Building capacity and resilience in the dementia care workforce: a systematic review of interventions targeting worker and organizational outcomes.

Science.gov (United States)

Elliott, Kate-Ellen J; Scott, Jennifer L; Stirling, Christine; Martin, Angela J; Robinson, Andrew

2012-06-01

Dementia increasingly impacts every health and social care system in the world. Preparing the dementia care workforce is therefore paramount, particularly in light of existing problems of staff retention and turnover. Training interventions will need to increase worker and organizational capacity to deliver effective patient care. It is not clear which training interventions best enhance workers' capacity. A review of the evidence for dementia care training interventions to enhance worker capacity and facilitate organizational change is presented. A systematic literature review was conducted. All selected randomized intervention studies aimed to enhance some aspect of dementia care worker or workforce capacity such as knowledge of dementia, psychological well-being, work performance, and organizational factors such as retention or service delivery in dementia care. Seventy-four relevant studies were identified, but only six met inclusion criteria for the review. The six studies selected focused on worker and organizational outcomes in dementia care. All interventions were multi-component with dementia education or instructional training most commonly adopted. No interventions were found for the community setting. Variable effects were found for intervention outcomes and methodological concerns are raised. The rigor of scientific research in training interventions that aim to build capacity of dementia care workers is poor and a strong need exists for evaluation and delivery of such interventions in the community sphere. Wider domains of interest such as worker psychological health and well-being need to be examined further, to understand capacity-building in the dementia care workforce.

Theories, models and frameworks used in capacity building interventions relevant to public health: a systematic review.

Science.gov (United States)

Bergeron, Kim; Abdi, Samiya; DeCorby, Kara; Mensah, Gloria; Rempel, Benjamin; Manson, Heather

2017-11-28

There is limited research on capacity building interventions that include theoretical foundations. The purpose of this systematic review is to identify underlying theories, models and frameworks used to support capacity building interventions relevant to public health practice. The aim is to inform and improve capacity building practices and services offered by public health organizations. Four search strategies were used: 1) electronic database searching; 2) reference lists of included papers; 3) key informant consultation; and 4) grey literature searching. Inclusion and exclusion criteria are outlined with included papers focusing on capacity building, learning plans, professional development plans in combination with tools, resources, processes, procedures, steps, model, framework, guideline, described in a public health or healthcare setting, or non-government, government, or community organizations as they relate to healthcare, and explicitly or implicitly mention a theory, model and/or framework that grounds the type of capacity building approach developed. Quality assessment were performed on all included articles. Data analysis included a process for synthesizing, analyzing and presenting descriptive summaries, categorizing theoretical foundations according to which theory, model and/or framework was used and whether or not the theory, model or framework was implied or explicitly identified. Nineteen articles were included in this review. A total of 28 theories, models and frameworks were identified. Of this number, two theories (Diffusion of Innovations and Transformational Learning), two models (Ecological and Interactive Systems Framework for Dissemination and Implementation) and one framework (Bloom's Taxonomy of Learning) were identified as the most frequently cited. This review identifies specific theories, models and frameworks to support capacity building interventions relevant to public health organizations. It provides public health practitioners

Communication that builds teams: assessing a nursing conflict intervention.

Science.gov (United States)

Nicotera, Anne Maydan; Mahon, Margaret M; Wright, Kevin B

2014-01-01

Quality communication is essential for building strong nursing teams. Structurational divergence (SD) theory explains how institutional factors can result in poor communication and conflict cycles; the theory has been developed in nursing context, although it is applicable to all organizational settings. We describe the design, implementation, and evaluation of an intervention to reduce SD and improve nurses' work life and team-member relationships. An intensive 9-hour course provided training in conflict/SD analysis and dialogic conflict/SD management to 36 working nurses from a variety of settings. Quantitative pre- and posttests were administered, with a comparison sample. The course reduced measures of negative conflict attitudes and behaviors: direct personalization, persecution feelings, negative relational effects, ambiguity intolerance, and triangulation (gossiping and complaining to uninvolved third parties). The course also increased important attitudes necessary for productive dialogue and conflict management: perceptions of positive relational effects, conflict liking, and positive beliefs about arguing. As compared with nonparticipants, participant posttests showed lower conflict persecution; higher recognition of positive relational effects; lower perceptions of negative relational effects; higher conflict liking; lower ambiguity intolerance; and lower tendency to triangulate. Qualitatively, participants perceived better understanding of, and felt more empowered to manage, workplace conflicts and to sustain healthier workplace relationships. This intervention can help nurses develop tools to improve system-level function and build productive team relationships.

Developing an OD-Intervention Metric System with the Use of Applied Theory-Building Methodology: A Work/Life-Intervention Example

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Morris, Michael Lane; Storberg-Walker, Julia; McMillan, Heather S.

2009-01-01

This article presents a new model, generated through applied theory-building research methods, that helps human resource development (HRD) practitioners evaluate the return on investment (ROI) of organization development (OD) interventions. This model, called organization development human-capital accounting system (ODHCAS), identifies…

Energy retrofit of commercial buildings. Case study and applied methodology

Energy Technology Data Exchange (ETDEWEB)

Aste, N.; Del Pero, C. [Department of Building Environment Science and Technology (BEST), Politecnico di Milano, Via Bonardi 3, 20133 Milan (Italy)

2013-05-15

Commercial buildings are responsible for a significant share of the energy requirements of European Union countries. Related consumptions due to heating, cooling, and lighting appear, in most cases, very high and expensive. Since the real estate is renewed with a very small percentage each year and current trends suggest reusing the old structures, strategies for improving energy efficiency and sustainability should focus not only on new buildings, but also and especially on existing ones. Architectural renovation of existing buildings could provide an opportunity to enhance their energy efficiency, by working on the improvement of envelopes and energy supply systems. It has also to be noted that the measures aimed to improve the energy performance of buildings should pay particular attention to the cost-effectiveness of the interventions. In general, there is a lack of well-established methods for retrofitting, but if a case study achieves effective results, the adopted strategies and methodologies can be successfully replicated for similar kinds of buildings. In this paper, an iterative methodology for energy retrofit of commercial buildings is presented, together with a specific application on an existing office building. The case study is particularly significant as it is placed in an urban climatic context characterized by cold winters and hot summers; consequently, HVAC energy consumption is considerable throughout the year. The analysis and simulations of energy performance before and after the intervention, along with measured data on real energy performance, demonstrate the validity of the applied approach. The specifically developed design and refurbishment methodology, presented in this work, could be also assumed as a reference in similar operations.

A Smartphone Application for Personalized and Multi-Method Interventions toward Energy Saving in Buildings

Directory of Open Access Journals (Sweden)

Peeraya Inyim

2018-05-01

Full Text Available Occupant behavior is a significant contributor to energy waste in buildings. This research introduces an advanced smartphone application, developed based on the theoretical underpinnings of situational awareness theory, to effectively implement multi-method and personalized intervention to encourage energy conservation behaviors of building occupants. The new smart application provides several innovative features, such as energy saving points, customized feedback, and visualized user interface, which are implemented in the application to support multi-method interventions. The application was created using the Java language for Android devices. With the use of the Android platform, the app takes advantage of hardware technology from the user’s mobile device. Measurement of occupancy behavior is accomplished by making use of the device’s positional sensors. Orientation and geomagnetic field sensors serve to provide an accurate location of an occupant inside the building. The application can determine energy waste in a zone by using occupancy behavior. Moreover, the application offers real-time and projected future energy consumption based on occupants’ behaviors. This novel feature can significantly improve communication that can lead to prompt action for building energy reduction. Results show how the app can compile raw data on energy behavior and make it easy to understand for the user through the use of visuals and statistical algorithms.

Systems thinking in practice: the current status of the six WHO building blocks for health system strengthening in three BHOMA intervention districts of Zambia: a baseline qualitative study.

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Mutale, Wilbroad; Bond, Virginia; Mwanamwenge, Margaret Tembo; Mlewa, Susan; Balabanova, Dina; Spicer, Neil; Ayles, Helen

2013-08-01

The primary bottleneck to achieving the MDGs in low-income countries is health systems that are too fragile to deliver the volume and quality of services to those in need. Strong and effective health systems are increasingly considered a prerequisite to reducing the disease burden and to achieving the health MDGs. Zambia is one of the countries that are lagging behind in achieving millennium development targets. Several barriers have been identified as hindering the progress towards health related millennium development goals. Designing an intervention that addresses these barriers was crucial and so the Better Health Outcomes through Mentorship (BHOMA) project was designed to address the challenges in the Zambia's MOH using a system wide approach. We applied systems thinking approach to describe the baseline status of the Six WHO building blocks for health system strengthening. A qualitative study was conducted looking at the status of the Six WHO building blocks for health systems strengthening in three BHOMA districts. We conducted Focus group discussions with community members and In-depth Interviews with key informants. Data was analyzed using Nvivo version 9. The study showed that building block specific weaknesses had cross cutting effect in other health system building blocks which is an essential element of systems thinking. Challenges noted in service delivery were linked to human resources, medical supplies, information flow, governance and finance building blocks either directly or indirectly. Several barriers were identified as hindering access to health services by the local communities. These included supply side barriers: Shortage of qualified health workers, bad staff attitude, poor relationships between community and health staff, long waiting time, confidentiality and the gender of health workers. Demand side barriers: Long distance to health facility, cost of transport and cultural practices. Participating communities seemed to lack the capacity

Interventions to build resilience in family caregivers of people living with dementia: a comprehensive systematic review.

Science.gov (United States)

Petriwskyj, Andrea; Parker, Deborah; O'Dwyer, Siobhan; Moyle, Wendy; Nucifora, Nikki

2016-06-01

Recent studies have indicated that family caregivers of people with dementia have higher rates of depression, anxiety and hopelessness, as well as higher levels of burden, stress and distress. Not all caregivers, however, succumb to the negative effects of caring. Caregivers who are able to recover from, resist or adapt to the physical and psychological demands of caring can be considered "resilient". The objective of this review was to examine the existing evidence regarding interventions for building resilience in family caregivers of people living with dementia. This review considered studies that included family caregivers of people with dementia. Studies investigating interventions to build resilience in family caregivers were considered by the review. For qualitative studies, the phenomena of interest were family caregivers' experiences of the interventions including factors affecting implementation and their subjective experience of outcomes. Studies conducted in any cultural or geographical context and any settings including participants' homes in the community, residential aged care or hospital, medical or allied health practice were considered for inclusion. Quantitative studies incorporating experimental and descriptive study designs and qualitative studies, including, but not limited to, phenomenology, grounded theory, ethnography, action research and feminist research were considered for inclusion. Quantitative studies were included that contained either objective or subjective outcome measures (or a combination of both). In cases in which proxy measures of resilience were used, only those papers that explicitly related the aims of the intervention and the measurement of outcomes to resilience itself were considered for inclusion. Proxies could include, but were not limited to, self-efficacy, locus of control, perceived burden, psychological wellbeing, strength, coping, positive adjustment and resourcefulness. Qualitative studies were similarly

"Watts per person" paradigm to design net zero energy buildings: Examining technology interventions and integrating occupant feedback to reduce plug loads in a commercial building

Science.gov (United States)

Yagi Kim, Mika

As building envelopes have improved due to more restrictive energy codes, internal loads have increased largely due to the proliferation of computers, electronics, appliances, imaging and audio visual equipment that continues to grow in commercial buildings. As the dependency on the internet for information and data transfer increases, the electricity demand will pose a challenge to design and operate Net Zero Energy Buildings (NZEBs). Plug Loads (PLs) as a proportion of the building load has become the largest non-regulated building energy load and represents the third highest electricity end-use in California's commercial office buildings, accounting for 23% of the total building electricity consumption (Ecova 2011,2). In the Annual Energy Outlook 2008 (AEO2008), prepared by the Energy Information Administration (EIA) that presents long-term projections of energy supply and demand through 2030 states that office equipment and personal computers are the "fastest growing electrical end uses" in the commercial sector. This thesis entitled "Watts Per Person" Paradigm to Design Net Zero Energy Buildings, measures the implementation of advanced controls and behavioral interventions to study the reduction of PL energy use in the commercial sector. By integrating real world data extracted from an energy efficient commercial building of its energy use, the results produce a new methodology on estimating PL energy use by calculating based on "Watts Per Person" and analyzes computational simulation methods to design NZEBs.

Building evidence for sustainability of food and nutrition intervention programs in developing countries.

Science.gov (United States)

Kim, Sunny S; Rogers, Beatrice L; Coates, Jennifer; Gilligan, Daniel O; Sarriot, Eric

2013-09-01

After making large investments to put in place effective health and nutrition interventions, researchers, program implementers, policy makers, and donors all expect lasting effects. However, it is uncertain whether this is the case, and there is less certainty on how to approach the study of program sustainability. This symposium, "Building Evidence for Sustainability of Food and Nutrition Intervention Programs in Developing Countries," provided not only frameworks for conceptualizing sustainability but concrete evidence about the approaches and methods used as well as lessons on how they do or do not work in particular contexts. We presented the following findings: 1) sustainability of activities and impacts of Title II food aid programs in Bolivia and Kenya, 2) sustainability of impact in terms of adoption and consumption of a biofortified orange sweet potato in Uganda, and 3) lessons from incorporating pro-sustainability investment strategies in child survival programs in Guinea. Our symposium introduced a new important body of research on program sustainability to provide insights and stimulate innovative thinking in the design and planning of further applied research and future prosustainability intervention programs.

Reducing School Mobility: A Randomized Trial of a Relationship-Building Intervention

Science.gov (United States)

Fiel, Jeremy E.; Haskins, Anna R.; López Turley, Ruth N.

2013-01-01

Student turnover has many negative consequences for students and schools, and the high mobility rates of disadvantaged students may exacerbate inequality. Scholars have advised schools to reduce mobility by building and improving relationships with and among families, but such efforts are rarely tested rigorously. A cluster-randomized field experiment in 52 predominantly Hispanic elementary schools in San Antonio, TX, and Phoenix, AZ, tested whether student mobility in early elementary school was reduced through Families and Schools Together (FAST), an intervention that builds social capital among families, children, and schools. FAST failed to reduce mobility overall but substantially reduced the mobility of Black students, who were especially likely to change schools. Improved relationships among families help explain this finding. PMID:25346541

Cost-Benefit Analysis for Energy Management in Public Buildings: Four Italian Case Studies

OpenAIRE

Davide Astiaso Garcia; Fabrizio Cumo; Mariagrazia Tiberi; Valentina Sforzini; Giuseppe Piras

2016-01-01

Improving energy efficiency in public buildings is one of the main challenges for a sustainable requalification of energy issues and a consequent reduction of greenhouse gas (GHG) emissions. This paper aims to provide preliminary information about economic costs and energy consumption reductions (benefits) of some considered interventions in existing public buildings. Methods include an analysis of some feasible interventions in four selected public buildings. Energy efficiency improvements h...

Systems thinking in practice: the current status of the six WHO building blocks for health system strengthening in three BHOMA intervention districts of Zambia: a baseline qualitative study

Science.gov (United States)

2013-01-01

Background The primary bottleneck to achieving the MDGs in low-income countries is health systems that are too fragile to deliver the volume and quality of services to those in need. Strong and effective health systems are increasingly considered a prerequisite to reducing the disease burden and to achieving the health MDGs. Zambia is one of the countries that are lagging behind in achieving millennium development targets. Several barriers have been identified as hindering the progress towards health related millennium development goals. Designing an intervention that addresses these barriers was crucial and so the Better Health Outcomes through Mentorship (BHOMA) project was designed to address the challenges in the Zambia’s MOH using a system wide approach. We applied systems thinking approach to describe the baseline status of the Six WHO building blocks for health system strengthening. Methods A qualitative study was conducted looking at the status of the Six WHO building blocks for health systems strengthening in three BHOMA districts. We conducted Focus group discussions with community members and In-depth Interviews with key informants. Data was analyzed using Nvivo version 9. Results The study showed that building block specific weaknesses had cross cutting effect in other health system building blocks which is an essential element of systems thinking. Challenges noted in service delivery were linked to human resources, medical supplies, information flow, governance and finance building blocks either directly or indirectly. Several barriers were identified as hindering access to health services by the local communities. These included supply side barriers: Shortage of qualified health workers, bad staff attitude, poor relationships between community and health staff, long waiting time, confidentiality and the gender of health workers. Demand side barriers: Long distance to health facility, cost of transport and cultural practices. Participating

The façades along the Cassaro in Palermo: historical-building characterization, degradation, restoration norms for interventions

Directory of Open Access Journals (Sweden)

Giovanni Fatta

2009-03-01

Full Text Available The good-will to operate in the old town privileging the history and the maintenance of historic buildings, is manifest in this study on the Vittorio Emanuele monumental street, the foundation axis of Palermo, and it’s architectural degraded and disfigured fronts. The search concerning sixty civil buildings is based initially on a cognitive process that includes historical analysis, geometric and dimensional survey, investigation on constituent materials and decay systems, in relation to environmental or anthropic causes. The study includes a design proposal that, according to the individuality of cases, it would represent an intervention code about some recurrent critical aspects on which it’s possible to intervene only applying codified procedures. The proposed designs show so an application to concrete cases, not abdicating to involve physical and economic urban environment: the re-qualification of building materials and architectural language would respect the historical image without depressing the market demands.

Developing Interventions to Change Recycling Behaviors: A Case Study of Applying Behavioral Science

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Gainforth, Heather L.; Sheals, Kate; Atkins, Lou; Jackson, Richard; Michie, Susan

2016-01-01

The Theoretical Domains Framework (TDF) and the Behavior Change Wheel (BCW) are frameworks that can be used to develop recycling interventions. The aim of this study was to demonstrate the utility of these frameworks for developing recycling interventions. 20 semistructured interviews with university building users were analyzed using the TDF and…

User evaluations of energy efficient buildings: the interplay of buildings and users in seven European case studies

Energy Technology Data Exchange (ETDEWEB)

Thomsen, Judith; Hauge, Aashild Lappegaard; Denizou, Karine; Jerkoe, Sidsel; Waagoe, Solvaar; Berker, Thomas

2011-07-01

norm, yet, and these types of buildings are in a position to promote awareness and receive media attention. Public interest appears to be a good opportunity to spread knowledge and experiences on energy efficient building types. Further research should deal with: Information and demonstration processes for better use of energy efficient housing; Which aspects of energy efficient buildings are necessary for users to control individually; Robust and flexible systems that can deal with the consequences of user interventions; Standards for post-evaluation studies including measurements of indoor environmental qualities; qualitative and quantitative information, users experiences, and an assessment of the types of technologies and products used in the respective buildings.(Author)

User evaluations of energy efficient buildings: the interplay of buildings and users in seven European case studies

Energy Technology Data Exchange (ETDEWEB)

Thomsen, Judith; Hauge, Aashild Lappegaard; Denizou, Karine; Jerkoe, Sidsel; Waagoe, Solvaar; Berker, Thomas

2011-07-01

not the norm, yet, and these types of buildings are in a position to promote awareness and receive media attention. Public interest appears to be a good opportunity to spread knowledge and experiences on energy efficient building types. Further research should deal with: Information and demonstration processes for better use of energy efficient housing; Which aspects of energy efficient buildings are necessary for users to control individually; Robust and flexible systems that can deal with the consequences of user interventions; Standards for post-evaluation studies including measurements of indoor environmental qualities; qualitative and quantitative information, users experiences, and an assessment of the types of technologies and products used in the respective buildings.(Author)

Building Evidence for Sustainability of Food and Nutrition Intervention Programs in Developing Countries12

Science.gov (United States)

Kim, Sunny S.; Rogers, Beatrice L.; Coates, Jennifer; Gilligan, Daniel O.; Sarriot, Eric

2013-01-01

After making large investments to put in place effective health and nutrition interventions, researchers, program implementers, policy makers, and donors all expect lasting effects. However, it is uncertain whether this is the case, and there is less certainty on how to approach the study of program sustainability. This symposium, “Building Evidence for Sustainability of Food and Nutrition Intervention Programs in Developing Countries,” provided not only frameworks for conceptualizing sustainability but concrete evidence about the approaches and methods used as well as lessons on how they do or do not work in particular contexts. We presented the following findings: 1) sustainability of activities and impacts of Title II food aid programs in Bolivia and Kenya, 2) sustainability of impact in terms of adoption and consumption of a biofortified orange sweet potato in Uganda, and 3) lessons from incorporating pro-sustainability investment strategies in child survival programs in Guinea. Our symposium introduced a new important body of research on program sustainability to provide insights and stimulate innovative thinking in the design and planning of further applied research and future prosustainability intervention programs. PMID:24038245

Alliance members' roles in collective field-building: an assessment of leadership and championship within the Population Health Intervention Research Initiative for Canada.

Science.gov (United States)

Di Ruggiero, Erica; Kishchuk, Natalie; Viehbeck, Sarah; Edwards, Nancy; Robinson, Kerry; Riley, Barbara; Fowler, Heather Smith

2017-12-06

The Population Health Intervention Research Initiative for Canada (PHIRIC) is a multi-stakeholder alliance founded in 2006 to advance population health intervention research (PHIR). PHIRIC aimed to strengthen Canada's capacity to conduct and use such research to inform policy and practice to improve the public's health by building PHIR as a field of research. In 2014, an evaluative study of PHIRIC at organisational and system levels was conducted, guided by a field-building and collaborative action perspective. The study involved 17 qualitative key informant interviews with 21 current and former PHIRIC Planning Committee and Working Group members. The interviews examined how individuals and organisations were acting as champions and exerting leadership in building the field of PHIR. Founding PHIRIC organisational members have been championing PHIR at organisational and system levels. While the PHIR field has progressed in terms of enhanced funding, legitimacy, profile and capacity, some members and organisations faced constraints and challenges acting as leaders and champions in their respective environments. Expectations about the future of PHIRIC and field-building of PHIR were mixed, where longer-term and founding members of PHIRIC expressed more optimism than recent members. All agreed on the need for incorporating perspectives of decision-makers into PHIR directions and initiatives. The findings contribute to understanding alliance members' roles in leadership and championship for field-building more generally, and for population health and PHIR specifically. Building this field requires multi-level efforts, collaborative action and distributed leadership to create the necessary conditions for PHIRIC members to both benefit from and contribute to advancing PHIR as a field. Lessons from this 'made in Canada' model may be of interest to other countries regarding the structures needed for PHIR field-building.

A sustainable building promotes pro-environmental behavior: an observational study on food disposal.

Science.gov (United States)

Wu, David W-L; DiGiacomo, Alessandra; Kingstone, Alan

2013-01-01

In order to develop a more sustainable society, the wider public will need to increase engagement in pro-environmental behaviors. Psychological research on pro-environmental behaviors has thus far focused on identifying individual factors that promote such behavior, designing interventions based on these factors, and evaluating these interventions. Contextual factors that may also influence behavior at an aggregate level have been largely ignored. In the current study, we test a novel hypothesis--whether simply being in a sustainable building can elicit environmentally sustainable behavior. We find support for our hypothesis: people are significantly more likely to correctly choose the proper disposal bin (garbage, compost, recycling) in a building designed with sustainability in mind compared to a building that was not. Questionnaires reveal that these results are not due to self-selection biases. Our study provides empirical support that one's surroundings can have a profound and positive impact on behavior. It also suggests the opportunity for a new line of research that bridges psychology, design, and policy-making in an attempt to understand how the human environment can be designed and used as a subtle yet powerful tool to encourage and achieve aggregate pro-environmental behavior.

Learning in a landscape : Simulation-building as reflexive intervention

NARCIS (Netherlands)

Beaulieu, Anne; Ratto, Matt; Scharnhorst, Andrea

2013-01-01

This article makes a dual contribution to scholarship in science and technology studies (STS) on simulation-building. It both documents a specific simulation-building project, and demonstrates a concrete contribution to interdisciplinary work of STS insights. The article analyses the struggles that

An intervention to increase patients' trust in their physicians. Stanford Trust Study Physician Group.

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Thom, D H; Bloch, D A; Segal, E S

1999-02-01

To investigate the effect of a one-day workshop in which physicians were taught trust-building behaviors on their patients' levels of trust and on outcomes of care. In 1994, the study recruited 20 community-based family physicians and enrolled 412 consecutive adult patients from those physicians' practices. Ten of the physicians (the intervention group) were randomly assigned to receive a one-day training course in building and maintaining patients' trust. Outcomes were patients' trust in their physicians, patients' and physicians' satisfaction with the office visit, continuity in the patient-physician relationship, patients' adherence to their treatment plans, and the numbers of diagnostic tests and referrals. Physicians and patients in the intervention and control groups were similar in demographic and other data. There was no significant difference in any outcome. Although their overall ratings were not statistically significantly different, the patients of physicians in the intervention group reported more positive physician behaviors than did the patients of physicians in the control group. The trust-building workshop had no measurable effect on patients' trust or on outcomes hypothesized to be related to trust.

Reserve-building activities in multiple sclerosis patients and healthy controls: a descriptive study.

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Schwartz, Carolyn E; Ayandeh, Armon; Ramanathan, Murali; Benedict, Ralph; Dwyer, Michael G; Weinstock-Guttman, Bianca; Zivadinov, Robert

2015-08-12

Cognitive reserve has been implicated as a possible protective factor in multiple sclerosis (MS) but to date no study has compared reserve-building activities across disease course or to healthy controls. This study aims to describe differences in reserve-building activities across the MS disease course and healthy controls. Secondary analysis of a cross-sectional cohort study that included 276 healthy controls, and subjects with clinically isolated syndrome (CIS; n = 67), relapsing-remitting MS (RRMS; n = 358) and secondary progressive MS (PMS; n = 109). Past reserve-building activities were operationalized as occupational attainment and education. Current activities comprised 6 strenuous and 6 non-strenuous activities, including 5 reserve-building activities and television-watching. Multivariate Analysis of Variance models examined group differences in past and current activities, after adjusting for covariates. There were group differences in past and current reserve-building activities. SPMS patients had lower past reserve-building activities than healthy controls. All forms of MS engaged in fewer strenuous current reserve-building pursuits than healthy controls. RRMS read less than healthy controls. SPMS engaged in fewer job-related non-strenuous activities. All MS groups watched more television than healthy controls. MS patients show significantly fewer past and present reserve-building activities. Although it is difficult to establish causality without future prospective studies, lifestyle-modifying interventions should prioritize expanding MS patients' repertoire of strenuous and non-strenuous activities.

A Platform to Build Mobile Health Apps: The Personal Health Intervention Toolkit (PHIT).

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Eckhoff, Randall Peter; Kizakevich, Paul Nicholas; Bakalov, Vesselina; Zhang, Yuying; Bryant, Stephanie Patrice; Hobbs, Maria Ann

2015-06-01

Personal Health Intervention Toolkit (PHIT) is an advanced cross-platform software framework targeted at personal self-help research on mobile devices. Following the subjective and objective measurement, assessment, and plan methodology for health assessment and intervention recommendations, the PHIT platform lets researchers quickly build mobile health research Android and iOS apps. They can (1) create complex data-collection instruments using a simple extensible markup language (XML) schema; (2) use Bluetooth wireless sensors; (3) create targeted self-help interventions based on collected data via XML-coded logic; (4) facilitate cross-study reuse from the library of existing instruments and interventions such as stress, anxiety, sleep quality, and substance abuse; and (5) monitor longitudinal intervention studies via daily upload to a Web-based dashboard portal. For physiological data, Bluetooth sensors collect real-time data with on-device processing. For example, using the BinarHeartSensor, the PHIT platform processes the heart rate data into heart rate variability measures, and plots these data as time-series waveforms. Subjective data instruments are user data-entry screens, comprising a series of forms with validation and processing logic. The PHIT instrument library consists of over 70 reusable instruments for various domains including cognitive, environmental, psychiatric, psychosocial, and substance abuse. Many are standardized instruments, such as the Alcohol Use Disorder Identification Test, Patient Health Questionnaire-8, and Post-Traumatic Stress Disorder Checklist. Autonomous instruments such as battery and global positioning system location support continuous background data collection. All data are acquired using a schedule appropriate to the app's deployment. The PHIT intelligent virtual advisor (iVA) is an expert system logic layer, which analyzes the data in real time on the device. This data analysis results in a tailored app of interventions

Building thermal loads: A case study for David Hellen Petta public secondary school

CSIR Research Space (South Africa)

Kumirai, T

2013-03-01

Full Text Available This chapter assesses the impact of appropriate passive interventions on building thermal loads. The passive interventions investigated are ceiling insulation, wall insulation, attic ventilation, natural ventilation and roof absorptance and also...

Acquisition of Requests and Apologies in Spanish and French: Impact of Study Abroad and Strategy-Building Intervention

Science.gov (United States)

Cohen, Andrew D.; Shively, Rachel L.

2007-01-01

The primary aim of this study was to assess the impact of a curricular intervention on study-abroad students' use of language- and culture-learning strategies and on their acquisition of requests and apologies. The intervention consisted of a brief face-to-face orientation to learning speech acts, a self-study guidebook on language and culture…

A season-long team-building intervention: examining the effect of team goal setting on cohesion.

Science.gov (United States)

Senécal, Julie; Loughead, Todd M; Bloom, Gordon A

2008-04-01

The purpose of the current study was to determine whether the implementation of a season-long team-building intervention program using team goal setting increased perceptions of cohesion. The participants were 86 female high school basketball players from 8 teams. The teams were randomly assigned to either an experimental team goal-setting or control condition. Each participant completed the Group Environment Questionnaire (GEQ; Carron, Brawley, & Widmeyer, 2002; Carron, Widmeyer, & Brawley, 1985), which assessed cohesion at both the beginning and end of the season. Overall, the results revealed a significant multivariate effect, Pillai's trace F(12, 438) = 2.68, p = .002. Post hoc analyses showed that at the beginning of the season, athletes from both conditions did not differ in their perceptions of cohesion. However, at the end of the season, athletes in the team goal-setting condition held higher perceptions of cohesion than athletes in the control condition. Overall, the results indicated that team goal setting was an effective team-building tool for influencing cohesiveness in sport teams.

Building a Tailored, Patient-Guided, Web-Based Self-Management Intervention 'ReumaUitgedaagd!' for Adults With a Rheumatic Disease: Results of a Usability Study and Design for a Randomized Control Trail.

Science.gov (United States)

Ammerlaan, Judy W; Mulder, Olga K; de Boer-Nijhof, Nienke C; Maat, Bertha; Kruize, Aike A; van Laar, Jaap; van Os-Medendorp, Harmieke; Geenen, Rinie

2016-06-23

The chronic nature of rheumatic diseases imposes daily challenges upon those affected and causes patients to make daily decisions about the way they self-manage their illness. Although there is attention to self-management and evidence for the desirability of tailored interventions to support people with a rheumatic disease, interventions based on individual needs and preferences are scarce. To provide a systematic and comprehensive description of the theoretical considerations for building a Web-based, expert, patient-guided, and tailored intervention for adult patients with a rheumatic disease. Also, to present the results of a usability study on the feasibility of this intervention, and its study design in order to measure the effectiveness. To fit the intervention closely to the autonomy, needs, and preferences of the individual patient, a research team comprising patient representatives, health professionals, Web technicians, and communication experts was formed. The research team followed the new guidance by the Medical Research Council (MRC) for developing and evaluating complex interventions as a guide for the design of the intervention. Considerations from self-determination theory and a comprehensive assessment of preferences and needs in patients with a rheumatic disease guided the development of the Web-based intervention. The usability study showed that the intervention was useful, easy to use, and accepted and appreciated by the target group of patients. The planned randomized controlled trial is designed to be conducted among 120 adults with a rheumatic disease, who are assigned to the self-management intervention or a self-help control group. Both groups will be asked to formulate personal goals they want to achieve concerning their self-management. Progress toward the personal goal is the primary outcome measure of this study. Self-reported Web-based measures will be assessed before randomization at baseline, and 3 and 6 months after randomization

If you build it will they come? Addressing social isolation within a technology-based HIV intervention for young black men who have sex with men.

Science.gov (United States)

LeGrand, Sara; Muessig, Kathryn E; Pike, Emily C; Baltierra, Nina; Hightow-Weidman, Lisa B

2014-01-01

The rate of HIV infections among young black men who have sex with men (YBMSM) continues to rise at an alarming pace. YBMSM are particularly vulnerable to social isolation and a lack of social support due to experiences with racism and homophobia, which may have implications for sexual risk behaviors. The purpose of this study was to explore perceptions of social isolation and sense of community among YBMSM, the need for and receptivity to social networking features designed to reduce social isolation and build community within an Internet- and mobile phone-based primary and secondary HIV prevention intervention for YBMSM and to identify strategies to develop these features. Focus groups were conducted with 22 YBMSM aged 20-30 years at three sites in North Carolina. Data from the focus groups were thematically analyzed using NVivo. Feelings of social isolation and lack of a sense of community were strongly endorsed by participants with homophobia, lack of opportunities for social engagement, and a focus on sex rather than friendship in interpersonal relationships with other YBMSM cited as contributing factors. Participants were receptive to a social networking intervention designed to reduce social isolation and build community. Recommendations offered by participants to increase acceptability and usability of such features included: availability of information about healthy relationships, the ability to connect with other YBMSM and health care providers, and ensuring the site had ongoing facilitation by the study team as well as monitoring for inappropriate content. The development of a social networking feature of an HIV prevention intervention may present an opportunity to reduce social isolation, build community, and reduce risky sexual behaviors among YBMSM. The findings from this study are being used to inform the development of a social networking feature for an existing Internet- and mobile phone-based primary and secondary HIV prevention intervention for

Building perservation practice

DEFF Research Database (Denmark)

Pilegaard, Marie Kirstine

, and they indicate the importance of this story to be preserved. The professionals, who cooperate on the preservation efforts for the cultural environments today, all emphasizes the communication of the story, but using different approaches towards the processes of reading, interpreting and communicating. The role...... planning? In this paper I will focus on the communication of the architects working with building preservation and planning, how they communicate the building, the interventions and the storytelling in practice. The methods used by the architects are based on a practice, where some skills are learned...... through education, such as documentation of buildings and the restoration as a way of communicating the architect's intervention on the building, meanwhile the communication of the buildings history is seen as a "natural" skill and the methods are not questioned in the practice. The storytelling has today...

Effects of resource-building group intervention on career management and mental health in work organizations: randomized controlled field trial.

Science.gov (United States)

Vuori, Jukka; Toppinen-Tanner, Salla; Mutanen, Pertti

2012-03-01

A resource-building group intervention was developed to enhance career management, mental health, and job retention in work organizations. The in-company training program provided employees with better preparedness to manage their own careers. The program activities were universally implemented using an organization-level, 2-trainer model with trainers from the human resources management and occupational health services. The study was a within-organizations, randomly assigned field experimental study; it investigated the impacts of the intervention on immediate career management preparedness and later mental health and intentions to retire early. A total of 718 eligible individuals returned a questionnaire in 17 organizations and became voluntary participants. The respondents were randomly assigned to either an intervention (N = 369) or a comparison group (N = 349). Those in the intervention group were invited to group intervention workshops, whereas those in the comparison group received printed information about career and health-related issues. The 7-month follow-up results showed that the program significantly decreased depressive symptoms and intentions to retire early and increased mental resources among the group participants compared to the others. The mediation analyses demonstrated that the increase in career management preparedness as a proximal impact of the intervention mediated the longer term mental health effects. Those who benefited most from the intervention as regards their mental health were employees with elevated levels of depression or exhaustion and younger employees, implying additional benefits of a more targeted use of the intervention. The results demonstrated the benefits of the enhancement of individual-level career management and resilience resources as career and health promotion practice in work organizations.

Building Evidence in Early Childhood Special Education: A Systematic Review of Replication Intervention Studies

Science.gov (United States)

Banerjee, Rashida; Movahedazarhouligh, Sara; Millen, Kaitlyn; Luckner, John L.

2018-01-01

Valid and evidence-informed practices are critical to help young children with disabilities and their families with highly effective interventions and instruction to reach their potentials. Replication research is critical for appraising research and identifying evidence-based practices. The purpose of this study was to replicate the methods used…

Development of an economic skill building intervention to promote women's safety and child development in Karachi, Pakistan.

Science.gov (United States)

Hirani, Saima Shams; Karmaliani, Rozina; McFarlane, Judith; Asad, Nargis; Madhani, Farhana; Shehzad, Shireen; Ali, Nazbano Ahmed

2010-02-01

Violence against women is a global epidemic phenomenon that can result in major mental health problems. Not only are women affected but also the health and well-being of their children are in jeopardy. To prevent violence and promote women's safety, several strategies have been tested in various cultural contexts. This article describes the process of developing and validating an economic skill building intervention for women of an urban slum area of Karachi, Pakistan. The purpose of the intervention is to increase women's economic independence, promote women's safety, and improve the behavioral functioning of their children.

Non-Destructive Testing for Building Diagnostics and Monitoring: Experience Achieved with Case Studies

Directory of Open Access Journals (Sweden)

Tavukçuoğlu Ayşe

2018-01-01

Full Text Available Building inspection on site, in other words in-situ examinations of buildings is a troublesome work that necessitates the use of non-destructive investigation (NDT techniques. One of the main concerns of non-destructive testing studies is to improve in-situ use of NDT techniques for diagnostic and monitoring studies. The quantitative infrared thermography (QIRT and ultrasonic pulse velocity (UPV measurements have distinct importance in that regard. The joint use of QIRT and ultrasonic testing allows in-situ evaluation and monitoring of historical structures and contemporary ones in relation to moisture, thermal, materials and structural failures while the buildings themselves remain intact. For instances, those methods are useful for detection of visible and invisible cracks, thermal bridges and damp zones in building materials, components and functional systems as well as for soundness assessment of materials and thermal performance assessment of building components. In addition, those methods are promising for moisture content analyses in materials and monitoring the success of conservation treatments or interventions in structures. The in-situ NDT studies for diagnostic purposes should start with the mapping of decay forms and scanning of building surfaces with infrared images. Quantitative analyses are shaped for data acquisition on site and at laboratory from representative sound and problem areas in structures or laboratory samples. Laboratory analyses are needed to support in-situ examinations and to establish the reference data for better interpretation of in situ data. Advances in laboratory tests using IRT and ultrasonic testing are guiding for in-situ materials investigations based on measurable parameters. The knowledge and experience on QIRT and ultrasonic testing are promising for the innovative studies on today’s materials technologies, building science and conservation/maintenance practices. Such studies demand a multi

Protocol for a cluster-randomised controlled trial evaluating the impact of a preschool-based capacity building intervention on intimate partner violence and substance misuse in Sri Lanka.

Science.gov (United States)

Lokuge, Kamalini; Wallace, Polly; Subasinghe, Kalini; Thurber, Katherine; De Silva, Tissa; Clarke, Naomi; Waas, Dulshika; Liyanage, Nisansala; Attygalle, Udena; Carron-Arthur, Bradley; Rodrigo, Kalyana; Banks, Emily; D'Este, Cate; Rajapakse, Thilini

2018-05-02

Past research has identified links between intimate partner violence (IPV) and alcohol misuse and poverty in Sri Lanka. Services that address substance misuse are amongst the few interventions shown to reduce IPV in settings similar to Sri Lanka. This paper describes the protocol for a study examining the impact of a preschool-based capacity building intervention on the prevalence of IPV and substance misuse in parents with children attending preschools, including uptake of available government services. The study is a cluster randomised controlled trial. Government-managed preschools (n = 34) in Galle and Colombo municipalities  will be randomly assigned to an intervention (n = 17) or control group (n = 17). Parents with children attending these preschools will be recruited to participate. The study intervention will build the capacity of selected community volunteers (parents) and preschool teachers in the provision of information and support to families affected by IPV and substance misuse. This intervention is directed at improving uptake, access and coordination of existing services. Data will be collected from all parents, and teachers in the intervention group, pre-intervention and 10 months post-intervention. The primary outcome for this study is experience of IPV amongst mothers of preschool-attending children. Secondary outcomes are substance misuse amongst fathers, measured via the locally adapted Alcohol Use Disorders Identification Test and Drug Abuse Screening Test; and awareness and uptake of services for these issues measured through locally-relevant tools. Demographic information and satisfaction with the intervention will also be assessed. By intervening through preschools we aim to support high-risk families early enough to arrest the cycle of violence that results in children themselves becoming victims and perpetrators of such violence. The innovative project design will reach the most vulnerable sections of the community and will

Daylight case study building. A working document of Task 21. Daylight in buildings

Energy Technology Data Exchange (ETDEWEB)

Kristensen, P E

1997-05-01

This report describes 16 buildings, that have been selected as Task 21 case studies. Totally 15 buildings will be monitored and described according to the procedures developed in Task 21. One case study building is in design stage, the new ISE Headquarters in Freiburg, and this project has been selected as a case study on building design. The monitoring programme for the buildings runs through 1997 until mid 1998. The present document serves as a basic document describing the case studies, until the projects will be described in more detail, including monitoring results, towards the end of the Task. (au)

"You can't choose these emotions… they simply jump up": Ambiguities in Resilience-Building Interventions in Israel.

Science.gov (United States)

Yankellevich, Ariel; Goodman, Yehuda C

2017-03-01

Following the growing critique of the use of Post-Traumatic Stress Disorder in post-disaster interventions, a new type of intervention aimed at building resilience in the face of traumatic events has been making its first steps in the social field. Drawing on fieldwork of a resilience-building program for pre-clinical populations in Israel, we analyze the paradoxes and ambiguities entailed in three inter-related aspects of this therapeutic project: The proposed clinical ideology aimed at immunizing against traumas; the discursive and non-discursive practices used by the mental-health professionals; and, participants' difficulties to inhabit the new resilient subject. These contradictions revolve around the injunction to rationally handle emotions in response to disruptive traumatic events. Hence, the attempt to separate between a sovereign rational subject and a post-traumatic subject is troubled in the face of experiences of trauma and social suffering. Furthermore, we demonstrate how these difficulties reconstitute unresolved tensions between mimetic and anti-mimetic tendencies that have been pervading the understanding of trauma in the therapeutic professions. Finally, we discuss how the construction of the resilient subject challenges the expanding bio-medical and neoliberal self-management paradigm in mental health.

Austro-Hungarian Public Building Refurbishment and Energy Efficiency Measures - A Case Study on a Public Building in Sarajevo

Science.gov (United States)

Salihbegović, Amira; Čaušević, Amir; Rustempašić, Nerman; Avdić, Dženis; Smajlović, Esad

2017-10-01

Among other pieces of architectural historical heritage in Sarajevo, and Bosnia-Herzegovina in general, the Austro-Hungarian architecture has preserved its original architectural, artistic and engineering characteristics. Both residential and public representative urban blocks, streets and squares are of distinguishable ambience in the architectural and urban image of the city and are testifying about our architectural past. A number of buildings is valorised and protected by law in terms of their architectural, artistic and historical value. In addition, these buildings have a distinct functional, ambiental, historical, and even aesthetical value. To make them last longer, refurbishment of these buildings is challenging and presents potential and multiple benefits for the city, and beyond. Refurbishing built environment through functional reorganizing, redesign and energy efficiency measures applications could result in prolonged longevity, architectural identity preservation and interior comfort improvement. Besides, implemented measures for energy efficiency, through the refurbishment process, should optimize the needs for energy consumption in treated buildings. This paper defines options in comfort improvements and redesign, without implying risks to the building longevity, analyses interventions and energy efficiency measures which would enable potential energy saving assessment in the refurbishment process of masonry buildings. This paper also discusses the different techniques that can be adopted for conservation and preservation of historical masonry buildings from the Austro-Hungarian period dealing with energy efficiency. The works were preceded by historical research and on-site investigations. This paper describes a methodology to quantify their vulnerability. A scheme of structural retrofitting is suggested following the research conducted. Revitalization of the building consisted in the reconstruction of the old building structure, creating the inner

Parametric study of the thermal performance of a typical administrative building in the six thermal zones according to the RTCM, using TRNSYS

Directory of Open Access Journals (Sweden)

Abdelghafour LAMRANI

2018-01-01

Full Text Available In this work, we present a parametric study of a new administrative building, located in El-Ksar El Kebir region (Morocco. In order to have a building that complies with the RTCM in a technically and economically sound manner, we have carried out a number of interventions to insulate the components of the building, namely external walls, exposed roofs and openings. In this perspective, we have modelled the building envelope as a multi-zone building in TRNSYS and we have adopted an occupation scenario for this type of building. After determining the optimal insulation solutions, we simulated the administrative building in the five other thermal zones, to determine its feasibility in the latter.

Interventional studies in nuclear medicine

International Nuclear Information System (INIS)

Saha, G.B.; Swanson, D.P.; Hladik, W.B. III

1987-01-01

Pharmacological interventions in nuclear medicine studies have been in practice for a long time. The triiodothyronine (T/sub 3/) suppression, Thyroid-stimulating hormone (TSH) stimulation, and perchlorate discharge tests are common examples of well-established diagnostic interventional studies. In recent years, pharmacologic and physiologic interventions in other nuclear medicine procedures have drawn considerable attention. The primary purpose of these interventions is to augment, complement or, more often, differentiate the information obtained from conventional nuclear medicine diagnostic studies. Pharmacologic interventions involve the administration of a specific drug before, during, or after the administration of radiopharmaceutical for a given study. The change in information due to intervention of the drug offers clues to differentiating various disease conditions. These changes can be brought about by physiologic interventions also, e.g., exercise in radionuclide ventriculography. In the latter interventions, the physiologic function of an organ is enhanced or decreased by physical maneuvers, and the changes observed can be used to differentiate various disease conditions

The Development of a Community-Based, Pharmacist-Provided Falls Prevention MTM Intervention for Older Adults: Relationship Building, Methods, and Rationale

Directory of Open Access Journals (Sweden)

David A. Mott

2014-01-01

Full Text Available The objectives of this article are to discuss the process of community engagement experienced to plan and implement a pilot study of a pharmacist-provided MTM intervention focused on reducing the use of medications associated with falling, and to present the research methods that emerged from the community engagement process to evaluate the feasibility, acceptance, and preliminary impact of the intervention. Key lessons learned from the community engagement process also are presented and discussed. The relationship building and planning process took twelve months. The RE-AIM framework broadly guided the planning process since an overarching goal for the community partners was developing a program that could be implemented and sustained in the future. The planning phase focused on identifying research questions that were of most interest to the community partners, the population to study, the capacity of partners to perform activities, and process evaluation. Much of the planning phase was accomplished with face-to-face meetings. After all study processes, study materials, and data collection tools were developed, a focus group of older adults who represented the likely targets of the MTM intervention provided feedback related to the concept and process of the intervention. Nine key lessons were identified from the community engagement process. One key to successful community engagement is partners taking the time to educate each other about experiences, processes, and successes and failures. Additionally, partners must actively listen to each other to better understand barriers and facilitators that likely will impact the planning and implementation processes. Successful community engagement will be important to develop both formative and summative evaluation processes that will help to produce valid evidence about the effectiveness of pharmacists in modifying drug therapy and preventing falls as well as to promote the adoption and

Multi-level intervention to prevent influenza infections in older low income and minority adults.

Science.gov (United States)

Schensul, Jean J; Radda, Kim; Coman, Emil; Vazquez, Elsie

2009-06-01

In this paper we describe a successful multi-level participatory intervention grounded in principles of individual and group empowerment, and guided by social construction theory. The intervention addressed known and persistent inequities in influenza vaccination among African American and Latino older adults, and associated infections, hospitalizations and mortality. It was designed to increase resident ability to make informed decisions about vaccination, and to build internal and external infrastructure to support sustainability over time. The intervention brought a group of social scientists, vaccine researchers, geriatricians, public health nurses, elder services providers and advocates together with senior housing management and activist African American and Latino residents living in public senior housing in a small east coast city. Two buildings of equal size and similar ethnic composition were randomized as intervention and control buildings. Pre and post intervention surveys were conducted in both buildings, measuring knowledge, attitudes and peer norms. Processes and outcomes were documented at four levels: Influenza Strategic Alliance (macro and exo levels), building management (meso level), building resident committee (meso level) and individual residents. The Influenza Strategic Alliance (I.S.A.) provided ongoing resources, information and vaccine; the building management provided economic and other in-kind resources and supported residents to continue flu clinics in the building. The V.I.P. Resident Committee conducted flu campaigns with flu clinics in English and Spanish. The vaccination rate in the intervention building at post test exceeded the study goal of 70% and showed a significant improvement over the control building. The intervention achieved desired outcomes at all four levels and resulted in a significant increase in influenza vaccination, and improvements in pro-vaccination knowledge, beliefs, and understanding of health consequences.

