Designing with Users

1.1 The past 2-3 years has seen a resurgence of interest in the creation of pedestrian priority places. This interest has largely been stimulated by the advent of "traffic calming". There are two important differences however, compared to previous phases of interest in "pedestrian issues". Firstly, the emphasis is shifting beyond the town centre to residential and district centres. Secondly the interest is stimulated as much by `green issues' as by `pedestrian issues', meaning that people's interests are much broader than merely improving conditions for pedestrians. This new concern has led to fresh attention being focused on the design of pedestrian places and design processes. This attention is not only relevant to pedestrian places. All around us are transport systems, facilities and structures which at some point have been "designed". All too often these extensively researched projects still create dissatisfaction amongst the people who use them. The reasons for this dissatisfaction are numerous and need to be understood in order to provide better work and design in the future. In this paper we discuss how we might set about designing such places in order to produce satisfaction to these people who have to use them. We argue that the appropriate method should be a user-centred design. We define what this means and compare it with more conventional perspectives/approaches to design. For simplicity we have shown in Figure 1 the essence of the user-centred approach to design. 1.2 The term `design' is used to mean the exercise of a process to bring together all the requirements of the space and an endeavour to satisfy these requirements. Design as here used deals with the issues of function, cost, timing and effectiveness in use. The intangible functions of safety, comfort, attractiveness, visual appearance, respect for location are included, not just the usual interpretation of "Design" by non-designers, who think of it solely as the aesthetic aspects. Design is interpreted to mean an understanding of a continuing process - not just the first design of the project. But most importantly, here, design means design in terms of satisfaction of the user, not just satisfaction of the designer! The term `user' refers to those people who will have to live, work, shop, visit, walk around, drive through or look at the final project

Identifying Traffic Problems in a Heavily Trafficked Urban Environment– Reference to Sowerby Bridge

1.1 BACKGROUND This study was commissioned by the Civic Trust to identify new approaches to traffic management solutions for Sowerby Bridge. The objective of the overall study was to identify low cost, innovative solutions to problems created by high volumes of traffic using the A58. This road is the main shopping street in Sowerby Bridge. In our brief it was stressed that any new road construction such as a by-pass was not a feasible or acceptable solution due to the severe vertical gradients surrounding Sowerby Bridge. Further, the town is on the brink of a major programme of regeneration. A nationally important canoe slalom has been created; the riverside mill area fronting onto the River Calder is being developed for commercial and leisure use and there is a proposal to reopen the Rochdale Canal. In view of this it is essential to ensure that traffic on the A58 is managed so as to minimise its effect on the environment and trade, without adversely affecting local access. In writing our report we have separated the problem and solution identification stages. The solution identification stage is reported in a companion report (Hopkinson et all 1988b). A further stage of our study which involves presenting our final solutions back to the users of Sowerby Bridge for comment is to be reported in a forthcoming report, WP 265 (Hopkinson et al, 1988c). 1.2 INTRODUCTION This Working Paper describes the methods used and findings from the first stage of our study carried out during October and November 1987 to identify the problems experienced by the users of Sowerby Bridge. Here it is intended to draw conclusions about the approach adopted to elicit people's impressions about problems, the way in which this information was interpreted and the applicability of the method to other situations

New Approaches to Traffic Management Solution – With Reference to Sowerby Bridge

BACKGROUND This study was commissioned by the Civic Trust to identify new approaches to traffic management solutions for Sowerby Bridge. The objective of the overall study was to identify low cost, innovative solutions to problems created by high volumes of traffic using the A58. This road is the main shopping street in Sowerby Bridge. In our brief it was stressed that any new road construction, such as a by-pass, was not a feasible or acceptable solution due to the severe vertical gradients surrounding Sowerby Bridge. The town is on the brink of a major programme of regeneration. A nationally important canoe slalom course has been created, the riverside mill area fronting onto the River Calder is being developed for commercial and leisure use, and there is a proposal to reopen the Rochdale Canal. In view of this it is essential to ensure that traffic on the A58 is managed so as to minimise its effect on the environment and trade, without adversely affecting local access. In writing our report we have separated the problem and solution identification stages. The solution identification stage is reported in Working Paper 263 (Hopkinson et al 1988b). The final stage of our study, which involves presenting our final solutions back to the users of Sowerby Bridge for comment, is to be reported in a forthcoming report, WP 265 (Hopkinson et al, 1988c)

