scholarly journals Improved Usability of Pedestrian Environments After Dark for People with Vision Impairment: an Intervention Study

2020 ◽  
Vol 12 (3) ◽  
pp. 1096 ◽  
Author(s):  
Pimkamol Mattsson ◽  
Maria Johansson ◽  
Mai Almén ◽  
Thorbjörn Laike ◽  
Elizabeth Marcheschi ◽  
...  

Walking is an important transport mode for sustainable cities, but the usability of pedestrian environments for people with impaired vision is very limited after dark. This study compares the usability of a walkway, operationalized in terms of (i) the pedestrian’s ability to orient themselves and detect infrastructure elements, and (ii) the perceived quality of lighting in the environment (evaluated in terms of the perceived strength quality and perceived comfort quality). The study was performed in a city in southern Sweden, along a pedestrian route where observations and structured interviews had previously been conducted and after an intervention involving installing new lighting systems with LED lights. A mixed method analysis involving participants with impaired vision (N=14) showed that the intervention generally improved the walkway’s usability: observations indicated that the participants’ ability to orientate themselves and detect infrastructure elements increased, and the interviews showed that the intervention increased the perceived strength quality of the lighting along the walkway. However, the effects on the perceived comfort quality were unclear. It is therefore important to carefully evaluate new lighting systems to reduce the risk of creating an inappropriate lighting design that will limit walking after dark by people with impaired vision.

2021 ◽  
Author(s):  
M. Nilsson Tengelin ◽  
N. Mylly ◽  
P.O. Hedekvist

This paper reports the result of a survey on entertainment lighting distributed to 246 museums and 56 theatres in Sweden. The questions concerned the lighting technology used, experience from changing lighting systems, plans, problems, apprehensions and expectations. The replies showed that the transition to LED has been much faster in museums than in theaters and 35% of the theatres do not plan for a transition to LED. Reasons given are economy, light quality, and dimming functionality. Lighting professionals are generally sceptical in exchanging halogen lights. The artistic expression in lighting design goes beyond the specifications and what is promised in the data sheet. To facilitate a smoother transition to modern lighting technologies, the quality of the white light and proper function of the luminaires must be ensured and the communication between the manufacturers, retailers, lighting professionals and other artistic functions must be improved.


2020 ◽  
pp. 014616722096690
Author(s):  
Laura V. Machia ◽  
Brian G. Ogolsky

Across three studies (total N = 993) with diverse methodologies (i.e., experimental studies, longitudinal in vivo sampling), we found that there are distinct reasons why individuals believe their romantic relationship will become, or did become, less committed, and reasons why individuals believe their relationships will become, or became, more committed. Whereas the strongest endorsed reasons to stay (e.g., satisfaction) are the same as the strongest endorsed reasons to leave (e.g., dissatisfaction), there are many constructs that are more strongly endorsed as either leave reasons (e.g., quality of alternatives) or stay reasons (e.g., love). These reasons are important glimpses into the process that occurs when someone is deciding whether to stay or leave a relationship, and results empirically confirm a core tenet of Interdependence Theory that until now has been only theoretical (i.e., some outcomes contribute more motivation to staying in the current relationship, whereas others contribute more motivation to leaving).


2011 ◽  
Vol 67 (2) ◽  
Author(s):  
S. Hassan ◽  
S. Visagie ◽  
G. Mji

Recovery  after  stroke  is  often  incomplete  and  many  stroke  survivors depend on family caregivers. The demands of caring can negatively impact quality  of  life  of  these  carers.  This  study  explores  levels  of strain experienced  by  caregivers  and  the  variables  that  impact  on their strain. A  concurrent,  mixed  method,  descriptive  design  was  utilized. Fifty-seven caregivers  of  stroke  survivors  who  received  rehabilitation at the  Western  Cape  Rehabilitation  Centre  participated  in  the  study.  The Barthel  Index  and Caregiver  Strain  Index  were  utilised  to  collect quantitative  data,  which  was statistically analysed (p <0.05). Qualitative data was collected through semi-structured interviews and thematically analysed.Fifty eight percent of caregivers were experiencing high levels of strain. The following variables significantly impacted on strain namely, caregiver loss of employment (0.04), emotional pressure (0.01), patient residual cognitive and perceptual impairments (0.01), personality changes (0.01) and physical dependency (0.0012).   According to the qualitative data the burden was aggravated by financial problems, patient perceptual problems and patient personality changes. The findings indicate the need for support after discharge, ongoing community support and respite care to enable time off for caregivers.