Community-based interventions for building social inclusion of refugees and asylum seekers in Australia: A systematic review

Directory of Open Access Journals (Sweden)

Di Mahoney

2017-12-01

Full Text Available As refugee and asylum seeker numbers increase in Australia, their effective integration into society is facilitated by inclusion in social, economic and community life. This systematic review of the literature explored community-based programs that contribute to inclusion and social participation of refugees and asylum seekers in Australia. Four scholarly databases were searched for articles published between 2007 and 2017 resulting in five articles which met inclusion criteria. Although the studies identified were of variable quality, the findings suggest a number of factors that facilitate program effectiveness. These included where: (a English language and communications skills were considered; (b programs built on refugees’ own skills and experience prior to resettlement; (c volunteers and mentors were involved; and (d participants engaged in diverse projects that enabled new connections. The review highlights the paucity of well-researched interventions that build social inclusion of refugees and asylum seekers in Australia. Emerging evidence suggests that community-based programs can positively increase social inclusion and connectedness amongst refugees and asylum seekers. Additional well-designed programs and evaluation of such programs are needed to better understand and identify effective interventions targeting social inclusion of refugees and asylum seekers.

'MATRI-SUMAN' a capacity building and text messaging intervention to enhance maternal and child health service utilization among pregnant women from rural Nepal: study protocol for a cluster randomised controlled trial.

Science.gov (United States)

Singh, Jitendra Kumar; Kadel, Rajendra; Acharya, Dilaram; Lombard, Daniel; Khanal, Saval; Singh, Shri Prakash

2018-06-14

Capacity development of health volunteers and text messaging to pregnant women through mobile phones have shown improved maternal and child health (MCH) outcomes and is associated with increased utilisation of MCH services. However, such interventions are uncommon in Nepal. We aim to carry out an intervention with the hypothesis that capacity building and text messaging intervention will increase the MCH service utilisation. MATRI-SUMAN is a 12-month cluster randomized controlled trial (RCT). The trial involves pregnant women from 52 clusters of six village development committees (VDCs) covering 66,000 populations of Dhanusha district of Nepal. In the intervention clusters, Female Community Health Volunteers (FCHVs) will receive capacity development skills through reinforcement training, supervision and monitoring skills for the promotion of health seeking behaviour among pregnant women and study participants will receive periodic promotional text messaging service about MCH components through mobile phones. A sample of 354with equal numbers in each study arm is estimated using power calculation formula. The primary outcomes of this study are the rate of utilization of skilled birth attendants and consumption of a specified diversified meal. The secondary outcomes are: four antenatal (ANC) visits, weight gain of women during pregnancy, delivery of a baby at the health facility, postnatal care (PNC) visits, positive changes in child feeding practices among mothers, performance of FCHVs in MCH service utilization. The intervention is designed to enhance the capacity of health volunteers for the promotion of health seeking behaviour among pregnant women and text messaging through a mobile phone to expecting mothers to increase MCH service utilization. The trial if proven effective will have policy implications in poor resource settings. ISRCTN60684155, ( https://doi.org/10.1186/ISRCTN60684155 ). The trial was registered retrospectively.

Development and pilot study of a marketing strategy for primary care/internet-based depression prevention intervention for adolescents (the CATCH-IT intervention).

Science.gov (United States)

Van Voorhees, Benjamin W; Watson, Natalie; Bridges, John F P; Fogel, Joshua; Galas, Jill; Kramer, Clarke; Connery, Marc; McGill, Ann; Marko, Monika; Cardenas, Alonso; Landsback, Josephine; Dmochowska, Karoline; Kuwabara, Sachiko A; Ellis, Justin; Prochaska, Micah; Bell, Carl

2010-01-01

Adolescent depression is both common and burdensome, and while evidence-based strategies have been developed to prevent adolescent depression, participation in such interventions remains extremely low, with less than 3% of at-risk individuals participating. To promote participation in evidence-based preventive strategies, a rigorous marketing strategy is needed to translate research into practice. To develop and pilot a rigorous marketing strategy for engaging at-risk individuals with an Internet-based depression prevention intervention in primary care targeting key attitudes and beliefs. A marketing design group was constituted to develop a marketing strategy based on the principles of targeting, positioning/competitor analysis, decision analysis, and promotion/distribution and incorporating contemporary models of behavior change. We evaluated the formative quality of the intervention and observed the fielding experience for prevention using a pilot study (observational) design. The marketing plan focused on "resiliency building" rather than "depression intervention" and was relayed by office staff and the Internet site. Twelve practices successfully implemented the intervention and recruited a diverse sample of adolescents with > 30% of all those with positive screens and > 80% of those eligible after phone assessment enrolling in the study with a cost of $58 per enrollee. Adolescent motivation for depression prevention (1-10 scale) increased from a baseline mean value of 7.45 (SD = 2.05) to 8.07 poststudy (SD = 1.33) (P = .048). Marketing strategies for preventive interventions for mental disorders can be developed and successfully introduced and marketed in primary care.

Evaluation of the efficacy of tradizional recovery interventions in historical buildings. A new selection methodology

Science.gov (United States)

Cardinale, Tiziana; Colapietro, Domenico

2013-04-01

The interaction between material, energy and cultural resources and between the functional, structural and linguistic organization of the architecture are the basis of the concept of "environmental culture". In the vernacular architecture, with this term it's meant the set of knowledge and techniques that form the symbiosis between architecture and nature, able to ensure conditions of comfort and building safety, to contrast the vulnerability resulting from Geo-environmental adversity. The traditional Mediterranean architecture is configured to be so a system in which the forms and the construction techniques come together in an original unit. This represents the result of the balance between nature and human activities, whose conservation cannot in any way ignore the local materials and the low and traditional recovery technologies. Any energy, functional and structural intervention cannot ignore the understanding of the building as a whole, which is indispensable for a correct design and construction "process" in any renovation interventions in architectural heritage, even if it's a minor construction. In this way the intervention that emerges is certainly appropriate because it isn't a distortion of the "own logic" (formal-spatial-material) of the pre-existent and in continuity with the "modal logic" (IE procedural) that it requires. The need for conservation isn't an obstacle but rather a guide to the restoration design of really effective recovery interventions, by avoiding heavy distortions and by favoring the criterion of minimum intervention. You want to try to give shape to what can only be carried out in full compliance with the historical nature on which one works and excluding the rest. We try to embody only to what that can be realized in full respect of the historical nature on which one works and excluding the rest. Research has found a complete systematization starting from the identification of housing types representative of historical local

COOPERATING SYSTEM BUILDING IN THE PROCESS OF SOCIAL WORK INTERVENTION: „WE TRY THAT CLIENT DOESN‘T GO TO NOWHERE“

Directory of Open Access Journals (Sweden)

Sandra Šatkauskienė

2016-09-01

Full Text Available The study revealed that mental health social workers reflecting their professional experience, development of cooperative system building in social work intervention process describes as family involvement to the helping process and organization of social assistance network. Family understand as primary system of help, which can help a person, who has mental health disorders, to cope with challenges of everyday life. Social support network organization as a social work intervention activity directed toward cooperation with other agencies. The aim of cooperation is to initiate the continuity of help after hospital treatment, to facilitate person’s return home. Social workers cooperation with other help systems reveals that other agencies faced with missing resources, it need to provide the help. This compounded return to the community, the continuity of help in environment, where person lives and community help provision capacities after hospitalization. It seems that existing help provision – reception tradition is centralized and availability and accessibility dependent of potential client initiative unilaterally.

Participatory ergonomics intervention in an industrially developing country--a case study.

Science.gov (United States)

Helali, Faramarz; Lönnroth, Emma-Christin; Shahnavaz, Houshang

2008-01-01

In industrially developing countries, a few ergonomists have directed great efforts towards developing ergonomics awareness among managers and workers in organizations. There is little research on the degree of their success, though. Furthermore, access of organizations to ergonomics knowledge is usually very difficult, especially in industrially developing countries. Thus, building ergonomics awareness is certainly the first phase of the process. Three companies from one industry (44 people: 14 females and 30 males) participated in a project aimed at improving their work system. At the beginning, we needed to create a common goal and ensure participation with appropriate ergonomics tools. The findings of this study were the key issue for the ergonomics intervention (i.e., a shared vision, awakened need of change and learning). Further, to build ergonomics awareness and develop a continuous learning process in the company, it was necessary to use more ergonomics tools through workers' participation in different workplaces.

Team building: conceptual, methodological, and applied considerations.

Science.gov (United States)

Beauchamp, Mark R; McEwan, Desmond; Waldhauser, Katrina J

2017-08-01

Team building has been identified as an important method of improving the psychological climate in which teams operate, as well as overall team functioning. Within the context of sports, team building interventions have consistently been found to result in improvements in team effectiveness. In this paper we review the extant literature on team building in sport, and address a range of conceptual, methodological, and applied considerations that have the potential to advance theory, research, and applied intervention initiatives within the field. This involves expanding the scope of team building strategies that have, to date, primarily focused on developing group cohesion. Copyright © 2017 Elsevier Ltd. All rights reserved.

A randomised controlled trial of benefit finding in caregivers: The Building Resources in Caregivers Study Protocol

Directory of Open Access Journals (Sweden)

Charles Brand

2015-07-01

Full Text Available Caregivers may engage in benefit finding, that is, an increase in perceived positive growth, as a cognitive strategy for coping with stress. The Building Resources in Caregivers study will compare effects of a brief benefit finding writing intervention with a control intervention. Caregivers of people with mental and physical disabilities will be randomised into either a benefit-writing group or a neutral writing group. Caregivers will complete measures relating to themselves and care-recipients (e.g. sociodemographics and illness type and psychometric measures of benefit finding, distress and quality of life at three time points. Additionally, qualitative commentary on participation experiences will be gathered.

The Danish Alzheimer intervention study

DEFF Research Database (Denmark)

Waldemar, G; Waldorff, F B; Buss, D V

2011-01-01

Background: There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline characteri......Background: There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline...

On the study of a sick building: the case of Athens Air Traffic Control Tower

Energy Technology Data Exchange (ETDEWEB)

Assimakopoulos, V.D.; Helmis, C.G. [Department of Applied Physics, University of Athens, Athens (Greece)

2004-07-01

It is well known that in many cases the responsibility for the formation of the sick-building syndrome lies with the inappropriate envelope design, the misuse of the building by the inhabitants and the combination of indoor-outdoor pollution sources. In the case of Athens Air Traffic Control Tower (ATCT), sick syndrome episodes were reported by the employees. In the present study, recently obtained indoor air quality measurements, during selected meteorological conditions, taken in the ATCT, are presented and discussed. These include concentrations of volatile organic compounds (VOCs), which in many cases were thought responsible for the poor indoor environment. The measurements cover the indoor and outdoor environment of selected building regions, the ventilation systems and the plenum under the floor. The data indicates that there are certain places in the building where the VOCs concentrations were well above outdoor levels, while in others the concentrations were lower. Further analysis of the results showed that the central ventilation system is not sufficient for the building needs and that in some areas, either due to cleaning negligence or to the construction material used, VOCs pollution sources have developed. In order to eliminate these problems and to improve the indoor environment certain actions were taken. Following these interventions a second set of measurements were collected, inside and outside the ATCT building, which indicated a substantial improvement of the indoor air quality. (author)

Integrated evaluation of radiative heating systems for residential buildings

International Nuclear Information System (INIS)

Anastaselos, Dimitrios; Theodoridou, Ifigeneia; Papadopoulos, Agis M.; Hegger, Manfred

2011-01-01

Based on the need to reduce CO 2 emissions and minimize energy dependency, the EU Member States have set ambitious energy policies goals and have developed respective, specific regulations, in order to improve the energy performance of the building sector. Thus, specific measures regarding the buildings' envelope, the use of efficient HVAC technologies and the integration of renewable energy systems are being constantly studied and promoted. The effective combination of these three main aspects will consequently result in maximum energy efficiency. Germany has played a key role in this development, with intensive work focusing in the improvement of the energy behaviour of the residential building stock. In this paper, the use of radiative heating systems placing special emphasis on infrared is being studied as part of the energy renovation of residential buildings from the 1970's. This is done by applying an integrated assessment model to evaluate specific interventions regarding the improvement of the energy behaviour of the buildings' envelope and the use of radiative heating systems, based on a thorough Life Cycle Analysis according to criteria of energy, economic and environmental performance, as well as thermal comfort. -- Highlights: → Assessment of energy, economic and environmental performance of heating systems. → Life Cycle Analysis in combination with the quality of thermal comfort. → Effectiveness of interventions in already partially insulated buildings.

The RENUE resource centre. Design study of building-integrated PV in a zero-carbon exhibition building

Energy Technology Data Exchange (ETDEWEB)

Webb, R.

2001-07-01

Studies at the RENUE building in London are described. The RENUE project is a renewable energy and urban sustainability demonstration of comfortable and elegant buildings which are zero-carbon users. Building-Integrated Photovoltaic (BIPV) systems are a factor in the zero-CO{sub 2} building. The building should be of special interest to protagonists of renewable energy, building designers and the PV industry.

A community-based intervention to build community harmony in an Indigenous Guatemalan Mining Town.

Science.gov (United States)

Caxaj, Claudia Susana; Parroquia de San Miguel Ixtahuacan, Kolol Qnan Tx'otx'

2018-01-24

The presence of large-scale mining operations poses many threats to communities. In a rural community in Guatemala, community leaders were motivated to address divisiveness and local conflict that have been exacerbated since the arrival of a mining company in the region. Prior research by our team identified spiritual and cultural strengths as important sources of strength and resilience in the community. We piloted a community-based intervention centred on spiritual and cultural practices in the region, to address divisiveness and build community harmony. One hundred and seventeen participants from over 18 villages in the municipality participated in the workshops and follow-up focus groups. Community leaders facilitated the intervention and partnered with the academic researcher throughout the research process. Overall, community members and facilitators expressed satisfaction with the workshop. Further, our analysis revealed three important processes important to the development of community harmony in the region: (a) mutual recognition and collectivisation; (b) affirmation of ancestral roots and connections to Mother Earth and (c) inspiring action and momentum towards solutions. These mechanisms, and the socio-political contexts that undermine them, have important implications for how global health programmes are developed and how collective processes for well-being are understood within an inequitable, conflict-laden world.

Collaborative Knowledge-Building: A Longitudinal Study

Science.gov (United States)

Li, Qing

2009-01-01

The focus of this paper is on knowledge-building in a technology-supported learning environment in higher education through a longitudinal study of a graduate course from 2003 to 2007. The primary question is: how do learning conditions designed into a graduate course contribute to collaborative knowledge building? In particular, two major…

The effect of renovating an office building on occupants' comfort and health

DEFF Research Database (Denmark)

Pejtersen, Jan; Brohus, H.; Hyldgaard, C.E.

1999-01-01

-emitting vinyl floor; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation, including a questionnaire study of the occupants' comfort and health, was performed before and after the intervention. The intervention was performed after detailed...

Integrating a Nurse-Midwife-Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study.

Science.gov (United States)

Adams, Sally H; Gregorich, Steven E; Rising, Sharon S; Hutchison, Margaret; Chung, Lisa H

2017-07-01

National and professional organizations recommend oral health promotion in prenatal care to improve women's oral health. However, few prenatal programs include education about oral health promotion. The objective of this study was to determine if women receiving a brief, low-cost, and sustainable educational intervention entitled CenteringPregnancy Oral Health Promotion had clinically improved oral health compared to women receiving standard CenteringPregnancy care. Women attending CenteringPregnancy, a group prenatal care model, at 4 health centers in the San Francisco Bay Area, participated in this nonrandomized controlled pilot study in 2010 to 2011. The intervention arm received the CenteringPregnancy Oral Health Promotion intervention consisting of two 15-minute skills-based educational modules addressing maternal and infant oral health, each module presented in a separate CenteringPregnancy prenatal care session. The present analysis focused on the maternal module that included facilitated discussions and skills-building activities including proper tooth brushing. The control arm received standard CenteringPregnancy prenatal care. Dental examinations and questionnaires were administered prior to and approximately 9 weeks postintervention. Primary outcomes included the Plaque Index, percent bleeding on probing, and percent of gingival pocket depths 4 mm or greater. Secondary outcomes were self-reported oral health knowledge, attitudes (importance and self-efficacy), and behaviors (tooth brushing and flossing). Regression models tested whether pre to post changes in outcomes differed between the intervention versus the control arms. One hundred and one women participated in the study; 49 were in the intervention arm, and 52 were in the control arm. The control and intervention arms did not vary significantly at baseline. Significant pre to post differences were noted between the arms with significant improvements in the intervention arm for the Plaque Index

Community-directed interventions for priority health problems in Africa: results of a multicountry study.

Science.gov (United States)

2010-07-01

To determine the extent to which the community-directed approach used in onchocerciasis control in Africa could effectively and efficiently provide integrated delivery of other health interventions. A three-year experimental study was undertaken in 35 health districts from 2005 to 2007 in seven research sites in Cameroon, Nigeria and Uganda. Four trial districts and one comparison district were randomly selected in each site. All districts had established ivermectin treatment programmes, and in the trial districts four other established interventions - vitamin A supplementation, use of insecticide-treated nets, home management of malaria and short-course, directly-observed treatment for tuberculosis patients - were progressively incorporated into a community-directed intervention (CDI) process. At the end of each of the three study years, we performed quantitative evaluations of intervention coverage and provider costs, as well as qualitative assessments of the CDI process. With the CDI strategy, significantly higher coverage was achieved than with other delivery approaches for all interventions except for short-course, directly-observed treatment. The coverage of malaria interventions more than doubled. The district-level costs of delivering all five interventions were lower in the CDI districts, but no cost difference was found at the first-line health facility level. Process evaluation showed that: (i) participatory processes were important; (ii) recurrent problems with the supply of intervention materials were a major constraint to implementation; (iii) the communities and community implementers were deeply committed to the CDI process; (iv) community implementers were more motivated by intangible incentives than by external financial incentives. The CDI strategy, which builds upon the core principles of primary health care, is an effective and efficient model for integrated delivery of appropriate health interventions at the community level in Africa.

The SISTA pilot project: understanding the training and technical assistance needs of community-based organizations implementing HIV prevention interventions for African American women--implications for a capacity building strategy.

Science.gov (United States)

Fuller, Taleria R; Brown, Mari; King, Winifred; Prather, Cynthia; Cazaubon, Janine; Mack, Justin; Russell, Brandi

2007-01-01

The disproportionate rates of HIV/AIDS among African American women in the U.S. signify the ongoing need for targeted HIV prevention interventions. Additionally, building the capacity of service providers to sustain prevention efforts is a major concern. The Centers for Disease Control and Prevention (CDC) conducted a pilot project to disseminate the Sisters Informing Sisters about Topics on AIDS (SISTA), an HIV prevention intervention designed for African American women. The project was to inform the diffusion process and examine the training and technical assistance needs of participating community-based organizations. Results demonstrated a need for extensive pre-planning and skills-building prior to implementation.

Effects of team-building on communication and teamwork among nursing students.

Science.gov (United States)

Yi, Y J

2016-03-01

The aim of this study was to assess the effects of team-building on communication and teamwork (i.e. teamwork skills and team effectiveness) among nursing students. Team-building is effective for improving communication and teamwork among the nursing organization. However, the effects of team-building are not well known especially in Korea. This study used a quasi-experimental design. The sample was composed of 195 junior-year nursing students in Korea. The experimental group (100 subjects) participated in team-building activities over a 100-day period, whereas no intervention was applied to the control group (95 subjects). Pretest was conducted in both groups, and post-test was conducted after the 100-day intervention. The pre-post change in mean communication competence score did not differ between the two groups. However, the mean scores for teamwork skills and team effectiveness differed significantly between the two groups after team-building activity. This study was not a double-blind test, and randomized sampling was not implemented. Caution should thus be used when interpreting the findings. Team-building activities were effective for improving the teamwork skills and team effectiveness among Korean nursing students. It is recommended that team-building activities should be included regularly as an integral educational approach in nursing education. The findings suggest that suggests that team-building for improving communication and teamwork should be designated as one of the required criteria for nursing college programme accreditation in many countries, including Korea. However team-building requires further testing to verify this across cultures. Nurses need to receive formal team-building training for improving communication and teamwork, and formal education should be included in their job training schedule. It is recommended that communication competence and teamwork be used as one of job performance evaluations in their workplace. © 2015

Social media interventions to prevent HIV: A review of interventions and methodological considerations.

Science.gov (United States)

Tso, Lai Sze; Tang, Weiming; Li, Haochu; Yan, H Yanna; Tucker, Joseph D

2016-06-01

Persistent new HIV infections and risky behaviors underscore the need for enhanced HIV prevention. Social media interventions may promote safe sexual behaviors, increase HIV testing uptake, and promote safe injection behaviors. This review discusses how social media interventions tap into the wisdom of crowds through crowdsourcing, build peer-mentored communities, and deliver interventions through social networks. Social media HIV prevention interventions are constrained by ethical issues, low social media usage among some key populations, and implementation issues. Comprehensive measurement of social media interventions to prevent HIV is necessary, but requires further development of metrics.

Acoustical case studies of three green buildings

Science.gov (United States)

Siebein, Gary; Lilkendey, Robert; Skorski, Stephen

2005-04-01

Case studies of 3 green buildings with LEED certifications that required extensive acoustical retrofit work to become satisfactory work environments for their intended user groups will be used to define areas where green building design concepts and acoustical design concepts require reconciliation. Case study 1 is an office and conference center for a city environmental education agency. Large open spaces intended to collect daylight through clerestory windows provided large, reverberant volumes with few acoustic finishes that rendered them unsuitable as open office space and a conference room/auditorium. Case Study 2 describes one of the first gold LEED buildings in the southeast whose primary design concepts were so narrowly focused on thermal and lighting issues that they often worked directly against basic acoustical requirements resulting in sound levels of NC 50-55 in classrooms and faculty offices, crosstalk between classrooms and poor room acoustics. Case study 3 is an environmental education and conference center with open public areas, very high ceilings, and all reflective surfaces made from wood and other environmentally friendly materials that result in excessive loudness when the building is used by the numbers of people which it was intended to serve.

A Study to Compare the Cost of Operation and Maintenance in Green Building Index (GBI and Non-Green Building Index (Non-GBI Rated Building in Malaysia

Directory of Open Access Journals (Sweden)

Ping Lee Zheng

2016-01-01

Full Text Available Urges for sustainable development had pushed the government and professional bodies to respond and react by implementing regulations where possible to direct development in that manner. However, the outcome in most financial conferences and dialogues on sustainable buildings flagged on high construction and maintenance cost. Thus, this study is conducted to collect and analyze actual building operation and maintenance cost between GBI and Non-GBI rated buildings in Malaysia which are more than 2 years fully operated buildings. There are two categories of selected buildings which are residential and non-residential type of building. Each category of the building consists of similar building’s characteristic such as geographic location, mode of operation, building heights, total numbers of floors and units. The scope of building’s maintenance for this study is mainly on wear and tear of the wall painting, electrical light fittings, ceiling panels, roofing system and mechanical services like water pump system are recorded for their replacement frequency of service and the cost involved within a consistent period of 12 months operation at cost percentage saving of 78.9% and 40.4% for residential and non-residential buildings respectively compare against Non-GBI rated buildings. Electricity consumption for GBI rated buildings are lower than Non-GBI rated buildings which recorded at the cost variance of 23.8% and 6.3% and water consumption at 35.9% and 44.0% for the above mentioned two main categories of selected case study buildings. Results from this study conclude major savings on residential buildings category in term of maintenance cost and electricity consumption for GBI rated buildings. Whereby, non-residential category of buildings, GBI rated building had been proven to obtain significant savings in terms of maintenance cost and water consumption.

Mind-body interventions during pregnancy.

Science.gov (United States)

Beddoe, Amy E; Lee, Kathryn A

2008-01-01

To examine published evidence on the effectiveness of mind-body interventions during pregnancy on perceived stress, mood, and perinatal outcomes. Computerized searches of PubMed, Cinahl, PsycINFO, and the Cochrane Library. Twelve out of 64 published intervention studies between 1980 and February 2007 of healthy, adult pregnant women met criteria for review. Studies were categorized by type of mind-body modality used. Progressive muscle relaxation was the most common intervention. Other studies used a multimodal psychoeducation approach or a yoga and meditation intervention. The research contained methodological problems, primarily absence of a randomized control group or failure to adequately control confounding variables. Nonetheless, there was modest evidence for the efficacy of mind-body modalities during pregnancy. Treatment group outcomes included higher birthweight, shorter length of labor, fewer instrument-assisted births, and reduced perceived stress and anxiety. There is evidence that pregnant women have health benefits from mind-body therapies used in conjunction with conventional prenatal care. Further research is necessary to build on these studies in order to predict characteristics of subgroups that might benefit from mind-body practices and examine cost effectiveness of these interventions on perinatal outcomes.

Early Intervention in Psychosis

Science.gov (United States)

McGorry, Patrick D.

2015-01-01

Abstract Early intervention for potentially serious disorder is a fundamental feature of healthcare across the spectrum of physical illness. It has been a major factor in the reductions in morbidity and mortality that have been achieved in some of the non-communicable diseases, notably cancer and cardiovascular disease. Over the past two decades, an international collaborative effort has been mounted to build the evidence and the capacity for early intervention in the psychotic disorders, notably schizophrenia, where for so long deep pessimism had reigned. The origins and rapid development of early intervention in psychosis are described from a personal and Australian perspective. This uniquely evidence-informed, evidence-building and cost-effective reform provides a blueprint and launch pad to radically change the wider landscape of mental health care and dissolve many of the barriers that have constrained progress for so long. PMID:25919380

The Communities Advancing Resilience Toolkit (CART): an intervention to build community resilience to disasters.

Science.gov (United States)

Pfefferbaum, Rose L; Pfefferbaum, Betty; Van Horn, Richard L; Klomp, Richard W; Norris, Fran H; Reissman, Dori B

2013-01-01

Community resilience has emerged as a construct to support and foster healthy individual, family, and community adaptation to mass casualty incidents. The Communities Advancing Resilience Toolkit (CART) is a publicly available theory-based and evidence-informed community intervention designed to enhance community resilience by bringing stakeholders together to address community issues in a process that includes assessment, feedback, planning, and action. Tools include a field-tested community resilience survey and other assessment and analytical instruments. The CART process encourages public engagement in problem solving and the development and use of local assets to address community needs. CART recognizes 4 interrelated domains that contribute to community resilience: connection and caring, resources, transformative potential, and disaster management. The primary value of CART is its contribution to community participation, communication, self-awareness, cooperation, and critical reflection and its ability to stimulate analysis, collaboration, skill building, resource sharing, and purposeful action.

Community Capacity Building for Physical Activity Promotion among Older Adults-A Literature Review.

Science.gov (United States)

Ubert, Tobias; Forberger, Sarah; Gansefort, Dirk; Zeeb, Hajo; Brand, Tilman

2017-09-13

Community-based interventions to promote physical activity (PA) among older adults are of high interest in health promotion since they promise to be effective strategies to reach this population group. Community capacity building, that is, the local promotion of knowledge, skills, commitment, structures, and leadership, is among the recommended core strategies. However, little guidance is provided on how to achieve a high degree of community capacity. This study aims to identify practical strategies to enhance community capacities for PA promotion among older adults (50 years or older) and to evaluate their success. A literature review was conducted using scientific databases (PsycInfo and Web of Sciences) and grey literature (national and international project databases), and 14 studies (16 articles) were identified. Five groups of capacity building strategies emerged from the literature: (1) building community coalitions and networks, (2) training of professionals, (3) training of laypersons, (4) strengthening competence and awareness in the target population, and (5) allocation of financial resources. All studies used more than one strategy. Coalition building and strengthening competence and awareness were most frequently used. Feasibility and acceptability of the capacity building strategies were demonstrated. However, intervention effects on PA behavior and other relevant outcomes were inconsistent. The one study that systematically compared different capacity building approaches did not find any evidence for beneficial effects of intensified capacity building. More rigorous research evaluating the efficacy of specific strategies to enhance community capacities for PA promotion is needed.

Sustainability challenges of residential reinforced - concrete panel buildings

Directory of Open Access Journals (Sweden)

Markku J. Riihimäki

2014-06-01

Full Text Available Quite similar large-panel prefabrication technologies were used for residential buildings in East-Europe and some countries in Northern-Europe, e.g. Finland. Even if technologically similar, the fate of the building stocks is different in the two regions, with buildings functioning sustainably in Finland. Hence, one could adapt the maintenance and renovation experiences to the building stock in other countries, creating opportunities for communities and business. The paper presents technological, economical, and institutional/policy aspects in the two environments, and discusses them in the larger framework of European sustainability targets. For major renovation, as targeted in the paper, methods of change management should be applied, entailing thoughtful planning and sensitive implementation and above all, consultation/involvement of the people affected. If the presented interventions would be used in a systematic and planned way, improvements can be achieved for social sustainability targets like e.g. adaptability and visual comfort, while maintaining the safety and security. Finally, the limitations of the approach in light of the institutional setting and ownership structure are discussed, highlighting how different ownership models are favoring or hindering major retrofit interventions. The paper offers ways on strengthening the role of key stakeholders to support major renovation interventions on the panel building stock.

Enhancement of seismic resistance of buildings

Directory of Open Access Journals (Sweden)

Claudiu-Sorin Dragomir

2014-03-01

Full Text Available The objectives of the paper are both seismic instrumentation for damage assessment and enhancing of seismic resistance of buildings. In according with seismic design codes in force the buildings are designed to resist at seismic actions. Due to the time evolution of these design provisions, there are buildings that were designed decades ago, under the less stringent provisions. The conceptual conformation is nowadays provided in all Codes of seismic design. According to the Code of seismic design P100-1:2006 the asymmetric structures do not have an appropriate seismic configuration; they have disadvantageous distribution of volumes, mass and stiffness. Using results of temporary seismic instrumentation the safety condition of the building may be assessed in different phases of work. Based on this method, the strengthening solutions may be identified and the need of seismic joints may be emphasised. All the aforementioned ideas are illustrated through a case study. Therefore it will be analysed the dynamic parameter evolution of an educational building obtained in different periods. Also, structural intervention scenarios to enhance seismic resistance will be presented.

THE EFFECT OF BUILDING FAÇADE MODEL ON LIGHT DISTRIBUTION (CASE STUDY: MENARA PHINISI BUILDING OF UNM

Directory of Open Access Journals (Sweden)

Nurul Jamala

2017-12-01

Full Text Available Global warming issues influence the temperature of the earth surface. It is an impact on energy consumption, especially in buildings. Utilization of daylight is one of the factors that need to be considered, in order to minimize energy consumption as a source of artificial lighting. This study analyzed the distribution of light on the Menara Phinisi building of Makassar State University. Quantitative research method that is to describe the data of simulation in Autodesk Ecotect program. The research objective was to determine the effect of the building facade model on the value of illumination inside the building. Results of the study concluded that the decrease percentage of the distribution of light on the building facade using and not using the facade is 3,16% or 236 lux. Distribution of light in horizontal and diagonal facade models differ in the amount of 2,5%. Design analysis of the building serves as a guide for analyzing the influence of the building facade model so that it can create energy efficient buildings.

Objective and Subjective Responses to Low Relative Humidity in an Office Intervention Study

DEFF Research Database (Denmark)

Lagercrantz, Love Per; Wyon, David; Meyer, H. W.

2003-01-01

and objective (clinical) measurements were applied. The following effects of increased humidity were significant, though small: the air was evaluated as less dry (though still on the dry side of neutral), eyes smarted less (by 10% of full scale) eye irritation decreased (by 11%), symptoms of dry throat, mouth......The impact of dry indoor air on comfort and health in winter was investigated in a crossover intervention study in two floors of an office building in northern Sweden. The indoor air humidity (normally 10-20% RH) was raised to 23-24% RH, one floor at a time, using steam humidifiers. Questionnaires...

Building an evidence base for occupational health interventions

NARCIS (Netherlands)

Verbeek, Jos; Husman, Kaj; van Dijk, Frank; Jauhiainen, Merja; Pasternack, Iris; Vainio, Harri

2004-01-01

This article summarizes arguments for building an evidence base for occupational health. Evidence is needed on the most effective ways of eliminating health hazards in the workplace and at work, enhancing healthy behavior or the empowerment of workers, and preventing and treating occupational

Building Transdisciplinary Environmental Studies

DEFF Research Database (Denmark)

Holm, Jesper

We will in this paper approach the challenge of building integrated environmental studies by presenting a crude frame of analysis which take into account both the physical aspects and the social-discursive articulations of environmental problems. This framework partly mirrors the approach of our...... department (Dept. of Environment, Technology and Social Studies, Roskilde University), and has originally in another version been presented in the book “Miljøregulering - tværvidenskabelige studier (Environmental Regulation. Interdisciplinary Studies)” (Holm, Kjærgård & Pedersen eds. 1997, in Danish) written...

RE-AIM Analysis of a School-Based Nutrition Education Intervention in Kindergarteners

Science.gov (United States)

Larsen, Andrew L.; Liao, Yue; Alberts, Janel; Huh, Jimi; Robertson, Trina; Dunton, Genevieve F.

2017-01-01

Background: Few nutrition interventions in kindergarten classes have been evaluated, and none has been tested for program effectiveness, implementation, and dissemination. Building a Healthy Me (BHM) is a nutrition intervention for kindergarteners that is classroom-based and includes a family component. This study evaluated the public health…

An Assessment of Intervention Fidelity in Published Social Work Intervention Research Studies

Science.gov (United States)

Corley, Nicole A.; Kim, Irang

2016-01-01

Objectives: Intervention fidelity is a critical strategy to help advance the usefulness and integrity of social work research. This study assessed the extent to which a selected sample of published social work intervention researchers reported its intervention protocols. Methods: Six core social work journals were reviewed in this analysis. The…

Building better bones in childhood: a randomized controlled study to test the efficacy of a dietary intervention program to increase calcium intake.

Science.gov (United States)

Weber, D R; Stark, L J; Ittenbach, R F; Stallings, V A; Zemel, B S

2017-06-01

Many children do not consume the recommended daily allowance of calcium. Inadequate calcium intake in childhood may limit bone accrual. The objective of this study was to determine if a behavioral modification and nutritional education (BM-NE) intervention improved dietary calcium intake and bone accrual in children. 139 (86 female) healthy children, 7-10 years of age, were enrolled in this randomized controlled trial conducted over 36 months. Participants randomized to the BM-NE intervention attended five sessions over a 6-week period designed to increase calcium intake to 1500 mg/day. Participants randomized to the usual care (UC) group received a single nutritional counseling session. The Calcium Counts Food Frequency Questionnaire was used to assess calcium intake; dual energy X-ray absorptiometry was used to assess areal bone mineral density (aBMD) and bone mineral content (BMC). Longitudinal mixed effects models were used to assess for an effect of the intervention on calcium intake, BMC and aBMD. BM-NE participants had greater increases in calcium intake that persisted for 12 months following the intervention compared with UC. The intervention had no effect on BMC or aBMD accrual. Secondary analyses found a negative association between calcium intake and adiposity such that greater calcium intake was associated with lesser gains in body mass index and fat mass index. A family-centered BM-NE intervention program in healthy children was successful in increasing calcium intake for up to 12 months but had no effect on bone accrual. A beneficial relationship between calcium intake and adiposity was observed and warrants future study.

Built environment interventions aimed at improving physical activity levels in rural Ontario health units: a descriptive qualitative study.

Science.gov (United States)

Coghill, Cara-Lee; Valaitis, Ruta K; Eyles, John D

2015-05-03

Few studies to date have explored the relationship between the built environment and physical activity specifically in rural settings. The Ontario Public Health Standards policies mandate that health units in Ontario address the built environment; however, it is unclear how public health practitioners are integrating the built environment into public health interventions aimed at improving physical activity in chronic disease prevention programs. This descriptive qualitative study explored interventions that have or are being implemented which address the built environment specifically related to physical activity in rural Ontario health units, and the impact of these interventions. Data were collected through twelve in-depth semi-structured interviews with rural public health practitioners and managers representing 12 of 13 health units serving rural communities. Key themes were identified using qualitative content analysis. Themes that emerged regarding the types of interventions that health units are employing included: Engagement with policy work at a municipal level; building and working with community partners, committees and coalitions; gathering and providing evidence; developing and implementing programs; and social marketing and awareness raising. Evaluation of interventions to date has been limited. Public health interventions, and their evaluations, are complex. Health units who serve large rural populations in Ontario are engaging in numerous activities to address physical activity levels. There is a need to further evaluate the impact of these interventions on population health.

The Occupation and Participation Approach to Reading Intervention (OPARI): A Community of Practice Study

Science.gov (United States)

Grajo, Lenin C.; Candler, Catherine

2017-01-01

We employed a community of practice to expand the application of the Occupation and Participation Approach to Reading Intervention (OPARI) and build the capacity of practitioners to support children with reading difficulties. Twelve pediatric practitioners participated in a community of practice for 7 months. We used a one…

Effects of a 3-year intervention: The Copenhagen School Child Intervention Study

DEFF Research Database (Denmark)

Bugge, Anna; El-Naaman, Bianca; Dencker, Magnus

2012-01-01

INTRODUCTION: This study assessed short and long term effects of a 3-year controlled school-based physical activity (PA) intervention on fatness, cardiorespiratory fitness (VO2peak) and cardiovascular disease (CVD) risk factors in children. METHODS: The study involved 18 schools (10 intervention...

The effect of building façade on natural lighting (Case study: Building of phinisi tower UNM)

Science.gov (United States)

Jamala, Nurul

2017-04-01

Utilization of natural lighting is one factor to lower the energy consumption of a building. Model building facade effect on natural light sources that can be absorbed into the building. UNM Phinisi Tower Building is a metaphor for the display of boats phinisi using Hiperbolic paraboloid facade which is futuristic sophistication of the application of science and technology, so that this object that is the focus of research on the effects on the building facade natural lighting. A quantitative research methods using Autodesk Echotech program to determine the value of the building into the natural lighting illuminance, either by using the facade and do not. The aim of research is to determine the percentage utilization of natural light into the building using a building facade. The study concluded the decline percentage in the value of the illuminance after the building using the building facade is 49% -74% and a mean value of 60.3%, so it can be concluded that the building facade effects on the natural lighting.

Building application of solar energy. Study no. 2: Representative buildings for solar energy performance analysis and market penetration

Science.gov (United States)

Hirshberg, A. S.

1975-01-01

The following topics are discussed: (1) Assignment of population to microclimatic zones; (2) specifications of the mix of buildings in the SCE territory; (3) specification of four typical buildings for thermal analysis and market penetration studies; (4) identification of the materials and energy conserving characteristics of these typical buildings; (5) specifications of the HVAC functions used in each typical building, and determination of the HVAC systems used in each building; and (6) identification of the type of fuel used in each building.

Intelligent Facades in Buildings Facades of local Office Buildings - Case Study

Directory of Open Access Journals (Sweden)

Al-Qaraghuli Anwar Subhi

2016-01-01

Full Text Available In order to meet the functional performance and requirements on the environmental, ecological, social and aesthetical aspects, it became a necessity to develop another options of building that would be more efficient in the provision of those requirements, so a new generation have appeared called “Smart Buildings” or “Intelligent Buildings” with their sophisticated parts and various details, one of those essential parts is the “Intelligent Façade” for it’s being the essential and primary defensive line for the building against the environmental and climatic variations.This research focused on presenting the most clearly and comprehensive perception of the intelligent façades, in a manner that serves the ability of the designer to apply them in his designs or while developing an existing façades in local (Iraqi office buildings.To achieve such goal, it has been a necessity to adopt a descriptive and analytical Method for the previous knowledge and take a sequential researching steps, the first step was to build a comprehensive theoretical framework by defining the intelligent façade. Down to abstracting three main vocabularies of the theoretical framework represented by: integrated intelligent façade design, intelligent façade techniques, and effective response.The next research steps focused on applying the vocabularies of the theoretical framework on the elected local office buildings that have been adopted the matter of intelligent façades in one of their forms, and then analyze/discuss the results of the applicable study, to be able to draw the final conclusions, and by this the research presented a determined recommendations.

Building Assessment Survey and Evaluation Study Summarized Data - HVAC Characteristics

Science.gov (United States)

In the Building Assessment Survey and Evaluation (BASE) Study Information on the characteristics of the heating, ventilation, and air conditioning (HVAC) system(s) in the entire BASE building including types of ventilation, equipment configurations, and operation and maintenance issues was acquired by examining the building plans, conducting a building walk-through, and speaking with the building owner, manager, and/or operator.

Retrofitting solutions for two different occupancy levels of educational buildings in tropics

Science.gov (United States)

Yang, Junjing; Pantazaras, Alexandros; Lee, Siew Eang; Santamouris, Mattheos

2018-01-01

Within the multi-functionality of educational buildings, the energy conservation potential can be very different. In addition, among different retrofitting solutions investigated involving interventions on the building envelope, ventilation strategies, artificial lighting systems as well as equipment upgrading, different saving potential would come from different aspects. The opportunities for energy saving potential from the overall point of view and from the detailed aspect view of different retrofitting solutions would be very useful and important for building renovation decision making. This study presents a detailed retrofitting study of two different educational buildings. One represents a building with average occupancy variation and containing mainly offices and labs. The other one represents a building with high occupancy variation and containing mainly lecture rooms and studios. This comparison of the results gives an idea of the different energy saving potential for different types of educational buildings. Principal component analysis is also adopted to investigate the detailed performance of one of the buildings which is influenced stronger by these retrofitting solutions.

Maintenance of Heritage Building: A Case Study from Ipoh, Malaysia

Directory of Open Access Journals (Sweden)

Tan Seong Yeow

2016-01-01

Full Text Available Heritage buildings represent the tangible cultural heritage of a community. However, many of the heritage buildings have being left neglected. Ipoh as a city rich in heritage, has many dilapidated heritage buildings which are experiencing a resurging interest. However, the problems faced by many owners are the lack of technical information of such buildings, leading to premature abandonment and demolition. Therefore, the objectives of this study are to determine the types and extent of defects present in the building studied. To achieve these objectives, a case study of a century old heritage property in Ipoh, Perak was conducted. The study aims to provide reference to owners and those responsible for the conservation of heritage buildings with similar conditions to identify and prioritize critical defects in relation to the building life span to determine its condition. The findings determined the probable causes of defects such as settlement and façade cracks, which are over 30 years old, were attributed to leaking plumbing pipes, rainwater ingress and the construction of an adjacent 20 story apartment building. The major issues to address were stabilizing the foundation through cement grouting, reinforcing the existing structural systems and roof systems as well as arresting the decay of timber floor structure. In conclusion, major maintenance guidelines are need to address structural issues and weather tightness of the building envelope, especially its roof and drainage systems.

INTEGRATING HEALTH INTO BUILDINGS OF THE FUTURE.

Science.gov (United States)

Heidari, Leila; Younger, Margalit; Chandler, George; Gooch, James; Schramm, Paul

2016-01-01

The health and wellbeing of building occupants should be a key priority in the design, building, and operation of new and existing buildings. Buildings can be designed, renovated, and constructed to promote healthy environments and behaviors and mitigate adverse health outcomes. This paper highlights health in terms of the relationship between occupants and buildings, as well as the relationship of buildings to the community. In the context of larger systems, smart buildings and green infrastructure strategies serve to support public health goals. At the level of the individual building, interventions that promote health can also enhance indoor environmental quality and provide opportunities for physical activity. Navigating the various programs that use metrics to measure a building's health impacts reveals that there are multiple co-benefits of a "healthy building," including those related to the economy, environment, society, transportation, planning, and energy efficiency.

Move the Neighbourhood: a novel study design of a participatory public open space intervention in a Danish deprived neighbourhood to promote active living

DEFF Research Database (Denmark)

Pawlowski, Charlotte Skau; Winge, Laura; Carroll, Sidse

BACKGROUND: A limited amount of research has examined the effect of changing public open spaces on active living. This abstract presents the study protocol of an intervention study designed in an interdisciplinary collaboration built on principles of Community-Based Participatory Research (CBPR......) to develop urban installations highly tailored to promote active living among children (10-13-years-old) and seniors (>60-years-old) in a deprived neighbourhood in Copenhagen. METHODS: The study builds on a quasi-experimental study design including two sub-studies: 1) a children study and 2) a senior study....... During spring 2017 the interventions will be developed, designed and implemented in collaboration with local children and seniors, respectively, using different co-design tools and methods. We will evaluate the effect of the interventions on children’s and senior’s use of the new-built urban...

Implementation of a Text-Based Content Intervention in Secondary Social Studies Classes.

Science.gov (United States)

Wanzek, Jeanne; Vaughn, Sharon

2016-12-01

We describe teacher fidelity (adherence to the components of the treatment as specified by the research team) based on a series of studies of a multicomponent intervention, Promoting Acceleration of Comprehension and Content Through Text (PACT), with middle and high school social studies teachers and their students. Findings reveal that even with highly specified materials and implementing practices that are aligned with effective reading comprehension and content instruction, teachers' fidelity was consistently low for some components and high for others. Teachers demonstrated consistently high implementation fidelity and quality for the instructional components of building background knowledge (comprehension canopy) and teaching key content vocabulary (essential words), whereas we recorded consistently lower fidelity and quality of implementation for the instructional components of critical reading and knowledge application. © 2016 Wiley Periodicals, Inc.

Case studies of building pathology in cultural heritage

CERN Document Server

2016-01-01

This book highlights new developments in the field of building pathology and rehabilitation, taking an in-depth look into current approaches to the surveying of buildings and the study of defect diagnosis, prognosis and remediation. Including a number of real-world case studies and a detailed set of references for further reading, the book will appeal to a wide readership of scientists, practitioners, students and lecturers.

Study and constructive analysis of an office building

OpenAIRE

CORT AZCÁRRAGA, PAULA

2015-01-01

[EN] The development is based on the study and analysis of an office building located in Drongsesteenweg, Gent 9000. The building has 4 levels and basement. The structure is with prefabricated concrete, a very typical way to build in Belgium, only the basement was built in situ. Typology floor is hollow core slab, it is a prefabricated unidirectional floor. Stairs are prefabricated too, executed by a company specialized in this type works. To the facade they use two types of bricks, ceramic a...

On an innovative integrated technique for energy refurbishment of historical buildings: Thermal-energy, economic and environmental analysis of a case study

International Nuclear Information System (INIS)

Pisello, Anna Laura; Petrozzi, Alessandro; Castaldo, Veronica Lucia; Cotana, Franco

2016-01-01

Highlights: • An innovative method for the energy retrofit of heritage buildings is proposed. • Dynamic thermal-energy assessment of passive and active solutions is carried out. • The cooling effect of novel tiles suitable for historic buildings is investigated. • Potentialities of a ground source heat pump system with storage tanks are showed. • Energy-environmental-economic assessment is made for the prototype intervention. - Abstract: In the last decades, increasing attention has been paid to the enhancement of energy performance and comfort conditions of historic buildings, where the necessity to preserve architectural heritage does not allow typical invasive retrofit interventions. The need for a replicable methodology for improving the sustainability of historic buildings based on the integration of energy efficiency solutions with renewable technologies is here addressed, by riding over the constraints imposed by architectural preservations, rather taking advantage of heritage architectural peculiarities. The case study is represented by Palazzo Gallenga Stuart, a historical university building located in central Italy. The optimization of the building energy efficiency has been pursued through two strategies specifically prototyped for application in historic buildings, i.e. innovative cool tiles with the same appearance of traditional historic tiles, and a geothermal heat pump system with water storage tanks positioned in the under-ground unoccupied areas of the building previously used as archives, also preventing the use of external units spoiling the building façade. Four retrofit scenarios were analyzed and compared from a both technical and economical point of view. The results showed that the application of the innovative cool tiles lead to a maximum cooling energy saving of 14.0% and 3.8% in the classrooms of the top floor and in the whole building, respectively. Furthermore, the installation of a more effective energy plant leads to an

Indoor microbiota in severely moisture damaged homes and the impact of interventions.

