134 research outputs found

    Struggle for Change – Process of Urban Transformation of Koroska Street in Maribor

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    The function of city streets has been in recent century mainly focused on the movement. This has often resulted in urban spaces dominated by motor vehicles to the extent that they failed to make a positive contribution to the quality of life in the city. Nevertheless, in recent decades a noticable effort has been made to change the use and design of city streets so they could host a broader variety of functions thus becoming more user-friendly and sustainable. However the process of introducing change is often considered long-term and difficult, accompanied with hot public debates. The purpose of this study is to highlight the broad range of the processes leading to substantial transformation and reuse of city streets, ranging from the political top-down approaches to the more recent bottom-up community led approaches using tactical urbanism. Theoretical part is supported by the casestudy presenting the processes and attempts of urban transformation of Koroška street in Maribor through the period of two decades. The study shows the multitude of approaches trying to redesign the oldest street in Maribor, ranging from classic urban planning, architectural competition, interdisciplinary approach in the frame of Actors of urban change project, toward tactical urbanism and monitoring of traffic flows within the European mobility week 2015. In conclusion, the transformation processes of city streets can be successfully supported by civil initiatives, but the most decisive factor remains a clear vision and determination to facilitate change by the public administration

    Relationship of Exposure to Heart Failure Discharge Teaching to Readmission Within 30 Days

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    Heart Failure (HF) patients are at increased risk for higher rates of hospital readmission within 30 days. Previous studies have demonstrated educational interventions delivered by nurses reduce readmission but the relationship of the dose of teaching to HF readmission or ED utilization remains unclear. A retrospective correlational design framed by the General Outcomes Effectiveness Model was utilized to (1) establish a relationship between the dose of discharge teaching documented by acute care nurses and the outcomes of hospital readmission and ED utilization within 30 days of a previous hospital discharge and (2) identify the teaching components included in an evidence-based education plan essential to discharge preparation. The sample consisted of 1383 unique HF patients from 4 hospitals and 29 units of a large Midwestern healthcare system. Electronic Health Record (EHR) and billing data were extracted and linear regression and direct entry logistic regression procedures were performed to answer the research questions. Patients were more likely to be readmitted for every unit increase in the aggregate teaching component dose or for every unit increase in the activity level teaching component dose. Patients were less likely to be readmitted with each additional exposure to sodium restriction teaching. Patients were more likely to experience an ED visit within 30 days with each additional unit of fluid restriction teaching provided and less likely to have an ED visit with each additional unit of diuretic teaching provided. No association was found between the number of discharge teaching components received and hospital readmission or ED utilization within 30 days of discharge. Patient characteristic and clinical conditions did not moderate the relationship between discharge teaching and outcomes. Although there were conflicting findings, this research adds to the study of nurse dose by utilizing nursing documentation from the EHR to link the nursing care process of discharge teaching to the outcomes of hospital readmission and ED utilization within 30 days of discharge. Further research is needed to clarify the relationship between the type and dose of HF teaching and patient outcomes

    Memory and the Arts: Justice, Environment and Ruin - Dora Apel in Conversation with Martin Pogacar

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    This conversation revolves around Dora Apel’s work in the field of art and memory. Memory, in its mediating force, is critical for our understanding of the present and the construction of a future, or, rather, as Dora Apel posits it in her recent book Calling Memory Into Place: “Memory effects are not about the past. How do they shape the present and future? Can the way we remember the past play an active role in fighting ongoing forms of oppression and persecution?” (2020). These questions are a critical invitation to think about events, topics and processes that also mark Dora Apel’s work. In this conversation we discuss the issues of memory and ruin, justice and oppression, as well as the environment in the context of thinking about art. Thus, we hope to bring forward not only the mechanics of how memory in the arts operates in the present, what it foregrounds and obscures, but also its relation to the environment
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