Understanding the impact of urban heat islands on crime: Insights from temperature, population density, and green canopy cover

Emergent literature suggests that micro- and macro-climates influence criminal behaviour; a complex phenomenon that is still incipient in theory development. This mixed-method research starts with a systematic review of the literature on the theoretical premises that urban heat islands amplify aggressive behaviour and crime. Further, it discusses the potential implications of the relationship between the environment and social outcomes on the design and planning of urban environments. A meta-synthesis was conducted to explain the correlations between patterns of criminal behaviour and thermal (dis)comfort. This correlation is to relate fundamental urban design principles to socially sustainable communities that dissuade violence and crime, and otherwise show poorly designed spaces do propagate criminal behaviour. Cross-validation was undertaken using a case study of Midland, a suburb of Perth, Western Australia. Data involves population demographics, temperature, and crime statistics relating to Offences against the Person. Analysis focused on homicide, assault, threatening behaviour, and robbery. The findings imply a positive correlation between long-term temperature, crime, population density, and green canopy cover. Variables of climate (e.g., short-to-long-term climate-related stressors) and crime types also show non-linear association. Nonetheless, forecasting the future of violence and trends of crime through attributes or potential impacts of heat and urban canopy cover on the built environment will inform sustainable social development policy, environmental planning, development strategy, designers, and planners. Recommendations are made around these in relation to making urban communities adaptive to the impacts of global warming and future densification

Mitigating intensive care unit noise: Design-led modeling solutions, calculated acoustic outcomes, and cost implications

Objectives, Purpose, or Aim: The study aimed to decrease noise levels in the ICU, anticipated to have adverse effects on both patients and staff, by implementing enhancements in acoustic design. Background: Recognizing ICU noise as a significant disruptor of sleep and a potential hindrance to patient recovery, this study was conducted at a 40-bed ICU in Fiona Stanley Hospital in Perth, Australia. Methods: A comprehensive mixed-methods approach was employed, encompassing surveys, site analysis, and acoustic measurements. Survey data highlighted the importance of patient sleep quality, emphasizing the negative impact of noise on work performance, patient connection, and job satisfaction. Room acoustics analysis revealed noise levels ranging from 60 to 90 dB(A) in the presence of patients, surpassing sleep disruption criteria. Results: Utilizing an iterative 3D design modeling process, the study simulated significant acoustic treatment upgrades. The design integrated effective acoustic treatments within patient rooms, aiming to reduce noise levels and minimize transmission to adjacent areas. Rigorous evaluation using industry-standard acoustic software highlights the design’s efficacy in reducing noise transmission in particular. Additionally, cost implications were examined, comparing standard ICU construction with acoustically treated options for new construction and refurbishment projects. Conclusions: This study provides valuable insights into design-based solutions for addressing noise-related challenges in the ICU. While the focus is on improving the acoustic environment by reducing noise levels and minimizing transmission to adjacent areas. It is important to clarify that direct measurements of patient outcomes were not conducted. The potential impact of these solutions on health outcomes, particularly sleep quality, remains a crucial aspect for consideration

Understanding employee travel behaviours in response to workplace relocation: a case study comparing commuting patterns between Subiaco and Perth, Western Australia

Our built environments offer distinct variables that impact behaviour – throughout the world, and equally within Western Australia. However, an in-depth analysis of extant literature indicates that influencing human behaviour is difficult in the absence of a ‘disruption’ event. Accordingly, this organization-level study examined the disruptive effects of relocating from a Subiaco office to a new office in Perth’s Central Business District on the commute habits of its built-environment professional employees. The relocation occurred during a ‘non-lockdown’ period between July and August 2021 (southern hemisphere winter). The study sought to determine if an office relocation constituted a sufficient ‘disruption’ to affect employees’ commute behaviours, and in contrast to state and national figures, to quantify how micro-communities revise and develop commuting habits in response to changing circumstances. It was expected that the shift would increase public transportation reliance, lengthen commute times, and increase expenditure. The study applied a two-part purposive survey using frequencies and a one-sample Chi-Square test at the 95% confidence level. The distance between the two locations and projected trip times through various modes was calculated using Google Maps. The findings indicate that both Subiaco and Perth had higher public transportation utilisation when compared to state and national numbers as a multi-modal means of commuting. Furthermore, car reliance decreased and general satisfaction with commuting choices increased for the Perth study. This suggests that multi-modal public transportation commute alternatives provided a cost-effective and efficient, alternative. The study identified social value and preference propositions beyond return-on-investment for improving existing idle city assets. Lastly, the study contributes to evolving contemporary cross-disciplinary discourse and body of knowledge in human geography, urban community development, and transportation, and sought to concomitantly determine the potential to further extend this research through concurrent collection of employee daily step count data