Learning from the experiences of cancer patients and their carers

UK cancer policy aims to improve the quality of cancer services and enhance the experience of people affected by cancer. A recognised barrier to improving services is healthcare professionals’ lack of insight into patients’ and carers’ experiences; this article reports on the process of integrating these into a cancer education programme for nursing students. The cancer academic team identified patients and carers to help co-produce the programme. Students had an opportunity to listen to patients’ and carers’ stories and to learn from – rather than about – patients. Small-group work enabled patients, carers and students to explore the cancer experience in a safe and supportive setting. Working collaboratively with people affected by cancer ensured that the focus was on their experience, placing it at the core of the cancer education programme

Process repeatability and sources of error in indirect SLS of aluminium

Purpose - This paper investigates the accuracy and repeatability of the indirect selective laser sintering of aluminium process. Design/Methodology/Approach – In this paper we characterised the shrinkage of indirect SLS aluminium parts during the various stages of production. Standard scale parts were measured using a Giddings and Lewis co-ordinate measuring machine in both the green and infiltrated condition. Findings – The conducted experiments show that the most accuracy is lost during furnace cycle and that the greatest loss of accuracy occurred in the Z dimensions. Additionally the position of parts within the part bed in both X, Y and Z is shown to influence accuracy, with smaller parts being built closer to the edge of the bed later in the build. These results have been interpreted as being a result of the phenomenon of “Z-growth”. Finally the research shows that the overall accuracy of the indirect selective laser sintering of aluminium process is comparable with many existing processes such as investment casting. Originality/Value – Before any new material can be accepted, there is a need to not only fully characterise the dimensional accuracy attainable, but gain a though understanding of the processes that contribute to the inaccuracies. This paper addresses this need

On the diffusion of lattice matched InGaAs/InP microstructures

Copyright (2003) American Institute of Physics. This article may be downloaded for personal use only. Any other use requires prior permission of the author and the American Institute of Physics. The following article appeared in F. Bollet et al., J. Appl. Phys. 93, 3881 (2003) and may be found at http://link.aip.org/link/?jap/93/388

Excessive growth hormone expression in male GH transgenic mice adversely alters bone architecture and mechanical strength

Patients with acromegaly have a higher prevalence of vertebral fractures despite normal bone mineral density (BMD), suggesting that GH overexpression has adverse effects on skeletal architecture and strength. We used giant bovine GH (bGH) transgenic mice to analyze the effects of high serum GH levels on BMD, architecture, and mechanical strength. Five-month-old hemizygous male bGH mice were compared with age- and sex-matched nontransgenic littermates controls (NT; n=16/group). Bone architecture and BMD were analyzed in tibia and lumbar vertebrae using microcomputed tomography. Femora were tested to failure using three-point bending and bone cellular activity determined by bone histomorphometry. bGH transgenic mice displayed significant increases in body weight and bone lengths. bGH tibia showed decreases in trabecular bone volume fraction, thickness, and number compared with NT ones, whereas trabecular pattern factor and structure model index were significantly increased, indicating deterioration in bone structure. Although cortical tissue perimeter was increased in transgenic mice, cortical thickness was reduced. bGH mice showed similar trabecular BMD but reduced trabecular thickness in lumbar vertebra relative to controls. Cortical BMD and thickness were significantly reduced in bGH lumbar vertebra. Mechanical testing of femora confirmed that bGH femora have decreased intrinsic mechanical properties compared with NT ones. Bone turnover is increased in favor of bone resorption in bGH tibia and vertebra compared with controls, and serum PTH levels is also enhanced in bGH mice. These data collectively suggest that high serum GH levels negatively affect bone architecture and quality at multiple skeletal sites

