Socioeconomic determinants of multimorbidity: a population-based household survey of Hong Kong Chinese

<b>Introduction</b> Multimorbidity has been well researched in terms of consequences and healthcare implications. Nevertheless, its risk factors and determinants, especially in the Asian context, remain understudied. We tested the hypothesis of a negative relationship between socioeconomic status and multimorbidity, with contextually different patterns from those observed in the West.<p></p> <b>Methods</b> We conducted our study in the general Hong Kong (HK) population. Data on current health conditions, health behaviours, socio-demographic and socioeconomic characteristics was obtained from HK Government’s Thematic Household Survey. 25,780 individuals aged 15 or above were sampled. Binary logistic and negative binomial regression analyses were conducted to identify risk factors for presence of multimorbidity and number of chronic conditions, respectively. Sub-analysis of possible mediation effect through financial burden borne by private housing residents on multimorbidity was also conducted.<p></p> <b>Results</b> Unadjusted and adjusted models showed that being female, being 25 years or above, having an education level of primary schooling or below, having less than HK$15,000 monthly household income, being jobless or retired, and being past daily smoker were significant risk factors for the presence of multimorbidity and increased number of chronic diseases. Living in private housing was significantly associated with higher chance of multimorbidity and increased number of chronic diseases only after adjustments.<p></p> <b>Conclusions</b>Less advantaged people tend to have higher risks of multimorbidity and utilize healthcare from the public sector with poorer primary healthcare experience. Moreover, middle-class people who are not eligible for government subsidized public housing may be of higher risk of multimorbidity due to psychosocial stress from paying for the severely unaffordable private housing

Mega event management of formula one grand prix: an analysis of literature

Purpose A comprehensive literature review of mega event management of dynamic sporting events is presented. The purpose of this paper is to learn from these mega events to prescribe mitigation strategies for improving cost performance while simultaneously minimising public disruption on formula one grand prix events. Knowledge accrued of challenges posed is theoretically applied to circuit construction and reestablishment processes involved in orchestrating a “street circuit” grand prix event. Design/methodology/approach An inductive research methodological approach was adopted using an interpretivist epistemological design. A mixed methods analysis of pertinent extant literature of mega events afforded greater synthesis of the research problem domain and generated more valid and reliable findings. The software VOSviewer was used to conduct a qualitative bibliographic analysis of pertinent extant literature. Findings Three thematic groups of past research endeavour emerged from the analysis and were assigned appropriate nomenclature, namely: customer experience; geographical location; and research methods and approaches adopted. Analysis of these clusters revealed common factors that impact upon construction works during mega sporting events including: inclement weather conditions; miscommunication between project stakeholders; and economic impact upon the local community. Factors for mitigating these risks were also proposed, namely: traffic management plans; shift working; and wider public consultation. Originality/value This unique study provides invaluable insight into construction works commissioned and implemented at a mega “motor sports” public event. Although the research context was narrowly defined, findings presented are equally applicable to contractors, organisers and public authorities orchestrating other types of public event. The research concludes with direction for future work that seeks to apply the lessons learnt and measure the impact of findings presented herein

Pricing Link by Time

The combination of loss-based TCP and drop-tail routers often results in full buffers, creating large queueing delays. The challenge with parameter tuning and the drastic consequence of improper tuning have discouraged network administrators from enabling AQM even when routers support it. To address this problem, we propose a novel design principle for AQM, called the pricing-link-by-time (PLT) principle. PLT increases the link price as the backlog stays above a threshold β, and resets the price once the backlog goes below β. We prove that such a system exhibits cyclic behavior that is robust against changes in network environment and protocol parameters. While β approximately controls the level of backlog, the backlog dynamics are invariant for β across a wide range of values. Therefore, β can be chosen to reduce delay without undermining system performance. We validate these analytical results using packet-level simulation

