Tourism and the (re)making of rural places: The cases of two Chinese villages

In rural places of our country, burns have become frequent accidents due to the use of floor-based stoves & kerosene lamps. Suicides due to burns are also quite usual in our country. The objective of this study is to evaluate the necessity of early excision of the burn wound and skin grafting to decrease the morbidity, mortality, complications of burns and stay at the hospital. Calculate pressure garment efficacy in preventing burn scar and contracture formation. To lay out cost-effective management for patients at rural hospitals. 50 patients were included in this study presenting with burn injuries, admitted in the department of plastic surgery from June 2019 to December 2020. In a recent study, Females (52%) suffered more as compared to males. Scalds were the prime root cause of the burns constituting the 52% of the cases. Infections of Burn wound was seen in 20 patients (40%). Pseudomonas was prime organism isolated. Wound excision was required in 19 patients (38%). Around 6 to 12 days, elapsed between the injury to the surgical excision. 19 patients required (38%) covering of wound permanently with STSG. The mean admission period in hospital for burns of 41-60% was 62 days, 33.4 days for 21-40% burns and 19.6 days for <20%. Amongst 50 patients, 3 died accounting to 6% of overall cases. This study concluded that initiation of resuscitation with untimely wound excision and permanent coverage with grafting can bring significant fall in mortality, painful debridements, limiting complications, decreasing the duration of stay at a hospital, curtailing the cost of health care and time apart from work.

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Changes in Diagnostic Patterns of Depression Among Family Physicians in Latvia after Participating in The Education Course on Depression Developed within the National Research Programme Biomedicine 2014–2017: Preliminary Results

Proceedings of the Latvian Academy of Sciences Section B Natural Exact and Applied Sciences ◽

10.2478/prolas-2019-0031 ◽

2019 ◽

Vol 73 (2) ◽

pp. 192-194

Author(s):

Elmārs Rancāns ◽

Anda Ķīvīte-Urtāne

Keyword(s):

Health Care Services ◽

Family Physicians ◽

Research Programme ◽

Capital City ◽

Control Groups ◽

Treatment Of Depression ◽

National Research Programme ◽

Rural Places ◽

And Control ◽

Depressive Episodes

Abstract Annually, 7.9% of the general population in Latvia are suffering from depression. According to the official statistics, less than 8000 persons a year have been treated for depression in the state-paid health care services while the National Research Programme (NRP) BIOMEDICINE 2014–2017 found that more than 70 000 depressed patients annually are coming to family physicians (FPs) in Latvia. Within NRP researchers have developed an algorithm for diagnostics and treatment of depression and carried out ten educational courses for FPs all over Latvia in 2016. Data on the treatment of depression have been collected from the National Health Service (NHS) database from 01.01.2015 till 30.06.2017. Changes between the trained and control groups have been calculated for the time period before intervention — 2015–2016 and six months right after it. The “Depression School” was attended by 210 (15.2%) out of 1382 FPs, in contract with the NHS, who signed in for the course on first-to-come basis. There were no statistically significant demographic differences between trained and control groups, except, a larger proportion of FPs from rural places vs. the capital city attended the courses. Comparing the trained and control groups, during the period before the intervention there were on average 0.96 vs. 0.83 depressive episodes (F32) and 3.26 vs.1.74 recurrent depressive disorder (F33) episodes in 1/2 year (p < 0.001). Statistically significant increase was observed for F33 episodes (+1.42, p < 0.001), and numeric for F32 episodes (+0.18, p = 0.36) in the trained group of FPs in 2017. In total this gave a statistically significant (p < 0.001) increase by 43.6% of F33 diagnoses following the education course on depression for family physicians. Further analysis of data to access sustainability of training effect after 12 and 24 months are underway.

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A different angle: Exploring gender and socialization through recreation specialization among fly fishers in northern British Columbia

10.24124/2021/59139 ◽

2021 ◽

Author(s):

◽

Genevieve Huneault

Keyword(s):

British Columbia ◽

Social Relationships ◽

Participant Observation ◽

Skill Development ◽

Structured Interviews ◽

Outdoor Activities ◽

Daily Routines ◽

Rural Settings ◽

Recreation Specialization ◽

Rural Places

Studies of how gender is characterized, performed, and understood in outdoor activities in relation to skill development are limited, but growing. This research explored gender and social relationships across levels of recreation specialization in fly-fishing among anglers in Prince George, BC. Semi-structured interviews were conducted with 23 participants, 11 of whom then attended a level-specific fishing day during which participant observation was conducted. Interviews were transcribed and coded. Four main findings were derived. First, anglers’ social relationships shifted from dependence on others to intentional self-expression. Second, anglers learned to belong ecologically and socially through skill development and equipment use. Third, anglers’ relationships with fish moved from possession to communion. Fourth, anglers’ described escaping their daily routines to engage with rural places and fishing. The analysis and discussion show how masculinity was constructed and performed, and highlight the roles of socialization, behaviors, and equipment in shaping and gendering rural settings.

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Ghost Homes

Question Essays and Art from the Humanities ◽

10.52715/blgq8370 ◽

2021 ◽

Author(s):

Eluned Gramich

Keyword(s):

Back Pain ◽

Short Story ◽

Sense Of Community ◽

Code Switching ◽

Middle Aged ◽

Elderly Individuals ◽

Second Homes ◽

Ghost Towns ◽

Cultural Tensions ◽

Rural Places

‘Ghost Homes’ explores the evolving sense of community in a village in rural West Wales, deeply affected by the pandemic. It looks critically at the linguistic and cultural tensions between English holidaymakers and Welsh inhabitants. Using Welsh-English code-switching, it tells the story of a mother and son on the outskirts of Cardigan, navigating illness alongside the isolating pressures of lockdown, highlighting the limitations as well as support of ‘community’. Welsh-speaking Judy is alone at the height of the pandemic, suffering from debilitating back pain. She relies on her middle-aged son, Will, with whom she has a strained relationship. The short story shows the fragile nature of ‘community’ in rural places, especially in West Wales where seaside villages have been bought up as second homes for wealthy English families and, during the pandemic, became ghost towns for the few (often elderly) individuals who continued to live there.

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