31 research outputs found
Inclusive, Safe and Resilient Public Spaces: Gateway to Sustainable Cities?
The rapid urbanization process of cities is majorly coupled with extreme climate change, housing shortage and urban safety issues. These issues are raising new challenges to address the capability of urban resilience. Enhancing Urban Safety and Security is one of the major principles addressed by UN-Habitat in Sustainable Development Goal number 11. Making cities safe and sustainable means ensuring access to safe and affordable public spaces for all. This book chapter aims to highlight how do the city’s public spaces are linked and affected by crime and fear of crime? How do crime and fear of crime interconnect to the built environment in cities while promoting positive urban transitions in terms of safe and sustainable cities? This book chapter explores answers to these questions through the parks and public spaces of the city as a case study. In other words, the book chapter deals with the issue of safety and security by (1) showing links between parks and public spaces, and crime and fear of crime, (2) highlighting how different attributes in the built environment can affect people’s perception of safety, (3) understanding socio-technical perspectives i.e., how technological systems and equipment’s (such as lighting sensors, security alarms, security electronic devices, closed-circuit television (CCTV), smartphones or other technological instruments) are influencing safety/security and sustainability, (4) demonstrating the issues and challenges found in Stockholm, Sweden, and, (5) providing recommendations on how these places can be planned and designed to become more sustainable
SISTEM KENDALI SERVO POSISI DAN KECEPATAN MOTOR DENGAN PROGRAMMABLE LOGIC CONTROL (PLC)
The simulation of controlled position dan speed servo motor using Programmable Logic Control (PLC), done by comparate input and output voltage from practical and theory. Controlling position of servo motor has error 2.24% till 22.22% while controlling speed between 0.67% till 2.92%. Keywords : Programmable Logic Control (PLC), Servo motor, speed , positio
Modern surgical management of tongue carcinoma - A clinical retrospective research over a 12 years period
Surgical treatment of zygomatic bone fracture using two points fixation versus three point fixation-a randomised prospective clinical trial
<p>Abstract</p> <p>Background</p> <p>The zygoma plays an important role in the facial contour for both cosmetic and functional reasons; therefore zygomatic bone injuries should be properly diagnosed and adequately treated. Comparison of various surgical approaches and their complications can only be done objectively using outcome measurements which in turn require protocol management and long-term follow up. The preference for open reduction and internal fixation of zygomatic fractures at three points has continued to grow in response to observations of inadequate results from two point and one point fixation techniques.</p> <p>The objectives of this study were to compare the efficacy of zygomatic bone after treatment with ORIF using 2 point fixation and ORIF using 3 point fixation and compare the outcome of two procedures.</p> <p>Methods</p> <p>100 patients were randomly divided equally into two groups. In group A, 50 patients were treated by ORIF using two point fixation by miniplates and in group B, 50 patients were treated by ORIF using three point fixation by miniplates. They were evaluated for their complications during and after surgery with their advantages and disadvantages and the difference between the two groups was observed.</p> <p>Results</p> <p>A total of 100 fractures were sustained. We found that postoperative complication like decreased malar height and vertical dystopia was more common in those patients who were treated by two point fixation than those who were treated with three point fixation.</p> <p>Conclusions</p> <p>Based on this study open reduction and internal fixation using three point fixation by miniplates is the best available method for the treatment zygomatic bone fractures.</p
Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial
Background: Tranexamic acid reduces surgical bleeding and reduces death due to bleeding in patients with trauma.
Meta-analyses of small trials show that tranexamic acid might decrease deaths from gastrointestinal bleeding. We
aimed to assess the effects of tranexamic acid in patients with gastrointestinal bleeding.
Methods: We did an international, multicentre, randomised, placebo-controlled trial in 164 hospitals in 15 countries.