Science.gov (United States)

Jayaprakash, Balamuralikrishna; Adams, Rachel I; Kirjavainen, Pirkka; Karvonen, Anne; Vepsäläinen, Asko; Valkonen, Maria; Järvi, Kati; Sulyok, Michael; Pekkanen, Juha; Hyvärinen, Anne; Täubel, Martin

2017-10-13

The limited understanding of microbial characteristics in moisture-damaged buildings impedes efforts to clarify which adverse health effects in the occupants are associated with the damage and to develop effective building intervention strategies. The objectives of this current study were (i) to characterize fungal and bacterial microbiota in house dust of severely moisture-damaged residences, (ii) to identify microbial taxa associated with moisture damage renovations, and (iii) to test whether the associations between the identified taxa and moisture damage are replicable in another cohort of homes. We applied bacterial 16S rRNA gene and fungal ITS amplicon sequencing complemented with quantitative PCR and chemical-analytical approaches to samples of house dust, and also performed traditional cultivation of bacteria and fungi from building material samples. Active microbial growth on building materials had significant though small influence on the house dust bacterial and fungal communities. Moisture damage interventions-including actual renovation of damaged homes and cases where families moved to another home-had only a subtle effect on bacterial community structure, seen as shifts in abundance weighted bacterial profiles after intervention. While bacterial and fungal species richness were reduced in homes that were renovated, they were not reduced for families that moved houses. Using different discriminant analysis tools, we were able identify taxa that were significantly reduced in relative abundance during renovation of moisture damage. For bacteria, the majority of candidates belonged to different families within the Actinomycetales order. Results for fungi were overall less consistent. A replication study in approximately 400 homes highlighted some of the identified taxa, confirming associations with observations of moisture damage and mold. The present study is one of the first studies to analyze changes in microbiota due to moisture damage interventions

A Meta-Analysis of Classroom-Wide Interventions to Build Social Skills: Do They Work?

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January, Alicia M.; Casey, Rita J.; Paulson, Daniel

2011-01-01

Outcomes of 28 peer-reviewed journal articles published between 1981 and 2007 were evaluated quantitatively to assess the effectiveness of classroom-wide interventions for the improvement of social skills. All interventions included in the study were implemented with intact classrooms that included both socially competent children and those with…

Building a multiple modality, theory-based physical activity intervention: The development of CardiACTION!

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Estabrooks, Paul A; Glasgow, Russ E; Xu, Stan; Dzewaltowski, David A; Lee, Rebecca E; Thomas, Deborah; Almeida, Fabio A; Thayer, Amy N; Smith-Ray, Renae L

2011-01-01

OBJECTIVES: Despite the widely acknowledged benefits of regular physical activity (PA), specific goals for increased population levels of PA, and strongly recommended strategies to promote PA, there is no evidence suggesting that the prevalence of PA is improving. If PA intervention research is to be improved, theory should be used as the basis for intervention development, participant context or environment should be considered in the process, and intervention characteristics that will heighten the likelihood of translation into practice should be implemented (e.g., ease of implementation, low human resource costs). The purpose of this paper is to describe the implementation of the aforementioned concepts within the intervention development process associated with CardiACTION an ongoing randomized 2 × 2 factorial trial. METHODS: The Ecological Model of Physical Activity integrated with Protection Motivation Theory was used to inform the design of the interventions. This integrated model was selected to allow for the development of theory-based individual, environmental, and individually + environmentally targeted physical activity interventions. All intervention strategies were matched to proposed mediators of behavior change. Strategies were then matched to the most appropriate interactive technology (i.e., interactive computer session, automated telephone counseling, and tailored mailings) delivery channel. CONCLUSIONS: The potential implications of this study include determining the independent and combined influence of individual and environment mechanisms of behavior change on intervention effectiveness. In addition, all intervention models are developed to be scalable and disseminable to a broad audience at a low cost.

The Energy Audit Activity Focused on the Lighting Systems in Historical Buildings

Directory of Open Access Journals (Sweden)

Giacomo Salvadori

2016-11-01

Full Text Available The energy audit for a building is a procedure designed mainly to obtain adequate knowledge of the energy consumption profile, identify, and quantify opportunities for energy savings by a cost-benefit analysis and report, clearly and comprehensively, about the obtained results. If the audit is referred to a building with a significant historical and artistic value, a compatibility evaluation of the energy saving interventions with the architectural features should also be developed. In this paper, analysing the case study of a historical building used as public offices in Pisa (Italy, the authors describe how it is possible to conduct an energy audit activity (especially dedicated to the lighting system and they show how, for this type of buildings, it is possible to obtain significant energy savings with a refurbishment of the lighting system. A total number of seven interventions on indoor and outdoor lighting sub-systems were analysed in the paper. They are characterised by absolute compatibility with the historical and artistic value of the building and they show short payback times, variable between 4 and 34 months, allowing a reduction of the electrical energy consumption for the artificial indoor and outdoor lighting variable from 1.1 MWh/year to 39.0 MWh/year. The followed methodology and the evaluation results described in the paper, although based on a case study, can be extended to numerous historical buildings used as public offices, a recurring situation in the centres of Italian historical cities.

Improving energy sustainability for public buildings in Italian mountain communities.

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Mutani, Guglielmina; Cornaglia, Mauro; Berto, Massimo

2018-05-01

The objective of this work is to analyze and then optimize thermal energy consumptions of public buildings located within the mountain community of Lanzo, Ceronda and Casternone Valleys. Some measures have been proposed to reduce energy consumption and consequently the economic cost for energy production, as well as the harmful GHG emissions in the atmosphere. Initially, a study of the mountain territory has been carried out, because of its vast extension and climatic differences. Defined the communities and the buildings under investigation, energy dependant data were collected for the analysis of energy consumption monitoring: consumption data of three heating seasons, geometric buildings characteristics, type of opaque and transparent envelope, heating systems information with boiler performance and climatic data. Afterward, five buildings with critical energy performances were selected; for each of these buildings, different retrofit interventions have been hypothesized to reduce the energy consumption, with thermal insulation of vertical or horizontal structures, new windows or boiler substitution. The cost-optimal technique was used to choose the interventions that offered higher energy performance at lower costs; then a retrofit scenario has been planned with a specific financial investment. Finally, results showed possible future developments and scenarios related to buildings energy efficiency with regard to the topic of biomass exploitation and its local availability in this area. In this context, the biomass energy resource could to create a virtuous environmental, economic and social process, favouring also local development.

Community-centred eco-bio-social approach to control dengue vectors: an intervention study from Myanmar.

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Wai, Khin Thet; Htun, Pe Than; Oo, Tin; Myint, Hla; Lin, Zaw; Kroeger, Axel; Sommerfeld, Johannes; Petzold, Max

2012-12-01

To build up and analyse the feasibility, process, and effectiveness of a partnership-driven ecosystem management intervention in reducing dengue vector breeding and constructing sustainable partnerships among multiple stakeholders. A community-based intervention study was conducted from May 2009 to January 2010 in Yangon city. Six high-risk and six low-risk clusters were randomized and allocated as intervention and routine service areas, respectively. For each cluster, 100 households were covered. Bi-monthly entomological evaluations (i.e. larval and pupal surveys) and household acceptability surveys at the end of 6-month intervention period were conducted, supplemented by qualitative evaluations. Intervention description: The strategies included eco-friendly multi-stakeholder partner groups (Thingaha) and ward-based volunteers, informed decision-making of householders, followed by integrated vector management approach. Pupae per person index (PPI) decreased at the last evaluation by 5·7% (0·35-0·33) in high-risk clusters. But in low-risk clusters, PPI remarkably decreased by 63·6% (0·33-0·12). In routine service area, PPI also decreased due to availability of Temephos after Cyclone Nargis. As for total number of pupae in all containers, when compared to evaluation 1, there was a reduction of 18·6% in evaluation 2 and 44·1% in evaluation 3 in intervention area. However, in routine service area, more reduction was observed. All intervention tools were found as acceptable, being feasible to implement by multi-stakeholder partner groups. The efficacy of community-controlled partnership-driven interventions was found to be superior to the vertical approach in terms of sustainability and community empowerment.

The Teaching Green School Building: A Framework for Linking Architecture and Environmental Education

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Cole, Laura B.

2014-01-01

The "Teaching Green School Building" is an emergent type of school building that attempts to engage building users with environmental issues in buildings. Architectural interventions in these buildings range from signage to interactive touch screens to gardens and demonstration kitchens that foster educational programmes about…

Experimental and analytical studies of a deeply embedded reactor building model considering soil-building interaction. Pt. 1

International Nuclear Information System (INIS)

Tanaka, H.; Ohta, T.; Uchiyama, S.

1979-01-01

The purpose of this paper is to describe the dynamic characteristics of a deeply embedded reactor building model derived from experimental and analytical studies which considers soil-building interaction behaviour. The model building is made of reinforced concrete. It has two stories above ground level and a basement, resting on sandy gravel layer at a depth of 3 meters. The backfill around the building was made to ground level. The model building is simplified and reduced to about one-fifteenth (1/15) of the prototype. It has bearing wall system for the basement and the first story, and frame system for the second. (orig.)

Increasing Student Achievement and Improving Self-Esteem through a Community Building Intervention

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Lupo, Concetta M.

2012-01-01

This study focused on improving students' self-esteem through community building at an elementary school in a low socioeconomic community where over 55% of the students live below the poverty line. Orefield and Yun state in their 1999 article, "Resegregation of America's schools," "school level poverty is related to many…

Radon exhalation study in cements and other building materials

International Nuclear Information System (INIS)

Singh, J.; Sharma, N.

2012-01-01

Radon is a radioactive inert gas, which is produced during the decay of radium, an element present in the naturally occurring uranium series. In the recent past, environmental scientists all over the world have been expressing great concern about the radiation hazard from radon and its short lived daughter products inside buildings. The radon concentration inside a building depends upon the radon exhalation from the building materials used for the construction and the soil underneath the building. In the present investigations, a comparative study for radon exhalation rate has been carried out in some Indian and Pakistani cements and other building materials being used locally such as sand, soil, bricks, marbles, CaCO 3 , POPs by using Track Etch Technique. The Pakistani cement with the trade name 'Elephant' shows the minimum mass exhalation rate while the Indian 'Birla White' cement has shown the maximum. Among the other building materials studied, CaCO 3 has shown the minimum, while local soil the maximum mass exhalation rate. Out of the fired clay bricks, roof tiles, floor tiles and different marbles, floor tiles have the minimum areal exhalation rate while roof tiles the maximum. (author)

Intervention studies to foster resilience - A systematic review and proposal for a resilience framework in future intervention studies.

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Chmitorz, A; Kunzler, A; Helmreich, I; Tüscher, O; Kalisch, R; Kubiak, T; Wessa, M; Lieb, K

2018-02-01

Psychological resilience refers to the phenomenon that many people are able to adapt to the challenges of life and maintain mental health despite exposure to adversity. This has stimulated research on training programs to foster psychological resilience. We evaluated concepts, methods and designs of 43 randomized controlled trials published between 1979 and 2014 which assessed the efficacy of such training programs and propose standards for future intervention research based on recent developments in the field. We found that concepts, methods and designs in current resilience intervention studies are of limited use to properly assess efficacy of interventions to foster resilience. Major problems are the use of definitions of resilience as trait or a composite of resilience factors, the use of unsuited assessment instruments, and inappropriate study designs. To overcome these challenges, we propose 1) an outcome-oriented definition of resilience, 2) an outcome-oriented assessment of resilience as change in mental health in relation to stressor load, and 3) methodological standards for suitable study designs of future intervention studies. Our proposals may contribute to an improved quality of resilience intervention studies and may stimulate further progress in this growing research field. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Environmental issues and energy conservation in buildings in Pakistan: role of architectural intervention

International Nuclear Information System (INIS)

Arif, S.; Khan, A.; Alamgir, K.; Alamgir, K.

2011-01-01

Energy shortage and environmental catastrophe is the severe problem globally and particularly important for the developing countries like Pakistan. There is a serious need to solve the problem for a sustainable building environment as the building sector has become a major consumer of energy. An attempt has been made for the building professionals and building users for adherence into their design and construction the energy conservation measures to reduce environmental problems more easily after the thorough review of the famous authors' research work and findings in this field. The ultimate aim is the establishment of awareness for the building professionals for delivering sustainable buildings in Pakistan. Through the implementation of design measures to mitigate the urban heat island, the general public can decrease their demand for energy and effectively cool the urban landscape. In addition to the economic benefits, energy conservation leads to reductions in CO/sub 2/ emissions. (author)

A preliminary study on the relevancy of sustainable building design ...

African Journals Online (AJOL)

This preliminary study aims to explore the relationship between sustainable building design paradigms and commercial property depreciation, to assist in the understanding of sustainable building design impact towards commercial building value and rental de employs the qualitative method and analyses valuers' current ...

Modifiers of Neighbors' Bystander Intervention in Intimate Partner Violence: A Concept Mapping Study.

Science.gov (United States)

Wee, Sara; Todd, Mary-Justine; Oshiro, Michael; Greene, Emily; Frye, Victoria

2016-03-01

IPV. This study explored bystander intervention into IPV outside of a college context and among urban adults living in high-poverty areas. Results suggest that the presence of children and perceived history of IPV may affect bystander intervention. Specific recommendations to build the research base on bystander intervention in adult IPV as well as what situational, sociodemographic, and other factors mitigate against intervention among potential responders are offered.

An intervention to improve interprofessional collaboration and communications: a comparative qualitative study.

Science.gov (United States)

Rice, Kathleen; Zwarenstein, Merrick; Conn, Lesley Gotlib; Kenaszchuk, Chris; Russell, Ann; Reeves, Scott

2010-07-01

Interprofessional communication and collaboration are promoted by policymakers as fundamental building blocks for improving patient safety and meeting the demands of increasingly complex care. This paper reports qualitative findings of an interprofessional intervention designed to improve communication and collaboration between different professions in general internal medicine (GIM) hospital wards in Canada. The intervention promoted self-introduction by role and profession to a collaborating colleague in relation to the shared patient, a question or communication regarding the patient, to be followed by an explicit request for feedback from the partner professional. Implementation and uptake of the intervention were evaluated using qualitative methods, including 90 hours of ethnographic observations and interviews collected in both intervention and comparison wards. Documentary data were also collected and analysed. Fieldnotes and interviews were transcribed and analysed thematically. Our findings suggested that the intervention did not produce the anticipated changes in communication and collaboration between health professionals, and allowed us to identify barriers to the implementation of effective collaboration interventions. Despite initially offering verbal support, senior physicians, nurses, and allied health professionals minimally explained the intervention to their junior colleagues and rarely role-modelled or reiterated support for it. Professional resistances as well as the fast paced, interruptive environment reduced opportunities or incentive to enhance restrictive interprofessional relationships. In a healthcare setting where face-to-face spontaneous interprofessional communication is not hostile but is rare and impersonal, the perceived benefits of improvement are insufficient to implement simple and potentially beneficial communication changes, in the face of habit, and absence of continued senior clinician and management support.

Using the intervention mapping protocol to develop a maintenance programme for the SLIMMER diabetes prevention intervention.

Science.gov (United States)

Elsman, Ellen B M; Leerlooijer, Joanne N; Ter Beek, Josien; Duijzer, Geerke; Jansen, Sophia C; Hiddink, Gerrit J; Feskens, Edith J M; Haveman-Nies, Annemien

2014-10-27

Although lifestyle interventions have shown to be effective in reducing the risk for type 2 diabetes mellitus, maintenance of achieved results is difficult, as participants often experience relapse after the intervention has ended. This paper describes the systematic development of a maintenance programme for the extensive SLIMMER intervention, an existing diabetes prevention intervention for high-risk individuals, implemented in a real-life setting in the Netherlands. The maintenance programme was developed using the Intervention Mapping protocol. Programme development was informed by a literature study supplemented by various focus group discussions and feedback from implementers of the extensive SLIMMER intervention. The maintenance programme was designed to sustain a healthy diet and physical activity pattern by targeting knowledge, attitudes, subjective norms and perceived behavioural control of the SLIMMER participants. Practical applications were clustered into nine programme components, including sports clinics at local sports clubs, a concluding meeting with the physiotherapist and dietician, and a return session with the physiotherapist, dietician and physical activity group. Manuals were developed for the implementers and included a detailed time table and step-by-step instructions on how to implement the maintenance programme. The Intervention Mapping protocol provided a useful framework to systematically plan a maintenance programme for the extensive SLIMMER intervention. The study showed that planning a maintenance programme can build on existing implementation structures of the extensive programme. Future research is needed to determine to what extent the maintenance programme contributes to sustained effects in participants of lifestyle interventions.

Training needs assessment of service providers: targeted intervention for HIV/AIDS in Jharkhand, India.

Science.gov (United States)

Kumar, Anant; Kumar, Prakash

2013-01-01

Training needs assessments are pivotal for any capacity building program. Building capacity of service providers and staff involved in HIV/AIDS intervention programs is crucial because of the distinct nature of such programs. It requires specific knowledge, skills, and attitudes that are of utmost importance, influencing the reach of the program and its impact in halting and reversing the epidemic. This study was conducted to identify the training needs assessment of personnel involved in targeted intervention for high risk populations vulnerable to HIV infection in Jharkhand, India. Through the study the authors critically examine the existing training needs and gaps and suggest strategies to address them.

Energy management study: A proposed case of government building

International Nuclear Information System (INIS)

Tahir, Mohamad Zamhari; Nawi, Mohd Nasrun Mohd; Baharum, Mohd Faizal

2015-01-01

Align with the current needs of the sustainable and green technology in Malaysian construction industry, this research is conducted to seek and identify opportunities to better manage energy use including the process of understand when, where, and how energy is used in a building. The purpose of this research is to provide a best practice guideline as a practical tool to assist construction industry in Malaysia to improve the energy efficiency of the office building during the post-production by reviewing the current practice of the building operation and maintenance in order to optimum the usage and reduce the amount of energy input into the building. Therefore, this paper will review the concept of maintenance management, current issue in energy management, and on how the research process will be conducted. There are several process involves and focuses on technical and management techniques such as energy metering, tracing, harvesting, and auditing based on the case study that will be accomplish soon. Accordingly, a case study is appropriate to be selected as a strategic research approach in which involves an empirical investigation of a particular contemporary phenomenon within its real life context using multiple sources of evidence for the data collection process. A Government office building will be selected as an appropriate case study for this research. In the end of this research, it will recommend a strategic approach or model in a specific guideline for enabling energy-efficient operation and maintenance in the office building

Energy management study: A proposed case of government building

Science.gov (United States)

Tahir, Mohamad Zamhari; Nawi, Mohd Nasrun Mohd; Baharum, Mohd Faizal

2015-05-01

Align with the current needs of the sustainable and green technology in Malaysian construction industry, this research is conducted to seek and identify opportunities to better manage energy use including the process of understand when, where, and how energy is used in a building. The purpose of this research is to provide a best practice guideline as a practical tool to assist construction industry in Malaysia to improve the energy efficiency of the office building during the post-production by reviewing the current practice of the building operation and maintenance in order to optimum the usage and reduce the amount of energy input into the building. Therefore, this paper will review the concept of maintenance management, current issue in energy management, and on how the research process will be conducted. There are several process involves and focuses on technical and management techniques such as energy metering, tracing, harvesting, and auditing based on the case study that will be accomplish soon. Accordingly, a case study is appropriate to be selected as a strategic research approach in which involves an empirical investigation of a particular contemporary phenomenon within its real life context using multiple sources of evidence for the data collection process. A Government office building will be selected as an appropriate case study for this research. In the end of this research, it will recommend a strategic approach or model in a specific guideline for enabling energy-efficient operation and maintenance in the office building.

Energy management study: A proposed case of government building

Energy Technology Data Exchange (ETDEWEB)

Tahir, Mohamad Zamhari; Nawi, Mohd Nasrun Mohd [School of Technology Management and Logistics, Universiti Utara Malaysia, 06010 Sintok, Kedah (Malaysia); Baharum, Mohd Faizal [School of Building, Housing and Planning, Universiti Sains Malaysia, 11800 Penang (Malaysia)

2015-05-15

Align with the current needs of the sustainable and green technology in Malaysian construction industry, this research is conducted to seek and identify opportunities to better manage energy use including the process of understand when, where, and how energy is used in a building. The purpose of this research is to provide a best practice guideline as a practical tool to assist construction industry in Malaysia to improve the energy efficiency of the office building during the post-production by reviewing the current practice of the building operation and maintenance in order to optimum the usage and reduce the amount of energy input into the building. Therefore, this paper will review the concept of maintenance management, current issue in energy management, and on how the research process will be conducted. There are several process involves and focuses on technical and management techniques such as energy metering, tracing, harvesting, and auditing based on the case study that will be accomplish soon. Accordingly, a case study is appropriate to be selected as a strategic research approach in which involves an empirical investigation of a particular contemporary phenomenon within its real life context using multiple sources of evidence for the data collection process. A Government office building will be selected as an appropriate case study for this research. In the end of this research, it will recommend a strategic approach or model in a specific guideline for enabling energy-efficient operation and maintenance in the office building.

Wifi-friendly building, enabling wifi signal indoor: an initial study

Science.gov (United States)

Suherman; Mubarakah, Naemah; Sagala, Romulo S.; Prayitno, Hendra

2018-03-01

The 802.11 network (wireless fidelity/WiFi) is the most common wireless infrastructure applied for internet access indoor. Widespread devices and installation simplicity make it better than similar technologies such as 802.16 and other 802.xx series. The access points are the most influential devices for indoor access. However, building indoor architectures contribute to the signal quality. Since WiFi installation in buildings becomes prevalent, the architecture should consider WiFi-friendliness into consideration. The more friendly the building to WiFi signal, the more efficient the 802.11 based wireless infrastructure. This paper present preliminary study how the building, specially the obstacle material, effects the WiFi signal propagation indoor. The study was performed by using ESP8266-based WiFi signal reader, to determine the impact indoor obstacles to WiFi signal propagation. The initial study shows that simple reflecting materials increase signal level about 1.14 dBm. WiFi-friendly building can be achieved by transforming building properties into signal interconnector. A simple photo frame with aluminium sheet insertion increase signal level on the second floor up to 6.56dBm.

RETROFITTING DENIZ PALACE HISTORIC BUILDING FOR REUSING

Directory of Open Access Journals (Sweden)

Ezgi KORKMAZ

2013-01-01

Full Text Available There is a big stock of historic structures in Turkey. Many of those structures continue to serve by changing their functions which brings new loads to the building. During their long life, historic structures have experienced many actions occurred over long periods of time and endured long term deteriorating effects and earthquake loads, besides these effects changing of the function affects the load bearing capacity of the building. This study is focused on restoration and retrofitting of historic multi storey masonry building named Deniz Palace Building which is located in Istanbul where the whole city is seismic prone area itself. Earthquake resistance is the main purpose of decision for retrofitting and strengthening of the building. In this sense walls are sheathed by concrete, floors are strengthened by steel I profiles and concrete, and foundations are reconstructed. During the restoration, interventions are made based on prevention of historic values. Static calculations are done particularly. For this purpose, foundation retrofitting is made primarily and some critical walls are sheathed by concrete. Fire protection system is designed and according to the evacuation plan some additions such as elevator shaft are constructed.

Developing a change model for peer worker interventions in mental health services: a qualitative research study.

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Gillard, S; Gibson, S L; Holley, J; Lucock, M

2015-10-01

A range of peer worker roles are being introduced into mental health services internationally. There is some evidence that attests to the benefits of peer workers for the people they support but formal trial evidence in inconclusive, in part because the change model underpinning peer support-based interventions is underdeveloped. Complex intervention evaluation guidance suggests that understandings of how an intervention is associated with change in outcomes should be modelled, theoretically and empirically, before the intervention can be robustly evaluated. This paper aims to model the change mechanisms underlying peer worker interventions. In a qualitative, comparative case study of ten peer worker initiatives in statutory and voluntary sector mental health services in England in-depth interviews were carried out with 71 peer workers, service users, staff and managers, exploring their experiences of peer working. Using a Grounded Theory approach we identified core processes within the peer worker role that were productive of change for service users supported by peer workers. Key change mechanisms were: (i) building trusting relationships based on shared lived experience; (ii) role-modelling individual recovery and living well with mental health problems; (iii) engaging service users with mental health services and the community. Mechanisms could be further explained by theoretical literature on role-modelling and relationship in mental health services. We were able to model process and downstream outcomes potentially associated with peer worker interventions. An empirically and theoretically grounded change model can be articulated that usefully informs the development, evaluation and planning of peer worker interventions.

Human exposure to emissions from building materials

DEFF Research Database (Denmark)

Kjærgaard, S.; Hauschildt, P.; Pejtersen, Jan

1999-01-01

found on peak flow, eye foam formation, tear fluid cells, or conjunctival epithelial damage. Among subjective evaluations only sound intensity rating was significant. A correlation was found between acute nose irritation rating and change in nasal volume.Conclusions. The findings indicate physiological......Objectives. Reactions to emissions from building matrials were studied in a climate chamber as part of an intervention study in an office building. New and existing flooring materials were compared with regard to comfort and health.Methods. Twenty subjects were exposed four times for six hours...... respectively to clean air, to emissions from linoleum, from carpet, and from an alternative new vinyl. Measurements of objective and subjective effects were made.Results. Tear film stability decreased after exposure to linoleum. The nasal volume decreased near-significantly for all exposures. No effects were...

Study of radiation dose reduction of buildings of different sizes and materials

International Nuclear Information System (INIS)

Furuta, Takuya; Takahashi, Fumiaki

2015-01-01

The dependence of radiation dose reduction on the sizes and materials of buildings was studied by numerical analyses using the Monte Carlo simulation code, PHITS. The dose rates inside the buildings were calculated by simulating gamma-ray transport from radioactive cesium deposited at the ground surface. Three building models were developed: the wooden house, the open-space concrete building, and the thin-wall building, to study the effect of building size and construction material on dose reduction inside these structures. Here the floor-area sizes of the building models were varied to clarify the influence of building configuration on dose reduction. The results demonstrated that the dose rates inside the buildings linearly decreased with increasing floor area on a logarithmic scale for all types of buildings considered. The calculated dose distribution inside a building indicated that the distance from the outer walls was a determining factor for the dose rate at each position in the building. The obtained tendency was verified by comparison with data reflecting the dose reduction of typical buildings in Japan. (author)

Health and economic benefits of building ventilation interventions for reducing indoor PM2.5 exposure from both indoor and outdoor origins in urban Beijing, China.

Science.gov (United States)

Yuan, Ye; Luo, Zhiwen; Liu, Jing; Wang, Yaowu; Lin, Yaoyu

2018-06-01

China is confronted with serious PM 2.5 pollution, especially in the capital city of Beijing. Exposure to PM 2.5 could lead to various negative health impacts including premature mortality. As people spend most of their time indoors, the indoor exposure to PM 2.5 from both indoor and outdoor origins constitutes the majority of personal exposure to PM 2.5 pollution. Different building interventions have been introduced to mitigate indoor PM 2.5 exposure, but always at the cost of energy expenditure. In this study, the health and economic benefits of different ventilation intervention strategies for reducing indoor PM 2.5 exposure are modeled using a representative urban residence in Beijing, with consideration of different indoor PM 2.5 emission strengths and outdoor pollution. Our modeling results show that the increase of envelope air-tightness can achieve significant economic benefits when indoor PM 2.5 emissions are absent; however, if an indoor PM 2.5 source is present, the benefits only increase slightly in mechanically ventilated buildings, but may show negative benefit without mechanical ventilation. Installing mechanical ventilation in Beijing can achieve annual economic benefits ranging from 200yuan/capita to 800yuan/capita if indoor PM 2.5 sources exist. If there is no indoor emission, the annual benefits above 200yuan/capita can be achieved only when the PM 2.5 filtration efficiency is no urban Beijing will increase the indoor PM 2.5 exposure and result in excess costs to the residents. Copyright © 2018 Elsevier B.V. All rights reserved.

Value of Coaching in Building Leadership Capacity of Principals in Urban Schools

Science.gov (United States)

Farver, Anita R.; Holt, Carleton R.

2015-01-01

The purpose of this qualitative case study was to understand how coaching support structures enabled and sustained leadership practices of urban principals. The study investigated how the intervention of coaching for academic leaders can serve as evidence-based professional development for building leadership capacity. The central focus was on…

Active buildings: modelling physical activity and movement in office buildings. An observational study protocol.

Science.gov (United States)

Smith, Lee; Ucci, Marcella; Marmot, Alexi; Spinney, Richard; Laskowski, Marek; Sawyer, Alexia; Konstantatou, Marina; Hamer, Mark; Ambler, Gareth; Wardle, Jane; Fisher, Abigail

2013-11-12

Health benefits of regular participation in physical activity are well documented but population levels are low. Office layout, and in particular the number and location of office building destinations (eg, print and meeting rooms), may influence both walking time and characteristics of sitting time. No research to date has focused on the role that the layout of the indoor office environment plays in facilitating or inhibiting step counts and characteristics of sitting time. The primary aim of this study was to investigate associations between office layout and physical activity, as well as sitting time using objective measures. Active buildings is a unique collaboration between public health, built environment and computer science researchers. The study involves objective monitoring complemented by a larger questionnaire arm. UK office buildings will be selected based on a variety of features, including office floor area and number of occupants. Questionnaires will include items on standard demographics, well-being, physical activity behaviour and putative socioecological correlates of workplace physical activity. Based on survey responses, approximately 30 participants will be recruited from each building into the objective monitoring arm. Participants will wear accelerometers (to monitor physical activity and sitting inside and outside the office) and a novel tracking device will be placed in the office (to record participant location) for five consecutive days. Data will be analysed using regression analyses, as well as novel agent-based modelling techniques. The results of this study will be disseminated through peer-reviewed publications and scientific presentations. Ethical approval was obtained through the University College London Research Ethics Committee (Reference number 4400/001).

Foundations of intervention research in instrumental practice

Directory of Open Access Journals (Sweden)

Johannes Lunde Hatfield

2016-01-01

Full Text Available The goals of the present study are to evaluate, implement, and adapt psychological skills used in the realm of sports into music performance. This research project also aims to build foundations on how to implement future interventions to guide music students on how to optimize practice toward performance. A two-month psychological skills intervention was provided to two students from the national music academy’s bachelor program in music performance to better understand how to adapt and construct psychological skills training programs for performing music students. The program evaluated multiple intervention tools including the use of questionnaires, performance profiling, iPads, electronic practice logs, recording the perceived value of individual and combined work, as well as the effectiveness of different communication forms. Perceived effects of the intervention were collected through semi-structured interviews, observations, and logs.

Patient-centred communication intervention study to evaluate nurse-patient interactions in complex continuing care

Science.gov (United States)

2012-01-01

Background Communication impairment is a frequent consequence of stroke. Patients who cannot articulate their needs respond with frustration and agitation, resulting in poor optimization of post-stroke functions. A key component of patient-centred care is the ability of staff to communicate in a way that allows them to understand the patient’s needs. We developed a patient-centred communication intervention targeting registered and unregulated nursing staff caring for complex continuing care patients with communication impairments post stroke. Research objectives include 1) examining the effects of the intervention on patients’ quality of life, depression, satisfaction with care, and agitation; and (2) examining the extent to which the intervention improves staff’s attitudes and knowledge in caring for patients with communication impairments. The intervention builds on a previous pilot study. Methods/design A quasi-experimental repeated measures non-equivalent control group design in a complex continuing care facility is being used. Patients with a communication impairment post-stroke admitted to the facility are eligible to participate. All staff nurses are eligible. Baseline data are collected from staff and patients. Follow-up will occur at 1 and 3 months post-intervention. Subject recruitment and data collection from 60 patients and 30 staff will take approximately 36 months. The Patient-Centred Communication Intervention consists of three components: (1) development of an individualized patient communication care plan; (2) a one-day workshop focused on communication and behavioural management strategies for nursing staff; and (3) a staff support system. The intervention takes comprehensive patient assessments into account to inform the development of communication and behavioural strategies specifically tailored to each patient. Discussion The Patient-Centred Communication Intervention will provide staff with strategies to facilitate interactions with

Patient-centred communication intervention study to evaluate nurse-patient interactions in complex continuing care

Directory of Open Access Journals (Sweden)

McGilton Katherine S

2012-10-01

Full Text Available Abstract Background Communication impairment is a frequent consequence of stroke. Patients who cannot articulate their needs respond with frustration and agitation, resulting in poor optimization of post-stroke functions. A key component of patient-centred care is the ability of staff to communicate in a way that allows them to understand the patient’s needs. We developed a patient-centred communication intervention targeting registered and unregulated nursing staff caring for complex continuing care patients with communication impairments post stroke. Research objectives include 1 examining the effects of the intervention on patients’ quality of life, depression, satisfaction with care, and agitation; and (2 examining the extent to which the intervention improves staff’s attitudes and knowledge in caring for patients with communication impairments. The intervention builds on a previous pilot study. Methods/design A quasi-experimental repeated measures non-equivalent control group design in a complex continuing care facility is being used. Patients with a communication impairment post-stroke admitted to the facility are eligible to participate. All staff nurses are eligible. Baseline data are collected from staff and patients. Follow-up will occur at 1 and 3 months post-intervention. Subject recruitment and data collection from 60 patients and 30 staff will take approximately 36 months. The Patient-Centred Communication Intervention consists of three components: (1 development of an individualized patient communication care plan; (2 a one-day workshop focused on communication and behavioural management strategies for nursing staff; and (3 a staff support system. The intervention takes comprehensive patient assessments into account to inform the development of communication and behavioural strategies specifically tailored to each patient. Discussion The Patient-Centred Communication Intervention will provide staff with strategies to

Qualitative "trial-sibling" studies and "unrelated" qualitative studies contributed to complex intervention reviews.

Science.gov (United States)

Noyes, Jane; Hendry, Margaret; Lewin, Simon; Glenton, Claire; Chandler, Jackie; Rashidian, Arash

2016-06-01

To compare the contribution of "trial-sibling" and "unrelated" qualitative studies in complex intervention reviews. Researchers are using qualitative "trial-sibling" studies undertaken alongside trials to provide explanations to understand complex interventions. In the absence of qualitative "trial-sibling" studies, it is not known if qualitative studies "unrelated" to trials are helpful. Trials, "trial-sibling," and "unrelated" qualitative studies looking at three health system interventions were identified. We looked for similarities and differences between the two types of qualitative studies, such as participants, intervention delivery, context, study quality and reporting, and contribution to understanding trial results. Reporting was generally poor in both qualitative study types. We detected no substantial differences in participant characteristics. Interventions in qualitative "trial-sibling" studies were delivered using standardized protocols, whereas interventions in "unrelated" qualitative studies were delivered in routine care. Qualitative "trial-sibling" studies alone provided insufficient data to develop meaningful transferrable explanations beyond the trial context, and their limited focus on immediate implementation did not address all phenomena of interest. Together, "trial-sibling" and "unrelated" qualitative studies provided larger, richer data sets across contexts to better understand the phenomena of interest. Findings support inclusion of "trial-sibling" and "unrelated" qualitative studies to explore complexity in complex intervention reviews. Copyright © 2016 Elsevier Inc. All rights reserved.

Radioactivity of natural and artificial building materials - a comparative study.

Science.gov (United States)

Szabó, Zs; Völgyesi, P; Nagy, H É; Szabó, Cs; Kis, Z; Csorba, O

2013-04-01

Building materials and their additives contain radioactive isotopes, which can increase both external and internal radioactive exposures of humans. In this study Hungarian natural (adobe) and artificial (brick, concrete, coal slag, coal slag concrete and gas silicate) building materials were examined. We qualified 40 samples based on their radium equivalent, activity concentration, external hazard and internal hazard indices and the determined threshold values of these parameters. Absorbed dose rate and annual effective dose for inhabitants living in buildings made of these building materials were also evaluated. The calculations are based on (226)Ra, (232)Th and (40)K activity concentrations determined by gamma-ray spectrometry. Measured radionuclide concentrations and hence, calculated indices and doses of artificial building materials show a rather disparate distribution compared to adobes. The studied coal slag samples among the artificial building materials have elevated (226)Ra content. Natural, i.e. adobe and also brick samples contain higher amount of (40)K compared to other artificial building materials. Correlation coefficients among radionuclide concentrations are consistent with the values in the literature and connected to the natural geochemical behavior of U, Th and K elements. Seven samples (coal slag and coal slag concrete) exceed any of the threshold values of the calculated hazard indices, however only three of them are considered to be risky to use according to the fact that the building material was used in bulk amount or in restricted usage. It is shown, that using different indices can lead to different conclusions; hence we recommend considering more of the indices at the same time when building materials are studied. Additionally, adding two times their statistical uncertainties to their values before comparing to thresholds should be considered for providing a more conservative qualification. We have defined radon hazard portion to point

Preventing Sexual Violence Through Bystander Intervention: Attitudes, Behaviors, Missed Opportunities, and Barriers to Intervention Among Australian University Students.

Science.gov (United States)

Kania, Rachel; Cale, Jesse

2018-03-01

The concept of bystander intervention is gaining popularity in universities as a mechanism to prevent sexual violence. Prior research has focused on correlates of bystanders' intentions to intervene and intervention behaviors in situations where there is a risk of sexual violence. The current study builds on this literature by exploring the nature of missed opportunities, including perceived barriers to intervention. In all, 380 Australian undergraduate university students completed an online survey. Measures included a rape myth acceptance scale, bystander intentions to intervene, actual intervention behaviors, missed opportunities for intervention, and perceived barriers for missed opportunities. Promisingly, students reported high levels of intentions to intervene in situations where there was a risk of sexual violence and reported relatively few missed opportunities to do so when these situations did occur. Intervention behaviors varied by important demographic characteristics such as gender, age, attitudes toward sexual violence, and the nature of the situation. Younger female students, with lower levels of rape myth acceptance, who had previously engaged in bystander intervention behaviors were more likely to report intentions to intervene in future risky situations, and female international students reported fewer missed opportunities for intervention. The most common barrier to intervention for identified missed opportunities was a failure to recognize situations as having a potential risk for sexual violence, and students were most likely to intervene in situations when the opportunity to help a friend in distress arose. This study provides some preliminary empirical evidence about bystander intervention against sexual violence among Australian university students, and identifies unique contexts for intervention and what current barriers to intervention may be.

Work in Progress: The Seven Rs of Team Building

Science.gov (United States)

Brunelli, Jean; Schneider, Elaine Fogel

2004-01-01

This article argues that supportive teams--including professionals, paraprofessionals, and parents--can teach staff members how to identify and implement best practices in early intervention settings. The authors describe "the seven Rs of team building" distilled from their many years of team building and maintenance: 1) Reading cues; 2) Regular…

Dynamics of Implementation and Maintenance of Organizational Health Interventions.

Science.gov (United States)

Jalali, Mohammad S; Rahmandad, Hazhir; Bullock, Sally Lawrence; Ammerman, Alice

2017-08-15

In this study, we present case studies to explore the dynamics of implementation and maintenance of health interventions. We analyze how specific interventions are built and eroded, how the building and erosion mechanisms are interconnected, and why we can see significantly different erosion rates across otherwise similar organizations. We use multiple comparative obesity prevention case studies to provide empirical information on the mechanisms of interest, and use qualitative systems modeling to integrate our evolving understanding into an internally consistent and transparent theory of the phenomenon. Our preliminary results identify reinforcing feedback mechanisms, including design of organizational processes, motivation of stakeholders, and communication among stakeholders, which influence implementation and maintenance of intervention components. Over time, these feedback mechanisms may drive a wedge between otherwise similar organizations, leading to distinct configurations of implementation and maintenance processes.

Study of intelligent building system based on the internet of things

Science.gov (United States)

Wan, Liyong; Xu, Renbo

2017-03-01

In accordance with the problem such as isolated subsystems, weak system linkage and expansibility of the bus type buildings management system, this paper based on the modern intelligent buildings has studied some related technologies of the intelligent buildings and internet of things, and designed system architecture of the intelligent buildings based on the Internet of Things. Meanwhile, this paper has also analyzed wireless networking modes, wireless communication protocol and wireless routing protocol of the intelligent buildings based on the Internet of Things.

On the effectiveness of smart technologies in the seismic protection of existing buildings Part I: Masonry structures

International Nuclear Information System (INIS)

Mandara, A.; Ramundo, F.; Spina, G.

2008-01-01

The first part of a study concerning innovative intervention techniques for dissipate a share of the input seismic energy compatible with the preservation of existing buildings, including historical and monumental constructions, is presented in this paper. The case of a typical scheme of a long-bay box-like masonry building fitted with a dissipative floating roof is analyzed. In the examined building a wide simulation analysis has shown the achievement of a very satisfying performance. Furthermore, the effectiveness of the system can be maximized by means of active or semi-active devices implemented in the floating roof and a significant reduction of the seismic impact on the building can be obtained compared with non-controlled or simply passively controlled structure. The results prove the remarkable increase of the energy dissipation capability of the system, as well as the reduction of structural damage, independently of any specific strengthening intervention

A search strategy for occupational health intervention studies

NARCIS (Netherlands)

Verbeek, J.; Salmi, J.; Pasternack, I.; Jauhiainen, M.; Laamanen, I.; Schaafsma, F.; Hulshof, C.; van Dijk, F.

2005-01-01

As a result of low numbers and diversity in study type, occupational health intervention studies are not easy to locate in electronic literature databases. To develop a search strategy that facilitates finding occupational health intervention studies in Medline, both for researchers and

Energy Efficiency of Higher Education Buildings: A Case Study

Science.gov (United States)

Soares, Nelson; Pereira, Luísa Dias; Ferreira, João; Conceição, Pedro; da Silva, Patrícia Pereira

2015-01-01

Purpose: This paper aims to propose an energy efficiency plan (with technical and behavioural improvement measures) for a Portuguese higher education building--the Teaching Building of the Faculty of Economics of the University of Coimbra (FEUC). Design/methodology/approach: The study was developed in the context of both the "Green…

ITER [International Thermonuclear Experimental Reactor] reactor building design study

International Nuclear Information System (INIS)

Thomson, S.L.; Blevins, J.D.; Delisle, M.W.

1989-01-01

The International Thermonuclear Experimental Reactor (ITER) is at the midpoint of a two-year conceptual design. The ITER reactor building is a reinforced concrete structure that houses the tokamak and associated equipment and systems and forms a barrier between the tokamak and the external environment. It provides radiation shielding and controls the release of radioactive materials to the environment during both routine operations and accidents. The building protects the tokamak from external events, such as earthquakes or aircraft strikes. The reactor building requirements have been developed from the component designs and the preliminary safety analysis. The equipment requirements, tritium confinement, and biological shielding have been studied. The building design in progress requires continuous iteraction with the component and system designs and with the safety analysis. 8 figs

Building a framework for theory-based ethnographies for studying intergenerational family food practices.

Science.gov (United States)

Visser, Sanne Siete; Hutter, Inge; Haisma, Hinke

2016-02-01

The growing rates of (childhood) obesity worldwide are a source concern for health professionals, policy-makers, and researchers. The increasing prevalence of associated diseases-such as diabetes, cardiovascular diseases, and psychological problems-shows the impact of obesity on people's health, already from a young age. In turn, these problems have obvious consequences for the health care system, including higher costs. However, the treatment of obesity has proven to be difficult, which makes prevention an important goal. In this study, we focus on food practices, one of the determinants of obesity. In recent years, it has become increasingly clear that interventions designed to encourage healthy eating of children and their families are not having the desired impact, especially among groups with a lower socioeconomic background (SEB). To understand why interventions fail to have an impact, we need to study the embedded social and cultural constructions of families. We argue that we need more than just decision-making theories to understand this cultural embeddedness, and to determine what cultural and social factors influence the decision-making process. By allowing families to explain their cultural background, their capabilities, and their opportunities, we will gain new insights into how families choose what they eat from a complex set of food choices. We have thus chosen to build a framework based on Sen's capability approach and the theory of cultural schemas. This framework, together with a holistic ethnographic research approach, can help us better understand what drives the food choices made in families. The framework is built to serve as a starting point for ethnographic research on food choice in families, and could contribute to the development of interventions that are embedded in the cultural realities of the targeted groups. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

AMPLITION IN THE WORKPLACE: BUILDING A SUSTAINABLE WORKFORCE THROUGH INDIVIDUAL POSITIVE PSYCHOLOGICAL INTERVENTIONS

Directory of Open Access Journals (Sweden)

Pascale M. Le Blanc

2016-09-01

Full Text Available Workforce sustainability is of vital utmost importance for the viability and competitive advantage of contemporary organizations. Therefore, and in parallel with the rise of positive organizational psychology, organizations have become increasingly interested in how to enhance their employees’ positive psychological well being. In this paper, amplition interventions – i.e. interventions aimed at enhancing positive work-related well being - are presented as a valuable tool to increase workforce sustainability. In the past decade, some work-related interventions focused on amplition have been developed and tested for their effectiveness. In this paper, we will first outline some important preconditions for successful interventions and briefly discuss the intervention process itself. Next, we will give an overview of empirical work on amplition interventions, focusing on interventions that are aimed at enhancing employee work engagement. Future research should focus on testing the effects of these type of interventions on outcomes at the team and organizational level.

Passive fire building protection system evaluation (case study: millennium ict centre)

Science.gov (United States)

Rahman, Vinky; Stephanie

2018-03-01

Passive fire protection system is a system that refers to the building design, both regarding of architecture and structure. This system usually consists of structural protection that protects the structure of the building and prevents the spread of fire and facilitate the evacuation process in case of fire. Millennium ICT Center is the largest electronic shopping center in Medan, Indonesia. As a public building that accommodates the crowd, this building needs a fire protection system by the standards. Therefore, the purpose of this study is to evaluate passive fire protection system of Millennium ICT Center building. The study was conducted to describe the facts of the building as well as direct observation to the research location. The collected data is then processed using the AHP (Analytical Hierarchy Process) method in its weighting process to obtain the reliability value of passive fire protection fire system. The results showed that there are some components of passive fire protection system in the building, but some are still unqualified. The first section in your paper

Passive solar design studies for non-domestic buildings. Case studies

Energy Technology Data Exchange (ETDEWEB)

1988-01-01

Of the passive solar designs reported, those for a light industrial building, a nurses hostel and a low rise office block were considered to be clearly cost effective. A retrofit study of a secondary school showed that incorporating passive solar measures into refurbishment could be cost effective. Designs for a sports hall and medium rise office block were considered to be only marginally cost effective and those for a hotel bedroom block and DIY superstore were judged not to be cost effective. The maximization of daylight penetration coupled with controls on the lighting systems produced the main energy saving. This orientation, built form, fenestration, window shape, perimeter (and overhead) daylight and atria were primary solar features. Direct gain considered in conjunction with building weight/response factor could contribute to a lesser degree. Trombe walls were shown to be generally uneconomic for this type of building and conservatories contributed to amenity value more than to savings.

Maintenance of the telephone exchange in building 40

CERN Multimedia

2006-01-01

In order to secure the power supply of the telephone exchange in building 40, a maintenance will be done on the 18th of December from 7.30 am to 8 am. During this intervention, the fixed telephony services in building 39 and 40 will be interrupted. The fixed telephony services in other CERN buildings won't be affected by this maintenance. The mobile telephony services (GSM) won't be affected. For more details, please send your questions to Standard.Telephone@cern.ch Telecom Services IT/CS

Maintenance of the telephone exchange in building 40

CERN Multimedia

2006-01-01

In order to secure the power supply of the telephone exchange in Building 40, maintenance work will be done on 18th December from 7.30 am to 8 am. During this intervention, the fixed telephone services in Building 39 and 40 will be interrupted. The fixed telephone services in other CERN buildings will not be affected by this maintenance. The mobile telephone services (GSM) will not be affected. For more details, please send your questions to Standard.Telephone@cern.ch Telecom Services IT/CS

Using the Medical Research Council framework for the development and evaluation of complex interventions in a theory-based infant feeding intervention to prevent childhood obesity: the baby milk intervention and trial.

Science.gov (United States)

Lakshman, Rajalakshmi; Griffin, Simon; Hardeman, Wendy; Schiff, Annie; Kinmonth, Ann Louise; Ong, Ken K

2014-01-01

We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients) and healthcare professionals (intervention deliverers) to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial.

Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial

Directory of Open Access Journals (Sweden)

Rajalakshmi Lakshman

2014-01-01

Full Text Available Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients and healthcare professionals (intervention deliverers to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial.

Energy Benchmarking in Educational Buildings through Cluster Analysis of Energy Retrofitting

Directory of Open Access Journals (Sweden)

Paola Marrone

2018-03-01

Full Text Available A large part of the stock of Italian educational buildings have undertaken energy retrofit interventions, thanks to European funds allocated by complex technical-administrative calls. In these projects, the suggested retrofit strategies are often selected based on the common best practices (considering average energy savings but are not supported by proper energy investigations. In this paper, Italian school buildings’ stock was analyzed by cluster analysis with the aim of providing a methodology able to identify the best energy retrofit interventions from the perspective of cost-benefit, and to correlate them with the specific characteristics of the educational buildings. This research is based on the analysis of about 80 school buildings located in central Italy and characterized by different features and construction technologies. The refurbished buildings were classified in homogeneous clusters and, for each of them, the most representative building was identified. Furthermore, for each representative building a validating procedure based on dynamic simulations and a comparison with actual energy use was performed. The two buildings thus singled out provide a model that could be developed into a useful tool for Public Administrations to suggest priorities in the planning of new energy retrofits of existing school building stocks.

External validity of post-stroke interventional gait rehabilitation studies.

