonomy at work. Negative issues included poor infrastructure, inadequate education facilities and opportunities, higher workloads, and inadequate supplies and supervision. Particular concern was expressed about working in communities dominated by other tribes, reflecting Kenya’s recent election-related violence. Quantitative and qualitative data indicated that students believed several strategies could improve rural recruitment and retention, with particular emphasis on substantial rural allowances and the ability to choose their rural location. Other interventions

33 CFR 334.1080 - San Francisco Bay adjacent to northeast corner of Treasure Island; naval restricted area.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false San Francisco Bay adjacent to northeast corner of Treasure Island; naval restricted area. 334.1080 Section 334.1080 Navigation and... RESTRICTED AREA REGULATIONS § 334.1080 San Francisco Bay adjacent to northeast corner of Treasure Island...

An Analysis of Ict Development Strategy Framework in Chinese Rural Areas

NASA Astrophysics Data System (ADS)

Duan, Meiying; Warren, Martyn; Lang, Yunwen; Lu, Shaokun; Yang, Linnan

Information and Communication Technology (ICT) development strategy in Chinese rural areas is an indispensable part of national development strategies. This paper reviews the ICT framework in agriculture and rural areas launched by the Department of Agriculture in China. It compares the rural ICT policies and strategies between China and the European Union (EU). The ICT development strategy framework is analyzed based on the situation in Chinese rural area and the experiences of the EU. Some lessons and suggestions are provided.

33 CFR 165.1301 - Puget Sound and Adjacent Waters in Northwestern Washington-Regulated Navigation Area.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Puget Sound and Adjacent Waters... Areas Thirteenth Coast Guard District § 165.1301 Puget Sound and Adjacent Waters in Northwestern... northwestern Washington waters under the jurisdiction of the Captain of the Port, Puget Sound: Puget Sound...

12 CFR 1282.13 - Central Cities, Rural Areas, and Other Underserved Areas Housing Goal.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Central Cities, Rural Areas, and Other... HOUSING GOALS AND MISSION ENTERPRISE HOUSING GOALS AND MISSION Housing Goals § 1282.13 Central Cities... purchase by each Enterprise of mortgages on housing located in central cities, rural areas, and other...

Training Medical Students for Rural, Underserved Areas: A Rural Medical Education Program in California.

PubMed

Eidson-Ton, W Suzanne; Rainwater, Julie; Hilty, Donald; Henderson, Stuart; Hancock, Christine; Nation, Cathryn L; Nesbitt, Thomas

2016-01-01

The Association of American Medical Colleges projects an increasing shortage of physicians in rural areas. Medical schools have developed specialty track programs to improve the recruitment and retention of physicians who can serve rural populations. One such program in California includes a variety of unique elements including outreach, admissions, rural clinical experiences, focused mentorship, scholarly and leadership opportunities, and engagement with rural communities. Preliminary outcomes demonstrate that this rural track program has achieved some success in the recruitment, retention, and training of students interested in future rural practice and in the placement of students in primary care residencies. Long-term outcomes, such as graduates entering rural practice, are still unknown, but will be monitored to assess the impact and sustainability of the rural program. This article illustrates the opportunities and challenges of training medical students for rural practice and provides lessons learned to inform newly-established and long standing rural medical education programs.

School Segregation and Disparities in Urban, Suburban, and Rural Areas

PubMed Central

Logan, John R.; Burdick-Will, Julia

2018-01-01

Much of the literature on racial and ethnic educational inequality focuses on the contrast between Black and Hispanic students in urban areas and white suburban students. This study extends past research on school segregation and racial/ethnic disparities by highlighting the importance of rural areas and regional variation. Although schools in rural America are disproportionately white, they nevertheless are like urban schools, and disadvantaged relative to suburban schools, in terms of poverty and test performance. The group most affected by rural school disadvantage is Native Americans, who are a small share of students nationally but much more prominent and highly disadvantaged in rural areas, particularly in some parts of the country. These figures suggest a strong case for including rural schools in the continuing conversation about how to deal with unfairness in public education. PMID:29430018

The Educational Infrastructure in Rural Areas.

ERIC Educational Resources Information Center

Safra, Martine

The rural areas in the world are experiencing an identity crisis: for example, in France some areas are losing population, while those that are growing find that the population is changing from agricultural workers to retired persons and blue-collar and white-collar employees. This report, which summarizes discussion at a recent Organisation for…

Final Report. [Training of Physicians for Rural Areas

DOE Office of Scientific and Technical Information (OSTI.GOV)

McLaughlin, Max, MD

2004-07-23

The purpose of the Southwest Alabama Medical Education Consortium (SAMEC) is to create an organization to operate a medical residency program focused on rural physician training. If successful, this program would also serve as a national model to address physician placement in other rural and underserved areas.

Prevalence of self-reported asthma in urban and rural areas of Turkey.

PubMed

Ekici, Aydanur; Ekici, Mehmet; Kocyigit, Pinar; Karlidag, Ali

2012-06-01

The risk factors for asthma in rural and urban population of Turkey are not well known. In this study we examined the effects of risk factors on the prevalence of asthma in adults living in rural and urban areas using data from a representative sample. Parents and grandparents of students from 20 randomly selected primary schools in urban and rural areas of Kirikkale, Turkey, were asked about respiratory diseases using the respiratory questionnaire, which were returned to us by their children. Out of 13,225 parents and grandparents of primary school students 12,270 returned the questionnaires, for an overall response rate of 92.7%. The prevalence of asthma was more common in adults living in rural areas than in urban areas (10.8% vs. 6.2%, p < .0001, respectively). Asthma was more prevalent in women exposed to biomass smoke than those who were not exposed to it in rural areas (14.8% vs. 6.6%, p = .0001, respectively). Frequent childhood respiratory infections were more common in adults living in rural areas than in urban areas (18.2% vs. 10.9%, p < .0001, respectively). Exposure to biomass smoke and frequent childhood respiratory infections were associated with an increased risk of asthma, after adjusting for possible confounding factors in the logistic model for rural subjects. Chronic rhinitis (p = .0001) and frequent childhood respiratory infections (p = .0001) were associated with an increased risk of asthma, after adjusting for possible confounding factors in the logistic model for urban subjects. The prevalence of asthma in adults living in the rural areas of the Kirikkale Region in Central Turkey was significantly higher than that in the urban population. Exposure to biomass smoke and childhood respiratory infections were more common in adults living in rural areas. The higher rate of asthma in adults living in rural areas may be due to a higher frequency of childhood respiratory infections and exposure to biomass smoke.

Contributors to the Excess Stroke Mortality in Rural Areas in the United States.

PubMed

Howard, George; Kleindorfer, Dawn O; Cushman, Mary; Long, D Leann; Jasne, Adam; Judd, Suzanne E; Higginbotham, John C; Howard, Virginia J

2017-07-01

Stroke mortality is 30% higher in the rural United States. This could be because of either higher incidence or higher case fatality from stroke in rural areas. The urban-rural status of 23 280 stroke-free participants recruited between 2003 and 2007 in the REGARDS study (Reasons for Geographic and Racial Differences in Stroke) was classified using the Rural-Urban Commuting Area scheme as residing in urban, large rural town/city, or small rural town or isolated areas. The risk of incident stroke was assessed using proportional hazards analysis, and case fatality (death within 30 days of stroke) was assessed using logistic regression. Models were adjusted for demographics, traditional stroke risk factors, and measures of socioeconomic status. After adjustment for demographic factors and relative to urban areas, stroke incidence was 1.23-times higher (95% confidence intervals, 1.01-1.51) in large rural town/cities and 1.30-times higher (95% confidence intervals, 1.03-1.62) in small rural towns or isolated areas. Adjustment for risk factors and socioeconomic status only modestly attenuated this association, and the association became marginally nonsignificant ( P =0.071). There was no association of rural-urban status with case fatality ( P >0.47). The higher stroke mortality in rural regions seemed to be attributable to higher stroke incidence rather than case fatality. A higher prevalence of risk factors and lower socioeconomic status only modestly contributed to the increased risk of incident stroke risk in rural areas. There was no evidence of higher case fatality in rural areas. © 2017 American Heart Association, Inc.

Utilization of photovoltaic for broadband satellite communications in rural area of Thailand

NASA Astrophysics Data System (ADS)

Jinayim, Theerawut; Mungkung, Narong; Kasayapanand, Nat

2013-06-01

Electricity, Information and Communication Technologies (ICTs) are very important not only in urban areas but also in rural areas. To provide ICTs service in rural areas, sources of electricity and communication infrastructures must be implemented. Electricity is a major condition due to the fact that all electronic devices needed it in order to power on, so that it is impossible to operate any forms of ICTs in areas where the main national grid line is unavailable. Almost rural areas of Thailand where the main national grid line is unavailable have very good sunlight intensity. Photovoltaic is the most effective renewable energy technologies in those areas for meeting electricity needed in areas that are not connected to the main national grid line. In this paper, the efficiency utilization of photovoltaic as source of electricity for broadband satellite communication systems as well as social and economic impact and quality of life of people in rural areas of Thailand are presented. The results show that most rural communities would be able to universally access to the basic telecommunications services such as internet access and public telephone via satellite communication systems. However, in some field case study, broadband internet access via satellite communication may be unnecessary for some rural communities and the most exactly rural communities needed are electricity for household usage and battery charger.

33 CFR 334.1060 - Oakland Outer Harbor adjacent to the Oakland Army Base; restricted area.

Code of Federal Regulations, 2013 CFR

2013-07-01

... the Oakland Army Base; restricted area. 334.1060 Section 334.1060 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1060 Oakland Outer Harbor adjacent to the Oakland Army Base; restricted area. (a) The area...

33 CFR 334.1060 - Oakland Outer Harbor adjacent to the Oakland Army Base; restricted area.

Code of Federal Regulations, 2012 CFR

2012-07-01

... the Oakland Army Base; restricted area. 334.1060 Section 334.1060 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1060 Oakland Outer Harbor adjacent to the Oakland Army Base; restricted area. (a) The area...

33 CFR 334.1060 - Oakland Outer Harbor adjacent to the Oakland Army Base; restricted area.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the Oakland Army Base; restricted area. 334.1060 Section 334.1060 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1060 Oakland Outer Harbor adjacent to the Oakland Army Base; restricted area. (a) The area...

Opinions of South African optometry students about working in rural areas after graduation.

PubMed

Mashige, Khathutshelo P; Oduntan, Olalekan A; Hansraj, Rekha

2015-07-31

Eye and vision problems have been reported to be more prevalent in rural than urban areas; and a large proportion of South Africans live in the rural areas. To investigate the opinions of South African optometry students about working in rural areas after completion of their training and to identify factors that may influence their decisions. This was a cross-sectional quantitative study using a survey instrument containing both closed and open-ended, semi-structured questions. Four hundred and thirty-eight students responded to the questionnaire (85.4% response rate). Overall, many of the respondents did not want to open their first (66%) or second practices (64.6%) in the rural areas. However, most respondents from rural backgrounds reported that they would open their first (77.2%) or second (79.4%) practice in the rural areas. The main reasons cited by the respondents for their unwillingness to work in the rural areas were financial concerns (81.2%), personal safety (80.1%) and poor living conditions (75.3%), with a significantly higher number (p < 0.05) being from urban respondents for the latter two issues only. Many students were not in favour of opening practices in rural areas, but were willing to work for the government or a non-governmental organisation after graduation. Efforts should be made to address financial incentives, safety and living conditions in the rural areas. The results of this study have implications for the future of availability and accessibility of eye care services to those living in the rural and remote areas of the country.

Investigation and Control Mode of Domestic Pollution in Rural Areas of Guangxi Province

NASA Astrophysics Data System (ADS)

Duan, Chunyi; Chen, Hong

2018-01-01

Due to the unbalanced economic development and scattered residence in rural areas, it was difficult to adopt a centralized approach in rural environmental governance. Based on the survey results of the present situation of rural environment in Guangxi and the analysis of the pollution characteristics in rural areas, the control mode of domestic pollution suitable for rural areas was obtained. Based on this research, a demonstration project of Guangxi’s administrative village was selected.

Evaluation of municipal solid waste management in egyptian rural areas.

PubMed

El-Messery, Mamdouh A; Ismail, Gaber A; Arafa, Anwaar K

2009-01-01

A two years study was conducted to evaluate the solid waste management system in 143 villages representing the Egyptian rural areas. The study covers the legal responsibilities, service availability, environmental impacts, service providers, financial resources, private sector participation and the quality of collection services. According to UN reports more than 55% of Egyptian population lives in rural areas. A drastic change in the consumption pattern altered the quantity and quality of the generated solid wastes from these areas. Poor solid waste management systems are stigmata in most of the Egyptian rural areas. This causes several environmental and health problems. It has been found that solid waste collection services cover only 27% of the surveyed villages, while, the statistics show that 75% of the surveyed villages are formally covered. The service providers are local villager units, private contractors and civil community associations with a percentage share 71%, 24% and 5% respectively. The operated services among these sectors were 25%, 71% and 100% respectively. The share of private sector in solid waste management in rural areas is still very limited as a result of the poverty of these communities and the lack of recyclable materials in their solid waste. It has been found that direct throwing of solid waste on the banks of drains and canals as well as open dumping and uncontrolled burning of solid waste are the common practice in most of the Egyptian rural areas. The available land for landfill is not enough, pitiable designed, defectively constructed and unreliably operated. Although solid waste generated in rural areas has high organic contents, no composting plant was installed. Shortage in financial resources allocated for valorization of solid waste management in the Egyptian rural areas and lower collection fees are the main points of weakness which resulted in poor solid waste management systems. On the other hand, the farmer's participation

Dynamic optimization of cargo movement by trucks in metropolitan areas with adjacent ports

DOT National Transportation Integrated Search

2002-06-01

Today, in the trucking industry, dispatchers perform the tasks of cargo assignment, and driver scheduling. The growing number of containers processed at marine centers and the increasing traffic congestion in metropolitan areas adjacent to marine por...

Rehabilitation Broadcasts for Rural Areas.

ERIC Educational Resources Information Center

Mental Health Centre, Peshawar (Pakistan).

The document presents a series of 14 scripts focusing on families with disabled children, written in English for radio broadcast in translation to rural village areas in Pakistan. Intended to educate the public concerning disabilities and how families can help their handicapped children participate as fully as possible in community life, the…

Defining urban and rural areas: a new approach

NASA Astrophysics Data System (ADS)

Arellano, Blanca; Roca, Josep

2017-10-01

The separation between the countryside and the city, from rural and urban areas, has been one of the central themes of the literature on urban and territorial studies. The seminal work of Kingsley Davis [10] in the 1950s introduced a wide and fruitful debate which, however, has not yet concluded in a rigorous definition that allows for comparative studies at the national and subnational levels of a scientific nature. In particular, the United Nations (UN) definition of urban and rural population is overly linked to political and administrative factors that make it difficult to use data adequately to understand the human settlement structure of different countries. The present paper seeks to define a more rigorous methodology for the identification of rural and urban areas. For this purpose it uses the night lights supplied by the SNPP satellite, and more specifically by the VIIRS sensor for the determination of the urbanization gradient, and by means of the same construct a more realistic indicator than the statistics provided by the UN. The arrival of electrification to nearly every corner of the planet is certainly the first and most meaningful indicator of artificialization of land. In this sense, this paper proposes a new methodology designed to identify highly impacted (urbanized) landscapes worldwide based on the analysis of satellite imagery of night-time lights. The application of this methodology on a global scale identifies the land highly impacted by light, the urbanization process, and allows an index to be drawn up of Land Impacted by Light per capita (LILpc) as an indicator of the level of urbanization. The methodology used in this paper can be summarized in the following steps: a) a logistic regression between US Urban Areas (UA), as a dependent variable, and night-time light intensity, as an explanatory variable, allows us to establish a nightlight intensity level for the determination of Areas Highly Impacted by Light (AHIL); b) the delimitation of

Policy Study of Vocational and Adult Education in Rural Areas.

ERIC Educational Resources Information Center

Mertens, Donna M.

This study of the vocational and adult education system in isolated rural areas was designed to provide information that is necessary for the development of policy for vocational and adult education in isolated rural areas. The study consisted of a review of literature; unstructured interviews with representatives of the business, civic, and…

Association Between Loss of Hospital-Based Obstetric Services and Birth Outcomes in Rural Counties in the United States.

PubMed

Kozhimannil, Katy B; Hung, Peiyin; Henning-Smith, Carrie; Casey, Michelle M; Prasad, Shailendra

2018-03-27

Hospital-based obstetric services have decreased in rural US counties, but whether this has been associated with changes in birth location and outcomes is unknown. To examine the relationship between loss of hospital-based obstetric services and location of childbirth and birth outcomes in rural counties. A retrospective cohort study, using county-level regression models in an annual interrupted time series approach. Births occurring from 2004 to 2014 in rural US counties were identified using birth certificates linked to American Hospital Association Annual Surveys. Participants included 4 941 387 births in all 1086 rural counties with hospital-based obstetric services in 2004. Loss of hospital-based obstetric services in the county of maternal residence, stratified by adjacency to urban areas. Primary outcomes were county rates of (1) out-of-hospital births; (2) births in hospitals without obstetric units; and (3) preterm births (<37 weeks' gestation). Between 2004 and 2014, 179 rural counties lost hospital-based obstetric services. Of the 4 941 387 births studied, the mean (SD) maternal age was 26.2 (5.8) years. A mean (SD) of 75.9% (23.2%) of women who gave birth were non-Hispanic white, and 49.7% (15.6%) were college graduates. Rural counties not adjacent to urban areas that lost hospital-based obstetric services had significant increases in out-of-hospital births (0.70 percentage points [95% CI, 0.30 to 1.10]); births in a hospital without an obstetric unit (3.06 percentage points [95% CI, 2.66 to 3.46]); and preterm births (0.67 percentage points [95% CI, 0.02 to 1.33]), in the year after loss of services, compared with those with continual obstetric services. Rural counties adjacent to urban areas that lost hospital-based obstetric services also had significant increases in births in a hospital without obstetric services (1.80 percentage points [95% CI, 1.55 to 2.05]) in the year after loss of services, compared with those with continual obstetric

Planning and Providing End-of-life Care in Rural Areas

ERIC Educational Resources Information Center

Wilson, Donna M.; Justice, Christopher; Sheps, Sam; Thomas, Roger; Reid, Pam; Leibovici, Karen

2006-01-01

Context: Approximately 20% of North Americans and 25% of Europeans reside in rural areas. Planning and providing end-of-life (EOL) care in rural areas presents some unique challenges. Purpose: In order to understand these challenges, and other important issues or circumstances, a literature search was conducted to assess the state of science on…

Investigation of cancer mortality inequalities between rural and urban areas in South Korea.

PubMed

Choi, Kyung-Mee

2016-02-01

Little is known about rural-urban cancer disparities, particularly in South Korea, and this study is to identify cancer-specific mortality inequalities between the rural and urban areas of the country. For 11 specific cancer sites, age-standardised mortality rates were analysed for the rural and urban administrative districts of South Korea during 2006-2011. The Poisson log linear regression models were employed to estimate cancer-specific mortality rates, and Bonferroni comparison method was used to identify rural-urban disparities. There were significant rural-urban disparities observed for all cancer sites except prostate, pancreas and leukaemia. The mortality rates of lung, liver and stomach cancers, the three most common cancers in the country, were observed to be significantly higher in rural areas than in metropolitan areas. In contrast, the reverse relationship was observed for the reproductive system (breast and uterus) and colon cancers. Central nervous system cancer mortality was observed to be significantly higher in rural areas than in non-metro urban areas. For the first time ever, significant rural-urban disparity patterns in cancer mortality rates in South Korea have been identified in this paper. Future investigations on cancer risk factors for the country should address these disparity patterns. © 2015 National Rural Health Alliance Inc.

Practices and Problems of Adult Basic Education in Rural Areas.

ERIC Educational Resources Information Center

Richardson, E. Gordon

The percentages of adults needing adult basic education (ABE) programs in rural areas may not differ from those found in metropolitan areas, but the delivery of the system may be different. For example, the rural ABE teaching staff probably will be recruited from the ranks of the regular elementary or high school teachers to teach at night also,…

Racial/Ethnic Minorities in Rural Areas: Progress and Stagnation, 1980-90.

ERIC Educational Resources Information Center

Swanson, Linda L., Ed.

Rural minorities lag behind rural Whites and urban minorities on many crucial economic and social measures. This collection of 10 papers examines rural Black, Hispanic, Native American, and Asian and Pacific Islander populations and their economic well-being in the 1980s, an economically difficult decade for rural areas. Results show minimal…

33 CFR 334.85 - New York Harbor, adjacent to the Stapleton Naval Station, Staten Island, New York; restricted area.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false New York Harbor, adjacent to the Stapleton Naval Station, Staten Island, New York; restricted area. 334.85 Section 334.85 Navigation and... RESTRICTED AREA REGULATIONS § 334.85 New York Harbor, adjacent to the Stapleton Naval Station, Staten Island...

[Kawasaki disease is more prevalent in rural areas of Catalonia (Spain)].

PubMed

Sánchez-Manubens, Judith; Antón, Jordi; Bou, Rosa; Iglesias, Estibaliz; Calzada-Hernandez, Joan; Rodó, Xavier; Morguí, Josep-Antón

2017-10-01

Kawasaki disease (KD) is an acute self-limited systemic vasculitis relatively common in childhood. The etiology of KD is still unknown, although clinical, laboratory and epidemiological features suggest an infectious origin or trigger. Differences on incidence between countries have been related to specific genetic factors, ethnicity, country of birth and some other sociocultural and environmental factors. We present a population-based study on incidence of KD in Catalonia (Spain), focusing on differences between patients in rural and non-rural areas of the region. Observational population-based study including all Pediatric Units in Catalan hospitals, between 2004 and 2014. A 12-month (March 2013-March 2014) prospective collection of new cases of KD was carried out to determine the incidence of KD. The rest of the data was retrieved retrospectively. Data from 399 patients over the 10-year study period was analyzed. Among the total KD patients, 353 (88.5%) lived in non-rural areas and 46 (11.5%) in rural areas. It was found that there is a significant difference (P<.001) between the percentage of rural population observed in patients with KD (11.5%), and the expected 5% of the Catalan population. This is the first population-based study showing significant differences on KD incidence rates between rural and non-rural areas. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

Attitude towards working in rural areas: a cross-sectional survey of rural-oriented tuition-waived medical students in Shaanxi, China.

PubMed

Liu, Jinlin; Zhang, Kun; Mao, Ying

2018-05-02

Attracting and recruiting health workers to work in rural areas is still a great challenge in China. The rural-oriented tuition-waived medical education (RTME) programme has been initiated and implemented in China since 2010. This study aimed to examine the attitudes of rural-oriented tuition-waived medical students (RTMSs) in Shaanxi towards working in rural areas and the related influencing factors. A cross-sectional survey was conducted in 2015 among 232 RTMSs in two medical universities from the first group of students enrolled in the RTME programme in Shaanxi. Descriptive and analytical statistics were used for the data analyses. Of the 230 valid responses, 92.6% expressed their intentions of breaking the contract for working in rural township hospitals for 6 years after their graduation under the RTME programme. After the contract expired, only 1.3% intended to remain in the rural areas, 66.5% had no intention of remaining, and 32.2% were unsure. The factors related to a positive attitude among the RTMSs towards working in rural areas (no intention of breaking the contract) included being female, having a mother educated at the level of primary school or below, having a good understanding of the policy, having a good cognition of the value of rural medical work, and being satisfied with the policy. The factors related to a positive attitude of the RTMSs towards remaining in rural areas included being female, having a rural origin, having no regular family monthly income, having a father whose occupation was farmer, having a mother educated at the level of postsecondary or above, having the RTMSs be the final arbiter of the policy choice, having a good understanding of the policy, having a good cognition of the value of rural medical work, and being satisfied with the educational scheme. Related policy makers and health workforce managers may benefit from the findings of this study. Appropriate strategies should be implemented to stimulate the RTMSs

7 CFR 25.503 - Rural areas.

Code of Federal Regulations, 2013 CFR

2013-01-01

... of the Secretary of Agriculture RURAL EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES Special Rules § 25... the boundaries of a Metropolitan Area, as designated by the Office of Management and Budget, or, is an... phone number of the contact person for the applicant seeking the waiver; and (2) Sufficient information...

7 CFR 25.503 - Rural areas.

Code of Federal Regulations, 2014 CFR

2014-01-01

... of the Secretary of Agriculture RURAL EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES Special Rules § 25... the boundaries of a Metropolitan Area, as designated by the Office of Management and Budget, or, is an... phone number of the contact person for the applicant seeking the waiver; and (2) Sufficient information...

7 CFR 25.503 - Rural areas.

Code of Federal Regulations, 2012 CFR

2012-01-01

... of the Secretary of Agriculture RURAL EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES Special Rules § 25... the boundaries of a Metropolitan Area, as designated by the Office of Management and Budget, or, is an... phone number of the contact person for the applicant seeking the waiver; and (2) Sufficient information...

Comparison of positive allergy skin tests among asthmatic children from rural and urban areas living within small geographic area.

PubMed

Bibi, Haim; Shoseyov, David; Feigenbaum, David; Nir, Pnina; Shiachi, Rosa; Scharff, Shimon; Peled, Ronit

2002-04-01

Evidence of increased asthma and allergic response among urban versus rural residents has been reported. To evaluate the prevalence of allergic response among asthmatic children from urban and rural areas living within close proximity. In all, 448 asthmatic children from urban (363) and rural (85) areas were studied. The study group consisted of 234 9-year-olds and 214 12-year-olds. A health questionnaire was completed on each child who subsequently underwent allergic skin prick tests (SPTs). There was significantly more positive SPT response to house-dust mite, mold, cat, and cypress among asthmatic children from urban areas compared with children living in rural areas: 58.3% versus 37.6%, 46.1% versus 31.8%, 17.45 versus 5.9%, and 26.2% versus 15.3%, respectively. Positive SPT for indoor allergens were significantly greater among asthmatic urban residents than asthmatic rural residents: 63.3% versus 45.5%, respectively (P < 0.02). Positive SPT response to all the allergens checked was higher among the 12-year-old age group when compared with the 9-year-olds, 34.6% versus 22.7%, respectively (P = 0.05). Allergic response measured by SPT is significantly more common among asthmatic children from urban areas as opposed to rural, even though both areas are within small distance of one another. Further, asthmatic children living in urban areas demonstrated more allergic response to both indoor and outdoor allergens. The allergic response tends to increase with increased age in both urban and rural asthmatic children.

Multi-service terminal adapter based on IP technology applications in rural area

NASA Astrophysics Data System (ADS)

Gao, Li; Li, Xiaobo; Yan, Juntao; Ren, Xupeng

Take advantage of ample modern existing telecom network resources to rural areas may achieve it's information society gradually. This includes the establishment of integrated rural information service platform, modern remote education center and electronic administration management platform for rural areas. The geographical and economic constraints must be overcome for structuring the rural service support system, in order to provide technical support, information products and information services to modern rural information service system. It is important that development an access platform based IP technology, which supports multi-service access in order to implement a variety of types of mobile terminal equipment adapter access and to reduce restrictions on mobile terminal equipment.

Wireless multihop backhauls for rural areas: A preliminary study.

PubMed

Zaidi, Zainab; Lan, Kun-Chan

2017-01-01

Rural areas have very low revenue potential. The major issue in providing low-cost broadband to rural areas is to provide reliable backhaul connections that spread over tens or even hundreds of miles, connecting villages to the nearest service provider. Along with aerial networks of Google and Facebook, there has been a considerable amount of research toward long-distance terrestrial WiFi links. As a comparison, WiFi routers are easier to be deployed and maintained by non-technical people from the local communities, whereas the aerial networks require professional support to operate. Moreover, they are still in the experimentation phase. However, the long distance WiFi links require high-gain directional antennas and very expensive tall towers for high data rates. On the other hand, multihop paths with stronger links may provide better data rates without the need of tall towers. In this paper, we evaluated the concept of using such multihop WiFi links for long backhaul connections. Our simulation results show that these networks can possibly be a cost-effective and practical solution for rural connectivity. These initial results can serve as a first step to understand the comprehensive feasibility of using multihop WiFi networks for backhaul connections in rural area.

Wireless multihop backhauls for rural areas: A preliminary study

PubMed Central

Zaidi, Zainab; Lan, Kun-chan

2017-01-01

Rural areas have very low revenue potential. The major issue in providing low-cost broadband to rural areas is to provide reliable backhaul connections that spread over tens or even hundreds of miles, connecting villages to the nearest service provider. Along with aerial networks of Google and Facebook, there has been a considerable amount of research toward long-distance terrestrial WiFi links. As a comparison, WiFi routers are easier to be deployed and maintained by non-technical people from the local communities, whereas the aerial networks require professional support to operate. Moreover, they are still in the experimentation phase. However, the long distance WiFi links require high-gain directional antennas and very expensive tall towers for high data rates. On the other hand, multihop paths with stronger links may provide better data rates without the need of tall towers. In this paper, we evaluated the concept of using such multihop WiFi links for long backhaul connections. Our simulation results show that these networks can possibly be a cost-effective and practical solution for rural connectivity. These initial results can serve as a first step to understand the comprehensive feasibility of using multihop WiFi networks for backhaul connections in rural area. PMID:28403167

Business Incubator Development in Rural Areas.

ERIC Educational Resources Information Center

Weinberg, Mark

One viable economic development option for rural areas is the creation of business incubators--facilities that aid in the early stages of growth of an enterprise by providing rental space, services, and business assistance. Business incubators promote community development by diversifying the economic base, enhancing the community's image as a…

Particulate Matter Levels in Ambient Air Adjacent to Industrial Area

NASA Astrophysics Data System (ADS)

Mohamed, R. M. S. R.; Nizam, N. M. S.; Al-Gheethi, A. A.; Lajis, A.; Kassim, A. H. M.

2016-07-01

Air quality in the residential areas adjacent to the industrial regions is of great concern due to the association with human health risks. In this work, the concentrations of particulate matter (PM10) in the ambient air of UTHM campus was investigated tostudy the air qualityand their compliance to the Malaysian Ambient Air Quality Guidelines (AAQG). The PM10 samples were taken over 24 hours from the most significant area at UTHM including Stadium, KolejKediamanTunDr. Ismail (KKTDI) and MakmalBahan. The meteorological parameters; temperature, relative humidity, wind speed and wind direction as well as particulate matterwere estimated by using E-Sampler Particulate Matter (PM10) Collector. The highest concentrations of PM10 (55.56 µg/m3) was recorded at MakmalBahan during the working and weekend days. However, these concentrations are less than 150 pg/m3. It can be concluded that although UTHM is surrounded by the industrial area, the air quality in the campus still within the standards limits.

HIV in Predominantly Rural Areas of the United States

ERIC Educational Resources Information Center

Hall, H. Irene; Li, Jianmin; McKenna, Matthew T.

2005-01-01

Background: The burden of HIV/AIDS has not been described for certain rural areas of the United States (Appalachia, the Southeast Region, the Mississippi Delta, and the US-Mexico Border), where barriers to receiving HIV services include rural residence, poverty, unemployment, and lack of education. Methods: We used data from Centers for Disease…

Neighbourhood Environmental Attributes Associated with Walking in South Australian Adults: Differences between Urban and Rural Areas

PubMed Central

Coffee, Neil T.; Nolan, Rebecca; Dollman, James; Sugiyama, Takemi

2017-01-01

Although the health benefits of walking are well established, participation is lower in rural areas compared to urban areas. Most studies on walkability and walking have been conducted in urban areas, thus little is known about the relevance of walkability to rural areas. A computer-assisted telephone survey of 2402 adults (aged ≥18 years) was conducted to determine walking behaviour and perceptions of neighbourhood walkability. Data were stratified by urban (n = 1738) and rural (n = 664). A greater proportion of respondents reported no walking in rural (25.8%) compared to urban areas (18.5%). Compared to urban areas, rural areas had lower walkability scores and urban residents reported higher frequency of walking. The association of perceived walkability with walking was significant only in urban areas. These results suggest that environmental factors associated with walking in urban areas may not be relevant in rural areas. Appropriate walkability measures specific to rural areas should be further researched. PMID:28846597

33 CFR 334.880 - San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false San Diego Harbor, Calif.; naval....880 San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma. (a) The area. That portion of San Diego Bay southerly of Ballast Point, exclusive of the southwesterly portion of the restricted...

33 CFR 334.880 - San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false San Diego Harbor, Calif.; naval....880 San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma. (a) The area. That portion of San Diego Bay southerly of Ballast Point, exclusive of the southwesterly portion of the restricted...

33 CFR 334.880 - San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false San Diego Harbor, Calif.; naval....880 San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma. (a) The area. That portion of San Diego Bay southerly of Ballast Point, exclusive of the southwesterly portion of the restricted...

33 CFR 334.880 - San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false San Diego Harbor, Calif.; naval....880 San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma. (a) The area. That portion of San Diego Bay southerly of Ballast Point, exclusive of the southwesterly portion of the restricted...

Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality.

PubMed

Smith, Matthew Lee; Towne, Samuel D; Herrera-Venson, Angelica; Cameron, Kathleen; Kulinski, Kristie P; Lorig, Kate; Horel, Scott A; Ory, Marcia G

2017-06-14

Background : Alongside the dramatic increase of older adults in the United States (U.S.), it is projected that the aging population residing in rural areas will continue to grow. As the prevalence of chronic diseases and multiple chronic conditions among adults continues to rise, there is additional need for evidence-based interventions to assist the aging population to improve lifestyle behaviors, and self-manage their chronic conditions. The purpose of this descriptive study was to identify the geospatial dissemination of Chronic Disease Self-Management Education (CDSME) Programs across the U.S. in terms of participants enrolled, workshops delivered, and counties reached. These dissemination characteristics were compared across rurality designations (i.e., metro areas; non-metro areas adjacent to metro areas, and non-metro areas not adjacent to metro areas). Methods : This descriptive study analyzed data from a national repository including efforts from 83 grantees spanning 47 states from December 2009 to December 2016. Counts were tabulated and averages were calculated. Results : CDSME Program workshops were delivered in 56.4% of all U.S. counties one or more times during the study period. Of the counties where a workshop was conducted, 50.5% were delivered in non-metro areas. Of the 300,640 participants enrolled in CDSME Programs, 12% attended workshops in non-metro adjacent areas, and 7% attended workshops in non-metro non-adjacent areas. The majority of workshops were delivered in healthcare organizations, senior centers/Area Agencies on Aging, and residential facilities. On average, participants residing in non-metro areas had better workshop attendance and retention rates compared to participants in metro areas. Conclusions : Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers). To facilitate growth in rural areas

Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality

PubMed Central

Smith, Matthew Lee; Towne, Samuel D.; Herrera-Venson, Angelica; Cameron, Kathleen; Kulinski, Kristie P.; Lorig, Kate; Horel, Scott A.; Ory, Marcia G.

2017-01-01

Background: Alongside the dramatic increase of older adults in the United States (U.S.), it is projected that the aging population residing in rural areas will continue to grow. As the prevalence of chronic diseases and multiple chronic conditions among adults continues to rise, there is additional need for evidence-based interventions to assist the aging population to improve lifestyle behaviors, and self-manage their chronic conditions. The purpose of this descriptive study was to identify the geospatial dissemination of Chronic Disease Self-Management Education (CDSME) Programs across the U.S. in terms of participants enrolled, workshops delivered, and counties reached. These dissemination characteristics were compared across rurality designations (i.e., metro areas; non-metro areas adjacent to metro areas, and non-metro areas not adjacent to metro areas). Methods: This descriptive study analyzed data from a national repository including efforts from 83 grantees spanning 47 states from December 2009 to December 2016. Counts were tabulated and averages were calculated. Results: CDSME Program workshops were delivered in 56.4% of all U.S. counties one or more times during the study period. Of the counties where a workshop was conducted, 50.5% were delivered in non-metro areas. Of the 300,640 participants enrolled in CDSME Programs, 12% attended workshops in non-metro adjacent areas, and 7% attended workshops in non-metro non-adjacent areas. The majority of workshops were delivered in healthcare organizations, senior centers/Area Agencies on Aging, and residential facilities. On average, participants residing in non-metro areas had better workshop attendance and retention rates compared to participants in metro areas. Conclusions: Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers). To facilitate growth in rural areas, technical

Development of the Language Proficiency of Five- to Seven-Year-Olds in Rural Areas

ERIC Educational Resources Information Center

Poolman, B. G.; Leseman, P. P. M.; Doornenbal, J. M.; Minnaert, A. E. M. G.

2017-01-01

Rural children are a largely understudied population in language and literacy research, despite the fact that these children often enter school with delays in their language development. Since most rural areas suffered from so-called selective rural outmigration, many parents in rural areas are lower or middle educated. The home literacy climate,…

Variations in life expectancy between rural and urban areas of England, 2001-07.

PubMed

Kyte, Lynsey; Wells, Claudia

2010-01-01

This study was part of a wider project commissioned by the Department for Environment, Food and Rural Affairs (Defra) to examine inequalities in health outcomes in rural areas. It investigated variations in life expectancy at birth between rural and urban areas of England, taking the effect of deprivation into account. The study aimed to produce results which provide specific evidence of the needs of rural communities, as they have often been overlooked in previous research. The Rural and Urban Area Classification (RUAC) 2004 and the Index of Multiple Deprivation (IMD) 2007 were used to categorise area types at the Lower Super Output Area (LSOA) level. Population and mortality data used were produced by the Office for National Statistics (ONS). Abridged life tables were constructed to calculate period life expectancy at birth for males and females, for the years 2001 to 2007 combined. Confidence intervals (95%) were also produced. For the 2001-07 period, life expectancy at birth in England was 76.9 years for males and 81.3 years for females. However, when deprivation was examined, results between the most deprived and least deprived quintiles varied by 7.8 years for men and 5.4 years for women.Overall, life expectancy was higher in rural areas than in urban areas. Deprivation had a considerable impact on the results and wide inequalities were evident, particularly in men and in urban areas. In both area types, males living in the less deprived quintiles had similar life expectancies to females living in the more deprived quintiles.Within rural area types, life expectancy was higher in village and dispersed settlements than in town and fringe areas. There were large differences between the fourth and fifth (most deprived) quintiles in village and dispersed settlements, which shows that there may be acute pockets of deprivation within this area type that need to be addressed.In terms of sparsity, there was little difference in life expectancy between densely and less

The development of rural area residence based on participatory planning case study: A rural residential area of Pucungrejo village, Magelang through "neighborhood development" program

NASA Astrophysics Data System (ADS)

KP, R. M. Bambang Setyohadi; Wicaksono, Dimas

2018-03-01

The poverty is one of the prevailing problems in Indonesia until now. Even a change of the era of governance has not succeeded in eradicating the problem of poverty. The program of poverty alleviation program has always been a focus in the budget allocation in all era of leadership in Indonesia. Those programs were strategic because it prepared the foundation of community self-reliance in the form of representative, entrenched and conducive community leadership institutions to develop of social capital of society in the future. Developing an area of the village requires an integrated planning (Grand Design) to figure out the potential and the problems existing in the rural area as well as the integration of the rural area surrounding. In addition, the grand design needs to be synchronized to the more comprehensive spatial plan with a hierarchical structure such as RTBL, RDTRK / RRTRK, RTRK, and RTRW. This rural area management plan can be oriented or refer to the pattern developed from neighborhood Development program which is part of the PNPM Mandiri program. The neighborhood development program is known as residential area development plan whose process involves of the entire community. Therefore, the regional development up to the scale of the environment requires the planning phase. Particularly, spatial planning which emphasizes the efforts to optimize sectorial development targets to be integrated into an integrated development process must be conducted, in addition to taking into consideration the opportunities, potentials and limitations of the resources, the level of interconnection with the central government within the district and between sub-districts and rural areas.

Science and Technology of Rural Transport System. Teaching of Science and Technology in Rural Areas.

ERIC Educational Resources Information Center

Nagaraj, D. N.; Satheesh, H. L.

Most science curriculum innovations seem to have their origins and emphases in urban intellectual concerns and their content generally caters to university bound students. The reason for the failure of rural students in science subjects may be the lack of relevancy of the program to the needs of individuals living in rural areas. Chapter 1…

How do rural placements affect urban-based Australian junior doctors' perceptions of working in a rural area?

PubMed

Brodribb, Wendy; Zadoroznyj, Maria; Martin, Bill

2016-01-01

Objectives The aim of the present study was to provide qualitative insights from urban-based junior doctors (graduation to completion of speciality training) of the effect of rural placements and rotations on career aspirations for work in non-metropolitan practices. Methods A qualitative study was performed of junior doctors based in Adelaide, Brisbane and Melbourne. Individual face-to-face or telephone semistructured interviews were held between August and October 2014. Thematic analysis focusing on participants' experience of placements and subsequent attitudes to rural practice was undertaken. Results Most participants undertook rural placements in the first 2 years after graduation. Although experiences varied, positive perceptions of placements were consistently linked with the degree of supervision and professional support provided. These experiences were linked to attitudes about working outside metropolitan areas. Participants expressed concerns about being 'forced' to work in non-metropolitan hospitals in their first postgraduate year; many received little warning of the location or clinical expectations of the placement, causing anxiety and concern. Conclusions Adequate professional support and supervision in rural placements is essential to encourage junior doctors' interests in rural medicine. Having a degree of choice about placements and a positive and supported learning experience increases the likelihood of a positive experience. Doctors open to working outside a metropolitan area should be preferentially allocated an intern position in a non-metropolitan hospital and rotated to more rural locations. What is known about the topic? The maldistribution of the Australian medical workforce has led to the introduction of several initiatives to provide regional and rural experiences for medical students and junior doctors. Although there have been studies outlining the effects of rural background and rural exposure on rural career aspirations, little

Outmigration patterns in development transition of rural areas.

