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- Kuipers, Ruben A., et al.
(författare)
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The passenger’s influence on dwell times at station platforms : a literature review
- 2021
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Ingår i: Transport Reviews. - : Informa UK Limited. - 0144-1647 .- 1464-5327. ; 41:6, s. 721-741
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Tidskriftsartikel (refereegranskat)abstract
- Dwell time delays, although small in nature, can accumulate to a large delay over the entire journey of a train. It is, however, difficult to precisely know the amount of time which is required at stations due to the inherent variance in human behaviour. Furthermore, planning practices do not seem to capture the dynamic nature of the dwell time process. The current literature review focusses on the influence that passengers have on the length and variance of dwell times at stations. More specifically, this study focusses on the underlying causes for the distribution of passengers along a platform while waiting for the train to arrive at the station and their behaviour during the boarding and alighting process. As part of this review, two databases were systematically searched, and backwards snowballing techniques were applied. To ensure the quality of the included literature, a systematic quality appraisal was carried out. The findings show that measures related to platform management and changes to train operations have the potential to play a substantial role in reducing the variance in dwell times, as well as improvements in the provision of information to travellers. Such measures also allow for a more solution-oriented approach. However, the actual benefits of such measures need further studying. The findings also show that the distribution of passengers and the behaviour of passengers during the boarding and alighting process are connected and should thus be addressed as a whole rather than separate aspects. The majority of the studies included in this review did, however, not focus on both elements in conjunction. There is thus a need for future studies into the effect of platform management measures where efforts must be made to better understand the impact of measures on both the behaviour and distribution of passengers.
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- Malmvall, Bo-Erik, et al.
(författare)
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Reduction of antibiotics sales and sustained low incidence of bacterial resistance : report on a broad approach during 10 years to implement evidence-based indications for antibiotic prescribing in Jönköping County, Sweden
- 2007
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Ingår i: Quality Management in Health Care. - 1063-8628 .- 1550-5154. ; 16:1, s. 60-67
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Tidskriftsartikel (refereegranskat)abstract
- Background: Increased prevalence of resistance in major pathogens decreases the possibility to treat common infectious conditions. In the beginning of the 1990s, resistant pneumococci spread among children in southern Sweden, which alarmed both the profession and the medical authorities. We describe the measures taken to curb the spread of resistance and to reduce the use of antibiotics in outpatient care.Method: A national organization, Strama (Swedish Strategic Programme for the Rational Use of Antimicrobial Agents and Surveillance of Resistance), was initiated in 1994 and a regional committee was formed in Jönköping County in 1995. A multifaceted program was started aiming at reducing antibiotic use in the county by 25% and that the prevalence of resistant pneumococci should not increase.Results: The efforts by the Jönköping County committee has resulted in a 31% total reduction of the consumption of antibiotic drugs in primary care between 1993 and 2005 and a 50% reduction among children aged 0 to 4 years. There has been no increase in the prevalence of resistant pneumococci or Haemophilus influenzae in the county. The decrease in antibiotic use was greater than the average in Sweden.Conclusion: Our regional efforts have been successful. This has probably been achieved by a sustained strategy including repeated campaigns in the media, information to the profession, implementation of guidelines, and feedback to the profession on data on antibiotic prescribing and resistance. We believe it is of outmost importance not only to inform the profession but also the public on the limited effects of antibiotics in most respiratory tract infections.
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