Challenges for nurses in caring for patients with acute encephalitis: lack of knowledge, time and rehabilitation

Aim: To explore the experiences of registered nurses providing care to adult patients affected by encephalitis, from admission into hospital through to discharge. Study design: A qualitative phenomenological methodology was used. Sample and setting: Eight registered nurses in a city centre teaching hospital. Methods: Data collection took place using in-depth, semi-structured interviews. Data were analysed and themes identified using framework analysis. Findings: Three key findings were identified: nurses felt that they lacked knowledge of encephalitis, lacked time to give these patients the care they needed, and they lacked access to rehabilitation for patients with encephalitis. Conclusion: This study provides the first evidence on nurses' experiences of providing care to patients affected by encephalitis. It has shown that they often lack the knowledge and time to give adequate support to patients. They also lack access to rehabilitation for these patients.

SPATIAL COMMONING: RE-IMAGINING WELLINGTON’S CENTRAL-CITY LIBRARY & CIVIC SQUARE

<p><b>What if architecture could promulgate its resistance to urban inclinations of segregation, privatisation, and individualisation?</b></p> <p>The neoliberal climate of contemporary cities has reduced architecture to a mere tool for capital accumulation. Architecture, consumed and produced as a form of capital, is facilitating the progression of inequality and environmental degradation, nullifying its humanitarian agenda.</p> <p>In counter-reaction to the capitalistic conditions of the city, and the conviction that architecture can express social cognition, this thesis re-imagines, two essential community containers – Wellington Central Library and Civic Square as an urban common.</p> <p>The primary intent of this thesis is to develop a speculative commons framework that architectonically articulates sharing and commoning practices in the context of Wellington City centre.</p> <p>This research argues the pertinence of commoning theories in contemporary urban cities. It examines the genealogy and characteristics of the urban commons and how it could be spatially constructed.</p> <p>It examines the historical significance of the existing building to inform the tectonic characteristics of the urban commons. It investigates the conceptual and formal devices of Post-Modernism to drive the spatial and representational aspects of the design process.</p> <p>Moreover, it explores the evolving function and the societal role of libraries within the era of digitisation. It identifies an adaptable programmatic framework for the 21st-century library envisioned as a common.</p>

SPATIAL COMMONING: RE-IMAGINING WELLINGTON’S CENTRAL-CITY LIBRARY & CIVIC SQUARE

<p><b>What if architecture could promulgate its resistance to urban inclinations of segregation, privatisation, and individualisation?</b></p> <p>The neoliberal climate of contemporary cities has reduced architecture to a mere tool for capital accumulation. Architecture, consumed and produced as a form of capital, is facilitating the progression of inequality and environmental degradation, nullifying its humanitarian agenda.</p> <p>In counter-reaction to the capitalistic conditions of the city, and the conviction that architecture can express social cognition, this thesis re-imagines, two essential community containers – Wellington Central Library and Civic Square as an urban common.</p> <p>The primary intent of this thesis is to develop a speculative commons framework that architectonically articulates sharing and commoning practices in the context of Wellington City centre.</p> <p>This research argues the pertinence of commoning theories in contemporary urban cities. It examines the genealogy and characteristics of the urban commons and how it could be spatially constructed.</p> <p>It examines the historical significance of the existing building to inform the tectonic characteristics of the urban commons. It investigates the conceptual and formal devices of Post-Modernism to drive the spatial and representational aspects of the design process.</p> <p>Moreover, it explores the evolving function and the societal role of libraries within the era of digitisation. It identifies an adaptable programmatic framework for the 21st-century library envisioned as a common.</p>

Multi-risk assessment in a historical city

Natural hazards pose a significant threat to historical cities which have an authentic and universal value for mankind. This study aims at codifying a multi-risk workflow for seismic and flood hazards, for site-scale applications in historical cities, which provides the Average Annual Loss for buildings within a coherent multi-exposure and multi-vulnerability framework. The proposed methodology includes a multi-risk correlation and joint probability analysis to identify the role of urban development in re-shaping risk components in historical contexts. The workflow is unified by exposure modelling which adopts the same assumptions and parameters. Seismic vulnerability is modelled through an empirical approach by assigning to each building a vulnerability value depending on the European Macroseismic Scale (EMS-98) and modifiers available in literature. Flood vulnerability is modelled by means of stage-damage curves developed for the study area and validated against ex-post damage claims. The method is applied to the city centre of Florence (Italy) listed as UNESCO World Heritage site since 1982. Direct multi-hazard, multi-vulnerability losses are modelled for four probabilistic scenarios. A multi-risk of 3.15 M€/year is estimated for the current situation. In case of adoption of local mitigation measures like floodproofing of basements and installation of steel tie rods, multi-risk reduces to 1.55 M€/yr. The analysis of multi-risk correlation and joint probability distribution shows that the historical evolution of the city centre, from the roman castrum followed by rebuilding in the Middle Ages, the late XIX century and the post WWII, has significantly affected multi-risk in the area. Three identified portions of the study area with a different multi-risk spatial probability distribution highlight that the urban development of the historical city influenced the flood hazard and the seismic vulnerability. The presented multi-risk workflow could be applied to other historical cities and further extended to other natural hazards.

