'We Can Send A Man To The Moon But We Can't Control The Temperature In Our office'; A Considerate Approach To Workplace Thermal Comfort by Older Women

From Fanger's seminal work on thermal comfort in the 1970s, standards governing temperatures in the workplace enshrine clothing level calculations based on full business suits, and building regulations developed using only male metabolic data, locking in a default male perspective. Even later work that highlights gender biases with regard to metabolism calculation, inclusive of both genders has focused on younger women, and the voices of older working women are missing from this discourse. We invited women over 45 to explore what they find important in workplace thermal comfort, and how devices and interfaces might meet their needs and also encourage thermal adaptivity. Our study highlights factors such as 'fresh air', and the importance of empathy to fellow inhabitants. We bring new voices to the thermal comfort discourse which supports reducing energy use in the workplace, improving thermal environments and ensuring the needs of a diverse, aging workforce are considered

Energy in Schools:Promoting Global Change through Social Technical Deployments

Reducing carbon emissions is a key priority across the globe, and in the UK, schools have been identified as the second largest users of non-domestic energy. In this paper, we present an IoT solution for schools that aims to unite senior leadership, teachers, and pupils in the goal of reducing or shifting their energy consumption and carbon emissions. We achieve this by prompting behavioural change through instrumenting schools with sensors, visual displays, and a variety of educational resources which use the BBC micro:bit to interact with the data produced by these sensors, enabling pupils to engage in educational activities to solve real world problems. By increasing the visibility, availability, and interactivity of data, we enable a new space for dialogue between facilities managers and building users. We summarise some of the challenges and lessons learned so far, with preliminary results indicating our approach is effective in raising the profile of energy management and shifting demand. Future monitoring and evaluation will provide more detail on the effectiveness of our IoT solution

Determining level of care appropriateness in the patient journey from acute care to rehabilitation

Background: The selection of patients for rehabilitation, and the timing of transfer from acute care, are important clinical decisions that impact on care quality and patient flow. This paper reports utilization review data on inpatients in acute care with stroke, hip fracture or elective joint replacement, and other inpatients referred for rehabilitation. It examines reasons why acute level of care criteria are not met and explores differences in decision making between acute care and rehabilitation teams around patient appropriateness and readiness for transfer. Methods: Cohort study of patients in a large acute referral hospital in Australia followed with the InterQual utilization review tool, modified to also include reasons why utilization criteria are not met. Additional data on team decision making about appropriateness for rehabilitation, and readiness for transfer, were collected on a subset of patients. Results: There were 696 episodes of care (7189 bed days). Days meeting acute level of care criteria were 56% (stroke, hip fracture and joint replacement patients) and 33% (other patients, from the time of referral). Most inappropriate days in acute care were due to delays in processes/scheduling (45%) or being more appropriate for rehabilitation or lower level of care (30%). On the subset of patients, the acute care team and the utilization review tool deemed patients ready for rehabilitation transfer earlier than the rehabilitation team (means of 1.4, 1.3 and 4.0 days from the date of referral, respectively). From when deemed medically stable for transfer by the acute care team, 28% of patients became unstable. From when deemed stable by the rehabilitation team or utilization review, 9% and 11%, respectively, became unstable. Conclusions: A high proportion of patient days did not meet acute level of care criteria, due predominantly to inefficiencies in care processes, or to patients being more appropriate for an alternative level of care, including rehabilitation. The rehabilitation team was the most accurate in determining ongoing medical stability, but at the cost of a longer acute stay. To avoid inpatients remaining in acute care in a state of \u27terra nullius\u27, clinical models which provide rehabilitation within acute care, and more efficient movement to a rehabilitation setting, is required. Utilization review could have a decision support role in the determination of medical stability

Towards a Responsible Innovation Agenda for HCI

In recent years responsible innovation has gained significant traction and can be seen to adorn a myriad of research platforms, education programs, and policy frameworks. In this workshop, we invite HCI researchers to discuss the relations between the CHI community and responsible innovation. This workshop looks to build provocations and principles for and with HCI researchers who are or wish to become responsible innovators. The workshop looks to do this by asking attendees to think about the social, environmental, and economic impacts of ICT and HCI and explore how research innovation frameworks speak to responsible HCI innovation. Through the workshop we look to examine 5 questions to develop a set of provocations and principles, which will help encourage HCI and computer science researchers, educators, and innovators to reflect on the impact of their research and innovatio

Randomised controlled trial of a secondary prevention program for myocardial infarction patients ('ProActive Heart'): study protocol. Secondary prevention program for myocardial infarction patients