Science.gov (United States)

Kafri, Michal; Dickstein, Ruth

2017-01-01

Gait rehabilitation is a major component of stroke rehabilitation, and is supported by extensive research. The objective of this review was to examine the external validity of intervention studies aimed at improving gait in individuals post-stroke. To that end, two aspects of these studies were assessed: subjects' exclusion criteria and the ecological validity of the intervention, as manifested by the intervention's technological complexity and delivery setting. Additionally, we examined whether the target population as inferred from the titles/abstracts is broader than the population actually represented by the reported samples. We systematically researched PubMed for intervention studies to improve gait post-stroke, working backwards from the beginning of 2014. Exclusion criteria, the technological complexity of the intervention (defined as either elaborate or simple), setting, and description of the target population in the titles/abstracts were recorded. Fifty-two studies were reviewed. The samples were exclusive, with recurrent stroke, co-morbidities, cognitive status, walking level, and residency being major reasons for exclusion. In one half of the studies, the intervention was elaborate. Descriptions of participants in the title/abstract in almost one half of the studies included only the diagnosis (stroke or comparable terms) and its stage (acute, subacute, and chronic). The external validity of a substantial number of intervention studies about rehabilitation of gait post-stroke appears to be limited by exclusivity of the samples as well as by deficiencies in ecological validity of the interventions. These limitations are not accurately reflected in the titles or abstracts of the studies.

Continuous commissioning of buildings: A case study of a campus building in Denmark

DEFF Research Database (Denmark)

Markoska, Elena; Jradi, Muhyiddine; Jørgensen, Bo Nørregaard

2016-01-01

The general trend in building commissioning is that the commissioning is often either insufficiently comprehensive in its execution, or it is not conducted at all. As such, it has been observed that buildings often will contain faults that have not been discovered during the commissioning phase....... In this paper, we present a framework for continuous verification and commissioning of a building with a set of performance tests that are able to monitor the performance and functionality with a daily granularity. The performance tests are run on a newly constructed campus building in Denmark, over the course...... of three months, and the results of the performance tests are presented within a dashboard application, which helps verify that the building is performing accordingly to its original design intent....

The Fidelity of Implementation of the Response to Intervention (RTI) Process in Missouri Public Schools

Science.gov (United States)

Drury, Debra A.

2014-01-01

The purpose of this problem-based study was to gather data which analyzed the degree of fidelity of implementation of Response to Intervention as reported by building principals in the State of Missouri. The project began when team members, providing professional development for the Response to Intervention process, came to the conclusion there…

Building Kindergartners' Number Sense: A Randomized Controlled Study.

Science.gov (United States)

Jordan, Nancy C; Glutting, Joseph; Dyson, Nancy; Hassinger-Das, Brenna; Irwin, Casey

2012-08-01

Math achievement in elementary school is mediated by performance and growth in number sense during kindergarten. The aim of the present study was to test the effectiveness of a targeted small group number sense intervention for high-risk kindergartners from low-income communities. Children were randomly assigned to one of three groups ( n = 44 in each group): a number sense intervention group, a language intervention group, or a business as usual control group. Accounting for initial skill level in mathematical knowledge, children who received the number sense intervention performed better than controls at immediate post test, with meaningful effects on measures of number competencies and general math achievement. Many of the effects held eight weeks after the intervention was completed, suggesting that children internalized what they had learned. There were no differences between the language and control groups on any math-related measures.

Healthcare professionals and managers' participation in developing an intervention: A pre-intervention study in the elderly care context

Directory of Open Access Journals (Sweden)

Bergman Howard

2009-04-01

Full Text Available Abstract Background In order to increase the chances of success in new interventions in healthcare, it is generally recommended to tailor the intervention to the target setting and the target professionals. Nonetheless, pre-intervention studies are rarely conducted or are very limited in scope. Moreover, little is known about how to integrate the results of a pre-intervention study into an intervention. As part of a project to develop an intervention aimed at improving care for the elderly in France, a pre-intervention study was conducted to systematically gather data on the current practices, issues, and expectations of healthcare professionals and managers in order to determine the defining features of a successful intervention. Methods A qualitative study was carried out from 2004 to 2006 using a grounded theory approach and involving a purposeful sample of 56 healthcare professionals and managers in Paris, France. Four sources of evidence were used: interviews, focus groups, observation, and documentation. Results The stepwise approach comprised three phases, and each provided specific results. In the first step of the pre-intervention study, we gathered data on practices, perceived issues, and expectations of healthcare professionals and managers. The second step involved holding focus groups in order to define the characteristics of a tailor-made intervention. The third step allowed validation of the findings. Using this approach, we were able to design and develop an intervention in elderly care that met the professionals' and managers' expectations. Conclusion This article reports on an in-depth pre-intervention study that led to the design and development of an intervention in partnership with local healthcare professionals and managers. The stepwise approach represents an innovative strategy for developing tailored interventions, particularly in complex domains such as chronic care. It highlights the usefulness of seeking out the

Study on vertical seismic response model of BWR-type reactor building

International Nuclear Information System (INIS)

Konno, T.; Motohashi, S.; Izumi, M.; Iizuka, S.

1993-01-01

A study on advanced seismic design for LWR has been carried out by the Nuclear Power Engineering Corporation (NUPEC), under the sponsorship of the Ministry of International Trade and Industry (MITI) of Japan. As a part of the study, it has been investigated to construct an accurate analytical model of reactor buildings for a seismic response analysis, which can reasonably represent dynamic characteristics of the building. In Japan, vibration models of reactor buildings for horizontal ground motion have been studied and examined through many simulation analyses for forced vibration tests and earthquake observations of actual buildings. And now it is possible to establish a reliable horizontal vibration model on the basis of multi-lumped mass and spring model. However, vertical vibration models have not been so much studied as horizontal models, due to less observed data for vertical motions. In this paper, the vertical seismic response models of a BWR-type reactor building including soil-structure interaction effect are numerically studied, by comparing the dynamic characteristics of (1) three dimensional finite element model, (2) multi-stick lumped mass model with a flexible base-mat, (3) multi-stick lumped mass model with a rigid base-mat and (4) single-stick lumped mass model. In particular, the BWR-type reactor building has the long span truss roof which is considered to be one of the critical members to vertical excitation. The modelings of the roof trusses are also studied

Effects Of HIV stigma reduction interventions in diasporic communities: insights from the CHAMP study.

Science.gov (United States)

Li, Alan Tai-Wai; Fung, Kenneth Po-Lun; Maticka-Tyndale, Eleanor; Wong, Josephine Pui-Hing

2018-06-01

Racialized diasporic communities in Canada experience disproportionate burden of HIV infection. Their increased vulnerabilities are associated with interlocking challenges, including barriers in accessing resources, migration and settlement stress, and systemic exclusion. Further, people living with HIV (PLHIV) in these diasporic communities face stigma and discrimination in both mainstream Canadian society as well as their own ethno-racial communities. HIV stigma negatively impacts all aspects of HIV care, from testing to disclosure to treatment and ongoing care. In response to these challenges, a Toronto based community organization developed and implemented the CHAMP project to engage people living with HIV/AIDS (PLHIV) and leaders from different service sectors from the African/Caribbean, Asian and Latino communities to explore challenges and strategies to reduce HIV stigma and build community resilience. The study engaged 66 PLHIV and ethno-racial leaders from faith, media and social justice sectors in two stigma-reduction training programs: Acceptance Commitment Therapy Training (ACT) and Social Justice Capacity Building (SJCB). Data collection included pre-and post- intervention surveys, focus groups and monthly activity logs. Participants were followed for a year and data on changes in the participants' attitudes and behaviors as well as their actual engagement in HIV prevention, PLHIV support and stigma reduction activities were collected. CHAMP results showed that the interventions were effective in reducing HIV stigma and increasing participants' readiness to take action towards positive social change. Participants' activity logs over a period of 9 months after completing the training showed they had engaged in 1090 championship activities to advocate for HIV related health equity and social justice issues affecting racialized and newcomer PLHIV and communities.

The effects of the Odense Overweight Intervention Study

DEFF Research Database (Denmark)

Larsen, Kristian Traberg; Huang, Tao; Ried-Larsen, Mathias

of the DCIA in BMI z-score, clustered risk z-score, systolic blood pressure, abdominal fat-%, waist circumference, cardiorespiratory fitness, and total cholesterol/HDL ratio. In body fat-%, waist circumference and triglycerides, there is only a significant group difference at 6 weeks and not at 52 weeks......Aim: The primary aim of the study is to evaluate the effect of the Odense Overweight Intervention Study on BMI development. Methods: The OOIS is a semi-blinded randomized controlled trial with three measurement occasions. Participants were allocated into two intervention arms; a day camp...... intervention arm (DCIA) and a standard intervention arm (SIA). For the DCIA the camp lasted for six weeks and consisted of fun-based physical activities, healthy eating, and health classes. The following 10 months a family based intervention was accomplished. The SIA was offered a weekly activity session...

Bodies, building and bricks: Women architects and builders in eight eco-communities in Argentina, Britain, Spain, Thailand and USA

OpenAIRE

Pickerill, J.

2015-01-01

Eco-building is a male domain where men are presumed to be better builders and designers, more men than women build and women find their design ideas and contributions to eco-building are belittled. This article suggests that a focus on bodies, embodiment and the ‘doing’ of building is a potentially productive way to move beyond current gender discrimination. This article makes three key interventions using empirical material from eight case studies of eco-communities in Britain, Thailand, Sp...

Building energy governance in Shanghai

Science.gov (United States)

Kung, YiHsiu Michelle

With Asia's surging economies and urbanization, the region is adding to its built environment at an unprecedented rate, especially those population centers in China and India. With numerous existing buildings, plus a new building boom, construction in these major Asian cities has caused momentous sustainability challenges. This dissertation focuses on China's leading city, Shanghai, to explore and assess its existing commercial building energy policies and practices. Research estimates that Shanghai's commercial buildings might become a key challenge with regard to energy use and CO2 emissions as compared to other major Asian cities. Relevant building energy policy instruments at national and local levels for commercial buildings are reviewed. In addition, two benchmarks are established to further assess building energy policies in Shanghai. The first benchmark is based on the synthesis of relevant criteria and policy instruments as recommended by professional organizations, while the second practical benchmark is drawn from an analysis of three global cities: New York, London and Tokyo. Moreover, two large-scale commercial building sites - Shanghai IKEA and Plaza 66 - are selected for investigation and assessment of their efforts on building energy saving measures. Detailed building energy savings, CO2 reductions, and management cost reductions based on data availability and calculations are presented with the co-benefits approach. The research additionally analyzes different interventions and factors that facilitate or constrain the implementation process of building energy saving measures in each case. Furthermore, a multi-scale analytical framework is employed to investigate relevant stakeholders that shape Shanghai's commercial building energy governance. Research findings and policy recommendations are offered at the close of this dissertation. Findings and policy recommendations are intended to facilitate commercial building energy governance in Shanghai and

Recruitment and retention of homeless individuals with mental illness in a housing first intervention study

Directory of Open Access Journals (Sweden)

Verena Strehlau, MD

2017-09-01

Full Text Available Background: Homeless individuals with mental illness are challenging to recruit and retain in longitudinal research studies. The present study uses information from the Vancouver site of a Canadian multi-city longitudinal randomized controlled trial on housing first interventions for homeless individuals. We were able to recruit 500 participants and retain large number of homeless individuals with mental illness; 92% of the participants completed the 6-month follow up interview, 84% the 24-month follow up, while 80% completed all follow-up visits of the study. Purpose: In this article, we describe the strategies and practices that we considered as critical for successful recruitment and retention or participants in the study. Methods: We discuss issues pertaining to research staff hiring and training, involvement of peers, relationship building with research participants, and the use of technology and social media, and managing challenging situations in the context of recruitment and retention of marginalized individuals. Conclusions: Recruitment and retention of homeless participant with mental illness in longitudinal studies is feasible. It requires flexible, unconventional and culturally competent strategies. Longitudinal research projects with vulnerable and hidden populations may benefit from extensive outreach work and collaborative approaches that are based on attitudes of mutual respect, contextual knowledge and trust. Keywords: Housing first intervention, Homelessness, Mental illness, Recruitment, Retention, Longitudinal study

Deliberate interventions in the availability and circulation of practice elements

DEFF Research Database (Denmark)

Quitzau, Maj-Britt; Hoffmann, Birgitte

competences in relation to the heating system. Otherwise, the circulating ideas about comfort and the daily practices performed in the house remained unchanged. On the basis of these findings, we highlight how the considerations done by the urban government prior to the project and the negotiations undertaken...... of practices can help to inform policy makers in this regard, there is a need for more detailed insight into how such deliberate interventions are performed in practice and intersect with the availability and circulation of practice elements, among others. The aim of this paper is to explore the considerations...... area by setting up very strict requirements to the energy performance of the new buildings. Through qualitative interviews with the urban government, the building companies and the involved families, we have studied how this intervention hindered the circulation of certain practice elements, while...

Building Kindergartners’ Number Sense: A Randomized Controlled Study

Science.gov (United States)

Jordan, Nancy C.; Glutting, Joseph; Dyson, Nancy; Hassinger-Das, Brenna; Irwin, Casey

2015-01-01

Math achievement in elementary school is mediated by performance and growth in number sense during kindergarten. The aim of the present study was to test the effectiveness of a targeted small group number sense intervention for high-risk kindergartners from low-income communities. Children were randomly assigned to one of three groups (n = 44 in each group): a number sense intervention group, a language intervention group, or a business as usual control group. Accounting for initial skill level in mathematical knowledge, children who received the number sense intervention performed better than controls at immediate post test, with meaningful effects on measures of number competencies and general math achievement. Many of the effects held eight weeks after the intervention was completed, suggesting that children internalized what they had learned. There were no differences between the language and control groups on any math-related measures. PMID:25866417

Study on Maintenance Practices for School Buildings in Terengganu and Kedah, Malaysia

Directory of Open Access Journals (Sweden)

Mohammad Ropi R.

2014-03-01

Full Text Available Malaysia initiated talks on building maintenance in 1971 during the Second Malaysia Plan of 1971-1975. Later, the government introduced the Building and Common Property (Maintenance and Management Act, 2007 to provide proper maintenance and management of buildings. School buildings are one of the important facilities for basic knowledge in everyday life. Accordingly, the maintenance of school buildings, which serve staff and students, needs considerable attention as effective maintenance protects capital investment, ensures the health and safety of the children, and supports educational performance. Based on a combination of literature survey and questionnaire appraisal, this study evaluates the maintenance practices in designated schools in Malaysia. Overall, the study showed that most of the school buildings do not possess their own maintenance management practices. Moreover, no preventive or planned maintenance was observed, and only emergency maintenance was applied when necessary. The study recommends the implementation of planned maintenance practices, which will be more effective than unplanned maintenance, mostly because of the reduction in repair costs.

A systematic review of health promotion intervention studies in the police force: study characteristics, intervention design and impacts on health.

Science.gov (United States)

MacMillan, Freya; Karamacoska, Diana; El Masri, Aymen; McBride, Kate A; Steiner, Genevieve Z; Cook, Amelia; Kolt, Gregory S; Klupp, Nerida; George, Emma S

2017-12-01

To systematically review studies of health promotion intervention in the police force. Four databases were searched for articles reporting on prepost single and multigroup studies in police officers and trainees. Data were extracted and bias assessed to evaluate study characteristics, intervention design and the impact of interventions on health. Database searching identified 25 articles reporting on 21 studies relevant to the aims of this review. Few studies (n=3) were of long duration (≥6 months). Nine of 21 studies evaluated structured physical activity and/or diet programmes only, 5 studies used education and behaviour change support-only interventions, 5 combined structured programmes with education and behaviour change support, and 2 studies used computer prompts to minimise sedentary behaviour. A wide array of lifestyle behaviour and health outcomes was measured, with 11/13 multigroup and 8/8 single-group studies reporting beneficial impacts on outcomes. High risk of bias was evident across most studies. In those with the lowest risk of bias (n=2), a large effect on blood pressure and small effects on diet, sleep quality, stress and tobacco use, were reported. Health promotion interventions can impact beneficially on health of the police force, particularly blood pressure, diet, sleep, stress and tobacco use. Limited reporting made comparison of findings challenging. Combined structured programmes with education and behaviour change support and programmes including peer support resulted in the most impact on health-related outcomes. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Characteristics of successful technological interventions in mental resilience training

NARCIS (Netherlands)

Vakili, V.; Brinkman, W.P.; Morina, N.; Neerincx, M.A.

2014-01-01

In the last two decades, several effective virtual reality-based interventions for anxiety disorders have been developed. Virtual reality interventions can also be used to build resilience to psychopathology for populations at risk of exposure to traumatic experiences and developing mental disorders

Building consensus on youth violence prevention and citizen ...

International Development Research Centre (IDRC) Digital Library (Canada)

2016-04-20

Apr 20, 2016 ... ... promising practices, intervention models, methodologies, and public policies to ... Building on the IDRC and Organization of American States ... Involving urban communities in controlling dengue fever in Latin America.

Developing Pedagogical Content Knowledge: Lessons Learned from Intervention Studies

Directory of Open Access Journals (Sweden)

Marie Evens

2015-01-01

Full Text Available Pedagogical content knowledge (PCK is generally accepted as positively impacting teaching quality and student learning. Therefore, research on PCK development in (prospective teachers is highly relevant. Based on a search in three databases (ERIC, PsycInfo, and Web of Science, a systematic review is conducted on intervention studies aiming at PCK development. The research questions are threefold: (1 How are the studies designed? (2 How are the interventions designed? and (3 What elements of interventions contribute to PCK development? The results show that most intervention studies are conducted in math and science education and use a qualitative methodology. Reflection, PCK courses, contact with other teachers, and experiences in educational practice are typically part of effective interventions. The review enables the identification of clear guidelines that may strengthen future research on stimulating PCK.

Case study of a not-so-ordinary building - the Cowra Shire administration building ESD refurbishment

Energy Technology Data Exchange (ETDEWEB)

Halperin, M.; Arch, B. [Mahalath Halperin Architects Pty Ltd., Armidale (Australia). RAIA Country Division

2004-07-01

In refurbishing the Cowra Administration Building, Mahalath Halperin Architects transformed a concrete and glass building of the 1960s into an energy efficient and environmentally responsible building, yet looks to all intents and purposes like an 'ordinary building'. To some, it is simply a newer, nicer building with bright colours, open spaces and a pleasant work environment. But whilst not necessarily being outwardly different in issues of being a 'green building', the resultant building shows that there are many small yet easily achievable ways to be green. That it is not hard, and is in fact beneficial, to reduce energy consumption and overheads, take advantage of the sun (despite its poor orientation) and take on environmental responsibility. (orig.)

STUDY ON BUILDING EXTRACTION FROM HIGH-RESOLUTION IMAGES USING MBI

Directory of Open Access Journals (Sweden)

Z. Ding

2018-04-01

Full Text Available Building extraction from high resolution remote sensing images is a hot research topic in the field of photogrammetry and remote sensing. However, the diversity and complexity of buildings make building extraction methods still face challenges in terms of accuracy, efficiency, and so on. In this study, a new building extraction framework based on MBI and combined with image segmentation techniques, spectral constraint, shadow constraint, and shape constraint is proposed. In order to verify the proposed method, worldview-2, GF-2, GF-1 remote sensing images covered Xiamen Software Park were used for building extraction experiments. Experimental results indicate that the proposed method improve the original MBI significantly, and the correct rate is over 86 %. Furthermore, the proposed framework reduces the false alarms by 42 % on average compared to the performance of the original MBI.

Buildings vs. ballistics: Quantifying the vulnerability of buildings to volcanic ballistic impacts using field studies and pneumatic cannon experiments

Science.gov (United States)

Williams, G. T.; Kennedy, B. M.; Wilson, T. M.; Fitzgerald, R. H.; Tsunematsu, K.; Teissier, A.

2017-09-01

Recent casualties in volcanic eruptions due to trauma from blocks and bombs necessitate more rigorous, ballistic specific risk assessment. Quantitative assessments are limited by a lack of experimental and field data on the vulnerability of buildings to ballistic hazards. An improved, quantitative understanding of building vulnerability to ballistic impacts is required for informing appropriate life safety actions and other risk reduction strategies. We assessed ballistic impacts to buildings from eruptions at Usu Volcano and Mt. Ontake in Japan and compiled available impact data from eruptions elsewhere to identify common damage patterns from ballistic impacts to buildings. We additionally completed a series of cannon experiments which simulate ballistic block impacts to building claddings to investigate their performance over a range of ballistic projectile velocities, masses and energies. Our experiments provide new insights by quantifying (1) the hazard associated with post-impact shrapnel from building and rock fragments; (2) the effect of impact obliquity on damage; and (3) the additional impact resistance buildings possess when claddings are struck in areas directly supported by framing components. This was not well identified in previous work which may have underestimated building vulnerability to ballistic hazards. To improve assessment of building vulnerability to ballistics, we use our experimental and field data to develop quantitative vulnerability models known as fragility functions. Our fragility functions and field studies show that although unreinforced buildings are highly vulnerable to large ballistics (> 20 cm diameter), they can still provide shelter, preventing death during eruptions.

Marginal Productivity Gained Through Prefabrication: Case Studies of Building Projects in Auckland

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Wajiha Shahzad

2015-02-01

Full Text Available Several studies have documented benefits of prefabrication system (prefab compared to the traditional building system (TBS. However, the documented benefits have been anecdotal or fragmented with reports of isolated case study projects. Few studies have looked at the objectively quantified benefits from statistical significance point of view and across building types in New Zealand. This study contributes to filling this knowledge gap by analyzing cost and time-savings, and productivity improvement achievable by the use of prefab in place of the TBS. Records of completion times and final contract values of 66 building projects implemented using prefab in Auckland were collected. The building types included commercial, houses, apartments, educational, and community buildings. The project details included final contract sums, completion dates, gross floor areas, and number of floors. Based on these details, the equivalent completion times and the final cost estimates for similar buildings implemented using the TBS were obtained from the Rawlinsons construction data handbook and feedback from some designers and contractors. Marginal productivity outcome for each building project was computed as the product of the cost and time-savings achieved using the prefab. Results showed that the use of prefab in place of TBS resulted in 34% and 19% average reductions in the completion times and costs, respectively. This also translated to overall 7% average improvement in the productivity outcomes in the building projects. Univariate ANOVA-based hypothesis test results showed that ‘building type’ had no significant effects on the cost and productivity improvement outcomes, but had significant effect on the time savings analyzed in the case study projects. The greatest productivity gain of 11% was achieved in house projects. These evidence-based results could guide optimized use of prefab for specific building application. The hypothesis-testing outcome

A building characterization-based method for the advancement of knowledge on external architectural features of traditional rural buildings

Directory of Open Access Journals (Sweden)

Porto, S. M. C.

2013-12-01

Full Text Available The significant role that traditional rural buildings have with regard to environmental conservation and rural development is widely acknowledged by the scientific community. These buildings must be protected from inappropriate building interventions that may stem from their rather superficial knowledge. Therefore, this study was directed towards overcoming such a limitation by developing a method based on traditional rural buildings’ characterization. In particular, the study aimed at the characterization of building materials and techniques used for the construction of a number of building components that make up the external envelope of traditional rural buildings. The application of the method to a homogeneous area of the Etna Regional Park (Italy highlighted the need to improve the technical norms of the park’s Territorial Coordination Plan to respect the building characteristics of the traditional rural buildings located in the protected area.La comunidad científica le atribuye a las construcciones rurales tradicionales un papel fundamental en términos de conservación del medioambiente y de evolución rural. Dichos edificios deben ser protegidos contra obras inapropiadas debidas a un conocimiento más bien superficial. Por lo tanto, el objetivo de este estudio fue el de eliminar dichas limitaciones desarrollando un método basado en la caracterización de las construcciones rurales tradicionales, que puede ser aplicado para mejorar el conocimiento de estas últimas. En particular, el susodicho estudio tiene la finalidad de caracterizar los materiales y las técnicas constructivas a emplear para la construcción de algunos componentes del envoltorio externo de las construcciones rurales tradicionales. La aplicación del método propuesto a una zona homogénea del Parque Regional del Etna (Italia puso de relieve la necesidad de mejorar las normas técnicas del Plan de Coordinación Territorial del parque para respetar las caracter

Energy Efficiency Potential in Existing Commercial Buildings: Review of Selected Recent Studies

Energy Technology Data Exchange (ETDEWEB)

Belzer, David B.

2009-04-03

This report reviews six recent studies (from 2002 through 2006) by states and utilities to assess the energy saving potential in existing commercial buildings. The studies cover all or portions of California, Connecticut, Vermont, Colorado, Illinois, and the Pacific Northwest. The studies clearly reveal that lighting remains the single largest and most cost effective end use that can be reduced to save energy. Overall the study indicated that with existing technologies and costs, a reasonable range of economic savings potential in existing commercial buildings is between 10 and 20 percent of current energy use. While not a focus of the study, an additional conclusion is that implementation of commercial building monitoring and controls would also play an important role in the nation’s efforts to improve energy efficiency of existing buildings.

Studies on switch-based event building systems in RD13

International Nuclear Information System (INIS)

Bee, C.P.; Eshghi, S.; Jones, R.

1996-01-01

One of the goals of the RD13 project at CERN is to investigate the feasibility of parallel event building system for detectors at the LHC. Studies were performed by building a prototype based on the HiPPI standard and by modeling this prototype and extended architectures with MODSIM II. The prototype used commercially available VME-HiPPI interfaces and a HiPPI switch together with a modular software. The setup was tested successfully as a parallel event building system in different configurations and with different data flow control schemes. The simulation program was used with realistic parameters from the prototype measurements to simulate large-scale event building systems. This includes simulations of a realistic setup of the ATLAS event building system. The influence of different parameters and scaling behavior were investigated. The influence of realistic event size distributions was checked with data from off-line simulations. Different control schemes for destination assignment and traffic shaping were investigated as well as a two-stage event building system. (author)

Radon study in underground buildings in Chongqing, China

International Nuclear Information System (INIS)

Deng Wen; Jiang Rende; Liu Yigang

1993-01-01

Radon concentration measurements using a scintillation detector were conducted in 51 large underground buildings, which have been used as hotels, entertainment halls, restaurants, shops and factories, etc, in Chongqing, China. The results showed that the radon concentrations in these underground buildings ranged from 3.2 to 616.2 Bqm -3 . The arithmetic mean was 57.6 Bqm -3 , which was about 4 times as much as the mean radon concentration in ground buildings in Chongqing. The underground buildings with the highest radon concentrations were correlated with the high content of radium-226 in building materials, mechanical ventilation through interior circulatory ducts, underground depth of the building, and particularly, fissures in the walls. Measures of radon mitigation in underground buildings were recommended. (orig.). (3 refs., 5 tabs.)

Building Systems for Successful Implementation of Function-Based Support in Schools

Science.gov (United States)

Anderson, Cynthia M.; Horner, Robert H.; Rodriguez, Billie Jo; Stiller, Brianna

2013-01-01

Supporting the full range of students with behavioral challenges requires that schools build the capacity to implement evidence-based behavioral interventions. Fortunately, a substantive body of research documents behavioral interventions are available to both decrease problem behavior and enhance prosocial skills. To date, however, this…

Feasibility and preliminary effects of an intervention targeting schema development for caregivers of newly admitted hospice patients.

Science.gov (United States)

Lindstrom, Kathryn B; Mazurek Melnyk, Bernadette

2013-06-01

The transition to hospice care is a stressful experience for caregivers, who report high anxiety, unpreparedness, and lack of confidence. These sequelae are likely explained by the lack of an accurate cognitive schema, not knowing what to expect or how to help their loved one. Few interventions exist for this population and most do not measure preparedness, confidence, and anxiety using a schema building a conceptual framework for a new experience. The purpose of this study was to test the feasibility and preliminary effects of an intervention program, Education and Skill building Intervention for Caregivers of Hospice patients (ESI-CH), using an innovative conceptual design that targets cognitive schema development and basic skill building for caregivers of loved ones newly admitted to hospice services. A pre-experimental one-group pre- and post-test study design was used. Eighteen caregivers caring for loved ones in their homes were recruited and twelve completed the pilot study. Depression, anxiety, activity restriction, preparedness, and beliefs/confidence were measured. Caregivers reported increased preparedness, more helpful beliefs, and more confidence about their ability to care for their loved one. Preliminary trends suggested decreased anxiety levels for the intervention group. Caregivers who completed the intervention program rated the program very good or excellent, thought the information was helpful and timely, and would recommend it to friends. Results show promise that the ESI-CH program may assist as an evidence-based program to support caregivers in their role as a caregiver to a newly admitted hospice patient.

A Comparative Study on Seismic Analysis of Bangladesh National Building Code (BNBC) with Other Building Codes

Science.gov (United States)

Bari, Md. S.; Das, T.

2013-09-01

Tectonic framework of Bangladesh and adjoining areas indicate that Bangladesh lies well within an active seismic zone. The after effect of earthquake is more severe in an underdeveloped and a densely populated country like ours than any other developed countries. Bangladesh National Building Code (BNBC) was first established in 1993 to provide guidelines for design and construction of new structure subject to earthquake ground motions in order to minimize the risk to life for all structures. A revision of BNBC 1993 is undergoing to make this up to date with other international building codes. This paper aims at the comparison of various provisions of seismic analysis as given in building codes of different countries. This comparison will give an idea regarding where our country stands when it comes to safety against earth quake. Primarily, various seismic parameters in BNBC 2010 (draft) have been studied and compared with that of BNBC 1993. Later, both 1993 and 2010 edition of BNBC codes have been compared graphically with building codes of other countries such as National Building Code of India 2005 (NBC-India 2005), American Society of Civil Engineering 7-05 (ASCE 7-05). The base shear/weight ratios have been plotted against the height of the building. The investigation in this paper reveals that BNBC 1993 has the least base shear among all the codes. Factored Base shear values of BNBC 2010 are found to have increased significantly than that of BNBC 1993 for low rise buildings (≤20 m) around the country than its predecessor. Despite revision of the code, BNBC 2010 (draft) still suggests less base shear values when compared to the Indian and American code. Therefore, this increase in factor of safety against the earthquake imposed by the proposed BNBC 2010 code by suggesting higher values of base shear is appreciable.

Structural rehabilitation of old buildings

CERN Document Server

Guedes, João; Varum, Humberto

2014-01-01

The present book describes the different construction systems and structural materials and solutions within the main old buildings typologies, and it analyses the particularities of each of them, including mechanical properties, structural behaviour, typical damage patterns and collapse mechanisms. Common or pioneering intervention measures to repair and/or strengthen some of these structural elements are also reviewed.

Study on rapid evacuation in high-rise buildings

Directory of Open Access Journals (Sweden)

Xin Zhang

2017-06-01

Full Text Available More and more high rising buildings emerged in modern cities, but emergency evacuation of tall buildings has been a worldwide difficult problem. In this paper, a new evacuation device for high rising buildings in fire accident was proposed and studied. This device mainly consisted of special spiral slideway and shunt valve. People in this device could fast slide down to the first floor under gravity without any electric power and physical strength, which is suitable for various emergency evacuation including mobility-impaired persons. The plane simulation test has shown that human being in alternative clockwise and counterclockwise movement will not become dizzy. The evacuated people should wear protection pad, which can prevent slider from being injured by surface friction with the slide, and eliminate the friction coefficient difference caused by different clothes and slide surface. The calculation results show that the evacuation speed of the new device is much faster than traditional staircases. Moreover, such new evacuation device can also be used as a means of vertical transportation in high-rise buildings partly. People can take it from any floor to ground floor directly, which not only save time for waiting for the lifts but also save the power. The new evacuation system is of simple structure, easy to use, and suitable for evacuation and partly used as vertical downwards traffic, which shows light on solving world-wide difficulties on fast evacuation in high-rise buildings.

Randomized, interventional, prospective, comparative study to ...

African Journals Online (AJOL)

Randomized, interventional, prospective, comparative study to evaluate the antihypertensive efficacy and tolerability of ramipril versus telmisartan in stage 1 hypertensive patients with diabetes mellitus.

Verifying the buildingEXODUS through an emergency response procedure (ERP) exercise at an underground intervention shaft

Science.gov (United States)

Tajedi, Noor Aqilah A.; Sukor, Nur Sabahiah A.; Ismail, Mohd Ashraf M.; Shamsudin, Shahrul A.

2017-10-01

An Emergency Response Plan (ERP) is an essential safety procedure that needs to be taken into account for railway operations, especially for underground railway networks. Several parameters need to be taken into consideration in planning an ERP such as the design of tunnels and intervention shafts, and operation procedures for underground transportation systems. Therefore, the purpose of this paper is to observe and analyse the Emergency Response Procedure (ERP) exercise for the underground train network at the LRT Kelana Jaya Line. The exercise was conducted at one of the underground intervention shaft exits, where the height of the staircase from the bottom floor to the upper floor was 24.59 metres. Four cameras were located at selected levels of the shaft, and 71 participants were assigned for the evacuation exercise. The participants were tagged with a number at the front and back of their safety vests. Ten respondents were randomly selected to give details of their height and weight and, at the same time, they had to self-record the time taken for them to evacuate from the bottom to the top of the shaft. The video footages that were taken during the ERP were analysed, and the data were used for the verification process on the buildingEXODUS simulation software. It was found that the results of the ERP experiment were significantly similar to the simulation results, thereby successfully verifying the simulation. This verification process was important to ensure that the results of the simulation were in accordance with the real situation. Therefore, a further evacuation analysis made use of the results from this verification.

[Quality assurance in interventional cardiology].

Science.gov (United States)

Gülker, H

2009-10-01

Quality assurance in clinical studies aiming at approval of pharmaceutical products is submitted to strict rules, controls and auditing regulations. Comparative instruments to ensure quality in diagnostic and therapeutic procedures are not available in interventional cardiology, likewise in other fields of cardiovascular medicine. Quality assurance simply consists of "quality registers" with basic data not externally controlled. Based on the experiences of clinical studies and their long history of standardization it is assumed that these data may be severely flawed thus being inappropriate to set standards for diagnostic and therapeutic strategies. The precondition for quality assurance are quality data. In invasive coronary angiography and intervention medical indications, the decision making process interventional versus surgical revascularization, technical performance and after - care are essential aspects affecting quality of diagnostics and therapy. Quality data are externally controlled data. To collect quality data an appropriate infrastructure is a necessary precondition which is not existent. For an appropriate infrastructure investments have to be done both to build up as well as to sustain the necessary preconditions. As long as there are no infrastructure and no investments there will be no "quality data". There exist simply registers of data which are not proved to be a basis for significant assurance and enhancement in quality in interventional coronary cardiology. Georg Thieme Verlag KG Stuttgart, New York.

Effectiveness and cost of two stair-climbing interventions-less is more.

Science.gov (United States)

Olander, Ellinor K; Eves, Frank F

2011-01-01

The current study compared two interventions for promotion of stair climbing in the workplace, an information-based intervention at a health information day and an environmental intervention (point-of-choice prompts), for their effectiveness in changing stair climbing and cost per employee. Interrupted time-series design. Four buildings on a university campus. Employees at a university in the United Kingdom. Two stair-climbing interventions were compared: (1) a stand providing information on stair climbing at a health information day and (2) point-of-choice prompts (posters). Observers recorded employees' gender and method of ascent (n = 4279). The cost of the two interventions was calculated. Logistic regression. There was no significant difference between baseline (47.9% stair climbing) and the Workplace Wellbeing Day (48.8% stair climbing), whereas the prompts increased stair climbing (52.6% stair climbing). The health information day and point-of-choice prompts cost $773.96 and $31.38, respectively. The stand at the health information day was more expensive than the point-of-choice prompts and was inferior in promoting stair climbing. It is likely that the stand was unable to encourage stair climbing because only 3.2% of targeted employees visited the stand. In contrast, the point-of-choice prompts were potentially visible to all employees using the buildings and hence better for disseminating the stair climbing message to the target audience.

Global school-based childhood obesity interventions: a review.

Science.gov (United States)

Ickes, Melinda J; McMullen, Jennifer; Haider, Taj; Sharma, Manoj

2014-08-28

The issue of childhood overweight and obesity has become a global public health crisis. School-based interventions have been developed and implemented to combat this growing concern. The purpose of this review is to compare and contrast U.S. and international school-based obesity prevention interventions and highlight efficacious strategies. A systematic literature review was conducted utilizing five relevant databases. Inclusion criteria were: (1) primary research; (2) overweight or obesity prevention interventions; (3) school-based; (4) studies published between 1 January 2002 through 31 December 2013; (5) published in the English language; (6) child-based interventions, which could include parents; and (7) studies that reported outcome data. A total of 20 interventions met the inclusion criteria. Ten interventions each were implemented in the U.S. and internationally. International interventions only targeted elementary-aged students, were less likely to target low-income populations, and were less likely to be implemented for two or more years in duration. However, they were more likely to integrate an environmental component when compared to U.S. interventions. Interventions implemented in the U.S. and internationally resulted in successful outcomes, including positive changes in student BMI. Yet, varying approaches were used to achieve success, reinforcing the fact that a one-size-fits-all approach is not necessary to impact childhood obesity. However, building on successful interventions, future school-based obesity prevention interventions should integrate culturally specific intervention strategies, aim to incorporate an environmental component, and include parents whenever possible. Consideration should be given to the potential impact of long-term, frequent dosage interventions, and subsequent follow-up should be given attention to determine long-term efficacy.

Global School-Based Childhood Obesity Interventions: A Review

Directory of Open Access Journals (Sweden)

Melinda J. Ickes

2014-08-01

Full Text Available Background: The issue of childhood overweight and obesity has become a global public health crisis. School-based interventions have been developed and implemented to combat this growing concern. The purpose of this review is to compare and contrast U.S. and international school-based obesity prevention interventions and highlight efficacious strategies. Methods: A systematic literature review was conducted utilizing five relevant databases. Inclusion criteria were: (1 primary research; (2 overweight or obesity prevention interventions; (3 school-based; (4 studies published between 1 January 2002 through 31 December 2013; (5 published in the English language; (6 child-based interventions, which could include parents; and (7 studies that reported outcome data. Results: A total of 20 interventions met the inclusion criteria. Ten interventions each were implemented in the U.S. and internationally. International interventions only targeted elementary-aged students, were less likely to target low-income populations, and were less likely to be implemented for two or more years in duration. However, they were more likely to integrate an environmental component when compared to U.S. interventions. Discussion: Interventions implemented in the U.S. and internationally resulted in successful outcomes, including positive changes in student BMI. Yet, varying approaches were used to achieve success, reinforcing the fact that a one-size-fits-all approach is not necessary to impact childhood obesity. However, building on successful interventions, future school-based obesity prevention interventions should integrate culturally specific intervention strategies, aim to incorporate an environmental component, and include parents whenever possible. Consideration should be given to the potential impact of long-term, frequent dosage interventions, and subsequent follow-up should be given attention to determine long-term efficacy.

Incorporating Vocabulary Instruction in Individual Reading Fluency Interventions with English Language Learners

Science.gov (United States)

Johnston, Lauren E.; Mercer, Sterett H.; Geres-Smith, Rhonda

2018-01-01

The purpose of this preliminary study was to determine whether incorporating vocabulary instruction in individual reading fluency interventions for English Language Learners (ELLs) would improve reading comprehension. Two vocabulary instructional procedures were contrasted with a fluency-building only condition in an alternating-treatments design…

Using DOE Commercial Reference Buildings for Simulation Studies: Preprint

Energy Technology Data Exchange (ETDEWEB)

Field, K.; Deru, M.; Studer, D.

2010-08-01

The U.S. Department of Energy developed 256 EnergyPlus models for use in studies that aim to characterize about 70% of the U.S. commercial building stock. Sixteen building types - including restaurants, health care, schools, offices, supermarkets, retail, lodging, and warehouses - are modeled across 16 cities to represent the diversity of U.S. climate zones. Weighting factors have been developed to combine the models in proportions similar to those of the McGraw-Hill Construction Projects Starts Database for 2003-2007. This paper reviews the development and contents of these models and their applications in simulation studies.

Long-Term Mentors' Perceptions of Building Mentoring Relationships with At-Risk Youth

Science.gov (United States)

Smith, Cindy Ann; Newman-Thomas, Cathy; Stormont, Melissa

2015-01-01

Youth mentoring, defined within this study, as the pairing of a youth at risk with a caring adult, is an intervention that is often used for youth at risk for academic and social failure. We sought to understand mentors' perspectives of the fundamental elements that foster positive mentor--mentee relationships that build resiliency and increase…

Building theories of knowledge translation interventions: Use the entire menu of constructs

Directory of Open Access Journals (Sweden)

Brehaut Jamie C

2012-11-01

Full Text Available Abstract Background In the ongoing effort to develop and advance the science of knowledge translation (KT, an important question has emerged around how theory should inform the development of KT interventions. Discussion Efforts to employ theory to better understand and improve KT interventions have until recently mostly involved examining whether existing theories can be usefully applied to the KT context in question. In contrast to this general theory application approach, we propose a ‘menu of constructs’ approach, where individual constructs from any number of theories may be used to construct a new theory. By considering the entire menu of available constructs, rather than limiting choice to the broader level of theories, we can leverage knowledge from theories that would never on their own provide a complete picture of a KT intervention, but that nevertheless describe components or mechanisms relevant to it. We can also avoid being forced to adopt every construct from a particular theory in a one-size-fits-all manner, and instead tailor theory application efforts to the specifics of the situation. Using audit and feedback as an example KT intervention strategy, we describe a variety of constructs (two modes of reasoning, cognitive dissonance, feed forward, desirable difficulties and cognitive load, communities of practice, and adaptive expertise from cognitive and educational psychology that make concrete suggestions about ways to improve this class of intervention. Summary The ‘menu of constructs’ notion suggests an approach whereby a wider range of theoretical constructs, including constructs from cognitive theories with scope that makes the immediate application to the new context challenging, may be employed to facilitate development of more effective KT interventions.

The proactive approach--is it worthwhile? A prospective controlled ergonomic intervention study in office workers.

Science.gov (United States)

Laestadius, Jasminka Goldoni; Ye, Jian; Cai, Xiaodong; Ross, Sandra; Dimberg, Lennart; Klekner, Meg

2009-10-01

Does proactive ergonomics program enhance office worker health and productivity? The investigation was conducted in connection with the move of 1500 office staff to a building with improved ergonomics. It was focused on associations between workstation features, working postures, musculoskeletal pain symptoms, and eye strain before and 18 months after implementation of a proactive ergonomic program. The outcomes were compared between the intervention and a similar reference group. Associations between improvement of postures and less musculoskeletal pain and eye strain were confirmed. A cross association between several features and postures and improved symptoms was noted, along with improved productivity. The study suggests that a proactive program adhering to the OSHA recommendations needs to include an individual workstation assessment to be effective in reducing symptoms and increasing productivity.

Broken Mirrors: Tracing Issues in Building Partner Capacity

Science.gov (United States)

2016-06-01

Partnerships in Afghanistan and Beyond: Challenges and Best Practices from Afghanistan, Iraq, and Colombia (Santa Monica, CA: RAND, 2015). 10 tracing...attack on U.S. soil planned from within Afghanistan. U.S. military intervention led to a nation-building effort, followed by a COIN mission, to what...capabilities that would no longer be available.107 E. CONCLUSION The U.S. intervention was a response to an attack on American soil , planned by Al Qaeda from

A time-series study of sick building syndrome: chronic, biotoxin-associated illness from exposure to water-damaged buildings.

Science.gov (United States)

Shoemaker, Ritchie C; House, Dennis E

2005-01-01

The human health risk for chronic illnesses involving multiple body systems following inhalation exposure to the indoor environments of water-damaged buildings (WDBs) has remained poorly characterized and the subject of intense controversy. The current study assessed the hypothesis that exposure to the indoor environments of WDBs with visible microbial colonization was associated with illness. The study used a cross-sectional design with assessments at five time points, and the interventions of cholestyramine (CSM) therapy, exposure avoidance following therapy, and reexposure to the buildings after illness resolution. The methodological approach included oral administration of questionnaires, medical examinations, laboratory analyses, pulmonary function testing, and measurements of visual function. Of the 21 study volunteers, 19 completed assessment at each of the five time points. Data at Time Point 1 indicated multiple symptoms involving at least four organ systems in all study participants, a restrictive respiratory condition in four participants, and abnormally low visual contrast sensitivity (VCS) in 18 participants. Serum leptin levels were abnormally high and alpha melanocyte stimulating hormone (MSH) levels were abnormally low. Assessments at Time Point 2, following 2 weeks of CSM therapy, indicated a highly significant improvement in health status. Improvement was maintained at Time Point 3, which followed exposure avoidance without therapy. Reexposure to the WDBs resulted in illness reacquisition in all participants within 1 to 7 days. Following another round of CSM therapy, assessments at Time Point 5 indicated a highly significant improvement in health status. The group-mean number of symptoms decreased from 14.9+/-0.8 S.E.M. at Time Point 1 to 1.2+/-0.3 S.E.M., and the VCS deficit of approximately 50% at Time Point 1 was fully resolved. Leptin and MSH levels showed statistically significant improvement. The results indicated that CSM was an effective

CAPACITY BUILDING PROCESS IN ENVIRONMENTAL AND HEALTH IMPACT ASSESSMENT FOR A THAI COMMUNITY.

Science.gov (United States)

Chaithui, Suthat; Sithisarankul, Pornchai; Hengpraprom, Sarunya

2017-03-01

This research aimed at exploring the development of the capacitybuilding process in environmental and health impact assessment, including the consideration of subsequent, capacity-building achievements. Data were gathered through questionnaires, participatory observations, in-depth interviews, focus group discussions, and capacity building checklist forms. These data were analyzed using content analysis, descriptive statistics, and inferential statistics. Our study used the components of the final draft for capacity-building processes consisting of ten steps that were formulated by synthesis from each respective process. Additionally, the evaluation of capacity building levels was performed using 10-item evaluation criteria for nine communities. The results indicated that the communities performed well under these criteria. Finally, exploration of the factors influencing capacity building in environmental and health impact assessment indicated that the learning of community members by knowledge exchange via activities and study visits were the most influential factors of the capacity building processes in environmental and health impact assessment. The final revised version of capacitybuilding process in environmental and health impact assessment could serve as a basis for the consideration of interventions in similar areas, so that they increased capacity in environmental and health impact assessments.

Building capacity for education research among clinical educators in the health professions: A BEME (Best Evidence Medical Education) Systematic Review of the outcomes of interventions: BEME Guide No. 34.

Science.gov (United States)

Ahmed, Rabia; Farooq, Ameer; Storie, Dale; Hartling, Lisa; Oswald, Anna

2016-01-01

There is a growing desire for health professions educators to generate high-quality education research; yet, few of them encounter the training to do so. In response, health professions faculties have increasingly been devoting resources to provide members with the skills necessary for education research. The form and impact of these efforts have not been reviewed, though such a synthesis could be useful for practice. The objectives of this systematic review were to (1) identify interventions aimed at building capacity for education research among health professions clinical educators and (2) review the outcomes of these interventions. We developed a systematic review protocol based on our pilot scoping search. This protocol underwent peer review and was prospectively registered with the Best Evidence Medical Education Collaboration. Based on this protocol, we conducted a comprehensive search of health professions' databases and related grey literature. Systematic methods were applied: two independent reviewers completed title screening and full text review for inclusion, data extraction, and methodological quality assessment. Studies were included if they reported outcomes for interventions designed to increase capacity for health professions clinical educators to conduct education research. We conducted a qualitative synthesis of the evidence which included detailed reporting of intervention characteristics and outcomes. Our search returned 14, 149 results, 241 of which were retained after title and abstract screening, and 30 of which met inclusion criteria after full text review. Seven groups of interventions were identified, the most frequent being teaching scholars programs (n = 10), health professions education fellowships (n = 3) or master's programs (n = 4). The most commonly measured outcome was change related to enhanced scholarly outputs (grants, papers, abstracts, and presentations) post-intervention. Unfortunately, most of the included

Back home after an acquired brain injury: building a "low-cost" team to provide theory-driven cognitive rehabilitation after routine interventions.

Science.gov (United States)

Pierini, Davide; Hoerold, Doreen

2014-01-01

Individuals with Acquired Brain Injury (ABI) could benefit from further cognitive rehabilitation, after they have returned home. However, a lack of specialist services to provide such rehabilitation often prevents this. This leads to reduced reintegration of patients, increased social disadvantages and ultimately, higher economic costs. 10 months post-stroke, a 69 year-old woman was discharged from an inpatient rehabilitation program and returned home with severe cognitive impairments. We describe a pilot project which provided an individualised, low cost rehabilitation program, supervised and trained by a neuropsychologist. Progress was monitored every 3 months in order to decide on continuation of the program, based on the achieved results and predicted costs. Post intervention, despite severe initial impairment, cognitive and most notably daily functioning had improved. Although the financial investment was moderately high for the family, the intervention was still considered cost-effective when compared with the required costs of care in a local non-specialist care home. Moreover, the pilot experience was used to build a "local expert team" available for other individuals requiring rehabilitation. These results encourage the development of similar local "low cost" teams in the community, to provide scientifically-grounded cognitive rehabilitation for ABI patients returning home.