Size Distribution of Airborne Particles in Animal Houses

[EN] The concentration and size distribution of airborne particles were measured inside and outside typical animal houses such as broilers, broiler breeders (both floor housing with litter); layers (floor housing system and aviary housing system); turkeys (floor housing with litter), pigs: fattening pigs (traditional houses, low emission houses with dry feed, and low emission houses with wet feed), piglets, sows (individual and group housing); cattle (cubicle house), and mink (cages). Using an aerosol spectrometer, particles were counted and classified into 30 size classes (total range: 0.25 ¿ 32 µm). Particles were measured on for two days, one in spring and the other in summer, in two of each species/housing combination during 30 min inside and outside the animal house. Outside temperature and relative humidity were also measured. Particle counts in the different size classes were generally higher in poultry houses than in pig houses, and counts in pig houses were generally higher than those in cattle and mink houses. The particle counts in animal houses were highest (on average 87%) in the size classes 2.5 ¿m (on average 97%). Most particles outside were in the size class <1.0 ¿m (99% in counts). Mean count median diameter (CMD) of particles inside the animal houses ranged from 0.32 to 0.59 ¿m, while mean mass median diameter (MMD) ranged from 3.54 to 12.4 ¿m. Particle counts in different size fractions were highly correlated, with correlation coefficients varying from 0.69 to 0.98; higher coefficients were found for the closer size ranges. Although particle counts in different size ranges varied greatly, for all particle classes, except the particles in the 0.25 ¿ 1.0 µm range, the most variation could be accounted for by species/housing combination and outside temperature and relative humidity. It should be recognized that the measurements were done during short periods of the day and only during the spring and summer period.Lai, H.; Aarnink, A.; Cambra López, M.; Huynh, T.; Parmentier, H.; Groot Koerkamp, P. (2014). Size Distribution of Airborne Particles in Animal Houses. Agricultural Engineering International: CIGR Journal. 16(3):28-42. http://hdl.handle.net/10251/102747S284216

User-centric analytic approach to evaluate the performance of sports facilities: A study of swimming pools

While the performance of sports facilities such as swimming pools is crucial to the health, safety and enjoyment of pool users, little research has been conducted to explore how to analytically evaluate the holistic performance of such facilities from the users' perspective. Even an evaluation framework portraying the key performance attributes of swimming pools is yet to be available. Recognising this research gap, this study aims to adopt a user-centric approach to evaluate the performance of swimming pools and a multi-stage study was initiated. After a thorough literature review, a performance attribute hierarchy for swimming pools was established through a focus group study and then two surveys, covering four swimming pools and 103 pool users interviewed, were conducted in Hong Kong. Analysing the responses using the Analytic Hierarchy Process (AHP) method illustrates that the building services (i.e. utilitarian) aspect of swimming pools is more important than the architectural counterpart, and survey participants cared more about the performance attributes inside water than those outside. This study's novelty lies in that it adopted the user-centric approach, which can differentiate between the relative importance of different swimming pool components and prioritize resources for their maintenance and management. The evaluation framework as well as the findings of the study provides facilities managers with important benchmark criteria for optimising the performance of these sports facilities. In the long run, this study contributes to enabling the project stakeholders to conduct evidence-based decision making over the life cycle of sport facilities development and management

Short-time scaling behavior of growing interfaces

The short-time evolution of a growing interface is studied within the framework of the dynamic renormalization group approach for the Kadar-Parisi-Zhang (KPZ) equation and for an idealized continuum model of molecular beam epitaxy (MBE). The scaling behavior of response and correlation functions is reminiscent of the ``initial slip'' behavior found in purely dissipative critical relaxation (model A) and critical relaxation with conserved order parameter (model B), respectively. Unlike model A the initial slip exponent for the KPZ equation can be expressed by the dynamical exponent z. In 1+1 dimensions, for which z is known exactly, the analytical theory for the KPZ equation is confirmed by a Monte-Carlo simulation of a simple ballistic deposition model. In 2+1 dimensions z is estimated from the short-time evolution of the correlation function.Comment: 27 pages LaTeX with epsf style, 4 figures in eps format, submitted to Phys. Rev.

