An Inclusive Community: Architecture for Age Integration

<p>Our elderly population is increasing and people are living longer. Healthcare advancements mean that illnesses are more controlled and people do not die as young. Due to our age-segregated society, the issue of elderly social isolation is at an all time high. Retirement villages are, for the most part, gated communities, isolated away from the rest of the younger population and wider community. The generation gap between young and older continues to broaden and issues such as elderly neglect, loneliness, financial abuse and other mental-health related problems are becoming more common. This research finds that many suburban community facilities often neglect the needs of this growing senior demographic. The site at 245 Karori Road, Karori, is used to test and challenge the norms of current suburban community architecture typologies for social inclusiveness. The site is tested in three iterative stages led by an interdisciplinary literature review to address this overarching problem of age-segregation in suburban communities. A major focus in this research is to target the suburb’s youngest and oldest members to shift negative ageist attitudes through providing spaces for intergenerational interaction. This research portfolio is a critique of current community architecture typologies such as the community centre and public space, to investigate ways these typologies could be redefined and altered to play a key role in countering the negative effects of age-segregation.</p>

Emergency Relief Station

<p>This thesis explores the potential large public architecture offers for efficient transformation into a relief station in post-disaster situations. The increase in catastrophic disasters globally has demonstrated a widespread lack of preparedness in these situations. There is a shortage of safe, comfortable, and self-sufficient hubs for coordinating relief activity, for sheltering temporarily and providing emergency care to disaster victims, and relief personnel. Disaster relief generally involves the urgent dispatching of medical supplies, food, water, blankets, sanitation systems, temporary shelters, and relief personnel to affected locations. Following the recent devastating spate of earthquakes and flood disasters in New Zealand makeshift relief centres were set up in public parks, schools, and community facilities to house displaced victims. These were set up to function as efficient relief stations. The facilities also depend heavily on deployed relief supplies and the public for donations and support. In addition, these relief hubs are quickly overwhelmed and in adverse weather conditions, they are inadequate for providing warm, dry, hygienic, and safe environments for sheltering large numbers of people including the injured and the sick. This thesis explores how an airport may be designed for a dual purpose and the feasibility and complexity of planning and designing public space for transformation into a disaster relief station.</p>

An Inclusive Community: Architecture for Age Integration

<p>Our elderly population is increasing and people are living longer. Healthcare advancements mean that illnesses are more controlled and people do not die as young. Due to our age-segregated society, the issue of elderly social isolation is at an all time high. Retirement villages are, for the most part, gated communities, isolated away from the rest of the younger population and wider community. The generation gap between young and older continues to broaden and issues such as elderly neglect, loneliness, financial abuse and other mental-health related problems are becoming more common. This research finds that many suburban community facilities often neglect the needs of this growing senior demographic. The site at 245 Karori Road, Karori, is used to test and challenge the norms of current suburban community architecture typologies for social inclusiveness. The site is tested in three iterative stages led by an interdisciplinary literature review to address this overarching problem of age-segregation in suburban communities. A major focus in this research is to target the suburb’s youngest and oldest members to shift negative ageist attitudes through providing spaces for intergenerational interaction. This research portfolio is a critique of current community architecture typologies such as the community centre and public space, to investigate ways these typologies could be redefined and altered to play a key role in countering the negative effects of age-segregation.</p>

Emergency Relief Station

<p>This thesis explores the potential large public architecture offers for efficient transformation into a relief station in post-disaster situations. The increase in catastrophic disasters globally has demonstrated a widespread lack of preparedness in these situations. There is a shortage of safe, comfortable, and self-sufficient hubs for coordinating relief activity, for sheltering temporarily and providing emergency care to disaster victims, and relief personnel. Disaster relief generally involves the urgent dispatching of medical supplies, food, water, blankets, sanitation systems, temporary shelters, and relief personnel to affected locations. Following the recent devastating spate of earthquakes and flood disasters in New Zealand makeshift relief centres were set up in public parks, schools, and community facilities to house displaced victims. These were set up to function as efficient relief stations. The facilities also depend heavily on deployed relief supplies and the public for donations and support. In addition, these relief hubs are quickly overwhelmed and in adverse weather conditions, they are inadequate for providing warm, dry, hygienic, and safe environments for sheltering large numbers of people including the injured and the sick. This thesis explores how an airport may be designed for a dual purpose and the feasibility and complexity of planning and designing public space for transformation into a disaster relief station.</p>

Evaluating Implementation of the Behavioral Recovery Outreach (BRO) Team: One Year of Implementation

We present evaluation results after one year of implementation by nine BRO Teams. Monthly checklists documented consistent composition across teams: a psychologist, social worker and nurse. Social workers were recognized as having a critical role in implementation, serving as a referral source and liaison between the CLC, Veteran/family, and community facility. Early implementation focused on team and program development with barriers including unprotected time for Team members. In the first year, the nine teams enrolled 70 Veterans, discharging 86% to community facilities. Characteristics of the Veterans suggest Teams are reaching the complex Veteran targeted by the model. Barriers to successful discharge include community facility inexperience/training and confidence to manage complex residents. COVID emerged as the leading barrier to outreach to internal and external partners and providing transitional support to the Veteran after discharge. We discuss the impact of these preliminary findings on future implementation and dissemination of the model.

