6 research outputs found
Spatial analysis of land surface temperature distribution: case of the Greater Beirut Area
International audienc
Land Suitability Analysis for Sustainable Urban Development: A Case of Nabatiyeh Region in Lebanon
Urbanization has led to the degradation of green areas and natural resources, which are critical for preserving biodiversity and natural benefits. Sustainable urban development (SUD) practices aim to balance urbanization with preserving and protecting green land and natural resources to achieve greater sustainability. This study evaluated land suitability for SUD in the Nabatiyeh area of Lebanon using a multi-criteria decision analysis technique, the analytical hierarchy process, combined with a geographic information system. The elevations and slopes were the most important criteria, followed by the distances from urban agglomeration and industrial areas, accessibility, and land cover types, with corresponding weights of 34% and 36%, 12%, 9%, 6%, and 3%, respectively. The study created a suitability map for future SUD. This identification assists urban planners and policymakers in making informed decisions regarding the development of urban areas. The study’s findings highlight the efficiency of combining multi-criteria decision analysis with geospatial techniques for urban planning and environmental management in promoting sustainable development and protecting the environment. Future research could explore the possibility of integrating administrative reforms to promote SUD, including improving governance, enhancing the efficiency of governmental agencies responsible for urban development, building scientific capacities, and increasing officials’ accountability
Passengers receptivity of a new public transport mode: case of a BRT project in Lebanon
International audienceAbstract This study examines how far the level of knowledge on a new public transport mode in Lebanon might affect mode choice. Indeed, passenger mode choice is a major issue associated with the effectiveness of new transport projects, as their level of effectiveness and feasibility will depend on the number of new adopters. This investigation is performed by developing mode choice models based on data collected via a questionnaire-based survey. The models were used to compare preferences among private cars, current public transport modes and a newly proposed Bus Rapid Transit system. The driving factors are divided into two categories: economic and psychological. The results reveal that explicit evaluations of several factors on the proposed transport modes yields mode choices different from direct evaluation. Besides, the structure of the utility function reveals that economic driving factors prevail over the psychological aspects, which is the opposite of what is observed with direct mode assessment. Moreover, people’s expectations of the proposed Bus Rapid Transit were significantly positive in terms of usability in addition to operational and economic reliability. This study shows that people’s level of knowledge of previous transport modes and their perceptual expectations of new travel modes must be taken into consideration in the feasibility studies of any transport implementations in the developing countries where the public transport services are discouraged
Dental-Dam for Infection Control and Patient Safety during Clinical Endodontic Treatment: Preferences of Dental Patients
Background: A number of factors (first experience, treating clinician and time to place dental-dam) may influence patients’ preferences regarding dental-dams. In general, patients accept placing it and that it must be used for teeth isolation during endodontic procures for the sake of patient safety and infection control. Objectives: The aim of this study is to investigate preferences and experiences of patients using dental-dam (DD) isolation during root canal treatment (RCT) and to explore influencing factors among the residents of Madinah Munnawara, Saudi Arabia. Methods: Following an ethical approval and a pilot study, a self-administrated questionnaire was distributed to 305 patients attending endodontic clinics at the Taibah University College of Dentistry (TUCOD) over six months. Patients voluntarily participated in the study after understanding the methodologies and signing a consent form. They were asked to fill out a questionnaire on their experiences and preferences in placing the DD during RCT. Data were analyzed using the Chi-square test at p = 0.05. Results: The response rate was 91%. There was no significant correlation between patients’ preferences and their race, age and gender (p > 0.05). The majority of participants (74.3%) would prefer to use a DD in their next session (p < 0.001). This preference negatively correlated with the time required to place a DD and the duration of the current visit (p < 0.001). While most of those who would prefer to use a DD in their next visit were pleased with how it was placed in the current session (76.6%), most of those who would not do so (66.7%) were uncomfortable. Overall, the highest proportion of participants (40.2%) reported that prevention of instrument swallowing was the most important advantage of DD isolation (p < 0.001). Conclusions: Overall, DD isolation for RCT is generally well accepted by patients regardless of their country of origin, gender, education and awareness of its advantages. Patients’ safety was the most attractive advantage for patients to the application of the DD. The time required to place the dental dam and first visit experience in placing the DD affect patients’ future preference
Quantifying the impact of using Coronary Artery Calcium Score for risk categorization instead of Framingham Score or European Heart SCORE in lipid lowering algorithms in a Middle Eastern population
Background: The use of the Coronary Artery Calcium Score (CACS) for risk categorization instead of the Framingham Risk Score (FRS) or European Heart SCORE (EHS) to improve classification of individuals is well documented. However, the impact of reclassifying individuals using CACS on initiating lipid lowering therapy is not well understood. We aimed to determine the percentage of individuals not requiring lipid lowering therapy as per the FRS and EHS models but are found to require it using CACS and vice versa; and to determine the level of agreement between CACS, FRS and EHS based models.
Methods: Data was collected for 500 consecutive patients who had already undergone CACS. However, only 242 patients met the inclusion criteria and were included in the analysis. Risk stratification comparisons were conducted according to CACS, FRS, and EHS, and the agreement (Kappa) between them was calculated.
Results: In accordance with the models, 79.7% to 81.5% of high-risk individuals were down-classified by CACS, while 6.8% to 7.6% of individuals at intermediate risk were up-classified to high risk by CACS, with slight to moderate agreement. Moreover, CACS recommended treatment to 5.7% and 5.8% of subjects untreated according to European and Canadian guidelines, respectively; whereas 75.2% to 81.2% of those treated in line with the guidelines would not be treated based on CACS.
Conclusion: In this simulation, using CACS for risk categorization warrants lipid lowering treatment for 5–6% and spares 70–80% from treatment in accordance with the guidelines. Current strong evidence from double randomized clinical trials is in support of guideline recommendations. Our results call for a prospective trial to explore the benefits/risks of a CACS-based approach before any recommendations can be made