Access to financial capital is vital for the sustainability of the local business sector. Recent research on the restructuring of the financial industry from local owned banks to interstate ...conglomerates has raised questions about the impact on local economies, especially in rural areas. We examine the impact of bank ownership concentration on business formations, continuations, and deaths in metropolitan, micropolitan, and rural non-core U.S. counties. Using limited-access Census data, we find that local bank concentration is positively related to business births and deaths, or churn, in rural counties, but the opposite effects occur in metropolitan areas. We demonstrate robustness to several specifications and spatial spillover effects.
India’s medical service industry is an emerging force in Southeast Asia, which should be recognized. A large portion of the country’s GDP is being earned through this sector. Paradoxically, India’s ...rural sphere has always been highly deprived of medical facilities even in rudimentary level. This huge imbalance was previously an issue for India to reach to a footing through innovation. India still being a developing country has majority of people living in rural areas where quality healthcare is not only difficult to avail but sometimes even hard to access. In such circumstances, an initiative like Lifeline Express (LLE) has provided the people with access to quality healthcare which has been crucially needed. It is a very simple idea but incredibly complex in terms of execution throughout the whole region. The LLE is a hospital which moves throughout rural India in a form of a fully equipped train. Since 1991, this initiative in India has generated some commendable projects through which it has served many rural Indians. Through this case, it will be comprehensible of how the train and the medical team function and will show the limitations and challenges healthcare in India is facing and how LLE has proved its fantastic ability to fight with the constraints and make healthcare reach the doorsteps of the rural people. Despite the challenges and limitations, it is also been revealed how the journey of LLE has grown from a three-coach train to seven-coach train where patients get treatment of many diseases from the early 1990s to this day.
En este trabajo presento las experiencias de niñas y niños de una comunidad rural en situaciones de juego que la investigación-intervención propuso para que hablaran de sus afectaciones en lo ...individual y en lo grupal. La producción subjetiva entendida como el conjunto de invenciones imaginarias que los sujetos realizan, a partir de afectaciones a su psique-cuerpo, está dada en un campo de relaciones donde el sujeto se coloca en situaciones dilemáticas o problemáticas, y en este sentido, la subjetividad subyace como una respuesta necesaria; es decir, busca traducirse en una enunciación porque la representación, que se ha construido desde lo singular en una relación conflictual, es necesario que se ancle a una cadena de significantes para que tenga cabida en lo simbólico, y de esta manera el sujeto instala vínculos que lo constituyen con referentes identitarios.
The December 1983 Kappan featured the story of Clinch School in Hawkins County, Tennessee, a small rural school with a student body of 161 students in 12 grades. Teresa Preston explains how the story ...of the community’s fight to keep this school open and under local control is illustrative of the dilemmas surrounding rural schools that have been covered in Kappan for a century. Articles have grappled with whether schools should focus on encouraging students to stay in rural communities, how to ensure that schools are large enough to provide adequate programs but small enough to reflect the immediate community, and what role parent and community preferences should play in improvement plans for rural schools.
Background: The Bigfoot Unity® System incorporates CGM data, real-time alerts, and clinician-directed dose recommendations. Clinicians use a web portal to view patient data remotely. Our objective ...was to analyze real world data from rural and urban subgroups.
Methods: A 6-month retrospective analysis was done using a prespecified analysis plan for commercial users with ≥50% CGM data at 6 months (N=127, 24 clinics). A baseline A1C was obtained from clinic medical records (N=118). Glycemic and System engagement outcomes for those living in urban (N=102) and rural (N=25) zip codes were compared.
Results: Most in urban and rural groups had T2D (82 v 84%); mean age was 65 and 61 years, respectively. Urban users had mean baseline A1C of 8.4±1.6% and 7.5±0.8% mean GMI at 6 months; rural users had baseline A1C of 8.5±1.9% and 6-month GMI of 7.2±0.8%. Subgroup outcomes are shown (Table). Using GMI as an A1C proxy, pairwise comparisons of 6 month GMI to baseline A1C in the overall cohort (N=118) show a 1.1±1.4% improvement (P <0.05).
