Design for liveability in tropical Australia

[Extract:] In their agenda-setting book on the future of Australia cities, Weller and Bolleter (2013) contemplated Australia’s rapid and continual growth and its implications for the future Australian landscape. Setting views about a Big Australia to one side, these trends present Australian cities with some immutable challenges. Will Australians have to adapt to a deteriorating quality of life as cities accommodate this growth? Will the extra accommodation be built in the precincts where jobs are concentrated? Can cities grow to quarter more and more people without losing their liveability? Are there any special issues to consider in tropical Australia, a region that has experienced high population growth over the past decade and where the government has earmarked future development (Australian Government, 2014)

What is an intelligent building? Analysis of recent interpretations from an international perspective

In recent years, the notion of intelligent buildings (IBs) has become increasingly popular due to their potentials for deploying design initiatives and emerging technologies towards maximized occupants’ comfort and well-being with sustainable design. However, various definitions, interpretations, and implications regarding the essence of IBs exist. Various key performance indicators of IBs have been proposed in different contexts. This study explores the notion of IBs and presents an analysis of their main constituents. Through a comparison of these constituents in different contexts, this study aims to extract the common features of IBs leading to an evolved definition which could be useful as a reference framework for design, evaluation, and development of future IBs. Findings also scrutinize the long run benefits of IBs, while demonstrating the constraints and challenges of the current international interpretations

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Pemrograman dengan C C (plus plus) dan aplikasi numerik/ Halawa

ix, 208 hal.; tab.lamp.; 25 cm

Pemrograman dengan C C (plus plus) dan aplikasi numerik/ Halawa

ix, 208 hal.; tab.lamp.; 25 cm

Pemrograman dengan C C (plus plus) dan aplikasi numerik/ Halawa

ix, 208 hal.; tab.lamp.; 25 cm

Pemrograman dengan C C (plus plus) dan aplikasi numerik/ Halawa

ix, 208 hal.; tab.lamp.; 25 cm

Pemrograman dengan C C (plus plus) dan aplikasi numerik/ Halawa

ix, 208 hal.; tab.lamp.; 25 cm