42 research outputs found

    Social Science and Environmental Design: The Translation Process

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    Both educators and practitioners have voiced considerable frustration concerning the application of behavioral research to environmental design

    Programming and Design for Dementia: Development of a 50 Person Residential Environment

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    The monograph describes an applied research project whose goals are: 1) to extend understanding of optimal micro-environmental design for people with dementia; 2) to present a systematic process for the planning, programming and design of environments for people with dementia; and 3) to illustrate this by the planning, programming and design of a model 50-person residential facility. Sponsored by Helen Daniel Bader, Milwaukee.https://dc.uwm.edu/caupr_mono/1014/thumbnail.jp

    Designing a Better Day: Annotated Bibliography of Adult Day Care Literature, 1990-1998

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    This monograph contains 56 annotated bibliographies of literature published since 1990 on Adult Day Care facilities. The annotations are organized into five components - organization, staff, family, client, and physical setting - all of which form the dimensions of place for Adult Day Care. A matrix of the annotated bibliographies gives an overview of categories addressed in each publication.https://dc.uwm.edu/caupr_mono/1007/thumbnail.jp

    Improving the Law Office: Principles for Design

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    This report describes an applied research, translation and design application project. Information about the law offices was gathered and transformed into fifteen critical design principles. The format and approach leading to design principles creates powerful descriptions of the organizational and individual needs that will affect law office facility design. Seventeen different solutions to a program for a 267 person Chicago law firm are used to illustrate the application of the design principles.https://dc.uwm.edu/caupr_mono/1002/thumbnail.jp

    Victoria Plaza Revisited: Lessons for the Evaluation of Housing for the Elderly

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    This monograph is based upon a workshop sponsored by the Institute on Aging and Environment at the 1994 EDRA Conference. San Antonio is the home of the first public housing facility specifically designed for older persons and the authors took the opportunity to reflect on the substantive and methodological issues that can be learned from Victoria Plaza. Frances Carp, who conducted the original longitudinal study, presents reflections on the early fray into Post Occupancy Evaluation and the lessons applicable today. Min Kantrowitz and Gerald Weisman present their comments and conclusions.https://dc.uwm.edu/caupr_mono/1020/thumbnail.jp

    Designing a Better Day: Adult Day Centers: Comparative Case Studies

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    The Adult Day Center (ADC) is emerging as a new and important social institution and place type in the continuum of care environments. Nine case studies representing the range of ADC\u27s currently operating in the United States are considered from a holistic, systemic perspective. Each case is presented in terms of place profile, program, physical setting and the place in use. The results are not a matter of ADC best practices or good/bad ways of doing things, but rather a method of identifying characteristics and components that appear to contribute to making a positive difference in the experience of adult day care.https://dc.uwm.edu/caupr_mono/1008/thumbnail.jp

    Comparative effectiveness of less commonly used systemic monotherapies and common combination therapies for moderate to severe psoriasis in the clinical setting.

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    BACKGROUND: The effectiveness of psoriasis therapies in real-world settings remains relatively unknown. OBJECTIVE: We sought to compare the effectiveness of less commonly used systemic therapies and commonly used combination therapies for psoriasis. METHODS: This was a multicenter cross-sectional study of 203 patients with plaque psoriasis receiving less common systemic monotherapy (acitretin, cyclosporine, or infliximab) or common combination therapies (adalimumab, etanercept, or infliximab and methotrexate) compared with 168 patients receiving methotrexate evaluated at 1 of 10 US outpatient dermatology sites participating in the Dermatology Clinical Effectiveness Research Network. RESULTS: In adjusted analyses, patients on acitretin (relative response rate 2.01; 95% confidence interval [CI] 1.18-3.41), infliximab (relative response rate 1.93; 95% CI 1.26-2.98), adalimumab and methotrexate (relative response rate 3.04; 95% CI 2.12-4.36), etanercept and methotrexate (relative response rate 2.22; 95% CI 1.25-3.94), and infliximab and methotrexate (relative response rate 1.72; 95% CI 1.10-2.70) were more likely to have clear or almost clear skin compared with patients on methotrexate. There were no differences among treatments when response rate was defined by health-related quality of life. LIMITATIONS: Single time point assessment may result in overestimation of effectiveness. CONCLUSIONS: The efficacy of therapies in clinical trials may overestimate their effectiveness as used in clinical practice. Although physician-reported relative response rates were different among therapies, absolute differences were small and did not correspond to differences in patient-reported outcomes

    Safety of procuring research tissue during a clinically indicated kidney biopsy from patients with lupus: data from the Accelerating Medicines Partnership RA/SLE Network

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    Objectives In lupus nephritis the pathological diagnosis from tissue retrieved during kidney biopsy drives treatment and management. Despite recent approval of new drugs, complete remission rates remain well under aspirational levels, necessitating identification of new therapeutic targets by greater dissection of the pathways to tissue inflammation and injury. This study assessed the safety of kidney biopsies in patients with SLE enrolled in the Accelerating Medicines Partnership, a consortium formed to molecularly deconstruct nephritis.Methods 475 patients with SLE across 15 clinical sites in the USA consented to obtain tissue for research purposes during a clinically indicated kidney biopsy. Adverse events (AEs) were documented for 30 days following the procedure and were determined to be related or unrelated by all site investigators. Serious AEs were defined according to the National Institutes of Health reporting guidelines.Results 34 patients (7.2%) experienced a procedure-related AE: 30 with haematoma, 2 with jets, 1 with pain and 1 with an arteriovenous fistula. Eighteen (3.8%) experienced a serious AE requiring hospitalisation; four patients (0.8%) required a blood transfusion related to the kidney biopsy. At one site where the number of cores retrieved during the biopsy was recorded, the mean was 3.4 for those who experienced a related AE (n=9) and 3.07 for those who did not experience any AE (n=140). All related AEs resolved.Conclusions Procurement of research tissue should be considered feasible, accompanied by a complication risk likely no greater than that incurred for standard clinical purposes. In the quest for targeted treatments personalised based on molecular findings, enhanced diagnostics beyond histology will likely be required

    Ricky and the sticky icky: marijuana, sport, and the legibility/illegibility of black masculinity

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    In this article, I examine the ways the popular press, and two sport documentaries construct narratives of Ricky Williams’ marijuana use, early retirement, and return to the National Football League. I argue that all of the texts in question, work to produce a dominant reading of Williams, as someone who is difficult to define, and it is because of inability to put Williams’s identity into a box, that his marijuana use, “strange” personality, and early retirement is used to shoe-horn him into tropes of the bad black athlete. Nonetheless, this paper draws on Mark Anthony Neal’s concept of illegible and legible black masculinity to argue that a re-scripting of these narratives can be used to imagine alternative forms of black masculinity the emphasizes empathy, sensitivity, emotional maturity, and a rejection of domination and material wealth. This analysis is situated within the changing landscape of marijuana legislation and the racial inequity in arrest rates for marijuana

    Way-finding In The Built Environment: A Study In Architectural Legibility.

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    PhDArchitectureUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/181032/2/7916843.pd
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