Discussion: Overall, both groups were primarily older adults with T2D using MDI and having suboptimal glycemic control before System use. Given concerns with disparity in diabetes management in rural areas, we evaluated rural and urban users of Bigfoot Unity. The rural cohort was small but data suggests that for both groups, using the System resulted in similar improved and durable glycemic control at 6 months.
Disclosure
J.Tillman: Employee; Bigfoot Biomedical, Inc. B.P.Olson: Employee; Bigfoot Biomedical, Inc. S.Vaughan: Employee; Bigfoot Biomedical, Inc. F.Sheikh: Employee; Bigfoot Biomedical, Inc. J.K.Malone: Employee; Bigfoot Biomedical, Inc.
Funding
Bigfoot Biomedical, Inc.
Abstract Rural landscapes, as products of the interaction between humans and nature, not only reflect the history and culture of rural areas but also symbolize economic and social progress. This ...study proposes a deep learning-based model for Weibo data analysis aimed at exploring the development direction of rural landscapes from the perspective of the Chinese public. The research reveals that the Chinese public’s attention to rural landscapes has significantly increased with the evolution of government governance concepts. Most people express a high level of satisfaction and happiness with the existing rural landscapes, while a minority harbor negative emotions towards unreasonable new rural construction. Through the analysis of public opinion regarding rural landscapes, this study will assist decision-makers in understanding the mechanisms of public discourse on social media. It will also aid relevant scholars and designers in providing targeted solutions, which hold significant importance for policy formulation and the exploration of specific development patterns.
Background: High rates of diabetes have been reported throughout urban India, though limited data exists concerning the prevalence of diabetes in rural areas, where 70% of the population resides. ...Socioeconomic and cultural differences may necessitate a different approach towards the treatment and prevention of diabetes in rural as opposed to urban areas.
Objective: The aim of this study was to evaluate the efficacy of a novel, community-centered model in rural villages of Hyderabad, India over the course of 6 months and compare results to traditional methods currently used by rural clinics in Ahmedabad, India.
Methods: As opposed to traditional methods that rely on direct patient-provider interaction, our community-centered method relied on a four-tier system consisting of providers, leaders of each village, “ambassadors” within each village, and patients. A total of 1,013 individuals aged ≥ 25 years (mean age 47.2 years) were sampled at random gender and age from 12 villages in Hyderabad and Ahmedabad. Vitals were taken and blood glucose was measured in all participants using a GlucoSpark glucometer. Baseline statistics were similar for both populations.
Results: In villages surrounding Hyderabad, the prevalence of diabetes was 9.6% (95% CI 7.2-11.9), of which 6.2% (5.1-7.3) were known cases and 3.4% (2.2-4.6) had not previously been diagnosed. The prevalence of diabetes in Ahmedabad was determined to be 12.9% (10.8-15.1), with 5.2% (3.8-6.6) diagnosed and 7.7% (6.2-8.2) previously undiagnosed. Notably, average glucose levels in the Hyderabad population were significantly lower than in the Ahmedabad population after 6 months (t=3.3, p<0.001).
Conclusion: While this study is not representative of rural India as a whole, it highlights the importance of community-centered health in rural settings. Findings suggest that approaches towards diabetes treatment, prevention, and education should vary with patient populations and be considered carefully.
Disclosure
S. Shah: None. K. Prasad: None. B.D. Saboo: None. S. Shah: None. D. Hasnani: None. V. Chavda: None. K. Hcb: None. R.K. Meruva: None.
This paper investigates whether stress, possibly aggravated by the Covid-19 pandemic, is a problem that affects the quality of life of the Spanish rural population. It is a subject that has been ...little dealt with in Spain, where there is a tendency to associate life in rural areas with peace and quiet, as opposed to presumed stressful living in urban areas. The aim is to study the situation in four rural populations of Galicia and Castilla y León, with special attention to owners and workers of livestock farms, using semi-structured interviews conducted between April and July, 2022. The results show the presence of stress among entrepreneurs and farm workers, mainly related to economic difficulties, as well as a deterioration of their relationship with workers in the service sector. This approach to rural stress concludes by identifying different forms of stress that affect the rural population and disturb the idyllic image of these territories, which has traditionally made these territories attractive.
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