August 03, 2021
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Austin Police ram vehicle that drove through active crash scene
Pa. transportation funding panel readies $15.6B package with mileage-based fee
SRAM opens TIME pedal factory in Portugal
Biden wants U.S automakers to pledge 40% electric vehicles by 2030 -sources
N.Y.’s Transit System Could Receive $10 Billion in Infrastructure Deal
2022 Subaru BRZ Starts Just Under $29,000
Review: The best bicycle tyre inflators to use with an air compressor
Ex-Toyota Europe CEO van Zyl dies at age 63
CPS transportation exec on leave after contentious busing plan rollout
Here’s How To Import A Japanese Car To America Without Hassle
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Austin Police ram vehicle that drove through active crash scene Pa. transportation funding panel readies $15.6B package with mileage-based fee SRAM opens TIME pedal factory in Portugal Biden wants U.S automakers to pledge 40% electric vehicles by 2030 -sources N.Y.’s Transit System Could Receive $10 Billion in Infrastructure Deal 2022 Subaru BRZ Starts Just Under $29,000 Review: The best bicycle tyre inflators to use with an air compressor Ex-Toyota Europe CEO van Zyl dies at age 63 CPS transportation exec on leave after contentious busing plan rollout Here’s How To Import A Japanese Car To America Without Hassle
Dec
2020
27

You Got a Bicycle, Now You Have to Take Care of It

If you don’t plan on riding during the winter, or if you plan on only riding infrequently, be sure to remove lights, water bottles and GPS cycling computers, particularly if the bike will be kept in a shared storage area or cold garage. Clean your water bottles and let them dry completely before storing them so that old water, debris, or energy powder mix don’t convert into mold and bacteria. To help prevent rust and corrosion, make sure your chain is lubricated with bicycle-specific lube or wax.

Jeff Underwood, founder of Continuum Cycles and CC Cyclery in the East Village, suggested scheduling an annual tuneup before storing your bike for the winter. “Not only will this put you ahead of the majority of riders who have to deal with the long wait times in the spring, this also helps out your smaller neighborhood bike shop by giving them business in the off-season.”

If you choose not to get a tuneup, or if your bike just doesn’t need one yet, Mr. Underwood said to make sure the chain was lubricated correctly and that there was proper pressure in the tires before storing the bike. “When air slowly releases over time,” he said, “the weight of the bicycle can cause the tires to become misshapen.”

For cyclists who do expect to ride in the winter, Anna Maria Wolf, the owner of Sun and Air and King Kog bike shops in Williamsburg, Brooklyn, also suggested getting a bike tuneup to avoid any mechanical issues when it’s cold and dark and you’re away from home.

“Be sure to wash the salt and sand off your drivetrain (the chain ring, chain, cassette (gears), and derailleur) after riding, then re-lubricate the parts to keep them in good shape.”

She advised putting old newspapers down in your hallway when cleaning your bike. Old newspapers or flattened cardboard boxes are also great at collecting any dirty water or grease that may drip down off your bike after riding in the rain or snow.

When I first began riding, I never imagined riding during the winter. As the weather gradually got colder, however, my body adjusted to it and I learned which clothes to wear at different temperatures. Come January, I even asked my local bike shop to swap out my skinny tires for rugged tires suitable for riding in the snow. As the adage goes, there’s no such thing as bad weather, only bad gear.

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Dec
2020
17

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Apr
2020
26

Access to transportation and health care utilization in a rural region. – PubMed

CONTEXT:

Access to transportation to transverse the large distances between residences and health services in rural settings is a necessity. However, little research has examined directly access to transportation in analyses of rural health care utilization.

PURPOSE:

This analysis addresses the association of transportation and health care utilization in a rural region.

METHODS:

Using survey data from a sample of 1,059 households located in 12 western North Carolina counties, this analysis tests the relationship of different transportation measures to health care utilization while adjusting for the effects of personal characteristics, health characteristics, and distance.

FINDINGS:

Those who had a driver’s license had 2.29 times more health care visits for chronic care and 1.92 times more visits for regular checkup care than those who did not. Respondents who had family or friends who could provide transportation had 1.58 times more visits for chronic care than those who did not. While not significant in the multivariate analysis, the small number who used public transportation had 4 more chronic care visits per year than those who did not. Age and lower health status were also associated with increased health care visits. The transportation variables that were significantly associated with health care visits suggest that the underlying conceptual frameworks, the Health Behavior Model and Hagerstrand’s time geography, are useful for understanding transportation behavior.