PubMed

Kaistha, K C

1987-01-01

Using a broadened concept of migration, which includes circulatory migration and commuting, this paper maintains that the patterns of outmigration vary a great deal when the level of development of a rural area is treated as an independent variable. This study uses a stratified conditional sample of 192 households selected from 3 areas: 53 households from a low developed (LDL) area, 56 from a medium (MDL), and 83 from a high (HDL). Data were collected by personal observation, interview, and genealogical methods at both the household and individual level. The households are divided into 3 main categories: 1) non-migrating, 2) commuting only, and 3) migrating (which is further divided into migrating within and migrating outside the boundaries of the district). Results show that 1) 37.51% of household members neither commute nor have migrated outside the village; 2) using the narrow definition of migration, only 10% of males over age 15 migrate, while including commuting in the definition increases the percentage to 40; 3) proportions of non-migrating households decrease from 58.4% for the LDL, to 35.7% for the MDL, to 25.3% for the HDL area; 4) the proportion of commuting only households increases from 26.4% for the LDL, to 35.7% to the MDL, and 55.4% for the HDL area; 5) 15.2% of households in the LDL, 28.6% in the MDL, and 19.3% in the HDL area experience a permanent change in residence; 6) as development accelerates, the overall volume of outmigration increases; 7) the flow of migration from rural to rural areas is mostly limited to the MDL area, while cityward migration increasingly occurs on both LDL and HDL areas; 8) the median age of commuters increases with rising levels of development; and 9) almost all migrants from the LDL area are employed in low prestige occupations, most from the HDL area have higher prestige jobs, and those from the MDL area have both high and low prestige jobs.

33 CFR 334.880 - San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false San Diego Harbor, Calif.; naval....880 San Diego Harbor, Calif.; naval restricted area adjacent to Point Loma. (a) The area. That portion... Commander, Naval Base, San Diego, Calif. (3) The regulations in this section shall be enforced by the...

Effects of coating materials on nanoindentation hardness of enamel and adjacent areas.

PubMed

Alsayed, Ehab Z; Hariri, Ilnaz; Nakashima, Syozi; Shimada, Yasushi; Bakhsh, Turki A; Tagami, Junji; Sadr, Alireza

2016-06-01

Materials that can be applied as thin coatings and actively release fluoride or other bioavailable ions for reinforcing dental hard tissue deserve further investigation. In this study we assessed the potential of resin coating materials in protection of underlying and adjacent enamel against demineralization challenge using nanoindentation. Enamel was coated using Giomer (PRG Barrier Coat, PBC), resin-modified glass-ionomer (Clinpro XT Varnish, CXT), two-step self-etch adhesive (Clearfil SE Protect, SEP) or no coating (control). After 5000 thermal cycles and one-week demineralization challenge, Martens hardness of enamel beneath the coating, uncoated area and intermediate areas was measured using a Berkovich tip under 2mN load up to 200μm depth. Integrated hardness and 10-μm surface zone hardness were compared among groups. Nanoindentation and scanning electron microscopy suggested that all materials effectively prevented demineralization in coated area. Uncoated areas presented different hardness trends; PBC showed a remarkable peak at the surface zone before reaching as low as the control, while CXT showed relatively high hardness values at all depths. Ion-release from coating materials affects different layers of enamel. Coatings with fluoride-releasing glass fillers contributed to reinforcement of adjacent enamel. Surface prereacted glass filler-containing PBC superficially protected neighboring enamel against demineralization, while resin-modified glass-ionomer with calcium (CXT) improved in-depth protection. Cross-sectional hardness mapping of enamel on a wide range of locations revealed minute differences in its structure. Copyright © 2016 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

Will increased highway funding help rural areas?

DOT National Transportation Integrated Search

1999-08-01

Rural areas in the United States stand to benefit from new highway funding legislation, especially the South. The Transportation Equity Act for the 21st Century (TEA-21) authorizes sharply increased funding for major roads and is the single largest p...

Measuring the attractiveness of rural communities in accounting for differences of rural primary care workforce supply.

PubMed

McGrail, Matthew R; Wingrove, Peter M; Petterson, Stephen M; Humphreys, John S; Russell, Deborah J; Bazemore, Andrew W

2017-01-01

. While remote areas were strongly linked with poorer supply in Australia, geographical remoteness was not significant after accounting for other indicators of amenity such as the positive association between workforce supply and coastal location. Workforce supply in the USA was negatively associated with fringe rural area locations adjacent to larger metropolitan areas and characterised by long work commutes. The US model captured 49% of the variation of workforce supply between rural counties, while the Australian models captured 35-39% of rural supply variation. These data support the idea that the rural medical workforce is maldistributed with a skew towards locating in more affluent and educated areas, and against locating in smaller, poorer and more isolated rural towns, which struggle to attract an adequate supply of primary care services. This evidence is important in understanding the role of place characteristics and rural population dynamics in the recruitment and retention of rural doctors. Future primary care workforce policies need to place a greater focus on rural communities that, for a variety of reasons, may be less attractive to doctors looking to begin or remain working there.

The sustainability and efficient use of renewable energy sources in rural areas

NASA Astrophysics Data System (ADS)

Adetunji, Kayode E.; Akinlabi, Akindeji O.; Joseph, Meera K.

2018-04-01

The energy system in African countries is mostly dependent on coal, gas, and oil, which in turns leads to environmental challenges and an imbalance of energy usage in some area of the countries. Given that, a mostly rural area in Africa suffers from the unsustainable energy system, thus it necessary to integrate renewable energy into the rural area for social and economic development. A sustainable energy system built on a clean energy such as renewable energy based on the availability of the natural resource is the main focus of this paper. Renewable energy is a solution for service delivery and when deployed everyone would be able to access electricity power, particularly in the remote area (which can be a suburb or rural environment) where the absence of national power grids. Renewable energy opens new opportunities for an economic development and sustainable solution to employ for energy efficiency, energy delivery, and energy management by the people and upon that a platform to promote environmental friendliness. In this paper, we explored the reasons for switching to renewable energy, saving energy and the awareness of potential and use of renewable energy in the rural area. IBM's SPSS is used for the quantitative data analysis. The results showed that sustainability of the National utility grid to the rural area is low, with over 80 percent of participants agreeing to disruption of power supply. The Positivity of the rural peoples' awareness of renewable also brought about the conclusion and recommendations from this paper.

Physician recruitment and retention in rural and underserved areas.

PubMed

Lee, Dane M; Nichols, Tommy

2014-01-01

The purpose of this paper is to identify the challenges when recruiting and retaining rural physicians and to ascertain methods that make rural physician recruitment and retention successful. There are studies that suggest rural roots is an important factor in recruiting rural physicians, while others look at rural health exposure in medical school curricula, self-actualization, community sense and spousal perspectives in the decision to practice rural medicine. An extensive literature review was performed using Academic Search Complete, PubMed and The Cochrane Collaboration. Key words were rural, rural health, community hospital(s), healthcare, physicians, recruitment, recruiting, retention, retaining, physician(s) and primary care physician(s). Inclusion criteria were peer-reviewed full-text articles written in English, published from 1997 and those limited to USA and Canada. Articles from foreign countries were excluded owing to their unique healthcare systems. While there are numerous articles that call for special measures to recruit and retain physicians in rural areas, there is an overall dearth. This review identifies several articles that suggest recruitment and retention techniques. There is a need for a research agenda that includes valid, reliable and rigorous analysis regarding formulating and implementing these strategies. Rural Americans are under-represented when it comes to healthcare and what research there is to assist recruitment and retention is difficult to find. This paper identify the relevant research and highlights key strategies.

Collaborative Job Training in Rural Areas

ERIC Educational Resources Information Center

Green, Gary Paul; Galetto, Valeria; Haines, Anna

2003-01-01

We examine collaborative efforts by employers to provide job training in rural areas and assess how this collaboration affects the willingness of employers to train workers. Data are drawn from a telephone survey conducted in 2001 of a stratified random sample of 1,590 nonmetropolitan firms in the U.S. The literature on job training suggests that…

Measuring the reasons that discourage medical students from working in rural areas

PubMed Central

Goel, Sonu; Angeli, Federica; Singla, Neetu; Ruwaard, Dirk

2018-01-01

Abstract The sharply uneven distribution of human resources for health care across urban and rural areas has been a long-standing concern globally. The present study aims to develop and validate an instrument measuring the factors deterring final year students of Bachelor of Medicine and Bachelor of Surgery (MBBS) in 3 northern states of India, from working in rural areas. The medical student's de-motivation to work in rural India (MSDRI) scale was developed using extensive literature review followed by Delphi technique. The psychometric properties of the questionnaire were assessed in terms of content validity, construct validity, data quality and reliability. Exploratory factor analysis (EFA) followed by confirmatory factor analysis (CFA) was performed to identify the primary deterrents. Thirty-three items were generated from literature search followed by Delphi exercise. After assessing psychometric properties, the final instrument included 29 items whereas the EFA and CFA highlighted 5 main factors, namely lack of professional challenge, social segregation, socio-cultural gap, hostile professional environment, and lack of financial incentives as underpinning students’ demotivation towards working in rural areas. The MSDRI instrument is the first valid and reliable measure for identifying deterring factors for MBBS students to work in rural areas of India. The use of it may be very helpful for policymakers as well as healthcare organizations in formulating effective measures to encourage medical students to work in rural areas, which suffer from a chronic shortage of medical personnel. PMID:29480833

Opinions of South African optometry students about working in rural areas after graduation

PubMed Central

Oduntan, Olalekan A.; Hansraj, Rekha

2015-01-01

Background Eye and vision problems have been reported to be more prevalent in rural than urban areas; and a large proportion of South Africans live in the rural areas. Aim To investigate the opinions of South African optometry students about working in rural areas after completion of their training and to identify factors that may influence their decisions. Method This was a cross-sectional quantitative study using a survey instrument containing both closed and open-ended, semi-structured questions. Results Four hundred and thirty-eight students responded to the questionnaire (85.4% response rate). Overall, many of the respondents did not want to open their first (66%) or second practices (64.6%) in the rural areas. However, most respondents from rural backgrounds reported that they would open their first (77.2%) or second (79.4%) practice in the rural areas. The main reasons cited by the respondents for their unwillingness to work in the rural areas were financial concerns (81.2%), personal safety (80.1%) and poor living conditions (75.3%), with a significantly higher number (p < 0.05) being from urban respondents for the latter two issues only. Conclusion Many students were not in favour of opening practices in rural areas, but were willing to work for the government or a non-governmental organisation after graduation. Efforts should be made to address financial incentives, safety and living conditions in the rural areas. The results of this study have implications for the future of availability and accessibility of eye care services to those living in the rural and remote areas of the country. Opinions des étudiants sud-africains en optométrie sur la possibilité de travailler dans les zones rurales après l’obtention de leur diplôme. Contexte Les problèmes des yeux et de vision sont plus courants dans les zones rurales qu’en ville; et une forte proportion de Sud-africains vit dans les zones rurales. Objectif Examiner les opinions des étudiants sud

Mexican doctors serve rural areas.

PubMed

Grossi, J

1991-02-01

The Mexican Foundation for Family Planning (MEXFAM) worked to solve the unemployment problems of physicians and to increase health services to underserved rural areas. In Mexico, 75% of practicing physicians were located in 16 urban areas. Mexico had a large population of 83 million, of whom many in rural areas have been deprived of family planning and medical services. MEXFAM initiated the Community Doctors Project in 1986. The aim was to help Mexican doctors set up a medical practice in marginal urban towns and small towns with low income residents. Funding to physicians was provided for conducting a market survey of the proposed region and for advertising the new medical services. Loans of furniture and medical supplies were provided, and options were provided for purchase of equipment at a later date. During the promotion, services for maternal and child health care were provided for a small fee, while family planning was provided for free. Doctors usually become self-sufficient after about two years. The MEXFAM project established 170 community doctor's offices in 30 out of 32 states. Services were provided for at least 2500 families per office. In 1990, 13 offices were opened to serve an estimated 182,000 clients. A new effort is being directed to owners of Mexican factories. MEXFAM will set up a medical and family planning clinic very close to factories for a company contribution of only $12,000. The clinic promotion is being marketed through videos. MEXFAM found two companies that agreed to support a clinic.

Kees: a Practical Ict Solution for Rural Areas

NASA Astrophysics Data System (ADS)

Dai, Xiaoye; Tabirca, Sabin; Lenihan, Eamon

This paper introduces a practical e-learning system, identified as Knowledge Exchange E-learning System (abbr. KEES), for knowledge distribution in rural areas. Particularly, this paper is about providing a virtual teaching and learning environment for small holders in agriculture in those rural areas. E-learning is increasingly influencing the agricultural education (information and knowledge learning) in all forms and the current e-learning in agricultural education appears in informal and formal methods in many developed countries and some developing areas such as Asian Pacific regions. KEES is a solution to provide education services including other services of information distribution and knowledge sharing to local farmers, local institutes or local collection of farmers. The design of KEES is made to meet the needs of knowledge capacity building, experience sharing, skill upgrading, and information exchanging in agriculture for different conditions in rural areas. The system allows the online lecture/training materials to be distributed simultaneously with all multimedia resources through different file formats across different platforms. The teaching/training content can be contextless and broad, allowing for greater participation by more small holders, commercial farmers, extension workers, agriculturists, educators, and other agriculture-related experts. The relative inconsistency in content gives farmers more localised and useful knowledge. The framework of KEES has been designed to be a three-tier architecture logic workflow, which can configure the progressive approach for KEES to pass on and respond to different requests/communications between the client side and the server.

Health care in rural areas.

PubMed

Nath, L M

1994-02-01

In India, although the health care system infrastructure is extensive, the people often regard government facilities as family planning (FP) centers instead of primary health care centers. This problem has been compounded by the separation of health care and FP at all stages, even down to the storage of the same medication in two different locations depending upon whether it is to be used for "health" or for "FP." In rural areas where the government centers are particularly desolate, the community has chosen to erect its own health care system of private practitioners of all sorts and qualifications. Even in rural areas where a comprehensive health service is provided, with each household visited regularly by health workers, and where this service has resulted in a lowering of the crude death rate from 14.6 to 7 and the maternal mortality rate from 4.7 to 0.5/1000, people depend upon practitioners of various types. Upon analysis, it was discovered that the reason for using this multiplicity of practitioners had nothing to do with the level of satisfaction with the government service or with the accessibility of the services. Rather, when ill, the people make a diagnosis and then go to the proper place for treatment. If, for instance, they believe their malady was caused by the evil eye, they consult a magico-religious practitioner. These various types of practitioners flourish in areas with the best primary health care because they fulfill a need not met by the primary health care staff. If government agencies work with the local practitioners and afford them the proper respect, their skills can be upgraded in selected areas and the whole community will benefit.

Comparison of domestic violence against women in urban versus rural areas of southeast Nigeria.

PubMed

Ajah, Leonard Ogbonna; Iyoke, Chukwuemeka Anthony; Nkwo, Peter Onubiwe; Nwakoby, Boniface; Ezeonu, Paul

2014-01-01

The perception and prevalence of domestic violence (DV) in rural areas is poorly understood; the result is that most efforts at eradicating this harmful practice are concentrated in urban areas. The objective of the study was to compare the burden and perception of DV among women living in rural and urban Igbo communities of southeast Nigeria. This was a comparative, cross-sectional study of women residing in rural and urban communities in Enugu, Nigeria, who had gathered for an annual religious meeting from August 1-7, 2011. Data analysis involved descriptive and inferential statistics and was conducted with the Statistical Package for Social Sciences, software version 17.0, at a 95% level of confidence. A total of 836 women who met the eligibility criteria participated in the survey. Of these, 376 were from Okpanku, a rural community, while 460 were from Ogui Nike, an urban community. The prevalence of DV among rural women was significantly higher than that among urban women (97% versus 81%, P<0.001). In particular, the prevalence of physical violence was significantly higher among rural women than among urban women (37.2% versus 23.5%; P=0.05). In contrast, rural and urban women did not differ significantly in the proportions that had experienced psychological or sexual violence. The proportion of women who believed that DV was excusable was significantly higher among rural dwellers than among urban dwellers (58.5% versus 29.6%; P=0.03). The burden of DV against women may be higher in rural communities than in urban communities in southeast Nigeria. More rural women perceived DV as excusable; this finding suggests that factors that sustain DV could be strong in rural areas. A comprehensive program to curb DV in this area may need to significantly involve the rural areas.

Comparison of domestic violence against women in urban versus rural areas of southeast Nigeria

PubMed Central

Ajah, Leonard Ogbonna; Iyoke, Chukwuemeka Anthony; Nkwo, Peter Onubiwe; Nwakoby, Boniface; Ezeonu, Paul

2014-01-01

Background The perception and prevalence of domestic violence (DV) in rural areas is poorly understood; the result is that most efforts at eradicating this harmful practice are concentrated in urban areas. The objective of the study was to compare the burden and perception of DV among women living in rural and urban Igbo communities of southeast Nigeria. Methods This was a comparative, cross-sectional study of women residing in rural and urban communities in Enugu, Nigeria, who had gathered for an annual religious meeting from August 1–7, 2011. Data analysis involved descriptive and inferential statistics and was conducted with the Statistical Package for Social Sciences, software version 17.0, at a 95% level of confidence. Results A total of 836 women who met the eligibility criteria participated in the survey. Of these, 376 were from Okpanku, a rural community, while 460 were from Ogui Nike, an urban community. The prevalence of DV among rural women was significantly higher than that among urban women (97% versus 81%, P<0.001). In particular, the prevalence of physical violence was significantly higher among rural women than among urban women (37.2% versus 23.5%; P=0.05). In contrast, rural and urban women did not differ significantly in the proportions that had experienced psychological or sexual violence. The proportion of women who believed that DV was excusable was significantly higher among rural dwellers than among urban dwellers (58.5% versus 29.6%; P=0.03). Conclusion The burden of DV against women may be higher in rural communities than in urban communities in southeast Nigeria. More rural women perceived DV as excusable; this finding suggests that factors that sustain DV could be strong in rural areas. A comprehensive program to curb DV in this area may need to significantly involve the rural areas. PMID:25336992

Rural settlements transition (RST) in a suburban area of metropolis: Internal structure perspectives.

PubMed

Ma, Wenqiu; Jiang, Guanghui; Wang, Deqi; Li, Wenqing; Guo, Hongquan; Zheng, Qiuyue

2018-02-15

Rural settlements transition (RST) is one of the most significant indices for understanding the phenomena of rural reconstruction and urban-rural transformation in China. However, a systematic overview of RST is missing, and there is a lack of evidence regarding its characteristics from the internal structure perspectives. In this paper, we systematically explore the RST regarding spatio-temporal change characteristics of internal structure, patterns and impacts on rural environment and development by using practical survey internal land-use data from 2005 to 2015. The results show that the temporal change characteristics of the internal structure of rural settlements demonstrate a tendency for housing land to decrease and other land-use types to increase. The spatial change characteristics reveal that the structure inclines to more complexity and diversity from an exurban area to an urban-rural fringe area. Based on this finding, we identify that rapid development of rural industrialization, more agglomerate and effective industrial land-use, and improved public infrastructure construction are the general RST patterns. Spatially, there exists a physical decay pattern in the exurban area, thereby resulting in the hollowing-out of rural industries and of the population. In addition, the extensive and disorderly pattern in the suburban area causes low efficiency output and serious environmental pollution. The RST pattern in the urban hinterland promoted the "men-environment" compatible development. The study concludes that regional differentiation in patterns and impacts are significant in the process of RST. Future adaptive strategies for rural settlements adjustment should be conducted according to regional characteristics, including socio-economic status, physical geography condition and economic location to improve the rural environmental sustainability. Copyright © 2017 Elsevier B.V. All rights reserved.

The Chilean Rural Practitioner Programme: a multidimensional strategy to attract and retain doctors in rural areas

PubMed Central

Peña, Sebastian; Ramirez, Jorge; Becerra, Carlos; Carabantes, Jorge

2010-01-01

Abstract Developing countries currently face internal and external migration of their health workforce and interventions are needed to attract and retain health professionals in rural areas. Evidence of multidimensional interventions, however, is scarce. This study explores a long-standing strategy to attract and retain doctors to rural areas in Chile: the Rural Practitioner Programme. The main objective is to describe the programme, characterize its multidimensional set of incentives and appraise preliminary programme outcomes. Retrospective national data were employed to examine recruitment, retention and incentives provided to extend the length of stay and motivate non-clinical work. The programme has successfully recruited a large number of applicants, with acceptance rates close to 100%. Retention rates are nearly 100% (drop-outs are exceptional), but only 58% of participants stay for the maximum period. Areas with greater work difficulty are attracting the best-ranked applicants, but incentives to engage in community projects, management responsibilities, continuous medical education and research have achieved mixed results. Rural doctors are satisfied with their experience and 70% plan to practise as specialists in a referral hospital. The programme has successfully matched the interests of physicians in specialization with the country’s need for rural doctors. However, a gap might be forming between the demand for certain specialties and what the programme can offer. There is a need to conciliate both parties, which will require a more refined strategy than before. This should be grounded in robust knowledge based on programme outcomes and evidence of the interests and motivations of health professionals. PMID:20461139

Transition Management and Social Innovation in Rural Areas: Lessons from Social Farming

ERIC Educational Resources Information Center

Di Iacovo, Francesco; Moruzzo, Roberta; Rossignoli, Cristiano; Scarpellini, Paola

2014-01-01

Purpose: The article reflects on transition management in rural areas and the possible implications for extension services able to support social innovation and rural change, starting from experiences on social farming in different areas of Italy. Design/methodology/approach: By presenting three case studies we investigate the role of social…

33 CFR 334.412 - Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Albemarle Sound, Pamlico Sound... REGULATIONS § 334.412 Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area. (a) The area. Beginning on the north shore of Albemarle Sound and the easternmost tip of Harvey Point...

33 CFR 334.412 - Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Albemarle Sound, Pamlico Sound... REGULATIONS § 334.412 Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area. (a) The area. Beginning on the north shore of Albemarle Sound and the easternmost tip of Harvey Point...

33 CFR 334.412 - Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Albemarle Sound, Pamlico Sound... REGULATIONS § 334.412 Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area. (a) The area. Beginning on the north shore of Albemarle Sound and the easternmost tip of Harvey Point...

33 CFR 334.412 - Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Albemarle Sound, Pamlico Sound... REGULATIONS § 334.412 Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area. (a) The area. Beginning on the north shore of Albemarle Sound and the easternmost tip of Harvey Point...

33 CFR 334.412 - Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Albemarle Sound, Pamlico Sound... REGULATIONS § 334.412 Albemarle Sound, Pamlico Sound, Harvey Point and adjacent waters, NC; restricted area. (a) The area. Beginning on the north shore of Albemarle Sound and the easternmost tip of Harvey Point...

Urban dogs in rural areas: Human-mediated movement defines dog populations in southern Chile.

PubMed

Villatoro, Federico J; Sepúlveda, Maximiliano A; Stowhas, Paulina; Silva-Rodríguez, Eduardo A

2016-12-01

Management strategies for dog populations and their diseases include reproductive control, euthanasia and vaccination, among others. However, the effectiveness of these strategies can be severely affected by human-mediated dog movement. If immigration is important, then the location of origin of dogs imported by humans will be fundamental to define the spatial scales over which population management and research should apply. In this context, the main objective of our study was to determine the spatial extent of dog demographic processes in rural areas and the proportion of dogs that could be labeled as immigrants at multiple spatial scales. To address our objective we conducted surveys in households located in a rural landscape in southern Chile. Interviews allowed us to obtain information on the demographic characteristics of dogs in these rural settings, human influence on dog mortality and births, the localities of origin of dogs living in rural areas, and the spatial extent of human-mediated dog movement. We found that most rural dogs (64.1%) were either urban dogs that had been brought to rural areas (40.0%), or adopted dogs that had been previously abandoned in rural roads (24.1%). Some dogs were brought from areas located as far as ∼700km away from the study area. Human-mediated movement of dogs, especially from urban areas, seems to play a fundamental role in the population dynamics of dogs in rural areas. Consequently, local scale efforts to manage dog populations or their diseases are unlikely to succeed if implemented in isolation, simply because dogs can be brought from surrounding urban areas or even distant locations. We suggest that efforts to manage or study dog populations and related diseases should be implemented using a multi-scale approach. Copyright © 2016 Elsevier B.V. All rights reserved.

Area-Based Partnerships in Rural Poland: The Post-Accession Experience

ERIC Educational Resources Information Center

Furmankiewicz, Marek; Thompson, Nicola; Zielinska, Marta

2010-01-01

The paper examines the characteristics of area-based partnerships in rural Poland. It is based on the study of partnerships created after the accession to the European Union in 2004. Partnership structures have been rapidly adopted in rural Poland due to opportunities provided by the LEADER+ Pilot Programme. However, the research showed that…

[Live-birth rates by age of mother and total fertility rates by urban and rural areas].

PubMed

Kaneko, T; Shiraishi, N; Kasahara, R

1983-07-01

Live birth rates by age of mother and total fertility rates by urban and rural areas in Japan are generally decreasing. Japanese women ages 15-49 were studied. Graphs presenting fertility rates according to age in 1975 and 1980 in urban and rural areas show that fertility rates are considerably higher in rural areas than in urban centers (by as much as 20% for the 25-29 age group). In a table showing urban/rural total fertility rates and distributions among prefectures in 1975 and 1980, the prefecture with the highest total fertility rate (2.88495 in 1975 and 2.37804 in 1980) is Okinawa and the lowest total fertility rate is found in Tokyo (1.62287 in 1975 and 1.43693 in 1980). The average total fertility rate in 1980 was 1.82849; in urban centers it was 1.78919 and rural areas, 1.92105. Finally, a comparison of total fertility rates by urban and rural areas and by age shows that in 1975 the rural fertility rate was .16 higher than that of urban areas, and that in 1980 all fertility rates (total, urban, and rural) were lower, with the rural fertility rate decreasing at the same rate as did the urban fertility rate in 1975. It is interesting to note that between 1975-1980 birth rates have been decreasing in both urban and rural areas in all age groups except for the 30-34 year old group which in urban centers was higher in 1980 than in rural areas. This can be attributed to the recent trend among Japanese women of delaying childbirth.

Smart street lighting solution for remote rural areas of India

NASA Astrophysics Data System (ADS)

Hajra, Debdyut

2017-09-01

Though many smart street lighting solutions is available for urban areas, comparatively fewer solutions exist for rural areas. In the recent times, village streets have been illuminated with artificial lights as a part of rural development drive undertaken by the governments of respective countries. But, vehicle and pedestrian traffic is quite low through village roads. Hence, if light remains on all night long on such roads, then there is a huge wastage of energy. This calls for solutions to reduce this energy loss in an efficient manner. There are a lot of factors which must be kept in mind while designing solutions. Many villages lack the proper infrastructure to support new technologies. Communication facilities are limited, lack of local technically skilled labor, lack of security, etc. After evaluating these opportunities and challenges, an attempt has been made to devise a smart street lighting solution tailored for remote rural areas in India. One part of the solution discusses how intensity of the LED street lights can be varied according to the ambient lighting conditions using sensors and LED switching in LED matrix. An artificial intelligence (AI) has also been modelled to identify traffic conditions using PIR sensors and object identification through image processing and independently control the lights. It also tracks the performance and status of each light. It would send this data and necessary notifications to a distant control center for human evaluation. This solution is also applicable for other rural areas throughout the world.

Designing a Mobile Training System in Rural Areas with Bayesian Factor Models

ERIC Educational Resources Information Center

Omidi Najafabadi, Maryam; Mirdamadi, Seyed Mehdi; Payandeh Najafabadi, Amir Teimour

2014-01-01

The facts that the wireless technologies (1) are more convenient; and (2) need less skill than desktop computers, play a crucial role to decrease digital gap in rural areas. This study employed the Bayesian Confirmatory Factor Analysis (CFA) to design a mobile training system in rural areas of Iran. It categorized challenges, potential, and…

Area characteristics and admission rates of people with schizophrenia and affective disorders in a German rural catchment area.

PubMed

Losert, C; Schmauß, M; Becker, T; Kilian, R

2012-12-01

Studies in urban areas identified environmental risk factors for mental illness, but little research on this topic has been performed in rural areas. Hospital admission rates were computed for 174 rural municipalities in the catchment area of the state psychiatric hospital in Günzburg in years 2006 to 2009 and combined with structural and socio-economic data. Relationships of overall and diagnosis-specific admission rates with municipality characteristics were analysed by means of negative binomial regression models. Admission rates of patients with a diagnosis of schizophrenia and affective disorder combined decrease with increasing population growth, population density, average income and green areas, while admission rates are positively correlated with commuter balance, income inequality, unemployment rates and traffic areas. Admission rates for schizophrenia are negatively related to population growth, average income and agricultural areas, but positively related to mobility index, income inequality and unemployment rate. Admission rates for affective disorders are negatively related to population growth, population density, average income and green areas, while higher admission rates are correlated with commuter balance, high income inequality, unemployment rate and traffic-related areas. Effects of wealth, economic inequality, population density and structural area characteristics influence psychiatric admission rates also in rural areas.

An Economic Analysis of the Iowa Rural Renewal Area.

ERIC Educational Resources Information Center

1970

Economic trends in the 1960's in the Iowa rural renewal area, Appanoose and Monroe counties, show that the level of economic activity increased in the area but was clearly below the level for the state. Economic trends suggest that to provide economic opportunities in the area, by 1980, comparable to those available on the average to all residents…

Teenagers in Rural Areas Faced With Organ Donation and Transplantation.

PubMed

Febrero, B; Almela, J; Ríos, A; Ros, I; Pérez-Sánchez, B; Martínez-Alarcón, L; Ruiz-Carreño, P; Ferreras, D; Ramírez, P; Parrilla, P

2018-03-01

In rural areas it is common to find unfavorable attitudes toward organ donation, and therefore it is important to find out the attitude and profile of new generations for improving predisposition to organ donation in these areas. Our objective was to analyze the attitude toward organ donation and the related variables of teenagers in a rural area. Students in the final year of compulsory education (mostly 15-16 years of age) were selected from secondary schools in a rural area in southeastern Spain (n = 319; population density <300 inhabitants/km 2 ). The instrument of measurement used was a validated psychosocial questionnaire. Completion was anonymous and self-administered. Descriptive statistical analysis, Student t test, χ 2 test, and multivariate analysis were employed. There was a completion rate of 96% (n = 306). Overall, 65% (n = 200) were in favor of donating their organs, 30% (n = 90) were undecided, and 5% (n = 16) were against. Attitude toward the donation of one's own organs was related with sex (P = .015), previous experience of organ donation or transplantation (P = .046), comment on the topic of organ donation within the family (P = .003; odds ratio 2.155), knowing one's mother's opinion about the matter (P = .021), knowing the correct concept of brain death (P = .012; odds ratio 2.076), and religion (P = .014). A favorable attitude of teenagers in rural areas toward organ donation is slightly higher than in the adult population and is determined by many psychosocial variables, above all family discussion about organ donation and transplantation and correct knowledge of the brain death concept. Copyright © 2017 Elsevier Inc. All rights reserved.

Can a deprivation index be used legitimately over both urban and rural areas?

PubMed Central

2014-01-01

Background Although widely used, area-based deprivation indices remain sensitive to urban–rural differences as such indices are usually standardised around typical urban values. There is, therefore, a need to determine to what extent available deprivation indices can be used legitimately over both urban and rural areas. Methods This study was carried out in Brittany, France, a relatively affluent region that contains deep rural areas. Among the 1,736 residential census block groups (IRIS) composing the Brittany region, 1,005 (57.9%) are rural. Four deprivation indices were calculated: two scores (Carstairs and Townsend) developed in the UK and two more recent French measures (Havard and Rey). Two standardisation levels were considered: all of the IRIS and only the urban IRIS of the region. Internal validity (Kappa coefficients and entropy values) and external validity (relationship with colorectal cancer screening [CCS] attendance) were investigated. Results Regardless of the deprivation measure used, wealthy areas are mostly clustered in the West and at the outskirts of major towns. Carstairs and Rey scores stand out by all evaluation criteria, capturing both urban and rural deprivation. High levels of agreements were found across standardisation levels (κ = 0.96). The distributions of deprivation scores were balanced across urban and rural areas, and high Shannon entropy values were observed in the capital city (≥0.93). Similar and significant negative trends were observed between CCS attendance and both deprivation indices, independent of the degree of urbanisation. Conclusions These results provide support, despite potential sociological objections, for the use of a compromise index that would facilitate comparisons and interpretations across urban and rural locations in public health research. PMID:24929662

The influences of Taiwan's National Health Insurance on women's choice of prenatal care facility: Investigation of differences between rural and non-rural areas

PubMed Central

Chen, Likwang; Chen, Chi-Liang; Yang, Wei-Chih

2008-01-01

Background Taiwan's National Health Insurance (NHI), implemented in 1995, substantially increased the number of health care facilities that can deliver free prenatal care. Because of the increase in such facilities, it is usually assumed that women would have more choices regarding prenatal care facilities and thus experience reduction in travel cost. Nevertheless, there has been no research exploring these issues in the literature. This study compares how Taiwan's NHI program may have influenced choice of prenatal care facility and perception regarding convenience in transportation for obtaining such care for women in rural and non-rural areas in Taiwan. Methods Based on data collected by a national survey conducted by Taiwan's National Health Research Institutes (NHRI) in 2000, we tried to compare how women chose prenatal care facility before and after Taiwan's National Health Insurance program was implemented. Basing our analysis on how women answered questionnaire items regarding "the type of major health care facility used and convenience of transportation to and from prenatal care facility," we investigated whether there were disparities in how women in rural and non-rural areas chose prenatal care facilities and felt about the transportation, and whether the NHI had different influences for the two groups of women. Results After NHI, women in rural areas were more likely than before to choose large hospitals for prenatal care services. For women in rural areas, the relative probability of choosing large hospitals to choosing non-hospital settings in 1998–1999 was about 6.54 times of that in 1990–1992. In contrast, no such change was found in women in non-rural areas. For a woman in a non-rural area, she was significantly more likely to perceive the transportation to and from prenatal care facilities to be very convenient between 1998 and 1999 than in the period between 1990 and 1992. No such improvement was found for women in rural areas. Conclusion We

The influences of Taiwan's National Health Insurance on women's choice of prenatal care facility: Investigation of differences between rural and non-rural areas.

PubMed

Chen, Likwang; Chen, Chi-Liang; Yang, Wei-Chih

2008-03-29

Taiwan's National Health Insurance (NHI), implemented in 1995, substantially increased the number of health care facilities that can deliver free prenatal care. Because of the increase in such facilities, it is usually assumed that women would have more choices regarding prenatal care facilities and thus experience reduction in travel cost. Nevertheless, there has been no research exploring these issues in the literature. This study compares how Taiwan's NHI program may have influenced choice of prenatal care facility and perception regarding convenience in transportation for obtaining such care for women in rural and non-rural areas in Taiwan. Based on data collected by a national survey conducted by Taiwan's National Health Research Institutes (NHRI) in 2000, we tried to compare how women chose prenatal care facility before and after Taiwan's National Health Insurance program was implemented. Basing our analysis on how women answered questionnaire items regarding "the type of major health care facility used and convenience of transportation to and from prenatal care facility," we investigated whether there were disparities in how women in rural and non-rural areas chose prenatal care facilities and felt about the transportation, and whether the NHI had different influences for the two groups of women. After NHI, women in rural areas were more likely than before to choose large hospitals for prenatal care services. For women in rural areas, the relative probability of choosing large hospitals to choosing non-hospital settings in 1998-1999 was about 6.54 times of that in 1990-1992. In contrast, no such change was found in women in non-rural areas. For a woman in a non-rural area, she was significantly more likely to perceive the transportation to and from prenatal care facilities to be very convenient between 1998 and 1999 than in the period between 1990 and 1992. No such improvement was found for women in rural areas. We concluded that women in rural areas were

Prescription opioid poisoning across urban and rural areas: identifying vulnerable groups and geographic areas.

PubMed

Cerdá, Magdalena; Gaidus, Andrew; Keyes, Katherine M; Ponicki, William; Martins, Silvia; Galea, Sandro; Gruenewald, Paul

2017-01-01

To determine (1) whether prescription opioid poisoning (PO) hospital discharges spread across space over time, (2) the locations of 'hot-spots' of PO-related hospital discharges, (3) how features of the local environment contribute to the growth in PO-related hospital discharges and (4) where each environmental feature makes the strongest contribution. Hierarchical Bayesian Poisson space-time analysis to relate annual discharges from community hospitals to postal code characteristics over 10 years. California, USA. Residents of 18 517 postal codes in California, 2001-11. Annual postal code-level counts of hospital discharges due to PO poisoning were related to postal code pharmacy density, measures of medical need for POs (i.e. rates of cancer and arthritis-related hospital discharges), economic stressors (i.e. median household income, percentage of families in poverty and the unemployment rate) and concentration of manual labor industries. PO-related hospital discharges spread from rural and suburban/exurban 'hot-spots' to urban areas. They increased more in postal codes with greater pharmacy density [rate ratio (RR) = 1.03; 95% credible interval (CI) = 1.01, 1.05], more arthritis-related hospital discharges (RR = 1.08; 95% CI = 1.06, 1.11), lower income (RR = 0.85; 95% CI = 0.83, 0.87) and more manual labor industries (RR = 1.15; 95% CI = 1.10, 1.19 for construction; RR = 1.12; 95% CI = 1.04, 1.20 for manufacturing industries). Changes in pharmacy density primarily affected PO-related discharges in urban areas, while changes in income and manual labor industries especially affected PO-related discharges in suburban/exurban and rural areas. Hospital discharge rates for prescription opioid (PO) poisoning spread from rural and suburban/exurban hot-spots to urban areas, suggesting spatial contagion. The distribution of age-related and work-place-related sources of medical need for POs in rural areas and, to a lesser extent, the availability of

Secular trends of obesity prevalence in Chinese children from 1985 to 2010: Urban-rural disparity.

PubMed

Song, Yi; Ma, Jun; Wang, Hai-Jun; Wang, Zhiqiang; Hu, Peijin; Zhang, Bing; Agard, Anette

2015-02-01

To examine the trend of urban-rural disparity in obesity prevalence among Chinese children from 1985 to 2010. The data were from five cross-sectional surveys (1985, 1995, 2000, 2005, and 2010) of Chinese National Surveys on Students' Constitution and Health. Logistic regression was used to estimate the prevalence odds ratio (POR) of urban-rural areas for obesity prevalence in different surveys. The standardized prevalence of obesity in Chinese children increased rapidly from 0.1% in 1985 to 5.0% in 2010, and significant differences were found between two adjacent surveys in most of the age subgroups (P<0.01). Although the obesity prevalence was significantly higher in urban than in rural children of all age subgroups at different survey points, the changing pace was faster in rural than in urban areas from 1995 to 2010. The PORs had increased in 1995 in most age subgroups and then began to decline in all age subgroups after 1995. The gradually decreasing urban-rural disparity suggests that the obesity prevalence in rural areas would contribute to a growing proportion of obese children. Therefore, rural children should be included in obesity prevention efforts even though obesity rates are still lower in rural than in urban areas. © 2014 The Obesity Society.

Delayed treatment of tuberculosis patients in rural areas of Yogyakarta province, Indonesia

PubMed Central

Mahendradhata, Yodi; Syahrizal, Bobby M; Utarini, Adi

2008-01-01

Background In year 2000, the entire population in Indonesia was 201 million and 57.6 percent of that was living in rural areas. This paper reports analyses that address to what extent the rural structure influence the way TB patients seek care prior to diagnosis by a DOTS facility. Methods We documented healthcare utilization pattern of smear positive TB patients prior to diagnosis and treatment by DOTS services (health centre, chest clinic, public and private hospital) in Yogyakarta province. We calculated the delay in treatment as the number of weeks between the onset of symptoms and the start of DOTS treatment. Statistical analysis was carried out with Epi Info version 3.3 (October 5, 2004). Results The only factor which was significantly associated with total delay was urban-rural setting (p = < 0.0001). The median total delay for TB patients in urban districts was 8 (1st Quartile = 4; 3rd Quartile = 12) weeks compared to 12 (1st Quartile = 7; 3rd Quartile = 23) weeks for patients in rural districts. Multivariate analysis suggested no confounding between individual factors and urban-rural setting remained as the main factor for total delay (p = < 0.0001). Primary health centre was the first choice provider for most (38.7%) of these TB patients. Urban-rural setting was also the only factor which was significantly associated with choice of first provider (p = 0.03). Conclusion Improving access to DOTS services in rural areas is an area of vital importance in aiming to make progress toward achieving TB control targets in Indonesia. PMID:19036164

A prediction of the trend of population development in urban and rural areas in China.

PubMed

Hu, Y

1998-01-01

This study predicts trends in population growth, urbanization, and age structure in China. Data were obtained from the 1990 Census. Population totaled 1.22 billion at the end of 1996. The fertility model predicts future fertility by variant and parity; parameters are provided in a table. High, medium, and low fertility variants, respectively, are based on the total regressive fertility rates (TRFR) of 2.23, 1.9, and 1.6. The medium variant assumes 2 children in rural areas. The low variant is ideal and assumes no third parity in rural areas. Urbanization means an annual average increase of 0.5% after 1996 at pace I and 0.8% at pace II. Urban population will be 57.8% of total population by 2050. Under these three variants, population size in 2000 will be 898 million in rural and 403 million in urban areas, 869 million in rural and 400 million in urban areas, and 856 million in rural and 398 million in urban areas, respectively. Population will peak at 1.7 billion in 2050, at 1.48 billion in 2033, and at 1.38 billion in 2023, respectively. During the period 2000-2020, about 10-14 million rural migrants will move to urban areas; 10 million will move thereafter. The elderly aged over 60 years will reach 7% by 2000 and 20% by 2040. Rural population will age faster than urban population. The working age population will reach 775 million in 2000, peak at 868 million in 2016, and will always be over 60% of total population. School-age population will amount to over 300 million by 2030. Young population will always be more than 25% in rural areas, which is nearly 17 percentage points higher than in urban areas.