A family-based intervention targeting parents of preschool children with overweight and obesity: conceptual framework and study design of LOOPS- Lund overweight and obesity preschool study

Directory of Open Access Journals (Sweden)

Önnerfält Jenny

2012-10-01

Full Text Available Abstract Background As the rate of overweight among children is rising there is a need for evidence-based research that will clarify what the best interventional strategies to normalize weight development are. The overall aim of the Lund Overweight and Obesity Preschool Study (LOOPS is to evaluate if a family-based intervention, targeting parents of preschool children with overweight and obesity, has a long-term positive effect on weight development of the children. The hypothesis is that preschool children with overweight and obesity, whose parents participate in a one-year intervention, both at completion of the one-year intervention and at long term follow up (2-, 3- and 5-years will have reduced their BMI-for-age z-score. Methods/Design The study is a randomized controlled trial, including overweight (n=160 and obese (n=80 children 4-6-years-old. The intervention is targeting the parents, who get general information about nutrition and exercise recommendations through a website and are invited to participate in a group intervention with the purpose of supporting them to accomplish preferred lifestyle changes, both in the short and long term. To evaluate the effect of various supports, the parents are randomized to different interventions with the main focus of: 1 supporting the parents in limit setting by emphasizing the importance of positive interactions between parents and children and 2 influencing the patterns of daily activities to induce alterations of everyday life that will lead to healthier lifestyle. The primary outcome variable, child BMI-for-age z-score will be measured at referral, inclusion, after 6 months, at the end of intervention and at 2-, 3- and 5-years post intervention. Secondary outcome variables, measured at inclusion and at the end of intervention, are child activity pattern, eating habits and biochemical markers as well as parent BMI, exercise habits, perception of health, experience of parenthood and level of

A family-based intervention targeting parents of preschool children with overweight and obesity: conceptual framework and study design of LOOPS- Lund overweight and obesity preschool study.

Science.gov (United States)

Önnerfält, Jenny; Erlandsson, Lena-Karin; Orban, Kristina; Broberg, Malin; Helgason, Christina; Thorngren-Jerneck, Kristina

2012-10-17

As the rate of overweight among children is rising there is a need for evidence-based research that will clarify what the best interventional strategies to normalize weight development are. The overall aim of the Lund Overweight and Obesity Preschool Study (LOOPS) is to evaluate if a family-based intervention, targeting parents of preschool children with overweight and obesity, has a long-term positive effect on weight development of the children. The hypothesis is that preschool children with overweight and obesity, whose parents participate in a one-year intervention, both at completion of the one-year intervention and at long term follow up (2-, 3- and 5-years) will have reduced their BMI-for-age z-score. The study is a randomized controlled trial, including overweight (n=160) and obese (n=80) children 4-6-years-old. The intervention is targeting the parents, who get general information about nutrition and exercise recommendations through a website and are invited to participate in a group intervention with the purpose of supporting them to accomplish preferred lifestyle changes, both in the short and long term. To evaluate the effect of various supports, the parents are randomized to different interventions with the main focus of: 1) supporting the parents in limit setting by emphasizing the importance of positive interactions between parents and children and 2) influencing the patterns of daily activities to induce alterations of everyday life that will lead to healthier lifestyle. The primary outcome variable, child BMI-for-age z-score will be measured at referral, inclusion, after 6 months, at the end of intervention and at 2-, 3- and 5-years post intervention. Secondary outcome variables, measured at inclusion and at the end of intervention, are child activity pattern, eating habits and biochemical markers as well as parent BMI, exercise habits, perception of health, experience of parenthood and level of parental stress. The LOOPS project will provide

Application of a faith-based integration tool to assess mental and physical health interventions.

Science.gov (United States)

Saunders, Donna M; Leak, Jean; Carver, Monique E; Smith, Selina A

2017-01-01

To build on current research involving faith-based interventions (FBIs) for addressing mental and physical health, this study a) reviewed the extent to which relevant publications integrate faith concepts with health and b) initiated analysis of the degree of FBI integration with intervention outcomes. Derived from a systematic search of articles published between 2007 and 2017, 36 studies were assessed with a Faith-Based Integration Assessment Tool (FIAT) to quantify faith-health integration. Basic statistical procedures were employed to determine the association of faith-based integration with intervention outcomes. The assessed studies possessed (on average) moderate, inconsistent integration because of poor use of faith measures, and moderate, inconsistent use of faith practices. Analysis procedures for determining the effect of FBI integration on intervention outcomes were inadequate for formulating practical conclusions. Regardless of integration, interventions were associated with beneficial outcomes. To determine the link between FBI integration and intervention outcomes, additional analyses are needed.

Educational project on risk communication and reduction of the radon exposure in buildings

International Nuclear Information System (INIS)

Conrady, J.; Guhr, A.; Uhlig, R.

2009-01-01

The radon exposure in buildings is supposed to be the most important risk factor of lung cancer. In Saxony about 800 000 persons live in apartments with high radon exposure. The study discusses the effects of an educational project to communicate the facts on radon exposure in buildings and to develop risk awareness and individual initiatives to reduce the radon concentration. The project includes support and encouragement with respect of preventive and protective measures to improve the individual situation. Further items cover requirements for control and quantification of intervention impacts, development and optimization of specific strategies for a permanent risk communication in schools. Results of the pilot study are summarized.

Study of vibration analysis for nuclear reactor building

International Nuclear Information System (INIS)

Hirashima, Shin-ichi

1978-01-01

The mutual interference between the contiguous buildings with separate foundations and also that between the outer wall under the ground and the foundation bottom of the building were taken into consideration for the vibration analysis with spring-mass system. For two contiguous foundations of buildings it was attempted to represent the static mutual interference by a spring-mass system model. The theoretical analysis formulas are shown for the combination of the vertical movement and rocking motion, and for the interfering forces between the foundation and the outer wall of a building. The method of extending the model to dynamic one is explained. Several spring constants utilized in the analysis were obtained, for example, for mutual interference springs regarding vertical motion, mutual interfering springs for the foundation and the outer wall of a building and the mutual interference springs concerning horizontal movement. These models and analysis were applied to the BWR-MARK II-1100 MW nuclear reactor building and the contiguous turbine building. The structures and level relations of two buildings are shown, and the spring-mass system model for these buildings is expressed. The masses of about 20, the weights, the rotating inertia, the sectional moment of inertia, the spring constant and the damping coefficient for each mass are tabulated. As the results, the peak displacements occur at 2.556 Hz, 6.918 Hz, 10.43 Hz and 13.85 Hz. The damping coefficient is large and about 10 - 30% at the lower order modes. The calculated and the measured vibration characteristics for the BWR plant buildings are not much different, and this spring-mass system model is verified to be adequate. (Nakai, Y.)

Multi-criteria decision model for retrofitting existing buildings

Directory of Open Access Journals (Sweden)

M. D. Bostenaru Dan

2004-01-01

Full Text Available Decision is an element in the risk management process. In this paper the way how science can help in decision making and implementation for retrofitting buildings in earthquake prone urban areas is investigated. In such interventions actors from various spheres are involved. Their interests range among minimising the intervention for maximal preservation or increasing it for seismic safety. Research was conducted to see how to facilitate collaboration between these actors. A particular attention was given to the role of time in actors' preferences. For this reason, on decision level, both the processural and the personal dimension of risk management, the later seen as a task, were considered. A systematic approach was employed to determine the functional structure of a participative decision model. Three layers on which actors implied in this multi-criteria decision problem interact were identified: town, building and element. So-called 'retrofit elements' are characteristic bearers in the architectural survey, engineering simulations, costs estimation and define the realms perceived by the inhabitants. This way they represent an interaction basis for the interest groups considered in a deeper study. Such orientation means for actors' interaction were designed on other levels of intervention as well. Finally, an 'experiment' for the implementation of the decision model is presented: a strategic plan for an urban intervention towards reduction of earthquake hazard impact through retrofitting. A systematic approach proves thus to be a very good communication basis among the participants in the seismic risk management process. Nevertheless, it can only be applied in later phases (decision, implementation, control only, since it serves verifying and improving solution and not developing the concept. The 'retrofit elements' are a typical example of the detailing degree reached in the retrofit design plans in these phases.

Multi-criteria decision model for retrofitting existing buildings

Science.gov (United States)

Bostenaru Dan, M. D.

2004-08-01

Decision is an element in the risk management process. In this paper the way how science can help in decision making and implementation for retrofitting buildings in earthquake prone urban areas is investigated. In such interventions actors from various spheres are involved. Their interests range among minimising the intervention for maximal preservation or increasing it for seismic safety. Research was conducted to see how to facilitate collaboration between these actors. A particular attention was given to the role of time in actors' preferences. For this reason, on decision level, both the processural and the personal dimension of risk management, the later seen as a task, were considered. A systematic approach was employed to determine the functional structure of a participative decision model. Three layers on which actors implied in this multi-criteria decision problem interact were identified: town, building and element. So-called 'retrofit elements' are characteristic bearers in the architectural survey, engineering simulations, costs estimation and define the realms perceived by the inhabitants. This way they represent an interaction basis for the interest groups considered in a deeper study. Such orientation means for actors' interaction were designed on other levels of intervention as well. Finally, an 'experiment' for the implementation of the decision model is presented: a strategic plan for an urban intervention towards reduction of earthquake hazard impact through retrofitting. A systematic approach proves thus to be a very good communication basis among the participants in the seismic risk management process. Nevertheless, it can only be applied in later phases (decision, implementation, control) only, since it serves verifying and improving solution and not developing the concept. The 'retrofit elements' are a typical example of the detailing degree reached in the retrofit design plans in these phases.

Policymakers' experience of a capacity-building intervention designed to increase their use of research: a realist process evaluation.

Science.gov (United States)

Haynes, Abby; Brennan, Sue; Redman, Sally; Williamson, Anna; Makkar, Steve R; Gallego, Gisselle; Butow, Phyllis

2017-11-23

An intervention's success depends on how participants interact with it in local settings. Process evaluation examines these interactions, indicating why an intervention was or was not effective, and how it (and similar interventions) can be improved for better contextual fit. This is particularly important for innovative trials like Supporting Policy In health with Research: an Intervention Trial (SPIRIT), where causal mechanisms are poorly understood. SPIRIT was testing a multi-component intervention designed to increase the capacity of health policymakers to use research. Our mixed-methods process evaluation sought to explain variation in observed process effects across the six agencies that participated in SPIRIT. Data collection included observations of intervention workshops (n = 59), purposively sampled interviews (n = 76) and participant feedback forms (n = 553). Using a realist approach, data was coded for context-mechanism-process effect configurations (retroductive analysis) by two authors. Intervention workshops were very well received. There was greater variation of views regarding other aspects of SPIRIT such as data collection, communication and the intervention's overall value. We identified nine inter-related mechanisms that were crucial for engaging participants in these policy settings: (1) Accepting the premise (agreeing with the study's assumptions); (2) Self-determination (participative choice); (3) The Value Proposition (seeing potential gain); (4) 'Getting good stuff' (identifying useful ideas, resources or connections); (5) Self-efficacy (believing 'we can do this!'); (6) Respect (feeling that SPIRIT understands and values one's work); (7) Confidence (believing in the study's integrity and validity); (8) Persuasive leadership (authentic and compelling advocacy from leaders); and (9) Strategic insider facilitation (local translation and mediation). These findings were used to develop tentative explanatory propositions and to revise the

Small- and Medium-Sized Commercial Building Monitoring and Controls Needs: A Scoping Study

Energy Technology Data Exchange (ETDEWEB)

Katipamula, Srinivas; Underhill, Ronald M.; Goddard, James K.; Taasevigen, Danny J.; Piette, M. A.; Granderson, J.; Brown, Rich E.; Lanzisera, Steven M.; Kuruganti, T.

2012-10-31

Buildings consume over 40% of the total energy consumption in the U.S. A significant portion of the energy consumed in buildings is wasted because of the lack of controls or the inability to use existing building automation systems (BASs) properly. Much of the waste occurs because of our inability to manage and controls buildings efficiently. Over 90% of the buildings are either small-size (<5,000 sf) or medium-size (between 5,000 sf and 50,000 sf); these buildings currently do not use BASs to monitor and control their building systems from a central location. According to Commercial Building Energy Consumption Survey (CBECS), about 10% of the buildings in the U.S. use BASs or central controls to manage their building system operations. Buildings that use BASs are typically large (>100,000 sf). Lawrence Berkeley National Laboratory (LBNL), Oak Ridge National Laboratory (ORNL) and Pacific Northwest National Laboratory (PNNL) were asked by the U.S. Department of Energy’s (DOE’s) Building Technologies Program (BTP) to identify monitoring and control needs for small- and medium-sized commercial buildings and recommend possible solutions. This study documents the needs and solutions for small- and medium-sized buildings.

The MOVE study: a study protocol for a randomised controlled trial assessing interventions to maximise attendance at physical activity facilities.

Science.gov (United States)

Newton, Joshua D; Klein, Ruth; Bauman, Adrian; Newton, Fiona J; Mahal, Ajay; Gilbert, Kara; Piterman, Leon; Ewing, Michael T; Donovan, Robert J; Smith, Ben J

2015-04-18

Physical activity is associated with a host of health benefits, yet many individuals do not perform sufficient physical activity to realise these benefits. One approach to rectifying this situation is through modifying the built environment to make it more conducive to physical activity, such as by building walking tracks or recreational physical activity facilities. Often, however, modifications to the built environment are not connected to efforts aimed at encouraging their use. The purpose of the Monitoring and Observing the Value of Exercise (MOVE) study is to evaluate the effectiveness of two interventions designed to encourage the ongoing use of a new, multi-purpose, community-based physical activity facility. A two-year, randomised controlled trial with yearly survey points (baseline, 12 months follow-up, 24 months follow-up) will be conducted among 1,300 physically inactive adult participants aged 18-70 years. Participants will be randomly assigned to one of three groups: control, intervention 1 (attendance incentives), or intervention 2 (attendance incentives and tailored support following a model based on customer relationship management). Primary outcome measures will include facility usage, physical activity participation, mental and physical wellbeing, community connectedness, social capital, friendship, and social support. Secondary outcome measures will include stages of change for facility usage and social cognitive decision-making variables. This study will assess whether customer relationship management systems, a tool commonly used in commercial marketing settings, can encourage the ongoing use of a physical activity facility. Findings may also indicate the population segments among which the use of such systems are most effective, as well as their cost-effectiveness. Australian New Zealand Clinical Trials Registry: ACTRN12615000012572 (registered 9 January 2015).

The Breast Health Intervention Evaluation Study

National Research Council Canada - National Science Library

Blumenthal, Daniel

1997-01-01

The Breast Health Intervention Evaluation (BRIE) Study will evaluate the relative effectiveness of three different approaches to breast health messages--a fear appeal, a positive affect appeal, and an affectively neutral, cognitive appeal...

Buildings of the Future Scoping Study: A Framework for Vision Development

Energy Technology Data Exchange (ETDEWEB)

Wang, Na [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Goins, John D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2015-02-01

The Buildings of the Future Scoping Study, funded by the U.S. Department of Energy (DOE) Building Technologies Office, seeks to develop a vision for what U.S. mainstream commercial and residential buildings could become in 100 years. This effort is not intended to predict the future or develop a specific building design solution. Rather, it will explore future building attributes and offer possible pathways of future development. Whether we achieve a more sustainable built environment depends not just on technologies themselves, but on how effectively we envision the future and integrate these technologies in a balanced way that generates economic, social, and environmental value. A clear, compelling vision of future buildings will attract the right strategies, inspire innovation, and motivate action. This project will create a cross-disciplinary forum of thought leaders to share their views. The collective views will be integrated into a future building vision and published in September 2015. This report presents a research framework for the vision development effort based on a literature survey and gap analysis. This document has four objectives. First, it defines the project scope. Next, it identifies gaps in the existing visions and goals for buildings and discusses the possible reasons why some visions did not work out as hoped. Third, it proposes a framework to address those gaps in the vision development. Finally, it presents a plan for a series of panel discussions and interviews to explore a vision that mitigates problems with past building paradigms while addressing key areas that will affect buildings going forward.

A systematic review of perinatal depression interventions for adolescent mothers.

Science.gov (United States)

Lieberman, Kate; Le, Huynh-Nhu; Perry, Deborah F

2014-12-01

Poor, adolescent, racial/ethnic minority women are at great risk for developing perinatal depression. However, little research has been conducted evaluating interventions for this population. We conducted a systematic review of preventive and treatment interventions for perinatal depression tested with adolescents, with a focus on low income, minority populations. Nine research-based articles (including one that reported on two studies) were reviewed systematically, and quality ratings were assigned based on a validated measure assessing randomization, double-blinding, and reporting of participant withdrawals. Two treatment studies were identified, both of which were successful in reducing depression. Eight prevention studies were located, of which four were more efficacious than control conditions in preventing depression. Studies sampled mostly minority, low socioeconomic status adolescents. No consistent characteristics across efficacious interventions could be identified. This review underscores the need for researchers to further investigate and build an evidence base. Copyright © 2014 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

Building Maintenance Management in a Malaysian University Campus: A Case Study

Directory of Open Access Journals (Sweden)

Olanrewaju Abdul Lateef

2010-07-01

Full Text Available University buildings require maintenance in order to create a conducive environment that supports and stimulates learning, teaching, innovation, and research. The prime objective of maintenance is to ensure, as far as practicable, the continued peak performance of the building throughout its design life. This paper seeks to report the maintenance management system of a university institution in Malaysia. Primary data was gathered through the analysis of a case study. The objectives of the case study are to identify, describe and assess the maintenance management system used by the university. The major conclusion drawn from the case study was that although university building maintenance practices are corrective and cyclical there is a lack of a comprehensive maintenance management framework that guides the decision-making processes. The case study also revealed irregularities in the university’s maintenance management system.

[Studies on occupational stress intervention in workplaces abroad: a systematic review].

Science.gov (United States)

Hua, Yujie; Dai, Junming

2015-10-01

To evaluate the effects of occupational stress intervention in the workplaces abroad by systematic review and to provide a reference for domestic research. The Medline database was searched to collect the literature on occupational stress intervention published from January 1 in 2000 to September 4 in 2014, Using standardized forms, the methods, contents, subjects, study design, result indicator, effectiveness and evidence of the intervention were extracted and analyzed. Thirty studies met the inclusion criteria, with a total sample size of 5699 participants, including 20 randomized trials and 10 non-randomized or self-controlled studies from 12 countries, such as Germany, Japan, and Britain. The course of intervention ranged from 4 to 16 weeks. Six types of intervention were identified, i.e., cognitive-behavioral treatment (CBT), relaxation technique, physical activity, organization-focused intervention, combined intervention, and multilevel intervention, among which CBT was used most frequently. The outcome variables mainly included social psychological variable and work-related variable. Occupational stress intervention could significantly improve the occupational stress and depressive symptoms, and also had some effects on the work-related outcomes. The effectiveness of the intervention might vary between the subjects with different occupational stress levels before intervention. The effectiveness of the intervention was better at an organizational level than at an individual level, but the effectiveness at a multiple level was not necessarily better than that at a single level. Occupational stress intervention is an effective method to improve the occupational stress at workplace. However, the occupational stress level before intervention, the duration and frequency of intervention, measures and level of intervention, and follow-up period have certain influence on the effectiveness of intervention. Future research should pay attention to methodology, focus on

Use of LCA as a Tool for Building Ecodesign. A Case Study of a Low Energy Building in Spain

Directory of Open Access Journals (Sweden)

Alberto Jáñez

2013-08-01

Full Text Available This paper demonstrates how to achieve energy savings in the construction and operation of buildings by promoting the use of life cycle assessment techniques in the design for new buildings and for refurbishment. The paper aims to draw on the application of a specific methodology for low energy consumption, integrated planning, environmental performance evaluation of buildings, and design for sustainability and LCA techniques applied to buildings. The ENergy Saving through promotion of LIfe Cycle assessment in buildings (ENSLIC methodology based on LCA for use in an integral planning process has been promoted to stakeholders who require a means to optimize the environmental performance of buildings. Feedback from the stakeholders has facilitated the creation of simplified LCA guidelines, a systematic approach guiding the user through the alternative options regarding software choices, their strengths and weaknesses, the databases available, the usefulness of different indicators, aggregation, definition of limits and options for simplifying the process. As a result, this paper presents the applied results of a case study where this methodology is implemented serving as an energy savings evaluation tool for decision makers, end-users, professionals involved in the different stages of construction, etc. Finally, it is demonstrated how LCA can facilitate comparisons between different buildings, showing the influence of all variables on a building’s life cycle environmental impact and showing the potential for energy savings. Removing market barriers to sustainable construction is actually stricter and this is good news for promoting higher energy efficiency in buildings.

Move the Neighbourhood: Study design of a community-based participatory public open space intervention in a Danish deprived neighbourhood to promote active living

Directory of Open Access Journals (Sweden)

Charlotte Skau Pawlowski

2017-05-01

Full Text Available Abstract Background A limited amount of research has examined the effect of changing public open spaces on active living. This paper will present the study protocol of a community-based intervention study co-designed in an interdisciplinary collaboration with community members to develop urban installations highly tailored to promote active living among children (10–13-years-old and seniors (>60-years-old in a deprived neighbourhood in Copenhagen. Methods The study builds on a quasi-experimental study design with two sub-studies: 1 a children study and 2 a senior study. The interventions will be developed, designed and implemented in collaboration with local children and seniors, respectively, using different co-design tools and methods. We will evaluate the effect of the interventions on children’s and senior’s use of the new-built urban installations using accelerometers in combination with GPS as well as systematic observation using the System for Observing Play and Recreation in Communities (SOPARC. A process evaluation with focus groups consisting of the various stakeholders in the two sub-studies will be used to gain knowledge of the intervention processes. Discussion The paper presents new approaches in the field of public open space interventions through interdisciplinary collaboration, participatory co-design approach and combination of measurements. Using both effect and process evaluations the study will provide unique insights in the role and importance of the interdisciplinary collaboration, participatory processes, and tailoring changes in public open space to local needs and wishes. These results can be used to guide urban renewal projects in deprived neighbourhoods in the future. Trial registration Retrospectively registered with study ID ISRCTN50036837 . Date of registration: 16 December 2016.

Move the Neighbourhood: Study design of a community-based participatory public open space intervention in a Danish deprived neighbourhood to promote active living.

Science.gov (United States)

Pawlowski, Charlotte Skau; Winge, Laura; Carroll, Sidse; Schmidt, Tanja; Wagner, Anne Margrethe; Nørtoft, Kamilla Pernille Johansen; Lamm, Bettina; Kural, René; Schipperijn, Jasper; Troelsen, Jens

2017-05-19

A limited amount of research has examined the effect of changing public open spaces on active living. This paper will present the study protocol of a community-based intervention study co-designed in an interdisciplinary collaboration with community members to develop urban installations highly tailored to promote active living among children (10-13-years-old) and seniors (>60-years-old) in a deprived neighbourhood in Copenhagen. The study builds on a quasi-experimental study design with two sub-studies: 1) a children study and 2) a senior study. The interventions will be developed, designed and implemented in collaboration with local children and seniors, respectively, using different co-design tools and methods. We will evaluate the effect of the interventions on children's and senior's use of the new-built urban installations using accelerometers in combination with GPS as well as systematic observation using the System for Observing Play and Recreation in Communities (SOPARC). A process evaluation with focus groups consisting of the various stakeholders in the two sub-studies will be used to gain knowledge of the intervention processes. The paper presents new approaches in the field of public open space interventions through interdisciplinary collaboration, participatory co-design approach and combination of measurements. Using both effect and process evaluations the study will provide unique insights in the role and importance of the interdisciplinary collaboration, participatory processes, and tailoring changes in public open space to local needs and wishes. These results can be used to guide urban renewal projects in deprived neighbourhoods in the future. Retrospectively registered with study ID ISRCTN50036837 . Date of registration: 16 December 2016.

Evaluating health effects of transport interventions methodologic case study.

Science.gov (United States)

Ogilvie, David; Mitchell, Richard; Mutrie, Nanette; Petticrew, Mark; Platt, Stephen

2006-08-01

There is little evidence about the effects of environmental interventions on population levels of physical activity. Major transport projects may promote or discourage physical activity in the form of walking and cycling, but researching the health effects of such "natural experiments" in transport policy or infrastructure is challenging. Case study of attempts in 2004-2005 to evaluate the effects of two major transport projects in Scotland: an urban congestion charging scheme in Edinburgh, and a new urban motorway (freeway) in Glasgow. These interventions are typical of many major transport projects. They are unique to their context. They cannot easily be separated from the other components of the wider policies within which they occur. When, where, and how they are implemented are political decisions over which researchers have no control. Baseline data collection required for longitudinal studies may need to be planned before the intervention is certain to take place. There is no simple way of defining a population or area exposed to the intervention or of defining control groups. Changes in quantitative measures of health-related behavior may be difficult to detect. Major transport projects have clear potential to influence population health, but it is difficult to define the interventions, categorize exposure, or measure outcomes in ways that are likely to be seen as credible in the field of public health intervention research. A final study design is proposed in which multiple methods and spatial levels of analysis are combined in a longitudinal quasi-experimental study.

Performance Assessment of Maintenance Practices in Government Office Buildings: Case Study of Parcel E, Putrajaya

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Awg Husaini A.I.

2014-03-01

Full Text Available Building maintenance practices must be taken into consideration by building facility managers or building owners. They involve daily operations to ensure that end users can work or live comfortably and safely. Through effective maintenance practices, the functions of the existing building facilities can be maintained and meet the needs of the building users. Maintenance practices must be effective in aspects such as planning, organization and supervision in order to maintain the building at a satisfactory level of performance all the time. A study was conducted on a Federal government office building in Parcel E, Putrajaya to determine the maintenance aspects of the management of the facility. To achieve the objectives of this study a questionnaire survey was used to obtain the required data. The outcomes indicate that the aspects of building maintenance practice and the effectiveness of the maintenance management in government office buildings can influence the satisfaction of the end user. However, some aspects of the current building maintenance practices seem to need improvements in order to enhance the building maintenance management. The recommendations of this study will help in the effective management of the facility and maintenance management practices.

Exploring Environment-Intervention Fit: A Study of a Work Environment Intervention Program for the Care Sector

Science.gov (United States)

Aust, Birgit; Flyvholm, Mari-Ann

2015-01-01

Targeting occupational health and safety interventions to different groups of employees and sectors is important. The aim of this study was to explore the environment-intervention fit of a Danish psychosocial work environment intervention program for the residential and home care sector. Focus group interviews with employees and interviews with mangers were conducted at 12 selected workplaces and a questionnaire survey was conducted with managers at all 115 workplaces. The interventions enhanced the probability of employees experiencing more “good” work days, where they could make a difference to the lives of clients. The interventions may therefore be characterized as culturally compelling and having a good fit with the immediate work environment of employees. The interventions furthermore seemed to fit well with the wider organizational environment and with recent changes in the societal and economic context of workplaces. However, some workplaces had difficulties with involving all employees and adapting the interventions to the organization of work. The findings suggest that flexibility and a variety of strategies to involve all employees are important aspects, if interventions are to fit well with the care sector. The focus on employees' conceptualization of a “good” work day may be useful for intervention research in other sectors. PMID:26380356

Exploring Environment-Intervention Fit: A Study of a Work Environment Intervention Program for the Care Sector

Directory of Open Access Journals (Sweden)

Louise Hardman Smith

2015-01-01

Full Text Available Targeting occupational health and safety interventions to different groups of employees and sectors is important. The aim of this study was to explore the environment-intervention fit of a Danish psychosocial work environment intervention program for the residential and home care sector. Focus group interviews with employees and interviews with mangers were conducted at 12 selected workplaces and a questionnaire survey was conducted with managers at all 115 workplaces. The interventions enhanced the probability of employees experiencing more “good” work days, where they could make a difference to the lives of clients. The interventions may therefore be characterized as culturally compelling and having a good fit with the immediate work environment of employees. The interventions furthermore seemed to fit well with the wider organizational environment and with recent changes in the societal and economic context of workplaces. However, some workplaces had difficulties with involving all employees and adapting the interventions to the organization of work. The findings suggest that flexibility and a variety of strategies to involve all employees are important aspects, if interventions are to fit well with the care sector. The focus on employees’ conceptualization of a “good” work day may be useful for intervention research in other sectors.

Canister storage building trade study. Final report

International Nuclear Information System (INIS)

Swenson, C.E.

1995-05-01

This study was performed to evaluate the impact of several technical issues related to the usage of the Canister Storage Building (CSB) to safely stage and store N-Reactor spent fuel currently located at K-Basin 100KW and 100KE. Each technical issue formed the basis for an individual trade study used to develop the ROM cost and schedule estimates. The study used concept 2D from the Fluor prepared ''Staging and Storage Facility (SSF) Feasibility Report'' as the basis for development of the individual trade studies

Canister storage building trade study. Final report

Energy Technology Data Exchange (ETDEWEB)

Swenson, C.E. [Westinghouse Hanford Co., Richland, WA (United States)

1995-05-01

This study was performed to evaluate the impact of several technical issues related to the usage of the Canister Storage Building (CSB) to safely stage and store N-Reactor spent fuel currently located at K-Basin 100KW and 100KE. Each technical issue formed the basis for an individual trade study used to develop the ROM cost and schedule estimates. The study used concept 2D from the Fluor prepared ``Staging and Storage Facility (SSF) Feasibility Report`` as the basis for development of the individual trade studies.

Environmental effect of structural solutions and building materials to a building

International Nuclear Information System (INIS)

Haapio, Appu; Viitaniemi, Pertti

2008-01-01

The field of building environmental assessment tools has become a popular research area over the past decade. However, how the service life of a building affects the results of the environmental assessment of a building has not been emphasised previously. The aim of this study is to analyse how different structural solutions and building materials affect the results of the environmental assessment of a whole building over the building's life cycle. Furthermore, how the length of the building's service life affects the results is analysed. The environmental assessments of 78 single-family houses were calculated for this study. The buildings have different wall insulations, claddings, window frames, and roof materials, and the length of the service life varies from 60 years up to 160 years. The current situation and the future of the environmental assessment of buildings are discussed. In addition, topics for further research are suggested; for example, how workmanship affects the service life and the environmental impact of a building should be studied

Why study higher education and capacity building in Africa?

DEFF Research Database (Denmark)

Adriansen, Hanne Kirstine; Madsen, Lene Møller; Jensen, Stig

2015-01-01

innovative approach to higher education and capacity building, namely by studying this through ‘geographies of knowledge’. This is an interdisciplinary field that pays attention to the ways scientific knowledge is produced and consumed with a special focus on geography. By using a geographical approach...... for exploring the current and future development of teaching and knowledge production in Africa, we want to explore how scientific knowledge is negotiated and contested in parallel to societal changes in general and capacity building in particular, and thus how scientific knowledge becomes local. Then we...... position the book and its authors before the structure of the book is presented together with a short presentation of the case-based chapters, organised in three parts. These are Part I: Capacity building of African universities – asymmetrical power relations? Part II: Researching and teaching climate...

Comparative study of building footprint estimation methods from LiDAR point clouds

Science.gov (United States)

Rozas, E.; Rivera, F. F.; Cabaleiro, J. C.; Pena, T. F.; Vilariño, D. L.

2017-10-01

Building area calculation from LiDAR points is still a difficult task with no clear solution. Their different characteristics, such as shape or size, have made the process too complex to automate. However, several algorithms and techniques have been used in order to obtain an approximated hull. 3D-building reconstruction or urban planning are examples of important applications that benefit of accurate building footprint estimations. In this paper, we have carried out a study of accuracy in the estimation of the footprint of buildings from LiDAR points. The analysis focuses on the processing steps following the object recognition and classification, assuming that labeling of building points have been previously performed. Then, we perform an in-depth analysis of the influence of the point density over the accuracy of the building area estimation. In addition, a set of buildings with different size and shape were manually classified, in such a way that they can be used as benchmark.

Life-Cycle Analysis of Building Retrofits at the Urban Scale—A Case Study in United Arab Emirates

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Afshin Afshari

2014-01-01

than 60% of the total energy consumption. However, many sources of uncertainty still remain. How should we assess the life-cycle cost/benefit of candidate demand-side interventions? Which ones to choose in order to maximize national utility? This study will start to answer those questions by using a detailed engineering model of a typical Abu Dhabi building as specified by the Emirate’s Urban Planning Council. Using the model building as a baseline, we then proceed to evaluate the energy impact of different retrofits through numerical simulation. We present a novel Marginal Abatement Cost Curve (MACC for the Emirate of Abu Dhabi focusing exclusively on demand-side measures having an impact on the air-conditioning load. A surprising number of the abatement levers analyzed in this study exhibit a positive net present value (NPV, if the cost-reflective price of electricity is used for the life-cycle assessment.

Building construction materials effect in tropical wet and cold climates: A case study of office buildings in Cameroon

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Modeste Kameni Nematchoua

2016-03-01

Full Text Available This paper presents the results of an experimental study that was conducted in 15 office buildings in the humid and cold tropics during the working hours of the dry and rainy seasons in Cameroon. This was with the aim to study the effects that local and imported materials had on indoor air quality. To achieve this objective, the adaptive model approach has been selected. In accordance with the conditions of this model, all workers were kept in natural ventilation and, in accordance with the general procedure, a questionnaire was distributed to them, while variables, like air temperature, wind speed, and relative humidity were sampled. The results showed a clear agreement between expected behaviour, in accordance with the characteristics of building construction, and its real indoor ambience once they were statistically analysed. On the other hand, old buildings showed a higher percentage of relative humidity and a lower degree of indoor air temperature. Despite this, local thermal comfort indices and questionnaires showed adequate indoor ambience in each group of buildings, except when marble was used for external tiling. The effect of marble as an external coating helps to improve indoor ambience during the dry season. This is due to more indoor air and relative humidity being accumulated. At the same time, these ambiences are degraded when relative humidity is higher. Finally, these results should be taken cognisance of by architects and building designers in order to improve indoor environment, and overcome thermal discomfort in the Saharan area.

Study of the layout plan in the tokamak complex building for ITER

International Nuclear Information System (INIS)

Sato, Kazuyoshi; Yagenji, Akira; Sekiya, Shigeki; Takahashi, Hideo; Tamura, Kousaku; Neyatani, Yuzuru; Hashimoto, Masayoshi; Ogino, Shunji; Nagamatsu, Nobuhide; Motohashi, Keiichi; Uehara, Masaharu; Kataoka, Takahiro; Ohashi, Hironori

2006-03-01

This report summarizes study of the layout plan in the ITER Tokamak complex building as an invite to set up its plant in Japan. To draw up this arrangement plan, final design report (FDR), which was designed for main components and determined for the non-site specific design, was reconstructed systematically for the Japanese site. A supplementary design was performed for the insufficiency parts of FDR. An additional study was also performed for the adaptation of a regulatory framework including technical safety requirements in Japan. We proposed the tokamak complex building with seismic isolation to combine with the hot cell building. Through the studies, a layout plan has been constructed including maintenance plan for personnel access and component route with in the building from assembly to operation period. This layout plan would be used as a basis in the construction period, although final decision will be done by ITER organization. (author)

The Brazilian energy crisis and a study to support building efficiency legislation

Energy Technology Data Exchange (ETDEWEB)

Rosa, L.P. [Federal University of Rio de Janeiro (Brazil). School of Engineering; Lomardo, L.L.B. [Fluminense Federal University and Researcher of COPPE, Rio de Janeiro (Brazil). Dept. of Architecture

2004-02-01

Brazil has gone through an important electricity generation crisis in 2001, but the country does not have as yet a legislation to improve building energy efficiency. The energy efficiency of Brazilian buildings can well be improved, as it was shown during the energy-rationing period in 2001. This efficiency increase could usher in gains in quality for indoor environments, as well as lower investments in power generation facilities, including the emission of gases into the atmosphere, flooding arable land for reservoirs, etc. The current work briefly demonstrates the lack of planning that caused the electricity crisis, some results of multi-building studies and simulations of an existing office building of Rio de Janeiro. In this parametric case-study, we have simulated variations of the window-wall ratio (WWR) with different glasses and interior shade, using the natural light, aspects deemed to be of the utmost importance for a future Brazilian building energy efficiency legislation. The need of such legislation has been much increased as a result of the energy generation crisis and its consequences. To take advantage of the problems, in order to improve the quality of the Brazilians buildings, is one of our objectives. (author)

Improvement interventions: To what extent are they manifestations of social defences?

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Jeremias J. de Klerk

2012-02-01

Research purpose: The aim is to provide an explanation to the lure behind interventions and to contribute to building a theory on plausible systems psychodynamic drivers and mechanisms of recurrent change interventions. Motivation for the study: This study provides insights into social defences in ways that did not receive much attention previously; specifically how defence mechanisms act as drivers for new change and improvement interventions. Research design, approach and method: A literature study, consisting of a literature review and a phenomenological analysis. The study was conducted from the systems psychodynamic approach. Main findings: Improvement interventions often represent defences that serve to contain anxieties or maintain fantasies. Four specific themes emerged: interventions defend the perception of being in control, they maintain the fantasy that one is busy with worthy actions to overcome challenges, they are defences against boredom or contain anxieties about incompetence, and they maintain the fantasy of being heroic leaders. Practical/managerial implications: The findings can assist leaders to understand their own defences in order to avoid embarking on non-essential interventions. This can free up much time, energy and effort to spend on other priorities, assisting organisations to achieve better results. Contribution/value-add: The study refutes the notion that improvement interventions are always rational coping mechanisms and highlights the role of improvement interventions as defences to reduce anxiety, even though they may contribute little to organisational survival in real terms.

Math and Science Pursuits: A Self-Efficacy Intervention Comparison Study

Science.gov (United States)

Cordero, Elizabeth D.; Porter, Sarah H.; Israel, Tania; Brown, Michael T.

2010-01-01

This study compared two interventions to increase math self-efficacy among undergraduate students. Ninety-nine first-year undergraduate students participated in an intervention involving performance accomplishment or an intervention combining performance accomplishment and belief-perseverance techniques in which participants constructed a…

Compliance with smoke-free legislation within public buildings: a cross-sectional study in Turkey.

Science.gov (United States)

Navas-Acien, Ana; Çarkoğlu, Asli; Ergör, Gül; Hayran, Mutlu; Ergüder, Toker; Kaplan, Bekir; Susan, Jolie; Magid, Hoda; Pollak, Jonathan; Cohen, Joanna E

2016-02-01

To investigate public compliance with legislation to prohibit smoking within public buildings and the extent of tobacco smoking in outdoor areas in Turkey. Using a standardized observation protocol, we determined whether smoking occurred and whether ashtrays, cigarette butts and/or no-smoking signs were present in a random selection of 884 public venues in 12 cities in Turkey. We visited indoor and outdoor locations in bars/nightclubs, cafes, government buildings, hospitals, restaurants, schools, shopping malls, traditional coffee houses and universities. We used logistic regression models to determine the association between the presence of ashtrays or the absence of no-smoking signs and the presence of individuals smoking or cigarette butts. Most venues had no-smoking signs (629/884). We observed at least one person smoking in 145 venues, most frequently observed in bars/nightclubs (63/79), hospital dining areas (18/79), traditional coffee houses (27/120) and government-building dining areas (5/23). For 538 venues, we observed outdoor smoking close to public buildings. The presence of ashtrays was positively associated with indoor smoking and cigarette butts, adjusted odds ratio, aOR: 315.9; 95% confidence interval, CI: 174.9-570.8 and aOR: 165.4; 95% CI: 98.0-279.1, respectively. No-smoking signs were negatively associated with the presence of cigarette butts, aOR: 0.5; 95% CI: 0.3-0.8. Additional efforts are needed to improve the implementation of legislation prohibiting smoking in indoor public areas in Turkey, especially in areas in which we frequently observed people smoking. Possible interventions include removing all ashtrays from public places and increasing the number of no-smoking signs.

Energy Performance Certificate of building and confidence interval in assessment: An Italian case study

International Nuclear Information System (INIS)

Tronchin, Lamberto; Fabbri, Kristian

2012-01-01

The Directive 2002/91/CE introduced the Energy Performance Certificate (EPC), an energy policy tool. The aim of the EPC is to inform building buyers about the energy performance and energy costs of buildings. The EPCs represent a specific energy policy tool to orient the building sector and real-estate markets toward higher energy efficiency buildings. The effectiveness of the EPC depends on two factors: •The accuracy of energy performance evaluation made by independent experts. •The capability of the energy classification and of the scale of energy performance to control the energy index fluctuations. In this paper, the results of a case study located in Italy are shown. In this example, 162 independent technicians on energy performance of building evaluation have studied the same building. The results reveal which part of confidence intervals is dependent on software misunderstanding and that the energy classification ranges are able to tolerate the fluctuation of energy indices. The example was chosen in accordance with the legislation of the Emilia-Romagna Region on Energy Efficiency of Buildings. Following these results, some thermo-economic evaluation related to building and energy labelling are illustrated, as the EPC, which is an energy policy tool for the real-estate market and building sector to find a way to build or retrofit an energy efficiency building. - Highlights: ► Evaluation of the accuracy of energy performance of buildings in relation with the knowledge of independent experts. ► Round robin test based on 162 case studies on the confidence intervals expressed by independent experts. ► Statistical considerations between the confidence intervals expressed by independent experts and energy simulation software. ► Relation between “proper class” in energy classification of buildings and confidence intervals of independent experts.

Prospective Links between Friendship and Early Physical Aggression: Preliminary Evidence Supporting the Role of Friendship Quality through a Dyadic Intervention

Science.gov (United States)

Salvas, Marie-Claude; Vitaro, Frank; Brendgen, Mara; Cantin, Ste´phane

2016-01-01

Positive friendships have been related to decreasing levels of children's physical aggression over time. While this evidence calls for interventions aimed at helping children build good-quality friendships, tests of causality through experimental manipulations are still needed. The goal of this study was to examine whether an intervention aimed to…

A Study on Development of a Cost Optimal and Energy Saving Building Model: Focused on Industrial Building

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Hye Yeon Kim

2016-03-01

Full Text Available This study suggests an optimization method for the life cycle cost (LCC in an economic feasibility analysis when applying energy saving techniques in the early design stage of a building. Literature and previous studies were reviewed to select appropriate optimization and LCC analysis techniques. The energy simulation (Energy Plus and computational program (MATLAB were linked to provide an automated optimization process. From the results, it is suggested that this process could outline the cost optimization model with which it is possible to minimize the LCC. To aid in understanding the model, a case study on an industrial building was performed to outline the operations of the cost optimization model including energy savings. An energy optimization model was also presented to illustrate the need for the cost optimization model.

Upgrade Opportunities for Buildings in City Centres

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Silva M.

2012-10-01

Full Text Available This proposal focus on the potential of the existing buildings upgrade process in achieving the 20-20-20 goals, as these are the biggest energy consumers, the most significant built area and the better placed buildings within our cities. These buildings frequently lack basic maintenance and need intervention, but include within themselves a vast amount of incorporated energy and centuries of construction knowledge. Beyond the advantages that may result from re-attracting people back into the city centre, upgrading these existing buildings can also have positive bounce-back effect on the reduction of the energy needs related to transportation, as demonstrated in studies that alert to the impact of the building sprawl in the total energy use. As “buildings account for 40 % of total energy consumption in the Union”, the better performance of this sector has a significant role, remembering that “these requirements shall take account of general indoor climate conditions, in order to avoid possible negative effects such as inadequate ventilation, as well as local conditions and the designated function and the age of the building” [1]. The importance of “upgrading” the existing buildings resides on the fact that new buildings represent only approximately 1 or 2% of the total usable area, an estimate that is bound to decrease due to the current construction crisis. While the recent buildings tend to be more efficient, the numerous existing buildings are important stakeholders due to their massive consumptions and incorporated energy. The ongoing Annex 56 on “Energy & Greenhouse Gas Optimized Building Renovation” assumes that “Current standards do not respond effectively to the numerous constraints imposed by existing buildings and in many cases, the requirements result in very expensive measures and complex procedures, seldom accepted by occupants, owners or developers. It is then urgent for the new standards to respond to these

Supermarket Healthy Eating for Life (SHELf: protocol of a randomised controlled trial promoting healthy food and beverage consumption through price reduction and skill-building strategies

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Le Ha ND

2011-09-01

Full Text Available Abstract Background In the context of rising food prices, there is a need for evidence on the most effective approaches for promoting healthy eating. Individually-targeted behavioural interventions for increasing food-related skills show promise, but are unlikely to be effective in the absence of structural supports. Fiscal policies have been advocated as a means of promoting healthy eating and reducing obesity and nutrition-related disease, but there is little empirical evidence of their effectiveness. This paper describes the Supermarket Healthy Eating for LiFe (SHELf study, a randomised controlled trial to investigate effectiveness and cost-effectiveness of a tailored skill-building intervention and a price reduction intervention, separately and in combination, against a control condition for promoting purchase and consumption of healthy foods and beverages in women from high and low socioeconomic groups. Methods/design SHELf comprises a randomised controlled trial design, with participants randomised to receive either (1 a skill-building intervention; (2 price reductions on fruits, vegetables and low-joule soft drink beverages and water; (3 a combination of skill-building and price reductions; or (4 a control condition. Five hundred women from high and low socioeconomic areas will be recruited through a store loyalty card program and local media. Randomisation will occur on receipt of informed consent and baseline questionnaire. An economic evaluation from a societal perspective using a cost-consequences approach will compare the costs and outcomes between intervention and control groups. Discussion This study will build on a pivotal partnership with a major national supermarket chain and the Heart Foundation to investigate the effectiveness of intervention strategies aimed at increasing women's purchasing and consumption of fruits and vegetables and decreased purchasing and consumption of sugar-sweetened beverages. It will be among the

Site-Specific Study of In-Building Wireless Solutions with Poisson Traffic

DEFF Research Database (Denmark)

Liu, Zhen; Sørensen, Troels Bundgaard; Mogensen, Preben

2011-01-01

Due to the poor outdoor-to-indoor propagation into buildings, dedicated wireless systems installed inside the buildings is often preferred for providing indoor users with high-data-rate services. We study the typical in-building wireless solutions - distributed antenna system and small cell Femto...... system - together with another multi-cell system using our proposed centralized scheduling scheme. In our previous work, their performance is evaluated and compared in the LTE downlink context with full buffer traffic. Compared to real mobile networks, the full buffer traffic model is usually a worst...

A rural, community-based suicide awareness and intervention program.

Science.gov (United States)

Jones, Sharon; Walker, Coralanne; Miles, Alison C J; De Silva, Eve; Zimitat, Craig

2015-01-01

Suicide is a prominent public health issue in rural Australia and specifically in Tasmania, which has one of the highest suicide rates in the country. The Community Response to Eliminating Suicide (CORES) program was developed in rural Tasmania in response to a significant number of suicides over a short period of time. CORES is unique in that it is both a community-based and gatekeeper education model. CORES aims to build and empower communities to take ownership of suicide prevention strategies. It also aims to increase the individual community member's interpersonal skills and awareness of suicide risks, while building peer support and awareness of suicide prevention support services within the community itself. Pre- and post-test surveys after the CORES 1-day suicide awareness and intervention program (SAIP) showed significant increases in levels of comfort and confidence in discussing suicide with those who may be contemplating that action. CORES builds community capital through establishing new connections within communities. Establishment of local executive groups, funding and SAIP are key activities of successful CORES programs in communities around Australia. Over half of the initial leaders are still actively involved after a decade, which reflects positively on the quality and outcomes of the program. This study supports CORES as a beneficial and feasible community-based suicide intervention program for rural communities.