CONCLUSIONS:

Further research must address the transportation behavior related to health care and the factors that influence this behavior. This information will inform policy alternatives to address geographic barriers to health care in rural communities.

Source Article

Apr
2020
24

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Apr
2020
16

Traveling towards disease: transportation barriers to health care access. – PubMed

Transportation barriers are often cited as barriers to healthcare access. Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. These consequences may lead to poorer management of chronic illness and thus poorer health outcomes. However, the significance of these barriers is uncertain based on existing literature due to wide variability in both study populations and transportation barrier measures. The authors sought to synthesize the literature on the prevalence of transportation barriers to health care access. A systematic literature search of peer-reviewed studies on transportation barriers to healthcare access was performed. Inclusion criteria were as follows: (1) study addressed access barriers for ongoing primary care or chronic disease care; (2) study included assessment of transportation barriers; and (3) study was completed in the United States. In total, 61 studies were reviewed. Overall, the evidence supports that transportation barriers are an important barrier to healthcare access, particularly for those with lower incomes or the under/uninsured. Additional research needs to (1) clarify which aspects of transportation limit health care access (2) measure the impact of transportation barriers on clinically meaningful outcomes and (3) measure the impact of transportation barrier interventions and transportation policy changes.

Source Article

Apr
2020
2

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Ahmed et al. [1] N = 413 adults
Urban (Dayton, Ohio), low SES 71 % female, 48 % Black, 42 % Appalachian
Door to door survey on barriers to health care access “Difficulty finding transportation” (1) “Hard” or “very hard” time finding transportation (31 %)
Arcury et al. [37] N = 1,059 adults
Rural (North Carolina), mixed SES, 662 female, 948 Whites, 112 Blacks
Retrospective, comparing transportation barriers and health care utilization “Distance to care for… regular visit… for less serious emergency… for serious emergency” (3)
Has a driver’s license, any household member has a driver’s license, number of vehicles owned in household, days per week spent driving, relative or friend who regularly provides transportation for a family member, knowledge of organizations that provided transportation to health care and use of such transportation (7)
Health care utilization associated with having a driver’s license (OR 2.29 more visits) and having a friend or relative who provides transportation (OR 1.58 more visits)
Blazer et al. [14] N = 4,162 adults, age 65 +
Rural/Urban North Carolina), mixed SES, 62 % female, 68 % Non-Black (majority White)
Retrospective cross-sectional survey (1986/87) analyzed for urban/rural variation of health service use, satisfaction, barriers to care Do you put off or neglect going to the doctor because of “distance or transportation”? (1) No difference between urban and rural residents in health service use; 7.7 % delayed care due to distance or transportation
Borders et al. [54] N = 2,097 adults, age 65 +
Rural (West Texas), mixed SES 71 % female, 1949 Non-Hispanic, 148 Hispanic
Telephone survey on barriers to health care access “Always/usually get transportation to doctor’s office” (1) Non- Hispanics (96 %) vs. Hispanics (90 %) could usually get transportation to clinic
Branch et al. [36] N = 776 adults, age 65 +
Massachusetts, 95 % Medicare, 17 % Medicaid, 61 % privately insured, 64 % female Race not reported
Retrospective survey interviews on barriers to health care access “You did not have a way to travel to the doctor” (1) Not having a way to get to the doctor (3 %); travel difficulties associated with lower income, being female, living alone, having less education
Call et al. [56]b N = 1,853 Minnesota Health Care Plan adult and parent enrollees
Minnesota, 65 % female adult enrollees, 47 % female parent enrollees, 1,314 Whites, 539 American Indians
Mailed survey on barriers to health care access “Difficulties with transportation” (1) American Indians (39 %) vs. Whites (18 %) have difficulties with transportation
Canupp et al. [49] N = 163 adults, mean age 26 with spinal cord injuries
Birmingham, Alabama, 25 % had income greater than 25,000 dollars, 14 % female, 63 % white
Face to face survey on barriers to follow- up appointments Obstacles for follow-up included distance to travel and availability of transportation (2) Non-compliance with appointments associated with distance to travel (P = 0.004) and availability of transportation (P = 0.033)
Crain et al. [15]b N = 1,376 caretakers of
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