Background: \ud Coronary heart disease (CHD) is a significant cause of health and economic burden. Secondary prevention programs play a pivotal role in the treatment and management of those affected by CHD although participation rates are poor due to patient, provider, health system and societal-level barriers. As such, there is a need to develop innovative secondary prevention programs to address the treatment gap. Telephone-delivered care is convenient, flexible and has been shown to improve behavioural and clinical outcomes following myocardial infarction (MI). This paper presents the design of a randomised controlled trial to evaluate the efficacy of a six-month telephone-delivered secondary prevention program for MI patients (ProActive Heart).\ud \ud Methods:\ud 550 adult MI patients have been recruited over a 14 month period (December 2007 to January 2009) through two Brisbane metropolitan hospitals, and randomised to an intervention or control group (n = 225 per group). The intervention commences within two weeks of hospital discharge delivered by study-trained health professionals ('health coaches') during up to 10 × 30 minute scripted telephone health coaching sessions. Participants also receive a ProActive Heart handbook and an educational resource to use during the health coaching sessions. The intervention focuses on appropriate modification of CHD risk factors, compliance with pharmacological management, and management of psychosocial issues. Data collection occurs at baseline or prior to commencement of the intervention (Time 1), six months follow-up or the completion of the intervention (Time 2), and at 12 months follow-up for longer term outcomes (Time 3). Primary outcome measures include quality of life (Short Form-36) and physical activity (Active Australia Survey). A cost-effective analysis of the costs and outcomes for patients in the intervention and control groups is being conducted from the perspective of health care costs to the government.\ud \ud Discussion: The results of this study will provide valuable new information about an innovative telephone-delivered cost-effective secondary prevention program for MI patients

Study protocol: Evaluating the impact of a rural Australian primary health care service on rural health

BACKGROUND: Rural communities throughout Australia are experiencing demographic ageing, increasing burden of chronic diseases, and de-population. Many are struggling to maintain viable health care services due to lack of infrastructure and workforce shortages. Hence, they face significant health disadvantages compared with urban regions. Primary health care yields the best health outcomes in situations characterised by limited resources. However, few rigorous longitudinal evaluations have been conducted to systematise them; assess their transferability; or assess sustainability amidst dynamic health policy environments. This paper describes the study protocol of a comprehensive longitudinal evaluation of a successful primary health care service in a small rural Australian community to assess its performance, sustainability, and responsiveness to changing community needs and health system requirements. METHODS/DESIGN: The evaluation framework aims to examine the health service over a six-year period in terms of: (a) Structural domains (health service performance; sustainability; and quality of care); (b) Process domains (health service utilisation and satisfaction); and (c) Outcome domains (health behaviours, health outcomes and community viability). Significant international research guided the development of unambiguous reliable indicators for each domain that can be routinely and unobtrusively collected. Data are to be collected and analysed for trends from a range of sources: audits, community surveys, interviews and focus group discussions. DISCUSSION: This iterative evaluation framework and methodology aims to ensure the ongoing monitoring of service activity and health outcomes that allows researchers, providers and administrators to assess the extent to which health service objectives are met; the factors that helped or hindered achievements; what worked or did not work well and why; what aspects of the service could be improved and how; what benefits have been realised and for whom; the level of community satisfaction with the service; and the impact of a health service on community viability. While the need to reduce the rural-urban health service disparity in Australia is pressing, the evidence regarding how to move forward is inadequate. This comprehensive evaluation will add significant new knowledge regarding the characteristics associated with a sustainable rural primary health care service

Postscript: Beirut Life and Debt Version 2.016

This essay continues a project begun a decade ago with the article, “A Matter of Life and Debt: The Untold Costs of Rafiq Hariri’s New Beirut.” This new article, or “Postscript,” begins by examining the reception of that first investigation and responds to one criticism directed at the original essay: that it proffers an unfairly pessimistic profile of the reconstruction effort generally and of its prime mover specifically, the now-deceased Prime Minister Rafiq Hariri. This paper follows a cost/benefits analysis of the project and the company behind it, Solidere, and examines two other Solidere-styled developments abroad, both results of the company’s attempts to monetize its so-called “brand.” The first of these, “Abdali,” is in Amman. The second of these comprises a trio of projects that SI prepared for Sheikh Zayed City in metropolitan Cairo. The paper argues that Solidere’s failure to disclose the dubious financial dealings behind such projects further erodes the credibility of a company for whom the notion of “business as usual” works first and foremost to benefit the few at the expense of the many

Exploring current and future thermal comfort practices in shared workspaces

In 2018, the UK service sector consumed 20,222 ktoe energy (24% of the UK total, excluding transport). Education is a major consumer within this sector, with Higher Education Institutions (HEIs) being particularly energy intensive. Space heating accounts for the highest use of energy in UK offices, and whilst more energy efficient buildings are being designed and constructed, around 80% of the buildings we will be using by 2050 have already been built. Many offices provide little data for energy managers to effectively control buildings, resulting in spaces that are often overheated and inefficient. Emerging technologies have great potential to deliver energy reduction, by controlling heating and cooling in more precise and targeted ways. We have designed a bespoke system to be retrofit to existing buildings to allow enable energy managers to control heating on a room-by-room or even finer basis. In this paper, we use a mixed methods observation and measurement approach to observe existing offices to understand the current thermal comfort practices and particularly how comfort is governed in shared environments. We identify some of the barriers for successful adoption of our system and make the case for the co-evolution of policy and technology to promote greater personal responsibility for thermal comfort in a warming world