Alzheimer's Disease in Rural Areas: Can Informal Helpers Meet the Needs?

ERIC Educational Resources Information Center

Wolk, James; And Others

1987-01-01

Examines issues and problems confronting 20 caregivers of victims of Alzheimer's disease in rural southwest Missouri and the formal and informal services they received. Suggests that coordination of formal/informal supports must be improved. Describes characteristics and incidence of Alzheimer's disease and implications for rural areas with high…

Work motivation and job satisfaction of health workers in urban and rural areas.

PubMed

Grujičić, Maja; Jovičić-Bata, Jelena; Rađen, Slavica; Novaković, Budimka; Šipetić-Grujičić, Sandra

2016-08-01

Motivated and job satisfied health professionals represent a basis of success of modern health institutions. The aim of this study was to investigate whether there was a difference in work motivation and job satisfaction between health workers in urban and rural areas in the region of Central Serbia. The study included 396 health professionals from urban setting, and 436 from a rural area, employed in four randomly selected health facilities. An anonymous questionnaire was used for data gathering. Statistical analysis was performed using χ2, Student t-test, Spearman's correlation coefficient, and logistic regression analysis. Urban health professionals were significantly more motivated and job satisfied than respondents from rural area. In relation to work motivation factors and job satisfaction of health professionals in urban and rural areas, there were no significant differences in working conditions and current equipment, and in terms of job satisfaction there were no significant differences in relation to income either. In order to increase the level of work motivation and job satisfaction of health workers in rural areas, apart from better income, they should get more assistance and support from their supervisors, and awards for good job performance; interpersonal relationships, promotion and advancement opportunities, managerial performance and cooperation at work should be improved; employment security should be provided, as well as more independence at work, with professional supervision of health workers.

Are Structural Changes in Polish Rural Areas Fostering Leisure-Time Physical Activity?

PubMed Central

Biernat, Elżbieta; Bartkiewicz, Piotr; Buchholtz, Sonia

2017-01-01

Background: In this study, we analyze the determinants of leisure-time physical activity (LTPA) of farmers and non-farmers living in rural areas. Methods: We use statistical analysis to describe urban and rural populations, as well as econometric techniques (Heckman regressions and propensity score matching) to assess the role of rural lifestyle in physical activity. Results: World Health Organization (WHO) pro-health PA (physical activity) recommendations are not met by 66% of farmers and 49% of other dwellers in rural areas. Approximately two thirds of them are completely inactive. Farmers enjoy vigorous PA (VPA), cycling and recreational walking less than their non-farming counterparts and are 46% less likely to be active than them; however the difference disappears when they take up an activity. The amount of PA is negatively correlated with age, but tends to increase for older people compared to those in middle age. Women are 6%–7% less active than men, yet the odds of being active at all are higher for women than for men. Household size is negatively correlated with LTPA. Conclusion: Considering the structural changes, rural area dwellers, especially farmers, require public intervention aimed at increasing their awareness of the advantages of LTPA. PMID:28368322

The impact of rural-exposure strategies on the intention of dental students and dental graduates to practice in rural areas: a systematic review and meta-analysis

PubMed Central

Suphanchaimat, Rapeepong; Cetthakrikul, Nisachol; Dalliston, Alexander; Putthasri, Weerasak

2016-01-01

Background and objectives The objective of this study was to assess the impact of strategies on the intention of dental students/graduates to practice in rural areas. The strategies included the recruitment of dental students from rural backgrounds and clinical rotations in rural areas during the training of dental students. Materials and methods The study undertook a systematic review and utilized meta-analysis to assess these strategies. International literature published between 2000 and 2015 was retrieved from three main search engines: Medline, Embase, and Scopus. The selected articles were scanned to extract the main content. The impact of the strategies was quantitatively assessed by meta-analysis, using the random-effect model. The pooled effect was reported in terms of odds ratios (ORs) with 95% confidence intervals. Sensitivity and subgroup analyses were performed. Publication bias was assessed by the Funnel plot and Egger’s test. Results Seven of the initially selected 897 articles were included for the full review. The majority of the selected articles had been published in developed countries. The meta-analysis results revealed that the pooled OR of rural exposure on the intention to practice in rural areas was approximately 4.1, statistically significant. Subgroup analysis showed that clinical rotations in rural areas tended to have a slightly greater influence on rural dental practice than recruiting students from rural backgrounds (OR 4.3 versus 4.2). There was weaker evidence of publication bias, which was derived from small-study effects. Conclusion Enrolling students with rural backgrounds and imposing compulsory clinical rotation in rural areas during their study appeared to be effective strategies in tackling the shortage and maldistribution of dentists in rural areas. PMID:27822134

On the transfer of the rural labor force in undeveloped areas in China.

PubMed

Deng, Y

1989-01-01

The author describes conditions in underdeveloped rural areas in China and discusses what changes need to be made to transform these areas into ones of higher productivity. Consideration is given to the surplus in and quality of the rural labor force, natural resources, types of crops grown, and government policies concerning development.

Food allergies in rural areas.

PubMed

Stoma, Monika; Ślaska-Grzywna, Beata; Żukiewicz-Sobczak, Wioletta A; Kostecka, Małgorzata; Bojanowska, Monika; Dudziak, Agnieszka; Kuna-Broniowska, Agnieszka; Adamczuk, Piotr; Sobczak, Paweł; Andrejko, Dariusz

2016-08-01

A food allergy is a group of symptoms occurring in the organism and resulting from consuming some food, where the problems are conditioned by immunological mechanisms. The symptoms may become apparent first in adulthood and they may be an initial manifestation of a latent allergy. Typical symptoms of a food allergy occur in different organs, thus not only in the digestive system, but also in the skin, respiratory system and circulatory system. To assess the frequency of food allergy onset in rural areas of the Lublin region as well as to determine which factors induce such allergies. A survey was conducted, involving the participation of 340 inhabitants of rural areas. The study monitored the knowledge and situation of the disease, concerning allergens, allergy symptoms, methods of treatment and opinions regarding such treatment. The analysis focused on 124 people with diagnosed allergies. Introducing a diet did not result in a statistically significant difference regarding elimination of the symptoms, as compared to the patients who did not follow any diet. On the other hand, pharmacological treatment causes statistically worse results than using other methods or not being treated at all. The patients in whom allergy symptoms disappeared were more convinced about the positive character of their diet than those in whom the symptoms were not eliminated. The age when the allergy becomes evident does not affect its duration, yet it matters as to the time of its later elimination. The more symptoms were experienced by a patient, the longer the duration of the allergy was.

Food allergies in rural areas

PubMed Central

Stoma, Monika; Ślaska-Grzywna, Beata; Kostecka, Małgorzata; Bojanowska, Monika; Dudziak, Agnieszka; Kuna-Broniowska, Agnieszka; Adamczuk, Piotr; Sobczak, Paweł; Andrejko, Dariusz

2016-01-01

Introduction A food allergy is a group of symptoms occurring in the organism and resulting from consuming some food, where the problems are conditioned by immunological mechanisms. The symptoms may become apparent first in adulthood and they may be an initial manifestation of a latent allergy. Typical symptoms of a food allergy occur in different organs, thus not only in the digestive system, but also in the skin, respiratory system and circulatory system. Aim To assess the frequency of food allergy onset in rural areas of the Lublin region as well as to determine which factors induce such allergies. Material and methods A survey was conducted, involving the participation of 340 inhabitants of rural areas. The study monitored the knowledge and situation of the disease, concerning allergens, allergy symptoms, methods of treatment and opinions regarding such treatment. Results The analysis focused on 124 people with diagnosed allergies. Conclusions Introducing a diet did not result in a statistically significant difference regarding elimination of the symptoms, as compared to the patients who did not follow any diet. On the other hand, pharmacological treatment causes statistically worse results than using other methods or not being treated at all. The patients in whom allergy symptoms disappeared were more convinced about the positive character of their diet than those in whom the symptoms were not eliminated. The age when the allergy becomes evident does not affect its duration, yet it matters as to the time of its later elimination. The more symptoms were experienced by a patient, the longer the duration of the allergy was. PMID:27605899

Regional Spectral Model simulations of the summertime regional climate over Taiwan and adjacent areas

Treesearch

Ching-Teng Lee; Ming-Chin Wu; Shyh-Chin Chen

2005-01-01

The National Centers for Environmental Prediction (NCEP) regional spectral model (RSM) version 97 was used to investigate the regional summertime climate over Taiwan and adjacent areas for June-July-August of 1990 through 2000. The simulated sea-level-pressure and wind fields of RSM1 with 50-km grid space are similar to the reanalysis, but the strength of the...

Quality-of life of the elderly in urban and rural areas in Serbia.

PubMed

Urosević, Jadranka; Odović, Gordana; Rapaić, Dragan; Davidović, Mladen; Trgovcević, Sanja; Milovanović, Verica

2015-11-01

The number of elderly people in the world is growing, in Serbia as well. Serbia is already among the top ten countries with the oldest population, it is the fact. Aging influences the quality of life in different ways. The aim of this study was to assess the health-related quality of life of the elderly in urban and rural areas in Serbia. The study included 100 elderly people aged 65 years and above in urban and rural areas in Serbia. The next questionnaires were used: a socio-demographic questionnaire and a Serbian version of standardized European Euro-QoL questionnaire (EQ-5D-3L), as a basic index for the assessment and description of the quality of life. In the structure of the respondents, according to the achieved social contacts (p = 0.012), the life of those with family members (p = 0.009), and health status (p = 0.000), in relation to the place of residence there was a statistically significant difference. There was a significant difference (p = 0.040), predominantly poor score for anxiety/depression within the rural population. The average value of quality of life in urban and rural areas was not statistically significant (p = 0.720). For those living in rural areas there was a statistically significant positive correlation between anxiety/depression and age, wealth status, marital status, living with family members and achieving social contacts, while a negative correlation was observed between anxiety/depression and education. On the basis of the data of our study, we can say that the presence of anxiety/depression among older people is greater in rural than in urban areas. The results of this study show that the perception of anxiety/depression among older in rural areas is bigger with the age and poverty increasing, the loss of a spouse, life without family members, lack of achievement of social contacts and lower education.

CHANGING SCHOOL NEEDS IN RURAL AREAS.

ERIC Educational Resources Information Center

RHODES, ALVIN E.

AS THE RURAL ECONOMY HAS BECOME MORE AFFECTED BY AUTOMATION, RURAL SOCIETY HAS BECOME MORE INDUSTRIAL. FARM POPULATION AND THE NUMBER OF FARMS HAVE DECREASED, WHILE NON-FARM RURAL POPULATION HAS INCREASED. THE CHANGING RURAL SCENE IS REFLECTED IN CHANGES IN RURAL EDUCATION. EDUCATIONAL OPPORTUNITIES HAVE GREATLY INCREASED DUE TO SCHOOL…

Medicaid Expansion Under the Affordable Care Act and Insurance Coverage in Rural and Urban Areas.

PubMed

Soni, Aparna; Hendryx, Michael; Simon, Kosali

2017-04-01

To analyze the differential rural-urban impacts of the Affordable Care Act Medicaid expansion on low-income childless adults' health insurance coverage. Using data from the American Community Survey years 2011-2015, we conducted a difference-in-differences regression analysis to test for changes in the probability of low-income childless adults having insurance in states that expanded Medicaid versus states that did not expand, in rural versus urban areas. Analyses employed survey weights, adjusted for covariates, and included a set of falsification tests as well as sensitivity analyses. Medicaid expansion under the Affordable Care Act increased the probability of Medicaid coverage for targeted populations in rural and urban areas, with a significantly greater increase in rural areas (P < .05), but some of these gains were offset by reductions in individual purchased insurance among rural populations (P < .01). Falsification tests showed that the insurance increases were specific to low-income childless adults, as expected, and were largely insignificant for other populations. The Medicaid expansion increased the probability of having "any insurance" for the pooled urban and rural low-income populations, and it specifically increased Medicaid coverage more in rural versus urban populations. There was some evidence that the expansion was accompanied by some shifting from individual purchased insurance to Medicaid in rural areas, and there is a need for future work to understand the implications of this shift on expenditures, access to care and utilization. © 2017 National Rural Health Association.

Area-level risk factors for adverse birth outcomes: trends in urban and rural settings.

PubMed

Kent, Shia T; McClure, Leslie A; Zaitchik, Ben F; Gohlke, Julia M

2013-06-10

Significant and persistent racial and income disparities in birth outcomes exist in the US. The analyses in this manuscript examine whether adverse birth outcome time trends and associations between area-level variables and adverse birth outcomes differ by urban-rural status. Alabama births records were merged with ZIP code-level census measures of race, poverty, and rurality. B-splines were used to determine long-term preterm birth (PTB) and low birth weight (LBW) trends by rurality. Logistic regression models were used to examine differences in the relationships between ZIP code-level percent poverty or percent African-American with either PTB or LBW. Interactions with rurality were examined. Population dense areas had higher adverse birth outcome rates compared to other regions. For LBW, the disparity between population dense and other regions increased during the 1991-2005 time period, and the magnitude of the disparity was maintained through 2010. Overall PTB and LBW rates have decreased since 2006, except within isolated rural regions. The addition of individual-level socioeconomic or race risk factors greatly attenuated these geographical disparities, but isolated rural regions maintained increased odds of adverse birth outcomes. ZIP code-level percent poverty and percent African American both had significant relationships with adverse birth outcomes. Poverty associations remained significant in the most population-dense regions when models were adjusted for individual-level risk factors. Population dense urban areas have heightened rates of adverse birth outcomes. High-poverty African American areas have higher odds of adverse birth outcomes in urban versus rural regions. These results suggest there are urban-specific social or environmental factors increasing risk for adverse birth outcomes in underserved communities. On the other hand, trends in PTBs and LBWs suggest interventions that have decreased adverse birth outcomes elsewhere may not be reaching

Area-level risk factors for adverse birth outcomes: trends in urban and rural settings

PubMed Central

2013-01-01

Background Significant and persistent racial and income disparities in birth outcomes exist in the US. The analyses in this manuscript examine whether adverse birth outcome time trends and associations between area-level variables and adverse birth outcomes differ by urban–rural status. Methods Alabama births records were merged with ZIP code-level census measures of race, poverty, and rurality. B-splines were used to determine long-term preterm birth (PTB) and low birth weight (LBW) trends by rurality. Logistic regression models were used to examine differences in the relationships between ZIP code-level percent poverty or percent African-American with either PTB or LBW. Interactions with rurality were examined. Results Population dense areas had higher adverse birth outcome rates compared to other regions. For LBW, the disparity between population dense and other regions increased during the 1991–2005 time period, and the magnitude of the disparity was maintained through 2010. Overall PTB and LBW rates have decreased since 2006, except within isolated rural regions. The addition of individual-level socioeconomic or race risk factors greatly attenuated these geographical disparities, but isolated rural regions maintained increased odds of adverse birth outcomes. ZIP code-level percent poverty and percent African American both had significant relationships with adverse birth outcomes. Poverty associations remained significant in the most population-dense regions when models were adjusted for individual-level risk factors. Conclusions Population dense urban areas have heightened rates of adverse birth outcomes. High-poverty African American areas have higher odds of adverse birth outcomes in urban versus rural regions. These results suggest there are urban-specific social or environmental factors increasing risk for adverse birth outcomes in underserved communities. On the other hand, trends in PTBs and LBWs suggest interventions that have decreased adverse

Head circumference growth reference charts of children younger than 7 years in Chinese rural areas.

PubMed

Xie, Shengnan; Shi, Junxin; Wang, Jianmin; Li, Neng; Yang, Senbei; Zhang, Jing

2014-12-01

The head circumference growth reference charts for children in China are presently based on urban children. However, the references may not apply to rural children because of the differences between urban and rural areas, such as economy, culture, and dietary habits. Our objective was to provide a reliable continuous set of head circumference growth reference charts for male and female children less than 7 years of age in Chinese rural areas. Children in our study were identified by multistage stratified cluster sampling from rural areas of 10 provinces in China. Questionnaire survey and anthropometric measurements were conducted in data collection. Head circumference was measured with a nonelastic tape on a line passing over the glabella and posterior occipital protrusion in children. We compared the fiftieth percentile of our cross-sectional data with the data of Chinese cities, World Health Organization, and the United States. A total of 95,904 children (48,722 boys and 47,182 girls) were included in the study. We present age- and sex-appropriate head circumference growth charts younger than 7 years for Chinese rural areas. The head circumference percentiles of the children in rural China are much smaller than the children in Chinese urban areas, World Health Organization, and the US percentiles after 2 years old. Head circumference percentiles can be applied in growth monitoring, but current head circumference growth references promulgated in urban China may not be suitable for rural areas in China. Providing head circumference growth reference charts for rural Chinese children who are younger than 7 years old is very important. Copyright © 2014 Elsevier Inc. All rights reserved.

Community-based stroke system of care for Chinese rural areas.

PubMed

He, Mingli; Wang, Jin'e; Gong, Ling; Dong, Qing; Ji, Niu; Xing, Houxun; Zhou, Yuan; Qin, Sizhou; Wang, Huizheng; Zhang, Huamin; Hui, Rutai; Wang, Yibo

2014-08-01

Stroke system of care plays key roles both in providing effective therapies and in improving the overall outcome of patients with stroke. Our purpose was to develop and evaluate the system in Chinese rural areas. A stroke system of care was developed from November 2009 to November 2010 in 3 townships in Ganyu County. An additional 3 matched townships were invited as controls. We first investigated stroke management in these townships and then implemented stroke system of care and an education campaign in the 3 intervention townships. The effectiveness of the system was then evaluated. There were 1036 patients with new stroke among 344 345 subjects in the 6 rural communities. The incidence of stroke in the rural areas was 301/100 000, and the mortality rate was 55/100 000. The proportions significantly increased in the intervention communities after the implementation of the stroke system of care and education campaign when compared with the control communities, including patients presenting at rural hospitals within 3 hours of symptom onset (13.6% versus 8.7%; P=0.017), diagnosed by computed tomographic scanning within 24 hours of admission (65.3% versus 58.5%; P=0.034), and received thrombolytic treatment (3.9% versus 1.7%; P=0.038). During the 1-year follow-up, 32 (6.5%) patients with stroke in the intervention communities and 48 (10.1%) in the control communities died. The disability rate of stroke was significantly reduced in the intervention communities at postintervention (38.4% versus 48.1%; P=0.001). A stroke system of care would be reliable and practical in Chinese rural areas. http://www.chictr.org. Unique identifier: ChiCTR-RCH-13003408. © 2014 American Heart Association, Inc.

Factors influencing motivation and retention of primary healthcare workers in the rural areas of Oyo State, Nigeria.

PubMed

Jegede, Ayodele S; Adejumo, Prisca; Ushie, Boniface Ayanbekongshie

2013-01-01

Limited data exist on retention of primary healthcare (PHC) staff in rural areas, crippling the already fragile healthcare systems in Nigeria. This study investigated why PHC staff would or would not want to work in rural areas and how they could be retained. Four hundred and twelve (412) health workers and caregivers, and 21 key informants were interviewed in Ona-Ara LGA. Logistic regression statistics was used to analyse quantitative data and narrative for qualitative data. There was no significant factor influencing health workers' unwillingness to work in rural areas and, relationship between their demographic characteristics and perceived reasons to do so. Combined factors influencing PHC workers' willingness to work in rural areas influenced use of PHC. Financial and non-financial incentives are responsible for workers' motivation to work in rural areas. The mal-distribution of health facilities and health workers between urban and rural areas must be addressed. Copyright © 2013 Longwoods Publishing.

Economic Development for Small Communities and Rural Areas.

ERIC Educational Resources Information Center

Phillips, Phillip D.

This book is designed to provide an introductory understanding of challenges, goals, processes, and procedures for economic developers, particularly economic development volunteers, in rural areas and small towns. Chapter 1 defines economic development and basic terms. Chapter 2 describes major economic, social, and demographic trends that…

Comparison between motorcyclist’ violation behavior and accidents in urban and rural area in Indonesia: A comparative study

NASA Astrophysics Data System (ADS)

Rahmawati, N.; Widyanti, A.

2017-12-01

Some studies stated that the main factor related to the accident was driving behavior. This study aims to explore the differences between motorcyclist” behaviour and repetitive violation behaviour in two different area, urban and rural area in Indonesia. Respondents were selected based on convenience sampling method in Bandung as a representative of urban area and Kulon Progo as a representative of rural area. They were asked to fill in a questionnaire about driving behaviour, consists of 10 dimensions or 51 questions with Likert scales ranging from 1 (very often) to 6 (never). The results of this study shows that the motorcyclists’ behavior differ significantly between rural and urban area. Motorcyclists in the urban area (Bandung) are more committed to violations than in rural area (Kulon Progo). This result is not in line with previous studies in Australia and United States which stated that motorcyclists in rural area more frequently speeding than in urban area. Implications of the result are discussed.

Comparative Research on Human Settlements in Asian Rural Areas Based on Collaborative Construction Mechanism

NASA Astrophysics Data System (ADS)

Xin, Sui; Chaoyang, Sun; Mo, Li

2018-02-01

Rural planning is perceived as a spatial planning centered on the human settlements and there are many activities for rural reconstruction and researches conducted from the perspective of active intervention, with fewer studies regarding the village as the main body for the establishment of self-built system. And the other-organization built by the rural areas is strongly oriented. In Asian countries like China, South Korea and Japan, there are farming traditions, in which the familial and small-scale farmland holding and agricultural production mode are deep-rooted. Traditional agriculture and rural areas are not fundamentally changed by industrialization and modernization process. And the small-scale peasant in the East is marked by the decentralized possession of farmland and management in the rural areas and a large number of farmers to be remained. But the rural population keeps decreasing. After analyzing the status quo of human settlements in China, Korea and Japan, the paper makes an analysis from the different ways of thinking and professional perspective and focuses on putting forward the solutions to the problems on macro level, with the feasibility of the practical significance and the landing researches still staying in the testing stage. In the context of increasingly missing regional and contextual features, the launching and researches of “co-constructed community” as the folk protection way to emerging rural heritage are just started, and the researches on rural construction in Northeast China from the perspective of catalyst are absent. The contact agent with the catalytic action mechanism of seeing big things through small ones fits the rural areas marked by vast territory and diversified aspect, which is applicable to the bottom-up operation mechanism autonomously built by the villagers.

50 CFR Figure 5 to Subpart E of... - Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas

Code of Federal Regulations, 2013 CFR

2013-10-01

... 50 Wildlife and Fisheries 11 2013-10-01 2013-10-01 false Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas 5 Figure 5 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS Pacific Halibut Fisheries Pt. 300, Subpt. E, Fig. 5 Figure 5 to Subpart E of Part 30...

50 CFR Figure 5 to Subpart E of... - Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas

Code of Federal Regulations, 2014 CFR

2014-10-01

... 50 Wildlife and Fisheries 11 2014-10-01 2014-10-01 false Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas 5 Figure 5 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS Pacific Halibut Fisheries Pt. 300, Subpt. E, Fig. 5 Figure 5 to Subpart E of Part 30...

50 CFR Figure 5 to Subpart E of... - Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas

Code of Federal Regulations, 2012 CFR

2012-10-01

... 50 Wildlife and Fisheries 11 2012-10-01 2012-10-01 false Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas 5 Figure 5 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS Pacific Halibut Fisheries Pt. 300, Subpt. E, Fig. 5 Figure 5 to Subpart E of Part 30...

50 CFR Figure 5 to Subpart E of... - Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas 5 Figure 5 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS Pacific Halibut Fisheries Pt. 300, Subpt. E, Fig. 5 Figure 5 to Subpart E of Part 300...

50 CFR Figure 5 to Subpart E of... - Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas

Code of Federal Regulations, 2011 CFR

2011-10-01

... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false Anchorage, Matanuska-Susitna, and Kenai Rural and Non-Rural Areas 5 Figure 5 to Subpart E of Part 300 Wildlife and Fisheries INTERNATIONAL FISHING AND RELATED ACTIVITIES INTERNATIONAL FISHERIES REGULATIONS Pacific Halibut Fisheries Pt. 300, Subpt. E, Fig. 5 Figure 5 to Subpart E of Part 300...

[Use of emergency departments in rural and urban areas in Spain].

PubMed

Sarría-Santamera, A; Prado-Galbarro, J; Ramallo-Farina, Y; Quintana-Díaz, M; Martínez-Virto, A; Serrano-Aguilar, P

2015-03-01

Describe the use of emergency departments (ED), and analyse the differences in use between residents in rural and urban areas. Using data from the National Health Survey of 2006 and 2011, the profiles of patients with ED visits by population size of place of residence were obtained. The variables associated with making one visit to the ED were also evaluated, in order to determine the effect of the population size of place of residence. A higher use of ED is observed in persons with a higher frequency of use of Primary Care and hospital admissions, and increases with worse self-perceived health and functional status, with more chronic diseases, in people from lower social classes, and younger ages. Adjusting for the other variables, residents in larger cities have a higher use of ED than residents in rural areas, who show a higher use of public and non-hospital based ED, than residents in urban areas. There is a higher use of ED by inhabitants of urban areas that cannot be justified by a worst health status of that population. This tends to indicate that the use of ED is not under-used in rural areas, but overused in urban areas. Copyright © 2013 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

[Malnutrition and cognitive development if infants in rural marginalized areas in Mexico].

PubMed

Carrasco Quintero, María Del Refugio; Ortiz Hernández, Luis; Roldán Amaro, José Antonio; Chávez Villasana, Adolfo

2016-01-01

To analyze the relationship between nutritional status measured by anthropometry and the mental, psychomotor and language development of infants in marginalized rural areas of Mexico. Cross-sectional study with 576 infants aged from 7 to 26 months in four rural locations. Variables consisted of measures of anthropometric and cognitive development. Infants with short stature had a lower rate of language development, while birth weight was marginally associated with psychomotor development. Although acute malnutrition (identified by underweight) is no longer a problem in rural areas of Mexico, chronic malnutrition (expressed as stunting) is still common and is associated with alterations in mental development in the child population. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

Using e-Health to Enable Culturally Appropriate Mental Healthcare in Rural Areas

PubMed Central

Marks, Shayna; Hilty, Don; Shore, Jay H.

2008-01-01

Abstract The objective of this study was to review relevant research issues in the provision of culturally appropriate e-mental healthcare and make recommendations for expanding and prioritizing research efforts in this area. A workshop was convened by the Office of Rural Mental Health Research (ORMHR) at the National Institute of Mental Health (NIMH), the Center for Reducing Health Disparities at the University of California, Davis, the California Telemedicine and e-Health Center, and the California Endowment in December 2005, during which papers were presented concerning culture and e-mental health. Relevant literature was reviewed and research questions were developed. Major issues in the provision of culturally appropriate e-mental healthcare were defined, as were the barriers to the provision of such care in rural areas and interventions to overcome these barriers. Rural areas have increased barriers to culturally appropriate mental healthcare because of increased rates of poverty, increasingly large ethnic minority populations, and various degrees of geographical isolation and cultural factors specific to rural communities. Although culture and language are major barriers to receiving appropriate mental healthcare, including e-mental healthcare, they cannot be separated from other related influential variables, such as poverty and geography. Each of these critical issues must be taken into account when planning technologically enabled rural mental health services. This review describes one in a series of ORMHR/NIMH efforts aimed at stimulating research using culturally appropriate e-mental health strategies that address unique characteristics of various racial/ethnic groups, as well as rural and frontier populations. PMID:18578685

Study of working experience in remote rural areas after medical graduation.

PubMed

Thapa, K R; Shrestha, B K; Bhattarai, M D

2014-01-01

Posting of doctors in remote rural areas has always been a priority for Government; however data are scarce in the country about experience of doctors of working in remote areas after medical graduation. A questionnaire survey of doctors was planned to analyze their experience of working after graduation in remote rural areas in various parts of the country. The cross-sectional survey was done by convenience sampling method. A one-page questionnaire with one partially closed-end and five open-end type questions was distributed to the doctors who had worked in remote rural areas after graduation under various governments' postings. Two-third of participants had their home in urban areas and 89.8% had stayed for 1 to 5 years. About half of the participants had difficulty in getting the posting in the remote areas of their choice. Most participants indicated provision of opportunities for Residential (postgraduate) Training as their reasons of going to remote areas as well as their suggestions to encourage young graduates to go there. Similarly most also suggested appropriate career, salary and incentives to encourage doctors to go to work in remote areas. About 85% of participants pointed out the major problem faced while posted in remote areas as difficulty in handling varied situations with no guidance or seniors available around. The notable points indicated by the participants are centered on the opportunity for Residential Training and difficulties faced without such training. Residential Training is a priority to be considered while planning the health policy for optimum health care of people.

Frailty Among Elderly Adults in a Rural Area of Turkey

PubMed Central

Çakmur, Hülya

2015-01-01

Background The elderly population is growing in Turkey, as it is worldwide. The average age of residents in rural areas of Turkey is relatively high and is gradually increasing. The purpose of this study is to summarize the fitness and frailty of elderly adults living in a rural area of Turkey characterized by a relatively low level of socioeconomic development. Material/Methods This study was designed as a prospective, cross-sectional study, and was conducted in a rural area of Kars Province. A total of 168 elderly adults (≥65 years old) from 12 central villages were included in the study. The Fried Frailty Criteria was used to assess the frailty of the participants. In addition to frailty, the physical, social, and mental status of elderly adults was examined. Results The prevalence of frailty in this rural area of Turkey was 7.1%. The study group ranged in age from 65 to 96 years (mean 72.70±7.73 years), and 53.6% were female. Among the elderly adult group, 84.3% had not completed elementary school, and 43.29% had a monthly income of ≤500 Turkish liras ($200). No significant relationship was identified between gender and frailty. There was a statistically significant relationship between frailty and older age, lower education level, lower economic level, co-morbidities, polypharmacy, diabetes, chronic obstructive pulmonary disease, gastric disease, arthritis, generalized pain, benign prostatic hyperplasia, urinary incontinence, auditory impairment, impaired oral care, caregiver burden, impaired cognitive function, depression, or a lack of social support (social isolation). Conclusions It is believed that this study will contribute considerably to understanding the health status and needs of elderly adults in Turkey and the health problems of this population as well as to planning the development of public health and geriatric services based on regional needs. PMID:25925800

Aging and quality of life of elderly people in rural areas.

PubMed

Garbaccio, Juliana Ladeira; Tonaco, Luís Antônio Batista; Estêvão, Wilson Goulart; Barcelos, Bárbara Jacome

2018-01-01

To evaluate the quality of life and health of elderly in rural areas of Minas Gerais State's center-west. Cross-sectional study, in four municipalities of Minas Gerais State, by interviewing elderly people. Associations between socio-demographic and quality of life variables were tested, separated into "satisfactory"/"unsatisfactory" with values from the median of positive answers. It was used the chi-square test, Fisher's test and regression. 182 elderly answered the questions and showed a relation with the "satisfactory" quality of life - bivariate (p < 0.05): age by 69 years (61.6%), married (61.7%), living by 54 years in rural areas (68%), with no financial support (59.5%), living with someone else (61%), non-smoker (60%), presenting good health (76.7%), satisfied with life (69.6%); regression: not having financial support, living with someone else and not smoking. Elderly people in rural areas present good quality of life/health in the cognitive aspect, access to services, goods, habits, but awareness must be constant due to their weakness.

[Healthy habits and osteoporosis prevention in perimenopausal women from rural areas].

PubMed

Pérez-Fernández, M Reyes; Almazán Ortega, Raquel; Martínez Portela, José M; Alves Pérez, M Teresa; Segura-Iglesias, M Carmen; Pérez-Fernández, Román

2014-01-01

The probability of developing osteoporosis decreases with an adequate supply of vitamin D, a balanced diet, and increased physical activity. In this study, we evaluated whether an educational intervention improves osteoporosis-related behavior in perimenopausal women from rural areas. A randomized experimental evaluation was performed of an educational intervention. The variables were physical activity, calcium intake and sun exposure in women from rural areas aged 45-54 years (n=216) at time 0 and 12 months after the educational intervention. In the control group (n=106), the information was sent by surface mail (month 0). In the intervention group (n=110), two interactive workshops were given (month 0). The topic of the workshops and the information sent by surface mail was healthy habits for osteoporosis prevention. After 12 months, the intervention group, but not the control group, had increased their physical activity (p=0.006), sun exposure (p=0.029), and calcium intake (53% to 64%). A simple educational intervention in perimenopausal women from rural areas improved healthy habits for osteoporosis prevention. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

Effect of difference in occlusal contact area of mandibular free-end edentulous area implants on periodontal mechanosensitive threshold of adjacent premolars.

PubMed

Terauchi, Rie; Arai, Korenori; Tanaka, Masahiro; Kawazoe, Takayoshi; Baba, Shunsuke

2015-01-01

Implant treatment is believed to cause minimal invasion of remaining teeth. However, few studies have examined teeth adjacent to an implant region. Therefore, this study investigated the effect of occlusal contact size of implants on the periodontal mechanosensitive threshold of adjacent premolars. A cross-sectional study design was adopted. The Department of Oral Implantology, Osaka Dental University, was the setting where patients underwent implant treatment in the mandibular free-end edentulous area. The study population comprised of 87 patients (109 teeth) who underwent follow-up observation for at least 3 years following implant superstructure placement. As variables, age, sex, duration following superstructure placement, presence or absence of dental pulp, occlusal contact area, and periodontal mechanosensitive threshold were considered. The occlusal contact area was measured using Blue Silicone(®)and Bite Eye BE-I(®). Periodontal mechanosensitive threshold were measured using von Frey hair. As quantitative variables for periodontal mechanosensitive threshold, we divided subjects into two groups: normal (≤5 g) and high (≥5.1 g). For statistical analysis, we compared the two groups for the sensation thresholds using the Chi square test for categorical data and the Mann-Whitney U test for continuous volume data. For variables in which a significant difference was noted, we calculated the odds ratio (95 % confidence interval) and the effective dose. There were 93 teeth in the normal group and 16 teeth in the high group based on periodontal mechanosensitive threshold. Comparison of the two groups indicated no significant differences associated with age, sex, duration following superstructure placement, or presence or absence of dental pulp. A significant difference was noted with regard to occlusal contact area, with several high group subjects belonging to the small contact group (odds ratio: 4.75 [1.42-15.87]; effective dose: 0.29). The results of

Changing community health service delivery in economically less-developed rural areas in China: impact on service use and satisfaction

PubMed Central

Liu, Yong; Yuan, Zhaokang; Liu, Yuxi; Jayasinghe, Upali W; Harris, Mark F

2014-01-01

Objective To evaluate the impact of a model of rural community health service (CHS) on the use and acceptability of primary healthcare services. Design Quasi-experimental. Setting Two adjacent rural counties in China. Participants 5842 residents in 2009 and 3807 in 2010 from 980 households in 7 intervention townships and 49 villages; 2232 residents in 2009 and 2315 in 2010 from 628 households in 3 comparison townships and 9 villages. All residents were approached to participate, with no significant differences in age or sex between groups. Intervention Multilevel intervention in 2009 including training rural practitioners, encouraging clinic improvements, providing clinical guidelines, standards and subsidies. Data collection Surveys of community members from randomly sampled households in 2009 and 2010. Primary outcome measures Satisfaction with and utilisation of outpatient and public health services. Analysis Factor analysis confirmed two components of satisfaction. Univariate and multilevel analysis was used. Results Satisfaction scores for intervention county respondents increased from 21.4 (95% CI 21.1 to 21.7) to 22.1 (95% CI 21.7 to 22.4) with no change in comparison area. In multilevel analysis, satisfaction with patient-centred care was associated with chronic disease, shorter waiting times and county. Satisfaction with clinic environment and cost was associated with female gender, shorter waiting times but not county. The proportion of children receiving immunisation in intervention village clinics increased from 42.5% (95% CI 27.9% to 47.1%) to 59.2% (95% CI 53.8% to 64.6%) whereas this decreased in comparison villages (16.5%; 95% CI 10.3% to 22.7% to 6.0%; 95% CI 1.3% to 10.7%). Antenatal visits increased in intervention villages (from 69.0%, 95% CI 65.8% to 73.1% to 75.8%, 95% CI 72.2% to 79.4%) with no change in comparison villages. Conclusions Introduction of a CHS model adapted to economically less-developed rural areas was associated with some

Finding strategies to improve pedestrian safety in rural areas

DOT National Transportation Integrated Search

2001-10-11

This paper is based upon an analysis of collisions involving pedestrians in rural areas and proposes ways of preventing them. Pedestrian and vehicle volumes were counted and crash numbers predicted and compared to outcomes in varying environments. It...

Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics.

PubMed

Gruca, Thomas S; Pyo, Tae-Hyung; Nelson, Gregory C

2016-06-30

Workforce experts predict a future shortage of cardiologists that is expected to impact rural areas more severely than urban areas. However, there is little research on how rural patients are currently served through clinical outreach. This study examines the impact of cardiology outreach in Iowa, a state with a large rural population, on participating cardiologists and on patient access. Outreach clinics are tracked annually in the Office of Statewide Clinical Education Programs Visiting Medical Consultant Database (University of Iowa Carver College of Medicine). Data from 2014 were analyzed. In 2014, an estimated 5460 visiting consultant clinic days were provided in 96 predominantly rural cities by 167 cardiologists from Iowa and adjoining states. Forty-five percent of Iowa cardiologists participated in rural outreach. Visiting cardiologists from Iowa and adjoining states drive an estimated 45 000 miles per month. Because of monthly outreach clinics, the average driving time to the nearest cardiologist falls from 42.2±20.0 to 14.7±11.0 minutes for rural Iowans. Cardiology outreach improves geographic access to office-based cardiology care for more than 1 million Iowans out of a total population of 3 million. Direct travel costs and opportunity costs associated with physician travel are estimated to be more than $2.1 million per year. Cardiologists in Iowa and adjoining states have expanded access to office-based cardiology care from 18 to 89 of the 99 counties in Iowa. In these 71 counties without a full-time cardiologist, visiting consultant clinics can accommodate more than 50% of office visits in the patients' home county. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

Hospitals in rural or remote areas: An exploratory review of policies in 8 high-income countries.

PubMed

Rechel, Bernd; Džakula, Aleksandar; Duran, Antonio; Fattore, Giovanni; Edwards, Nigel; Grignon, Michel; Haas, Marion; Habicht, Triin; Marchildon, Gregory P; Moreno, Antonio; Ricciardi, Walter; Vaughan, Louella; Smith, Tina Anderson

2016-07-01

Our study reviewed policies in 8 high-income countries (Australia, Canada, United States, Italy, Spain, United Kingdom, Croatia and Estonia) in Europe, Australasia and North America with regard to hospitals in rural or remote areas. We explored whether any specific policies on hospitals in rural or remote areas are in place, and, if not, how countries made sure that the population in remote or rural areas has access to acute inpatient services. We found that only one of the eight countries (Italy) had drawn up a national policy on hospitals in rural or remote areas. In the United States, although there is no singular comprehensive national plan or vision, federal levers have been used to promote access in rural or remote areas and provide context for state and local policy decisions. In Australia and Canada, intermittent policies have been developed at the sub-national level of states and provinces respectively. In those countries where access to hospital services in rural or remote areas is a concern, common challenges can be identified, including the financial sustainability of services, the importance of medical education and telemedicine and the provision of quick transport to more specialized services. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Relationship between area-level socioeconomic characteristics and outdoor NO2 concentrations in rural and urban areas of northern Spain.

PubMed

Fernández-Somoano, Ana; Hoek, Gerard; Tardon, Adonina

2013-01-25

Socioeconomic variables are associated with mortality and morbidity in a variety of diseases at both the individual and neighborhood level. Investigating whether low socioeconomic status populations are exposed to higher air pollution has been an important objective for the scientific community during the last decade. The goal of this study was to analyze the associations between outdoor nitrogen dioxide (NO2) concentrations in an area of Asturias (Spain) and two socioeconomic indexes-one based on occupation and the other on educational level at the census-tract level. A map of NO2 concentration was obtained from a land-use regression model. To obtain a census-tract average value, NO2 was estimated at the centroids of all 50 × 50 grids within a census tract. Standard socioeconomic variables were used from the Census of Population and Housing 2001. We analyzed the association between NO2 concentration and socioeconomic indicators for the entire area and stratified for more urban and more rural areas. A positive linear relationship was found between the levels of education and NO2 exposure in the urban area and the overall study area, but no association was found in the rural area. A positive association between socioeconomic index based upon occupation and NO2 concentration was found in urban areas; however, this association was reversed in the rural and overall study areas. The strength and direction of the association between socioeconomic status and NO2 concentration depended on the socioeconomic indicator used and the characteristics of the study area (urban, rural). More research is needed with different scenarios to clarify the uncertain relationship among socioeconomic indexes, particularly in non-urban areas, where little has been documented on this topic.

Relationship between area-level socioeconomic characteristics and outdoor NO2 concentrations in rural and urban areas of northern Spain

PubMed Central

2013-01-01

Background Socioeconomic variables are associated with mortality and morbidity in a variety of diseases at both the individual and neighborhood level. Investigating whether low socioeconomic status populations are exposed to higher air pollution has been an important objective for the scientific community during the last decade. The goal of this study was to analyze the associations between outdoor nitrogen dioxide (NO2) concentrations in an area of Asturias (Spain) and two socioeconomic indexes—one based on occupation and the other on educational level—at the census-tract level. Methods A map of NO2 concentration was obtained from a land-use regression model. To obtain a census-tract average value, NO2 was estimated at the centroids of all 50 × 50 m grids within a census tract. Standard socioeconomic variables were used from the Census of Population and Housing 2001. We analyzed the association between NO2 concentration and socioeconomic indicators for the entire area and stratified for more urban and more rural areas. Results A positive linear relationship was found between the levels of education and NO2 exposure in the urban area and the overall study area, but no association was found in the rural area. A positive association between socioeconomic index based upon occupation and NO2 concentration was found in urban areas; however, this association was reversed in the rural and overall study areas. Conclusions The strength and direction of the association between socioeconomic status and NO2 concentration depended on the socioeconomic indicator used and the characteristics of the study area (urban, rural). More research is needed with different scenarios to clarify the uncertain relationship among socioeconomic indexes, particularly in non-urban areas, where little has been documented on this topic. PMID:23351567

33 CFR 334.1050 - Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of...

Code of Federal Regulations, 2011 CFR

2011-07-01

... the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. 334..., DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1050 Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. (a...