Patients were enrolled if the responsible clinician was uncertain whether to use tranexamic acid, were aged above the
minimum age considered an adult in their country (either aged 16 years and older or aged 18 years and older), and
had significant (defined as at risk of bleeding to death) upper or lower gastrointestinal bleeding. Patients were
randomly assigned by selection of a numbered treatment pack from a box containing eight packs that were identical
apart from the pack number. Patients received either a loading dose of 1 g tranexamic acid, which was added to
100 mL infusion bag of 0·9% sodium chloride and infused by slow intravenous injection over 10 min, followed by a
maintenance dose of 3 g tranexamic acid added to 1 L of any isotonic intravenous solution and infused at 125 mg/h
for 24 h, or placebo (sodium chloride 0·9%). Patients, caregivers, and those assessing outcomes were masked to
allocation. The primary outcome was death due to bleeding within 5 days of randomisation; analysis excluded patients
who received neither dose of the allocated treatment and those for whom outcome data on death were unavailable.
This trial was registered with Current Controlled Trials, ISRCTN11225767, and ClinicalTrials.gov, NCT01658124.
Findings: Between July 4, 2013, and June 21, 2019, we randomly allocated 12 009 patients to receive tranexamic acid
(5994, 49·9%) or matching placebo (6015, 50·1%), of whom 11 952 (99·5%) received the first dose of the allocated
treatment. Death due to bleeding within 5 days of randomisation occurred in 222 (4%) of 5956 patients in the
tranexamic acid group and in 226 (4%) of 5981 patients in the placebo group (risk ratio [RR] 0·99, 95% CI 0·82–1·18).
Arterial thromboembolic events (myocardial infarction or stroke) were similar in the tranexamic acid group and
placebo group (42 [0·7%] of 5952 vs 46 [0·8%] of 5977; 0·92; 0·60 to 1·39). Venous thromboembolic events (deep vein
thrombosis or pulmonary embolism) were higher in tranexamic acid group than in the placebo group (48 [0·8%] of
5952 vs 26 [0·4%] of 5977; RR 1·85; 95% CI 1·15 to 2·98).
Interpretation: We found that tranexamic acid did not reduce death from gastrointestinal bleeding. On the basis of our
results, tranexamic acid should not be used for the treatment of gastrointestinal bleeding outside the context of a
randomised trial
Property values, parks and crime: A hedonic analysis in Stockholm, Sweden
A park is a desirable feature when people are purchasing a property. Buyers are ready to pay more for properties surrounded by natural amenities, such as a pleasant park. However, if a park is perceived as unsafe by local residents, then it may have a negative effect on housing prices. The aim of this study is to investigate the importance of urban parks in Stockholm, capital of Sweden, and to find evidence of whether people in Stockholm are willing to pay extra for parks when purchasing an apartment. This study hypothesized that people’s willingness to pay for urban parks and green spaces is affected by crime. The methodology had two stages. An extensive field work was performed in a selected number of parks to help characterize the parks in Stockholm. This was later followed by the analysis of 2008’s apartment sales using hedonic modelling combined with Geographic Information System (GIS) techniques. Results suggest that the effect of parks vary by park type. An aggregated measure of parks lower apartment prices but the effect turns out to be positive in some cases, or insignificant, when parks are broken down by types. For instance, parks with cultural features, forest feeling, skating and features of national interest increase apartment prices. However, if park have ball games, marina, boating facilities, skate board facilities and frequent social events – these features tend to reduce property values. These findings support the idea that the impact of park on property value depends on the type of park. Contrary to was expected, the park impact on prices does not seem to be affected by seasonal variations (e.g., summer versus winter), only individual months seem to affect prices. More interestingly, crime affects the quality of parks and, in its turn, the relationship between parks and prices. Results show that parks that originally show a positive impact on prices may affect prices negatively if they have relatively high rates of violence and vandalism. The study finalizes with a discussion these results and their implication for future research.