2015 ◽  
Vol 25 (6) ◽  
pp. 677-683 ◽  
Author(s):  
Mirja Erika Gunn ◽  
Susanna Mört ◽  
Mikko Arola ◽  
Mervi Taskinen ◽  
Pekka Riikonen ◽  
...  

2018 ◽  
Vol 5 (4) ◽  
pp. 377-382 ◽  
Author(s):  
Holly Wei ◽  
Yan Ming ◽  
Hong Cheng ◽  
Hui Bian ◽  
Jie Ming ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. 145
Author(s):  
Hamirul - Hamirul

The problem of bureaucracy has become a national problem, not least in the city of Cimahi, BPN / ATR as one of the institutions serving the community has always been in the spotlight because of the many complaints felt by the community and in this paper the researcher wants to know the types of bureaucratic pathology that violate legal norms and laws. invitations that apply and what strategies can be done to overcome the problem. The method used is a mixed method with descriptive analysis, data collection techniques used are structured interviews and questionnaires. Pathology suffered by the BPN / ATR city of Cimahi; Receive a bribe, Corruption. The strategy carried out is the strategy of strengthening the role of individual bureaucracy related to the quality of human resources, the strategy of strengthening the role of the bureaucracy in an organization, and the Strengthening Strategy of the role of the bureaucracy in a systematic manner. Permasalahan Birokrasi sudah menjadi masalah nasional, tidak terkecuali di kota Cimahi, BPN/ATR sebagai salah satu lembaga yang melayani masyarakat selalu menjadi sorotan kerena banyaknya keluhan yang dirasakan oleh masyarakat dan dalam tulisan ini peneliti ingin mengetahui jenis patologi birokrasi yang melanggar norma hukum dan perundang-undangan yang berlaku serta strategi apa saja yang dapat dilakukan untuk mengatasi masalah tersebut. Metode yang digunakan adalah mixed method dengan analisis deskriptif, Teknik pengumpulan data yang digunakan adalah wawancara terstruktur dan angket. Patologi yang di derita oleh BPN/ATR kota Cimahi; Menerima sogok, Korupsi. Strategi yang dilakukan adalah stretegi penguatan peran birokrasi secara individu terkait dengan kualitas SDM, Strategi penguatan peran birokrasi secara organisasi, dan Strategi Penguatan peran birokrasi secara kesisteman.  


Author(s):  
Adil M. Hazara ◽  
Victoria Allgar ◽  
Maureen Twiddy ◽  
Sunil Bhandari

Abstract Background Incremental haemodialysis/haemodiafiltration (HD) may help reduce early mortality rates in patients starting HD. This mixed-method feasibility study aims to test the acceptability, tolerance and safety of a novel incremental HD regime, and to study its impact on parameters of patient wellbeing. Method We aim to enrol 20 patients who will commence HD twice-weekly with progressive increases in duration and frequency, achieving conventional treatment times over 15 weeks (incremental group). Participants will be followed-up for 6 months and will undergo regular tests including urine collections, bio-impedance analyses and quality-of-life questionnaires. Semi-structured interviews will be conducted to explore patients’ prior expectations from HD, their motivations for participation and experiences of receiving incremental HD. For comparison of safety and indicators of dialysis adequacy, a cohort of 40 matched patients who previously received conventional HD will be constructed from local dialysis records (historical controls). Results Data will be recorded on the numbers screened and proportions consented and completing the study (primary outcome). Incremental and conventional groups will be compared in terms of differences in blood pressure control, interdialytic weight changes, indicators of dialysis adequacy and differences in adverse and serious adverse events. In analyses restricted to incremental group, measurements of RRF, fluid load and quality-of-life during follow-up will be compared with baseline values. From patient interviews, a narrative description of key themes along with anonymised quotes will be presented. Conclusion Results from this study will address a significant knowledge gap in the prescription HD therapy and inform the development novel future therapy regimens.