33 CFR 334.1050 - Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of...

Code of Federal Regulations, 2014 CFR

2014-07-01

... the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. 334..., DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1050 Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. (a...

33 CFR 334.1050 - Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of...

Code of Federal Regulations, 2010 CFR

2010-07-01

... the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. 334..., DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1050 Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. (a...

33 CFR 334.1050 - Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of...

Code of Federal Regulations, 2012 CFR

2012-07-01

... the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. 334..., DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1050 Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. (a...

33 CFR 334.1050 - Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of...

Code of Federal Regulations, 2013 CFR

2013-07-01

... the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. 334..., DEPARTMENT OF DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.1050 Oakland Outer Harbor adjacent to the Military Ocean Terminal, Bay Area, Pier No. 8 (Port of Oakland Berth No. 10); restricted area. (a...

Educational Planning Methodology for the Integrated Development of Rural Areas. Reports Studies... S.83.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Paris (France).

A summary of educational planning methodologies tested in Argentina, Guatemala, Brazil, Ecuador, and Bolivia, the document offers opinions and proposals about integrated rural development. Integrated rural development is seen as a social, economic, political, and cultural process in rural areas, designed to improve living conditions. Chapters…

Measuring the equity of inpatient utilization in Chinese rural areas

PubMed Central

2011-01-01

Background As an important outcome of the health system, equity in health service utilization has attracted an increasing amount of attention in the literature on health reform in China in recent years. The poor, who frequently require more services, are often the least able to pay, while the wealthy utilize disproportionately more services although they have less need. Whereas equity in health service utilization between richer and poorer populations has been studied in urban areas, the equity in health service utilization in rural areas has received little attention. With improving levels of economic development, the introduction of health insurance and increasing costs of health services, health service utilization patterns have changed dramatically in rural areas in recent years. However, previous studies have shown neither the extent of utilization inequity, nor which factors are associated with utilization inequity in rural China. Methods This paper uses previously unavailable country-wide data and focuses on income-related inequity of inpatient utilization and its determinants in Chinese rural areas. The data for this study come from the Chinese National Health Services Surveys (NHSS) conducted in 2003 and 2008. To measure the level of inequity in inpatient utilization over time, the concentration index, decomposition of the concentration index, and decomposition of change in the concentration index are employed. Results This study finds that even with the same need for inpatient services, richer individuals utilize more inpatient services than poorer individuals. Income is the principal determinant of this pro-rich inpatient utilization inequity- wealthier individuals are able to pay for more services and therefore use more services regardless of need. However, rising income and increased health insurance coverage have reduced the inequity in inpatient utilization in spite of increasing inpatient prices. Conclusions There remains a strong pro-rich inequity

Evaluation of the ADOT small area transportation studies and planning assistance for rural areas programs.

DOT National Transportation Integrated Search

2014-03-01

The Planning Assistance for Rural Areas (PARA) program, sponsored by the Arizona Department of Transportations : (ADOT) Multimodal Planning Division (MPD), dedicates funding and staff to conduct multimodal transportation planning : studies for loc...

49 CFR 195.12 - What requirements apply to low-stress pipelines in rural areas?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 3 2011-10-01 2011-10-01 false What requirements apply to low-stress pipelines in... low-stress pipelines in rural areas? (a) General. This Section sets forth the requirements for each category of low-stress pipeline in a rural area set forth in paragraph (b) of this Section. This Section...

The Physician Pipeline to Rural and Underserved Areas in Pennsylvania

ERIC Educational Resources Information Center

Schwartz, Myron R.

2008-01-01

Context: An implicit objective of a state's investments in medical education is to promote in-state practice of state educated physicians. Purpose: To present a tool for evaluating this objective by analyzing the "pipeline" from medical education to patient care, primary care, rural areas, and underserved areas in Pennsylvania. Methods:…

Disparities in the access to primary healthcare in rural areas from the county of Iasi - Romania.

PubMed

Duma, Olga-Odetta; Roşu, Solange Tamara; Manole, M; Petrariu, F D; Constantin, Brânduşa

2014-01-01

To identify the factors that may conduct to various forms of social exclusion of the population from the primary healthcare and to analyze health disparities as population-specific differences in the access to primary healthcare in rural compared to urban residence areas from Iasi, the second biggest county, situated in the North--East region of Romania. This research is a type of inquiry-based opinion survey of the access to primary healthcare in rural compared to urban areas of the county of Iasi. Data were collected by face-to-face interviews. There were taken into account the socioeconomic status (education level in the adult population, employment status, family income, household size) and two temporal variables (the interval of time spent to arrive at the primary healthcare office as a marker for the geographical access and the waiting time for a consultation). The study group consisted of two samples, from rural and urban area, each of 150 patients, all ages, randomly selected, who were waiting at the family doctor's practice. The study has identified disparities related to a poor economic status assessed through the employed status ("not working" 15% in urban and of 20% in rural).The income calculated per member of family and divided in terciles has recorded significant differences for "high" (36.7% urban and 14.7% rural) and "low", respectively (14.6% urban and 56.6% rural). High household size with more than five members represented 22.6% of the total subjects in rural and 15.3% in urban areas. The assessment of the education level in the adult population (> 18 years) revealed that in the rural areas more than a half (56%) of the sample is placed in the category primary and secondary incomplete, whereas the value for secondary complete and postsecondary was 37.3%. The proportion of respondents in the urban areas who have post-secondary education is five times higher than those in rural areas (15.4% vs. 2.7%). The reduced geographical access assessed as

Factors influencing medical students' motivation to practise in rural areas in low-income and middle-income countries: a systematic review

PubMed Central

Zwanikken, Prisca A C; Pokharel, Paras K; Scherpbier, Albert J

2017-01-01

Objectives There is a shortage of doctors working in rural areas all over the world, especially in low-income and middle-income countries. The choice to practise medicine in a rural area is influenced by many factors. Motivation developed as a medical student is one key determinant of this choice. This study explores influences on medical students' motivation to practise in rural areas of low-income and middle-income countries following graduation. Design A systematic review was conducted to identify influences on medical students' motivation to work in rural areas in low-income and middle-income countries. Papers reporting influences on motivation were included, and content analysis was conducted to select the articles. Articles not published in English were excluded from this review. Results A rural background (ie, being brought up in a rural area), training in rural areas with a community-based curriculum, early exposure to the community during medical training and rural location of medical school motivate medical students to work in rural areas. Perceived lack of infrastructure, high workload, poor hospital management and isolation are among the health facility factors that demotivate medical students for medical practice in rural areas. Conclusions Medical school selection criteria focusing on a rural background factor and medical education curriculum focusing on rural area are more relevant factors in low-income and middle-income countries. The factors identified in this review may assist the planners, medical educators and policymakers in low-income and middle-income countries in designing relevant interventions to positively influence rural choices where the shortage of rural physicians is an ongoing and increasing concern. PMID:28232465

Youth Restiveness in Niger Delta rural areas: Lesson for .Contemporary Nigerian Society

NASA Astrophysics Data System (ADS)

Nlerum, F. E.

2012-12-01

This study reviewed the youth restiveness in Niger Delta rural areas as lesson for the contemporary Nigerian society. The study was based on secondary sources of information. The study identified youths in the area as people between the ages of 15 ñ 40 years. Youths possess viable characteristics for rural development which if mismanaged results into restiveness. The study showed that the primary causes of youth restiveness in the area were proliferation of arms, misuse of the military to suppress protests, misappropriation of benefits from crude oil, youth unemployment and environmental degradation. Consequences of youth restiveness among others included loss of life and properties, rural-urban migration of the farm families, breeding defective future leaders, disruption of oil and gas activities and food insecurity. In order to eradicate youth restiveness, the contemporary Nigeria society should check the rate of arm proliferation, misuse of the military to suppress youth protests, misappropriation of benefits accruing to the communities, youth unemployment and environmental degradation.

Population Migration in Rural Areas, January 1979-December 1988. Quick Bibliography Series.

ERIC Educational Resources Information Center

La Caille John, Patricia, Comp.

This bibliography consists of 87 entries of materials related to population trends in rural and nonmetropolitan areas. This collection is the result of a computerized search of the AGRICOLA database. The bibliography covers topics of rural population change, migration and migrants, farm labor supplies and social conditions, and different patterns…

The Periphery of Care: Emergency Services for Homeless People in Rural Areas

ERIC Educational Resources Information Center

Cloke, Paul; Johnsen, Sarah; May, Jon

2007-01-01

Until recently, homelessness in rural areas has received little recognition because of overwhelming assumptions about the urban-centeredness of homeless people and their needs. This paper seeks to build on recent research that has begun to uncover some of the problems and characteristics of rural homelessness, by suggesting two significant…

Ground-water resources of southern Tangipahoa Parish and adjacent areas, Louisiana

USGS Publications Warehouse

Rapp, T.R.

1994-01-01

Groundwater resources in southern Tangipahoa Parish and adjacent areas were studied to determine their potential for development as an alternative to the Mississippi River as a water-supply source for Jefferson Parish. Eight major aquifers consisting of thick sand units that underlie the study area are, in descending order: (1) shallow, (2) upper Ponchatoula, (3) lower Ponchatoula, (4) Abita, (5) Covington, (6) Tchefuncta, (7) Hammond, and (8) Amite. A fault zone, referred to as the Baton Rouge fault, crosses southern Tangipahoa Parish. Analyses of geophysical logs indicated that the deep aquifers south of the fault zone had been displaced from 350 to 400 feet, and that the deeper aquifers were not in hydraulic connection with the flow system north of the fault. The groundwater resources of southeastern Louisiana are immense and the quality of groundwater in Tangipahoa Parish is suitable for most uses. The quality of water in these aquifers generally meets the U.S. Environmental Protection Agency's standards for public supply. The hydrologic system underlying Tangipahoa Parish and adjacent areas in 1990 supplied about 19 Mgal/d of water that was suitable for public supply. However, substantial increases in pumping from the aquifer system would result in renewed water-level declines throughout the hydrologic system until a new equilibrium is established. A test we11 in southern Tangipahoa Parish, penetrated all eight aquifers. Total thickness of freshwater sand beds penetrated by the 3003-ft test hole was more than 1900 ft. Resistivity values from an electric log of the test typically averaged 200 ohm-meters, which indicates that the water has low dissolved-solids and chloride concentrations. An analysis of the Abita aquifer at Ruddock in St. John the Baptist Parish, for two of three hypothetical well fields, indicated that for a hypothetical we11 field with a pumping rate of 112 Mgal/d, the freshwater/saltwater interface could arrive at the outer perimeter we11 in

Hydrogeochemical studies of historical mining areas in the Humboldt River basin and adjacent areas, northern Nevada

USGS Publications Warehouse

Nash, J. Thomas

2005-01-01

The study area comprises the Humboldt River Basin and adjacent areas, with emphasis on mining areas relatively close to the Humboldt River. The basin comprises about 16,840 mi2 or 10,800,000 acres. The mineral resources of the Humboldt Basin have been investigated by many scientists over the past 100 years, but only recently has our knowledge of regional geology and mine geology been applied to the understanding and evaluation of mining effects on water and environmental quality. The investigations reported here apply some of the techniques and perspectives developed in the Abandoned Mine Lands Initiative (AMLI) of the U.S. Geological Survey (USGS), a program of integrated geological-hydrological-biological-chemical studies underway in the Upper Animas River watershed in Colorado and the Boulder River watershed in, Montana. The goal of my studies of sites and districts is to determine the character of mining-related contamination that is actively or potentially a threat to water quality and to estimate the potential for natural attenuation of that contamination. These geology-based studies and recommendations differ in matters of emphasis and data collection from the biology-based assessments that are the cornerstone of environmental regulations.

47 CFR 54.316 - Rate comparability review and certification for areas served by non-rural carriers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Rates, Price Indices, and Expenditures for Telephone Service published by the Wireline Competition... areas served by non-rural carriers. 54.316 Section 54.316 Telecommunication FEDERAL COMMUNICATIONS... High Cost Areas § 54.316 Rate comparability review and certification for areas served by non-rural...

Differences between urban and rural hedges in England revealed by a citizen science project.

PubMed

Gosling, Laura; Sparks, Tim H; Araya, Yoseph; Harvey, Martin; Ansine, Janice

2016-07-22

Hedges are both ecologically and culturally important and are a distinctive feature of the British landscape. However the overall length of hedges across Great Britain is decreasing. Current challenges in studying hedges relate to the dominance of research on rural, as opposed to urban, hedges, and their variability and geographical breadth. To help address these challenges and to educate the public on the importance of hedge habitats for wildlife, in 2010 the Open Air Laboratories (OPAL) programme coordinated a hedge-focused citizen science survey. Results from 2891 surveys were analysed. Woody plant species differed significantly between urban and rural areas. Beech, Holly, Ivy, Laurel, Privet and Yew were more commonly recorded in urban hedges whereas Blackthorn, Bramble, Dog Rose, Elder and Hawthorn were recorded more often in rural hedges. Urban and rural differences were shown for some groups of invertebrates. Ants, earwigs and shieldbugs were recorded more frequently in urban hedges whereas blowflies, caterpillars, harvestmen, other beetles, spiders and weevils were recorded more frequently in rural hedges. Spiders were the most frequently recorded invertebrate across all surveys. The presence of hard surfaces adjacent to the hedge was influential on hedge structure, number and diversity of plant species, amount of food available for wildlife and invertebrate number and diversity. In urban hedges with one adjacent hard surface, the food available for wildlife was significantly reduced and in rural hedges, one adjacent hard surface affected the diversity of invertebrates. This research highlights that urban hedges may be important habitats for wildlife and that hard surfaces may have an impact on both the number and diversity of plant species and the number and diversity of invertebrates. This study demonstrates that citizen science programmes that focus on hedge surveillance can work and have the added benefit of educating the public on the importance of

Factors influencing medical students' motivation to practise in rural areas in low-income and middle-income countries: a systematic review.

PubMed

Budhathoki, Shyam Sundar; Zwanikken, Prisca A C; Pokharel, Paras K; Scherpbier, Albert J

2017-02-22

There is a shortage of doctors working in rural areas all over the world, especially in low-income and middle-income countries. The choice to practise medicine in a rural area is influenced by many factors. Motivation developed as a medical student is one key determinant of this choice. This study explores influences on medical students' motivation to practise in rural areas of low-income and middle-income countries following graduation. A systematic review was conducted to identify influences on medical students' motivation to work in rural areas in low-income and middle-income countries. Papers reporting influences on motivation were included, and content analysis was conducted to select the articles. Articles not published in English were excluded from this review. A rural background (ie, being brought up in a rural area), training in rural areas with a community-based curriculum, early exposure to the community during medical training and rural location of medical school motivate medical students to work in rural areas. Perceived lack of infrastructure, high workload, poor hospital management and isolation are among the health facility factors that demotivate medical students for medical practice in rural areas. Medical school selection criteria focusing on a rural background factor and medical education curriculum focusing on rural area are more relevant factors in low-income and middle-income countries. The factors identified in this review may assist the planners, medical educators and policymakers in low-income and middle-income countries in designing relevant interventions to positively influence rural choices where the shortage of rural physicians is an ongoing and increasing concern. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

[Nutritional status of urban and rural Chilean school children of the metropolitan area].

PubMed

Ivanović, R; Olivares, M; Ivanović, D

1990-01-01

The objective of this study was to assess the nutritional status of chilean students by geographic area. In this respect, a representative sample of 4,509 students from elementary and high school was chosen from the Metropolitan Region of Chile (representative of 38.0% of chilean school population). Nutritional status was assessed through anthropometric measurements. Percent weight for age (% W/A), height for age (% H/A) and weight for height (% W/H) were compared with WHO standard; head circumference for age (% HC/A) with Tanner standard; arm circumference for age (% AC/A), triceps skinfold for age (% TS/A), arm muscle area for age (% AMA/A) and arm fat area/age (% AFA/A) with Frisancho norms. Socioeconomic status (SES) was measured through Graffar modified scale. Percent W/H is a better indicator of nutritional status due to growth failure which was thus detected in 27.6% of the whole sample (24.2% and 46.8%, respectively, in urban and rural area, p less than 0.001). According to % W/H, the frequencies of obesity were 13.4% and 10.5%, and those for undernutrition 5.7% and 8.2%, in urban and rural area, respectively, (p less than 0.05). Students from rural area showed significantly lower values for % HC/A, % AC/A, % TS/A and % AFA/A (p less than 0.001). There were no differences for % AMA/A. The fact that 90.5% of rural students belong to low SES must be taken into account to explain differences in the nutritional status of students of different geographic areas.

Capitated Medicaid Managed Care in a Rural Area: The Impact of Minnesota's PMAP Program

ERIC Educational Resources Information Center

Long, Sharon K.; Coughlin, Teresa A.; King, Jennifer

2005-01-01

Although states have had difficulty extending Medicaid managed care (MMC) to rural areas, rural models of capitated MMC are expected to grow in response to new federal regulations and the serious budget problems facing nearly all states. As such, understanding the effects of capitated MMC in rural settings is important for policy considerations.…

Are there any differences in medical emergency team interventions between rural and urban areas? A single-centre cohort study.

PubMed

Aftyka, Anna; Rybojad, Beata; Rudnicka-Drozak, Ewa

2014-10-01

To compare interventions of medical emergency teams in urban and rural areas with particular emphasis on response time and on-site medical rescue activities. A retrospective analysis of ambulance call reports from two emergency medical service substations: one in the city and the other in a rural area. Two emergency medical service substations: one in the city and the other in a rural area. Medical emergency teams. Interventions in the city were associated with a substantially shorter response time in comparison to rural areas. In the city, the distances were generally less than 10 km. In the rural area, however, such short distances accounted for only 7.2% of events, while 33.8% were over 30 km. Medical emergency teams more often acted exclusively on-site or ceased any interventions in rural areas. Compared with the city, actions in the rural setting were associated with significantly increased use of cervical collars and decreased use of intravenous access. The presence of a physician in the team raised the probability of pharmacotherapy. The relationship between medical emergency teams activities and the location of intervention shows the real diversity of the functioning of emergency medical service within a city and rural areas. Further research should aim to improve the generalisability of these findings. © 2014 National Rural Health Alliance Inc.

[Impact of rural or urban areas on disability after a stroke].

PubMed

Ortega-Barrio, M Ángeles; Herce-Martínez, M Begoña; Valiñas-Sieiro, Florita; Mariscal-Pérez, Natividad; López-Cunquero, M Ángeles; Cubo-Delgado, Esther

2013-01-01

To assess the residual disability in a sample of patients after suffering a first episode of a stroke and to compare the disability of those patients who live in rural areas with those living in urban areas. An observational, longitudinal study of a cohort of 89 patients from a Neurology Unit, affected by cerebrovascular accident. The following factors were assessed: sociodemographic and environmental factors, co-morbidity, functional status, disability, depression and anxiety, and quality of life. The different clinical and demographic variables were compared after admission to the unit, at hospital discharge, and 3 months afterwards. Regression analyses were also carried out in order to study the association between the clinical and sociodemographic factors, and post-stroke disability. Compared to their previous clinical state, after suffering a stroke patients showed a higher rate of co-morbidity (P<.0001), disability (P<.0001), depression (P=.002), and a poorer quality of life (P=.013). The difference between patients coming from rural and urban areas was not statistically significant in terms of disability, quality of life, anxiety, depression, or co-morbidity. The level of disability, depression and co-morbidity that patients showed after suffering a stroke was similar to the results obtained in other studies. As a novel feature, there were no differences between patients living in rural areas after suffering a stroke and those living in urban areas, as regards disability, depression, or co-morbidity. Copyright © 2013 Elsevier España, S.L. All rights reserved.

Targeted Transition Assessment Leading to Job Placement for Young Adults with Disabilities in Rural Areas

ERIC Educational Resources Information Center

Morgan, Robert L.; Openshaw, Kristi P.

2011-01-01

In rural areas, transition planning for young adults with disabilities presents considerable challenges, including linkage to employment upon completion of special education services. Two assessment programs, described in this article, work in concert to assist transition teachers and youth with disabilities in rural areas and include: (a)…

The Feasibility and Value of Broadband Communications in Rural Areas. A Preliminary Evaluation, April 1976.

ERIC Educational Resources Information Center

Mills, William; And Others

The study was conducted to determine the feasibility and value of using broadband communications (transmission of many television, voice and/or data signals through a single system) to provide public services for rural areas. Applications of broadband communications to rural areas were divided into public services (health, education, law…

Floods of January-February 1957 in southeastern Kentucky and adjacent areas

USGS Publications Warehouse

,

1964-01-01

Heavy rains over an extensive area on January 27-February 2, caused extreme flooding in southeastern Kentucky and adjacent areas in West Virginia, Virginia, and Tennessee. Total rainfall for the storm period ranged from 6-9 inches over most of the report area and was 12? inches at the eastern end of the Virginia-Kentucky State line. The principal basins affected by the storm were those of the Big Sandy, Kentucky, Cumberland, and Tennessee Rivers. Maximum discharge of record occurred in many streams. On Levisa Fork near Grundy, Va., the peak discharge of 33,200 cfs was 50 percent greater than the previous maximum in 17 years of record and was 3.3 times the mean annual flood. The peak discharges on-tributaries of the Kentucky River and on ,the Holston and Clinch Rivers were also the greatest of record and .those on the upper Cumberland River were nearly as great as .those during the historic floods of 1918 and 1946. Total flood damage was estimated at $61 million of which $39 million was in the Big Sandy River basin (mostly in Kentucky) and $15 million was in the Kentucky River basin--$52 million of the total damage was in Kentucky.

Federal Funding Sources for Rural Areas. Rural Information Center Publication Series, No. 49. Revised Edition.

ERIC Educational Resources Information Center

Reynnells, M. Louise, Comp.

This document lists 248 federal funding programs available to rural areas. The programs were selected from the Catalog of Federal Domestic Assistance, 1995, which is available online from the Federal Assistance Programs Retrieval System (FAPRS). Entries are listed under the following federal departments or agencies: Department of Agriculture,…

Mobility and accessibility of hispanics in small towns and rural areas.

DOT National Transportation Integrated Search

2014-07-01

The Hispanic population has increased 43% (from 35.3 million to 50.5 million) in the 2000s in the U.S. Small towns and : rural areas in the U.S. are among the areas that have experienced rapid growth in : the : Hispanic immigrant population in the : ...

Allergen sensitisation among chronic respiratory diseases in urban and rural areas of the south of Viet Nam.

PubMed

Chu, H T; Godin, I; Phuong, N T; Nguyen, L H; Hiep, T T M; Michel, O

2018-02-01

To evaluate the prevalence of and risk factors for allergen sensitisation among patients with chronic respiratory disease (CRD) in southern Viet Nam. An environmental questionnaire and skin prick tests for airborne and food allergens were administered to patients with CRD, defined as individuals with respiratory symptoms and lung function defects. Of 610 CRD patients, 56% had chronic obstructive pulmonary disease and 31% were asthma patients; 80% were males. The most frequent sensitisers were dust mites (Dermatophagoides farinae 22%, Blomia tropicalis 19%, D. pteronyssinus 18%) and cockroach droppings (13%). Among study participants, 37% were from rural settings and 36% from urban areas, whereas 27% had migrated from rural to urban areas. Compared with people from rural areas, being born in an urban area was a risk factor for sensitisation to mites (OR 1.56, 95%CI 1.11-2.20, P < 0.02). In multivariate analysis, place of birth remained a risk factor for mite sensitisation. Compared with the native urban population, the risk of mite sensitisation was not significantly different among patients born in rural areas and those migrating to urban areas. Dust mites and cockroach droppings were the most frequent allergens among people with CRD in the south of Viet Nam. Compared with the urban population, being native to a rural area was protective against mite sensitisation, but this effect ceased to be significant after migration from rural to urban areas.

Epidemiology of Hymenolepis nana infections in primary school children in urban and rural communities in Zimbabwe.

PubMed

Mason, P R; Patterson, B A

1994-04-01

Fecal specimens were obtained on 3 occasions at 10-12 wk intervals from 315 children in 3 rural villages in Zimbabwe and from 351 children in the high-density suburbs of an adjacent small town. Specimens were examined qualitatively and quantitatively for eggs of Hymenolepis nana, and these were found in 142 (21%) children. Infections occurred more frequently in younger children in the urban area but in older children in rural areas. The prevalence in urban areas (24%) was higher than in rural areas (18%), and in urban areas infection correlated with low "hygiene scores" (determined by observation) and with the presence in the household of an infected sibling. The prevalence of infection in the 3 rural communities did not correlate with availability of water, number of households per toilet, with low "hygiene scores," or with the presence of an infected sibling. Treatment with a single oral dose of 15 mg/kg praziquantel cured 84% of the infected children. New or reinfections occurred more frequently in households that had an infected sibling in an urban but not rural setting. The study demonstrates distinct differences in the transmission of H. nana infection in rural and urban communities. The data suggest intrafamily transmission in urban areas, particularly in households with poor hygiene behavior, leading to primary infection early in life. In rural areas, the prevalence of infection and the incidence of reinfection were highest in children of school age, and there was little evidence for intrafamily transmission of the parasite.

[Changes in prices of taxed sugar-sweetened beverages and nonessential energy dense food in rural and semi-rural areas in Mexico].

PubMed

Colchero, M Arantxa; Zavala, J Alejandro; Batis, Carolina; Shamah-Levy, Teresa; Rivera-Dommarco, Juan A

2017-01-01

To estimate changes in prices associated with the implementation of the tax to sugar sweetened beverages (SSB) and to nonessential energy dense food in 2014. Price data were collected in rural and semi-rural areas in December 2013, and April and December 2014. Fixed effects models were used to estimate changes in prices of beverages and nonessential energy dense food, stratified by region, retailer and package size. The SSB tax did not pass completely through prices: prices increased on average 0.73 pesos per liter. For nonessential energy dense food, the tax passed completely or was overshifted for cookies, cereal bars and cereal boxes. The potential effect of the taxes on consumption could be attenuated in rural areas as the pass through prices was incomplete.

Pre-School Educational Provision in Rural Areas. Interchange 69.

ERIC Educational Resources Information Center

Copus, Andrew; Petrie, Scott; Shucksmith, Janet; Shucksmith, Mark; Still, Margaret; Watt, Joyce

The Scottish Executive Education Department has pledged to achieve universal provision of preschool education for 3- and 4-year-olds, whose parents want it, by 2002. The particular factors affecting delivery of preschool education in rural areas were examined through telephone interviews with local education authorities and voluntary preschool…

Youth Services in Rural Areas: Strategies for Service Delivery.

ERIC Educational Resources Information Center

Schwartz, Charles L.

1982-01-01

Pinpoints several problems in youth services in general and in rural areas in particular. Suggests strategies for overcoming these obstacles: packaging services which meet child's total needs, establishing youth service bureaus to coordinate families and human services resources, and using natural helping networks of the community. (Author/AH)

Health Promotion Intervention for Hygienic Disposal of Children's Faeces in a Rural Area of Nigeria

ERIC Educational Resources Information Center

Jinadu, M. K.; Adegbenro, C. A.; Esmai, A. O.; Ojo, A. A.; Oyeleye, B. A.

2007-01-01

Objective: Community-based health promotion intervention for improving unhygienic disposal of children's faeces was conducted in a rural area of Nigeria. Setting: The study was conducted in Ife South Local Government area of Osun State, Nigeria. Design: The study was conducted in 10 randomly selected rural villages: five control and five active.…

Stated Preferences of Doctors for Choosing a Job in Rural Areas of Peru: A Discrete Choice Experiment

PubMed Central

Miranda, J. Jaime; Diez-Canseco, Francisco; Lema, Claudia; Lescano, Andrés G.; Lagarde, Mylene; Blaauw, Duane; Huicho, Luis

2012-01-01

Background Doctors’ scarcity in rural areas remains a serious problem in Latin America and Peru. Few studies have explored job preferences of doctors working in underserved areas. We aimed to investigate doctors’ stated preferences for rural jobs. Methods and Findings A labelled discrete choice experiment (DCE) was performed in Ayacucho, an underserved department of Peru. Preferences were assessed for three locations: rural community, Ayacucho city (Ayacucho’s capital) and other provincial capital city. Policy simulations were run to assess the effect of job attributes on uptake of a rural post. Multiple conditional logistic regressions were used to assess the relative importance of job attributes and of individual characteristics. A total of 102 doctors participated. They were five times more likely to choose a job post in Ayacucho city over a rural community (OR 4.97, 95%CI 1.2; 20.54). Salary increases and bonus points for specialization acted as incentives to choose a rural area, while increase in the number of years needed to get a permanent post acted as a disincentive. Being male and working in a hospital reduced considerably chances of choosing a rural job, while not living with a partner increased them. Policy simulations showed that a package of 75% salary increase, getting a permanent contract after two years in rural settings, and getting bonus points for further specialisation increased rural job uptake from 21% to 77%. A package of 50% salary increase plus bonus points for further specialisation would also increase the rural uptake from 21% to 52%. Conclusions Doctors are five times more likely to favour a job in urban areas over rural settings. This strong preference needs to be overcome by future policies aimed at improving the scarcity of rural doctors. Some incentives, alone or combined, seem feasible and sustainable, whilst others may pose a high fiscal burden. PMID:23272065

Omah displacement and utilization from rural to urban areas, as green design lifestyle

NASA Astrophysics Data System (ADS)

Fajarwati, Ade Ariyani Sari

2017-11-01

Building a house in urban area is very costly and also leaving a bunch amount of construction waste. Many efforts were made to reduce the load of this waste. However, the high demand of residences in metropolitan makes the waste problem needs to be solved together. Based on this problem, author chooses Omah, - a Javanese traditional house, which is built, based on the traditional system of life of Javanese people - displacement from rural to urban area as the alternative solution, as it uses selected materials from nature by considering the sustainability and preservation for future generation. The wooden building is built based on traditional construction system that follows Javanese principles and traditional calculation, based on philosophy and cosmology in the community. This paper will covers utilization of Omah in urban area as an implementation of green design, which refers to the concepts of reuse, reduce, recycle and responsibility. Through expert interviews and field surveys in urban and rural areas, author collected data needed for this paper. Although the functionality of the building is different from rural to urban requirements, the phenomenon of Omah displacement from Javanese habitat to urban living area is well accepted and becomes an interesting trend.

Empowering village doctors and enhancing rural healthcare using cloud computing in a rural area of mainland China.

PubMed

Lin, Che-Wei; Abdul, Shabbir Syed; Clinciu, Daniel L; Scholl, Jeremiah; Jin, Xiangdong; Lu, Haifei; Chen, Steve S; Iqbal, Usman; Heineck, Maxwell J; Li, Yu-Chuan

2014-02-01

China's healthcare system often struggles to meet the needs of its 900 million people living in rural areas due to major challenges in preventive medicine and management of chronic diseases. Here we address some of these challenges by equipping village doctors (ViDs) with Health Information Technology and developing an electronic health record (EHR) system which collects individual patient information electronically to aid with implementation of chronic disease management programs. An EHR system based on a cloud-computing architecture was developed and deployed in Xilingol county of Inner Mongolia using various computing resources (hardware and software) to deliver services over the health network using Internet when available. The system supports the work at all levels of the healthcare system, including the work of ViDs in rural areas. An analysis done on 291,087 EHRs created from November 2008 to June 2011 evaluated the impact the EHR system has on preventive medicine and chronic disease management programs in rural China. From 2008 to 2011 health records were created for 291,087 (26.25%) from 1,108,951 total Xilingol residents with 10,240 cases of hypertension and 1152 cases of diabetes diagnosed and registered. Furthermore, 2945 hypertensive and 305 diabetic patients enrolled in follow-up. Implementing the EHR system revealed a high rate of cholecystectomies leading to investigations and findings of drinking water contaminated with metals. Measures were taken to inform the population and clean drinking water was supplied. The cloud-based EHR approach improved the care provision for ViDs in rural China and increased the efficiency of the healthcare system to monitor the health status of the population and to manage preventive care efforts. It also helped discover contaminated water in one of the project areas revealing further benefits if the system is expanded and improved. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Expanded emergency medical services for the provision of primary care in remote rural areas.

PubMed

Mccabe, S

2000-05-01

It is now widely recognised that a potential recruitment crisis is looming in the provision of primary care physicians for remote rural areas of the United Kingdom. Anecdotal evidence suggests that rural registrar, associate and principal vacancies are becoming increasingly difficult to fill and for many rural GPs locums are an impossible dream. Many practitioners are no longer prepared to work in areas where out-of-hours cooperatives are not available. We are now faced with the very real possibility that in some remote areas of the Scottish Highlands and Islands the recruitment of suitable GPs may no longer be possible. So what are the alternatives? In October 1999 I visited a community in the mountains of northern New Mexico which has had to deal with this very problem.

Rural Area Revitalization Act of 1987; and the Rural Development Reorganization Act of 1987. Hearing on H.R. 1800 and H.R. 2026 before the Subcommittee on Conservation, Credit, and Rural Development of the Committee on Agriculture. House of Representatives, One Hundredth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Agriculture.

Testimony of H.R. 1800, the Rural Area Revitalization Act, and H.R. 2026, the Rural Development Reorganization Act focuses on the need for federal attention to rural problems other than agriculture. The Rural Area Revitalization Act authorizes expansion of capital available for lending in rural areas, a grant program of $25 million per year for…

Program strategies for increasing car seat usage in rural areas

DOT National Transportation Integrated Search

1995-03-01

Data from the Fatal Accident Reporting System (FARS) operated by the National Highway Traffic Safety Administration (NHTSA) reveal nonuse of safety restraints to be associated with most young child crash fatalities. Rural areas of the United States a...

The prevalence of uncorrected refractive errors in underserved rural areas.

PubMed

Hashemi, Hassan; Abbastabar, Hedayat; Yekta, Abbasali; Heydarian, Samira; Khabazkhoob, Mehdi

2017-12-01

To determine the prevalence of uncorrected refractive errors, need for spectacles, and the determinants of unmet need in underserved rural areas of Iran. In a cross-sectional study, multistage cluster sampling was done in 2 underserved rural areas of Iran. Then, all subjects underwent vision testing and ophthalmic examinations including the measurement of uncorrected visual acuity (UCVA), best corrected visual acuity, visual acuity with current spectacles, auto-refraction, retinoscopy, and subjective refraction. Need for spectacles was defined as UCVA worse than 20/40 in the better eye that could be corrected to better than 20/40 with suitable spectacles. Of the 3851 selected individuals, 3314 participated in the study. Among participants, 18.94% [95% confidence intervals (CI): 13.48-24.39] needed spectacles and 11.23% (95% CI: 7.57-14.89) had an unmet need. The prevalence of need for spectacles was 46.8% and 23.8% in myopic and hyperopic participants, respectively. The prevalence of unmet need was 27% in myopic, 15.8% in hyperopic, and 25.46% in astigmatic participants. Multiple logistic regression showed that education and type of refractive errors were associated with uncorrected refractive errors; the odds of uncorrected refractive errors were highest in illiterate participants, and the odds of unmet need were 12.13, 5.1, and 4.92 times higher in myopic, hyperopic and astigmatic participants as compared with emmetropic individuals. The prevalence of uncorrected refractive errors was rather high in our study. Since rural areas have less access to health care facilities, special attention to the correction of refractive errors in these areas, especially with inexpensive methods like spectacles, can prevent a major proportion of visual impairment.

Economic Planning for Multicounty Rural Areas: Application of a Linear Programming Model in Northwest Arkansas. Technical Bulletin No. 1653.

ERIC Educational Resources Information Center

Williams, Daniel G.

Planners in multicounty rural areas can use the Rural Development, Activity Analysis Planning (RDAAP) model to try to influence the optimal growth of their areas among different general economic goals. The model implies that best industries for rural areas have: high proportion of imported inputs; low transportation costs; high value added/output…

Association Between Diabetes and Cause-Specific Mortality in Rural and Urban Areas of China.

PubMed

Bragg, Fiona; Holmes, Michael V; Iona, Andri; Guo, Yu; Du, Huaidong; Chen, Yiping; Bian, Zheng; Yang, Ling; Herrington, William; Bennett, Derrick; Turnbull, Iain; Liu, Yongmei; Feng, Shixian; Chen, Junshi; Clarke, Robert; Collins, Rory; Peto, Richard; Li, Liming; Chen, Zhengming

2017-01-17

In China, diabetes prevalence has increased substantially in recent decades, but there are no reliable estimates of the excess mortality currently associated with diabetes. To assess the proportional excess mortality associated with diabetes and estimate the diabetes-related absolute excess mortality in rural and urban areas of China. A 7-year nationwide prospective study of 512 869 adults aged 30 to 79 years from 10 (5 rural and 5 urban) regions in China, who were recruited between June 2004 and July 2008 and were followed up until January 2014. Diabetes (previously diagnosed or detected by screening) recorded at baseline. All-cause and cause-specific mortality, collected through established death registries. Cox regression was used to estimate adjusted mortality rate ratio (RR) comparing individuals with diabetes vs those without diabetes at baseline. Among the 512 869 participants, the mean (SD) age was 51.5 (10.7) years, 59% (n = 302 618) were women, and 5.9% (n = 30 280) had diabetes (4.1% in rural areas, 8.1% in urban areas, 5.8% of men, 6.1% of women, 3.1% had been previously diagnosed, and 2.8% were detected by screening). During 3.64 million person-years of follow-up, there were 24 909 deaths, including 3384 among individuals with diabetes. Compared with adults without diabetes, individuals with diabetes had a significantly increased risk of all-cause mortality (1373 vs 646 deaths per 100 000; adjusted RR, 2.00 [95% CI, 1.93-2.08]), which was higher in rural areas than in urban areas (rural RR, 2.17 [95% CI, 2.07-2.29]; urban RR, 1.83 [95% CI, 1.73-1.94]). Presence of diabetes was associated with increased mortality from ischemic heart disease (3287 deaths; RR, 2.40 [95% CI, 2.19-2.63]), stroke (4444 deaths; RR, 1.98 [95% CI, 1.81-2.17]), chronic liver disease (481 deaths; RR, 2.32 [95% CI, 1.76-3.06]), infections (425 deaths; RR, 2.29 [95% CI, 1.76-2.99]), and cancer of the liver (1325 deaths; RR, 1.54 [95% CI, 1.28-1.86]), pancreas

Schooling and Factors Affecting Decisions on Schooling by Household Members in the Rural Areas of Turkey

ERIC Educational Resources Information Center

Olgun, Akin; Gumus, Sevtap Guler; Adanacioglu, Hakan

2010-01-01

Despite the fact that rural education has always been one of the most important means of rural development, it has been ignored in many developing countries, with the result that rural development has not achieved great success. The problems of education in rural areas are not only related to the amount the country spends on education or to the…

Dietary behaviors and nutritional status of adolescents in a remote rural area of Thailand.

PubMed

Areekul, Wirote; Viravathana, Nantaporn; Aimpun, Pote; Watthanakijthavongkul, Khanin; Khruacharooen, Jakkapong; Awaiwanont, Abhinant; Khumtuikhrua, Chaowanan; Silsrikul, Pichayen; Nilrat, Pawarid; Saksoong, Saksit; Watthanatham, Jirawat; Suwannahitatorn, Picha; Sirimaneethum, Pornsirin; Meeprom, Natee; Somboonruangsri, Wuttiwong; Pongmanee, Koonphol; Rangsin, Ram

2005-11-01

Nutritional status among adolescents is an important health indicator. The up-to-date information about nutritional status and food consumption pattern in the remote rural area is required for the effective public health intervention in the rural area of the country. The present study aimed to demonstrate the prevalence of malnutrition, eating behavior and nutritional knowledge among secondary school students in a remote rural area in Thailand. Body weight and height data were collected from 298 secondary school students for nutritional status calculation using the Institute of Nutrition Research, Mahidol University, INMU-Thaigrowth program. Eating behavior and nutritional knowledge were observed by self-administrated questionnaires. The prevalence low height-for-age (<-2SD) 6.1% and it was 0.7% for low weight-for-height (<-2SD). Fruits (69%) and vegetables (79.4%) consumptions were in the high level. The authors found that the students always consumed commercial snacks especially salted chips more often than regular Thai dessert (74.0% VS 52.3%). The inappropriate behavior found in the present study included always drinking caffeine beverage (43.5%), always drinking alcoholic beverage (6.5%) and always consuming instant noodles (64.4%). The prevalence of malnutrition was low among this population. The studied population had a fair knowledge about nutrition. The authoes found that regular consumption of highly commercialized snack products especially salted chips and instant noodles were at a high level in this remote rural area of Thailand. The pattern of nutritional problems in Thailand may have changed in which a public health program for children in rural areas of the country should recognize this transition.