Pemanfaatan sarana masyarakat sebagai bentuk partisipasi berolahraga di Sleman

Tujuan penelitian mengetahui tingkat partisipasi masyarakat dalam berolahraga di Dusun Tambakboyo, Depok, Sleman. Jenis penelitian deskriptif kuantitatif metode survei. Populasi penelitian tidak terbatas, yaitu masyarakat yang beraktivitas di Embung Tambakboyo. Teknik pengambilan sampel menggunakan accidental sampling. Sampel berjumlah 100 responden dari masyarakat yang beraktivitas di Embung Tambakboyo. Instrumen penelitian angket tertutup dengan faktor fisik dan non fisik. Angket menggunakan skala Likert kemudian diuji reliabilitas menggunakan Cronbach Alpha. Hasil penelitian keseluruhan “sangat rendah” sebesar 1,00%, rendah 61,00%, cukup sebesar 35,00%, tinggi sebesar 3,00%, dan sangat tinggi sebesar 0,00%. Faktor fisik berada pada kategori sangat rendah sebesar 1,00%, rendah 48,00%, cukup 44,00%, tinggi 7,00%, dan sangat tinggi 0,00%. Sedang faktor non fisik pada kategori sangat rendah sebesar 4,00%, rendah 54,00%, cukup sebesar 41,00%, tinggi sebesar 1,00%, dan sangat tinggi sebesar 0,00%. Berdasarkan nilai rata-rata tingkat partisipasi masyarakat dalam berolahraga di Dusun Tambakboyo, Kecamatan Depok, Kabupaten Sleman paling banyak pada kategori rendah.The use of community facilities as a participaton of exercise in SlemanAbstractThe purpose of the study was to determine the level of participation in community facilities as a form of participation in sports in Sleman. This type of research is descriptive quantitative survey method. The research population is not limited, namely people who are active in the Tambakboyo Embung. The sampling technique used was accidental sampling. The sample is 100 respondents from the community who are active in the Tambakboyo Embung. The research instrument is a closed questionnaire with physical and non-physical factors. The questionnaire used a Likert scale and then tested its reliability using Cronbach Alpha. The overall research results are "very low" at 1.00%, low 61.00%, moderate 35.00%, high 3.00%, and very high 0.00%. Physical factors are in the very low category of 1.00%, low 48.00%, sufficient 44.00%, high 7.00%, and very high 0.00%. While the non-physical factors in the very low category were 4.00%, low 54.00%, sufficient 41.00%, high 1.00%, and very high 0.00%. Based on the average value of the level of community participation in sports in Tambakboyo Hamlet, Depok District, Sleman Regency the most in the low category.

Impact of nationwide COVID-19 lockdown on the workload and injury patterns of major trauma cases in a regional trauma centre in Singapore

Introduction: Singapore instituted lockdown measures from 7th February 2020 to 1st June 2020 in response to the COVID-19 pandemic. Methods: Retrospective analysis of cases from the national trauma registry was carried out comparing the lockdown period (7th February 2020 to 1st June 2020) to the pre-lockdown period (7th February 2019 to 1st June 2019). Data extracted included the volume of Tier 1 (ISS >15) and Tier 2 (ISS 9-15) cases and epidemiology. Subgroup analysis was performed for Tier 1 patient outcomes. Results: Trauma volume decreased by 19.5% with a 32% drop in Tier 1 cases. Road traffic and workplace accidents decreased by 50% (p<0.01) while interpersonal violence showed an increase of 37.5% (p=0.34). There was an 18.1% decrease in usage of trauma workflows (p=0.01), with an increase in time to intervention for Tier 1 patients from 88 to 124 minutes (p =0.22). Discharge to community facilities decreased from 31.4% to 17.1% (p < 0.05). There was no increase in inpatient mortality, length of stay in critical care, or length of stay overall. Conclusion: There was an overall decrease in major trauma cases during the lockdown period, particularly road traffic accidents and worksite injuries and a relative increase in interpersonal violence. Redeployment of manpower and hospital resources may have contributed to decreased usage of trauma workflows and community facilities. In the event of further lockdowns it is necessary to plan for trauma coverage and maintain use of workflows to facilitate early intervention.

Preventing medical adhesive-related skin injury (MARSI)

Medical adhesive-related skin injury (MARSI) is an overlooked and underestimated problem. While awareness of this issue is growing, it is not fully understood by health professionals in a variety of clinical settings. Medical adhesive products are often applied and removed incorrectly, which, albeit unintentionally, causes skin damage. In many cases, MARSI should be considered a preventable injury. Organisations should have processes in place to educate health professionals in acute and community facilities in preventing MARSI; these processes should include the use of products that help to prevent these injuries, including medical adhesive removers. This article will explore this topic and relate it to the most recent consensus document.