Developments in synthesis, characterization, and application of large, high-quality CVD single crystal diamond

Single crystal diamond synthesis by microwave plasma chemical vapor deposition at rapid growth rate has considerably advanced in the past few years. Developments have been made in growth, optical quality, and mechanical properties. Of the various types of single crystal diamond that can be produced using these techniques, high quality single crystal CVD diamond can be routinely produced, and this material is playing an increasing role in research on materials under extreme conditions. This article highlights recent developments in single crystal CVD diamond synthesis and characterization, as well as various applications in high-pressure materials research.За останні кілька роки синтез монокристалів алмазу мікрохвильовим плазмовим хімічним осадженням з газової фази з високою швидкістю значно просунувся. Прогрес було досягнуто у рості, оптичних і механічних властивостях. З різних типів монокристалічного алмазу, що можна отримати з використанням цього методу, регулярно виробляють високоякісні монокристалічні CVD-алмази, і цей матеріал відіграє все більш важливу роль при дослідженні матеріалів в екстремальних умовах. У даній роботі висвітлено останні досягнення в синтезі монокристалічного CVD-алмазу і дослідженні його характеристик, а також його різне застосування у дослідженні матеріалів при високому тиску.За последние несколько лет синтез монокристаллов алмаза микроволновым плазменным химическим осаждением из газовой фазы с высокой скоростью значительно продвинулся. Прогресс был достигнут в росте, оптических и механических свойствах. Из различных типов монокристаллического алмаза, которые могут быть получены с использованием этого метода, регулярно производят высококачественные монокристаллы CVD-алмаза, и этот материал играет все более важную роль в исследовании материалов в экстремальных условиях. В этой работе осветлены последние разработки в синтезе монокристаллов CVD-алмаза и исследовании его характерист

There's more than one way to sell a security: the Treasury's auction experiment

Government securities

Systematic analysis of driverless technologies

The advent of Industry 4.0 has engendered opportunities for a coalescence of digital technologies that collectively enable driverless vehicles to operate during the construction and use of a highway. Yet, hitherto scant research has been conducted to review these collective developments and/or sample construction practitioner opinion on them. This study aims to present a systematic review of extant literature on the application of driverless technologies in civil engineering and in particular, the highways infrastructure sector and offers insight into the limitations of associated barriers to full adoption, namely, current technological development processes, legal deficiencies and societal concerns. In so doing, this work presents a vignette of contemporary developments augmented by a critical analysis from practitioners’ perceptions. Design/methodology/approach A mixed philosophical methodological approach is adopted for this inductive research study. Interpretivism is used to critically analyse the literature and post-positivism to perform content analysis of the literature and synthesis of the discourse with practitioners. A total of 44 related papers published between 1998 and 2019 have been included in this study. Emergent themes identified from literature are then discussed in some further detail, namely, 1) automation and robotics; 2) case studies and simulations; and 3) safety and ergonomics). A focus group is then held with leading industrialists to discuss their experiences of advanced driverless technology applications in practice. Based upon a culmination of emergent evidence, a conceptual model of prevailing barriers is then developed to further elucidate upon the challenges facing the highways infrastructure sector. Findings Research into driverless technologies within the highways infrastructure sector has received relatively scant academic attention. Hitherto, most advancements made have stemmed from multidisciplinary teams consisting of engineering, information technology and social scientist researchers. There is insufficient supporting evidence of civil engineering and construction academics input into developments made – suggesting that prototype products often fail to adequately consider practical applications in the highways infrastructure sector at the design and use case stage. This view is substantiated by feedback from leading industry experts who participated in unstructured telephone interviews. Their feedback suggests that practical applications of products have been beset with problems, thus creating a perception that advanced technologies are largely “unusable” within the highways infrastructure sector and so are unsuitable for large-scale (and particularly bespoke) industrial applications. Originality/value This research critically synthesises the prevailing scientific discourse within extant literature on driverless technologies implemented but also garners practitioner feedback from leading UK industrialists on their applications in practice. Hitherto, this combined analysis approach has been rarely used in spite of it having significant advantages of tacit knowledge reflection on technologies used, where such can be used as a basis for further informed discourse and/or development. Moreover, this work culminates in a conceptual model that acts as a catalyst for future research investigations