Ground-water hydrology of Pahvant Valley and adjacent areas, Utah

USGS Publications Warehouse

1990-01-01

The primary ground-water reservoir in Pahvant Valley and adjacent areas is in the unconsolidated basin fill and interbedded basalt. Recharge in 1959 was estimated to be about 70,000 acre-feet per year and was mostly by seepage from streams, canals, and unconsumed irrigation water and by infiltration of precipitation. Discharge in 1959 was estimated to be about 109,000 acre-feet and was mostly from springs, evapotranspiration, and wells.Water-level declines of more than 50 feet occurred in some areas between 1953 and 1980 because of less-than-normal precipitation and extensive pumping for irrigation. Water levels recovered most of these declines between 1983 and 1986 because of reduced withdrawals and record quantities of precipitation.The quality of ground water in the area west of Kanosh has deteriorated since large ground-water withdrawals began in about 1953. The cause of the deterioration probably is movement of poor quality water into the area from the southwest and possibly the west during periods of large ground-water withdrawals and recycling of irrigation water. The quality of water from some wells has improved since 1983, due to increased recharge and decreased withdrawals for irrigation.Water-level declines of m:>re than 80 feet in some parts of Pahvant Valley are projected if ground-water withdrawals continue for 20 years at the 1977 rate of about 96,000 acre-feet. Rises of as much as 58 feet and declines of as much as 47 feet are projected with withdrawals of 48,000 acre-feet per year for 20 years. The elimination of recharge from the Central Utah Canal is projected to cause water-level declines of up to 8 feet near the canal.

Stochastic model to forecast ground-level ozone concentration at urban and rural areas.

PubMed

Dueñas, C; Fernández, M C; Cañete, S; Carretero, J; Liger, E

2005-12-01

Stochastic models that estimate the ground-level ozone concentrations in air at an urban and rural sampling points in South-eastern Spain have been developed. Studies of temporal series of data, spectral analyses of temporal series and ARIMA models have been used. The ARIMA model (1,0,0) x (1,0,1)24 satisfactorily predicts hourly ozone concentrations in the urban area. The ARIMA (2,1,1) x (0,1,1)24 has been developed for the rural area. In both sampling points, predictions of hourly ozone concentrations agree reasonably well with measured values. However, the prediction of hourly ozone concentrations in the rural point appears to be better than that of the urban point. The performance of ARIMA models suggests that this kind of modelling can be suitable for ozone concentrations forecasting.

Child health inequities in developing countries: differences across urban and rural areas.

PubMed

Fotso, Jean-Christophe

2006-07-11

To document and compare the magnitude of inequities in child malnutrition across urban and rural areas, and to investigate the extent to which within-urban disparities in child malnutrition are accounted for by the characteristics of communities, households and individuals. The most recent data sets available from the Demographic and Health Surveys (DHS) of 15 countries in sub-Saharan Africa (SSA) are used. The selection criteria were set to ensure that the number of countries, their geographical spread across Western/Central and Eastern/Southern Africa, and their socioeconomic diversities, constitute a good yardstick for the region and allow us to draw some generalizations. A household wealth index is constructed in each country and area (urban, rural), and the odds ratio between its uppermost and lowermost category, derived from multilevel logistic models, is used as a measure of socioeconomic inequalities. Control variables include mother's and father's education, community socioeconomic status (SES) designed to represent the broad socio-economic ecology of the neighborhoods in which families live, and relevant mother- and child-level covariates. Across countries in SSA, though socioeconomic inequalities in stunting do exist in both urban and rural areas, they are significantly larger in urban areas. Intra-urban differences in child malnutrition are larger than overall urban-rural differentials in child malnutrition, and there seem to be no visible relationships between within-urban inequities in child health on the one hand, and urban population growth, urban malnutrition, or overall rural-urban differentials in malnutrition, on the other. Finally, maternal and father's education, community SES and other measurable covariates at the mother and child levels only explain a slight part of the within-urban differences in child malnutrition. The urban advantage in health masks enormous disparities between the poor and the non-poor in urban areas of SSA. Specific

Distribution and sharing of palliative care costs in rural areas of Canada.

PubMed

Dumont, Serge; Jacobs, Philip; Turcotte, Véronique; Turcotte, Stéphane; Johnston, Grace

2014-01-01

Few data are available on the costs occurring during the palliative phase of care and on the sharing of these costs in rural areas. This study aimed to evaluate the costs related to all resources used by rural palliative care patients and to examine how these costs were shared between the public healthcare system (PHCS), patients' families, and not-for-profit organizations (NFPOs). A prospective longitudinal study was undertaken of 82 palliative care patients and their main informal caregivers in rural areas of four Canadian provinces. Telephone interviews were completed at two-week intervals. The mean total cost per patient for a six-month participation in a palliative care program was CA$31,678 +/- 1,160. A large part of this cost was attributable to inpatient hospital stays and was assumed by the PHCS. The patient's family contributed less than a quarter of the mean total cost per patient, and this was mainly attributable to caregiving time.

A Study of the Education Rate of Return for Rural Residents in Northwest Minority Areas

ERIC Educational Resources Information Center

Baicai, Sun

2015-01-01

Studying the rate of return for rural residents in minority areas can give a good explanation for the problems of children enrolling in school and dropping out. On the whole, the education rate of return for rural residents in northwest minority areas is low, the Mincer function estimate is 2%, and the Heckman model estimate is 2.49%. The rate of…

Utility of a thematic network in primary health care: a controlled interventional study in a rural area

PubMed Central

Coma del Corral, Maria Jesús; Abaigar Luquín, Pedro; Cordero Guevara, José; Olea Movilla, Angel; Torres Torres, Gerardo; Lozano Garcia, Javier

2005-01-01

Background UniNet is an Internet-based thematic network for a virtual community of users (VCU). It supports a virtual multidisciplinary community for physicians, focused on the improvement of clinical practice. This is a study of the effects of a thematic network such as UniNet on primary care medicine in a rural area, specifically as a platform of communication between specialists at the hospital and doctors in the rural area. Methods In order to study the effects of a thematic network such as UniNet on primary care medicine in a rural area, we designed an interventional study that included a control group. The measurements included the number of patient displacements due to disease, number of patient hospital stays and the number of prescriptions of drugs of low therapeutic utility and generic drug prescriptions by doctors. These data were analysed and compared with those of the control center. Results Our study showed positive changes in medical practice, reflected in the improvement of the evaluated parameters in the rural health area where the interventional study was carried out, compared with the control area. We discuss the strengths and weaknesses of UniNet as a potential medium to improve the quality of medical care in rural areas. Conclusion The rural doctors had an effective, useful, user-friendly and cheap source of medical information that may have contributed to the improvement observed in the medical quality indices. PMID:16042778

Determining effective roadway design treatments for transitioning from rural areas to urban areas on state highways.

DOT National Transportation Integrated Search

2008-09-01

This report reviews an Oregon research effort to identify ways to calm operating speeds as the vehicles transition into developed suburban/urban areas from rural roads. Drivers of vehicles approaching the urban environment have few visual cues to red...

[Prevalence of overweight and obesity in schoolchildren in rural areas].

PubMed

Coronado Vázquez, Valle; Odero Sobrado, David; Canalejo González, David; Cidoncha Pérez, Jesús

2012-01-01

To estimate the prevalence of overweight and obesity in schoolchildren in rural areas. A cross-sectional study was carried out in a sample of 1,513 schoolchildren aged 6, 11 and 14 years. Data were collected on height and weight with digital scales equipped with a measuring rod. We used three criteria to define overweight and obesity: Cole's points, the Centers for Disease Control and Prevention (CDC) criteria and Hernandez's tables. When Cole's points were used, 24.6% (95%CI: 22.5 - 26.8) were overweight and 11.6% (95%CI: 10-13.3) were obese; these percentages were higher in children aged 11 and 6 years, respectively. According CDC growth charts, 19.8% of children (95%CI: 17.9-21.9) were overweight and 16.5% (95%CI: 14.7-18.4) were obese, corresponding to higher percentages at 14 and 6 years. When Hernandez's tables were used, 11.5% (95%CI: 10-13.2) were overweight and 18.6% (95%CI: 16.7-20.6) were obese, and both disorders were higher in children aged 11 years. The risk of obesity and overweight was higher in small rural areas (<5,000 people), with OR = 1.49 (95%CI: 1.13-1.95) and OR = 1.33 (95%CI: 1.06-1.67), respectively. The prevalence of overweight and obesity in schoolchildren in rural areas is very high and is even higher in towns with less than 5,000 inhabitants. Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.

Summary of ground-water data, Post Headquarters and adjacent areas, White Sands Missile Range

USGS Publications Warehouse

Kelly, T.E.

1973-01-01

Geohydrologic data have been obtained from more than 100 wells and test holes that have been drilled in the Post Headquarters and adjacent areas of White Sands Missile Range. Observation-well data show that, in general, a continuous decline of the water table has occurred in the vicinity of the well field since production began in 1949. Approximately 40,000 acre-feet of water has been produced from the aquifer to date (1972). A series of maps are presented which show the changes that have occurred in the well field as the result of development.

Frac Sand Mines Are Preferentially Sited in Unzoned Rural Areas.

PubMed

Locke, Christina

2015-01-01

Shifting markets can cause unexpected, stochastic changes in rural landscapes that may take local communities by surprise. Preferential siting of new industrial facilities in poor areas or in areas with few regulatory restrictions can have implications for environmental sustainability, human health, and social justice. This study focuses on frac sand mining-the mining of high-quality silica sand used in hydraulic fracturing processes for gas and oil extraction. Frac sand mining gained prominence in the 2000s in the upper midwestern United States where nonmetallic mining is regulated primarily by local zoning. I asked whether frac sand mines were more commonly sited in rural townships without formal zoning regulations or planning processes than in those that undertook zoning and planning before the frac sand boom. I also asked if mine prevalence was correlated with socioeconomic differences across townships. After creating a probability surface to map areas most suitable for frac sand mine occurrence, I developed neutral landscape models from which to compare actual mine distributions in zoned and unzoned areas at three different spatial extents. Mines were significantly clustered in unzoned jurisdictions at the statewide level and in 7 of the 8 counties with at least three frac sand mines and some unzoned land. Subsequent regression analyses showed mine prevalence to be uncorrelated with land value, tax rate, or per capita income, but correlated with remoteness and zoning. The predicted mine count in unzoned townships was over two times higher than that in zoned townships. However, the county with the most mines by far was under a county zoning ordinance, perhaps indicating industry preferences for locations with clear, homogenous rules over patchwork regulation. Rural communities can use the case of frac sand mining as motivation to discuss and plan for sudden land-use predicaments, rather than wait to grapple with unfamiliar legal processes during a period of

Frac Sand Mines Are Preferentially Sited in Unzoned Rural Areas

PubMed Central

Locke, Christina

2015-01-01

Shifting markets can cause unexpected, stochastic changes in rural landscapes that may take local communities by surprise. Preferential siting of new industrial facilities in poor areas or in areas with few regulatory restrictions can have implications for environmental sustainability, human health, and social justice. This study focuses on frac sand mining—the mining of high-quality silica sand used in hydraulic fracturing processes for gas and oil extraction. Frac sand mining gained prominence in the 2000s in the upper midwestern United States where nonmetallic mining is regulated primarily by local zoning. I asked whether frac sand mines were more commonly sited in rural townships without formal zoning regulations or planning processes than in those that undertook zoning and planning before the frac sand boom. I also asked if mine prevalence was correlated with socioeconomic differences across townships. After creating a probability surface to map areas most suitable for frac sand mine occurrence, I developed neutral landscape models from which to compare actual mine distributions in zoned and unzoned areas at three different spatial extents. Mines were significantly clustered in unzoned jurisdictions at the statewide level and in 7 of the 8 counties with at least three frac sand mines and some unzoned land. Subsequent regression analyses showed mine prevalence to be uncorrelated with land value, tax rate, or per capita income, but correlated with remoteness and zoning. The predicted mine count in unzoned townships was over two times higher than that in zoned townships. However, the county with the most mines by far was under a county zoning ordinance, perhaps indicating industry preferences for locations with clear, homogenous rules over patchwork regulation. Rural communities can use the case of frac sand mining as motivation to discuss and plan for sudden land-use predicaments, rather than wait to grapple with unfamiliar legal processes during a period of

A regional ionospheric TEC mapping technique over China and adjacent areas on the basis of data assimilation

NASA Astrophysics Data System (ADS)

Aa, Ercha; Huang, Wengeng; Yu, Shimei; Liu, Siqing; Shi, Liqin; Gong, Jiancun; Chen, Yanhong; Shen, Hua

2015-06-01

In this paper, a regional total electron content (TEC) mapping technique over China and adjacent areas (70°E-140°E and 15°N-55°N) is developed on the basis of a Kalman filter data assimilation scheme driven by Global Navigation Satellite Systems (GNSS) data from the Crustal Movement Observation Network of China and International GNSS Service. The regional TEC maps can be generated accordingly with the spatial and temporal resolution being 1°×1° and 5 min, respectively. The accuracy and quality of the TEC mapping technique have been validated through the comparison with GNSS observations, the International Reference Ionosphere model values, the global ionosphere maps from Center for Orbit Determination of Europe, and the Massachusetts Institute of Technology Automated Processing of GPS TEC data from Madrigal database. The verification results indicate that great systematic improvements can be obtained when data are assimilated into the background model, which demonstrates the effectiveness of this technique in providing accurate regional specification of the ionospheric TEC over China and adjacent areas.

Rural tobacco use across the United States: How rural and urban areas differ, broken down by census regions and divisions.

PubMed

Roberts, Megan E; Doogan, Nathan J; Kurti, Allison N; Redner, Ryan; Gaalema, Diann E; Stanton, Cassandra A; White, Thomas J; Higgins, Stephen T

2016-05-01

This project compared urban/rural differences in tobacco use, and examined how such differences vary across regions/divisions of the U.S. Using pooled 2012-2013 data from the National Survey on Drug Use and Health (NSDUH), we obtained weighted prevalence estimates for the use of cigarettes, menthol cigarettes, chewing tobacco, snuff, cigars, and pipes. NSDUH also provides information on participants' residence: rural vs. urban, and Census region and division. Overall, use of cigarettes, chew, and snuff were higher in rural, compared to urban areas. Across all tobacco products, urban/rural differences were particularly pronounced in certain divisions (e.g., the South Atlantic). Effects did not appear to be fully explained by differences in poverty. Going beyond previous research, these findings show that urban/rural differences vary across different types of tobacco products, as well as by division of the country. Results underscore the need for regulatory efforts that will reduce health disparities. Copyright © 2016 Elsevier Ltd. All rights reserved.

Rural Tobacco Use across the United States: How Rural and Urban Areas Differ, Broken Down by Census Regions and Divisions

PubMed Central

Roberts, Megan E.; Doogan, Nathan J.; Kurti, Allison N.; Redner, Ryan; Gaalema, Diann E.; Stanton, Cassandra A.; White, Thomas J.; Higgins, Stephen T.

2016-01-01

This project compared urban/rural differences in tobacco use, and examined how such differences vary across regions/divisions of the U.S. Using pooled 2012–2013 data from the National Survey on Drug Use and Health (NSDUH), we obtained weighted prevalence estimates for the use of cigarettes, menthol cigarettes, chewing tobacco, snuff, cigars, and pipes. NSDUH also provides information on participants’ residence: rural vs. urban, and Census region and division. Overall, use of cigarettes, chew, and snuff were higher in rural, compared to urban areas. Across all tobacco products, urban/rural differences were particularly pronounced in certain divisions (e.g., the South Atlantic). Effects did not appear to be fully explained by differences in poverty. Going beyond previous research, these findings show that urban/rural differences vary across different types of tobacco products, as well as by division of the country. Results underscore the need for regulatory efforts that will reduce health disparities. PMID:27107746

Residence in Rural Areas of the United States and Lung Cancer Mortality. Disease Incidence, Treatment Disparities, and Stage-Specific Survival.

PubMed

Atkins, Graham T; Kim, Taeha; Munson, Jeffrey

2017-03-01

There is increased lung cancer mortality in rural areas of the United States. However, it remains unclear to what extent rural-urban differences in disease incidence, stage at diagnosis, or treatment explain this finding. To explore the relationship between smoking rates, lung cancer incidence, and lung cancer mortality in populations across the rural-urban continuum and to determine whether survival is decreased in rural patients diagnosed with lung cancer and whether this is associated with rural-urban differences in stage at diagnosis or the treatment received. We conducted a retrospective cohort study of 348,002 patients diagnosed with lung cancer between 2000 and 2006. Data from metropolitan, urban, suburban, and rural areas in the United States were obtained from the Surveillance, Epidemiology, and End Results program database. County-level population estimates for 2003 were obtained from the U.S. Census Bureau, and corresponding estimates of smoking prevalence were obtained from published literature. The exposure was rurality, defined by the rural-urban continuum code area linked to each cohort participant by county of residence. Outcomes included lung cancer incidence, mortality, diagnostic stage, and treatment received. Lung cancer mortality increased with rurality in a dose-dependent fashion across the rural-urban continuum. The most rural areas had almost twice the smoking prevalence and lung cancer incidence of the largest metropolitan areas. Rural patients diagnosed with stage I non-small cell lung cancer underwent fewer surgeries (69% vs. 75%; P < 0.001) and had significantly reduced median survival (40 vs. 52 mo; P = 0.0006) compared with the most urban patients. Stage at diagnosis was similar across the rural-urban continuum, as was median survival for patients with stages II-IV lung cancer. Higher rural smoking rates drive increased disease incidence and per capita lung cancer mortality in rural areas of the United States. There were no

Urban and Rural Differences in Sedentary Behavior among American and Canadian Youth

PubMed Central

Carson, Valerie; Iannotti, Ronald J.; Pickett, William; Janssen, Ian

2011-01-01

We examined relationships between urban-rural status and three screen time behaviors (television, computer, video games), and the potential mediating effect of parent and peer support on these relationships. Findings are based on American (n=8563) and Canadian (n=8990) youth in grades 6–10 from the 2005/06 Health Behaviour in School-Aged Children Survey. Weekly hours of individual screen time behaviors were calculated. Urban-rural status was defined using the Beale coding system. Parent and peer support variables were derived from principal component analysis. In comparison to the referent group (non-metro adjacent), American youth in the most rural areas were more likely to be high television users and less likely to be high computer users. Conversely, Canadian youth in medium and large metropolitan areas were less likely to be high television users and more likely to be high computer users. Parent and peer support did not strongly mediate the relationships between urban-rural status and screen time. These findings suggest that interventions aiming to reduce screen time may be most effective if they consider residential location and the specific screen time behavior. PMID:21565545

Urban and rural differences in sedentary behavior among American and Canadian youth.

PubMed

Carson, Valerie; Iannotti, Ronald J; Pickett, William; Janssen, Ian

2011-07-01

We examined relationships between urban-rural status and three screen time behaviors (television, computer, video games), and the potential mediating effect of parent and peer support on these relationships. Findings are based on American (n = 8563) and Canadian (n = 8990) youth in grades 6-10 from the 2005/06 Health Behavior in School-Aged Children Survey. Weekly hours of individual screen time behaviors were calculated. Urban-rural status was defined using the Beale coding system. Parent and peer support variables were derived from principal component analysis. In comparison to the referent group (non-metro adjacent), American youth in the most rural areas were more likely to be high television users and less likely to be high computer users. Conversely, Canadian youth in medium and large metropolitan areas were less likely to be high television users and more likely to be high computer users. Parent and peer support did not strongly mediate the relationships between urban-rural status and screen time. These findings suggest that interventions aiming to reduce screen time may be most effective if they consider residential location and the specific screen time behavior. Copyright © 2011 Elsevier Ltd. All rights reserved.

Hydrocarbon provinces and productive trends in Libya and adjacent areas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Missallati, A.A.

1988-08-01

According to the age of major reservoirs, hydrocarbon occurrences in Libya and adjacent areas can be grouped into six major systems which, according to their geographic locations, can be classified into two major hydrocarbon provinces: (1) Sirte-Pelagian basins province, with major reservoirs ranging from middle-late Mesozoic to early Tertiary, and (2) Murzog-Ghadames basins province, with major reservoirs ranging from early Paleozoic to early Mesozoic. In the Sirte-Pelagian basins province, hydrocarbons have been trapped in structural highs or in stratigraphic wedge-out against structural highs and in carbonate buildups. Here, hydrocarbon generation is characterized by the combined effect of abundant structural reliefmore » and reservoir development in the same hydrocarbon systems of the same age, providing an excellent example of hydrocarbon traps in sedimentary basins that have undergone extensive tensional fracturing in a shallow marine environment. In the Murzog-Ghadames basins province, hydrocarbons have been trapped mainly in structural highs controlled by paleostructural trends as basement arches which acted as focal points for oil migration and accumulation.« less

Post-frontier forest change adjacent to Braulio Carrillo National Park, Costa Rica

Treesearch

John Schelhas; G. Arturo Sanchez-Azofeifa

2006-01-01

Effective biodiversity conservation in national parks depends to a large extent on adjacent forest cover. While deforestation and forest fragmentation as a result of colonization and agriculture have been widespread in neotropical countries over the past few decades, in some places agricultural intensification, wage labor, and rural to urban migration are becoming the...

Detection of all four dengue serotypes in Aedes aegypti female mosquitoes collected in a rural area in Colombia

PubMed Central

Pérez-Castro, Rosalía; Castellanos, Jaime E; Olano, Víctor A; Matiz, María Inés; Jaramillo, Juan F; Vargas, Sandra L; Sarmiento, Diana M; Stenström, Thor Axel; Overgaard, Hans J

2016-01-01

The Aedes aegypti vector for dengue virus (DENV) has been reported in urban and periurban areas. The information about DENV circulation in mosquitoes in Colombian rural areas is limited, so we aimed to evaluate the presence of DENV in Ae. aegypti females caught in rural locations of two Colombian municipalities, Anapoima and La Mesa. Mosquitoes from 497 rural households in 44 different rural settlements were collected. Pools of about 20 Ae. aegypti females were processed for DENV serotype detection. DENV in mosquitoes was detected in 74% of the analysed settlements with a pool positivity rate of 62%. The estimated individual mosquito infection rate was 4.12% and the minimum infection rate was 33.3/1,000 mosquitoes. All four serotypes were detected; the most frequent being DENV-2 (50%) and DENV-1 (35%). Two-three serotypes were detected simultaneously in separate pools. This is the first report on the co-occurrence of natural DENV infection of mosquitoes in Colombian rural areas. The findings are important for understanding dengue transmission and planning control strategies. A potential latent virus reservoir in rural areas could spill over to urban areas during population movements. Detecting DENV in wild-caught adult mosquitoes should be included in the development of dengue epidemic forecasting models. PMID:27074252

Detection of all four dengue serotypes in Aedes aegypti female mosquitoes collected in a rural area in Colombia.

PubMed

Pérez-Castro, Rosalía; Castellanos, Jaime E; Olano, Víctor A; Matiz, María Inés; Jaramillo, Juan F; Vargas, Sandra L; Sarmiento, Diana M; Stenström, Thor Axel; Overgaard, Hans J

2016-04-01

The Aedes aegypti vector for dengue virus (DENV) has been reported in urban and periurban areas. The information about DENV circulation in mosquitoes in Colombian rural areas is limited, so we aimed to evaluate the presence of DENV in Ae. aegypti females caught in rural locations of two Colombian municipalities, Anapoima and La Mesa. Mosquitoes from 497 rural households in 44 different rural settlements were collected. Pools of about 20 Ae. aegypti females were processed for DENV serotype detection. DENV in mosquitoes was detected in 74% of the analysed settlements with a pool positivity rate of 62%. The estimated individual mosquito infection rate was 4.12% and the minimum infection rate was 33.3/1,000 mosquitoes. All four serotypes were detected; the most frequent being DENV-2 (50%) and DENV-1 (35%). Two-three serotypes were detected simultaneously in separate pools. This is the first report on the co-occurrence of natural DENV infection of mosquitoes in Colombian rural areas. The findings are important for understanding dengue transmission and planning control strategies. A potential latent virus reservoir in rural areas could spill over to urban areas during population movements. Detecting DENV in wild-caught adult mosquitoes should be included in the development of dengue epidemic forecasting models.

Utilization of Maternal and Child Health Care Services by Primigravida Females in Urban and Rural Areas of India

PubMed Central

2014-01-01

Maternal complications and poor perinatal outcome are highly associated with nonutilisation of antenatal and delivery care services and poor socioeconomic conditions of the patient. It is essential that all pregnant women have access to high quality obstetric care throughout their pregnancies. Present longitudinal study was carried out to compare utilization of maternal and child health care services by urban and rural primigravida females. A total of 240 study participants were enrolled in this study. More illiteracy and less mean age at the time of marriage were observed in rural population. Poor knowledge about prelacteal feed, colostrums, tetanus injection and iron-follic acid tablet consumption was noted in both urban and rural areas. Very few study participants from both areas were counselled for HIV testing before pregnancy. More numbers of abortions (19.2%) were noted in urban study participants compared to rural area. Thus utilization of maternal and child health care (MCH) services was poor in both urban and rural areas. A sustained and focussed IEC campaign to improve the awareness amongst community on MCH will help in improving community participation. This may improve the quality, accessibility, and utilization of maternal health care services provided by the government agencies in both rural and urban areas. PMID:24977099

Attitudes toward organ donation in rural areas of southeastern Spain.

PubMed

Conesa, C; Ríos, A; Ramírez, P; Cantéras, M; Rodríguez, M M; Parrilla, P

2006-04-01

Rural areas present a worse attitude toward organ donation. However, the factors conditioning this attitude are not well known. Our aim was to determine the profile of the population opposed to donation in rural areas. A random sample stratified by age and sex was obtained from municipalities with less than 10,000 inhabitants. Attitudes toward donation were assessed by a questionnaire which evaluated variables that may influence these attitudes. A descriptive statistical study used the Student t test and chi-square test as well as a logistic regression analysis. Among 181 respondents, 63% were in favor of donation and 37% against or undecided. Among the reasons to be against donation were rejection of body mutilation (43%) and fear of apparent death (41%). The psychosocial variables against donation were age >or=44 years, primary education or below, no previous experience with donation, no prosocial activities, an unfavorable opinion of the partner, and fear of corpse mutilation. The variables persisting in the multivariate analysis were level of education, previous experience, prosocial activities, and fear of corpse manipulation. Among the rural population the profile of a person opposed to donation was someone older than 44 years, with a low level of education and no previous experience with donation, who does not participate in prosocial activities and is opposed to corpse manipulation.

Retaining health workforce in rural and underserved areas of India: What works and what doesn't? A critical interpretative synthesis.

PubMed

Goel, Sonu; Angeli, Federica; Bhatnagar, Nidhi; Singla, Neetu; Grover, Manoj; Maarse, Hans

2016-01-01

Human resource for health is critical in quality healthcare delivery. India, with a large rural population (68.8%), needs to urgently bridge the gaps in health workforce deployment between urban and rural areas. We did a critical interpretative synthesis of the existing literature by using a predefined selection criteria to assess relevant manuscripts to identify the reasons for retaining the health workforce in rural and underserved areas. We discuss different strategies for retention of health workforce in rural areas on the basis of four major retention interventions, viz. education, regulation, financial incentives, and personal and professional support recommended by WHO in 2010. This review focuses on the English-language material published during 2005-14 on human resources in health across low- and middle-income countries. Healthcare in India is delivered through a diverse set of providers. Inequity exists in health manpower distribution across states, area (urban-rural), gender and category of health personnel. India is deficient in health system development and financing where health workforce education and training occupy a low priority. Poor governance, insufficient salary and allowances, along with inability of employers to provide safe, satisfying and rewarding work conditions-are causing health worker attrition in rural India. The review suggests that the retention of health workers in rural areas can be ensured by multiplicity of interventions such as medical schools in rural areas, rural orientation of medical education, introducing compulsory rural service in lieu of incentives providing better pay packages and special allowances, and providing better living and working conditions in rural areas. A complex interplay of factors that impact on attraction and retention of health workforce necessitates bundling of interventions. In low-income countries, evidence- based strategies are needed to ensure context-specific, field- tested and cost

Personalized Health Monitoring System for Managing Well-Being in Rural Areas.

PubMed

Nedungadi, Prema; Jayakumar, Akshay; Raman, Raghu

2017-12-14

Rural India lacks easy access to health practitioners and medical centers, depending instead on community health workers. In these areas, common ailments that are easy to manage with medicines, often lead to medical escalations and even fatalities due to lack of awareness and delayed diagnosis. The introduction of wearable health devices has made it easier to monitor health conditions and to connect doctors and patients in urban areas. However, existing initiatives have not succeeded in providing adequate health monitoring to rural and low-literate patients, as current methods are expensive, require consistent connectivity and expect literate users. Our design considerations address these concerns by providing low-cost medical devices connected to a low-cost health platform, along with personalized guidance based on patient physiological parameters in local languages, and alerts to medical practitioners in case of emergencies. This patient-centric integrated healthcare system is designed to manage the overall health of villagers with real-time health monitoring of patients, to offer guidance on preventive care, and to increase health awareness and self-monitoring at an affordable price. This personalized health monitoring system addresses the health-related needs in remote and rural areas by (1) empowering health workers in monitoring of basic health conditions for rural patients in order to prevent escalations, (2) personalized feedback regarding nutrition, exercise, diet, preventive Ayurveda care and yoga postures based on vital parameters and (3) reporting of patient data to the patient's health center with emergency alerts to doctor and patient. The system supports community health workers in the diagnostic procedure, management, and reporting of rural patients, and functions well even with only intermittent access to Internet.

Alpha 94: Literacy and Cultural Development Strategies in Rural Areas.

ERIC Educational Resources Information Center

Hautecoeur, Jean-Paul, Ed.

This book compiles 21 action research articles from 12 countries that describe community-based initiatives in adult literacy education in peripheral rural areas. These initiatives represent dynamic experiments in cultural action that explicitly link individual basic education and a collective change in the conditions of local life. The reports…

Factors That Influence the Attrition of Mentors in Rural Areas

ERIC Educational Resources Information Center

Givens, Sharon Leenese

2012-01-01

This research is a qualitative case study exploring the factors that influence the attrition of mentors in rural areas. Mentoring initiatives and programs have proliferated throughout schools in an effort to provide students with positive role models, increase graduation rates and improve overall performance Mentoring programs are an increasingly…

The Influence of Urbanism and Information Consumption on Political Dimensions of Social Capital: Exploratory Study of the Localities Adjacent to the Core City from Brașov Metropolitan Area, Romania.

PubMed

Rezeanu, Cătălina-Ionela; Briciu, Arabela; Briciu, Victor; Repanovici, Angela; Coman, Claudiu

2016-01-01

The last two decades have seen a growing trend towards the research of voting behavior in post-communist countries. Urban sociology theorists state that not only space structures influence political participation, but also space structures are changing under the influence of global, local, and individual factors. The growing role played by information in the globalised world has accelerated the paradigm shift in urban sociology: from central place model (based on urban-rural distinction and on monocentric metropolitan areas) to network society (based on space of flows and polycentric metropolitan areas). However, recent studies have mainly focused on countries with solid democracies, rather than on former communist countries. The present study aims to analyze the extent to which a new emerging spatial structure can be envisaged within a metropolitan area of Romania and its consequences for the political dimensions of social capital. The Transilvania University Ethics Commission approved this study (S1 Aprouval). The research is based upon individual and aggregate empirical data, collected from the areas adjacent to the core city in Brașov metropolitan area. Individual data has been collected during October 2012, using the oral survey technique (S1 Survey), based on a standardized questionnaire (stratified simple random sample, N = 600). The National Institute of Statistics and the Electoral Register provided the aggregate data per locality. Unvaried and multivariate analyses (hierarchical regression method) were conducted based on these data. Some dimensions of urbanism, identified as predictors of the political dimensions of social capital, suggest that the area under analysis has a predominantly monocentric character, where the rural-urban distinction continues to remain relevant. There are also arguments favoring the dissolution of the rural-urban distinction and the emergence of polycentric spatial structures. The presence of some influences related to the

The Influence of Urbanism and Information Consumption on Political Dimensions of Social Capital: Exploratory Study of the Localities Adjacent to the Core City from Brașov Metropolitan Area, Romania

PubMed Central

Rezeanu, Cătălina-Ionela; Briciu, Arabela; Briciu, Victor; Repanovici, Angela; Coman, Claudiu

2016-01-01

Background The last two decades have seen a growing trend towards the research of voting behavior in post-communist countries. Urban sociology theorists state that not only space structures influence political participation, but also space structures are changing under the influence of global, local, and individual factors. The growing role played by information in the globalised world has accelerated the paradigm shift in urban sociology: from central place model (based on urban-rural distinction and on monocentric metropolitan areas) to network society (based on space of flows and polycentric metropolitan areas). However, recent studies have mainly focused on countries with solid democracies, rather than on former communist countries. The present study aims to analyze the extent to which a new emerging spatial structure can be envisaged within a metropolitan area of Romania and its consequences for the political dimensions of social capital. Methods The Transilvania University Ethics Commission approved this study (S1 Aprouval). The research is based upon individual and aggregate empirical data, collected from the areas adjacent to the core city in Brașov metropolitan area. Individual data has been collected during October 2012, using the oral survey technique (S1 Survey), based on a standardized questionnaire (stratified simple random sample, N = 600). The National Institute of Statistics and the Electoral Register provided the aggregate data per locality. Unvaried and multivariate analyses (hierarchical regression method) were conducted based on these data. Results Some dimensions of urbanism, identified as predictors of the political dimensions of social capital, suggest that the area under analysis has a predominantly monocentric character, where the rural-urban distinction continues to remain relevant. There are also arguments favoring the dissolution of the rural-urban distinction and the emergence of polycentric spatial structures. The presence of some

Commuting to work: RN travel time to employment in rural and urban areas.

PubMed

Rosenberg, Marie-Claire; Corcoran, Sean P; Kovner, Christine; Brewer, Carol

2011-02-01

To investigate the variation in average daily travel time to work among registered nurses (RNs) living in urban, suburban, and rural areas. We examine how travel time varies across RN characteristics, job setting, and availability of local employment opportunities. Descriptive statistics and linear regression using a 5% sample from the 2000 Census and a longitudinal survey of newly licensed RNs (NLRN). Travel time for NLRN respondents was estimated using geographic information systems (GIS) software. In the NLRN, rural nurses and those living in small towns had significantly longer average commute times. Young married RNs and RNs with children also tended to have longer commute times, as did RNs employed by hospitals. The findings indicate that travel time to work varies significantly across locale types. Further research is needed to understand whether and to what extent lengthy commute times impact RN workforce needs in rural and urban areas.

Child health inequities in developing countries: differences across urban and rural areas

PubMed Central

Fotso, Jean-Christophe

2006-01-01

Objectives To document and compare the magnitude of inequities in child malnutrition across urban and rural areas, and to investigate the extent to which within-urban disparities in child malnutrition are accounted for by the characteristics of communities, households and individuals. Methods The most recent data sets available from the Demographic and Health Surveys (DHS) of 15 countries in sub-Saharan Africa (SSA) are used. The selection criteria were set to ensure that the number of countries, their geographical spread across Western/Central and Eastern/Southern Africa, and their socioeconomic diversities, constitute a good yardstick for the region and allow us to draw some generalizations. A household wealth index is constructed in each country and area (urban, rural), and the odds ratio between its uppermost and lowermost category, derived from multilevel logistic models, is used as a measure of socioeconomic inequalities. Control variables include mother's and father's education, community socioeconomic status (SES) designed to represent the broad socio-economic ecology of the neighborhoods in which families live, and relevant mother- and child-level covariates. Results Across countries in SSA, though socioeconomic inequalities in stunting do exist in both urban and rural areas, they are significantly larger in urban areas. Intra-urban differences in child malnutrition are larger than overall urban-rural differentials in child malnutrition, and there seem to be no visible relationships between within-urban inequities in child health on the one hand, and urban population growth, urban malnutrition, or overall rural-urban differentials in malnutrition, on the other. Finally, maternal and father's education, community SES and other measurable covariates at the mother and child levels only explain a slight part of the within-urban differences in child malnutrition. Conclusion The urban advantage in health masks enormous disparities between the poor and the non

Evaluation of rural areas in terms of landscape quality: Salacik Village (Trabzon/Turkey) example.

PubMed

Düzgüneş, Ertan; Demirel, Öner

2015-06-01

As a result of the increasing urbanization and fast pace of work life, people started to turn to rural areas so as to regenerate both socially and psychologically. Increasing interest in the rural areas made the importance of landscape quality of these areas more significant. This improvement gave way to the idea of the necessity of preserving the resourceful landscape areas in terms of visual characteristics and bringing them under the spotlight, and it became the driving power in reconciling the planners and administrators. From this point of view, a study was conducted in Salacık Village of Akçaabat district of Trabzon (Turkey) in order to identify the visually resourceful landscape areas and maintain the sustainability of the resource values by preserving them. In this respect, the area was divided into seven individual landscape types, visual landscape evaluation including the opinions of the experts, and a survey that is used in planning of the rural areas was implemented. It is thought that the results attained with the evaluations made taking the principles of Gestalt theory into consideration will constitute an essential fundamental for urban and regional planners, natural resource administrators, and other planning parties in their planning decisions relating the specific area. Apart from that, among the goals of this study are contributing in the preservation of visually resourceful landscapes, maintaining their sustainability, and integration of these areas into the development strategies.

Forecasters Handbook for Japan and Adjacent Sea Areas

DTIC Science & Technology

1988-06-01

a strengthening Siberian high pressure cell. 4.5.1.1 Synoptic Patterns Summer is a season of reduced extratropical storm activity over the East China...the waters adjacent to eastern Asia, summer is a period of reduced extratropical storm activity over the Yellow Sea. Figure 2-6 (page 2-23) depicts...since the southeastern part of the sea is 6-15 closer to the extratropical storm tracks discussed in section 6.3.1.1 above. 6.3.1.3 Upper Level Winds

Thermal structure of Sikhote Alin and adjacent areas based on spectral analysis of the anomalous magnetic field

NASA Astrophysics Data System (ADS)

Didenko, A. N.; Nosyrev, M. Yu.; Shevchenko, B. F.; Gilmanova, G. Z.

2017-11-01

The depth of the base of the magnetoactive layer and the geothermal gradient in the Sikhote Alin crust are estimated based on a method determining the Curie depth point of magnetoactive masses by using spectral analysis of the anomalous magnetic field. A detailed map of the geothermal gradient is constructed for the first time for the Sikhote Alin and adjacent areas of the Central Asian belt. Analysis of this map shows that the zones with a higher geothermal gradient geographically fit the areas with a higher level of seismicity.

Rural Renaissance in America? The Revival of Population Growth in Remote Areas.

ERIC Educational Resources Information Center

Morrison, Peter A.; Wheeler, Judith P.

Presenting narrative and tabular documentation of the revival of population growth in remote, rural areas and the decline of growth in urban areas, this bulletin describes the characteristics of these shifts, considers their possible causes, and suggests some of the problems and potential benefits. Specifically, this report presents the following:…

49 CFR 195.12 - What requirements apply to low-stress pipelines in rural areas?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 3 2010-10-01 2010-10-01 false What requirements apply to low-stress pipelines in... low-stress pipelines in rural areas? (a) General. This section does not apply to a rural low-stress pipeline regulated under this part as a low-stress pipeline that crosses a waterway currently used for...

Colorectal Cancer Screening Practices Among Men and Women in Rural and Nonrural Areas of the United States, 1999

ERIC Educational Resources Information Center

Coughlin, Steven S.; Thompson, Trevor D.

2004-01-01

Previous studies have suggested that men and women in rural areas are less likely than those in urban areas to receive routine cancer screening. Methods: We examined the colorectal cancer screening practices of men (n = 23,565) and women (n = 37,847) aged >50 years living in rural areas and other areas of the United States using data from the…

Do food and physical activity environments vary between disadvantaged urban and rural areas? Findings from the READI Study.

PubMed

Thornton, Lukar E; Crawford, David A; Cleland, Verity J; Timperio, Anna F; Abbott, Gavin; Ball, Kylie

2012-08-01

The presence or absence of amenities in local neighbourhood environments can either promote or restrict access to opportunities to engage in healthy and/or less healthy behaviours. Rurality is thought to constrain access to facilities and services. This study investigated whether the presence and density of environmental amenities related to physical activity and eating behaviours differs between socioeconomically disadvantaged urban and rural areas in Victoria, Australia. We undertook cross-sectional analysis of environmental data collected in 2007-08 as part of the Resilience for Eating and Activity Despite Inequality (READI) study. These data were sourced and analysed for 40 urban and 40 rural socioeconomically disadvantaged areas. The variables examined were the presence, raw count, count/km2, and count/'000 population of a range of environmental amenities (fast-food restaurants, all supermarkets (also separated by major chain and other supermarkets), greengrocers, playgrounds, gyms/leisure centres, public swimming pools and public open spaces). A greater proportion of urban areas had a fast-food restaurant and gym/leisure centre present while more rural areas contained a supermarket and public swimming pool. All amenities examined (with the exception of swimming pools) were more numerous per km2 in urban areas, however rural areas had a greater number of all supermarkets, other supermarkets, playgrounds, swimming pools and public open space per '000 population. Although opportunities to engage in healthy eating and physical activity exist in many rural areas, a lower density per km2 suggests a greater travel distance may be required to reach these.

Farmed areas predict the distribution of amphibian ponds in a traditional rural landscape.

PubMed

Hartel, Tibor; von Wehrden, Henrik

2013-01-01

Traditional rural landscapes of Eastern Europe are undergoing major changes due to agricultural intensification, land abandonment, change in agricultural practices and infrastructural development. Small man-made ponds are important yet vulnerable components of rural landscapes. Despite their important role for biodiversity, these ponds tend to be excluded from conservation strategies. Our study was conducted in a traditional rural landscape in Eastern Europe. The aim of this study is twofold: (i) to model the distribution of four major man-made pond types and (ii) to present the importance of man-made ponds for the endangered Yellow Bellied Toad (Bombina variegata) and the Common Toad (Bufo bufo). Six environmental variables were used to model pond distribution: Corine landcover, the heterogeneity of the landcover, slope, road distance, distance to closest village and the human population density. Land cover heterogeneity was the most important driver for the distribution of fishponds. Areas used for agriculture with significant areas of natural vegetation were the most important predictors for the distribution of temporary ponds. In addition, areas covered by transitional woodland and scrub were important for the open cattle ponds. Bombina variegata was found predominantly in the temporary ponds (e.g. ponds created by cattle and buffalo, dirt road ponds and concrete ponds created for livestock drinking) and Bufo bufo in fishponds. Our Maxent models revealed that the highest probability of occurrence for amphibian ponds was in areas used as farmland. The traditional farming practices combined with a low level of infrastructure development produces a large number of amphibian ponds. The challenge is to harmonize economic development and the maintenance of high densities of ponds in these traditional rural landscapes.