Author(s):  
Sofia Gomez ◽  
Christine Nuñez ◽  
Betty White ◽  
James Browning ◽  
Horace M. DeLisser

Background: The value of healthcare chaplains to patient care is increasingly recognized. However, physicians’ understandings of the role of pastoral care have been reported to be poor, which have raised concerns about the quality of chaplain-physician interactions and their impact on patient care. These interactions, particularly from the perspective of the chaplain, have not been extensively investigated. Methods: An anonymous survey about the interactions of chaplains with physicians was sent to chaplains at a single institution, with subsequent focus group discussions of responding chaplains to obtain additional qualitative data. Results: Quantitative and qualitative data were collected from over 20 chaplains. While chaplains indicated satisfaction regarding their access to physicians, they noted a disconnect between chaplains and physicians, physicians’ unfamiliarity with the chaplain role, a sense that physicians do not always appreciate the chaplain role as significant or helpful, and structural barriers to the integration of chaplains into medical care teams. Conclusions: This study provides contemporary data on the nature of chaplain-physician interactions as reported from the perspective of chaplains. Further, these findings highlight opportunities for interventions to enhance the chaplain-physician relationship.


2016 ◽  
Vol 41 (2) ◽  
pp. 23-30 ◽  
Author(s):  
Fodei M. Conteh ◽  
Derya Oktay

With increasing urbanisation in developing countries and the concomitant overcrowding on streets, serious questions remain about the liveability of inner-city residential-commercial streets. This paper contends that lively streets are not necessarily liveable streets. Liveability is defined by other criteria that take cognizance of human comfort and capabilities within living environments. Observations suggest an uneasy relationship between a crowded public space and the private residential spaces that sit next to them. The paper’s focus is to measure the liveability of a lively but overcrowded street and how its everyday use affects the physical characteristics of buildings, the activities, and the wellbeing of residents. Employing a mixed-method strategy, the study draws on observations, semi-structured interviews, and questionnaire survey of residents, shopkeepers, and street traders. The findings suggest that an overcrowded street space has a negative effect on the liveability and quality of living of residents and other users but that this is tempered by intra-dependency amongst the users and the negotiation of the rights accruing to all as individuals and as groups.


2020 ◽  
Author(s):  
Bryan Tan ◽  
Benjamin Tze Keong DING ◽  
Michelle Jessica PEREIRA ◽  
Soren Thorgaard SKOU ◽  
Julian THUMBOO ◽  
...  

Abstract Background Osteoarthritis is a leading cause of global disability resulting in significant morbidity and cost to the healthcare system. Current guidelines recommend lifestyle changes such exercises and weight loss as first line treatment prior to surgical consideration. Our current model of care is inefficient with suboptimal allied health intervention for effective behaviour changes. A 12-week community based, individualized, multidisciplinary new model of care for knee osteoarthritis was developed in light of current deficiencies. Methods The primary aim of this study was to determine the feasibility of a full randomized controlled trial evaluating this new model of care using pre-defined progression criteria. The secondary aim was to optimize the intervention and study design through a process evaluation. A pilot randomized trial design using a mixed method approach was utilized. Progression criteria for a full trial including key domains of patient recruitment and retention, outcome measure acceptability and improvement, adverse events were developed. The primary outcome measure was the Knee Injury and Osteoarthritis Outcome Score (KOOS) at baseline and 12-weeks. Secondary outcomes included quality of life, functional and psychological assessments. Semi-structured interviews were conducted with the patients at 12-weeks. Results 20 patients (3 males, 17 females) were randomized (10 intervention, 10 control). Intervention arm patients reported better improvements in their knee function, quality of life, psychological outcome, dietary improvement and weight loss compared to the control arm at 12-weeks. Semi-structured interviews revealed several themes pertaining to feasibility and intervention optimization. 5 out of the 6 progression criteria’s domains were met. Conclusion This pilot has demonstrated the feasibility of a full randomized control trial investigating the potential effectiveness of the new proposed model of care for knee osteoarthritis using pre-defined progression criteria and process evaluation. Results from the qualitative study were used to modify and improve the intervention content, delivery model and study design for a large effectiveness-implementation hybrid randomized control trial that is currently underway.


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