IMPACT ON THE APPLICATION OF INSULATION IN BUILDINGS TO ACHIEVE THERMAL COMFORT (A CASE STUDY: LAUSER OFFICE BUILDING IN BANDA ACEH

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Nova Purnama Lisa

2014-12-01

Full Text Available From the results of research studies on the impact of the use of insulation in buildings, reducing solar radiation on buildings to improve indoor comfort by applying the Principles of radiation reduction in buildings naturally using insulation application that serves as an insulator against the building materials, use of thermal insulation in particular mounted on the roof of the building and the walls are located on second floor and the third floor Lauser office building, Calculate the cooling load for each room that was on second floor and the third floor based on the geographical location or position of the building, climate data, building material data , and the intensity of the spatial characteristics which include lighting, solar radiation, user activity and electrical appliances being used. The calculation is done with the help of Ecotech v.5, 2011. The location and position on the third floor of a building with a flat roof cast concrete, so that the heat absorbed by the platform, and two times greater than the amount of heat radiation is absorbed by the material in the direction of the light falling the sun is at an angle <30°C. The simulation results on the building with the addition of thermal insulation on all walls and the roof of the inside of the foam material ultrafolmadehid, without changing the model building and similar activities in accordance with the existing condition and the condition of the room using the air conditioner at a temperature of 18-26°C, indicating a decrease in cooling load signifinikan in any space reaches 40% of the total cooling load required on the lauser office building. Comparing the simulation results Ecotech temperature v.5 2011 with field measurements as a validation of the simulation results in order to achieve thermal comfort in buildings and can menggurangi use energy consumption in buildings and can be used as a reference in planning space-based conditioning systems energy efficient.

A human rights-focused HIV intervention for sex workers in Metro Manila, Philippines: evaluation of effects in a quantitative pilot study.

Science.gov (United States)

Urada, Lianne A; Simmons, Janie; Wong, Betty; Tsuyuki, Kiyomi; Condino-Enrera, Gerlita; Hernandez, Laufred I; Simbulan, Nymia Pimentel; Raj, Anita

2016-11-01

This study evaluated a brief human rights-focused HIV community mobilization intervention for sex workers in the Philippines, a country with one of the fastest rising number of HIV cases worldwide. Five single-session group interventions to reduce sexual risk and increase HIV testing among 86 sex workers in Manila were evaluated with pre-post-test data via Wilcoxon's signed-ranks and Mann-Whitney tests. The 4-h intervention, Kapihan (August-November, 2013), integrated human rights with HIV skill-building. Demographic data, violence/trafficking victimization, human rights knowledge, and intentions to HIV test and treat were collected. Participants were median aged 23; female (69 %); had children (55; 22 % had 3+ children); used drugs (past 3 months: 16 %); sexually/physically abused by clients (66 %); 20 % street sex workers ever took an HIV test. Pre-post-test scores significantly improved in knowledge of HIV (z = -8.895, p research participants (z = -5.081, p test (z = -4.868, p test for HIV.

Long-Term Outcome of Social Skills Intervention Based on Interactive LEGO[C] Play

Science.gov (United States)

Legoff, Daniel B.; Sherman, Michael

2006-01-01

LEGO[C] building materials have been adapted as a therapeutic modality for increasing motivation to participate in social skills intervention, and providing a medium through which children with social and communication handicaps can effectively interact. A 3 year retrospective study of long-term outcome for autistic spectrum children participating…

Analysis Thermal Comfort Condition in Complex Residential Building, Case Study: Chiangmai, Thailand

Science.gov (United States)

Juangjandee, Warangkana

2017-10-01

Due to the increasing need for complex residential buildings, it appears that people migrate into the high-density urban areas because the infrastructural facilities can be easily found in the modern metropolitan areas. Such rapid growth of urbanization creates congested residential buildings obstructing solar radiation and wind flow, whereas most urban residents spend 80-90% of their time indoor. Furthermore, the buildings were mostly built with average materials and construction detail. This causes high humidity condition for tenants that could promote mould growth. This study aims to analyse thermal comfort condition in complex residential building, Thailand for finding the passive solution to improve indoor air quality and respond to local conditions. The research methodology will be in two folds: 1) surveying on case study 2) analysis for finding the passive solution of reducing humidity indoor air The result of the survey indicated that the building need to find passive solution for solving humidity problem, that can be divided into two ways which raising ventilation and indoor temperature including increasing wind-flow ventilation and adjusting thermal temperature, for example; improving building design and stack driven ventilation. For raising indoor temperature or increasing mean radiant temperature, daylight can be passive solution for complex residential design for reducing humidity and enhance illumination indoor space simultaneous.

DOE's Public Database for Green Building Case Studies: Preprint

Energy Technology Data Exchange (ETDEWEB)

Torcellini, P. A.; Crawley, D. B.

2003-11-01

To help capture valuable information on''green building'' case studies, the U.S. Department of Energy has created an online database for collecting, standardizing, and disseminating information about high-performance, green projects. Type of information collected includes green features, design processes, energy performance, and comparison to other high-performance, green buildings.

Precision Teaching, Frequency-Building, and Ballet Dancing

Science.gov (United States)

Lokke, Gunn E. H.; Lokke, Jon A.; Arntzen, Erick

2008-01-01

This article reports the effectiveness of a brief intervention aimed at achieving fluency in basic ballet moves in a 9-year-old Norwegian girl by use of frequency-building and Precision Teaching procedures. One nonfluent ballet move was pinpointed, and instructional and training procedures designed to increase the frequency of accurate responding…

Ventilated air cavities for the control of rising damp in historical buildings. Functional analysis

Directory of Open Access Journals (Sweden)

Mª T. Gil Muñoz

2018-01-01

Full Text Available This study analyzes the behavior of ventilated air cavities and their level of efficiency when used for the control of rising damp and the associated pathological damage in walls and foundations of historical buildings. The methodology is based on experiments on-site and monitoring. Knowledge of local climate conditions, the surroundings of the building, its construction features and the type of foundation constitute the preliminary conditions for the monitoring. In order to reach the goal we have measured several parameters according to a plan, developed graphical tools for the study, and prepared statistical data. The building of this system has not always been accompanied by a thorough assessment that would justify the intervention. The results show how this situation has affected the design strategies and sizing of the ventilated air cavities, limiting in many cases their efficiency.

Quasi experimental designs in pharmacist intervention research.

Science.gov (United States)

Krass, Ines

2016-06-01

Background In the field of pharmacist intervention research it is often difficult to conform to the rigorous requirements of the "true experimental" models, especially the requirement of randomization. When randomization is not feasible, a practice based researcher can choose from a range of "quasi-experimental designs" i.e., non-randomised and at time non controlled. Objective The aim of this article was to provide an overview of quasi-experimental designs, discuss their strengths and weaknesses and to investigate their application in pharmacist intervention research over the previous decade. Results In the literature quasi experimental studies may be classified into five broad categories: quasi-experimental design without control groups; quasi-experimental design that use control groups with no pre-test; quasi-experimental design that use control groups and pre-tests; interrupted time series and stepped wedge designs. Quasi-experimental study design has consistently featured in the evolution of pharmacist intervention research. The most commonly applied of all quasi experimental designs in the practice based research literature are the one group pre-post-test design and the non-equivalent control group design i.e., (untreated control group with dependent pre-tests and post-tests) and have been used to test the impact of pharmacist interventions in general medications management as well as in specific disease states. Conclusion Quasi experimental studies have a role to play as proof of concept, in the pilot phases of interventions when testing different intervention components, especially in complex interventions. They serve to develop an understanding of possible intervention effects: while in isolation they yield weak evidence of clinical efficacy, taken collectively, they help build a body of evidence in support of the value of pharmacist interventions across different practice settings and countries. However, when a traditional RCT is not feasible for

Building 2000

International Nuclear Information System (INIS)

Den Ouden, C.; Steemers, T.C.

1992-01-01

This is the first volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this first rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In a second volume, a similar series of studies is presented for the building categories: office buildings, public buildings and hotels and holiday complexes. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (15 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

Building 2000

Energy Technology Data Exchange (ETDEWEB)

Den Ouden, C [EGM Engineering BV, Dordrecht (Netherlands); Steemers, T C [Commission of the European Communities, Brussels (Belgium)

1992-01-01

This is the first volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this first rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In a second volume, a similar series of studies is presented for the building categories: office buildings, public buildings and hotels and holiday complexes. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (15 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues.

Lessons Learned from Case Studies of Six High-Performance Buildings

Energy Technology Data Exchange (ETDEWEB)

Torcellini, P.; Pless, S.; Deru, M.; Griffith, B.; Long, N.; Judkoff, R.

2006-06-01

Commercial buildings have a significant impact on energy use and the environment. They account for approximately 18% (17.9 quads) of the total primary energy consumption in the United States (DOE 2005). The energy used by the building sector continues to increase, primarily because new buildings are added to the national building stock faster than old buildings are retired. Energy consumption by commercial buildings will continue to increase until buildings can be designed to produce more energy than they consume. As a result, the U.S. Department of Energy's (DOE) Building Technologies Program has established a goal to create the technology and knowledge base for marketable zero-energy commercial buildings (ZEBs) by 2025.

'Communicate to vaccinate' (COMMVAC. building evidence for improving communication about childhood vaccinations in low- and middle-income countries: protocol for a programme of research

Directory of Open Access Journals (Sweden)

Lewin Simon

2011-12-01

Full Text Available Abstract Background Effective provider-parent communication can improve childhood vaccination uptake and strengthen immunisation services in low- and middle-income countries (LMICs. Building capacity to improve communication strategies has been neglected. Rigorous research exists but is not readily found or applicable to LMICs, making it difficult for policy makers to use it to inform vaccination policies and practice. The aim of this project is to build research knowledge and capacity to use evidence-based strategies for improving communication about childhood vaccinations with parents and communities in LMICs. Methods and design This project is a mixed methods study with six sub-studies. In sub-study one, we will develop a systematic map of provider-parent communication interventions for childhood vaccinations by screening and extracting data from relevant literature. This map will inform sub-study two, in which we will develop a taxonomy of interventions to improve provider-parent communication around childhood vaccination. In sub-study three, the taxonomy will be populated with trial citations to create an evidence map, which will also identify how evidence is linked to communication barriers regarding vaccination. In the project's fourth sub-study, we will present the interventions map, taxonomy, and evidence map to international stakeholders to identify high-priority topics for systematic reviews of interventions to improve parent-provider communication for childhood vaccination. We will produce systematic reviews of the effects of high-priority interventions in the fifth sub-study. In the sixth and final sub-study of the project, evidence from the systematic reviews will be translated into accessible formats and messages for dissemination to LMICs. Discussion This project combines evidence mapping, conceptual and taxonomy development, priority setting, systematic reviews, and knowledge transfer. It will build and share concepts, terms

Clinical Outcomes Used in Clinical Pharmacy Intervention Studies in Secondary Care

Directory of Open Access Journals (Sweden)

Lene Juel Kjeldsen

2017-05-01

Full Text Available The objective was to investigate type, frequency and result of clinical outcomes used in studies to assess the effect of clinical pharmacy interventions in inpatient care. The literature search using Pubmed.gov was performed for the period up to 2013 using the search phrases: “Intervention(s” and “pharmacist(s” and “controlled” and “outcome(s” or “effect(s”. Primary research studies in English of controlled, clinical pharmacy intervention studies, including outcome evaluation, were selected. Titles, abstracts and full-text papers were assessed individually by two reviewers, and inclusion was determined by consensus. In total, 37 publications were included in the review. The publications presented similar intervention elements but differed in study design. A large variety of outcome measures (135 had been used to evaluate the effect of the interventions; most frequently clinical measures/assessments by physician and health care service use. No apparent pattern was established among primary outcome measures with significant effect in favour of the intervention, but positive effect was most frequently related to studies that included power calculations and sufficient inclusion of patients (73% vs. 25%. This review emphasizes the importance of considering the relevance of outcomes selected to assess clinical pharmacy interventions and the importance of conducting a proper power calculation.

Quality assurance in non-interventional studies.

Science.gov (United States)

Theobald, Karlheinz; Capan, Müge; Herbold, Marlis; Schinzel, Stefan; Hundt, Ferdinand

2009-11-09

Nowadays, drug research and surveillance after authorisation becomes more and more important for several reasons. Non-interventional studies (NIS) investigate various aspects of drug use including efficacy and safety under real life conditions. Such kind of health services research should be on a high scientific, methodological and organisational level. Therefore accompanying measures to improve or to keep the quality are highly recommended. The aim of quality management is: first to avoid bias of results by using an appropriate study design and an adequate data analysis, second to assure authenticity, completeness and validity of the data and third to identify and resolve deficiencies at an early stage. Basic principles are laid down in corresponding guidelines and recommendations of authorities, institutes and societies. Various guidelines for good epidemiological practice (GEP) were published by the U.S. Food and Drug Administration (FDA) and international and regional societies for epidemiology. In addition in Germany the Federal Institute for Drugs and Medical Devices (BfArM) together with the Paul Ehrlich Institute (PEI) and the German Association of Research-Based Pharmaceutical Companies (VFA) have published respectively recommendations dealing with quality aspects of non-interventional observational studies. Key points are the advanced publishing of information about the project, developing of a study plan/protocol containing the scientific objectives, a sample size justification and a description of the planned analyses and the publishing of a summary of the results timely after completion of the study. The quality of the data can be improved by using standardized case report forms (CRF) and the CRF should be reviewed and tested before start of study by some participants. A source data verification (SDV) should be performed in randomly selected centres - in between 2% and 5% of the centres depending on the number of participating centres. Before start of

Quality assurance in non-interventional studies

Directory of Open Access Journals (Sweden)

Capan, Müge

2009-11-01

Full Text Available Nowadays, drug research and surveillance after authorisation becomes more and more important for several reasons. Non-interventional studies (NIS investigate various aspects of drug use including efficacy and safety under real life conditions. Such kind of health services research should be on a high scientific, methodological and organisational level. Therefore accompanying measures to improve or to keep the quality are highly recommended. The aim of quality management is: first to avoid bias of results by using an appropriate study design and an adequate data analysis, second to assure authenticity, completeness and validity of the data and third to identify and resolve deficiencies at an early stage. Basic principles are laid down in corresponding guidelines and recommendations of authorities, institutes and societies. Various guidelines for good epidemiological practice (GEP were published by the U.S. Food and Drug Administration (FDA and international and regional societies for epidemiology. In addition in Germany the Federal Institute for Drugs and Medical Devices (BfArM together with the Paul Ehrlich Institute (PEI and the German Association of Research-Based Pharmaceutical Companies (VFA have published respectively recommendations dealing with quality aspects of non-interventional observational studies. Key points are the advanced publishing of information about the project, developing of a study plan/protocol containing the scientific objectives, a sample size justification and a description of the planned analyses and the publishing of a summary of the results timely after completion of the study. The quality of the data can be improved by using standardized case report forms (CRF and the CRF should be reviewed and tested before start of study by some participants. A source data verification (SDV should be performed in randomly selected centres – in between 2% and 5% of the centres depending on the number of participating centres

Interpretive Research Aiming at Theory Building: Adopting and Adapting the Case Study Design

Science.gov (United States)

Diaz Andrade, Antonio

2009-01-01

Although the advantages of case study design are widely recognised, its original positivist underlying assumptions may mislead interpretive researchers aiming at theory building. The paper discusses the limitations of the case study design for theory building and explains how grounded theory systemic process adds to the case study design. The…

Community mobilization and household level waste management for dengue vector control in Gampaha district of Sri Lanka; an intervention study.

Science.gov (United States)

Abeyewickreme, W; Wickremasinghe, A R; Karunatilake, K; Sommerfeld, J; Axel, Kroeger

2012-12-01

Waste management through community mobilization to reduce breeding places at household level could be an effective and sustainable dengue vector control strategy in areas where vector breeding takes place in small discarded water containers. The objective of this study was to assess the validity of this assumption. An intervention study was conducted from February 2009 to February 2010 in the populous Gampaha District of Sri Lanka. Eight neighborhoods (clusters) with roughly 200 houses each were selected randomly from high and low dengue endemic areas; 4 of them were allocated to the intervention arm (2 in the high and 2 in the low endemicity areas) and in the same way 4 clusters to the control arm. A baseline household survey was conducted and entomological and sociological surveys were carried out simultaneously at baseline, at 3 months, at 9 months and at 15 months after the start of the intervention. The intervention programme in the treatment clusters consisted of building partnerships of local stakeholders, waste management at household level, the promotion of composting biodegradable household waste, raising awareness on the importance of solid waste management in dengue control and improving garbage collection with the assistance of local government authorities. The intervention and control clusters were very similar and there were no significant differences in pupal and larval indices of Aedes mosquitoes. The establishment of partnerships among local authorities was well accepted and sustainable; the involvement of communities and households was successful. Waste management with the elimination of the most productive water container types (bowls, tins, bottles) led to a significant reduction of pupal indices as a proxy for adult vector densities. The coordination of local authorities along with increased household responsibility for targeted vector interventions (in our case solid waste management due to the type of preferred vector breeding places) is

Waste Handling Building Conceptual Study

International Nuclear Information System (INIS)

G.W. Rowe

2000-01-01

The objective of the ''Waste Handling Building Conceptual Study'' is to develop proposed design requirements for the repository Waste Handling System in sufficient detail to allow the surface facility design to proceed to the License Application effort if the proposed requirements are approved by DOE. Proposed requirements were developed to further refine waste handling facility performance characteristics and design constraints with an emphasis on supporting modular construction, minimizing fuel inventory, and optimizing facility maintainability and dry handling operations. To meet this objective, this study attempts to provide an alternative design to the Site Recommendation design that is flexible, simple, reliable, and can be constructed in phases. The design concept will be input to the ''Modular Design/Construction and Operation Options Report'', which will address the overall program objectives and direction, including options and issues associated with transportation, the subsurface facility, and Total System Life Cycle Cost. This study (herein) is limited to the Waste Handling System and associated fuel staging system

A community intervention trial of multimodal suicide prevention program in Japan: a novel multimodal community intervention program to prevent suicide and suicide attempt in Japan, NOCOMIT-J.

Science.gov (United States)

Ono, Yutaka; Awata, Shuichi; Iida, Hideharu; Ishida, Yasushi; Ishizuka, Naoki; Iwasa, Hiroto; Kamei, Yuichi; Motohashi, Yutaka; Nakagawa, Atsuo; Nakamura, Jun; Nishi, Nobuyuki; Otsuka, Kotaro; Oyama, Hirofumi; Sakai, Akio; Sakai, Hironori; Suzuki, Yuriko; Tajima, Miyuki; Tanaka, Eriko; Uda, Hidenori; Yonemoto, Naohiro; Yotsumoto, Toshihiko; Watanabe, Naoki

2008-09-15

To respond to the rapid surge in the incidence of suicide in Japan, which appears to be an ongoing trend, the Japanese Multimodal Intervention Trials for Suicide Prevention (J-MISP) have launched a multimodal community-based suicide prevention program, NOCOMIT-J. The primary aim of this study is to examine whether NOCOMIT-J is effective in reducing suicidal behavior in the community. This study is a community intervention trial involving seven intervention regions with accompanying control regions, all with populations of statistically sufficient size. The program focuses on building social support networks in the public health system for suicide prevention and mental health promotion, intending to reinforce human relationships in the community. The intervention program components includes a primary prevention measures of awareness campaign for the public and key personnel, secondary prevention measures for screening of, and assisting, high-risk individuals, after-care for individuals bereaved by suicide, and other measures. The intervention started in July 2006, and will continue for 3.5 years. Participants are Japanese and foreign residents living in the intervention and control regions (a total of population of 2,120,000 individuals). The present study is designed to evaluate the effectiveness of the community-based suicide prevention program in the seven participating areas. UMIN Clinical Trials Registry (UMIN-CTR) UMIN000000460.

Beating Diabetes Together: A Mixed-Methods Analysis of a Feasibility Study of Intensive Lifestyle Intervention for Youth with Type 2 Diabetes.

Science.gov (United States)

Huynh, Elizabeth; Rand, Danielle; McNeill, Caitlin; Brown, Sarah; Senechal, Martin; Wicklow, Brandy; Dart, Allison; Sellers, Elizabeth; Dean, Heather; Blydt-Hansen, Tom; McGavock, Jonathan

2015-12-01

The purpose of this study was to assess the feasibility and lived experiences of an intensive group-based lifestyle intervention for youth with type 2 diabetes (Beating Diabetes Together) (BDT). The study included 12 Indigenous youth with type 2 diabetes (mean age, 14 years; n=9 girls); they participated in a 16-week pilot study of an intensive, group-based lifestyle intervention. We conducted a mixed-methods investigation of the cardiometabolic responses and lived experiences in the intervention. Of the 12 youth with cardiometabolic risk data, 5 youth and 2 mothers participated in semistructured interviews. Interview participants were purposely selected based on the frequency of attendance and availability. The intervention was well attended (>75% retention), and youth perceived significant benefits from participation. Thematic analysis of the interviews revealed 3 major themes. First, youth and parents described living with type 2 diabetes as being emotionally challenging. They described this experience as being isolating and connected to feelings of guilt and defeat. Second, youth and parents discussed benefits of participating in BDT. They shared the significance of positive relationships and experiences and how those have helped to manage their illness. Third, youth described the aspects that they most enjoyed at BDT. Peer support was an important determinant of physical activity, but they considered dietary changes to be individual behaviours. Glycemic control, blood pressure and anthropometric measures were not different following the intervention. Our findings support the importance of maintaining an inclusive environment and relationship building when designing strategies to promote behaviour modification for Indigenous youth living with type 2 diabetes. Copyright © 2015 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

The high-rise building. A review of sociological approaches for study

Directory of Open Access Journals (Sweden)

Jorge Vergara Vidal

2017-12-01

Full Text Available The verticalization of Chilean cities is a phenomenon that attracts the public interest and requires an understanding that exceeds the economic reasons and technical possibilities that lead to the proliferation of high buildings within them. This paper reviews in the sociological literature the treatment given to high-rise buildings with the aim of providing clues that collaborate with the social study of these architectural forms. The conclusions identify an epistemological turn that has allowed tools to link the architectural, material and technical aspects involved in high-rise buildings with the sociological analysis of these.

Preservation of adobe buildings. Study of materials

Science.gov (United States)

Velosa, A.; Rocha, F.; Costa, C.; Varum, H.

2012-04-01

Adobe buildings are common in the central region of Portugal due to the lack of natural stone in the surrounding area. This type of construction technique lasted until the 20th Century, at which time cementitious materials, with faster hardening and greater structural capacity substituted traditional materials and techniques. Currently, a significant percentage of these buildings is vacant and many are degraded and in need of conservation actions. Adobes from central Portugal are distinctive as they are lightly coloured and made from air lime and quarry sand. Although some adobes were manufactured locally, most were produced almost 'industrially' and sold to nearby regions. In order to preserve this heritage, conservation actions must be undertaken. So as to ensure the adequacy of these actions and compatibility between original materials and new ones, a thorough study of adobe compostion is mandatory. The current study is an initial step in the characterization of earth based construction materials from central Portugal. Adobe samples were collected from residential buildings in two different locations. The determination of the composition of adobe blocks encompassed the determination of the binder fraction and of their chemical composition and also the particle size analysis of the aggregate. For this purpose FRX analysis, acid dissolution and dry sieving were performed. Methylene blue test was also executed in order to determine the clay fraction. Additionally, the mineral composition of powder samples and oriented samples was performed using XRD analysis in order to determine the clay minerals present in the blocks. As adobe blocks are extremely prone to the action of water the Geelong test was undertaken in order to provide information in terms of durability. It was concluded that air lime was generally used in adobe compositions. However, the clay content varies in adobes from different regions, providing distinct durability characteristics to these materials.

Hegemonic masculinity: combining theory and practice in gender interventions.

Science.gov (United States)

Jewkes, Rachel; Morrell, Robert; Hearn, Jeff; Lundqvist, Emma; Blackbeard, David; Lindegger, Graham; Quayle, Michael; Sikweyiya, Yandisa; Gottzén, Lucas

2015-01-01

The concept of hegemonic masculinity has been used in gender studies since the early-1980s to explain men's power over women. Stressing the legitimating power of consent (rather than crude physical or political power to ensure submission), it has been used to explain men's health behaviours and the use of violence. Gender activists and others seeking to change men's relations with women have mobilised the concept of hegemonic masculinity in interventions, but the links between gender theory and activism have often not been explored. The translation of 'hegemonic masculinity' into interventions is little examined. We show how, in South Africa and Sweden, the concept has been used to inform theoretically-based gender interventions and to ensure that men are brought into broader social efforts to build gender equity. We discuss the practical translational challenges of using gender theory broadly, and hegemonic masculinity in particular, in a Swedish case study, of the intervention Machofabriken [The Macho Factory], and illustrate how the concept is brought to life in this activist work with men. The concept has considerable practical application in developing a sustainable praxis of theoretically grounded interventions that are more likely to have enduring effect, but evaluating broader societal change in hegemonic masculinity remains an enduring challenge.

Experimental and analytical studies on soil-structure interaction behavior of nuclear reactor building

International Nuclear Information System (INIS)

Tsushima, Y.

1978-01-01

The purpose of this study is to estimate damping effects due to soil-structure interaction by the dissipation of vibrational energy to the ground through the foundation in a building with a short fundamental period such as a nuclear reactor building. The author performed experimental and analytical studies on the vibrational characteristics of model steel structures ranging from one to four stories high erected on the rigid base and located on soil, which are simulated from the vibrational characteristics of a prototype reactor building: the former study is to obtain damping effects due to inner friction of steel frames and the latter to obtain radiation damping effects due to soil-structure interaction. The author also touches upon the results of experiments performed on a BWR-type reactor building in 1974, which showed damping ratios higher than 20% of those in fundamental modes. Then the author attempts to estimate the damping effects of the reactor building by his own method proposed in the report. Through these studies the author finally concludes that the experimental damping effects are remarkable in the lower modes by the energy dissipation and the analytical results show a fairly good fit to the experimental ones

Study of potential nonconformities of a new recreation center building's envelope

Science.gov (United States)

Stanescu, M.; Kajl, S.; Lamarche, L.

2016-09-01

This article presents a building envelope's analysis in order to verify the compliance with mandatory provisions of the Model National Energy Code for Buildings in Canada (MNECB 1997). Because some of the requirements are «not met», investigations were carried out to provide justifications in order to prove that the building can be considered as an exception to the mandatory provisions of MNECB. Therefore, we evaluate the impact of three (3) potential nonconformities of the building's walls on the building energy performance. In regards to article 3.1.1.1.4 of MNECB, there is an exception if it can be proved that permanent process (like heat recovery of refrigeration compressors) can produce at all times enough heat that no other heating source is required. First of all, by using simulation, we were able to indicate that almost all building's heating will be provided by energy recovery from ice rinks refrigeration systems (99.2%). Secondly, by using an energy analysis carried out with HEAT2 software, we can show that the increase of heating energy demand caused by the 3 studied walls is very low. This represents an increase of the heating energy demand of only 0.2%, and this, regardless of the heat recovery process. Because the nonconforming wall sections are small (0.97% of the envelope area), this mainly explains the minor impact in terms of building performance. In conclusion, according to the results obtained, we were able to recommend the building for consideration as an exception to the mandatory provisions of MNECB.

Training in Strength-Based Intervention and Assessment Methodologies in APA-Accredited Psychology Programs

Science.gov (United States)

Nichols, Kayla; Graves, Scott L., Jr.

2018-01-01

The importance of identifying and building on individual strengths has been a key component of many psychoeducational theories and modalities focused on developing interventions. However, program training in this growing area is not well known. As such, this is the first study designed to ascertain the American Psychological Association-accredited…

Irregular Shaped Building Design Optimization with Building Information Modelling

Directory of Open Access Journals (Sweden)

Lee Xia Sheng

2016-01-01

Full Text Available This research is to recognise the function of Building Information Modelling (BIM in design optimization for irregular shaped buildings. The study focuses on a conceptual irregular shaped “twisted” building design similar to some existing sculpture-like architectures. Form and function are the two most important aspects of new buildings, which are becoming more sophisticated as parts of equally sophisticated “systems” that we are living in. Nowadays, it is common to have irregular shaped or sculpture-like buildings which are very different when compared to regular buildings. Construction industry stakeholders are facing stiff challenges in many aspects such as buildability, cost effectiveness, delivery time and facility management when dealing with irregular shaped building projects. Building Information Modelling (BIM is being utilized to enable architects, engineers and constructors to gain improved visualization for irregular shaped buildings; this has a purpose of identifying critical issues before initiating physical construction work. In this study, three variations of design options differing in rotating angle: 30 degrees, 60 degrees and 90 degrees are created to conduct quantifiable comparisons. Discussions are focused on three major aspects including structural planning, usable building space, and structural constructability. This research concludes that Building Information Modelling is instrumental in facilitating design optimization for irregular shaped building. In the process of comparing different design variations, instead of just giving “yes or no” type of response, stakeholders can now easily visualize, evaluate and decide to achieve the right balance based on their own criteria. Therefore, construction project stakeholders are empowered with superior evaluation and decision making capability.

Intervention Effects on Adolescent Physical Activity in the Multicomponent SPACE Study

DEFF Research Database (Denmark)

Toftager, Mette; Christiansen, Lars B; Ersbøll, Annette K

2014-01-01

BACKGROUND: Multicomponent school-based interventions have the potential to reduce the age-related decline in adolescents' physical activity (PA), yet there is not consistent evidence to guide non-curricular and school environment interventions. The aim of this study was to assess the effectiveness......-up. A total of 1,348 students (11-13 years, in grade 5 and 6) enrolled in the study at baseline. The 14 schools included in the study were located in the Region of Southern Denmark. The intervention consisted of organizational and physical changes in the school environment with a total of 11 intervention...

Building an Evidence Base to Inform Interventions for Pregnant and Parenting Adolescents: A Call for Rigorous Evaluation

Science.gov (United States)

Burrus, Barri B.; Scott, Alicia Richmond

2012-01-01

Adolescent parents and their children are at increased risk for adverse short- and long-term health and social outcomes. Effective interventions are needed to support these young families. We studied the evidence base and found a dearth of rigorously evaluated programs. Strategies from successful interventions are needed to inform both intervention design and policies affecting these adolescents. The lack of rigorous evaluations may be attributable to inadequate emphasis on and sufficient funding for evaluation, as well as to challenges encountered by program evaluators working with this population. More rigorous program evaluations are urgently needed to provide scientifically sound guidance for programming and policy decisions. Evaluation lessons learned have implications for other vulnerable populations. PMID:22897541

Usability requirements for buildings: a case study on primary schools.

Science.gov (United States)

Duca, Gabriella

2012-01-01

This paper concerns an applied research aimed at applying the concept of usability, as derived form the standard ISO 9241/11, in the filed of building design, namely primary schools. Starting from the concept that space characteristics play a very relevant role in learning performances, the study presented here developed an original methodology for the assessment of effectiveness, efficiency and satisfaction of buildings hosting primary schools, in order to create a school environment better supporting users in their tasks. Research core is the framework of usability requirements and their related markers, indicators and technical specification that has been formulated in order to check compliance of urban area, building, rooms and architectural details with users needs. Therefore, a detailed task analysis of pupils and teacher tasks has been carried out and two questionnaires addressed to a significant users panel have been formulated for satisfaction survey. Lastly, a matrix for an overall reading of gathered data has been set-up and criteria for usability assessment based on that data has been defined. The whole study has been developed within the case study of a primary school in the Naples city centre, whose contents and results are discussed.

STUDY OF SHELL FOR ENERGY EFFICIENT OF SUSTAINABLE LOW-RISE BUILDING

Directory of Open Access Journals (Sweden)

DANISHEVSKYI V. V.

2016-03-01

Full Text Available The article presents the results of study the shell for energy-efficient environmental low-rise residential building, corresponding to the criteria of sustainable development in construction. Purpose. The purpose of the presented research is providing a study of parameters for shell of energy-efficient environmental low-rise buildings. Methodology. Research is carried out on the basis of an improved method for calculating the thermal characteristics of the external walling, as well as physical heat transfer simulation. Conclusion.The ratio between the thickness of external walling and the proportion of heat loss through them was determined, and also the heat loss through thermal "bridges" was studied. Originality. The limits for the optimum thickness of the external walling of ecological materials was analyzed, and it was offered solution for minimization of heat loss through the nodes of shell. Practical value.Recommendations are worked out on constructing of thermal shell at planning of energy-efficient low-rise residential buildings.

Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention

Science.gov (United States)

Wiig, Siri; Ree, Eline; Johannessen, Terese; Strømme, Torunn; Storm, Marianne; Aase, Ingunn; Ullebust, Berit; Holen-Rabbersvik, Elisabeth; Hurup Thomsen, Line; Sandvik Pedersen, Anne Torhild; van de Bovenkamp, Hester; Bal, Roland; Aase, Karina

2018-01-01

Introduction Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context. Methods and analysis The aim of the ‘Improving Quality and Safety in Primary Care—Implementing a Leadership Intervention in Nursing Homes and Homecare’ (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence. The project applies a mixed-methods design and explores the implications of the leadership guide on managers’ and staffs’ knowledge, attitudes and practices. Four nursing homes and four home care services from different Norwegian municipalities will participate in the intervention. Surveys, process evaluation (interviews, observations) and document analyses will be conducted to evaluate the implementation and impact of the leadership intervention. A comparative study of Norway and the Netherlands will establish knowledge of the context dependency of the intervention. Ethics and dissemination The study is approved by the Norwegian Centre for Research Data (2017/52324 and 54855). The results will be disseminated through scientific articles, two PhD dissertations, an anthology, presentations at national and international conferences, and in social media, newsletters and in the press. The results will generate knowledge to inform leadership practices in nursing homes and home care. Moreover, the study will build new theory on leadership interventions and the role of contextual factors in nursing homes and home care. PMID:29599394

Proactive control for solar energy exploitation: A german high-inertia building case study

International Nuclear Information System (INIS)

Michailidis, Iakovos T.; Baldi, Simone; Pichler, Martin F.; Kosmatopoulos, Elias B.; Santiago, Juan R.

2015-01-01

Highlights: • Solar gains exploitation by utilizing large glass facades and concrete core thermal energy storing capacity. • Efficient Building Energy Management in a well-insulated modern building construction. • Energy consumption reduction by maintaining user comfort. • High inertia large scale office building test case, located in Germany. - Abstract: Energy efficient passive designs and constructions have been extensively studied in the last decades as a way to improve the ability of a building to store thermal energy, increase its thermal mass, increase passive insulation and reduce heat losses. However, many studies show that passive thermal designs alone are not enough to fully exploit the potential for energy efficiency in buildings: in fact, harmonizing the active elements for indoor thermal comfort with the passive design of the building can lead to further improvements in both energy efficiency and comfort. These improvements can be achieved via the design of appropriate Building Optimization and Control (BOC) systems, a task which is more complex in high-inertia buildings than in conventional ones. This is because high thermal mass implies a high memory, so that wrong control decisions will have negative repercussions over long time horizons. The design of proactive control strategies with the capability of acting in advance of a future situation, rather than just reacting to current conditions, is of crucial importance for a full exploitation of the capabilities of a high-inertia building. This paper applies a simulation-assisted control methodology to a high-inertia building in Kassel, Germany. A simulation model of the building is used to proactively optimize, using both current and future information about the external weather condition and the building state, a combined criterion composed of the energy consumption and the thermal comfort index. Both extensive simulation as well as real-life experiments performed during the unstable German

A case study on the structural assessment of fire damaged building

Science.gov (United States)

Osman, M. H.; Sarbini, N. N.; Ibrahim, I. S.; Ma, C. K.; Ismail, M.; Mohd, M. F.

2017-11-01

This paper presents a case study on the structural assessment of building damaged by fire and discussed on the site investigations and test results prior to determine the existing condition of the building. The building was on fire for about one hour before it was extinguished. In order to ascertain the integrity of the building, a visual inspection was conducted for all elements (truss, beam, column and wall), followed by non-destructive, load and material tests. The load test was conducted to determine the ability of truss to resist service load, while the material test to determine the residual strength of the material. At the end of the investigation, a structural analysis was carried out to determine the new factor of safety by considering the residual strength. The highlighted was on the truss element due to steel behaviour that is hardly been predicted. Meanwhile, reinforced concrete elements (beam, column and wall) were found externally affected and caused its strength to be considered as sufficient for further used of building. The new factor of safety is equal to 2, considered as the minimum calculated value for the truss member. Therefore, this fire damaged building was found safe and can be used for further application.

SAFE MOTHERHOOD INTERVENTION STUDIES IN AFRICA: A ...

African Journals Online (AJOL)

hi-tech

2000-11-01

Nov 1, 2000 ... East African Medical Journal Vol. .... The present literature review identified two studies ... strategies used were: education of community members ... Three studies tested interventions to reduce travel ... home outweighed the perceived benefit of the homes in ..... concept: the Nsawam, Ghana experience.

Using the multiphase optimization strategy (MOST to optimize an HIV care continuum intervention for vulnerable populations: a study protocol

Directory of Open Access Journals (Sweden)

Marya Viorst Gwadz

2017-05-01

efficacy in a preliminary study. Methods/design Study aims are: 1 using a highly efficient fractional factorial experimental design, identify which of five intervention components contribute meaningfully to improvement in HIV viral suppression, and secondary outcomes of ART adherence and engagement in HIV primary care; 2 identify mediators and moderators of intervention component efficacy; and 3 using a mathematical modeling approach, build the most cost-effective and efficient intervention package from the efficacious components. A heterogeneous sample of African American/Black and Hispanic PLWH (with respect to age, substance use, and sexual minority status will be recruited with a proven hybrid sampling method using targeted sampling in community settings and peer recruitment (N = 512. Discussion This is the first study to apply the MOST framework in the field of HIV prevention and treatment. This innovative study will produce a culturally based HIV care continuum intervention for the nation’s most vulnerable PLWH, optimized for cost-effectiveness, and with exceptional levels of efficacy, efficiency, and scalability. Trial registration ClinicalTrials.gov, NCT02801747 , Registered June 8, 2016.

Application of balanced scorecard in the evaluation of a complex health system intervention: 12 months post intervention findings from the BHOMA intervention: a cluster randomised trial in Zambia.

Science.gov (United States)

Mutale, Wilbroad; Stringer, Jeffrey; Chintu, Namwinga; Chilengi, Roma; Mwanamwenge, Margaret Tembo; Kasese, Nkatya; Balabanova, Dina; Spicer, Neil; Lewis, James; Ayles, Helen

2014-01-01

In many low income countries, the delivery of quality health services is hampered by health system-wide barriers which are often interlinked, however empirical evidence on how to assess the level and scope of these barriers is scarce. A balanced scorecard is a tool that allows for wider analysis of domains that are deemed important in achieving the overall vision of the health system. We present the quantitative results of the 12 months follow-up study applying the balanced scorecard approach in the BHOMA intervention with the aim of demonstrating the utility of the balanced scorecard in evaluating multiple building blocks in a trial setting. The BHOMA is a cluster randomised trial that aims to strengthen the health system in three rural districts in Zambia. The intervention aims to improve clinical care quality by implementing practical tools that establish clear clinical care standards through intensive clinic implementations. This paper reports the findings of the follow-up health facility survey that was conducted after 12 months of intervention implementation. Comparisons were made between those facilities in the intervention and control sites. STATA version 12 was used for analysis. The study found significant mean differences between intervention(I) and control (C) sites in the following domains: Training domain (Mean I:C; 87.5.vs 61.1, mean difference 23.3, p = 0.031), adult clinical observation domain (mean I:C; 73.3 vs.58.0, mean difference 10.9, p = 0.02 ) and health information domain (mean I:C; 63.6 vs.56.1, mean difference 6.8, p = 0.01. There was no gender differences in adult service satisfaction. Governance and motivation scores did not differ between control and intervention sites. This study demonstrates the utility of the balanced scorecard in assessing multiple elements of the health system. Using system wide approaches and triangulating data collection methods seems to be key to successful evaluation of such complex health

Interventional studies of the upper gastrointestinal tract

International Nuclear Information System (INIS)

Shapiro, B.; Gross, M.D.

1985-01-01

Nuclear Medicine studies of the upper gastrointestinal (GI) tract provide a means whereby physiologic and pathophysiologic features can be observed from a unique and noninvasive perspective. While nuclear medicine studies by their very nature lack the high spatial resolution of the radiographic approach, the data derived are readily quantitated and presented in numerical fashion to provide functional and dynamic information in which the influences of interventions may be observed. This chapter outlines the scope of such interventions in studies of the upper GI tract with emphasis on examinations for gastroesophageal reflux and gastric emptying. The interactions of nutrients, physical maneuvers of pharmacologic agents on nuclear medicine studies of the upper GI tract may be intentional to render a test more sensitive or to evaluate the effect of therapy, or may represent an unintentional side effect that must be taken into account if misinterpretation is to be avoided

Building Energy and Cost Performance: An Analysis of Thirty Melbourne Case Studies

Directory of Open Access Journals (Sweden)

Yu Lay Langston

2012-11-01

Full Text Available This study investigates the energy and cost performance of thirty recent buildings in Melbourne, Australia. Commonly, building design decisions are based on issues pertaining to construction cost, and consideration of energy performance is made only within the context of the initial project budget. Even where energy is elevated to more importance, operating energy is seen as the focus and embodied energy is nearly always ignored. For the first time, a large sample of buildings has been assembled and analyzed to improve the understanding of both energy and cost performance over their full life cycle, which formed the basis of a wider doctoral study into the inherent relationship between energy and cost. The aim of this paper is to report on typical values for embodied energy, operating energy, capital cost and operating cost per square metre for a range of building functional types investigated in this research. The conclusion is that energy and cost have quite different profiles across projects, and yet the mean GJ/m2 or cost/m2 have relatively low coefficients of variation and therefore may be useful as benchmarks of typical building performance.  

Boosting Reading Fluency: An Intervention Case Study at Subword Level

Science.gov (United States)

Kairaluoma, Leila; Ahonen, Timo; Aro, Mikko; Holopainen, Leena

2007-01-01

This study is an intervention case study of fluency in Finnish-speaking children with dyslexia. Two 7-year-old children, a girl and a boy, were selected from the Jyvaskyla Longitudinal Study of Dyslexia. The intervention emphasised syllables as reading units, and proceeded from reading syllables to reading words and text. Letter knowledge, reading…

A multimedia mobile phone-based youth smoking cessation intervention: findings from content development and piloting studies.

Science.gov (United States)

Whittaker, Robyn; Maddison, Ralph; McRobbie, Hayden; Bullen, Chris; Denny, Simon; Dorey, Enid; Ellis-Pegler, Mary; van Rooyen, Jaco; Rodgers, Anthony

2008-11-25

While most young people who smoke want to quit, few access cessation support services. Mobile phone-based cessation programs are ideal for young people: mobile phones are the most common means of peer communication, and messages can be delivered in an anonymous manner, anywhere, anytime. Following the success of our text messaging smoking cessation program, we developed an innovative multimedia mobile phone smoking cessation intervention. The aim of the study was to develop and pilot test a youth-oriented multimedia smoking cessation intervention delivered solely by mobile phone. Development included creating content and building the technology platform. Content development was overseen by an expert group who advised on youth development principles, observational learning (from social cognitive theory), effective smoking cessation interventions, and social marketing. Young people participated in three content development phases (consultation via focus groups and an online survey, content pre-testing, and selection of role models). Video and text messages were then developed, incorporating the findings from this research. Information technology systems were established to support the delivery of the multimedia messages by mobile phone. A pilot study using an abbreviated 4-week program of video and text content tested the reliability of the systems and the acceptability of the intervention. Approximately 180 young people participated in the consultation phase. There was a high priority placed on music for relaxation (75%) and an interest in interacting with others in the program (40% would read messages, 36% would read a blog). Findings from the pre-testing phase (n = 41) included the importance of selecting "real" and "honest" role models with believable stories, and an interest in animations (37%). Of the 15 participants who took part in the pilot study, 13 (87%) were available for follow-up interviews at 4 weeks: 12 participants liked the program or liked it most

Study of Abandoned Heritage Buildings from the Owners’ Perspectives in George Town, Penang.

Directory of Open Access Journals (Sweden)

Mohd. Shukuri N.B.

2014-01-01

Full Text Available Abandoning a heritage building is not a new phenomenon. In George Town, Penang specifically, there are many dilapidated heritage buildings that can be seen. These undeniable eye sores affect Penang’s designation as a UNESCO World Heritage Site. This research aims to identify and assess the issues related to the dangerous hazards of abandoned buildings as well as problems involved in restoring these historical structures in order to determine how severe the current situation is. This study was also carried out to better understand the reasons why owners decide to leave heritage buildings unoccupied to the point that they became unsafe to inhabit. A total of six case studies were carried out with data collection focusing on the historical background of each site, clarification of the causes of neglect to each heritage building and plans made by respective owners towards the future of their properties. The majority of relevant information was gathered through semi-structured interviews.

Building a strong European alliance for personality disorder research and intervention.

Science.gov (United States)

Mehlum, Lars; Bateman, Anthony; Dalewijk, Henk Jan; Doering, Stephan; Kaera, Andres; Moran, Paul Anthony; Renneberg, Babette; Ribaudi, Joaquim Soler; Simonsen, Sebastian; Wilberg, Theresa; Bohus, Martin

2018-01-01

People with personality disorders frequently face stigma, ignorance and pessimism regarding the treatability of their disorders. This is despite substantial progress that has been made in developing a number of effective evidence based psychotherapeutic treatments. However, expertise in how to systematically deliver these treatments in a sustainable way throughout Europe is largely lacking. To bridge the gap between evidence based treatments and their implementation in health services, the European Society for the Study of Personality Disorders is currently building a new alliance of experts to promote personality disorder scholarship, and to support the development of clinical expertise and systematic treatment implementation throughout Europe. The aim of this paper is to describe how the Society is currently using its interdisciplinary and international roster of experts to address the specific treatment and research needs of the European personality disorder field, particularly to countries in which expertise in the field is less developed.

Using new media to build social capital for health: a qualitative process evaluation study of participation in the CityNet project.

Science.gov (United States)

Bolam, Bruce; McLean, Carl; Pennington, Andrew; Gillies, Pamela

2006-03-01

The present article presents an exploratory qualitative process evaluation study of 'Ambassador' participation in CityNet, an innovative information-communication technology-based (ICT) project that aims to build aspects of social capital and improve access to information and services among disadvantaged groups in Nottingham, UK. A purposive sample of 40 'Ambassadors' interviewees was gathered in three waves of data collection. The two emergent analytic themes highlighted how improvements in confidence, self-esteem and social networks produced via participation were mitigated by structural problems in devolving power within the project. This illustrates how concepts of power are important for understanding the process of health promotion interventions using new media.

Evidence supporting a promotora-delivered entertainment education intervention for improving mothers' dietary intake: the Entre Familia: Reflejos de Salud Study.

Science.gov (United States)

Ayala, Guadalupe X; Ibarra, Leticia; Horton, Lucy; Arredondo, Elva M; Slymen, Donald J; Engelberg, Moshe; Rock, Cheryl L; Hernandez, Erika; Parada, Humberto; Elder, John P

2015-01-01

Entertainment education and the promotora model are 2 evidence-based health communication strategies. This study examined their combined effect on promoting healthy eating among mothers in a family-based intervention. Participants were 361 Mexican-origin families living in Imperial County, California, who were randomly assigned to an intervention or delayed treatment condition. The intervention involved promotoras (community health workers) who delivered 11 home visits and 4 telephone calls. Home visits included a 12-minute episode of a 9-part situation comedy depicting a family struggling with making healthy eating choices; an accompanying family workbook was reviewed to build skills and left with the family. Baseline and immediate postintervention data were collected from the mothers, including the primary outcome of daily servings of fruits and vegetables. Other dietary and psychosocial factors related to healthy eating were examined. At postintervention, mothers in the intervention reported increases in daily vegetable servings (p ≤ .05); however, no changes were observed in fruit consumption. Improvements were observed in behavioral strategies to increase fiber (p ≤ .001) and to decrease fat intake (p ≤ .001), unhealthy eating behaviors (p ≤ .001), and individual (p ≤ .05) and family-related (p ≤ .01) perceived barriers to healthy eating. Entertainment education and promotoras engaged families and improved mothers' diets. Further research should examine the dose needed for greater changes.

Scaling up complex interventions: insights from a realist synthesis.