Information Technologies: Do They Have the Potential To Bring Change to U.S. Rural Areas? Policy Briefs.

ERIC Educational Resources Information Center

Burton, John K.; Lockee, Barbara B.

Rural communities have long experienced an outmigration of talented people to urban areas for better employment opportunities. The traditional rural economic model, especially prevalent in Appalachia and the rural South, involves outside capital promoting industrial development separated from community needs and culture. This, at worst, is…

Providing Services for Handicapped Persons in Rural/Sparsely Populated Areas.

ERIC Educational Resources Information Center

Weatherman, Richard

The experiences of the 3-year Minnesota Severely Handicapped Delivery System Project have led to a model which utilizes resources of regional systems as key elements of a differentiated system for educational service delivery to the handicapped in rural areas and involves state education agencies, statewide regional centers, local education units,…

Traveler information services in rural tourism areas : appendix A, tourist intercept surveys

DOT National Transportation Integrated Search

2000-06-30

This document presents documentation regarding tourist intercept surveys for traveler information services in rural areas. It documents data collection functions and information dissemination functions, and provides an interpretive description of tra...

Designing medical internships to improve recruitment and retention of doctors in rural areas.

PubMed

Gaski, Margrete; Abelsen, Birgit

2017-01-01

The medical internship as a way of exposing young doctors to training in a rural context is regarded as a useful tool to recruit and retain doctors in rural areas. Norwegian health authorities tested an arrangement of early sign-up for medical internships in the Finnmark County in Norway. To report on the effects of the early sign-up for medical internship. This study compares the choice of workplace after internship among physicians who signed up early with those candidates assigned to the raffle model of internship in the study area, and in a comparison area experiencing similar recruitment and retention problems. The proportion of interns who signed up early that still worked as physicians in the study area by April 2014 (29%) was twice as high as among the regular interns (15%) and interns in the comparison area (14%). Among the 59 interns who signed up early still working in the study area in April 2014, 33% had grown up in this area. However, the greatest benefits were for the most densely populated municipalities in the study area. The early sign-up model had a net contribution of proving additional physicians in the study area.

[Analysis on current status of drinking water quality in rural areas of China].

PubMed

Zhang, L; Chen, Y; Chen, C; Wang, H; Yan, H Z; Zhao, Y C

1997-01-01

An investigation on drinking water quality in rural areas of 180 counties in 26 provinces, municipalities and autonomous regions of China was carried out. The population surveyed was 89.39 million. 69.6% of which was supplied with ground water. Central water supply systems served 47.1% of population. Quality of drinking water was graded according to the "Guidelines for Implementation of the 'Sanitary Standard for Drinking Water' in Rural Areas". The rate of population supplied with unqualified drinking water was 42.7%. The bacteriological indices of drinking water exceeded the standard seriously. Organic pollution occurred extensively. Some regions supplied with water of high concentration of fluoride.

An epidemiological analysis of paediatric burns in urban and rural areas in south central China.

PubMed

Zhou, Bo; Zhou, Xiao; Ouyang, Li-zhi; Huang, Xiao-yuan; Zhang, Pi-hong; Zhang, Ming-hua; Ren, Li-cheng; Liang, Peng-fei

2014-02-01

This study aims to analyse the epidemiology of paediatric burns in south central China, illustrate the differences between rural and urban areas, and discern prevention measures to reduce paediatric burns. Data were obtained from all paediatric patients admitted to Department of Burns unit of Xiangya Hospital during 2009-2012. A retrospective review was performed, including cause of burn, pre-hospital treatment, place of burn occurrence, anatomical areas involved, extent of burn, date of injury, number of operations, complications, length of hospital stay, hospitalisation cost and cure rate. A total of 278 hospitalised paediatric patients were admitted in this study. The majority (56.47%) were 1-3 years old. Rural patients accounted for 67.99% in total; the ratio of boys to girls was 2.05. Scalding with hot fluids was the most common cause of burns in children (62.59%), followed by flame (17.63), fireworks (9.71%), electricity (5.76%) and other factors such as contact and chemical (4.32%). The living room was the location with the highest frequency of burns in children (53.24%). Burns were more likely to happen in winter and the upper extremities were the most involved anatomic site (53.24%). Total burn surface area (TBSA) ranging from 0% to 9% accounted for 55.4% in total. Rural patients underwent more operations and had longer and costlier hospital stays than urban patients. Compared with treatment in urban areas, rural burn patients received less first-aid treatment, underwent more surgery, had more complications and longer and more costly hospital stays. This finding strongly suggests that it is necessary to make more efforts to prevent burns, especially in rural areas. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

Rural America at a Glance. Rural Development Research Report.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

This report highlights the most recent indicators of social and economic conditions in rural areas for use in developing rural policies and programs. The economic expansion of the 1990s greatly benefited rural economies. Rural areas attracted both urban residents and immigrants. Hispanics accounted for over 25 percent of nonmetropolitan population…

Impact of village-based health education of tobacco control on the current smoking rate in Chinese rural areas.

PubMed

Wang, Jian-miao; Xiong, Wei-ning; Xie, Jun-gang; Liu, Xian-sheng; Zhao, Jian-ping; Zhang, Zhen-xiang; Xu, Yong-jian

2016-02-01

The number of smokers in Chinese rural areas is more than 200 million, which is twice that in cities. It is very significant to carry out tobacco control interventions in rural areas. We performed this community intervention study to evaluate the efficacy of village-based health education of tobacco control on the male current smoking rate in rural areas. The population of this study was the males above 15 years old from 6 villages in rural areas. The villages were randomly assigned to intervention group or control group (3 villages in each group). Self-designed smoking questionnaire was applied. The intervention group received the village-based health education of tobacco control for one year. The primary outcome measurement was the male current smoking rate. In the baseline investigation, completed surveys were returned by 814 male residents from the control group and 831 male residents from the intervention group. The male current smoking rate in the control group and the intervention group was 61.2% and 58.5%, respectively, before intervention. There was no significant difference between these two groups (P>0.05). After one-year intervention, the current smoking rate in the intervention group (51.2%) was significantly lower than that in the control group (62.8%) (P<0.001). Our study suggested that the village-based health education of tobacco control was effective in lowering the male current smoking rate in rural areas, which could be a suitable and feasible way for tobacco control in the Chinese rural areas.

Foreword: special issue on the geology of Northwestern Mexico and adjacent areas

NASA Astrophysics Data System (ADS)

González-León, Carlos M.; Barajas, Arturo Martin

2001-10-01

The eight papers presented in this special issue are contributions that were received following the Fourth Meeting on the Geology of Northwestern Mexico and Adjacent Areas that took place from March 6- 8, 2000, in Hermosillo, México. The meeting was organized by the Estación Regional del Noroeste, Instituto de Geología, Universidad Nacional Autónoma de México; Departamento de Geología, Universidad de Sonora; Departamento de Geología, Centro de Investigación Científica y Estudios Superiores de Ensenada; Departamento de Geociencias, Centro de Estudios Superiores del Estado de Sonora; Distrito Sonora, Asociación de Ingenieros de Minas, Metalurgistas y Geólogos de México and Sociedad Geológica Mexicana. The manuscripts present new result that constitute recent advances to our understanding of the geology of southwestern North America.

Perceptions of newly admitted undergraduate medical students on experiential training on community placements and working in rural areas of Uganda.

PubMed

Kaye, Dan K; Mwanika, Andrew; Sekimpi, Patrick; Tugumisirize, Joshua; Sewankambo, Nelson

2010-06-23

Uganda has an acute problem of inadequate human resources partly due to health professionals' unwillingness to work in a rural environment. One strategy to address this problem is to arrange health professional training in rural environments through community placements. Makerere University College of Health Sciences changed training of medical students from the traditional curriculum to a problem-based learning (PBL) curriculum in 2003. This curriculum is based on the SPICES model (student-centered, problem-based, integrated, community-based and services oriented). During their first academic year, students undergo orientation on key areas of community-based education, after which they are sent in interdisciplinary teams for community placements. The objective was to assess first year students' perceptions on experiential training through community placements and factors that might influence their willingness to work in rural health facilities after completion of their training. The survey was conducted among 107 newly admitted first year students on the medical, nursing, pharmacy and medical radiography program students, using in-depth interview and open-ended self-administered questionnaires on their first day at the college, from October 28-30, 2008. Data was collected on socio-demographic characteristics, motivation for choosing a medical career, prior exposure to rural health facilities, willingness to have part of their training in rural areas and factors that would influence the decision to work in rural areas. Over 75% completed their high school from urban areas. The majority had minimal exposure to rural health facilities, yet this is where most of them will eventually have to work. Over 75% of the newly admitted students were willing to have their training from a rural area. Perceived factors that might influence retention in rural areas include the local context of work environment, support from family and friends, availability of continuing

Relationship between caregivers' nutritional knowledge and children's dietary behavior in Chinese rural areas.

PubMed

Zeng, Rong; Luo, Jiayou; Tan, Cai; DU, Qiyun; Zhang, Weimin; Li, Yanping

2012-11-01

To explore the relationship between caregivers' nutritional knowledge and children's dietary behavior in rural areas of China. A cross-sectional study was conducted. 3361 rural caregivers and their children, aged 2 to 7 years old, were selected randomly and surveyed by questionnaire. Logistic regression models were used to identify the relationship between caregivers' nutritional knowledge and the children's dietary behaviors. The awareness level of nutritional knowledge among rural caregivers was 57.9%; among the children surveyed, 79.6% did not like to drink milk, 66.0% were considered choosy of food, 84.1% regularly snacked, 24.4% frequently skipped breakfast, and 13.7% did not come to meals on time. Logistic regression models indicated that a caregiver with a low level of nutritional knowledge is a risk factor for a child's unhealth dietary behaviors (snacking excepted): the odds ratios (OR) of not liking to drink milk, being choosy about food, skipping breakfast or not having meals on time are 1.665, 1.338, 1.330 and 1.582, respectively. Caregivers' nutritional knowledge is strongly associated with children's dietary behavior. Nutrition education programs are urgently wanted to improve caregiver's knowledge and thus to improve children's dietary behavior in rural areas of China.

[Landscape character assessment framework in rural area: A case study in Qiaokou, Chang-sha, China].

PubMed

Zhang, Qian; Liu, Wen-ping; Yu, Zhen-rong

2015-05-01

Based on the concept and methods of landscape character assessment (LCA) in England, this paper applied a complete process of landscape character assessment with a case study in Qiaokou Town, which is located in a typical southern paddy fields area in Changsha City. We drew the landscape character map of Qiaokou Town through desk classification and field survey, identified and compared the key characters of each character area, and proposed suggestions on the improvement and stewardship of landscape characters. The results showed that Qiaokou could be divided into 2 landscape character types and 7 landscape character areas with the main differences in cropland and vegetation pattern as well as aesthetic characters. The case study indicated that LCA could be a critical tool to identify the characteristics in rural area, and provide helpful guidance to protect, restore and maintain the unique culture and characters of rural landscape, which is useful for targeted rural landscape development. In the future, we suggested that the assessment on the effects of landscape construction measures on the ecosystem services should be incorporated in LCA research as well.

Landsat-faciliated vegetation classification of the Kenai National Wildlife Refuge and adjacent areas, Alaska

USGS Publications Warehouse

Talbot, S. S.; Shasby, M.B.; Bailey, T.N.

1985-01-01

A Landsat-based vegetation map was prepared for Kenai National Wildlife Refuge and adjacent lands, 2 million and 2.5 million acres respectively. The refuge lies within the middle boreal sub zone of south central Alaska. Seven major classes and sixteen subclasses were recognized: forest (closed needleleaf, needleleaf woodland, mixed); deciduous scrub (lowland and montane, subalpine); dwarf scrub (dwarf shrub tundra, lichen tundra, dwarf shrub and lichen tundra, dwarf shrub peatland, string bog/wetlands); herbaceous (graminoid meadows and marshes); scarcely vegetated areas ; water (clear, moderately turbid, highly turbid); and glaciers. The methodology employed a cluster-block technique. Sample areas were described based on a combination of helicopter-ground survey, aerial photo interpretation, and digital Landsat data. Major steps in the Landsat analysis involved: preprocessing (geometric connection), spectral class labeling of sample areas, derivation of statistical parameters for spectral classes, preliminary classification of the entree study area using a maximum-likelihood algorithm, and final classification through ancillary information such as digital elevation data. The vegetation map (scale 1:250,000) was a pioneering effort since there were no intermediate-sclae maps of the area. Representative of distinctive regional patterns, the map was suitable for use in comprehensive conservation planning and wildlife management.

Provision of oncology services in remote rural areas: a Scottish perspective.

PubMed

Smith, S M; Campbell, N C

2004-05-01

There is a paucity of research into rural health care services. In particular little is known about the provision of specialist cancer services for patients who live in remote rural areas of the UK. This study set out to investigate current models of medical and clinical oncology care in Scotland. A national survey with key health professionals was conducted to identify rural oncology schemes currently in operation. Detailed quantitative data about the schemes together with qualitative data on how health professionals view current models of care were collected by a computer-assisted telephone survey. Schemes that currently provide outpatient and chemotherapy oncology services for remote rural patients fell into three categories: central clinics (5); shared care outreach clinics with chemotherapy provision (11); and shared care outreach clinics without chemotherapy provision (7). All radiotherapy was conducted at central clinics (5). Widely varying practices in delivery of cancer care were found across the country. The main issues for professionals about current models of care involved expertise, travelling and accessibility (for patients), communication and expansion of the rural service. Nation-wide consistency in cancer care has still to be achieved. Travelling for treatment was seen to take its toll on all patients but particularly for the very remote, elderly and poor. Most professionals believe that an expansion of rural services would be of benefit to these patients. It is clear, however, that the proper infrastructure needs to be in place in terms of local expertise, ensured quality of care, and good communication links with cancer centres before this could happen.

Measuring potential access to food stores and food-service places in rural areas in the U.S.

PubMed

Sharkey, Joseph R

2009-04-01

Geographic access to healthy food resources remains a major focus of research that examines the contribution of the built environment to healthful eating. Methods used to define and measure spatial accessibility can significantly affect the results. Considering the implications for marketing, policy, and programs, adequate measurement of the food environment is important. Little of the published work on food access has focused on rural areas, where the burden of nutrition-related disease is greater. This article seeks to expand our understanding of the challenges to measurement of potential spatial access to food resources in rural areas in the U.S. Key challenges to the accurate measurement of the food environment in rural areas include: (1) defining the rural food environment while recognizing that market factors may be changing; (2) describing characteristics that may differentiate similar types of food stores and food-service places; and (3) determining location coordinates for food stores and food-service places. In order to enhance measurements in rural areas, "ground-truthed" methodology, which includes on-site observation and collection of GPS data, should become the standard for rural areas. Measurement must also recognize the emergence of new and changing store formats. Efforts should be made to determine accessibility, in terms of both proximity to a single location and variety of multiple locations within a specified buffer, from origins other than the home, and consider multipurpose trips and trip chaining. The measurement of food access will be critical for community-based approaches to meet dietary needs. Researchers must be willing to take the steps necessary for rigorous measurement of a dynamic food environment.

Aggression and related stressful life events among Chinese adolescents living in rural areas: A cross-sectional study.

PubMed

Huang, Juan; Tang, Jie; Tang, Lina; Chang, Hong Juan; Ma, Yuqiao; Yan, Qiuge; Yu, Yizhen

2017-03-15

Aggression is a serious problem for both individuals and society. Despite progress in aggression research, its persistence among adolescents living in rural areas remains to be investigated. We evaluate the prevalence of aggression and the association between stressful life events and aggression in a nationwide, school-based sample of adolescents living in rural areas of China. A sample of 13,495 Chinese rural students (7065 boys and 6430 girls; 11-20 years old) was selected from 15 representative rural areas from 5 provinces in China using stratified randomized cluster sampling. Aggression, stressful life events, neglect, emotional management, social support, and demographic characteristics were assessed via self-report questionnaires. Multivariate logistic regressions were used to estimate the association of stressful life events and aggression after controlling for confounds. The prevalence of aggressive behavior among Chinese adolescents living in rural areas was 24.3%. Regression analyses indicated that the odds of aggression were negatively influenced by chronic long-term stressors related to interpersonal problems (OR=2.03, 95% CI [1.75-2.36]), health adaptation difficulties (OR=1.21, 95% CI [1.09-1.34]), and other troubles (OR=1.93, 95% CI [1.74-2.14]), even after adjustment for parental neglect, emotional management, social support, and other relevant factors. This study was cross-sectional; thus, it is necessary to validate the causal relationship between stressful life events and aggression via follow-up studies. Aggression was prevalent among Chinese adolescents living in rural areas, and interpersonal problems, health adaption difficulties, and other troubles were considered potential independent risk factors for aggression. Copyright © 2017 Elsevier B.V. All rights reserved.

[Lactation and amenorrhea in women from the rural and urban areas of Yucatan].

PubMed

Canto-de Cetina, T; Polanco-Reyes, L; Vera-Gamboa, L

1993-09-01

Influence of environment and lactation patterns on amenorrhea duration and frequency of ovulation before the first menstrual bleeding postpartum are studied on a group of 100 women (half rural, half from urban areas). All subjects studied were highly motivated to breastfeed for prolonged periods. Results show a more prolonged amenorrhea, although not statistically significant, in those women from the rural zone. Ovulation frequency before the first vaginal bleeding was 14% none ovulated before six months.

Farmed Areas Predict the Distribution of Amphibian Ponds in a Traditional Rural Landscape

PubMed Central

Hartel, Tibor; von Wehrden, Henrik

2013-01-01

Background Traditional rural landscapes of Eastern Europe are undergoing major changes due to agricultural intensification, land abandonment, change in agricultural practices and infrastructural development. Small man-made ponds are important yet vulnerable components of rural landscapes. Despite their important role for biodiversity, these ponds tend to be excluded from conservation strategies. Methodology/Findings Our study was conducted in a traditional rural landscape in Eastern Europe. The aim of this study is twofold: (i) to model the distribution of four major man-made pond types and (ii) to present the importance of man-made ponds for the endangered Yellow Bellied Toad (Bombina variegata) and the Common Toad (Bufo bufo). Six environmental variables were used to model pond distribution: Corine landcover, the heterogeneity of the landcover, slope, road distance, distance to closest village and the human population density. Land cover heterogeneity was the most important driver for the distribution of fishponds. Areas used for agriculture with significant areas of natural vegetation were the most important predictors for the distribution of temporary ponds. In addition, areas covered by transitional woodland and scrub were important for the open cattle ponds. Bombina variegata was found predominantly in the temporary ponds (e.g. ponds created by cattle and buffalo, dirt road ponds and concrete ponds created for livestock drinking) and Bufo bufo in fishponds. Conclusions/Significance Our Maxent models revealed that the highest probability of occurrence for amphibian ponds was in areas used as farmland. The traditional farming practices combined with a low level of infrastructure development produces a large number of amphibian ponds. The challenge is to harmonize economic development and the maintenance of high densities of ponds in these traditional rural landscapes. PMID:23704928

Students' unchanging smoking habits in urban and rural areas in the last 15 years.

PubMed

Akca, Gulfer; Guner, Sukru Nail; Akca, Unal; Kilic, Mehtap; Sancak, Recep; Ozturk, Fadil

2016-04-01

Smoking is the main preventable public health problem particularly for youth worldwide. The aim of the present study was to determine the prevalence of smoking habits among students at secondary and high schools, and to compare the findings with those of a study conducted 15 years ago in the same area. In this cross-sectional study 6212 students (51.2% female; 48.8% male) were selected randomly from rural and urban areas in Samsun. All students completed a face-to-face questionnaire. The overall prevalence of smoking was 13.0% (male students, 18.1%; female students, 8.2%). The mean starting age of smoking was 14.1 ± 1.5 years. Prevalence of smoking was 15.7% in urban areas and 8.1% in rural areas. The most important factors for starting smoking were social group and families. Compared with a study conducted 15 years previously in the same area for male students, smoking prevalence was increased in rural, but decreased in urban areas. Smoking prevalence in students in Samsun was similar to that in a study conducted 15 years previously. It is important to use anti-smoking campaigns directly targeted at teenager and they should be fully informed of the harmful effects of smoking. © 2015 Japan Pediatric Society.

Willingness to work in rural areas and the role of intrinsic versus extrinsic professional motivations - a survey of medical students in Ghana

PubMed Central

2011-01-01

Background Retaining health workers in rural areas is challenging for a number of reasons, ranging from personal preferences to difficult work conditions and low remuneration. This paper assesses the influence of intrinsic and extrinsic motivation on willingness to accept postings to deprived areas among medical students in Ghana. Methods A computer-based survey involving 302 fourth year medical students was conducted from May-August 2009. Logistic regression was used to assess the association between students' willingness to accept rural postings and their professional motivations, rural exposure and family parental professional and educational status (PPES). Results Over 85% of students were born in urban areas and 57% came from affluent backgrounds. Nearly two-thirds of students reported strong intrinsic motivation to study medicine. After controlling for demographic characteristics and rural exposure, motivational factors did not influence willingness to practice in rural areas. High family PPES was consistently associated with lower willingness to work in rural areas. Conclusions Although most Ghanaian medical students are motivated to study medicine by the desire to help others, this does not translate into willingness to work in rural areas. Efforts should be made to build on intrinsic motivation during medical training and in designing rural postings, as well as favour lower PPES students for admission. PMID:21827698

Willingness to work in rural areas and the role of intrinsic versus extrinsic professional motivations - a survey of medical students in Ghana.

PubMed

Agyei-Baffour, Peter; Kotha, S Rani; Johnson, Jennifer C; Gyakobo, Mawuli; Asabir, Kwesi; Kwansah, Janet; Nakua, Emmanuel; Dzodzomenyo, Mawuli; Snow, Rachel C; Kruk, Margaret E

2011-08-09

Retaining health workers in rural areas is challenging for a number of reasons, ranging from personal preferences to difficult work conditions and low remuneration. This paper assesses the influence of intrinsic and extrinsic motivation on willingness to accept postings to deprived areas among medical students in Ghana. A computer-based survey involving 302 fourth year medical students was conducted from May-August 2009. Logistic regression was used to assess the association between students' willingness to accept rural postings and their professional motivations, rural exposure and family parental professional and educational status (PPES). Over 85% of students were born in urban areas and 57% came from affluent backgrounds. Nearly two-thirds of students reported strong intrinsic motivation to study medicine. After controlling for demographic characteristics and rural exposure, motivational factors did not influence willingness to practice in rural areas. High family PPES was consistently associated with lower willingness to work in rural areas. Although most Ghanaian medical students are motivated to study medicine by the desire to help others, this does not translate into willingness to work in rural areas. Efforts should be made to build on intrinsic motivation during medical training and in designing rural postings, as well as favour lower PPES students for admission.

47 CFR 22.228 - Cellular rural service area licenses subject to competitive bidding.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Licensing Requirements and Procedures Competitive Bidding... initial applications for Cellular Rural Service Area licenses are subject to competitive bidding. The...

Determining Crustal Structure beneath the New Madrid Seismic Zone and Adjacent Areas: Application of a Reverberation-removal Filter

NASA Astrophysics Data System (ADS)

Liu, L.; Gao, S. S.; Liu, K. H.

2015-12-01

The New Madrid Seismic Zone (NMSZ) and some of the adjacent areas are covered by a low-velocity sedimentary sequence, giving rise to strong reverberations in the P-to-S receiver functions (RFs) and making it difficult to reliably determine crustal thickness and Poisson's ratio using the conventional H-k stacking technique. Here we apply a newly developed technique (Yu et al., 2015; doi: 10.1002/2014JB011610) to effectively remove or reduce the reverberations from the sedimentary layer to obtain more reliable results. Stacking of a total of 38528 radial RFs recorded by 343 stations in the study area shows systematic spatial variations in crustal thickness (H), Vp/Vs ratio and amplitude (R; relative to the direction P) of the converted Moho phases. Our results indicate that the upper Mississippi Embayment (ME), a broad southwest-plunging trough with the thickest sedimentary layer in the study area, is characterized by a thin crustal thickness (~32 km), while adjacent areas have relatively thicker crust (>40 km). This area also possesses relatively large Vp/Vs (>1.85) values, suggesting possible intrusion of mantle-derived mafic rocks. Most part of the Ozark Uplift is characterized by relatively small Vp/Vs (<1.79) values which indicate an overall felsic crust. In contrast to the NMSZ which is part of the Reelfoot rift, the southern Illinois Basin, which is an intracontinental sag basin, is characterized by a crust of about 45 km which is a few km thicker than the surrounding areas, and a normal Vp/Vs, suggesting sharp differences in crustal structure between rift and sag basins.

Training as a Tool for Community Development: 25 Years of Experience in Sparsely Populated Rural Areas in Cuenca, Spain

ERIC Educational Resources Information Center

Diaz-Puente, Jose M.; Moreno, Francisco Jose Gallego; Zamorano, Ramon

2012-01-01

Training is a key tool for community development processes in rural areas. This training is made difficult by the characteristics of the rural areas and their population. Furthermore, the methods used by traditional training bodies are not adapted to the peculiarities of these areas. This article analyses the training methodology used by the…

Title VII funding and physician practice in rural or low-income areas.

PubMed

Krist, Alex H; Johnson, Robert E; Callahan, David; Woolf, Steven H; Marsland, David

2005-01-01

Whether Title VII funding enhances physician supply in underserved areas has not clearly been established. To determine the relation between Title VII funding in medical school, residency, or both, and the number of family physicians practicing in rural or low-income communities. A retrospective cross sectional analysis was carried out using the 2000 American Academy of Family Physicians physician database, Title VII funding records, and 1990 U.S. Census data. Included were 9,107 family physicians practicing in 9 nationally representative states in the year 2000. Physicians exposed to Title VII funding through medical school and residency were more likely to have their current practice in low-income communities (11.9% vs 9.9%, P< or =.02) and rural areas (24.5% vs 21.8%, P< or =.02). Physicians were more likely to practice in rural communities if they attended medical schools (24.2% vs 21.4%; P =.009) and residencies (24.0% vs 20.3%; P =.011) after the school or program had at least 5 years of Title VII funding vs before. Similar increases were not observed for practice in low-income communities. In a multivariate analysis, exposure to funding and attending an institution with more years of funding independently increased the odds of practicing in rural or low-income communities. Title VII funding is associated with an increase in the family physician workforce in rural and low-income communities. This effect is temporally related to initiation of funding and independently associated with effect in a multivariate analysis, suggesting a potential causal relationship. Whereas the absolute 2% increase in family physicians in these underserved communities may seem modest, it can represent a substantial increase in access to health care for community members.

Comparison of Sexual Knowledge, Attitude, and Behavior between Female Chinese College Students from Urban Areas and Rural Areas: A Hidden Challenge for HIV/AIDS Control in China.

PubMed

Chen, Min; Liao, Yong; Liu, Jia; Fang, Wenjie; Hong, Nan; Ye, Xiaofei; Li, Jianjun; Tang, Qinglong; Pan, Weihua; Liao, Wanqing

2016-01-01

Currently, research in sexual behavior and awareness in female Chinese college students (FCCSs) is limited, particularly regarding the difference and the influencing factors between students from rural areas and urban areas. To fill the gap in available data, a cross-sectional study using anonymous questionnaires was conducted among 3193 female students from six universities located in Beijing, Shanghai, and Guangzhou, China, from February to June, 2013. Of the 2669 respondents, 20.6% and 20.9% of the students from urban and rural areas, respectively, reported being sexually experienced. The proportion of students who received safe-sex education prior to entering university from rural areas (22.4%, 134/598) was lower ( P < 0.0001) than the proportion from urban areas (41.8%, 865/2071). Sexual behavior has become increasingly common among FCCSs, including high-risk sexual behavior such as unprotected commercial sex. However, knowledge concerning human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) transmission and the risks is insufficient, particularly for those from rural areas, which is a challenge for HIV/AIDS control in China. The Chinese government should establish more specific HIV/AIDS prevention policies for Chinese young women, strengthen sex education, and continue to perform relevant research.

Designing medical internships to improve recruitment and retention of doctors in rural areas

PubMed Central

Gaski, Margrete; Abelsen, Birgit

2017-01-01

ABSTRACT Background: The medical internship as a way of exposing young doctors to training in a rural context is regarded as a useful tool to recruit and retain doctors in rural areas. Norwegian health authorities tested an arrangement of early sign-up for medical internships in the Finnmark County in Norway. Objective: To report on the effects of the early sign-up for medical internship. Design: This study compares the choice of workplace after internship among physicians who signed up early with those candidates assigned to the raffle model of internship in the study area, and in a comparison area experiencing similar recruitment and retention problems. Results: The proportion of interns who signed up early that still worked as physicians in the study area by April 2014 (29%) was twice as high as among the regular interns (15%) and interns in the comparison area (14%). Among the 59 interns who signed up early still working in the study area in April 2014, 33% had grown up in this area. However, the greatest benefits were for the most densely populated municipalities in the study area. Conclusions: The early sign-up model had a net contribution of proving additional physicians in the study area. PMID:28417680

Trophic coupling between two adjacent benthic food webs within a man-made intertidal area: A stable isotopes evidence

NASA Astrophysics Data System (ADS)

Schaal, Gauthier; Riera, Pascal; Leroux, Cédric

2008-04-01

This study aimed at establishing the effects of human-made physical modifications on the trophic structure and functioning of an intertidal benthic food web in Arcachon Bay (France). The main food sources and the most representative consumers were sampled on an artificial rocky dyke and its adjacent seagrass meadow. The food sources of consumers were inferred through the use of carbon and nitrogen stable isotopes. The contributions of the different food sources to the diets of the consumers were established using the Isosource mixing model. In order to reduce the range of feasible contributions, additional non-isotopic constraints were added when necessary to the outputs of this model. We observed a more complex food web than previously shown for artificial habitats. Moreover, it appears that several consumers inhabiting the artificial environment base most of their diet on allochtonous eelgrass-derived detritus. In turn, several consumers inhabiting the eelgrass meadow consumed significantly macroalgae-derived material originating from the adjacent artificial rocky area. These results point out that the food webs associated to adjacent habitats can influence each other through the utilisation of exported organic matter.

Determining effective roadway design treatments for transitioning from rural areas to urban areas on state highways : final report.

DOT National Transportation Integrated Search

2008-09-01

This report reviews an Oregon research effort to identify ways to calm operating speeds as the vehicles transition into developed suburban/urban areas from rural roads. Drivers of vehicles approaching the urban environment have few visual cues to red...

Federal Funding Sources for Rural Areas: Fiscal Year 1998. Rural Information Center Publications Series, No. 59. Revised Edition.

ERIC Educational Resources Information Center

Reynnells, M. Louise, Comp.

This publication lists 265 federal funding programs available to rural areas. The programs were selected from the Catalog of Federal Domestic Assistance, 1997, which is available online from FAPRS (the Federal Assistance Programs Retrieval System). Entries are listed under the following federal departments or agencies: Department of Agriculture,…

Needs Analysis of People with a Disability Living in Remote and Rural Areas of NSW.

ERIC Educational Resources Information Center

Gething, Lindsay; And Others

This paper examines the unmet service needs and problems of persons with disabilities in rural and remote regions of New South Wales (Australia). Data were collected through consultations with disabled persons, families, and service providers in Sydney and four rural areas; a literature review; compilation of an in-depth inventory of service…

The extent of shifts in vegetation phenology between rural and urban areas within a human-dominated region.

PubMed

Dallimer, Martin; Tang, Zhiyao; Gaston, Kevin J; Davies, Zoe G

2016-04-01

Urbanization is one of the major environmental challenges facing the world today. One of its particularly pressing effects is alterations to local and regional climate through, for example, the Urban Heat Island. Such changes in conditions are likely to have an impact on the phenology of urban vegetation, which will have knock-on implications for the role that urban green infrastructure can play in delivering multiple ecosystem services. Here, in a human-dominated region, we undertake an explicit comparison of vegetation phenology between urban and rural zones. Using satellite-derived MODIS-EVI data from the first decade of the 20th century, we extract metrics of vegetation phenology (date of start of growing season, date of end of growing season, and length of season) for Britain's 15 largest cities and their rural surrounds. On average, urban areas experienced a growing season 8.8 days longer than surrounding rural zones. As would be expected, there was a significant decline in growing season length with latitude (by 3.4 and 2.4 days/degree latitude in rural and urban areas respectively). Although there is considerable variability in how phenology in urban and rural areas differs across our study cities, we found no evidence that built urban form influences the start, end, or length of the growing season. However, the difference in the length of the growing season between rural and urban areas was significantly negatively associated with the mean disposable household income for a city. Vegetation in urban areas deliver many ecosystem services such as temperature mitigation, pollution removal, carbon uptake and storage, the provision of amenity value for humans and habitat for biodiversity. Given the rapid pace of urbanization and ongoing climate change, understanding how vegetation phenology will alter in the future is important if we wish to be able to manage urban greenspaces effectively.

Spatio-Temporal Analysis of MODIS Retrieved Precipitable Water Vapor over Urban and Rural Areas in the Philippines

NASA Astrophysics Data System (ADS)

Galvez, M. C. D.; Castilla, R. M.; Catenza, J. L. U.; Soronio, H.; Vallar, E. A.

2016-12-01

Precipitable water vapor (PWV) is a component of the atmosphere that significantly influences many atmospheric processes. It plays a dominant role in the high-energy thermodynamics of the atmosphere, notably, the genesis of storm systems. Remote sensing of the atmosphere using MODerate resolution Imaging Spectroradiometer (MODIS) offers a relatively inexpensive method to estimate atmospheric water vapour in the form of columnar measurements from its 936 nm near-infrared band. Daily Level 3 data with 1 degree grid spatial resolution from MODIS was used in order to determine the temporal and spatial variability of precipitable water between urban and rural areas in the Philippines. The PWV values were rasterized and spatially interpolated to be stored in a 1 kilometer grid resolution using the nearest-neighbor algorithm. General Linear Models were established to determine the main and interaction effects on PWV values of several categorical factors e.g. time, administrative region, and geographic classification. Comparison between the urban and rural areas in the Philippines showed that there is a significant difference between the values between these demographic dimensions. The mean PWV in the urban areas was found to be 0.0473 cm greater than the mean PWV of the rural areas. Lower levels of precipitable water vapour in rural places can be attributed to the low humidity as a result of a deficit of precipitation; while higher levels in urban areas can be accounted for by vehicle exhaust, industrial emissions, and irrigation of parks and gardens. In general, PWV varies depending on the season when solar insolation affects surface temperature, thus influencing the rate of evaporation. Using the regression line algorithm, the PWV values for rural areas have increased to 0.904 cm and 0.434 cm for urban areas from the year 2005 to 2015.

Explaining differences in education-related inequalities in health between urban and rural areas in Mongolia.

PubMed

Dorjdagva, Javkhlanbayar; Batbaatar, Enkhjargal; Dorjsuren, Bayarsaikhan; Kauhanen, Jussi

2015-12-22

After the socioeconomic transition in 1990, Mongolia has been experiencing demographic and epidemiologic transitions; however, there is lack of evidence on socioeconomic-related inequality in health across the country. The aim of this paper is to evaluate the education-related inequalities in adult population health in urban and rural areas of Mongolia in 2007/2008. This paper used a nationwide cross-sectional data, the Household Socio-Economic Survey 2007/2008, collected by the National Statistical Office. We employed the Erreygers' concentration index to assess the degree of education-related inequality in adult health in urban and rural areas. Our results suggest that a lower education level was associated with poor self-reported health. The concentration indices of physical limitation and chronic disease were significantly less than zero in both areas. On the other hand, ill-health was concentrated among the less educated groups. The decomposition results show education, economic activity status and income were the main contributors to education-related inequalities in physical limitation and chronic disease removing age-sex related contributions. Improving accessibility and quality of education, especially for the lower socioeconomic groups may reduce socioeconomic-related inequality in health in both rural and urban areas of Mongolia.

Screening for visual impairment: Outcome among schoolchildren in a rural area of Delhi

PubMed Central

Rustagi, Neeti; Uppal, Yogesh; Taneja, Devender K

2012-01-01

Background: Uncorrected refractive errors are the main cause of vision impairment in school-aged children. The current study focuses on the effectiveness of school eye screening in correcting refractive errors. Objectives: 1. To study the magnitude of visual impairment among school children. 2. To assess the compliance of students for refraction testing, procurement and use of spectacles. Materials and Methods: An intervention study was conducted in schools of the north- west district of Delhi, in the rural field practice area of a medical college. Students studying in five government schools in the field practice area were chosen as the study subjects. Results: Out of 1123 students enrolled, 1075 (95.7%) students were screened for refractive errors. Low vision (visual acuity < 20/60) in the better eye was observed in 31 (2.9%) children and blindness (visual acuity <20/200) in 10 (0.9%) children. Compliance with referral for refraction was very low as only 51 (41.5%) out of 123 students could be tested for refraction. Out of 48 students, 34 (70.8%) procured spectacles from family resources but its regular use was found among only 10 (29.4%) students. The poor compliance among students stems out of various myths and perceptions regarding use of spectacles prevalent in the community. Conclusion: Refractive error is an important cause of avoidable blindness among rural school children. Behavior change communication among rural masses by spreading awareness about eye health and conducting operational research at school and community level to involve parent's teachers associations and senior students to motivate students for use of spectacles may improve utilization of existing eye health services in rural areas. PMID:22569381

Handbook for Rural Students: Finding Employment and Adjusting to Urban Areas. Revised Edition.

ERIC Educational Resources Information Center

Vaughn, D. Lanette; Vaughn, Paul R.

Designed to help rural students find employment and adjust to life in urban areas, the handbook provides basic information in six subject areas. Part I focuses on getting to know yourself by assessing past activities, preferences, abilities, personality, limitations, and values. Part II explores aspects of jobs and careers: being career oriented,…

Benthic meiofaunal composition and community structure in the Sethukuda mangrove area and adjacent open sea, East coast of India

NASA Astrophysics Data System (ADS)

Thilagavathi, Balasubramanaian; Das, Bandana; Saravanakumar, Ayyappan; Raja, Kuzhanthaivel

2011-06-01

The ecological aspects of meiofaunal communities in the Muthupettai mangrove forest, East coast of India, has not been investigated in the last two decades. Surface water temperature ranged from 23.5 °C to 31.8 °C. Salinity varied from 24 to 34 ppt, while water pH fluctuated from 7.4 to 8.3. Dissolved oxygen concentration ranged from 3.86 to 5.33 mg/l. Meiofauna analysis in this study identified a total of 106 species from the mangrove and adjacent open sea area of Sethukuda. Among these, 56 species of foraminiferans, 20 species of nematodes, 7 species of harpacticoid copepods, 4 species of ostrocodes, and 2 species of rotifers were identified. Furthermore, a single species was identified from the following groups: ciliophora, cnidaria, gnathostomulida, insecta, propulida, bryozoa and polychaete larvae. Meiofaunal density varied between 12029 to 23493 individuals 10 cm/m2. The diversity index ranged from 3.515 to 3.680, species richness index varied from 6.384 to 8.497, and evenness index varied from 0.839 to 0876 in the mangrove area and adjacent open sea.

Science and Technology of Water Lifting Devices. Teaching of Science and Technology in Rural Areas.

ERIC Educational Resources Information Center

Rao, P. Ramachandra; Rao, N. R. Nagaraja

Most science curriculum innovations seem to have their origins and emphases in urban intellectual concerns and their content generally caters to university bound students. The reason for the failure of rural students in science subjects may be the lack of relevancy of the program to the needs of individuals living in rural areas. Chapter 1 of this…

Traveler information services in rural tourism areas : appendix C, observations at tourist interactions with kiosks

DOT National Transportation Integrated Search

2000-06-30

This report presents a series of observations of tourists' experiences with kiosks providing traveler information services at rural tourism areas. The kiosks were assessed in five areas: reliability visibility, usability, usefulness, and adaptability...

Traveler information services in rural tourism areas : appendix D, system/historical data analysis

DOT National Transportation Integrated Search

2000-06-30

This document presents information regarding data collection and dissemination functions for traveler information services in rural areas. It documents data collection functions and information dissemination functions, and provides an interpretive de...

The Delivery of Services to Mentally Retarded Persons Living in Rural Areas: Context, Problems and Issues.

ERIC Educational Resources Information Center

Horejsi, Charles R.

Strategies and techniques for developing community-based programs for mentally retarded persons in rural areas must take into consideration local circumstances, resources, and characteristics. Rural norms such as overt racial segregation, social conformity, the importance of church, and the stigma of obtaining human services for personal problems…

[Comparative study on the situation of neglected children aged 3-6 year-olds between urban and rural areas of China].

