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Longer Total Interhospital Transfer Times for Rural Sepsis Patients Not Associated with Increased Mortality.
Prehosp Emerg Care
January 2025
Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Objectives: Sepsis is a time-sensitive condition, and many rural emergency department (ED) sepsis patients are transferred to tertiary hospitals. The objective of this study was to determine whether longer transport times during interhospital transfer are associated with higher sepsis mortality or increased hospital length-of-stay (LOS).
Methods: A cohort of rural adult (age ≥ 18y) sepsis patients transferred between hospitals were identified in the TELEmedicine as a Virtual Intervention for Sepsis Care in Emergency Departments (TELEVISED) parent study.
Regional Trends and Spatial Gradients of Total Column Methane over India, China, and USA─Implications for Emissions from Coal Mining and Oil/Gas Exploitation.
Environ Sci Technol
January 2025
Indian Institute of Technology-Delhi (IIT Delhi), Hauz Khas, New Delhi 110016, India.
Observation-based verification of regional/national methane (CH) emission trends is crucial for transparent monitoring and mitigation strategy planning. Although surface observations track the global and sub-hemispheric emission trends well, their sparse spatial coverage limits our ability to assess regional trends. Dense satellite observations complement surface observations, offering a valuable means to validate emission trends, especially in regions where emissions changes are substantial but debated.
View Article and Find Full Text PDFThe Socioeconomic Impact of Transport Costs for Adult Patients Requiring Haemodialysis: A Mixed Methods Study.
Healthcare (Basel)
December 2024
Academic-Practice-Partnership of Bern University of Applied Sciences and Insel Gruppe, Bern University Hospital, 3008 Bern, Switzerland.
Background/objectives: Patients requiring haemodialysis often perceive the cost of their travels to the dialysis centres as a significant burden. The study aimed to collect a first Swiss national data set on transport costs and assess their impact on patients and their relatives.
Methods: In addition to interviews with patients, a quantitative survey was developed and distributed online using a voluntary sampling strategy.
Heterogeneities in landed costs of traded grains and oilseeds contribute to unequal access to food.
Nat Food
January 2025
Oxford Programme for Sustainable Infrastructure Systems, Environmental Change Institute, University of Oxford, Oxford, UK.
Despite the growing accessibility of international grain and oilseed markets, high production costs and trade frictions are still prevalent, contributing to regional heterogeneities in the landed cost of grain imports. Here we quantify the landed cost for six grain commodities across 3,500 administrative regions, capturing regional cost differences to produce grain and transport it across international borders. We find large heterogeneities in the costs of imported grain, which are highest in Oceania, Central America and landlocked Africa.
View Article and Find Full Text PDF'I'm not ok, we are not ok': an exploration into the embodied precarity experienced by disabled people and their family members living in rural South Africa during the COVID-19 pandemic.
Med Humanit
January 2025
Department of Speech Pathology and Audiology, School of Human and Community Development, Faculty of Humanities, University of the Witwatersrand Johannesburg, Johannesburg, South Africa
Research suggests that the impact of the COVID-19 pandemic on disabled people was magnified compared with the impact on non-disabled people; however, little is known about the experiences of disabled people living in rural areas, particularly those in the Global South. Disabled people living in rural areas experience significant challenges related to poverty, food insecurity and access to information and healthcare. Data were collected in the Nkomazi East Municipality in Mpumalanga, South Africa.
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