Science.gov (United States)

Willis, Cameron D; Riley, Barbara L; Stockton, Lisa; Abramowicz, Aneta; Zummach, Dana; Wong, Geoff; Robinson, Kerry L; Best, Allan

2016-12-19

Preventing chronic diseases, such as cancer, cardiovascular disease and diabetes, requires complex interventions, involving multi-component and multi-level efforts that are tailored to the contexts in which they are delivered. Despite an increasing number of complex interventions in public health, many fail to be 'scaled up'. This study aimed to increase understanding of how and under what conditions complex public health interventions may be scaled up to benefit more people and populations.A realist synthesis was conducted and discussed at an in-person workshop involving practitioners responsible for scaling up activities. Realist approaches view causality through the linkages between changes in contexts (C) that activate mechanisms (M), leading to specific outcomes (O) (CMO configurations). To focus this review, three cases of complex interventions that had been successfully scaled up were included: Vibrant Communities, Youth Build USA and Pathways to Education. A search strategy of published and grey literature related to each case was developed, involving searches of relevant databases and nominations from experts. Data extracted from included documents were classified according to CMO configurations within strategic themes. Findings were compared and contrasted with guidance from diffusion theory, and interpreted with knowledge users to identify practical implications and potential directions for future research.Four core mechanisms were identified, namely awareness, commitment, confidence and trust. These mechanisms were activated within two broad scaling up strategies, those of renewing and regenerating, and documenting success. Within each strategy, specific actions to change contexts included building partnerships, conducting evaluations, engaging political support and adapting funding models. These modified contexts triggered the identified mechanisms, leading to a range of scaling up outcomes, such as commitment of new communities, changes in relevant

Development of a field measurement methodology for studying the thermal indoor environment in hybrid GEOTABS buildings

DEFF Research Database (Denmark)

Kazanci, Ongun Berk; Khovalyg, Dolaana; Olesen, Bjarne W.

2018-01-01

buildings. The three demonstration buildings were an office building in Luxembourg, an elderly care home in Belgium, and an elementary school in Czech Republic. All of these buildings are equipped with hybrid GEOTABS systems; however, they vary in size and function, which requires a unique measurement...... methodology for studying them. These buildings already have advanced Building Management Systems (BMS); however, a more detailed measurement plan was needed for the purposes of the project to document the current performance of these systems regarding thermal indoor environment and energy performance......, and to be able to document the improvements after the implementation of the MPC. This study provides the details of the developed field measurement methodology for each of these buildings to study the indoor environmental quality (IEQ) in details. The developed measurement methodology can be applied to other...

Study of thermosiphon and radiant panel passive heating systems for metal buildings

Energy Technology Data Exchange (ETDEWEB)

Biehl, F.A.; Schnurr, N.M.; Wray, W.O.

1983-01-01

A study of passive-heating systems appropriate for use on metal buildings is being conducted at Los Alamos National Laboratory for the Naval Civil Engineering Laboratory, Port Hueneme, California. The systems selected for study were chosen on the basis of their appropriateness for retrofit applications, although they are also suitable for new construction: simple radiant panels that communicate directly with the building interior and a backflow thermosiphon that provides heat indirectly.

Humor Assessment and Interventions in Palliative Care: A Systematic Review

Directory of Open Access Journals (Sweden)

Lisa M. Linge-Dahl

2018-06-01

Full Text Available Background: The central goal of palliative care is to optimize the quality of life of patients suffering from life-limiting illnesses, which includes psychosocial and spiritual wellbeing. Research has demonstrated positive correlations between humor and laughter with life satisfaction and other aspects of wellbeing, and physiological symptoms can be improved by humorous stimuli.Objectives: The aim of this review is to evaluate humor interventions and assessments that have been applied in palliative care and to derive implications for future research.Methods: A systematic review of four databases identified 13 included studies. Criteria for inclusion were peer-reviewed English-language studies on humor interventions or assessments in a palliative care context.Results: Two studies on humor interventions and 11 studies on humor assessment were included in the systematic review. Most of these studies were about the patients' perspective on humor in palliative care. Findings showed that humor had a positive effect on patients, their relatives, and professional caregivers. Humor was widely perceived as appropriate and seen as beneficial to care in all studies.Conclusions: Even though humor interventions seem to be potentially useful in palliative care, descriptions evaluating their use are scarce. Overall, research on humor assessment and interventions in palliative care has remained limited in terms of quantity and quality. More research activities are needed to build a solid empirical foundation for implementing humor and laughter as part of regular palliative care activities.

Building 2000

International Nuclear Information System (INIS)

Den Ouden, C.; Steemers, T.C.

1992-01-01

This is the second volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this second rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In the first volume, a similar series of studies is presented for the building categories: schools, laboratories and universities, and sports and educational centres. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (11 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

Building 2000

Energy Technology Data Exchange (ETDEWEB)

Den Ouden, C [EGM Engineering BV, Dordrecht (Netherlands); Steemers, T C [Commission of the European Communities, Brussels (Belgium)

1992-01-01

This is the second volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this second rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In the first volume, a similar series of studies is presented for the building categories: schools, laboratories and universities, and sports and educational centres. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (11 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues.

Laughter and humour interventions for well-being in older adults: A systematic review and intervention classification.

Science.gov (United States)

Gonot-Schoupinsky, F N; Garip, G

2018-06-01

To assess the potential of laughter and humour interventions to increase well-being in a general population of adults aged 60 plus; and to develop a classification to compare approaches and potential benefits of different intervention types. A systematic search of Web of Science, PubMed/MEDLINE, PsychInfo, AMED, and PsychArticles used inclusive terms relating to laughter and humour interventions. A realist synthesis approach enabled heterogeneous interventions to be compared pragmatically. Five laughter interventions, and one humour intervention, using one or more outcome related to well-being, were considered for inclusion after screening 178 primary research papers. The five laughter interventions, representing a sample of 369 participants, were retained. Well-being related outcome measures reported in each intervention informed efficacy; Joanna Briggs Institute tools appraised design; and a realist approach enabled heterogeneous interventions to be measured on their overall potential to provide an evidence base. Well-being related measures demonstrated at least one significant positive effect in all interventions. Confounding factors inherent in the intervention types were observed. Individual participant laughter was not reported. Laughter and humour interventions appear to enhance well-being. There is insufficient evidence for the potential of laughter itself to increase well-being as interventions contained a range of confounding factors and did not measure participant laughter. Interventions that isolate, track, and measure the parameters of individual laughter are recommended to build evidence for these potentially attractive and low-risk interventions. The classification proposed may guide the development of both evidence-oriented and population-appropriate intervention designs. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

Assessing Statistical Change Indices in Selected Social Work Intervention Research Studies

Science.gov (United States)

Ham, Amanda D.; Huggins-Hoyt, Kimberly Y.; Pettus, Joelle

2016-01-01

Objectives: This study examined how evaluation and intervention research (IR) studies assessed statistical change to ascertain effectiveness. Methods: Studies from six core social work journals (2009-2013) were reviewed (N = 1,380). Fifty-two evaluation (n= 27) and intervention (n = 25) studies met the inclusion criteria. These studies were…

A pilot study on the effects of a team building process on the perception of work environment in an integrative hospital for neurological rehabilitation.

Science.gov (United States)

Ostermann, Thomas; Bertram, Mathias; Büssing, Arndt

2010-03-09

Neurological rehabilitation is one of the most care-intensive challenges in the health care system requiring specialist therapeutic and nursing knowledge. In this descriptive pilot study, we investigated the effects of a team building process on perceived work environment, self-ascribed professional competence, life satisfaction, and client satisfaction in an anthroposophic specialized hospital for neurological rehabilitation. The team-building process consisted of didactic instruction and training in problem-solving, teambuilding and constructive conflict resolution. Seventy seven staff members and 44 patients' relatives were asked to complete a survey that included the Work Environment Scale (WES-10), a Life Satisfaction Scale (BMLSS), the Conviction of Therapeutic Competency (CTC) scale and the Client Satisfaction Questionnaire (CSQ-8). To evaluate the outcome of the team building process, we analyzed changes over time in the WES-10 subscales. Additionally the interrelationship between the WES-10 subscales with other subscales and with sociodemographic parameters like age, gender was calculated by means of a bivariate correlation analysis. The team building process had a significant positive effect on perceived work environment in only one area. There was a significant improvement in the ward staffs' perception of their ability to constructively resolve conflicts 3 years after inception of the team building process than there was before inception. However, even in a unit that utilized holistic treatment and nursing in the care of severely disable patients, such care necessitating a very heavy workload, the measurements on the Self Realization, Life Satisfaction and Conviction of Therapeutic Competency scales remained high and unchanged over the three year time period of the study. Strategic interventions might be an option to improve interpersonal relationships and finally quality of patient care.

Environmental Assessment Methodologies for Commercial Buildings: An Elicitation Study of U.S. Building Professionals’ Beliefs on Leadership in Energy and Environmental Design (LEED

Directory of Open Access Journals (Sweden)

Jasmin Kientzel

2011-12-01

Full Text Available Voluntary environmental programs (VEPs have become increasingly popular around the world to address energy efficiency issues that mandatory building codes have not been able to tackle. Even though the utility of voluntary schemes is widely debated, they have become a de facto reality for many professionals in the building and construction sector. One topic that is neglected, however, in both academic and policy discussions, relates to how professionals (architects, engineers, real estate developers, etc. perceive the rise of voluntary rating schemes. In order to fill this gap in the literature, the present study investigates beliefs underlying adoption behavior regarding one of the most prominent voluntary assessment and certification programs in the U.S. building industry, the Leadership in Energy and Environmental Design (LEED scheme. In this paper, an elicitation study, based on 14 semi-structured interviews with building professionals in the North East of the United States, was conducted to analyze this question. Building on the Reasoned Action Approach, this paper shows that, in addition to more conventional factors such as financial calculations and marketing aspects, the understanding of beliefs held by building professionals offers important insights into their decisions to work with Voluntary Environmental Assessment and Rating Programs.

Regional Stability & Lessons Learned in Regional Peace Building

DEFF Research Database (Denmark)

Vestenskov, David; Johnsen, Anton Asklund

, as none of the countries is able to deal with the intrastate and interstate conflicts on its own. The conference Regional Stability & Lessons Learned in Regional Peace Building was the result of comprehensive cooperation between Pakistan’s National Defence University and the Royal Danish Defence College......The NATO-led intervention in Afghanistan is coming to an end, and the necessity of regional peace building solutions for the region’s security issues seems more exigent than ever before. Regional states have to come to terms with each other in some ways if violent extremists are to be countered...

Waste Handeling Building Conceptual Study

Energy Technology Data Exchange (ETDEWEB)

G.W. Rowe

2000-11-06

The objective of the ''Waste Handling Building Conceptual Study'' is to develop proposed design requirements for the repository Waste Handling System in sufficient detail to allow the surface facility design to proceed to the License Application effort if the proposed requirements are approved by DOE. Proposed requirements were developed to further refine waste handling facility performance characteristics and design constraints with an emphasis on supporting modular construction, minimizing fuel inventory, and optimizing facility maintainability and dry handling operations. To meet this objective, this study attempts to provide an alternative design to the Site Recommendation design that is flexible, simple, reliable, and can be constructed in phases. The design concept will be input to the ''Modular Design/Construction and Operation Options Report'', which will address the overall program objectives and direction, including options and issues associated with transportation, the subsurface facility, and Total System Life Cycle Cost. This study (herein) is limited to the Waste Handling System and associated fuel staging system.

Study of the factors affecting radon diffusion through building materials

International Nuclear Information System (INIS)

Chauhan, R.P.

2011-01-01

Radon appears mainly by diffusion processes from the point of origin following - decay of 226 Ra in underground soil and building materials used, in the construction of floors, walls, and ceilings. The diffusion of radon in dwellings is a process determined by the radon concentration gradient across the building material structure and can be a significant contributor to indoor radon inflow. Radon can originate from the deeply buried deposit beneath homes and can migrate to the surface of earth. Radon diffusion and transport through different media is a complex process and is affected by several factors. It is well known that for building construction materials the porosity, permeability and the diffusion coefficient are the parameters, which can quantify the materials capability to hinder the flow of radon soil gas. An increase in porosity will provide more air space within the material for radon to travel, thus reducing its resistance to radon transport. The permeability of material describes its ability to act as a barrier to gas movement when a pressure gradient exists across it and is closely related to the porosity of material. The radon diffusion coefficient of a material quantifies the ability of radon gas to move through it when a concentration gradient is the driving force. This parameter depends upon the porosity and permeability of the medium. As diffusion process is the major contributor to indoor levels, therefore, the factors affecting the diffusion process need to be kept in consideration. Keeping this in mind the experimental arrangements have been made for control study of radon diffusion through some building materials to observe the effects of different factors viz.; compaction, grain size, temperature, humidity and the mixing of these materials etc. For the present study alpha sensitive LR-115 type II solid-state nuclear track detectors (SSNTDs) have been used for the recording of alpha tracks caused by radon gas after its diffusion through the

Hypothesis-based research on the causes of sick building symptoms: A design for Phases 2 and 3 of the California Healthy Building Study

Energy Technology Data Exchange (ETDEWEB)

Fisk, W.J.; Hodgson, A.T.; Daisey, J.M.; Faulkner, D. [Lawrence Berkeley Lab., CA (United States); Macher, J.M. [California Dept. of Health Services, Berkeley, CA (United States). Air and Industrial Hygiene Lab.; Mendell, M.J. [National Inst. for Occupational Safety and Health, Cincinnati, OH (United States). Industrywide Studies Branch

1992-07-01

The California Healthy Building Study (CHBS) is a multidisciplinary research based in 12 office buildings within California. The overall goal the CHBS is to elucidate relationships between occurrences of office worker health symptoms and characteristics of the workers` buildings, ventilation systems, work spaces, jobs, and indoor environments. A Phase-1 study was completed during 1990. The California Institute for Energy Efficiency (CIEE), through its Exploratory Research Program, supported the design of research plans for two future phases of the CHBS. The intent of the CIEE-supported effort was to design research to be conducted in the Phase-1 buildings that capitalizes on the Phase-1 research findings and also on recently-published results of research from other institutions. This report describes the research plans developed with CIEE support and presents the rationale for these research plans.

Hypothesis-based research on the causes of sick building symptoms: A design for Phases 2 and 3 of the California Healthy Building Study

Energy Technology Data Exchange (ETDEWEB)

Fisk, W.J.; Hodgson, A.T.; Daisey, J.M.; Faulkner, D. (Lawrence Berkeley Lab., CA (United States)); Macher, J.M. (California Dept. of Health Services, Berkeley, CA (United States). Air and Industrial Hygiene Lab.); Mendell, M.J. (National Inst. for Occupational Safety and Health, Cincinnati, OH (United States). Industrywide Studies Branch)

1992-07-01

The California Healthy Building Study (CHBS) is a multidisciplinary research based in 12 office buildings within California. The overall goal the CHBS is to elucidate relationships between occurrences of office worker health symptoms and characteristics of the workers' buildings, ventilation systems, work spaces, jobs, and indoor environments. A Phase-1 study was completed during 1990. The California Institute for Energy Efficiency (CIEE), through its Exploratory Research Program, supported the design of research plans for two future phases of the CHBS. The intent of the CIEE-supported effort was to design research to be conducted in the Phase-1 buildings that capitalizes on the Phase-1 research findings and also on recently-published results of research from other institutions. This report describes the research plans developed with CIEE support and presents the rationale for these research plans.

Normal Peace: A New Strategic Narrative of Intervention

Directory of Open Access Journals (Sweden)

Nicolas Lemay-Hebert

2017-09-01

Full Text Available International actors have used multiple discursive frameworks for justifying interventions, from human security to the responsibility to protect, and, most recently, resilience-building. We argue that the language of normalization, hidden behind these narratives of interventions, has also contributed to structure the intervention landscape, albeit in less obvious and overt ways than other competing narratives of intervention. This article disentangles the different practices of normalization in order to highlight their ramifications. It introduces the concept of normal peace—a new conceptual reference to understand interventions undertaken by the international community to impose, restore or accept normalcy in turbulent societies. The article argues that the optimization of interventions entails selective responses to govern risk and adapt to the transitional international order. The art of what is politically possible underlines the choice of optimal intervention, be that to impose an external order of normalcy, restore the previous order of normalcy, or accept the existing order of normalcy.

Malnutrition in hip fracture patients: an intervention study.

Science.gov (United States)

Olofsson, Birgitta; Stenvall, Michael; Lundström, Maria; Svensson, Olle; Gustafson, Yngve

2007-11-01

To investigate whether a nutritional intervention in older women and men with femoral neck fracture had an effect on postoperative complications during hospitalization and on nutritional status at a four-month follow-up. The design was a randomized controlled trial. The present study sample consisted of 157 patients aged 70 years and above with femoral neck fracture. The nutritional intervention included, among other things, a nutritional journal to detect nutrition deficiencies and protein-enriched meals for at least four days postoperatively. Further, at least two nutritional and protein drinks were served each day during the whole hospitalization and other factors that would influence the patient's nutrition were also considered and dealt with. Postoperative complications were registered and patients were assessed using the Mini Nutritional Assessment (MNA) scale, including body mass index (BMI), on admission and at a four-month follow-up. Malnutrition was common and low MNA scores were associated with postoperative complications such as delirium and decubitus ulcers. There were significantly fewer days of delirium in the intervention group, seven patients in the intervention group developed decubitus ulcers vs. 14 patients in the control group and the total length of hospitalization was shorter. There were no detectable significant improvements regarding nutritional parameters between the intervention and the control group at the four-month follow-up but men improved their mean BMI, body weight and MNA scores in both the intervention and the control groups while women deteriorated in both groups. Malnutrition was common among older people with hip fractures admitted to hospital. The nutritional intervention might have contributed to the patients suffering fewer days with delirium, fewer decubitus ulcers and shorter hospitalization but did not improve the long-term nutritional status, at least not in women. This nutritional intervention, which was included in a

Oral language skills intervention in pre-school-a cautionary tale.

Science.gov (United States)

Haley, Allyson; Hulme, Charles; Bowyer-Crane, Claudine; Snowling, Margaret J; Fricke, Silke

2017-01-01

While practitioners are increasingly asked to be mindful of the evidence base of intervention programmes, evidence from rigorous trials for the effectiveness of interventions that promote oral language abilities in the early years is sparse. To evaluate the effectiveness of a language intervention programme for children identified as having poor oral language skills in preschool classes. A randomized controlled trial was carried out in 13 UK nursery schools. In each nursery, eight children (N = 104, mean age = 3 years 11 months) with the poorest performance on standardized language measures were selected to take part. All but one child were randomly allocated to either an intervention (N = 52) or a waiting control group (N = 51). The intervention group received a 15-week oral language programme in addition to their standard nursery curriculum. The programme was delivered by trained teaching assistants and aimed to foster vocabulary knowledge, narrative and listening skills. Initial results revealed significant differences between the intervention and control group on measures of taught vocabulary. No group differences were found on any standardized language measure; however, there were gains of moderate effect size in listening comprehension. The study suggests that an intervention, of moderate duration and intensity, for small groups of preschool children successfully builds vocabulary knowledge, but does not generalize to non-taught areas of language. The findings strike a note of caution about implementing language interventions of moderate duration in preschool settings. The findings also highlight the importance of including a control group in intervention studies. © 2016 Royal College of Speech and Language Therapists.

Workplace building design and office-based workers' activity: a study of a natural experiment.

Science.gov (United States)

Jancey, Jonine M; McGann, Sarah; Creagh, Robyn; Blackford, Krysten D; Howat, Peter; Tye, Marian

2016-02-01

This opportunistic natural study investigated the effects of relocation of office workers from a 30-year-old building to a new purpose-built building. The new building included an attractive central staircase that was easily accessed and negotiated, as well as breakout spaces and a centralised facilities area. The researchers aimed to determine the impact of the purpose-built office building on the office workers' sedentariness and level of physical activity. In 2013, a natural pre-post study was undertaken with office-based workers in their old conventional 1970s building and on relocating to a new purpose-built 'activity permissive' building. Objective movement data was measured using accelerometers. Anthropometric and demographic data was also collected. Forty-two office-based workers significantly decreased their percentage of daily sitting time (T1 = 84.9% to T2=79.7%; pbuilding. Moderate activity significantly declined (T1=3.9% to 3.2%=T2; p=0.038). There was a significant decrease in mean minutes of sitting time (19.62 minutes; pbuilding can influence activity. This opportunistic study on the impact of workplace relocation on office-based workers' activity showed modest positive outcomes in sitting and standing. Evidence is required to inform building design policy and practice that supports physical activity and reduces levels of sedentariness in the workplace. © 2015 The Authors.

Retrofitting Listed Buildings

DEFF Research Database (Denmark)

Rasmussen, Torben Valdbjørn

2011-01-01

The paper presents a case study where the energy demand for a listed building constructed in 1900 is reduced. Many older buildings are listed and have restrictions that include the entire building or that include only its exterior. For the building presented, only its exterior facade is listed. T...

Implementation of an efficacious intervention for high risk women in Mexico: protocol for a multi-site randomized trial with a parallel study of organizational factors

Directory of Open Access Journals (Sweden)

Patterson Thomas L

2012-10-01

intervention will be analyzed, and across CBOs, correlations will be examined between individual and organizational provider characteristics and intervention efficacy. Discussion This cooperative, bi-national research study will provide critical insights into barriers and facilitating factors associated with implementing interventions in CBOs using the ‘train the trainer’ model. Our work builds on similar scale-up strategies that have been effective in the United States. This study has the potential to increase our knowledge of the generalizability of such strategies across health issues, national contexts, and organizational contexts. Trial registration NCT01465607

Contextual community prevention theory: building interventions with community agency collaboration.

Science.gov (United States)

Morales, Eduardo S

2009-11-01

Translation from research to practice faces numerous problems that include replicating effectiveness, fidelity to the protocol and processes, and adaptations to different types of target populations. Working collaboratively with existing service providers can speed up the time for development and can ease the implementation of empirical randomized trials. Contextual community prevention theory is an innovative approach that focuses on changing behaviors of community members by creating a visible institutional presence that draws and pulls the targeted population into the organization's activities and interventions. The result is an institution or organization within the community that provides a new active and dynamic context, engaging its community members into its activities, interventions, and functions. An HIV prevention program developed collaboratively from the ground up for Latino gay/bisexual men is presented. Results from the program evaluation efforts across the years suggest promise for testing its efficacy through a randomized trial. HIV prevention efforts need to develop dynamic support systems within communities where these men have ownership, have control, and feel safe; otherwise HIV infection rates in this population will increase. Copyright 2009 by the American Psychological Association

Burnout intervention studies for inpatient elderly care nursing staff: systematic literature review.

Science.gov (United States)

Westermann, Claudia; Kozak, Agnessa; Harling, Melanie; Nienhaus, Albert

2014-01-01

Staff providing inpatient elderly and geriatric long-term care are exposed to a large number of factors that can lead to the development of burnout syndrome. Burnout is associated with an increased risk of absence from work, low work satisfaction, and an increased intention to leave. Due to the fact that the number of geriatric nursing staff is already insufficient, research on interventions aimed at reducing work-related stress in inpatient elderly care is needed. The aim of this systematic review was to identify and analyse burnout intervention studies among nursing staff in the inpatient elderly and geriatric long-term care sector. A systematic search of burnout intervention studies was conducted in the databases Embase, Medline and PsycNet published from 2000 to January 2012. We identified 16 intervention studies. Interventions were grouped into work-directed (n=2), person-directed (n=9) and combined approaches (work- and person-directed, n=5). Seven out of 16 studies observed a reduction in staff burnout. Among them are two studies with a work-directed, two with a person-directed and three with a combined approach. Person-directed interventions reduced burnout in the short term (up to 1 month), while work-directed interventions and those with a combined approach were able to reduce burnout over a longer term (from 1 month to more than 1 year). In addition to staff burnout, three studies observed positive effects relating to the client outcomes. Only three out of ten Randomised Control Trials (RCT) found that interventions had a positive effect on staff burnout. Work-directed and combined interventions are able to achieve beneficial longer-term effects on staff burnout. Person-directed interventions achieve short-term results in reducing staff burnout. However, the evidence is limited. Copyright © 2012 Elsevier Ltd. All rights reserved.

An Intervention Using LEGO® SERIOUS PLAY® on Fostering Narrative Identity among Economically Disadvantaged College Students in Taiwan

Science.gov (United States)

Tseng, Wen-Chih

2017-01-01

The effectiveness of an intervention using LEGO® SERIOUS PLAY® (LSP), a reflective tool using LEGO® building bricks, to speed the development of narrative identity in economically disadvantaged college students was studied. A longitudinal experimental study with non equivalent experimental/control groups (N = 45) was conducted to examine whether…

Building a patient-centered and interprofessional training program with patients, students and care professionals: study protocol of a participatory design and evaluation study.

Science.gov (United States)

Vijn, Thomas W; Wollersheim, Hub; Faber, Marjan J; Fluit, Cornelia R M G; Kremer, Jan A M

2018-05-30

A common approach to enhance patient-centered care is training care professionals. Additional training of patients has been shown to significantly improve patient-centeredness of care. In this participatory design and evaluation study, patient education and medical education will be combined by co-creating a patient-centered and interprofessional training program, wherein patients, students and care professionals learn together to improve patient-centeredness of care. In the design phase, scientific literature regarding interventions and effects of student-run patient education will be synthesized in a scoping review. In addition, focus group studies will be performed on the preferences of patients, students, care professionals and education professionals regarding the structure and content of the training program. Subsequently, an intervention plan of the training program will be constructed by combining these building blocks. In the evaluation phase, patients with a chronic disease, that is rheumatoid arthritis, diabetes and hypertension, and patients with an oncologic condition, that is colonic cancer and breast cancer, will learn together with medical students, nursing students and care professionals in training program cycles of three months. Process and effect evaluation will be performed using the plan-do-study-act (PDSA) method to evaluate and optimize the training program in care practice and medical education. A modified control design will be used in PDSA-cycles to ensure that students who act as control will also benefit from participating in the program. Our participatory design and evaluation study provides an innovative approach in designing and evaluating an intervention by involving participants in all stages of the design and evaluation process. The approach is expected to enhance the effectiveness of the training program by assessing and meeting participants' needs and preferences. Moreover, by using fast PDSA cycles and a modified control design

Tackling psychosocial risk factors for adolescent cyberbullying: Evidence from a school-based intervention.

Science.gov (United States)

Barkoukis, Vassilis; Lazuras, Lambros; Ourda, Despoina; Tsorbatzoudis, Haralambos

2016-01-01

Cyberbullying is an emerging form of bullying that takes place through contemporary information and communication technologies. Building on past research on the psychosocial risk factors for cyberbullying in this age group, the present study assessed a theory-driven, school-based preventive intervention that targeted moral disengagement, empathy and social cognitive predictors of cyberbullying. Adolescents (N = 355) aged between 16 and 18 years were randomly assigned into the intervention and the control group. Both groups completed anonymous structured questionnaires about demographics, empathy, moral disengagement and cyberbullying-related social cognitive variables (attitudes, actor prototypes, social norms, and behavioral expectations) before the intervention, post-intervention and 6 months after the intervention. The intervention included awareness-raising and interactive discussions about cyberbullying with intervention group students. Analysis of covariance (ANCOVA) showed that, after controlling for baseline measurements, there were significant differences at post-intervention measures in moral disengagement scores, and in favorability of actor prototypes. Further analysis on the specific mechanisms of moral disengagement showed that significant differences were observed in distortion of consequences and attribution of blame. The implications of the intervention are discussed, and guidelines for future school-based interventions against cyberbullying are provided. © 2015 Wiley Periodicals, Inc.

A community intervention trial of multimodal suicide prevention program in Japan: A Novel multimodal Community Intervention program to prevent suicide and suicide attempt in Japan, NOCOMIT-J

Directory of Open Access Journals (Sweden)

Suzuki Yuriko

2008-09-01

Full Text Available Abstract Background To respond to the rapid surge in the incidence of suicide in Japan, which appears to be an ongoing trend, the Japanese Multimodal Intervention Trials for Suicide Prevention (J-MISP have launched a multimodal community-based suicide prevention program, NOCOMIT-J. The primary aim of this study is to examine whether NOCOMIT-J is effective in reducing suicidal behavior in the community. Methods/DesignThis study is a community intervention trial involving seven intervention regions with accompanying control regions, all with populations of statistically sufficient size. The program focuses on building social support networks in the public health system for suicide prevention and mental health promotion, intending to reinforce human relationships in the community. The intervention program components includes a primary prevention measures of awareness campaign for the public and key personnel, secondary prevention measures for screening of, and assisting, high-risk individuals, after-care for individuals bereaved by suicide, and other measures. The intervention started in July 2006, and will continue for 3.5 years. Participants are Japanese and foreign residents living in the intervention and control regions (a total of population of 2,120,000 individuals. Discussion The present study is designed to evaluate the effectiveness of the community-based suicide prevention program in the seven participating areas. Trial registration UMIN Clinical Trials Registry (UMIN-CTR UMIN000000460.

A Prospective Study of Ventilation Rates and Illness Absence in California Office Buildings

Energy Technology Data Exchange (ETDEWEB)

Eliseeva, Ekaterina A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Spears, Michael [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Chan, Wanyu R. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Cohn, Sebastian [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sullivan, Douglas P. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fisk, William J. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2014-10-07

Background – This study investigated the associations of ventilation rates (VRs), estimated from indoor CO2 concentrations, in offices with the amount of respiratory infections, illness absences, and building-related health symptoms in occupants. Methods – Office buildings were recruited from three California climate zones. In one or more study spaces within each building, real-time logging sensors measured carbon dioxide, temperature, and relative humidity for one year. Ventilation rates were estimated using daily peak CO2 levels, and also using an alternative metric. Data on occupants and health outcomes were collected through web-based surveys every three months. Multivariate models were used to assess relationships between metrics of ventilation rate or CO2 and occupant outcomes. For all outcomes, negative associations were hypothesized with VR metrics, and positive associations with CO2 metrics. Results – Difficulty recruiting buildings and low survey response limited sample size and study power. In 16 studied spaces within 9 office buildings, VRs were uniformly high over the year, from twice to over nine times the California office VR standard (7 L/s or 15 cfm per person). VR and CO2 metrics had no statistically significant relationships with occupant outcomes, except for a small significantly positive association of the alternative VR metric with respiratory illness-related absence, contrary to hypotheses. Conclusions– The very high time-averaged VRs in the California office buildings studied presumably resulted from “economizer cycles” bringing in large volumes of outdoor air; however, in almost all buildings even the estimated minimum VRs supplied (without the economizer) substantially exceeded the minimum required VR. These high VRs may explain the absence of hypothesized relationships with occupant outcomes. Among uniformly high VRs, little variation in contaminant concentration and occupant effects would be expected. These findings may

Rationale, design and methods of the HEALTHY study nutrition intervention component.

Science.gov (United States)

Gillis, B; Mobley, C; Stadler, D D; Hartstein, J; Virus, A; Volpe, S L; El ghormli, L; Staten, M A; Bridgman, J; McCormick, S

2009-08-01

The HEALTHY study was a randomized, controlled, multicenter and middle school-based, multifaceted intervention designed to reduce risk factors for the development of type 2 diabetes. The study randomized 42 middle schools to intervention or control, and followed students from the sixth to the eighth grades. Here we describe the design of the HEALTHY nutrition intervention component that was developed to modify the total school food environment, defined to include the following: federal breakfast, lunch, after school snack and supper programs; a la carte venues, including snack bars and school stores; vending machines; fundraisers; and classroom parties and celebrations. Study staff implemented the intervention using core and toolbox strategies to achieve and maintain the following five intervention goals: (1) lower the average fat content of foods, (2) increase the availability and variety of fruits and vegetables, (3) limit the portion sizes and energy content of dessert and snack foods, (4) eliminate whole and 2% milk and all added sugar beverages, with the exception of low fat or nonfat flavored milk, and limit 100% fruit juice to breakfast in small portions and (5) increase the availability of higher fiber grain-based foods and legumes. Other nutrition intervention component elements were taste tests, cafeteria enhancements, cafeteria line messages and other messages about healthy eating, cafeteria learning laboratory (CLL) activities, twice-yearly training of food service staff, weekly meetings with food service managers, incentives for food service departments, and twice yearly local meetings and three national summits with district food service directors. Strengths of the intervention design were the integration of nutrition with the other HEALTHY intervention components (physical education, behavior change and communications), and the collaboration and rapport between the nutrition intervention study staff members and food service personnel at both school

Building adaptive capacity for flood proofing in urban areas through synergistic interventions

NARCIS (Netherlands)

Veerbeek, W.; Ashley, R.M.; Zevenbergen, C.; Rijke, J.S.; Gersonius, B.

2010-01-01

Few, if any urban areas are nowadays built in isolation from existing developments. Therefore, urban expansion and making existing urban areas more sustainable is a contemporary goal. There are major opportunities to do this through the ‘normal’ renewal of urban infrastructure and building stocks

Summary of Building Protection Factor Studies for External Exposure to Ionizing Radiation

Energy Technology Data Exchange (ETDEWEB)

Dillon, Michael B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kane, Jave [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Nasstrom, John [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Homann, Steve [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Pobanz, Brenda [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-02-17

Radiation dose assessments are used to help inform decisions to minimize health risks in the event of an atmospheric release of radioactivity including, for example, from a Radiological Dispersal Device, an Improvised Nuclear Device detonation, or a Nuclear Power Plant accident. During these incidents, radiation dose assessments for both indoor and outdoor populations are needed to make informed decisions. These dose assessments inform emergency plans and decisions including, for example, identifying areas in which people should be sheltered and determining when controlled population evacuations should be made. US dose assessment methodologies allow consideration of the protection, and therefore dose reduction, that buildings provide their occupants. However, these methodologies require an understanding of the protection provided by various building types that is currently lacking. To help address this need, Lawrence Livermore National Laboratory, in cooperation with Sandia National Laboratories and the Nuclear Regulatory Commission, was tasked with (a) identifying prior building protection studies, (b) extracting results relevant to US building construction, and (c) summarizing building protection by building type. This report focuses primarily on the protection against radiation from outdoor fallout particles (external gamma radiation).

Summary of Building Protection Factor Studies for External Exposure to Ionizing Radiation

International Nuclear Information System (INIS)

Dillon, Michael B.; Kane, Jave; Nasstrom, John; Homann, Steve; Pobanz, Brenda

2016-01-01

Radiation dose assessments are used to help inform decisions to minimize health risks in the event of an atmospheric release of radioactivity including, for example, from a Radiological Dispersal Device, an Improvised Nuclear Device detonation, or a Nuclear Power Plant accident. During these incidents, radiation dose assessments for both indoor and outdoor populations are needed to make informed decisions. These dose assessments inform emergency plans and decisions including, for example, identifying areas in which people should be sheltered and determining when controlled population evacuations should be made. US dose assessment methodologies allow consideration of the protection, and therefore dose reduction, that buildings provide their occupants. However, these methodologies require an understanding of the protection provided by various building types that is currently lacking. To help address this need, Lawrence Livermore National Laboratory, in cooperation with Sandia National Laboratories and the Nuclear Regulatory Commission, was tasked with (a) identifying prior building protection studies, (b) extracting results relevant to US building construction, and (c) summarizing building protection by building type. This report focuses primarily on the protection against radiation from outdoor fallout particles (external gamma radiation).

Energy Efficiency, Building Productivity and the Commercial Buildings Market

Energy Technology Data Exchange (ETDEWEB)

Jones, D.W.

2002-05-16

The energy-efficiency gap literature suggests that building buyers are often short-sighted in their failure to apply life-cycle costing principles to energy efficient building technologies, with the result that under investment in these advanced technology occurs. This study examines the reasons this behavior may occur, by analyzing the pressures that market forces place on purchasers of buildings. Our basic conclusion is that the fundamental manner in which the buildings sector does business creates pressures to reduce initial capital outlays and to hedge against a variety of risks, including the ability of building owners to capture benefits from energy efficiency. Starting from the position that building buyers' willingness to pay drives choices over building attributes, we examine basic market principles, the structure of the buildings market, including the role of lenders, and policies that promote penetration of energy efficient technologies. We conclude that greater attention to buyers, and to the incentives and constraints they face, would promote a better understanding of building investment choices and contribute to better policies to promote the penetration of these technologies into markets.

Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention.

Science.gov (United States)

Wiig, Siri; Ree, Eline; Johannessen, Terese; Strømme, Torunn; Storm, Marianne; Aase, Ingunn; Ullebust, Berit; Holen-Rabbersvik, Elisabeth; Hurup Thomsen, Line; Sandvik Pedersen, Anne Torhild; van de Bovenkamp, Hester; Bal, Roland; Aase, Karina

2018-03-28

Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context. The aim of the 'Improving Quality and Safety in Primary Care-Implementing a Leadership Intervention in Nursing Homes and Homecare' (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence. The project applies a mixed-methods design and explores the implications of the leadership guide on managers' and staffs' knowledge, attitudes and practices. Four nursing homes and four home care services from different Norwegian municipalities will participate in the intervention. Surveys, process evaluation (interviews, observations) and document analyses will be conducted to evaluate the implementation and impact of the leadership intervention. A comparative study of Norway and the Netherlands will establish knowledge of the context dependency of the intervention. The study is approved by the Norwegian Centre for Research Data (2017/52324 and 54855). The results will be disseminated through scientific articles, two PhD dissertations, an anthology, presentations at national and international conferences, and in social media, newsletters and in the press. The results will generate knowledge to inform leadership practices in nursing homes and home care. Moreover, the study will build new theory on leadership interventions and the role of contextual factors in nursing homes and home care. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Effect of Gratitude Educational Intervention on Well-Being Indicators among North Indian Adolescents

Science.gov (United States)

Khanna, Pulkit; Singh, Kamlesh

2016-01-01

The aim of the present paper was to study the impact of a gratitude building intervention on adolescents' gratitude and well-being indicators. The sample comprised 177 students aged 11--14 years (M[subscript Age] = 12.29 years, SD = 0.67, 58% male) attending two schools in North India. Using quasi-experimental design, participating classrooms from…

Co-Simulation of Detailed Whole Building with the Power System to Study Smart Grid Applications

Energy Technology Data Exchange (ETDEWEB)

Makhmalbaf, Atefe; Fuller, Jason C.; Srivastava, Viraj; Ciraci, Selim; Daily, Jeffrey A.

2014-12-24

Modernization of the power system in a way that ensures a sustainable energy system is arguably one of the most pressing concerns of our time. Buildings are important components in the power system. First, they are the main consumers of electricity and secondly, they do not have constant energy demand. Conventionally, electricity has been difficult to store and should be consumed as it is generated. Therefore, maintaining the demand and supply is critical in the power system. However, to reduce the complexity of power models, buildings (i.e., end-use loads) are traditionally modeled and represented as aggregated “dumb” nodes in the power system. This means we lack effective detailed whole building energy models that can support requirements and emerging technologies of the smart power grid. To gain greater insight into the relationship between building energy demand and power system performance, it is important to constitute a co-simulation framework to support detailed building energy modeling and simulation within the power system to study capabilities promised by the modern power grid. This paper discusses ongoing work at Pacific Northwest National Laboratory and presents underlying tools and framework needed to enable co-simulation of building, building energy systems and their control in the power system to study applications such as demand response, grid-based HVAC control, and deployment of buildings for ancillary services. The optimal goal is to develop an integrated modeling and simulation platform that is flexible, reusable, and scalable. Results of this work will contribute to future building and power system studies, especially those related to the integrated ‘smart grid’. Results are also expected to advance power resiliency and local (micro) scale grid studies where several building and renewable energy systems transact energy directly. This paper also reviews some applications that can be supported and studied using the framework introduced

Solar potential in existing urban layouts—Critical overview of the existing building stock in Slovenian context

International Nuclear Information System (INIS)

Košir, Mitja; Capeluto, Isaac Guedi; Krainer, Aleš; Kristl, Živa

2014-01-01

In recent years implementation of sustainable building design in the EU has become one of the key issues in reducing energy dependence. In this context efficient use of solar potential incident on building envelope is essential. The goal of the study is to evaluate the influence of interventions required by the new Slovenian legislation and to propose general site planning guidelines. Special emphasis is devoted to the existing building stock, which is due for refurbishment. The study is carried out on the basis of seven typical urban layouts, which are assessed according to the shape of layout, density, building orientation and design. The calculations are carried out with the program SHADING. The study showed that the existing layouts are not as problematic as had been expected and that form and orientation of buildings present a major challenge. Nevertheless, the quality and the duration of insolation are highly dependent on the specifics of each case. The study showed that by respecting the basic rules of good practice in conjunction with the existing requirements no major changes in the existing design principles are needed. - Highlights: • New Slovenian legislation regarding minimum insolation of building envelope. • Seven typical urban layouts were analysed. • Requirements and rules of good practice result in adequate insolation. • Duration of insolation is highly dependent on the specifics of each case

Increasing community capacity to prevent childhood obesity: challenges, lessons learned and results from the Romp & Chomp intervention

Directory of Open Access Journals (Sweden)

de Groot Florentine P

2010-08-01

Full Text Available Abstract Background Obesity is a major public health issue; however, only limited evidence is available about effective ways to prevent obesity, particularly in early childhood. Romp & Chomp was a community-wide obesity prevention intervention conducted in Geelong Australia with a target group of 12,000 children aged 0-5 years. The intervention had an environmental and capacity building focus and we have recently demonstrated that the prevalence of overweight/obesity was lower in intervention children, post-intervention. Capacity building is defined as the development of knowledge, skills, commitment, structures, systems and leadership to enable effective health promotion and the aim of this study was to determine if the capacity of the Geelong community, represented by key stakeholder organisations, to support healthy eating and physical activity for young children was increased after Romp & Chomp. Methods A mixed methods evaluation with three data sources was utilised. 1 Document analysis comprised assessment of the documented formative and intervention activities against a capacity building framework (five domains: Partnerships, Leadership, Resource Allocation, Workforce Development, and Organisational Development; 2 Thematic analysis of key informant interviews (n = 16; and 3 the quantitative Community Capacity Index Survey. Results Document analysis showed that the majority of the capacity building activities addressed the Partnerships, Resource Allocation and Organisational Development domains of capacity building, with a lack of activity in the Leadership and Workforce Development domains. The thematic analysis revealed the establishment of sustainable partnerships, use of specialist advice, and integration of activities into ongoing formal training for early childhood workers. Complex issues also emerged from the key informant interviews regarding the challenges of limited funding, high staff turnover, changing governance structures

Increasing community capacity to prevent childhood obesity: challenges, lessons learned and results from the Romp & Chomp intervention.

Science.gov (United States)

de Groot, Florentine P; Robertson, Narelle M; Swinburn, Boyd A; de Silva-Sanigorski, Andrea M

2010-08-31

Obesity is a major public health issue; however, only limited evidence is available about effective ways to prevent obesity, particularly in early childhood. Romp & Chomp was a community-wide obesity prevention intervention conducted in Geelong Australia with a target group of 12,000 children aged 0-5 years. The intervention had an environmental and capacity building focus and we have recently demonstrated that the prevalence of overweight/obesity was lower in intervention children, post-intervention. Capacity building is defined as the development of knowledge, skills, commitment, structures, systems and leadership to enable effective health promotion and the aim of this study was to determine if the capacity of the Geelong community, represented by key stakeholder organisations, to support healthy eating and physical activity for young children was increased after Romp & Chomp. A mixed methods evaluation with three data sources was utilised. 1) Document analysis comprised assessment of the documented formative and intervention activities against a capacity building framework (five domains: Partnerships, Leadership, Resource Allocation, Workforce Development, and Organisational Development); 2) Thematic analysis of key informant interviews (n = 16); and 3) the quantitative Community Capacity Index Survey. Document analysis showed that the majority of the capacity building activities addressed the Partnerships, Resource Allocation and Organisational Development domains of capacity building, with a lack of activity in the Leadership and Workforce Development domains. The thematic analysis revealed the establishment of sustainable partnerships, use of specialist advice, and integration of activities into ongoing formal training for early childhood workers. Complex issues also emerged from the key informant interviews regarding the challenges of limited funding, high staff turnover, changing governance structures, lack of high level leadership and unclear

Comfort Study of Office Buildings with Large Glazed Areas

Directory of Open Access Journals (Sweden)

Violeta Motuzienė

2017-09-01

Full Text Available In the buildings with large glazed areas the biggest problem is the space overheating during the warm season. This causes increased energy demand for cooling. The survey was carried out during the warm and cold seasons in two office buildings with large glazed areas. The methodology was prepared for evaluating indoor climate parameters using objective and subjective evaluation. The measurements have shown that there are problems with lighting in workplaces of both buildings during both the warm and cold seasons. The biggest problem is too dry air during the cold period, an acceptable temperature is also not always in the building No. 2. The survey has shown that some employees are dissatisfied with the indoor climate in the workplace, the bigger dissatisfaction is in building No. 2. Assessing according to the O. Fanger methodology was obtained that the number of PPD is in the normal range during the cold period, whereas close to the limit when the building can not be operated in the warm period.

Object Based Building Extraction and Building Period Estimation from Unmanned Aerial Vehicle Data

Science.gov (United States)

Comert, Resul; Kaplan, Onur

2018-04-01

The aim of this study is to examine whether it is possible to estimate the building periods with respect to the building heights in the urban scale seismic performance assessment studies by using the building height retrieved from the unmanned aerial vehicle (UAV) data. For this purpose, a small area, which includes eight residential reinforced concrete buildings, was selected in Eskisehir (Turkey) city center. In this paper, the possibilities of obtaining the building heights that are used in the estimation of building periods from UAV based data, have been investigated. The investigations were carried out in 3 stages; (i) Building boundary extraction with Object Based Image Analysis (OBIA), (ii) height calculation for buildings of interest from nDSM and accuracy assessment with the terrestrial survey. (iii) Estimation of building period using height information. The average difference between the periods estimated according to the heights obtained from field measurements and from the UAV data is 2.86 % and the maximum difference is 13.2 %. Results of this study have shown that the building heights retrieved from the UAV data can be used in the building period estimation in the urban scale vulnerability assessments.

Brief Behavioral Sleep Intervention for Adolescents: An Effectiveness Study.

Science.gov (United States)

Paavonen, E Juulia; Huurre, Taina; Tilli, Maija; Kiviruusu, Olli; Partonen, Timo

2016-01-01

Sleep disturbances are common among adolescents, but there are no brief interventions to treat them. The objective of this study was to evaluate the effectiveness of a brief semistructured, individually delivered sleep intervention to ameliorate adolescents' sleeping difficulties and lengthen sleep duration. All students aged 16-18 years in a high school were screened for sleeping difficulties and 36 students with the highest sleep problem scores were invited to the intervention. Postintervention improvements were observed on self-reported and actiwatch-registered sleep duration, self-reported sleep quality and sleep latency, perceived stress and anxiety (all p values sleep efficiency and sleep latency did not change (p > 0.05). A brief individual sleep intervention can be effective in lengthening sleep duration and improving subjective sleep quality and well-being among adolescents.

Preliminary study of interventional treatment for tubal pregnancy

International Nuclear Information System (INIS)

Tang Yukuan; Chen Hanwei; Li Kaifang; Jiang Zaibo; Ma Zhuang; Liu Huanling

2000-01-01

Objective: To study the clinical value and methods of interventional treatment for tubal pregnancy. Methods: Two different methods were used in the interventional treatment of 18 patients with tubal pregnancy, which were transvaginal tubal intra-gestational methotrexate (MTX) injection and intra-utero-arterial MTX infusion. The former was selected for the treatment of 8 patients and the latter for 10 patients. Cook-fallopian tube catheterization set and the general angiographic catheters of 4.1 Fr Cobra were used. After the treatment, conditions of the patients, β-HCG level and ultrasound changes of the pregnant bladder were the main indexes for monitoring the therapeutic effect in this study. Results: The successful rate, cure rate, embryo killing rate reached 100%, 88.9%(16/18) and 94.4% (17/18) respectively. Two cases of intra-utero-arterial MTX infusion treatment failed, β-HCG was reduced to normal level with an average of 11.2 +- 11.6 d (3-28 d). In 10 cases, the ultrasound showed that the pregnancy bladder disappeared in 2-3 weeks, accounting for 76.9% (10/13). The longest time was 60 days. The range of menstruation recovery was 37 +- 9 d (21-50 d). Conclusions: Interventional treatment of tubal pregnancy is effective, reliable and easy for operation. It will be especially effective by arterial procedure. Interventional treatment will be a important method for terminating tubal pregnancy

A multistage controlled intervention to increase stair climbing at work: effectiveness and process evaluation.

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Bellicha, Alice; Kieusseian, Aurélie; Fontvieille, Anne-Marie; Tataranni, Antonio; Copin, Nane; Charreire, Hélène; Oppert, Jean-Michel

2016-04-11

Stair climbing helps to accumulate short bouts of physical activity throughout the day as a strategy for attaining recommended physical activity levels. There exists a need for effective long-term stair-climbing interventions that can be transferred to various worksite settings. The aims of this study were: 1) to evaluate short- and long-term effectiveness of a worksite stair-climbing intervention using an objective measurement of stair climbing and a controlled design; and 2) to perform a process evaluation of the intervention. We performed a controlled before-and-after study. The study was conducted in two corporate buildings of the same company located in Paris (France), between September, 2013 and September, 2014. The status of either "intervention site" or "control site" was assigned by the investigators. Participants were on-site employees (intervention site: n = 783; control site: n = 545 at baseline). Two one-month intervention phases using signs (intervention phase 1) and enhancement of stairwell aesthetics (intervention phase 2) were performed. The main outcome was the change in stair climbing, measured with automatic counters and expressed in absolute counts/day/100 employees and percent change compared to baseline. Qualitative outcomes were used to describe the intervention process. Stair climbing significantly increased at the intervention site (+18.7%) but decreased at the control site (-13.3%) during the second intervention phase (difference between sites: +4.6 counts/day/100 employees, p levels at the intervention site, but a significant difference between sites was found (intervention site vs. control site: +2.9 counts/day/100 employees, p level after the end of the study. This study shows a successful stair-climbing intervention at the worksite. The main barriers to adoption and implementation were related to location and visibility of posters. Process evaluation was useful in identifying these barriers throughout the study, and in

Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: the Team-link study.