PubMed

Li, Min; Pan, Jian-ping; Zhang, Song-jie; Zhang, Hua; Yang, Zi-Ni; Wang, Wei-qing; Cao, Chun-hong; Wang, Fei; Yang, Xiao-mei; Niu, Qian; Shen, Hong

2012-02-01

To investigate and analyze the situation of urban and rural neglected children aged 3 - 6, in China, so as to provide basis for the analysis and comparison on relevant risk factors. 1163 urban children aged 3 - 6 (with 49.6% males and 4.5% with minority ethnicity) were investigated from 25 cities of 14 provinces, autonomous regions and municipalities in the whole country. Multi-stage stratified cluster sampling method was used. Again, using the same sampling method, 4096 rural children (of whom 50.6% were males with 6.2% as minorities) were chosen from 26 cities of 10 provinces or municipalities. Identification of children being neglected was based on "Child Neglect Evaluation Norms of Children Aged 3 - 6 Years in Urban/Rural China". SPSS-Windows 13.0 was employed for data analysis. Scores, frequency/degrees, age, sex and types (physical, emotional, educational, safety, medical and social) of children under negligence on every group of the regions, were calculated. χ(2) test (Chi-Square) and Analysis of variance (ANOVA) were processed to determine the significance of their differences. The overall frequencies of negligence were 28.0% and 53.7% respectively among the urban and rural children aged 3 - 6, while the total degrees of negligence were 42.2 and 44.4 respectively. Significant difference was found between children from the urban and the rural areas (P < 0.05). Significant difference was also found between urban and rural children on every age group (P < 0.05). The frequencies of negligence among males were 32.6% and 55.9% respectively in urban and rural areas while among females, the figures appeared to be 23.7% and 51.6% respectively. The degrees of negligence were 42.7 and 44.6 among male while 41.8 and 44.3 among female children, in the urban or rural areas. Significant differences were found on male or female between urban and rural groups (P < 0.05). Frequencies of negligence in urban children aged 3 - 6 for the six types were from 5.1% to 12.9%, with

Comparison of Sexual Knowledge, Attitude, and Behavior between Female Chinese College Students from Urban Areas and Rural Areas: A Hidden Challenge for HIV/AIDS Control in China

PubMed Central

Chen, Min; Liao, Yong; Liu, Jia; Fang, Wenjie; Hong, Nan; Ye, Xiaofei; Li, Jianjun; Tang, Qinglong

2016-01-01

Currently, research in sexual behavior and awareness in female Chinese college students (FCCSs) is limited, particularly regarding the difference and the influencing factors between students from rural areas and urban areas. To fill the gap in available data, a cross-sectional study using anonymous questionnaires was conducted among 3193 female students from six universities located in Beijing, Shanghai, and Guangzhou, China, from February to June, 2013. Of the 2669 respondents, 20.6% and 20.9% of the students from urban and rural areas, respectively, reported being sexually experienced. The proportion of students who received safe-sex education prior to entering university from rural areas (22.4%, 134/598) was lower (P < 0.0001) than the proportion from urban areas (41.8%, 865/2071). Sexual behavior has become increasingly common among FCCSs, including high-risk sexual behavior such as unprotected commercial sex. However, knowledge concerning human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) transmission and the risks is insufficient, particularly for those from rural areas, which is a challenge for HIV/AIDS control in China. The Chinese government should establish more specific HIV/AIDS prevention policies for Chinese young women, strengthen sex education, and continue to perform relevant research. PMID:28101513

20 CFR 645.525 - What special consideration will be given to rural areas and cities with large concentrations of...

Code of Federal Regulations, 2011 CFR

2011-04-01

... rural areas and cities with large concentrations of poverty? 645.525 Section 645.525 Employees' Benefits... cities with large concentrations of poverty? (a) Competitive grant awards will be targeted to geographic... rural areas and cities with large concentrations of residents living in poverty. (b) Grant application...

20 CFR 645.525 - What special consideration will be given to rural areas and cities with large concentrations of...

Code of Federal Regulations, 2010 CFR

2010-04-01

... rural areas and cities with large concentrations of poverty? 645.525 Section 645.525 Employees' Benefits... cities with large concentrations of poverty? (a) Competitive grant awards will be targeted to geographic... rural areas and cities with large concentrations of residents living in poverty. (b) Grant application...

20 CFR 645.525 - What special consideration will be given to rural areas and cities with large concentrations of...

Code of Federal Regulations, 2012 CFR

2012-04-01

... rural areas and cities with large concentrations of poverty? 645.525 Section 645.525 Employees' Benefits... cities with large concentrations of poverty? (a) Competitive grant awards will be targeted to geographic... rural areas and cities with large concentrations of residents living in poverty. (b) Grant application...

20 CFR 645.525 - What special consideration will be given to rural areas and cities with large concentrations of...

Code of Federal Regulations, 2014 CFR

2014-04-01

... rural areas and cities with large concentrations of poverty? 645.525 Section 645.525 Employees' Benefits... cities with large concentrations of poverty? (a) Competitive grant awards will be targeted to geographic... rural areas and cities with large concentrations of residents living in poverty. (b) Grant application...

20 CFR 645.525 - What special consideration will be given to rural areas and cities with large concentrations of...

Code of Federal Regulations, 2013 CFR

2013-04-01

... rural areas and cities with large concentrations of poverty? 645.525 Section 645.525 Employees' Benefits... cities with large concentrations of poverty? (a) Competitive grant awards will be targeted to geographic... rural areas and cities with large concentrations of residents living in poverty. (b) Grant application...

Medical and nursing students' intentions to work abroad or in rural areas: a cross-sectional survey in Asia and Africa

PubMed Central

Blevins, Meridith; Afzal, Arfan R; Andrews, Ben; Derbew, Miliard; Kaur, Simran; Mipando, Mwapatsa; Mkony, Charles A; Mwachaka, Philip M; Ranjit, Nirju; Vermund, Sten

2014-01-01

Abstract Objective To assess medical and nursing students’ intentions to migrate abroad or practice in rural areas. Methods We surveyed 3199 first- and final-year medical and nursing students at 16 premier government institutions in Bangladesh, Ethiopia, India, Kenya, Malawi, Nepal, the United Republic of Tanzania and Zambia. The survey contained questions to identify factors that could predict students’ intentions to migrate. Primary outcomes were the likelihoods of migrating to work abroad or working in rural areas in the country of training within five years post-training. We assessed predictors of migration intentions using multivariable proportional odds models. Findings Among respondents, 28% (870/3156) expected to migrate abroad, while only 18% (575/3158) anticipated a rural career. More nursing than medical students desired professions abroad (odds ratio, OR: 1.76; 95% confidence interval, CI: 1.25–2.48). Career desires before matriculation correlated with current intentions for international (OR: 4.49; 95% CI: 3.21–6.29) and rural (OR: 4.84; 95% CI: 3.52–6.66) careers. Time spent in rural areas before matriculation predicted the preference for a rural career (20 versus 0 years: OR: 1.53, 95% CI: 1.19–1.98) and against work abroad (20 versus 0 years: OR: 0.69, 95% CI: 0.50–0.96). Conclusion A significant proportion of students surveyed still intend to work abroad or in cities after training. These intentions could be identified even before matriculation. Admissions standards that account for years spent in rural areas could promote greater graduate retention in the country of training and in rural areas. PMID:25378729

Adolescent Tobacco Use in Urban Versus Rural Areas of the United States: The Influence of Tobacco Control Policy Environments.

PubMed

Pesko, Michael F; Robarts, Adam M T

2017-07-01

Adults and adolescents who reside in rural areas of the United States are traditionally more likely to be tobacco users. This urban-rural disparity remains largely unexplained and, more recently, it is unclear what impact the emergence of electronic cigarettes (e-cigarettes) has had on adolescent tobacco use in urban and rural areas. Our objective is to evaluate the influence of sociodemographics and tobacco control policy environments on adolescent tobacco use in urban versus rural areas, as well as to identify the effect of e-cigarettes on traditional patterns of urban-rural tobacco use. This study analyzes repeated cross-sectional data from the National Youth Tobacco Survey for the years 2011-2014. We estimate the associations between rural residence, cigarette taxes, tobacco advertisement exposure, and ease of access to tobacco with six tobacco use outcomes: current (past 30-day) use of cigarettes, e-cigarettes, cigars, smokeless tobacco, multiple tobacco products, and any tobacco. E-cigarette use among urban youths aged 11-17 years in the United States increased from .82% in 2011 to 8.62% in 2014 (p < .001). Tobacco advertisement exposure was significantly positively associated with all current tobacco use outcomes (p < .001) except for e-cigarettes. Our predictors account for approximately 40% of the difference in urban-rural cigarette use. Sociodemographics, cigarette taxes, and tobacco advertisement exposure are significant predictors of adolescent tobacco use in the United States but do not entirely explain urban-rural disparities. In addition, e-cigarettes appear to be rapidly changing traditional patterns of tobacco use, particularly in urban areas. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Comparative prevalence of otitis media in children living in urban slums, non-slum urban and rural areas of Delhi.

PubMed

Chadha, Shelly K; Gulati, Kriti; Garg, Suneela; Agarwal, Arun K

2014-12-01

The study aimed to determine the prevalence and profile of otitis media in different parts of a city, i.e. non-slum urban areas, urban slums and rural areas. A door to door survey was conducted in identified areas of Delhi. A total of 3000 children (0-15 years) were randomly selected and examined for presence of otitis media. These children were equally distributed in the three areas under consideration. Data was analyzed to establish the prevalence of different types of otitis media. Chi-square test was then applied to compare disease prevalence among the three areas. 7.1% of the study population was identified with otitis media, which includes CSOM (4.26%), OME (2.5%) and ASOM (0.4%). In the non-slum urban parts of the city, 4.6% children had otitis media. This was significantly lower compared to 7% children in rural parts of Delhi and 9.9% in urban slums of the city. The prevalence of CSOM was considerably higher in slum areas (7.2%) as compared with rural (3%) and non-slum urban areas (2.6%). Ear infections are significantly more common in urban slums as compared to non-slum city areas and rural parts of Delhi. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Intersection of Living in a Rural Versus Urban Area and Race/Ethnicity in Explaining Access to Health Care in the United States.

PubMed

Caldwell, Julia T; Ford, Chandra L; Wallace, Steven P; Wang, May C; Takahashi, Lois M

2016-08-01

To examine whether living in a rural versus urban area differentially exposes populations to social conditions associated with disparities in access to health care. We linked Medical Expenditure Panel Survey (2005-2010) data to geographic data from the American Community Survey (2005-2009) and Area Health Resource File (2010). We categorized census tracts as rural and urban by using the Rural-Urban Commuting Area Codes. Respondent sample sizes ranged from 49 839 to 105 306. Outcomes were access to a usual source of health care, cholesterol screening, cervical screening, dental visit within recommended intervals, and health care needs met. African Americans in rural areas had lower odds of cholesterol screening (odds ratio[OR] = 0.37; 95% confidence interval[CI] = 0.25, 0.57) and cervical screening (OR = 0.48; 95% CI = 0.29, 0.80) than African Americans in urban areas. Whites had fewer screenings and dental visits in rural versus urban areas. There were mixed results for which racial/ethnic group had better access. Rural status confers additional disadvantage for most of the health care use measures, independently of poverty and health care supply.

Rural Areas in the Information Society: Diminishing Distance or Increasing Learning Capacity?

ERIC Educational Resources Information Center

Grimes, Seamus

2000-01-01

Examines prospects for rural areas within the Information Society, referring particularly to the European Union. Discusses effects of diminished distance from core markets, increased learning capacity through improved access to information, public policy emphasis on building infrastructure, disappointing outcomes for telecommunications initiatives…

Situation of Diabetes and Related Disease Surveillance in Rural Areas of Jilin Province, Northeast China.

PubMed

Wang, Rui; Zhang, Peng; Lv, Xin; Jiang, Lingling; Gao, Chunshi; Song, Yuanyuan; Yu, Yaqin; Li, Bo

2016-05-27

Several studies have investigated the prevalence and awareness of diabetes mellitus (DM) in China, but little is known about the situation of DM in the northeastern rural areas. Our present study investigated the prevalence, awareness and associated characteristics of DM in rural areas of Jilin Province, aiming to suggest more efforts for the prevention and control of DM. A multistage stratified random cluster sampling design was used in this cross-sectional study which took place in 2012. Data were collected by face-to-face interviews and physical examinations. Rao-Scott Chi-square test, t test and multivariate logistic regression analysis were used. The estimated prevalence of DM in rural areas of Jilin province was 7.2%. DM was positively associated with age, Body mass index (BMI), hypotension, dyslipidemia and was high in participants with a family history of diabetes and those who exercise frequently, but low for high education level and married participants. 69.0% participants with DM were aware of their diabetes status, 88.2% of whom received treatment and 34.4% of whom had received treatment controlled their DM status. We observed a high prevalence and low awareness status of DM among the rural residents in Jilin Province, but the rate of effective control in those who have received treatment was considerable. The low rate of disease surveillance should draw health authority's attention.

Psychoactive substances use experience and addiction or risk of addiction among by Polish adolescents living in rural and urban areas.

PubMed

Pawłowska, Beata; Zygo, Maciej; Potembska, Emilia; Kapka-Skrzypczak, Lucyna; Dreher, Piotr; Kędzierski, Zbigniew

2014-01-01

The objective of the study was to determine the similarities and differences between adolescents with psychoactive substances use experience living in urban and rural areas as regards the intensity of Internet addiction symptoms as well as the evaluation of prevalence of psychoactive substances use among adolescents depending on the place of residence. The examined group consisted of 1 860 people (1 320 girls and 540 boys) their average age being 17 years. In the study the following research methods were used: the Sociodemographic Questionnaire designed by the authors, the Internet Addiction Questionnaire by Potembska, the Internet Addiction test by Young, the Internet Addiction Questionnaire (KBUI) designed by Pawłowska and Potembska. Statistically significant differences were found as regards the prevalence of psychoactive substances use by the adolescents living in urban and rural areas and as regards the intensity of Internet addiction symptoms in adolescents, both from the urban and rural areas, who use and do not use illegal drugs. Significantly more adolescents living in urban areas as compared to their peers living in rural areas use psychoactive substances, mainly marihuana. The adolescents who use psychoactive substances, as compared to the adolescents with no experience using illegal drugs, living both in urban and rural areas significantly more often play online violent games and use web pornography. The adolescents living in rural areas who use psychoactive substances significantly more often as compared to the adolescents who do not use these substances claim that it is only thanks to the interactions established on the Internet that they can get acceptance, understanding and appreciation.

Demography of domestic dogs in rural and urban areas of the Coquimbo region of Chile and implications for disease transmission.

PubMed

Acosta-Jamett, G; Cleaveland, S; Cunningham, A A; Bronsvoort, B M Dec

2010-05-01

A cross-sectional household questionnaire survey was conducted along two transects (80 and 45km long) from Coquimbo and Ovalle cities to the Fray Jorge National Park (FJNP) in the Coquimbo region of Chile in 2005-2007 to investigate the demography of dogs in the context of a study of canine infectious diseases. Data were collected on the number of dogs per household, fecundity, mortality, and sex and age distribution. The results from 1021 households indicated that dog ownership was common, with a higher proportion of households owning dogs in rural areas (89%), than in towns (63%) or cities (49%). Dog density ranged from 1380+/-183 to 1509+/-972 dogs km(-2) in cities, from 119+/-18 to 1544+/-172 dogs km(-2) in towns, and from 1.0+/-0.4 to 15.9+/-0.4 dogs km(-2) in rural sites. The dog population was estimated to be growing at 20% in cities, 19% in towns and 9% in rural areas. The human:dog ratio ranged from 5.2 to 6.2 in cities, from 2.3 to 5.3 in towns, and from 1.1 to 2.1 in rural areas. A high percentage of owned dogs was always allowed to roam freely in the different areas (27%, 50% and 67% in cities, towns and rural areas, respectively). Observations of free-roaming dogs of unknown owner were reported from a greater proportion of respondents in cities (74%), followed by towns (51%) and finally by rural areas (21%). Overall only 3% of dogs had been castrated. In addition, only 29% of dogs were reported to have been vaccinated against canine distemper virus (CDV) and 30% against canine parvovirus (CPV). The higher population size and density, higher growth rate and a higher turnover of domestic dogs in urban than in rural areas and the poorly supervised and inadequately vaccinated dog populations in urban areas suggest that urban areas are more likely to provide suitable conditions for dogs to acts as reservoirs of pathogenic infections. Copyright 2010 Elsevier B.V. All rights reserved.

Evaluation of Toxic Metals and Essential Elements in Children with Learning Disabilities from a Rural Area of Southern Brazil

PubMed Central

do Nascimento, Sabrina Nunes; Charão, Mariele Feiffer; Moro, Angela Maria; Roehrs, Miguel; Paniz, Clovis; Baierle, Marília; Brucker, Natália; Gioda, Adriana; Barbosa, Fernando; Bohrer, Denise; Ávila, Daiana Silva; Garcia, Solange Cristina

2014-01-01

Children’s exposure to metals can result in adverse effects such as cognitive function impairments. This study aimed to evaluate some toxic metals and levels of essential trace elements in blood, hair, and drinking water in children from a rural area of Southern Brazil. Cognitive ability and δ-aminolevulinate dehydratase (ALA-D) activity were evaluated. Oxidative stress was evaluated as a main mechanism of metal toxicity, through the quantification of malondialdehyde (MDA) levels. This study included 20 children from a rural area and 20 children from an urban area. Our findings demonstrated increase in blood lead (Pb) levels (BLLs). Also, increased levels of nickel (Ni) in blood and increase of aluminum (Al) levels in hair and drinking water in rural children were found. Deficiency in selenium (Se) levels was observed in rural children as well. Rural children with visual-motor immaturity presented Pb levels in hair significantly increased in relation to rural children without visual-motor immaturity (p < 0.05). Negative correlations between BLLs and ALA-D activity and positive correlations between BLLs and ALA-RE activity were observed. MDA was significantly higher in rural compared to urban children (p < 0.05). Our findings suggest that rural children were co-exposed to toxic metals, especially Al, Pb and Ni. Moreover, a slight deficiency of Se was observed. Low performance on cognitive ability tests and ALA-D inhibition can be related to metal exposure in rural children. Oxidative stress was suggested as a main toxicological mechanism involved in metal exposure. PMID:25329533

Hydrogeology of the Coconino Plateau and adjacent areas, Coconino and Yavapai Counties, Arizona

USGS Publications Warehouse

Bills, Donald J.; Flynn, Marilyn E.; Monroe, Stephen A.

2007-01-01

Two large, regional ground-water flow systems occur in the Coconino Plateau and adjacent areas: the C aquifer and the Redwall-Muav aquifer. The C aquifer occurs mainly in the eastern and southern parts of the 10,300-square-mile Coconino Plateau study area, and the Redwall-Muav aquifer underlies the entire study area. The C aquifer is a water-table aquifer for most of its occurrence with depths to water that range from a few hundred feet to more than 1,500 feet. In the western part of the Coconino Plateau study area, the C aquifer is dry except for small localized perched water-bearing zones decoupled from the C aquifer to the east. The Redwall-Muav aquifer underlies the C aquifer and ranges from at least 3,000 feet below land surface in the western part of the Coconino Plateau study area to more than 3,200 feet below land surface in the eastern part of the study area. The Redwall-Muav aquifer is a confined aquifer for most of its occurrence with hydraulic heads of several hundred to more than 500 feet above the top of the aquifer in the western part of the study area and more than 2,000 feet above the top of the aquifer in the eastern part of the study area near Flagstaff. In the eastern and northeast parts of the area, the C aquifer and the Redwall-Muav aquifer are in partial hydraulic connection through faults and other fractures. The water discharging from the two aquifers on the Coconino Plateau study area is generally of good quality for most intended uses. Water from sites in the lower Little Colorado River Canyon had high concentrations of most trace elements relative to other springs, rivers, and streams in the study area. Concentrations of barium, arsenic, uranium, and lead, and gross alpha radioactivity were greater than U.S. Environmental Protection Agency Maximum Contaminant Levels for drinking water at some sites. Ground water discharging to most springs, streams, and wells on the Coconino Plateau and in adjacent areas is a calcium magnesium

Low rate of proteinuria in hypertensives resident in a rural area of Plateau State, Nigeria.

PubMed

Okeahialam, B N; Ogbonna, C; Joseph, D E; Chuhwak, E K; Isiguzoro, I O

2013-06-01

Hypertensives are screened for proteinuria largely to detect kidney involvement. In most reports from urban areas, the burden is considerable. We decided to see the scenario in a rural setting with the opportunity presented by our cardiovascular disease (CVD) survey of a rural area in North Central Nigeria. In 2008 we surveyed a rural population in Mangu Local Government area of Plateau State for CVD risk factors using the protocol of the National survey of 1991; slightly modified. One in three subjects was sequentially randomized to have blood and urine examination. Blood tests included glucose, creatinine, uric acid, total and high density lipoprotein cholesterol. Blood pressures were also taken. Blood and urine tests were done on 282 subjects. Eight of them (2.84%) had proteinuria. Ninety-nine of the 282 (35.11%) were hypertensive. Seven out of the 99 hypertensives (7.07%) had proteinuria. Between those hypertensives (positive or negative for proteinuria), the following indices: glucose, HDL cholesterol, SBP and DBP differed significantly (p = 0.000, p = 0.015, p = 0.000, p = 0.000 respectively). Compared with rates in urban centres of Nigeria, our population recorded low proteinuria rates both for the whole population and the hypertensive segment. It therefore appears that proteinuria in hypertension is not only a reflection of severity and burden of hypertension, but has some relation with residence. Rural areas have lower constellation of CVD risk factor (due to different life style) and lower incidence of hypertension. Consequently, their proteinuria rates are low.

Digital Development in Rural Areas: Potentials and Pitfalls.

ERIC Educational Resources Information Center

Malecki, Edward J.

2003-01-01

Data on rural-urban differences in access to telecommunications technology suggest that the U.S. "digital divide" is diminishing. However, major shortcomings in telecommunications infrastructure persist in rural America, and more serious barriers to rural development are related to human capital shortages. These may be resolved in some…

Prevalence of Internet addiction and risk of developing addiction as exemplified by a group of Polish adolescents from urban and rural areas.

PubMed

Pawłowska, Beata; Zygo, Maciej; Potembska, Emilia; Kapka-Skrzypczak, Lucyna; Dreher, Piotr; Kędzierski, Zbigniew

2015-01-01

The objective of the study was to determine the prevalence of Internet addiction and the risk of developing this addiction in Polish adolescents attending junior high schools and high school in Lublin Province, to indicate the differences regarding the intensity of Internet addiction symptoms, and the types of online activity of adolescents residing in urban and rural areas. The examined group comprised 1,860 participants (1,320 girls and 540 boys) with an average age of 17 years. 760 students lived in urban areas and 1,100 lived in rural areas. The following were used in the study: the Socio-demographic Questionnaire designed by the authors, the Internet Addiction Questionnaire designed by Potembska, the Internet Addiction Test by Young and the Internet Addiction Questionnaire (Kwestionariusz do Badania Uzależnienia od Internetu - KBUI) designed by Pawłowska and Potembska. The adolescents living in urban areas showed a significantly greater intensity of Internet and computer addiction symptoms measured by the KBUI Questionnaire, compared to those living in rural areas. The Internet addiction criteria were fulfilled by 0.45% of adolescents living in urban areas and 2.9% of those living in rural areas, whereas 35.55% of urban dwelling students and 30.18% of students living in rural areas showed a risk of developing this addiction. More adolescents living in urban areas, compared to those living in rural areas, use Internet pornography, play computer games, disclose their personal data to unknown individuals encountered on the Internet, use Instant Messaging (IM) services, electronic mail and Facebook social networking service. Compared to their peers from urban areas, significantly more adolescents from rural areas use 'Nasza Klasa' (Our Classmates) online social networking service.

Cultutal Factors Affecting English Proficiency in Rural Areas

ERIC Educational Resources Information Center

Ler, Ee Chop

2012-01-01

The purpose of this study is to investigate the rural "cultural" problems and to determine their effect on the learning of English. Twenty students from different ethnic backgrounds and English language proficiency in six rural schools in Terengganu, Malaysia were interviewed. In addition the teachers also from different rural schools…

The Impact of Public Spending in a Low-Income Rural Area: A Case Study of Fort Leonard Wood, Mo.

ERIC Educational Resources Information Center

Holmes, O. Wendell

The economic effects of Government spending at public installations in rural areas was investigated. Fort Leonard Wood, Missouri, was chosen because of its location in a low-income rural area with relatively high outmigration, a declining agricultural industry base, and few employment opportunities. All of the data relating to Government spending…

Domestic Dogs in Rural Communities around Protected Areas: Conservation Problem or Conflict Solution?

PubMed Central

Sepúlveda, Maximiliano A.; Singer, Randall S.; Silva-Rodríguez, Eduardo; Stowhas, Paulina; Pelican, Katharine

2014-01-01

Although domestic dogs play many important roles in rural households, they can also be an important threat to the conservation of wild vertebrates due to predation, competition and transmission of infectious diseases. An increasing number of studies have addressed the impact of dogs on wildlife but have tended to ignore the motivations and attitudes of the humans who keep these dogs and how the function of dogs might influence dog-wildlife interactions. To determine whether the function of domestic dogs in rural communities influences their interactions with wildlife, we conducted surveys in rural areas surrounding protected lands in the Valdivian Temperate Forests of Chile. Sixty percent of farm animal owners reported the use of dogs as one of the primary means of protecting livestock from predators. The probability of dog–wild carnivore interactions was significantly associated with the raising of poultry. In contrast, dog–wild prey interactions were not associated with livestock presence but had a significant association with poor quality diet as observed in previous studies. Dog owners reported that they actively encouraged the dogs to chase off predators, accounting for 25–75% of the dog–wild carnivore interactions observed, depending on the predator species. Humans controlled the dog population by killing pups and unwanted individuals resulting in few additions to the dog population through breeding; the importation of predominantly male dogs from urban areas resulted in a sex ratios highly dominated by males. These results indicate that dog interactions with wildlife are related to the role of the dog in the household and are directly influenced by their owners. To avoid conflict with local communities in conservation areas, it is important to develop strategies for managing dogs that balance conservation needs with the roles that dogs play in these rural households. PMID:24465930

Domestic dogs in rural communities around protected areas: conservation problem or conflict solution?

PubMed

Sepúlveda, Maximiliano A; Singer, Randall S; Silva-Rodríguez, Eduardo; Stowhas, Paulina; Pelican, Katharine

2014-01-01

Although domestic dogs play many important roles in rural households, they can also be an important threat to the conservation of wild vertebrates due to predation, competition and transmission of infectious diseases. An increasing number of studies have addressed the impact of dogs on wildlife but have tended to ignore the motivations and attitudes of the humans who keep these dogs and how the function of dogs might influence dog-wildlife interactions. To determine whether the function of domestic dogs in rural communities influences their interactions with wildlife, we conducted surveys in rural areas surrounding protected lands in the Valdivian Temperate Forests of Chile. Sixty percent of farm animal owners reported the use of dogs as one of the primary means of protecting livestock from predators. The probability of dog-wild carnivore interactions was significantly associated with the raising of poultry. In contrast, dog-wild prey interactions were not associated with livestock presence but had a significant association with poor quality diet as observed in previous studies. Dog owners reported that they actively encouraged the dogs to chase off predators, accounting for 25-75% of the dog-wild carnivore interactions observed, depending on the predator species. Humans controlled the dog population by killing pups and unwanted individuals resulting in few additions to the dog population through breeding; the importation of predominantly male dogs from urban areas resulted in a sex ratios highly dominated by males. These results indicate that dog interactions with wildlife are related to the role of the dog in the household and are directly influenced by their owners. To avoid conflict with local communities in conservation areas, it is important to develop strategies for managing dogs that balance conservation needs with the roles that dogs play in these rural households.

Institutional care versus home care for the elderly in a rural area: cost comparison in rural Japan.

PubMed

Naomi, Akiyama; Shiroiwa, Takeru; Fukuda, Takashi; Murashima, Sachiyo

2012-01-01

The rise in institutional care costs, such as that associated with care in chronic hospitals or nursing homes, is a serious social concern in Japan, and this is particularly so in rural areas which are more rapidly aging than others. This has led to a proposal to reduce costs by deinstitutionalizing the disabled elderly. However, the actual financial benefit of deinstitutionalizing the disabled elderly is unclear. To examine the effectiveness of deinstitutionalizing the disabled elderly with the aim of cost reduction. This study utilized a cross-sectional design and complete census survey. The participants were 139 residents of a rural town in Hokkaido who were institutionalized as of 1 July 2007, and whose Care Needs Levels were classified according to Long-Term Care Insurance (LTCI) in Japan. Of these, 87 participants were considered candidates for deinstitutionalization. Participants who were considered unable to stay alone at home, such as those with behavioral problems, at risk of falling, or in need of hospital medical care, were excluded. Data were collected on institutional care costs, and an original questionnaire was distributed asking institutional staff about participant characteristics and physical function levels. Existing costs were collected and costs were calculated if participants were discharged from institutions to their homes. Approximately 20% of participants lived alone, and 80% had a severe disability. The estimated costs of discharging patients to their homes were higher than existing institutional care costs for 98% of participants. The gap in cost tended to be greater in patients with higher care needs. The deinstitutionalization of disabled elderly is not an effective measure to help reduce healthcare costs in rural areas of Japan.

Empowered women from rural areas of Bolivia promote community development.

PubMed

Ríos, Roxana; Olmedo, Catón; Fernández, Luis

2007-01-01

Abstract: The United States Agency for Development in Bolivia (USAID/Bolivia) created in 2002 PROSALUD- Partners for Development Project (PfD) with the aim of improving the population's well-being. The project used three components: small grant scheme, technical assistance and database system management. Through the small grants scheme, the PfD supported a Community Participation Strategy (CPS) project over a three year period. The project involved the rural areas of six Bolivian departments and suburban areas of three Bolivian cities. The main objective was to increase health service utilization with a particular emphasis on empowerment of women, strengthening of local organizations and increasing the demand for health services. Women from both the urban and rural areas, and from different indigenous groups, were trained in project management, health promotion, reproductive health and family planning, advocacy and community participation. Participatory methodologies have allowed empowering women in decision making and capacity building throughout the entire project process. The experience shows that it is important to work with formally established grass-root community organizations and strengthen leadership within them. Additionally, the sub-projects demonstrated that interventions are more successful when promoters speak and write native languages, women are more motivated and empowered, projects are designed to be responsive to daily necessities identified by the communities and health services are culturally suitable. A preliminary evaluation, in both quantitative and qualitative terms, shows an overall improvement in health knowledge and practice, and utilization of health services.

An Aerial Radiological Survey of the Las Vegas Strip and Adjacent Areas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wasiolek, Piotr

2009-02-01

As proficiency training for the Radiological Mapping mission of the Aerial Measuring System (AMS), a survey team from the Remote Sensing Laboratory–Nellis (RSL-Nellis) conducted an aerial radiological survey of the Las Vegas Strip and adjacent areas on December 29, 2008. This survey was one of the bi-annual surveys carried in support of the city of Las Vegas Police Department (LVPD) before significant events on the Las Vegas Strip: e.g., the annual New Year’s Eve and July Fourth celebrations. The AMS operation and appropriate law enforcement agencies selected this area as an appropriate urban location to exercise AMS capability for mappingmore » environmental radiation and searching for man-made radioactive sources. The surveys covered approximately 11 square miles. Each survey required a 2.5-hour-long flight, performed at an altitude of 300 ft above ground level (AGL) at a line spacing of 600 ft. Water line and test line flights are conducted over the Lake Mead and Government Wash areas to determine the non-terrestrial background contributed by aircraft, radon, and cosmic activity, and to determine the altitude-dependent air mass correction. The data were collected by the AMS data acquisition system (REDAR V) using an array of twelve 2" x 4" x 16" sodium iodide (NaI) detectors flown on-board a twin-engine Bell 412 helicopter. Gamma energy spectral data were collected second-by-second over the survey area. This spectral data allows the system to distinguish between natural terrestrial background contributions and man-made radioisotope contributions. Spectral data can also be used to identify specific man-made radioactive isotopes. Data geo-locations were determined with a Real-Time Differential Global Positioning System (RDGPS).« less

Rural Policies for the 1990s. Rural Studies Series.

ERIC Educational Resources Information Center

Flora, Cornelia B., Ed.; Christenson, James A., Ed.

Written by some of the foremost experts on rural America, this book focuses on policy-relevant research on the problems of rural areas. In each chapter, rural policy needs are identified by examining the flow of events and rural sociology of the 1980s. Chapters are: (1) "Critical Times for Rural America: The Challenge for Rural Policy in the…

Sociocultural Differences Among Three Areas in Kentucky as Determinants of Educational and Occupational Aspirations and Expectations of Rural Youth.

ERIC Educational Resources Information Center

Bogie, Donald Wayne

In an effort to determine whether there are differences in areas of residence that affect the aspirations and expectations of young people living therein, this study examined occupational and educational aspirations of 1,835 rural high school seniors from 3 sociocultural contexts in Kentucky: (1) a low-opportunity, rural-poverty area in central…

Barriers to modern contraceptive use in rural areas in DRC.

PubMed

Muanda, Mbadu Fidèle; Ndongo, Gahungu Parfait; Messina, Lauren J; Bertrand, Jane T

2017-09-01

Recent research in the Democratic Republic of Congo (DRC) has shown that over a quarter of women have an unmet need for family planning and that modern contraceptive use is three times higher among urban than rural women. This study focuses on the reasons behind the choices of married men and women to use contraception or not. What are the barriers that have led to low levels of modern contraceptive use among women and men in DRC rural areas? The research team conducted 24 focus groups among women (non-users of any method, users of traditional methods and users of modern methods) and husbands (of non-users or users of traditional methods) in six health zones of three geographically dispersed provinces. The key barriers that emerged were poor spousal communication, sociocultural norms (especially the husband's role as primary decision-maker and the desire for a large family), fear of side-effects and a lack of knowledge. Despite these barriers, many women in the study indicated that they were open to adopting a modern family planning method in the future. These findings imply that programming must address mutual comprehension and decision-making among rural men and women alike in order to trigger positive changes in behaviour and perceptions relating to contraceptive use.

KNOWLEDGE, ATTITUDES AND PRACTICES OF HEPATITIS B AND C AMONG BARBERS OF URBAN AND RURAL AREAS OF RAWALPINDI AND ISLAMABAD.

PubMed

Shah, Hassan Bin Usman; Dar, Mohsin Khalil; Jamil, Anique Ahmad; Atif, Iffat; Ali, Raja Jazib; Sindhu, Ali Shan; Usmani, Abdul Qadir

2015-01-01

Hepatitis B and Hepatitis C are serious global public health problems with a prevalence of 10-15% with majority of the cases seen in the developing countries including Pakistan. It is a blood borne infection transmitted by infected blood and blood products through transfusions, contaminated needles, vertical transmission, unsafe sex and reuse of razors by barbers. The literature search so far did not reveal any study comparing knowledge, attitude and practices of hepatitis B & C in barbers working in Urban and rural areas. A comparative cross sectional survey was carried out among barbers of urban and rural areas of Rawalpindi and Islamabad. A structured close ended questionnaire was filled from total of 202 barbers by non-probability convenience sampling technique. Comparative data analysis was done including variables like age, education, knowledge about hepatitis B & C, mode of transmission, role of the blades and media etc. Knowledge about hepatitis B & C was good in urban areas (92%) as compared to those working in the rural areas (68%). Using new blade for every customer was seen in urban (100%) and rural (93%) area. However barbers knowledge about symptoms of the disease (urban 81% & rural 93%) and vaccination trend of Hepatitis B was low. This study showed a marked difference in the knowledge, attitude and practices of the barbers working in the urban and the rural areas. Main focus should be on launching Health education programs and behaviour change communication campaigns for the barbers. Strict regulatory monitoring must be done against unlicensed street barbers.

Geologic interpretation of gravity data from the Date Creek basin and adjacent areas, west-central Arizona

USGS Publications Warehouse

Otton, James K.; Wynn, Jeffrey C.

1978-01-01

A gravity survey of the Date Creek Basin and adjacent areas was conducted in June 1977 to provide information for the interpretation of basin geology. A comparison of facies relations in the locally uraniferous Chapin Wash Formation and the position of the Anderson mine gravity anomaly in the Date Creek Basin suggested that a relationship between gravity lows and the development of thick lacustrine sections in the region might exist. A second-order residual gravity map derived from the complete Bouguer gravity map for the survey area (derived from survey data and pre-existing U.S. Department of Defense data) shows an excellent correspondence between gravity lows and sediment-filled basins and suggests considerable variation in basin-fill thickness. Using the Anderson mine anomaly as a model, gravity data and facies relations suggest that the southeastern flank of the Aguila Valley gravity low and the gravity low at the western end of the Hassayampa Plain are likely areas for finding thick sections of tuffaceous lacustrine rocks.

Transportation Services in Rural Areas. January 1979-December 1988. Quick Bibliography Series.

ERIC Educational Resources Information Center

La Caille John, Patricia, Comp.

This bibliography contains 137 entries of English-language materials available from the National Agricultural Library's (NAL) AGRICOLA database. Each of the bibliography's 137 entries pertains to some aspect of transportation services in rural areas. Each entry, including books, reports, studies, and so forth, offers bibliographical information…

Religious Communities, Immigration, and Social Cohesion in Rural Areas: Evidence from England

ERIC Educational Resources Information Center

Andrews, Rhys

2011-01-01

Religious communities are important sources of bridging and bonding social capital that have varying implications for perceptions of social cohesion in rural areas. In particular, as well as cultivating cohesiveness more broadly, the bridging social capital associated within mainline religious communities may represent an especially important…

The Personal Assistance Dilemma for People with Disabilities Living in Rural Areas.

ERIC Educational Resources Information Center

Nosek, Margaret A.

1992-01-01

Disabled persons may receive needed personal assistance from spouse, parents, other family, or a hired assistant (possibly shared) who is compensated by cash or barter. Disabled persons in rural areas rely heavily on family members and face overwhelming locational, financial, and attitudinal barriers to independent living. (SV)

Variability of adjacency effects in sky reflectance measurements.

PubMed

Groetsch, Philipp M M; Gege, Peter; Simis, Stefan G H; Eleveld, Marieke A; Peters, Steef W M

2017-09-01

Sky reflectance R sky (λ) is used to correct in situ reflectance measurements in the remote detection of water color. We analyzed the directional and spectral variability in R sky (λ) due to adjacency effects against an atmospheric radiance model. The analysis is based on one year of semi-continuous R sky (λ) observations that were recorded in two azimuth directions. Adjacency effects contributed to R sky (λ) dependence on season and viewing angle and predominantly in the near-infrared (NIR). For our test area, adjacency effects spectrally resembled a generic vegetation spectrum. The adjacency effect was weakly dependent on the magnitude of Rayleigh- and aerosol-scattered radiance. The reflectance differed between viewing directions 5.4±6.3% for adjacency effects and 21.0±19.8% for Rayleigh- and aerosol-scattered R sky (λ) in the NIR. Under which conditions in situ water reflectance observations require dedicated correction for adjacency effects is discussed. We provide an open source implementation of our method to aid identification of such conditions.

Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec.

PubMed

Mechakra-Tahiri, Samia; Zunzunegui, Maria Victoria; Préville, Michel; Dubé, Micheline

2009-11-01

To compare the prevalence of depression within the elderly Quebec population residing in rural areas, urban areas and metropolitan Montreal, and to assess differences in the associations between social relationships and depression across these urban and rural settings. Data originate from the first wave of the ESA (Etude de Santé des Ainés) longitudinal study on mental health of community dwelling older persons aged over 65 (n = 2670). Depression, including major and minor depression, measured using a computer questionnaire; the ESA-Q developed by the research team and based on the DSM-IV criteria. Assessments of associations between depression and geographic area, informal social networks and community participation were estimated adjusting for demographic, socioeconomic and health characteristics. The prevalence of depression was higher in rural (17%) and urban areas (15.1%) than in metropolitan Montreal (10.3%). The odds ratio of rural (OR = 2.01 95% CI 1.59-2.68) and urban (OR = 1.75; 95% CI 1.25-2.45) areas compared to the metropolitan area increased slightly after adjustment by all social and health covariates. Our study indicated that social support and the lack of conflict in intimate relationships were associated with lower prevalence of depression in all areas. Geographic differences in depression exist within the elderly population in Quebec that may generate significant impact on their health and functional abilities. Further research should be conducted to explain these differences. Copyright 2009 John Wiley & Sons, Ltd.

[Social determinants of infant mortality in socioeconomic deprived rural areas in Mexico].

PubMed

Duarte-Gómez, María Beatriz; Núñez-Urquiza, Rosa María; Restrepo-Restrepo, José Alonso; Richardson-López-Collada, Vesta Louise

The aim of this study was to identify determinants of infant mortality in rural areas in Mexico and recommend strategies for its decrease. A study was conducted in a sample of 16 municipalities among those with the lowest index of human development. Infant deaths were identified through official data, records and through interviews with civil authorities, health workers and community leaders. Mothers of children who died were also interviewed. In most cases, deaths were related with intermediate social determinants (living conditions and health services converged). The most important critical factors were the prevention programs and delays in receiving healthcare. Deficiencies in intersectorial policies to guarantee effective access to health services were found. To decrease infant mortality in rural areas of Mexico, geographic access has to be improved as well as investment in resources and training health personnel in intercultural competence and primary health care skills. Copyright © 2015. Publicado por Masson Doyma México S.A.

Red Rural, Blue Rural: The Geography of Presidential Voting in Rural America

ERIC Educational Resources Information Center

Scala, Dante J.; Johnson, Kenneth M.