Park Matters: : Studies on Safety and Property Values
This study develops a better understanding of the nature of urban parks from a safety perspective in two international contexts. To achieve this aim, the study is divided into two geographical scales (a macro scale and a micro scale) that test a set of quantitative and qualitative research methods. The macro-scale analysis provides an overall view of the effects of parks in the neighbourhood and at the city level. A particular focus is given to the impact of parks on housing prices. Overall, the findings show that parks function as an amenity that contributes to urban quality, which in turn influences property prices in Stockholm. However, this effect depends on a number of factors such as park type, location, and the level of safety and security of the parks. Safety also matters: Parks embedded in area with high-crime rates are less valued than in areas with low-crime rates. The micro-scale of study focuses on parks as a unit of analysis and looks at the environment of parks and how it triggers crime and affects people’s safety. The first analysis is based on whether—and, if so, how—park environments affect safety (crime occurrence) using the principles of crime prevention through environmental design (CPTED) as an inventory tool in a park in an area with a high-crime rate in Stockholm, Sweden. Building on the methodology from the first study, the second study investigates the nature of women-only parks (WOPs) in Karachi, Pakistan, by looking at both the environment of the parks and the users’ and non-users’ perceptions of safety. Regardless of context, the findings show that the safety conditions of a park are highly associated with the park’s environment (design and management features). Of importance to park safety are park size in relation to the number of access routes (entrance and exit points), the opportunities for surveillance in relation to the maintenance and the lighting conditions in parks. A clear lesson is that a CPTED-informed park design promotes guardianship and therefore should be encouraged, regardless of whether it is located in Stockholm or Karachi. However, the urban context does matter to park safety conditions and is highly dependent on the local, city-wide, and national contexts in which the park is embedded.QC 20171114</p
Assessment of crime and safety issues in parks
The aim of the thesis is to obtain a better understanding of the importance of parks for urban quality, particularly for safety. This is achieved in two ways; first, by assessing parks’ impact on the perceived quality of the urban environment (whether it is incorporated into housing prices or not) in Stockholm. Second, the study investigates whether safety in parks may be assessed using principles of Crime Prevention through Environmental Design (CPTED) using a high-crime park in Stockholm’s inner city. The thesis starts with an introduction to the theme, with a brief discussion of background theory, literature review, the study area and the methods. Then, it reports the results of the articles included in the thesis and discusses their main contributions to the field of research. A mixed methods approach utilizes both quantitative and qualitative data analysis. Regression models and a Geographic Information System (GIS) were used in Paper I, which aims to clarify how park proximity affects housing prices and, when considering residential properties and park type, how crime rates in parks affect housing prices. Findings show that the further away an apartment is located from a park, the higher the discount on its price effect, but this effect (dependent on the park type), as an accumulated measure of parks, lowers prices or is negligible. Paper II assesses the use and adequacy of CPTED principles to guide the assessment of safety conditions of an urban park. The historical development of CPTED is presented followed by an analysis of a case study, Tantolunden, in Stockholm. Site observations, crime mapping, people count and interviews were conducted. Results show many entrances in this particular park defy the principles of access control and in turn impose limitations on park maintenance. Findings also show that interrupted sight lines create limited surveillance. The paper concludes by identifying the potentialities and challenges of CPTED principles when applied to safety in parks. Findings presented in this thesis are relevant for many stakeholders in society as results show the variation in crime and safety in urban parks, and the way they can be assessed and tackled.QC 20151023Safety for whom? Housing market, safety and distributive justic
How safe are women-only parks perceived to be?
Women-only parks (WOPs) are gender-exclusive spaces. In the Indian subcontinent, they have been a social norm for centuries, and they are widespread today. This article aims to investigate the nature of WOPs in Karachi, Pakistan, by (a) inspecting and assessing the environment of these parks based on crime prevention through environmental design (CPTED) principles, (b) evaluating users’ and nonusers’ perceptions of safety, and (c) assessing how the environment of WOPs, inspected based on CPTED principles, relates to women’s perceptions. Field observations, a questionnaire survey, and interviews underpin the methodology. Results indicate that most users of WOPs feel safe there, but no significant differences exist between users’ and nonusers’ views of safety in public spaces in Karachi. Typical CPTED features (e.g. locks and gatekeepers) in WOPs seem to have a positive influence on park users’ perception of safety. The article concludes with a discussion of the results and implications for future research.QC 20171114</p