Science.gov (United States)

Harris, Mark F; Chan, Bibiana C; Daniel, Christopher; Wan, Qing; Zwar, Nick; Davies, Gawaine Powell

2010-04-27

This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers. A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation. Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled by joint education and direct communication between providers. Practice nurses were key links between general practices and allied and community health services. Current arrangements for Team Care planning provide increased opportunities for access to allied health. However the current paper based system is insufficient to build relationships or effectively share roles as part of a patient care team. Facilitation is feasible but constrained by barriers to communication and trust.

Examining a participation-focused stroke self-management intervention in a day rehabilitation setting: a quasi-experimental pilot study.

Science.gov (United States)

Lee, Danbi; Fischer, Heidi; Zera, Sarah; Robertson, Rosetta; Hammel, Joy

2017-12-01

Background People with stroke often find discharge from rehabilitation distressing because they do not feel prepared to participate in life roles as they want. A self-management approach can facilitate improvement in confidence and ability to manage post-stroke community living and participation after transitioning into the community. Objective To evaluate the feasibility and effectiveness of the Improving Participation After Stroke Self-management program - Rehab version (IPASS-R) in a day rehabilitation setting. Methods We used a mixed-method non-randomized quasi-experimental design. The IPASS-R program is a six-session group-based intervention led by a trained occupational therapist and lay person with stroke. The program uses an efficacy building approach to support aging adults to maintain active participation in home and community activities post-stroke. Primary outcome measures were the Reintegration to Normal Living Index (RNLI), Stroke Impact Scale (SIS), and Participation Strategies Self-Efficacy Scale. Qualitative feedback was collected post-treatment. Results Seventeen participants with stroke (intervention n = 9; control n = 8) were enrolled across two sites. Non-parametric effect sizes calculated using the Wilcoxon Signed-Rank test revealed larger effects on RNLI and SIS outcomes in the intervention group. The Mann-Whitney U test showed significant differences between the two groups' changes in scores on perceived recovery and strength. Conclusions The result shows that IPASS-R has the potential to be integrated into a day rehabilitation setting with a positive impact on community integration and perceived recovery outcomes. Future study is needed to investigate the IPASS-R with a larger sample size and more rigorous study design.

Studies on radon exhalation rate from building materials of Mysuru district, Karnataka

International Nuclear Information System (INIS)

Chandini, M.; Lavanya, B.S.K.; Chandrashekara, M.S.; Pruthvi Rani, K.S.

2017-01-01

In the present study, mass exhalation rate of 222 Rn from soil and building materials was studied using scintillation based Smart Radon Monitor (SRM) and also using Solid State Nuclear Track Detectors (SSNTD) employing Can Technique, following standard procedure. Mass exhalation rate of 222 Rn from various building material samples such as brick, sand, cement, concrete and from different types of flooring materials was determined. The results obtained from these methods were compared and analysed. The samples of construction materials were collected from various locations of Mysuru city. The city has an area of about 128 sq km with population of about 1 million. Mining industries of magnetite, dunite and lime stone are located around Mysuru city. In addition to this, quarrying and crushing of granite stones for building activities also exist nearby

The Danish Alzheimer Intervention Study: Rationale, Study Design and Baseline Characteristics of the Cohort

DEFF Research Database (Denmark)

Waldemar, G.; Waldorff, F.B.; Buss, D.V.

2011-01-01

There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline characteristics...

Daylighting and energy performance of a building for composite climate: An experimental study

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Madhu Sudan

2016-12-01

Full Text Available The present study includes overall energy saving through thermal as well as daylighting for composite climate for the building known as SODHA BERS COMPLEX (SBC situated at Varanasi, India. The building has been designed including all the passive concepts for thermal comfort as well daylighting to maximize the use of natural lighting for the occupants in day to day activities. This approach can be useful for multi-story building for rural and urban areas for both residential and commercial buildings. The energy saving potential and corresponding CO2 mitigation have been determined for different lifetimes of the building. The energy matrices namely energy payback time (EPBT, energy production factor (EPF and life cycle conversion efficiency (LCCE of the building have also been estimated by considering overall energy saving. An annual energy saving has been obtained as 3675.61 kW h due to daylight concept by considering different Zones in each floors of the building. Further, the EPBT has been determined as 49.25 years and 34.73 years for average 4 °C and 6 °C temperature difference between ambient and room, respectively. It has been found that when thermal heat gain increases in the building LCCE and EPF increase.

Study of an experimental methodology for thermal properties diagnostic of building envelop

Science.gov (United States)

Yang, Yingying; Sempy, Alain; Vogt Wu, Tingting; Sommier, Alain; Dumoulin, Jean; Batsale, Jean Christophe

2017-04-01

The building envelope plays a critical role in determining levels of comfort and building efficiency. Its real thermal properties characterization is of major interest to be able to diagnose energy efficiency performance of buildings (new construction and retrofitted existing old building). Research and development on a possible methodology for energy diagnostic of the building envelop is a hot topic and necessary trend. Many kinds of sensors and instruments are used for the studies. The application of infrared (IR) thermography in non-destructive evaluation has been widely employed for qualitative evaluations for building diagnostics; meanwhile, the IR thermography technology also has a large potentiality for the evaluation of the thermal characteristics of the building envelope. Some promising recent research studies have been carried out with such contactless measurement technique. Nevertheless, research efforts are still required for in situ measurements under natural environmental conditions. In order to develop new solutions for non-intrusive evaluation of local thermal performance, enabling quantitative assessment of thermal properties of buildings and materials, experiments were carried out on a multi-layer pratical scale wall fixed on a caisson placed in a climatic chamber. Six halogen lamps (1.5 kW for each lamp) placed in front of objective wall were used to emulate sunny conditions. The radiative heat flux emitted was monitored and modulated with time according to typical weather data set encountered in France. Both steady state and transient regime heat transfer were studied during these experiments. Contact sensors (thermocouples, heat flux meters, Peltier sensors) and non-contact sensors (thermal IR camera, pyranometer) were used to measure the temperatures and heat flux density evolution. It has to be noticed that the Peltier sensors have been tuned and used with a specific processing to set them compliant for heat flux density measurements. The

Building peace education in the Islamic educational context

Science.gov (United States)

Abu-Nimer, Mohammed; Nasser, Ilham

2017-04-01

Following the events of 9/11, many misconceptions entered the policy-making platform with regard to the need for education reforms in the Muslim world. Based upon Western cultural and societal norms and increased scepticism of the role of religion in violence, these assumptions have triggered a strong wave of calls for a top-down approach to reform formal state schools in predominantly Muslim countries, These calls often meet with resistance at national and community levels. This article seeks to examine these misconceptions and investigate why educational reform efforts through top-down frameworks which are especially motivated by countering violent extremism or terrorism have had only limited success. Many major international intergovernmental organisations, non-governmental organisations and governments have invested time and effort into education measures aiming to build peace and coexistence in Muslim countries, but they have been unable to build a relationship of trust with community leaders and school authorities. The authors argue that the main reason for defiance is reformers' failure to closely examine the cultural context of their chosen setting and work with existing tools and local institutions. Illustrating their point with a case study of an intervention carried out in informal Qur'anic schools in Niger, West Africa, the authors offer an alternative method which fosters changes from within. They argue that this model has a better chance of sustainability and could thus be used as the basis for future interventions.

Positive psychology interventions: A meta-analysis of randomized controlled studies

NARCIS (Netherlands)

Bolier, Linda; Haverman, M.; Westerhof, Gerben Johan; Riper, H.; Smit, F.; Bohlmeijer, Ernst Thomas

2013-01-01

Background The use of positive psychological interventions may be considered as a complementary strategy in mental health promotion and treatment. The present article constitutes a meta-analytical study of the effectiveness of positive psychology interventions for the general public and for

Positive psychology interventions: a meta-analysis of randomized controlled studies

NARCIS (Netherlands)

Bolier, L.; Haverman, M.; Westerhof, G.J.; Riper, H.; Smit, H.F.E.; Bohlmeijer, E.

2013-01-01

Background: The use of positive psychological interventions may be considered as a complementary strategy in mental health promotion and treatment. The present article constitutes a meta-analytical study of the effectiveness of positive psychology interventions for the general public and for

Sick-building symptoms in office workers in northeastern France: a pilot study.

Science.gov (United States)

Teculescu, D B; Sauleau, E A; Massin, N; Bohadana, A B; Buhler, O; Benamghar, L; Mur, J M

1998-07-01

To verify that sick building symptoms are present in north-eastern France office workers; to try to identify new confounding factors. The design was that of a cross-sectional study with control group. We studied with the same methods the personnel of an air-conditioned building (n=425), and of a naturally ventilated building (n=351). Air temperature and humidity, bacterial and fungal densities were measured by the same technical staff in the two buildings. A standard questionnaire on irritative and respiratory symptoms, personal and family history, and lifestyle was completed by the participants. In univariate analysis, exposure to air-conditioning was associated with an increased prevalence of symptoms (odds ratios-OR-between 1.54 and 2.84). A significant increase in sickness absence was also found among subjects working in air-conditioned offices. As a series of factors were suspected to interfere with these associations, logistic regression was applied. This method confirmed exposure to be an independent determinant of 7 symptoms, and also identified two determinants not previously described: a family history of respiratory diseases and "do-it-yourself' activities. we found the sick building symptoms to be present in a group of French office workers exposed to air-conditioning. We confirmed the influence of a number of confounding factors and described two further confounders - do-it-yourself activities at home and a history of familial respiratory disease.

A Study on the Development of Building Energy Analysis Program and the Establishment of BEPS

Energy Technology Data Exchange (ETDEWEB)

Kong, S.R.; Kwon, K.J.; Yoo, Y.H.; Cho, Y.K.; Kijm, Y.D.; Han, S.W. [Korea Electric Power Corp. (KEPCO), Taejon (Korea, Republic of). Research Center; Kim, M.H.; Kim, K.W.; Cho, K.H.; Lee, H.W.; Lee, Y.H.; Kim, S.J.; Song, K.S.; Heon, C.T.; Choi, J.M.; Kim, Y.I.; Suk, H.T.; Kang, J.S.; Kim, Y.D.; Kang, K.T.; Lee, J.E.; Kwark, H.S. [Seoul National Univ. (Korea, Republic of)

1994-12-31

The amount of energy consumption in building covers the 30% of the total energy consumption and that of electricity is much the same. Because of the improvement of the living quality, energy consumption in building part is increasing and the rate is much higher than that of other parts. So, KEPCO, one of the major domestic energy suppliers and consumers, needs to develop reliable computerized building energy analysis program and to establish building energy performance standards for the reasonable energy management and the efficient execution of energy budget and the improvement of working condition of the corp`s buildings. So the study aims to the development of computerized building energy analysis program, and the establishment energy budget level and building energy performance standards for the corp`s buildings.

Semantic Building Information Modeling and high definition surveys for Cultural Heritage sites

Directory of Open Access Journals (Sweden)

Simone Garagnani

2012-11-01

Full Text Available In recent years, digital technology devoted to the building design has experienced significant advancements allowing to reach, by means of the Building Information Modeling, those goals only imagined since the mid-Seventies of the last century. The BIM process, bearer of several advantages for actors and designers who implement it in their workflow, may be employed even in various case studies related to some interventions on the existing architectural Cultural Heritage. The semantics typical of the classical architecture, so pervasive in the European urban landscape, as well as the Modern or Contemporary architecture features, coincide with the self-conscious structure made of “smart objects” proper of BIM, which proves to be an effective system to document component relationships. However, the translation of existing buildings geometric information, acquired using the common techniques of laser scanning and digital photogrammetry, into BIM objects, is still a critical process that this paper aims to investigate, describing possible methods and approaches.

Impact of Physical Activity Interventions on Blood Pressure in Brazilian Populations

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Vivian Freitas Rezende Bento

2015-01-01

Full Text Available Background: High blood pressure is associated with cardiovascular disease, which is the leading cause of mortality in the Brazilian population. Lifestyle changes, including physical activity, are important for lowering blood pressure levels and decreasing the costs associated with outcomes. Objective: Assess the impact of physical activity interventions on blood pressure in Brazilian individuals. Methods: Meta-analysis and systematic review of studies published until May 2014, retrieved from several health sciences databases. Seven studies with 493 participants were included. The analysis included parallel studies of physical activity interventions in adult populations in Brazil with a description of blood pressure (mmHg before and after the intervention in the control and intervention groups. Results: Of 390 retrieved studies, eight matched the proposed inclusion criteria for the systematic review and seven randomized clinical trials were included in the meta-analysis. Physical activity interventions included aerobic and resistance exercises. There was a reduction of -10.09 (95% CI: -18.76 to -1.43 mmHg in the systolic and -7.47 (95% CI: -11.30 to -3.63 mmHg in the diastolic blood pressure. Conclusions: Available evidence on the effects of physical activity on blood pressure in the Brazilian population shows a homogeneous and significant effect at both systolic and diastolic blood pressures. However, the strength of the included studies was low and the methodological quality was also low and/or regular. Larger studies with more rigorous methodology are necessary to build robust evidence.

Case-study of thermo active building systems in Japanese climate

DEFF Research Database (Denmark)

Li, Rongling; Yoshidomi, Togo; Ooka, Ryozo

2015-01-01

Thermo active building systems (TABS) have been applied in office buildings as a promising energy efficient solution in many European countries. The utilization of building thermal mass helps to provide high quality thermal environments with less energy consumption. However, the concept of TABS...... is entirely new in Japan. This paper introduces and evaluates TABS under Tokyo weather conditions to clarify the potential of use TABS in Japan. Cooling capacity of thermo active building systems used in an office building was evaluated by means of dynamic simulations. Two central rooms of the office were...

Application of Prefabricated Panels for the Energy Retrofit of Portuguese Residential Buildings Facades: A Case Study

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Sousa J.

2013-09-01

Full Text Available This article aims to evaluate the potential application of prefabricated panels in energy retrofit of facades in the Portuguese building stock. The fundamentals of this study were part of Annex 50, which was an international ECBCS IEA project, with the purpose of developing an innovative concept of building renovation for the most representative buildings based on prefabricated systems. To analyze the potential application of energy retrofit using prefabricated panels, was important to know the reality of the existing building stock and its morphology. To know the reality of the building stock, an analysis was done based on the existing statistical data and to find the most representative residential buildings, target of the study, three criteria were defined: buildings built before 1990, with 2 to 6 floors and with renovation needs in the exterior envelope.

Social Competence Intervention in Autistic Spectrum Disorders (ASDS) - A Case Study

Science.gov (United States)

Amin, Noor A.; Oweini, Ahmad

2013-01-01

The purpose of this case study was to determine the effectiveness of a combined intervention in remediating the social skills in a first-grader with a disorder from the autism spectrum disorders (ASDs). The researcher also aimed to identify the changes observed during the intervention period. The combined intervention consisted of reading…

Study on the hydrogen explosion risk at reactor building during a severe accident

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-08-15

JNES carried out analysis on the hydrogen mixing and explosion at reactor building with CFD code and explosion analysis code to evaluate what exactly has happened at the reactor buildings of the Fukushima Daiichi NPS. Based on the MELCOR severe accident analysis results of Fukushima Daiichi Unit 1 and Unit 3, sensitivity study using the CFD code FLUENT was carried out on the parameter of the release rate, total mass of hydrogen gas, the release path between reactor building and PCV, and so on. Then an analysis using AUTODYN code was carried out to investigate the explosion at the reactor building of Unit 4 as well as Unit 1 and, Unit 3. With those analysis results it became possible to estimate the leaked path and the total amount of leaked hydrogen gas from PCV to reactor building. (author)

Daylighting for energy conservation in an existing building under tropical climate conditions: a case study of Lai Sue Thai building Ramkhamhaeng University

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Lerdlekha Tanachaikhan

2015-12-01

Full Text Available Daylighting using skylight has been shown to have a high potential in reducing electrical lighting energy, and could provide a more pleasant atmosphere of a daylit space. However, in hot climates, the main constraint of daylighting is the solar heat gain that contributes to major heat load for an air-conditioning system. If the balance between the beneficial light gain used to offset lighting energy requirement and heat gain from daylight is well considered, significant energy savings can be obtained. The main objective of the study is to evaluate the potential of daylighting for energy conservation in the tropics through theoretical analysis (simulation study and experimental observation. Lai Sue Thai Building (an existing and educational building located at Ramkhamkaeng University was selected as a case study. From analysis, use of daylight could reduce electrical energy in this building by up to 76% compared to the initial condition where fully lighting was supplied. Window orientation would also play an important role. Moreover, heat gain through windows due to daylighting can be controlled by overhangs and the appropriate Window-to-Wall ratio that would be about 30% for this building. An experimental study was also carried out to validate the results in a selected room. About 49% and 37% of Relative Root Mean Square Error (RRMSE were observed in light and heat measurements, respectively

Building midwifery educator capacity using international partnerships: Findings from a qualitative study.

Science.gov (United States)

West, Florence; Dawson, Angela; Homer, Caroline S E

2017-07-01

Midwifery educators play a critical role in strengthening the midwifery workforce globally, including in low and lower-middle income countries (LMIC) to ensure that midwives are adequately prepared to deliver quality midwifery care. The most effective approach to building midwifery educator capacity is not always clear. The aim of this study was to determine how one capacity building approach in Papua New Guinea (PNG) used international partnerships to improve teaching and learning. A qualitative exploratory case study design was used to explore the perspectives of 26 midwifery educators working in midwifery education institutions in PNG. Seven themes were identified which provide insights into the factors that enable and constrain midwifery educator capacity building. The study provides insights into strategies which may aid institutions and individuals better plan and implement international midwifery partnerships to strengthen context-specific knowledge and skills in teaching. Further research is necessary to assess how these findings can be transferred to other contexts. Copyright © 2017 Elsevier Ltd. All rights reserved.

THE EFFECTIVENESS OF TEACCH INTERVENTION IN AUTISM SPECTRUM DISORDER: A REVIEW STUDY

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Pilar Sanz-Cervera

2018-01-01

Full Text Available This work includes a review of the literature to analyze the effectiveness of the TEACCH intervention, as well as the effect of this intervention on the level of parental and teachers’ stress of children with autism spectrum disorder (ASD. Considering the inclusion criteria, a total of 14 studies were analyzed. Regardless of the context of intervention, all the studies revealed developmental abilities improvements and a reduction in autistic symptoms and maladaptative behaviors. In 11 of the 14 studies, statistically significant improvements were obtained. As for the effect of the TEACCH intervention in the level of the parents or teachers stress, out of the 7 studies that evaluated stress, 5 of them obtained a significant decrease between Pre and Post measurements. Considering these results, TEACCH intervention could be effective not only improving the child’s development, but also enhancing the adults’ level of well-being.

Automated Behavioral Text Messaging and Face-to-Face Intervention for Parents of Overweight or Obese Preschool Children: Results From a Pilot Study.

Science.gov (United States)

Militello, Lisa; Melnyk, Bernadette Mazurek; Hekler, Eric B; Small, Leigh; Jacobson, Diana

2016-03-14

Children are 5 times more likely to be overweight at the age of 12 years if they are overweight during the preschool period. The purpose of this study was to establish the feasibility, acceptability, and preliminary effects of a cognitive behavioral intervention (TEXT2COPE) synergized with tailored mobile technology (mHealth) on the healthy lifestyle behaviors of parents of overweight and obese preschoolers delivered in a primary care setting. Fifteen preschooler-parent dyads recruited through primary care clinics completed a manualized 7-week cognitive behavioral skills building intervention. Beck's Cognitive Theory guided the TEXT2COPE intervention content and Fogg's Behavior Model guided the implementation. The intervention employed a combination of face-to-face clinic visits and ecological momentary interventions using text messaging (short message service, SMS). To enhance the intervention's relevance to the family's needs, parents dictated the wording of the text messages and also were able to adapt the frequency and timing of delivery throughout program implementation. Self-reported findings indicate that the program is feasible and acceptable in this population. The intervention showed preliminary effects with significant improvements on parental knowledge about nutrition (P=.001) and physical activity (P=.012) for their children, parental beliefs (P=.001) toward healthy lifestyles, and parental behaviors (P=.040) toward engaging in healthy lifestyle choices for their children. Effect sizes were medium to large for all variables. The timing, frequency, and wording of the text messages were tailored to the individual families, with 69% of parents (9/13) increasing the frequency of the tailored SMS from being sent once weekly to as many as 5 times a week. Utilizing a cognitive behavioral skills intervention with SMS has great potential for supporting clinical care of overweight and obese preschool children and their families. Further exploration of the

Building capacity for continuous quality improvement (CQI): A pilot study.

Science.gov (United States)

Hunter, Sarah B; Rutter, Carolyn M; Ober, Allison J; Booth, Marika S

2017-10-01

Little is known about the feasibility, effectiveness, and sustainability of CQI approaches in substance use disorder treatment settings. In the initial phase of this study, eight programs were randomly assigned to receive a CQI intervention or to a waitlist control condition to obtain preliminary information about potential effectiveness. In the second phase, the initially assigned control programs received the CQI intervention to gain additional information about intervention feasibility while sustainability was explored among the initially assigned intervention programs. Although CQI was feasible and sustainable, demonstrating its effectiveness using administrative data was challenging suggesting the need to better align performance measurement systems with CQI efforts. Further, although the majority of staff were enthusiastic about utilizing this approach and reported provider and patient benefits, many noted that dedicated time was needed in order to implement and sustain it. Copyright © 2017 Elsevier Inc. All rights reserved.

Feature Evaluation for Building Facade Images - AN Empirical Study

Science.gov (United States)

Yang, M. Y.; Förstner, W.; Chai, D.

2012-08-01

The classification of building facade images is a challenging problem that receives a great deal of attention in the photogrammetry community. Image classification is critically dependent on the features. In this paper, we perform an empirical feature evaluation task for building facade images. Feature sets we choose are basic features, color features, histogram features, Peucker features, texture features, and SIFT features. We present an approach for region-wise labeling using an efficient randomized decision forest classifier and local features. We conduct our experiments with building facade image classification on the eTRIMS dataset, where our focus is the object classes building, car, door, pavement, road, sky, vegetation, and window.

A pilot study on the effects of a team building process on the perception of work environment in an integrative hospital for neurological rehabilitation

Directory of Open Access Journals (Sweden)

Büssing Arndt

2010-03-01

Full Text Available Abstract Background Neurological rehabilitation is one of the most care-intensive challenges in the health care system requiring specialist therapeutic and nursing knowledge. In this descriptive pilot study, we investigated the effects of a team building process on perceived work environment, self-ascribed professional competence, life satisfaction, and client satisfaction in an anthroposophic specialized hospital for neurological rehabilitation. The team-building process consisted of didactic instruction and training in problem-solving, teambuilding and constructive conflict resolution. Methods Seventy seven staff members and 44 patients' relatives were asked to complete a survey that included the Work Environment Scale (WES-10, a Life Satisfaction Scale (BMLSS, the Conviction of Therapeutic Competency (CTC scale and the Client Satisfaction Questionnaire (CSQ-8. To evaluate the outcome of the team building process, we analyzed changes over time in the WES-10 subscales. Additionally the interrelationship between the WES-10 subscales with other subscales and with sociodemographic parameters like age, gender was calculated by means of a bivariate correlation analysis. Results The team building process had a significant positive effect on perceived work environment in only one area. There was a significant improvement in the ward staffs' perception of their ability to constructively resolve conflicts 3 years after inception of the team building process than there was before inception. However, even in a unit that utilized holistic treatment and nursing in the care of severely disable patients, such care necessitating a very heavy workload, the measurements on the Self Realization, Life Satisfaction and Conviction of Therapeutic Competency scales remained high and unchanged over the three year time period of the study. Conclusions Strategic interventions might be an option to improve interpersonal relationships and finally quality of patient care.

Daylighting and energy performance of a building for composite climate: An experimental study

OpenAIRE

Madhu Sudan; G.N. Tiwari

2016-01-01

The present study includes overall energy saving through thermal as well as daylighting for composite climate for the building known as SODHA BERS COMPLEX (SBC) situated at Varanasi, India. The building has been designed including all the passive concepts for thermal comfort as well daylighting to maximize the use of natural lighting for the occupants in day to day activities. This approach can be useful for multi-story building for rural and urban areas for both residential and commercial bu...

Building the Evidence Base for Population-Level Interventions: Barriers and Opportunities

Science.gov (United States)

Lifsey, Sarah; Cash, Amanda; Anthony, Jodi; Mathis, Sheryl; Silva, Sandra

2015-01-01

Population-level interventions focused on policy, systems, and environmental change strategies are increasingly being used to affect and improve the health of populations. At the same time, emphasis on implementing evidence-based public health practices and programming is increasing, particularly at the federal level. Valuing strategies in the…

Study on post occupancy evaluation after remodeling in accordance with the `green remodeling certification standards of existing non-residential buildings'- Focusing on the case of H building

Science.gov (United States)

Cho, Kyungjoo; Cho, Dongwoo; Yoon, Yosun

2018-06-01

South Korea has adopted the Paris Convention and promised to reduce greenhouse gas emissions by 37% from business-as-usual (BAU) levels in the `First Basic Plan to Respond to Climate Change'. The reduction goal of greenhouse gas cannot be achieved considering only new buildings; the analysis results shows that the reduction of greenhouse gas emissions from existing buildings is essential. `The Green Remodeling Certification Standards', established in South Korea in 2016, is in line with the above plan. The post-occupancy evaluation (POE) of remodeled buildings after applying the `Green Remodeling Certification Standards of Existing Buildings' must be studied for expansion of this scheme. The study results are expected to be used as foundational data for the promotion of remodeling existing buildings.

Assessing validity of observational intervention studies - the Benchmarking Controlled Trials.

Science.gov (United States)

Malmivaara, Antti

2016-09-01

Benchmarking Controlled Trial (BCT) is a concept which covers all observational studies aiming to assess impact of interventions or health care system features to patients and populations. To create and pilot test a checklist for appraising methodological validity of a BCT. The checklist was created by extracting the most essential elements from the comprehensive set of criteria in the previous paper on BCTs. Also checklists and scientific papers on observational studies and respective systematic reviews were utilized. Ten BCTs published in the Lancet and in the New England Journal of Medicine were used to assess feasibility of the created checklist. The appraised studies seem to have several methodological limitations, some of which could be avoided in planning, conducting and reporting phases of the studies. The checklist can be used for planning, conducting, reporting, reviewing, and critical reading of observational intervention studies. However, the piloted checklist should be validated in further studies. Key messages Benchmarking Controlled Trial (BCT) is a concept which covers all observational studies aiming to assess impact of interventions or health care system features to patients and populations. This paper presents a checklist for appraising methodological validity of BCTs and pilot-tests the checklist with ten BCTs published in leading medical journals. The appraised studies seem to have several methodological limitations, some of which could be avoided in planning, conducting and reporting phases of the studies. The checklist can be used for planning, conducting, reporting, reviewing, and critical reading of observational intervention studies.

STUDIES OF COSMIC-RAY MUONS AND NEUTRONS IN A FIVE-STORY CONCRETE BUILDING.

Science.gov (United States)

Chen, Wei-Lin; Sheu, Rong-Jiun

2018-05-01

This study thoroughly determined the flux and dose rate distributions of cosmic-ray muons and neutrons in a five-story concrete building by comparing measurements with Monte Carlo simulations of cosmic-ray showers. An angular-energy-dependent surface source comprising secondary muons and neutrons at a height of 200 m above ground level was established and verified, which was used to concatenate the shower development in the upper atmosphere with subsequent simulations of radiation transport down to ground level, including the effect of the terrain and studied building. A Berkeley Lab cosmic-ray detector and a highly sensitive Bonner cylinder were used to perform muon and neutron measurements on each building floor. After careful calibration and correction, the measured responses of the two detectors were discovered to be reasonably consistent with the theoretical predictions, thus confirming the validity of the two-step calculation model employed in this study. The annual effective doses from cosmic-ray muons and neutrons on the open roof of the building were estimated to be 115.2 and 35.2 μSv, respectively. Muons and neutrons were attenuated floor-by-floor with different attenuation factors of 0.97 and 0.78, and their resultant dose rates on the first floor of the building were 97.8 and 9.9 μSv, respectively.

Design and construction strategies for reducing embodied impacts from buildings – Case study analysis

DEFF Research Database (Denmark)

Malmqvist, Tove; Nehasilova, Marie; Moncaster, Alice

2018-01-01

, individual building projects. This is done by a systematic analysis of the Annex 57 case study collection as well as additional scientific literature. While it should be noted that the actual EEG savings at building level illustrated in this collection of studies are only applicable to each specific case...... of national energy mixes. Stakeholders therefore have a growing interest in understanding the possibilities for reducing em- bodied impacts in buildings. In the IEA EBC project ‘Annex 57’ a broad call for case studies was launched with the aim to identify design strategies for reducing embodied energy and GHG...... emissions (EEG) from buildings. The aim of this paper is to identify and provide a collected and comprehensive overview of quantitative reduction potentials of the particular EEG reduction strategies which should be considered by the stakeholders engaged in, and with the capacity to influence the outcome of...

Approaches for building community participation: A qualitative case study of Canadian food security programs.

Science.gov (United States)

Hyett, Nerida; Kenny, Amanda; Dickson-Swift, Virginia

2017-10-01

There is increasing opportunity and support for occupational therapists to expand their scope of practice in community settings. However, evidence is needed to increase occupational therapists' knowledge, confidence, and capacity with building community participation and adopting community-centered practice roles. The purpose of this study is to improve occupational therapists' understanding of an approach to building community participation, through case study of a network of Canadian food security programs. Qualitative case study was utilized. Data were semistructured interviews, field observations, documents, and online social media. Thematic analysis was used to identify and describe four themes that relate to processes used to build community participation. The four themes were use of multiple methods, good leaders are fundamental, growing participation via social media, and leveraging outcomes. Occupational therapists can utilize an approach for building community participation that incorporates resource mobilization. Challenges of sustainability and social exclusion must be addressed.

Simulations for designing and interpreting intervention trials in infectious diseases.

Science.gov (United States)

Halloran, M Elizabeth; Auranen, Kari; Baird, Sarah; Basta, Nicole E; Bellan, Steven E; Brookmeyer, Ron; Cooper, Ben S; DeGruttola, Victor; Hughes, James P; Lessler, Justin; Lofgren, Eric T; Longini, Ira M; Onnela, Jukka-Pekka; Özler, Berk; Seage, George R; Smith, Thomas A; Vespignani, Alessandro; Vynnycky, Emilia; Lipsitch, Marc

2017-12-29

Interventions in infectious diseases can have both direct effects on individuals who receive the intervention as well as indirect effects in the population. In addition, intervention combinations can have complex interactions at the population level, which are often difficult to adequately assess with standard study designs and analytical methods. Herein, we urge the adoption of a new paradigm for the design and interpretation of intervention trials in infectious diseases, particularly with regard to emerging infectious diseases, one that more accurately reflects the dynamics of the transmission process. In an increasingly complex world, simulations can explicitly represent transmission dynamics, which are critical for proper trial design and interpretation. Certain ethical aspects of a trial can also be quantified using simulations. Further, after a trial has been conducted, simulations can be used to explore the possible explanations for the observed effects. Much is to be gained through a multidisciplinary approach that builds collaborations among experts in infectious disease dynamics, epidemiology, statistical science, economics, simulation methods, and the conduct of clinical trials.

A cross-sectional study of the temporal evolution of electricity consumption of six commercial buildings.

Directory of Open Access Journals (Sweden)

Ethan M Pickering

Full Text Available Current approaches to building efficiency diagnoses include conventional energy audit techniques that can be expensive and time consuming. In contrast, virtual energy audits of readily available 15-minute-interval building electricity consumption are being explored to provide quick, inexpensive, and useful insights into building operation characteristics. A cross sectional analysis of six buildings in two different climate zones provides methods for data cleaning, population-based building comparisons, and relationships (correlations of weather and electricity consumption. Data cleaning methods have been developed to categorize and appropriately filter or correct anomalous data including outliers, missing data, and erroneous values (resulting in < 0.5% anomalies. The utility of a cross-sectional analysis of a sample set of building's electricity consumption is found through comparisons of baseload, daily consumption variance, and energy use intensity. Correlations of weather and electricity consumption 15-minute interval datasets show important relationships for the heating and cooling seasons using computed correlations of a Time-Specific-Averaged-Ordered Variable (exterior temperature and corresponding averaged variables (electricity consumption(TSAOV method. The TSAOV method is unique as it introduces time of day as a third variable while also minimizing randomness in both correlated variables through averaging. This study found that many of the pair-wise linear correlation analyses lacked strong relationships, prompting the development of the new TSAOV method to uncover the causal relationship between electricity and weather. We conclude that a combination of varied HVAC system operations, building thermal mass, plug load use, and building set point temperatures are likely responsible for the poor correlations in the prior studies, while the correlation of time-specific-averaged-ordered temperature and corresponding averaged variables method

Building the capacity of family day care educators to promote children's social and emotional wellbeing: an exploratory cluster randomised controlled trial

Directory of Open Access Journals (Sweden)

Sims Margaret

2011-11-01

Full Text Available Abstract Background Childhood mental health problems are highly prevalent, experienced by one in five children living in socioeconomically disadvantaged families. Although childcare settings, including family day care are ideal to promote children's social and emotional wellbeing at a population level in a sustainable way, family day care educators receive limited training in promoting children's mental health. This study is an exploratory wait-list control cluster randomised controlled trial to test the appropriateness, acceptability, cost, and effectiveness of "Thrive," an intervention program to build the capacity of family day care educators to promote children's social and emotional wellbeing. Thrive aims to increase educators' knowledge, confidence and skills in promoting children's social and emotional wellbeing. Methods/Design This study involves one family day care organisation based in a low socioeconomic area of Melbourne. All family day care educators (term used for registered carers who provide care for children for financial reimbursement in the carers own home are eligible to participate in the study. The clusters for randomisation will be the fieldworkers (n = 5 who each supervise 10-15 educators. The intervention group (field workers and educators will participate in a variety of intervention activities over 12 months, including workshops; activity exchanges with other educators; and focused discussion about children's social and emotional wellbeing during field worker visits. The control group will continue with their normal work practice. The intervention will be delivered to the intervention group and then to the control group after a time delay of 15 months post intervention commencement. A baseline survey will be conducted with all consenting educators and field workers (n = ~70 assessing outcomes at the cluster and individual level. The survey will also be administered at one month, six months and 12 months post-intervention

Integration of targeted health interventions into health systems: a conceptual framework for analysis.

Science.gov (United States)

Atun, Rifat; de Jongh, Thyra; Secci, Federica; Ohiri, Kelechi; Adeyi, Olusoji

2010-03-01

The benefits of integrating programmes that emphasize specific interventions into health systems to improve health outcomes have been widely debated. This debate has been driven by narrow binary considerations of integrated (horizontal) versus non-integrated (vertical) programmes, and characterized by polarization of views with protagonists for and against integration arguing the relative merits of each approach. The presence of both integrated and non-integrated programmes in many countries suggests benefits to each approach. While the terms 'vertical' and 'integrated' are widely used, they each describe a range of phenomena. In practice the dichotomy between vertical and horizontal is not rigid and the extent of verticality or integration varies between programmes. However, systematic analysis of the relative merits of integration in various contexts and for different interventions is complicated as there is no commonly accepted definition of 'integration'-a term loosely used to describe a variety of organizational arrangements for a range of programmes in different settings. We present an analytical framework which enables deconstruction of the term integration into multiple facets, each corresponding to a critical health system function. Our conceptual framework builds on theoretical propositions and empirical research in innovation studies, and in particular adoption and diffusion of innovations within health systems, and builds on our own earlier empirical research. It brings together the critical elements that affect adoption, diffusion and assimilation of a health intervention, and in doing so enables systematic and holistic exploration of the extent to which different interventions are integrated in varied settings and the reasons for the variation. The conceptual framework and the analytical approach we propose are intended to facilitate analysis in evaluative and formative studies of-and policies on-integration, for use in systematically comparing and

1998 ACEEE summer study on energy efficiency in buildings: Proceedings

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-07-01

These proceedings are contained in the following 10 volumes: (1) Residential buildings--Technologies, design and performance analysis; (2) Residential buildings--Program design, implementation and evaluation; (3) Commercial buildings--Technologies, design and performance analysis; (4) Commercial buildings--Program design, implementation and evaluation; (5) International collaborations and global market issues; (6) Deregulation of the utility industry and role of energy services companies; (7) Market transformation; (8) Information technologies, consumer behavior, and non-energy benefits; (9) Sustainable development, climate change, energy planning, and policy; and (10) Building industry trends. Papers have been processed separately for inclusion on the data base.

Student radiographers' attitudes toward the older patient – An intervention study

International Nuclear Information System (INIS)

Booth, L.; Kada, S.

2015-01-01

Purpose: To design, implement and evaluate the effect of an educational intervention on Norwegian student (diagnostic) radiographers' attitudes towards older people. Design: This study is part of a wider longitudinal study that will evaluate student radiographer attitudes towards the older patient as they progress through their training. In this phase an educational intervention, aimed at improving student radiographer attitudes towards the older person, was designed and implemented. What is reported here are the findings of a pre-test, post-test design that used the Kogan's attitudes towards older people scale to determine whether this intervention had any effect of student radiographer attitudes towards older people. Results: Overall students reported significantly more positive attitudes towards older people after intervention (p = 0.01). However, analysis of responses to individual questions reveals that this difference was not significant in all cases. Conclusion: The results of the present study suggest that an educational intervention can have a significant impact on student radiographer's attitudes towards older people. Whether this positive attitude remains throughout training, forms part of the wider basis for this study. - Highlights: • We designed an education intervention to improve Norwegian student radiographer attitudes towards older people. • Pre-intervention we found that these student radiographers generally had positive attitudes towards older people. • Post intervention the student radiographer's attitudes towards older people were significantly improved

A qualitative study of programs for parents with serious mental illness and their children: building practice-based evidence.

Science.gov (United States)

Nicholson, Joanne; Hinden, Beth R; Biebel, Kathleen; Henry, Alexis D; Katz-Leavy, Judith

2007-10-01

The rationale for the development of effective programs for parents with serious mental illness and their children is compelling. Using qualitative methods and a grounded theory approach with data obtained in site visits, seven existing programs for parents with mental illness and their children in the United States are described and compared across core components: target population, theory and assumptions, funding, community and agency contexts, essential services and intervention strategies, moderators, and outcomes. The diversity across programs is strongly complemented by shared characteristics, the identification of which provides the foundation for future testing and the development of an evidence base. Challenges in program implementation and sustainability are identified. Qualitative methods are useful, particularly when studying existing programs, in taking steps toward building the evidence base for effective programs for parents with serious mental illness and their children.

Families Matter! Presexual Risk Prevention Intervention

Science.gov (United States)

Lasswell, Sarah M.; Riley, Drewallyn B.; Poulsen, Melissa N.

2013-01-01

Parent-based HIV prevention programming may play an important role in reaching youths early to help establish lifelong patterns of safe and healthy sexual behaviors. Families Matter! is a 5-session, evidence-based behavioral intervention designed for primary caregivers of children aged 9 to 12 years to promote positive parenting and effective parent–child communication about sexuality and sexual risk reduction. The program’s 5-step capacity-building model was implemented with local government, community, and faith-based partners in 8 sub-Saharan African countries with good intervention fidelity and high levels of participant retention. Families Matter! may be useful in other resource-constrained settings. PMID:24028229

A pilot study of radiation exposures arising from interventional radiology procedures

International Nuclear Information System (INIS)

Pellet, S.; Giczi, F.; Gaspardy, G.; Temesi, A.; Ballay, L.

2006-01-01

Full text of publication follows: In the past 25 years, considerable number of new therapeutic procedures have been worked out and adopted in radiology. These interventional procedures are mainly based on angiographic methods. During these procedures the exposure of patients and staff are usually greater than of conventional radiography and fluoroscopy as a consequence of longer fluoroscopy times and great number of cine-radiography. In the latest years radiation-induced skin injuries occurred in some patients. Injuries to physicians and staff performing interventional procedures have also been observed. In our days interventional procedures are widely used and more sophisticated procedures are worked out and adopted. Consequently, there is a need for the protection of the patient and the staff on a higher level. Radiation protection of intervention radiology deserves a distinguish attention. In Hungary interventional radiology were performed in 36 laboratories in 2003. According to statistical data the gross number of interventional radiological procedures were 19442. The most frequently performed procedures were the P.T.C.A., the coronary and ilio-femoral stent implantation and chemo-embolization. In 2004, the National Research Institute for Radiobiology and Radio-hygiene and the National Patient Dose Evaluation Program started a pilot study of radiation exposures arising from interventional radiology procedures. During the study the patient exposure were measured by D.A.P.-meters. The patient skin dose and the staff dose were performed by thermoluminescent chips. In their presentation the authors present the most important results of the study. (authors)

Social marketing-based communications to integrate and support the HEALTHY study intervention

Science.gov (United States)

DeBar, LL; Schneider, M; Ford, EG; Hernandez, AE; Showell, B; Drews, KL; Moe, EL; Gillis, B; Jessup, AN; Stadler, DD; White, M

2009-01-01

The HEALTHY study was a randomized, controlled, multicenter, middle school-based, multifaceted intervention designed to reduce risk factors for the development of type 2 diabetes. The study randomized 42 middle schools to intervention or control, and followed students from the sixth to the eighth grades. Participants were a racially, ethnically and geographically diverse cohort from across the United States. Here, we describe the conceptual underpinnings and design of the social marketing-based communications component of the HEALTHY study intervention that combined changes in the school nutrition and physical education (PE) environment with behavior change initiatives. The communications intervention component coordinated multiple elements to deliver campaigns that served to integrate and support all aspects of the HEALTHY intervention. The campaigns unfolded across five semesters of middle school, each targeting a specific theme related to the HEALTHY objectives. Communications campaigns comprised (1) core elements such as branding, posters, banners and visual and verbal messaging, (2) student events supporting the nutrition, PE and behavior intervention components through the application of social marketing and communications strategies, including the incorporation of student-generated media and (3) distribution of premiums and theme enhancers to extend the visibility of the study beyond the intervention environment. Formative research conducted with students, parents and school administrators was used to refine the communications strategy. Student peer communicators selected from the student body were involved to influence the normative student environment. Marketing and creative design experts developed a brand, logo, activities and materials. In the latter half of the study, student-generated messages and media were used to reflect local interests and culture and enhance peer influence. The HEALTHY intervention delivery and impact were strengthened by the

Social marketing-based communications to integrate and support the HEALTHY study intervention.

Science.gov (United States)

DeBar, L L; Schneider, M; Ford, E G; Hernandez, A E; Showell, B; Drews, K L; Moe, E L; Gillis, B; Jessup, A N; Stadler, D D; White, M

2009-08-01

The HEALTHY study was a randomized, controlled, multicenter, middle school-based, multifaceted intervention designed to reduce risk factors for the development of type 2 diabetes. The study randomized 42 middle schools to intervention or control, and followed students from the sixth to the eighth grades. Participants were a racially, ethnically and geographically diverse cohort from across the United States. Here, we describe the conceptual underpinnings and design of the social marketing-based communications component of the HEALTHY study intervention that combined changes in the school nutrition and physical education (PE) environment with behavior change initiatives. The communications intervention component coordinated multiple elements to deliver campaigns that served to integrate and support all aspects of the HEALTHY intervention. The campaigns unfolded across five semesters of middle school, each targeting a specific theme related to the HEALTHY objectives. Communications campaigns comprised (1) core elements such as branding, posters, banners and visual and verbal messaging, (2) student events supporting the nutrition, PE and behavior intervention components through the application of social marketing and communications strategies, including the incorporation of student-generated media and (3) distribution of premiums and theme enhancers to extend the visibility of the study beyond the intervention environment. Formative research conducted with students, parents and school administrators was used to refine the communications strategy. Student peer communicators selected from the student body were involved to influence the normative student environment. Marketing and creative design experts developed a brand, logo, activities and materials. In the latter half of the study, student-generated messages and media were used to reflect local interests and culture and enhance peer influence. The HEALTHY intervention delivery and impact were strengthened by the

Assessment of energy and economic performance of office building models: a case study

Science.gov (United States)

Song, X. Y.; Ye, C. T.; Li, H. S.; Wang, X. L.; Ma, W. B.

2016-08-01

Energy consumption of building accounts for more than 37.3% of total energy consumption while the proportion of energy-saving buildings is just 5% in China. In this paper, in order to save potential energy, an office building in Southern China was selected as a test example for energy consumption characteristics. The base building model was developed by TRNSYS software and validated against the recorded data from the field work in six days out of August-September in 2013. Sensitivity analysis was conducted for energy performance of building envelope retrofitting; five envelope parameters were analyzed for assessing the thermal responses. Results indicated that the key sensitivity factors were obtained for the heat-transfer coefficient of exterior walls (U-wall), infiltration rate and shading coefficient (SC), of which the sum sensitivity factor was about 89.32%. In addition, the results were evaluated in terms of energy and economic analysis. The analysis of sensitivity validated against some important results of previous studies. On the other hand, the cost-effective method improved the efficiency of investment management in building energy.

A Study of the Relationship Between School Leadership and the Condition of School Buildings

OpenAIRE

Brannon, William Lee

2000-01-01

The purpose of this study was to examine the relationship between school leadership and the quality, condition, maintenance, improvements, and renovations of public school buildings. The first question examined the relationship between building conditions and perceptions of school board members, superintendent and central office staff, board of supervisors, and principals. The second question examined the relationship between building conditions and the financial support of leadership positio...

Research and Development of solar cell frame. Study on solar cell array solid with building material-business building

Energy Technology Data Exchange (ETDEWEB)

1986-08-01

This is a NEDO annual report for 1985. A feasibility study was carried out from the viewpoints demanded both from the building material side and the solar cell. Evaluation from the technical, institutional, and economical viewpoints indicated the possibility of using a roof material solid with carbon-fiber-reinforced concrete and a curtain wall. The solar cell module was verified as a building material to be resistant against the external force, water, and heat. A problem left is how to enlarge the module. Integrated use of CFRC (Carbon Fiber Reinforced Concrete) and a cell of maximum size (1,240 x 700 mm), which is industrially available, can be expected. Present solar cell array can be utilized as a building material as it is for a curtain wall. Cost calculation of the CFRC solid roofing material indicates 276 yen/KWH for 15 years depreciation, 10 % residual value, and 8% annual interest, which is a little expensive, but this cost may be applicable to the use as a curtain wall.

Strategies for Promoting Green Building Technologies Adoption in the Construction Industry—An International Study

Directory of Open Access Journals (Sweden)

Albert Ping Chuen Chan

2017-06-01

Full Text Available Because green building technologies (GBTs adoption is a promising way of ameliorating the sustainability performance of buildings, GBTs are receiving increased interest in the global construction community. The barriers to the adoption of GBTs, such as higher cost and lack of awareness, further indicate that proper strategies need to be devised for promoting the wider adoption of GBTs in buildings development. However, there exist limited empirical studies identifying the strategies for promoting GBTs adoption in the construction industry. This study aims to identify the strategies that are important for promoting GBTs adoption in construction. After a comprehensive literature review to identify strategies for the promotion of GBTs adoption, empirical data were gleaned through a questionnaire survey with 104 green building experts around the world. The analysis results validated the importance of all of the 12 promotion strategies used for the study. Green building experts from different countries and with different backgrounds had significant agreement on the relative importance ranking of the promotion strategies. Furthermore, “financial and further market-based incentives for GBTs adopters”, “availability of better information on cost and benefits of GBTs”, “mandatory governmental policies and regulations”, and “green rating and labeling” were identified as the top four important promotion strategies. The research findings provide a valuable reference to assist practitioners and policy makers in developing practical strategies for promoting GBTs adoption to eventually achieve the sustainable development of buildings. From the perspective of international experts, this study adds to the green building literature by offering empirical evidence of the important strategies for promoting GBTs adoption in the construction industry. Future research will investigate the interrelationships among the promotion strategies and their