2016-01-01

Political commentators routinely treat rural America as an undifferentiated bastion of strength for Republicans. In fact, rural America is a deceptively simple term describing a remarkably diverse collection of places encompassing nearly 75 percent of the U.S. land area and 50 million people. Voting trends in this vast area are far from…

Characteristics of Aedes aegypti adult mosquitoes in rural and urban areas of western and coastal Kenya

PubMed Central

Ndenga, Bryson Alberto; Mutuku, Francis Maluki; Ngugi, Harun Njenga; Mbakaya, Joel Omari; Aswani, Peter; Musunzaji, Peter Siema; Vulule, John; Mukoko, Dunstan; Kitron, Uriel; LaBeaud, Angelle Desiree

2017-01-01

Aedes aegypti is the main vector for yellow fever, dengue, chikungunya and Zika viruses. Recent outbreaks of dengue and chikungunya have been reported in Kenya. Presence and abundance of this vector is associated with the risk for the occurrence and transmission of these diseases. This study aimed to characterize the presence and abundance of Ae. aegypti adult mosquitoes from rural and urban sites in western and coastal regions of Kenya. Presence and abundance of Ae. aegypti adult mosquitoes were determined indoors and outdoors in two western (urban Kisumu and rural Chulaimbo) and two coastal (urban Ukunda and rural Msambweni) sites in Kenya. Sampling was performed using quarterly human landing catches, monthly Prokopack automated aspirators and monthly Biogents-sentinel traps. A total of 2,229 adult Ae. aegypti mosquitoes were collected: 785 (35.2%) by human landing catches, 459 (20.6%) by Prokopack aspiration and 985 (44.2%) by Biogents-sentinel traps. About three times as many Ae. aegypti mosquitoes were collected in urban than rural sites (1,650 versus 579). Comparable numbers were collected in western (1,196) and coastal (1,033) sites. Over 80% were collected outdoors through human landing catches and Prokopack aspiration. The probability of collecting Ae. aegypti mosquitoes by human landing catches was significantly higher in the afternoon than morning hours (P<0.001), outdoors than indoors (P<0.001) and in urban than rural sites (P = 0.008). Significantly more Ae. aegypti mosquitoes were collected using Prokopack aspiration outdoors than indoors (P<0.001) and in urban than rural areas (P<0.001). Significantly more mosquitoes were collected using Biogents-sentinel traps in urban than rural areas (P = 0.008) and in western than coastal sites (P = 0.006). The probability of exposure to Ae. aegypti bites was highest in urban areas, outdoors and in the afternoon hours. These characteristics have major implications for the possible transmission of arboviral

Characteristics of Aedes aegypti adult mosquitoes in rural and urban areas of western and coastal Kenya.

PubMed

Ndenga, Bryson Alberto; Mutuku, Francis Maluki; Ngugi, Harun Njenga; Mbakaya, Joel Omari; Aswani, Peter; Musunzaji, Peter Siema; Vulule, John; Mukoko, Dunstan; Kitron, Uriel; LaBeaud, Angelle Desiree

2017-01-01

Aedes aegypti is the main vector for yellow fever, dengue, chikungunya and Zika viruses. Recent outbreaks of dengue and chikungunya have been reported in Kenya. Presence and abundance of this vector is associated with the risk for the occurrence and transmission of these diseases. This study aimed to characterize the presence and abundance of Ae. aegypti adult mosquitoes from rural and urban sites in western and coastal regions of Kenya. Presence and abundance of Ae. aegypti adult mosquitoes were determined indoors and outdoors in two western (urban Kisumu and rural Chulaimbo) and two coastal (urban Ukunda and rural Msambweni) sites in Kenya. Sampling was performed using quarterly human landing catches, monthly Prokopack automated aspirators and monthly Biogents-sentinel traps. A total of 2,229 adult Ae. aegypti mosquitoes were collected: 785 (35.2%) by human landing catches, 459 (20.6%) by Prokopack aspiration and 985 (44.2%) by Biogents-sentinel traps. About three times as many Ae. aegypti mosquitoes were collected in urban than rural sites (1,650 versus 579). Comparable numbers were collected in western (1,196) and coastal (1,033) sites. Over 80% were collected outdoors through human landing catches and Prokopack aspiration. The probability of collecting Ae. aegypti mosquitoes by human landing catches was significantly higher in the afternoon than morning hours (P<0.001), outdoors than indoors (P<0.001) and in urban than rural sites (P = 0.008). Significantly more Ae. aegypti mosquitoes were collected using Prokopack aspiration outdoors than indoors (P<0.001) and in urban than rural areas (P<0.001). Significantly more mosquitoes were collected using Biogents-sentinel traps in urban than rural areas (P = 0.008) and in western than coastal sites (P = 0.006). The probability of exposure to Ae. aegypti bites was highest in urban areas, outdoors and in the afternoon hours. These characteristics have major implications for the possible transmission of arboviral

Giardia duodenalis genotypes among schoolchildren and their families and pets in urban and rural areas of Sinaloa, Mexico.

PubMed

García-Cervantes, Patricia Catalina; Báez-Flores, María Elena; Delgado-Vargas, Francisco; Ponce-Macotela, Martha; Nawa, Yukifumi; De-la-Cruz-Otero, María Del-Carmen; Martínez-Gordillo, Mario N; Díaz-Camacho, Sylvia Páz

2017-02-28

Giardiasis is a human health concern worldwide, especially among schoolchildren. Giardia duodenalis genotypes A and B are infective to humans, but their zoonotic potential remains controversial. In Mexico, the most prevalent genotype is A, but B was also detected in southeastern Mexico. In Sinaloa state, northwestern Mexico, giardiasis is highly prevalent, but Giardia genotypes have been poorly studied. This study aimed to investigate the distribution and clinical-epidemiological correlation of G. duodenalis genotypes in schoolchildren and their families and pets in urban and rural areas of Sinaloa state, Mexico. Among 395 schoolchildren (274 urban, 121 rural), 76 (49 urban, 27 rural) were infected with G. duodenalis. In total, 22 families (15 urban, 7 rural) of infected schoolchildren, consisting of 60 family members (41 urban, 19 rural) and 21 pet dogs (15 urban, 6 rural) were examined; 10 family members (5 urban, 5 rural) and 5 pet dogs (3 urban, 2 rural) of 10 families (6 urban, 4 rural) were infected. After PCR-RFLP analyses of vsp417 and gdh genes, genotype prevalence among infected urban schoolchildren was 79.5% AI, 12.8% AII, and 7.7% mixed AI+B. However, only AI genotype was found in family members and pets. In the rural area, only the AI genotype was detected. Genotypes were not correlated with clinical manifestations. This paper shows the presence of B genotype in northwestern Mexico for the first time. Detection of AI genotype in dogs suggested the possible role of dogs as the reservoir for human giardiasis in Sinaloa, Mexico.

Haemodialysis in a rural area: a demanding form of treatment.

PubMed

Brammah, A; Young, G; Allan, A; Robertson, S; Norrie, J; Isles, C

2001-09-01

To determine distances travelled and time spent waiting for transport among hospital haemodialysis patients living in a rural area. Cross sectional survey comparing the subregional dialysis unit in south west Scotland with 12 of the other 13 Scottish Adult Renal Units. Forty three Dumfries and Galloway patients and 935 other Scottish patients receiving hospital haemodialysis in November 1999. At the time of the survey 8/43 (19%) Dumfries patients travelled in excess of 100 miles per dialysis day (15,000 miles per year) solely for the purpose of dialysis, compared to 20/935 (2%) elsewhere in Scotland (p < 0.001). Twenty seven (63%) Dumfries and 594 (64%) patients in other Scottish Units relied on hospital car, Patient Transport Service bus or ambulance for the journey home after treatment. Dumfries patients who travelled by Patient Transport Service or hospital ambulance had to wait twice as long before they left the renal unit as patients using a dedicated hospital car or private car. Haemodialysis in a rural area has every reason to be considered a demanding form of treatment. Greater promotion of home based treatment would improve the quality of life for many of these patients, while dedicated hospital cars would reduce 'car to needle time' for those who remain on hospital haemodialysis.

[Evaluation of nutritional status of school-age children after implementation of "Nutrition Improvement Program" in rural area in Hunan, China].

PubMed

Deng, Zhu-Juan; Mao, Guang-Xu; Wang, Yu-Jun; Liu, Li; Chen, Yan

2016-09-01

To investigate the nutritional status of school-age children in rural area in Hunan, China from 2012 to 2015 and to evaluate the effectiveness of the "Nutrition Improvement Program for Compulsory Education Students in Rural Area" (hereinafter referred to as "Nutrition Improvement Program"). The nutritional status of school-age children aged 6-14 years was evaluated after the implementation of the "Nutrition Improvement Program" and the changing trend of the children's nutritional status was analyzed. The statistical analysis was performed on the monitoring data of the school-age children aged 6-14 years in rural area in Hunan, China from 2012 to 2015, which came from "The Nutrition and Health Status Monitoring and Evaluation System of Nutrition Improvement Program for Compulsory Education Students in Rural Area". In 2015, female students aged 6-7 years in rural area in Hunan, China had a significantly greater body length than the rural average in China (P<0.05). However, the other age groups had significantly smaller body length and weight than the rural averages in China (P<0.05). After the implementation of "Nutrition Improvement Program", the prevalence rate of growth retardation decreased (P<0.05), but the prevalence rate of emaciation increased (P<0.05). At the same time, the prevalence rate of overweight/obesity increased (P<0.05) and the prevalence rate of anemia decreased (P<0.05). The implementation of "Nutrition Improvement Program" has achieved some success, but the nutritional status of school-age children has not improved significantly. Overweight/obesity and malnutrition are still present. Therefore, to promote the nutritional status of school-age children it is recommended to improve the measures for the "Nutrition Improvement Program".

Are public health physicians still needed in medically underserved rural areas in Korea?

PubMed Central

Na, Baeg Ju; Lee, Jin Yong; Kim, Hyun Joo

2017-01-01

Abstract Public health physicians (PHPs) are certified physicians who are serving in a public health center or subcenter in a rural village, instead of serving in the military. However, the PHP program has recently become the subject of a profound debate, over 30 years after its adoption. In this study, we attempted to ascertain physicians’ perspectives on the PHP program, including: whether the PHP policy should continue; if they agree on changing the role of PHPs in healthcare; what would be the desired role of PHPs; and what resources would be required and what possible barriers would be anticipated under the changes. We selected 88 PHPs as our study sample using quota sampling. Over 60% of respondents were in support of continuing the PHP program. They believed some remote islands and mountainous areas are still in need of public healthcare doctors. However, some of them believed that the role of PHPs should be changed to take on community health promotion, because the problem of medically underserved rural areas has almost been resolved. However, people living in rural areas are ageing and suffering from a lack of education and health information. In particular, in order to successfully transition into new roles, PHPs must be provided with continuing education and professional development programs covering their new responsibilities. It is imperative to refurbish the PHP program to meet current needs and continue its central role in public healthcare. PMID:28489812

Are public health physicians still needed in medically underserved rural areas in Korea?

PubMed

Na, Baeg Ju; Lee, Jin Yong; Kim, Hyun Joo

2017-05-01

Public health physicians (PHPs) are certified physicians who are serving in a public health center or subcenter in a rural village, instead of serving in the military. However, the PHP program has recently become the subject of a profound debate, over 30 years after its adoption. In this study, we attempted to ascertain physicians' perspectives on the PHP program, including: whether the PHP policy should continue; if they agree on changing the role of PHPs in healthcare; what would be the desired role of PHPs; and what resources would be required and what possible barriers would be anticipated under the changes. We selected 88 PHPs as our study sample using quota sampling. Over 60% of respondents were in support of continuing the PHP program. They believed some remote islands and mountainous areas are still in need of public healthcare doctors. However, some of them believed that the role of PHPs should be changed to take on community health promotion, because the problem of medically underserved rural areas has almost been resolved. However, people living in rural areas are ageing and suffering from a lack of education and health information. In particular, in order to successfully transition into new roles, PHPs must be provided with continuing education and professional development programs covering their new responsibilities. It is imperative to refurbish the PHP program to meet current needs and continue its central role in public healthcare.

Eating habits and factors affecting food choice of adolescents living in rural areas.

PubMed

Bargiota, Alexandra; Pelekanou, Maria; Tsitouras, Andreas; Koukoulis, Georgios N

2013-01-01

To establish factors that affect food choices among adolescents living in rural areas and to identify their food choices. A random sample of adolescents living in a Greek rural area (n=382) aged 12-18 years were individually interviewed. Food consumption was assessed by a semi-quantitative food-frequency questionnaire and adherence to the Mediterranean diet was evaluated using the KIDMED questionnaire. Information was collected regarding self-perceived body size, dieting, dietary knowledge, parental control, meal and snack frequency, eating out of home, eating takeaways and precooked meals, eating from the school canteen. Body image concerns, dieting, education about food, parental control, maternal education level and eating with family and peers are factors that were found to affect food choices in this group of Greek adolescents. The adherence to the Mediterranean diet was low (KIDMED index was 4.5±2.7). Regular family meals at home were frequent in this group and 99% of the adolescents ate lunch daily at home. Eating out with peers and eating from the school canteen was related with higher consumption of 'junk type of food'. Girls and younger adolescents and those whose mothers had a higher education level seem to make healthier choices. Factors such as personal issues, family and peer pressure significantly affect food choices among adolescents living in a Greek rural area and highlight the importance of implementing multilevel strategies to promote healthy eating among adolescents.

Interactive Instructional Television: Education for Rural Areas.

ERIC Educational Resources Information Center

Anagal, Judy; And Others

The Rural Special Education Project is a federally funded partnership between Kayenta Unified School District and Northern Arizona University's (NAU) Center for Excellence in Education that aims to prepare well qualified special education teachers to work in rural and reservation schools. The participants are Native American residents working…

Co-morbid drug and alcohol and mental health issues in a rural New South Wales Area Health Service.

PubMed

Hoolahan, Bryan; Kelly, Brian; Stain, Helen J; Killen, Didi

2006-08-01

In 2003 the New South Wales (NSW) Centre for Rural and Remote Mental Health (CRRMH) conducted an analysis of co-morbid drug and alcohol (D&A) and mental health issues for service providers and consumers in a rural NSW Area Health Service. This paper will discuss concerns raised by rural service providers and consumers regarding the care of people with co-morbid D&A and mental health disorders. Current literature on co-morbidity was reviewed, and local area clinical data were examined to estimate the prevalence of D&A disorders within the mental health service. Focus groups were held with service providers and consumer support groups regarding strengths and gaps in service provision. A rural Area Health Service in NSW. Rural health and welfare service providers, consumers with co-morbid D&A and mental health disorders. Data for the rural area showed that 43% of inpatient and 20% of ambulatory mental health admissions had problem drinking or drug-taking. Information gathered from the focus groups indicated a reasonable level of awareness of co-morbidity, and change underway to better meet client needs; however, the results indicated a lack of formalised care coordination, unclear treatment pathways, and a lack of specialist care and resources. Significant gaps in the provision of appropriate care for people with co-morbid D&A and mental health disorders were identified. Allocation of service responsibly for these clients was unclear. It is recommended that D&A, mental health and primary care services collaborate to address the needs of clients so that a coordinated and systematic approach to co-morbid care can be provided.

78 FR 19586 - Grants for Transportation of Veterans in Highly Rural Areas

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-02

... travel to VA medical centers, and to otherwise assist in providing transportation services in connection... travel to VA medical centers, and to otherwise assist in providing transportation in connection with the... grant funds are to be used to ``assist veterans in highly rural areas to travel to Department of...

Evaluation of the Responsiveness Index of the Family Health Strategy in rural areas.

PubMed

Shimizu, Helena Eri; Trindade, Josélia de Souza; Mesquita, Monique Santos de; Ramos, Maíra Catharina

2018-01-01

Objective To evaluate the responsiveness of Family Health Strategy units in the rural area of the Federal District registered in the National Program for Improvement of Access and Quality of Basic Care. Method Descriptive study, which used a questionnaire to evaluate the following dimensions: a) respect for people: dignity, confidentiality of information, autonomy, communication; b) customer orientation: facilities, choice of the professional, agile service and social support. Results The users' assessment of responsiveness was 0.755. The dimensions related to respect for people received an index of 0.814 and customer orientation was 0.599. Conclusion Care is given that shows respect for human dignity, but progress needs to be made in building confidentiality and the autonomy of users. Infrastructure is poor and care is not agile, highlighting the need for greater investments in rural areas.

Mortality and nursing home placement of dementia patients in rural and urban areas: a cohort study from the Swedish Dementia Registry.

PubMed

Roheger, Mandy; Zupanic, Eva; Kåreholt, Ingemar; Religa, Dorota; Kalbe, Elke; Eriksdotter, Maria; Garcia-Ptacek, Sara

2018-04-14

Life in rural and urban areas differs in regard to social support and health care. Our aim was to examine the association between nursing home placement and survival of patients with dementia living in urban vs. rural areas. We performed a longitudinal cohort study of patients with dementia at time of diagnosis (n = 58 154) and at first follow-up (n = 21 522) including patients registered from 2007 through 2014 in the Swedish Dementia Registry (SveDem). Descriptive statistics are shown. Odds ratios with 95% CI are presented for nursing home placement and hazard ratios for survival analysis. In age- and sex-adjusted analyses, patients living in urban areas were more likely to be in nursing homes at the time of dementia diagnosis than patients in rural areas (1.49, 95% CI: 1.29-1.73). However, there were no differences in rural vs urban areas in either survival after dementia diagnosis (urban: 0.99, 0.95-1.04, intermediate: 1.00, 0.96-1.04), or nursing home placement at first follow-up (urban: 1.00, 0.88-1.13; intermediate: 0.95, 0.85-1.06). Persons with dementia living in rural areas are less likely to live in a nursing home than their urban counterparts at the time of dementia diagnosis, but these differences disappear by the time of first follow-up. Differences in access to nursing homes between urban and rural settings could explain these findings. Results should be considered in the future healthcare decisions to ensure equality of health care across rural and urban areas. © 2018 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

A Comparative Study of Language Instructional Delivery System between Nursery Schools in Rural and Urban Areas in Osun State

ERIC Educational Resources Information Center

Odejobi, Cecilia Omobola

2014-01-01

The study compared the language instructional delivery system between the nursery schools in rural and urban areas in Osun state. The population consisted of all the nursery school teachers in Osun state. Proportionate random sampling was used to prune down the population. In all 130 nursery school teachers, 68 in urban areas and 62 in rural areas…

Potential of solar domestic hot water systems in rural areas for greenhouse gas emission reduction in Poland

DOE Office of Scientific and Technical Information (OSTI.GOV)

Skowronski, P.; Wisniewski, G.

Application of solar energy for preparing domestic hot water is one of the easiest methods of utilization of this energy. At least part of the needs for warm tap water could be covered by solar systems. At present, mainly coal is used for water heating at dwellings in rural areas in Poland. Warm tap water consumption will increase significantly in the future as standards of living are improved. This can result in the growth of electricity use and an increase in primary fuel consumption. Present and future methods of warm sanitary water generation in rural areas in Poland is discussed,more » and associated greenhouse gas (GHG) emissions are estimated. It is predicted that the emission of CO{sub 2} and NOx will increase. The emission of CO and CH{sub 4} will decrease because of changes in the structure of the final energy carriers used. The economic and market potentials of solar energy for preparing warm water in rural areas are discussed. It is estimated that solar systems can meet 30%-45% of the energy demand for warm water generation in rural areas at a reasonable cost, with a corresponding CO{sub 2} emission reduction. The rate of realization of the economic potential of solar water heaters depends on subsidies for the installation of equipment. 13 refs., 9 tabs.« less

Metal speciation in agricultural soils adjacent to the Irankuh Pb-Zn mining area, central Iran

NASA Astrophysics Data System (ADS)

Mokhtari, Ahmad Reza; Roshani Rodsari, Parisa; Cohen, David R.; Emami, Adel; Dehghanzadeh Bafghi, Ali Akbar; Khodaian Ghegeni, Ziba

2015-01-01

Mining activities are a significant potential source of metal contamination of soils in surrounding areas, with particular concern for metals dispersed into agricultural area in forms that are bioavailable and which may affect human health. Soils in agricultural land adjacent to Pb-Zn mining operations in the southern part of the Irankuh Mountains contain elevated concentrations for a range of metals associated with the mineralization (including Pb, Zn and As). Total and partial geochemical extraction data from a suite of 137 soil samples is used to establish mineralogical controls on ore-related trace elements and help differentiate spatial patterns that can be related to the effects of mining on the agricultural land soils from general geological and environmental controls. Whereas the patterns for Pb, Zn and As are spatially related to the mining operations they display little correlation with the distribution of secondary Fe + Mn oxyhydroxides or carbonates, suggesting dispersion as dust and in forms with limited bioavailability.

Assessment of Pharmacists' Perception of Patient Care Competence and Need for Training in Rural and Urban Areas in North Dakota

ERIC Educational Resources Information Center

Scott, David M.

2010-01-01

Context: Few studies have examined pharmacists' level of patient care competence and need for continuous professional development in rural areas. Purpose: To assess North Dakota pharmacists' practice setting, perceived level of patient care competencies, and the need for professional development in urban and rural areas. Methods: A survey was…

Household Solid Fuel Use and Cardiovascular Disease in Rural Areas in Shanxi, China

PubMed Central

QU, Weihua; YAN, Zhijun; QU, Guohua; IKRAM, Maria

2015-01-01

Background: More than 80 percent of the China’s population is located in the rural areas, 95 percent of which use coal, wood etc for cooking and heating. Limited by data availability, the association between household solid fuels and cardiovascular diseases (CVDs) in China’s rural areas is ignored in prior studies. Methods: This cross sectional study was conducted from 2010–2012 and carried out on rural population aging 20–80 yr, comprised of 13877 participants from eighteen villages. Self-report questionnaire data were collected. Each outcome represents whether the participant has a kind of CVDs or not and it is reported in participants’ questionnaire. Then the collected data is analyzed by logistic regression models with odds ratios (OR) and 95 percent confidence interval. Results: After adjusting for potential confounders, the use of household solid fuels was significantly associated with an increased risk for hypertension (OR 1.751), CHD (OR 2.251), stroke (OR 1.642), diabetes (OR 1.975) and dyslipidemia (OR 1.185). Residents with the highest tertile of the duration of household solid fuel exposure had an increased odd of hypertension (OR 1.651), stroke (OR 1.812), diabetes (OR 2.891) and dyslipidemia (OR 1.756) compared with those in the lowest tertile of the duration of solid fuel exposure. Conclusion: Indoor pollution exposure from household solid fuels combustion may be a positive risk factor for CVDs in the perspectives of China’s rural population. Our findings should be corroborated in longitudinal studies. PMID:26284203

Peer support for people with chronic conditions in rural areas: a scoping review.

PubMed

Lauckner, Heidi M; Hutchinson, Susan L

2016-01-01

both) were used. Peer leaders had varied experiences with chronic conditions and received training in content and facilitation skills. Peer leaders were provided with ongoing support. Program participants received training on chronic conditions, and programs provided opportunities for social support and the development of new skills. Programs focused on creating social connections, reducing stigma, ensuring relevance and promoting empowerment. Of the nine programs that reported outcomes, eight reported positive outcomes and one reported mixed results. Consistent with the extant literature, the programs identified unique issues faced by people with chronic conditions in rural areas that these programs addressed. The key findings of this scoping review are as follows: 1. A combination of telecommunications with some face-to-face meetings can support the accessibility of peer support programs in rural areas. 2. Core elements of these programs are the provision of social support and skill development. 3. Peer leaders benefit from skills training and ongoing support. 4. Sustainability of such programs is complex and requires multiple strategies. Cultural relevance, ongoing support and the use of telecommunications were key features of rural peer support programs. Guiding questions to facilitate a community consultation around these findings are provided. Peer support chronic condition self-management programs require further research.

Substance Abuse in Rural Areas

MedlinePlus

... likely to drink alcohol. Rural church and faith-based organizations can also play an important role in promoting ... activities focused on substance abuse prevention. Several ... Other organizations that provide substance abuse information and prevention program ...

Geology of the area adjacent to the Free Enterprise uranium-silver Mine, Boulder District, Jefferson County, Montana

USGS Publications Warehouse

Roberts, W.A.; Gude, A.J.

1952-01-01

Uranium minerals.occur in pods associated with cryptocrystalline silica, silver minerals, and scattered sulfide mineral grains in a hydrothermal vein that cuts quartz monzonite and alaskite at the Free Enterprise mine, 2 miles west of Boulder, Mont. The Free Enterprise vein is one of many silicified reef-like structures in this area, most of which trend about N. 60° E. The cryptocrystalline silica zones of the area are lenticular and are bordered by an altered zone where quartz monzonite is the wall rock. No alteration was noticed where alaskite is adjacent to silica zones. No uranium minerals were observed at the surface, but radioactivity anomalies were noted at 57 outcrops. Underground mining has shown that leaching by downward percolating waters has removed most of the uranium from the near-surface part of the Free Enterprise vein and probably has enriched slightly, parts of the vein and the adjacent wall rock from the bottom of the leached zone to the ground-water level. It is possible that other veins that show low to moderate radioactivity at the surface may contain significant concentrations of uranium minerals at relatively shallow depth. The quartz monzonite appears to be a more favorable host rock for the cryptocrystalline silica and associated uranium minerals than the alaskite. The alaskite occurs as vertical_dikes plug-like masses, and as irregularly shaped, gently dipping masses that are believed to have been intruded into open fractures formed during the cooling of the quartz monzonite.

Appropriate training and retention of community doctors in rural areas: a case study from Mali.

PubMed

Van Dormael, Monique; Dugas, Sylvie; Kone, Yacouba; Coulibaly, Seydou; Sy, Mansour; Marchal, Bruno; Desplats, Dominique

2008-11-18

While attraction of doctors to rural settings is increasing in Mali, there is concern for their retention. An orientation course for young practicing rural doctors was set up in 2003 by a professional association and a NGO. The underlying assumption was that rurally relevant training would strengthen doctors' competences and self-confidence, improve job satisfaction, and consequently contribute to retention. Programme evaluation distinguished trainees' opinions, competences and behaviour. Data were collected through participant observation, group discussions, satisfaction questionnaires, a monitoring tool of learning progress, and follow up visits. Retention was assessed for all 65 trainees between 2003 and 2007. The programme consisted of four classroom modules--clinical skills, community health, practice management and communication skills--and a practicum supervised by an experienced rural doctor. Out of the 65 trained doctors between 2003 and 2007, 55 were still engaged in rural practice end of 2007, suggesting high retention for the Malian context. Participants viewed the training as crucial to face technical and social problems related to rural practice. Discussing professional experience with senior rural doctors contributed to socialisation to novel professional roles. Mechanisms underlying training effects on retention include increased self confidence, self esteem as rural doctor, and sense of belonging to a professional group sharing a common professional identity. Retention can however not be attributed solely to the training intervention, as rural doctors benefit from other incentives and support mechanisms (follow up visits, continuing training, mentoring...) affecting job satisfaction. Training increasing self confidence and self esteem of rural practitioners may contribute to retention of skilled professionals in rural areas. While reorientations of curricula in training institutions are necessary, other types of professional support are needed

Prevalence and Diversity of Leptospires in Different Ecological Niches of Urban and Rural Areas of South Andaman Island.

PubMed

Lall, Chandan; Kumar, K Vinod; Raj, R Vimal; Vedhagiri, K; Vijayachari, P

2016-01-01

Leptospirosis is an emerging disease around the globe. South Andaman Island is an endemic region for leptospirosis. We herein compared the prevalence of leptospires in urban and rural areas of South Andaman Island. The PCR detection and isolation of Leptospira revealed that pathogenic leptospires were prevalent in sewage water and household drainage water in urban areas and in paddy fields, vegetable field water, and stream water in rural areas. These results demonstrate that intermediates are ubiquitously present in the environment and may be responsible for asymptomatic infections, and also provide an insight into disease ecology.

Correlation analysis of expressions of PTEN and p53 with the value obtained by magnetic resonance spectroscopy and apparent diffusion coefficient in the tumor and the tumor-adjacent area in magnetic resonance imaging for glioblastoma.

PubMed

Li, Yunyun; Ji, Feng; Jiang, Yuzhi; Zhao, Ting; Xu, Chongfu

2018-01-01

To explore the correlation of the expression levels of phosphate and tension homology deleted on chromosome ten (PTEN) and p53 of glioblastoma multiforme (GBM) with the value obtained by magnetic resonance spectroscopy (MRS) and apparent diffusion coefficient (ADC) in the tumor and the tumor-adjacent area in magnetic resonance imaging (MRI). A total of 38 patients were operated for GBM. All the patients had received diffusion-weighted imaging (DWI) and MRS prior to surgery. ADC of water molecules and values of metabolite indexes of MRS, including n-acetyl aspartate (NAA), choline (Cho) and creatine (Cr), were recorded, and the ratios of Cho/NAA, Cho/Cr and NAA/Cr were calculated. Hematoxylin-eosin (H&E) staining was done to examine the morphology of tumor and of tumor-adjacent tissues; immunohistochemistry (IHC) was performed to examine the expressions of PTEN and p53 in the tumor and the tumor-adjacent area. Finally, the correlations of the expressions of PTEN and p53 with ADC, Cho/NAA, Cho/Cr and NAA/Cr of the tumor and the tumor-adjacent area were analyzed. H&E staining showed that GBM tissues had disordered morphology, different sizes of cells, large cell nuclei and significant cell heterogeneity. IHC indicated that the expression level of p53 protein in the tumor was significantly higher than in the tumor-adjacent tissues (p<0.05). The expression level of PTEN protein was high in the tumor-adjacent tissues, but significantly deficient in the tumor. DWI showed that the signal of DWI in the tumor was significantly increased, but ADC was decreased compared with the tumor-adjacent area. MRS indicated that the wave band of Cho in the tumor was significantly increased, NAA was significantly lowered, and Cr section was decreased compared with the tumor-adjacent area, while NAA/Cr in the tumor was significantly decreased compared with the tumoradjacent area (p<0.05). Correlation analysis indicated that PTEN levels in the tumor and the tumor-adjacent area were

Children's personal exposure to PM10 and associated metals in urban, rural and mining activity areas.

PubMed

Hinwood, Andrea; Callan, Anna C; Heyworth, Jane; McCafferty, Peter; Sly, Peter D

2014-08-01

There has been limited study of children's personal exposure to PM10 and associated metals in rural and iron ore mining activity areas where PM10 concentrations can be very high. We undertook a small study of 70 children where 13 children were recruited in an area of iron ore mining processing and shipping, 15 children from an area in the same region with no mining activities, and 42 children in an urban area. Each child provided a 24h personal exposure PM10 sample, a first morning void urine sample, a hair sample, time activity diary, and self administered questionnaire. Children's 24h personal PM10 concentrations were low (median of 28 μg m(-3) in the mining area; 48 μg m(-3) in the rural area and 45 μg m(-3) in the urban area) with corresponding outdoor PM10 concentrations also low. Some very high personal PM10 concentrations were recorded for individuals (>300 μg m(-3)) with the highest concentrations recorded in the mining and rural areas in the dry season. PM10 concentrations were highly variable. Hair aluminium, cadmium and manganese concentrations were higher in the iron ore activity area, while hair mercury, copper and nickel concentrations were higher in the urban area. Factors such as season and ventilation appear to be important but this study lacked power to confirm this. These results need to be confirmed by a larger study and the potential for absorption of the metals needs to be established along with the factors that increase exposures and the potential for health risks arising from exposure. Copyright © 2014 Elsevier Ltd. All rights reserved.

Survey of roadside alien plants in Hawai`i Volcanoes National Park and adjacent residential areas 2001-2005

USGS Publications Warehouse

Bio, Keali'i F.; Pratt, Linda W.; Jacobi, James D.

2012-01-01

The sides of all paved roads of Hawai`i Volcanoes National Park (HAVO) were surveyed on foot in 2001 to 2005, and the roadside presence of 240 target invasive and potentially invasive alien plant species was recorded in mile-long increments. Buffer zones 5–10 miles (8–16 km) long along Highway 11 on either side of the Kīlauea and Kahuku Units of the park, as well as Wright Road that passed by the disjunct `Ōla`a Tract Unit, were included in the survey. Highway 11 is the primary road through the park and a major island thoroughfare. Three residential subdivisions adjacent to the park were similarly surveyed in 0.5–1 mile (0.8–1.6 km) intervals in 2003, and data were analyzed separately. Two roads to the east and northeast were also surveyed, but data from these disjunct areas were analyzed separately from park roads. In total, 174 of the target alien species were observed along HAVO roads and buffers, exclusive of residential areas, and the mean number of target aliens per mile surveyed was 20.6. Highway 11 and its buffer zones had the highest mean number of target alien plants per mile (26.7) of all park roads, and the Mauna Loa Strip Road had the lowest mean (11.7). Segments of Highway 11 adjacent to HAVO and Wright Road next to `Ōla`a Tract had mean numbers of target alien per mile (24–47) higher than those of any internal road. Alien plant frequencies were summarized for each road in HAVO. Fifteen new records of vascular plants for HAVO were observed and collected along park roads. An additional 28 alien plant species not known from HAVO were observed along the buffer segments of Highway 11 adjacent to the park. Within the adjacent residential subdivisions, 65 target alien plant species were sighted along roadsides. At least 15 potentially invasive species not currently found within HAVO were observed along residential roads, and several other species found there have been previously eliminated from the park or controlled to remnant populations

Novel psychoactive substances: use and knowledge among adolescents and young adults in urban and rural areas.

PubMed

Martinotti, Giovanni; Lupi, Matteo; Carlucci, Leonardo; Cinosi, Eduardo; Santacroce, Rita; Acciavatti, Tiziano; Chillemi, Eleonora; Bonifaci, Ludovica; Janiri, Luigi; Di Giannantonio, Massimo

2015-07-01

Novel psychoactive substances (NPS) are new psychotropic drugs, not scheduled under the International Conventions on Psychotropic Substances, but which may pose a relevant public health threat. In this study, we investigated knowledge and use of NPS in a sample of Italian youth in urban and rural areas. Between December 2012 and October 2013, we administered a questionnaire to a sample of 3011 healthy subjects (44.7% men; 55.3% women), aged between 16 and 24 years and recruited in urban, intermediate and rural areas of Italy. Of the global sample, 53.3% declared to have some knowledge on NPS, with a higher knowledge in urban areas. Mephedrone (26%), desomorphine (22.6%) and methamphetamine (21.7%) were the most commonly known drugs. NPS use was reported by 4.7% of the sample, without significant differences between urban and rural areas; mephedrone (3.3%), synthetic cannabinoids (1.2%) and Salvia divinorum (0.3%) consumption has been identified. NPS use was also predictive of binge-drinking behaviours (χ(2) (4) = 929.58, p < .001). Urban areas may represent a focal point for preventive strategies, given the presence of higher levels of NPS knowledge. Moreover, the association between binge-drinking habits and NPS use was really strong. This issue should not be underestimated because of its medical, psychopathological and social consequences. Copyright © 2015 John Wiley & Sons, Ltd.

Attitudes toward working in rural areas of Thai medical, dental and pharmacy new graduates in 2012: a cross-sectional survey

PubMed Central

2013-01-01

Background Inequity in health workforce distribution has been a national concern of the Thai health service for decades. The government has launched various policies to increase the distribution of health workforces to rural areas. However, little is known regarding the attitudes of health workers and the factors influencing their decision to work in rural areas. This study aimed to explore the current attitudes of new medical, dental and pharmacy graduates as well as determine the linkage between their characteristics and the preference for working in rural areas. Methods A cross-sectional survey was conducted, using self-administered questionnaires, with a total of 1,225 medical, dental and pharmacy graduates. They were participants of the meeting arranged by the Ministry of Public Health (MOPH) on 1–2 April 2012. Descriptive statistics using mean and percentage, and inferential statistics using logistic regression with marginal effects, were applied for data analysis. Results There were 754 doctors (44.4%), 203 dentists (42.6%) and 268 pharmacists (83.8%) enrolled in the survey. Graduates from all professions had positive views towards working in rural areas. Approximately 22% of doctors, 31% of dentists and 52% of pharmacists selected ‘close proximity to hometown’ as the most important reason for workplace selection. The multivariable analysis showed a variation in attributes associated with the tendency to work in rural areas across professions. In case of doctors, special track graduates had a 10% higher tendency to prefer rural work than those recruited through the national entrance examination. Conclusions The majority of graduates chose to work in community hospitals, and attitudes towards rural work were quite positive. In-depth analysis found that factors influencing their choice varied between professions. Special track recruitment positively influenced the selection of rural workplaces among new doctors attending the MOPH annual meeting for

The 'rural pipeline' and retention of rural health professionals in Europe's northern peripheries.

PubMed

Carson, Dean B; Schoo, Adrian; Berggren, Peter

2015-12-01

The major advance in informing rural workforce policy internationally over the past 25 years has been the recognition of the importance of the 'rural pipeline'. The rural pipeline suggests that people with 'rural origin' (who spent some childhood years in rural areas) and/or 'rural exposure' (who do part of their professional training in rural areas) are more likely to select rural work locations. What is not known is whether the rural pipeline also increases the length of time professionals spend in rural practice throughout their careers. This paper analyses data from a survey of rural health professionals in six countries in the northern periphery of Europe in 2013 to examine the relationship between rural origin and rural exposure and the intention to remain in the current rural job or to preference rural jobs in future. Results are compared between countries, between different types of rural areas (based on accessibility to urban centres), different occupations and workers at different stages of their careers. The research concludes that overall the pipeline does impact on retention, and that both rural origin and rural exposure make a contribution. However, the relationship is not strong in all contexts, and health workforce policy should recognise that retention may in some cases be improved by recruiting beyond the pipeline. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

The Rural Arena: The Diversity of Protest in Rural England

ERIC Educational Resources Information Center

Reed, Matt

2008-01-01

In the past 15-20 years, the rural areas of England have been used by a wide diversity of groups as the stage for their protest activities. Some have argued that this is due the rise of a rural social movement; this paper contends that rural areas have become both available and advantageous as the locale of protest through a range of interlocking…

Rural Critical Care Nurse Training Project--Four Corners Area, November 14, 1975.

ERIC Educational Resources Information Center

New Mexico Regional Medical Program, Albuquerque.

Project objectives were to train 10 nurses from hospitals in the Four Corners Area in rural critical care nursing, to have a training director organize and coordinate the project, and to utilize the replacement nurse concept. The course curriculum was determined through a needs assessment survey conducted by a team of health professionals from…

Circummandibular Wires for Treatment of Dentoalveolar Fractures Adjacent to Edentulous Areas: A Report of Two Cases.

PubMed

Maloney, Karl

2015-09-01

In general, dentoalveolar fractures are a common injury seen in emergency departments, dental offices, and oral and maxillofacial surgery practices. These injuries can be the result of direct trauma or indirect trauma. Direct trauma more often causes trauma to the maxillary dentition due to the exposure of the maxillary anterior teeth. Indirect trauma is usually the result of forced occlusion secondary to a blow to the chin or from a whiplash injury. Falls are the most common mechanism of injury seen in the pediatric group. In adolescents, many of these fractures are sustained during sporting activities. However, the use of mouth guards and other protective equipment has decreased this number. Most adult injuries are caused by motor vehicle accidents, contact sports, falls, bicycles, interpersonal violence, medical/dental mishaps, and industrial accidents. Early intervention to reduce and stabilize the fracture is required to establish a bony union and ensure correct function. Most dentoalveolar fractures have bilateral stable adjacent dentition and are treated with a closed technique utilizing an acid-etch/resin splint followed by splint removal at 4 weeks. Other inferior stabilization treatments used are arch bars and other wiring techniques. It is widely accepted that semirigid stabilization techniques, such as an acid-etch/resin splint or wiring procedures, are adequate to treat dentoalveolar fractures. This is in contrast to the treatment of mandible fractures where AO principles of rigid fixation are often followed. Fractures that are unable to be reduced sometimes necessitate an open reduction followed by internal fixation, sometimes using a secondary splint for mobile teeth. In those rare cases when there are not stable adjacent teeth bilaterally other modalities must be considered. In the present report, two cases are presented where circummandibular wires were used to treat fractured mandibular dentoalveolar segments adjacent to edentulous areas.

[Distributions and air-sea fluxes of dissolved nitrous oxide in the Yangtze River estuary and its adjacent marine area in spring and summer].

PubMed

Wang, Lan; Zhang, Gui-ling; Sun, Ming-shuang; Ren, Jing-ling

2014-12-01

Distributions and air-sea fluxes of nitrous oxide (N2O) in the seawaters of the Yangtze River estuary and its adjacent marine area were investigated during two cruises in March and July 2012. Dissolved N2O concentrations in surface waters ranged from 9.34 to 49.08 nmol x L(-1) with an average of (13.27 ± 6.40) nmol x L(-1) in spring and ranged from 7.27 to 27.81 nmol x L(-1) with an average of (10.62 ± 5.03) nmol x L(-1) in summer. There was no obvious difference between surface and bottom N2O concentrations. N2O concentrations in both surface and bottom waters decreased along the freshwater plume from the river mouth to the open sea. High values of dissolved N2O were found in turbidity maximum zone, which suggests that maximal turbidity enhances nitrification. Temperature had dual effects on dissolved N2O concentrations. N2O saturations in surface waters ranged from 86.9% to 351.3% with an average of (111.5 ± 41.4)% in spring and ranged from 111.7% to 396.0% with an average of (155.9 ± 68.4)% in summer. N2O were over-saturated at most stations. The sea-to-air fluxes of N2O were estimated to be (3.2 ± 10.9), (5.5 ± 19.3) and (12.2 ±52.3) μmol x (m2 x d)(-1) in spring and (7.3 ± 12.4), (12.7 ± 20.4) and (20.4 ± 35.9) μmol x (m2 x d)(-1) in summer using the LM86, W92 and RC01 relationships, respectively. The annual emissions of N2O from the Yangtze River estuary and its adjacent marine area were estimated to be 0.6 x 10(-2) Tg x a(-1) (LM86), 1.1 x 10(-2) Tg x a(-1) (W92) and 2.0 x 10(-2) Tg x a(-1) (RC01). Although the area of the Yangtze River estuary and its adjacent marine area only accounts for 0.02% of the total area of the world's oceans, their emission of N2O accounts for 0.06% of global oceanic N2O emission, indicating that the Yangtze River estuary and its adjacent marine area is an active area to produce and emit N2O.

Computerized Coordinated Service Center: A Comparison of Service Methodologies and Costs in the Urban and Rural Area.

ERIC Educational Resources Information Center

Waldman, Risa J.; And Others

Ten parallel human service agencies (five urban and five rural) were compared to identify variations in the service delivery system and to compare the costs of service provision. The agencies responded to approximately 36 questions covering eight major areas and were compared and contrasted, urban versus rural, according to the type of agency. All…

Major incidents in rural areas: managing a pandemic A/H1N1/2009 cluster.