Effect of dorzolamide timolol combination versus timolol 0.5% on ocular bloodflow in patients with primary open-angle glaucoma

Addition of dorzolamide to timolol in primary open-angle glaucoma shows augmented reduction of intraocular pressure. It is unknown as yet if addition of dorzolamide will alter hemodynamics

Ocular haemodynamic responses to induced hypercapnia and hyperoxia in glaucoma

Aim: To determine the ocular haemodynamic response to gas perturbations in glaucoma. Methods: Intraocular pressure (IOP), systemic systolic and diastolic blood pressure (SBP and DBP), and retrobulbar blood flow velocities, measured by colour Doppler imaging (CDI), were recorded at two visits. CDI was used to measure peak systolic and end diastolic velocities (PSV and EDV) and resistance index (RI) in the ophthalmic artery (OA), central retinal artery (CRA), and short posterior ciliary arteries (SPCAs). At the first visit, measurements were taken at baseline (B1: breathing room air) and during isoxic hypercapnia (end tidal PCO(2) increased 15% above baseline) in 16 normal subjects and 12 patients with glaucoma. On another day, measurements were repeated at a second baseline (B2) and during hyperoxia (100% oxygen breathing) for 15 normal subjects and 13 glaucoma patients. Baseline systemic data were compared using paired t tests; REANOVA was performed to compare group differences at baseline and to determine the vessel response to each condition. Fisher’s LSD was used for post hoc comparison. Results: Baseline OA PSV was lower for the glaucoma than for the normal group (p = 0.047); the groups were otherwise similar at baseline. IOP demonstrated no response to hypercapnia, but reduced during hyperoxia for both the normal subjects (p<0.0001) and glaucoma patients (p = 0.04). During hypercapnia, SBP increased in normal subjects (p = 0.03) and glaucoma patients (p = 0.01); DBP increased in normal subjects (p = 0.021). There was a corresponding increase in ocular perfusion pressure (OPP) for normal subjects (p = 0.01) and glaucoma subjects (p = 0.028), and as a result OPP was included as a covariate in the REANCOVA model. Hypercapnia resulted in increased PSV in the CRA of normal subjects (p = 0.035) and increased PSV and EDV in the SPCAs of glaucoma patients (p = 0.041 and p = 0.030 respectively). Hyperoxia resulted in reduced PSV and EDV in the ophthalmic arteries of normal subjects only (p = 0.001 and 0.031 respectively). Conclusions: These findings suggest the presence of relative vasoconstriction in glaucoma patients, which is at least partially reversed by hypercapnia

Reproducibility of circadian retinal and optic nerve head blood flow measurements by Heidelberg retina flowmetry

Background/aim: The Heidelberg retina flowmeter (HRF) is designed to measure retinal capillary blood flow. Previous studies however showed weak reproducibility of data. The intraindividual reproducibility of circadian HRF measurements was examined in healthy subjects in three locations of the retina. Methods: 36 healthy volunteers (27.3 (SD 4.3) years) were examined by HRF seven times a day (t0–t6). Using a default window of 10×10 pixels, three consecutive measurements were performed in three precise focusing planes: superficial, intermediate and deep layer, peripapillary retina, neuroretinal rim and cup, respectively. Images of identical tissue locations identified by capillary landmarks of each layer were selected to quantify the retinal microcirculation of each volunteer. Means and standard deviations of all flow results of a given subject were calculated, at t0–t6 and the coefficients of variation as a measure of reproducibility. Results: The coefficients of variation ranged between 8.4% and 41.0% in the superficial layer (mean 19.8% (SD 8.4%)), 10.6%, and 43.0% in the intermediate layer (mean 24.0% (SD 8.4%)), and 9.9% and 84.0% (mean 29.6% (SD 15.8%)) in the deep layer. Conclusions: These data show the best reproducibility of measurements in the superficial layer followed by the intermediate and the deep layer. Clinically, this is an unsatisfactory intraindividual reproducibility of flow values in each studied layer