Assistance at mealtimes in hospital settings and rehabilitation units for older adults from the perspective of patients, families and healthcare professionals: a mixed methods systematic review protocol

REVIEW QUESTION / OBJECTIVES The review question is: assistance at mealtimes for older adults in hospital settings and rehabilitation units: what goes on, what works and what do patients, families and healthcare professionals think about it? The specific objectives are: To determine the effectiveness of meal time assistance initiatives for improving nutritional intake and nutritional status for older adult patients in hospital settings and rehabilitation units To identify and explore the perceptions and experiences of older adult patients and those involved with their care with regard to assistance at mealtimes in hospital settings and rehabilitation units This mixed methods review seeks to develop an aggregated synthesis of quantitative and qualitative data on assistance at mealtimes for older adults in hospital settings and rehabilitation units in order to derive conclusions and recommendations useful for clinical practice and policy decision making

What happens before, during and after crisis for someone with dementia living at home: a systematic review

Background People living with dementia often experience crisis. Home treatment of crisis is an alternative to hospital admission that can have better outcomes. This systematic review is about people with dementia living at home and in crisis. It identifies modifiable factors in the crisis process that may facilitate crisis resolution. Methods The protocol is registered on PROSPERO. A systematic search of MEDLINE, EMBASE, CINAHL, AHMED, PsycINFO, Cochrane Library and references of retrieved publications, identified empirical research in English language and date range January 2000 to February 2019. Two researchers independently screened abstracts, selected publications and extracted data using a framework based on published guidelines. This is a report of the analysis and narrative synthesis. Results The search identified 2755 titles and abstracts, 76 were selected for full-text examination and 13 agreed for inclusion. The included studies evidence that: for a person with dementia, crisis is a process that begins with a problem judged to put them or others at risk of harm. It leads to decision and action to treat this risk, thus resolve the crisis. Such crisis can be predicted or unpredicted and progress quickly or slowly. Medical treatment, community resources and psychosocial support of personal resources, decision making, relationships and social networks, are all modifiable factors that can treat the risk of harm during crisis. Carers’ and professionals’ knowledge and skills in dementia care are likely to play a key role in crisis resolution in the home. Conclusion There has been limited investigation of the process and management of crisis at home for people living with dementia. The results of this review provide a foundation for future research. There is no consensus on critical components of home treatment to facilitate crisis resolution. However, education in dementia care for carers and professionals is likely to prove essential to successful home treatment

The role of the nurse in meeting the educational needs for self-care in cachectic cancer patients and their family caregivers: a scoping review

Purpose To give an overview of what is known about the nurse contribution to education in self-care by people with cancer cachexia and their family caregivers. Background Nurse-led patient education can help patients and their family caregivers to manage cancer symptoms, cancer treatments and treatment side effects. Methods This scoping review explored the extent to which nurse-led education has become part of the multimodal management of cancer cachexia. It is based on a systematic search of Medline, Embase, CINAHL, APA PsycINFO, and the Cochrane Library. Search limits were English language, date range January 2015 to March 2023, and adults 18 years and older. Results A total of 6,370 titles were screened, 127 papers and conference abstracts selected for full text examination and 9 publications included in the review. The analysis found the nurse within the multidisciplinary cancer cachexia care team can: • raise awareness of cancer cachexia syndrome and its causes,• share knowledge of symptoms and related problems, which can aid patient understanding to support adherence to interventions and to support emotional coping,• offer dietary information and advice to mitigate risk of malnutrition,• teach skills in the self-management of nutritional impact symptoms,• adjust information, advice and skills training to cultural and social context and• offer and signpost educational resources about the management of cancer cachexia. Nurses, like other healthcare professionals, do not have a shared understanding of cancer cachexia and its management. For nurses to be confident and competent in the provision of nurse-led cachexia education, they themselves need evidence-based education in cachexia care and how to tailor education according to cachexia stage, symptoms, emotional response and social circumstance. Conclusion Nurses with the knowledge and confidence to provide cancer cachexia education for their patients can potentially play an important role in the management of cancer cachexia and mitigation of cachexia-related problems