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Selected AbstractsUrban earthquake hazard: perceived seismic risk and preparedness in Dhaka City, BangladeshDISASTERS, Issue 2 2010Bimal Kanti Paul Bangladesh is vulnerable to seismic events. Experts suspect that if an earthquake with a 7.0 magnitude occurred in large cities of Bangladesh, there would be a major human tragedy due to the structural failure of many buildings. The primary objectives of this paper are to examine seismic risk perception among residents of Dhaka City and investigate their levels of earthquake preparedness. A questionnaire survey conducted among 444 residents of the city provided the major source of data for the paper. The survey results suggest that an overwhelming majority of the respondents were not prepared for a major earthquake, which is anticipated to occur in Dhaka. Multivariate analysis of survey data reveals that value of residential unit and respondent educational levels appear as the most significant determinants of preparedness status of the respondents. This study recommends increasing earthquake awareness and preparedness among residents of Dhaka City. [source] Characterization of the electrical energy consumption of a building for the dimensioning of a solar-hydrogen energy systemINTERNATIONAL JOURNAL OF ENERGY RESEARCH, Issue 11 2010S. Véjar Abstract The photovoltaic (PV) applications where the dimensioning is effected through the daily energy balance criteria obtained by the estimation of the energy consumption depending on the power and time of use of the electrical apparatus are limited to autonomous PV systems with well-defined end use. Applications where one would like to electrify complex end use, such as office buildings, schools, hospitals, laboratories, residential units, etc., quantifying the daily energy consumption is difficult mainly due to two aspects. First, there will be great number of a variety of electrical appliances and second the proportionate electrical consumption of each one of them is unpredictable. For this reason it is necessary to establish a methodology that permits one to quantify precisely the daily energy consumption pattern to predict the energetic functioning of the PV system whose size may be determined by this procedure. In this work we describe a methodology for the energetic quantification of the installed equipments by using a Power Quality Analyzer to obtain the historical global energy consumption, daily energy consumption (kWh,day,1, kVAh,day,1) and the energy quality for the dimensioning of the PV system. Copyright © 2009 John Wiley & Sons, Ltd. [source] Outcomes and Costs of Residential Services for Adults with Intellectual Disabilities in Taiwan: A Comparative EvaluationJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 2 2008Yueh-Ching Chou Background, The disability policy in Taiwan has traditionally emphasized residential care in large institutions and, more recently, medium-sized group homes. This paper compares the relative costs, services provided and outcomes between the traditional institutions, medium-sized group homes and new small-scale community living units that were launched in 2004 in Taiwan. Materials and Methods, Cross-sectional analysis was used to investigate the three current residential service models. A total of 248 participants with intellectual disabilities were interviewed, including all residents from the existing 25 small residential units and purposively sampled respondents from the other two residential models. Results, Outcomes for the Taiwanese participants were consistent with the existing literature on deinstitutionalization from Western societies. Small homes provided better subjective and objective quality of life than both medium-sized community-based units and traditional institutions. Conclusion, Participants living in small residential homes experienced better outcomes at lower cost than persons living in medium-sized group homes or institutions. [source] Local Institutions and the Politics of Urban GrowthAMERICAN JOURNAL OF POLITICAL SCIENCE, Issue 3 2009Mark Lubell This article uses a political market framework to analyze how the structure of local political institutions affects the relative political influence of development and environmental interests in the context of urban growth. Using panel data from 406 Florida cities from 1998 to 2003, the empirical analysis finds important interaction effects between the structure of city executive branch institutions and interest group variables. The economic and political forces driving urban growth do not operate identically in all cities,they vary as a function of institutional context. Institutional structure helps determine which interest groups have their preferences reflected in local land-use changes and development patterns. The resulting patterns suggest a "sustainability paradox" wherein richer, environmental interests push for the preservation of environmental amenities while at the same time accelerating the number of residential units built in a community. [source] Therapeutic errors involving adults in the community setting: nature, causes and outcomesAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 4 2009David McD Taylor Abstract Objective: To compare the nature of therapeutic errors made by adults in community residential units (CRU) and private homes (Home). Methods: This was an analytical case series of therapeutic errors, involving adults, reported to the Victorian Poisons Information Centre (January 2006 to March 2007). The main outcome measures were the nature, causes and outcomes of the errors and actions taken or recommendations for avoidance. Results: Ninety-seven CRU and 611 Home residents (cases) were enrolled. These groups took 243 (median 2) and 785 (median 1) medications in error, respectively (p<0.001). The medication administrators were predominately staff members (94.8%) and the cases themselves (95.9%), respectively (p<0.001). The CRU cases more frequently had an incorrect medication(s) or another person's medication(s) and the Home cases a double dose or incorrect dose (p<0.001). Wide ranges of medications were taken in error with cardiac and respiratory medications being more common among the Home cases. Four (4.1%, 95% CI 1.3-10.8) CRU and 16 (2.6%, 95% CI 1.6-4.3) Home cases were referred to hospital. No case followed up had a serious outcome. Error cause differed significantly between the groups (p<0.001). Staffing issues and human factors were common within the CRU and Home groups, respectively. Conclusions: Therapeutic errors in the community are preventable and differ considerably between the CRU and Home settings. Implications: Prevention initiatives are indicated with particular attention to CRU staffing, training and procedural issues. [source] The Effectiveness and Cost Effectiveness of Public-Access DefibrillationCLINICAL CARDIOLOGY, Issue 7 2010Roger A. Winkle MD Many sudden cardiac deaths are due to ventricular fibrillation (VF). The use of defibrillators in hospitals or by outpatient emergency medical services (EMS) personnel can save many cardiac-arrest victims. Automated external defibrillators (AEDs) permit defibrillation by trained first responders and laypersons. AEDs are available at most public venues, and vast sums of money are spent installing and maintaining these devices. AEDs have been evaluated in a variety of public and private settings. AEDs accurately identify malignant ventricular tachyarrhythmias and frequently result in successful defibrillation. Prompt application of an AED shows a greater number of patients in VF compared with initial rhythms documented by later-arriving EMS personnel. Survival is greatest when the AED is placed within 3 to 5 minutes of a witnessed collapse. Community-based studies show increased cardiac-arrest survival when first responders are equipped with AEDs rather than waiting for paramedics to defibrillate. Wide dissemination of AEDs throughout a community increases survival from cardiac arrest when the AED is used; however, the AEDs are utilized in a very small percentage of all out-of-hospital cardiac arrests. AEDs save very few lives in residential units such as private homes or apartment complexes. AEDs are cost effective at sites where there is a high density of both potential victims and resuscitators. Placement at golf courses, health clubs, and similar venues is not cost effective; however, the visible devices are good for public awareness of the problem of sudden cardiac death and provide reassurance to patrons. Copyright © 2010 Wiley Periodicals, Inc. [source] |