Personality and Walkability: Predicting Walking Behaviour in Urban Settings using the Higher Order Factors of the Big Five amongst Malaysian Adults

Walkability has now been a popular policy to be adopted in the city centre as traffic congestion and inefficient public transportation have affected the mobility of the urban users prior to the pandemic. The pandemic has paved more efforts to improve the design of urban spaces to increase walkability in the cities. In the attempt to predict walking activity amongst Malaysian adults psychologically, a personality test using Big Five Aspect Scales (BFAS) was conducted in relation to individual walking frequency in urban settings. Structural equation modelling (SEM) was used to analyze the predicting capacity of personality constructs control by general intelligence in relation to walking behaviour. The results show that the higher order meta-traits of the big five personality traits which are Stability (Neuroticism, Agreeableness, and Conscientiousness) and Plasticity (Extraversion and Openness to Experience) can be used as a reliable predictor for individual walking behaviour. As hypothesized, walking behaviour amongst Malaysians was characterized by reversed Stability (r = -.58) and high Plasticity (r = .76). The implication suggested the necessity of cognitive navigability and design predictability metrics of urban design cognitive performance in influencing the psychological factor of walking behaviour

APPLICATION OF KERNEL DENSITY ESTIMATION TO IDENTIFY MOTORCYCLE THEFT HOT SPOTS IN KUCHING, SARAWAK

Motorcycle theft is the most frequently reported cases worldwide, including in Malaysia. This study aims to identify the hot spot areas for motorcycle theft in Kuching. The spatial data include police station sector boundary, road data and latitud and longitude data while attribute data consists of motorcycle theft by year, address of the incident and time. Kernel Density Estimation (KDE) helps to find the hot spot areas of motorcycle theft. Motorcycle theft in Kuching has been reported as more frequent during the day at 54.8% and at 45% during the night from the year 2015 to 2017. Hot spot locations change by year and time. The study found that most of the hot spot areas of motorcycle theft were detected within the Sentral boundary. This indicates that the city centre is an area with a high density of motorcycle theft. This study can help authorities to improve the prevention measures for motorcycle theft while the findings can help in preventing motorcycle theft by police sector boundary.

Building a predictive machine learning model of gentrification in Sydney

In an era of rapid urbanisation and increasing wealth, gentrification is an urban phenomenon impacting many cities around the world. The ability of policymakers and planners to better understand and address gentrification-induced displacement hinges upon proactive intervention strategies. It is in this context that we build a tree-based machine learning (ML) model to predict neighbourhood change in Sydney. Change, in this context, is proxied by the Socioeconomic Index for Advantage and Disadvantage, in addition to census and other ancillary predictors. Our models predict gentrification from 2011-2016 with a balanced accuracy of 74.7%. Additionally, the use of an additive explanation tool enables individual prediction explanations and advanced feature contribution analysis. Using the ML model, we predict future gentrification in Sydney up to 2021. The predictions confirm that gentrification is expanding outwards from the city centre. A spill-over effect is predicted to the south, west and north-west of former gentrifying hotspots. The findings are expected to provide policymakers with a tool to better forecast where likely areas of gentrification will occur. This future insight can then inform suitable policy interventions and responses in planning for more equitable cities outcomes, specifically for vulnerable communities impacted by gentrification and neighbourhood change.

Towards a Comprehensive Measure of the Ambient Population: Building Estimates Using Geographically Weighted Regression

Estimates of the resident population fail to account for human mobility, which significantly impacts the numbers of people in urban areas. Employing the ambient population provides a more nuanced approach to small-area population estimation. This paper utilises statistical modelling and novel data to estimate the size of the ambient population in an urban area. Models of the daytime and night-time ambient populations are produced for the city of Leeds, West Yorkshire, UK. Interestingly, the presence of cash machines and hospitality venues were found to be statistically significant and were identified as the most important predictors of the ambient population. In contrast to the literature, the number of retail hubs, transport hubs, and the density of mobile phone cell towers were not found to have statistically significant relationships with footfall camera counts. Footfall camera data and the results of the predictive model were validated through comparison with manually collected pedestrian counts. The results of this validation process demonstrated that at five out of the six locations in Leeds city centre, the model produced expected estimates of the size of the ambient population. The results suggest that the approach of this study can be used as a tool to inform decision-making within local government and studies in which small area estimates of ambient populations are required.

Why is the city's responsibility for its air pollution often underestimated? A focus on PM_2.5

While the burden caused by air pollution in urban areas is well documented, the origin of this pollution and therefore the responsibility of the urban areas in generating this pollution are still a subject of scientific discussion. Source apportionment represents a useful technique to quantify the city's responsibility, but the approaches and applications are not harmonized and therefore not comparable, resulting in confusing and sometimes contradicting interpretations. In this work, we analyse how different source apportionment approaches apply to the urban scale and how their building elements and parameters are defined and set. We discuss in particular the options available in terms of indicator, receptor, source, and methodology. We show that different choices for these options lead to very large differences in terms of outcome. For the 150 large EU cities selected in our study, different choices made for the indicator, the receptor, and the source each lead to an average difference of a factor of 2 in terms of city contribution. We also show that temporal- and spatial-averaging processes applied to the air quality indicator, especially when diverging source apportionments are aggregated into a single number, lead to the favouring of strategies that target background sources while occulting actions that would be efficient in the city centre. We stress that methodological choices and assumptions most often lead to a systematic and important underestimation of the city's responsibility, with important implications. Indeed, if cities are seen as a minor actor, plans will target the background as a priority at the expense of potentially effective local actions.

The UK’s first (unsanctioned) overdose prevention site

Background: The UK is currently experiencing a public health crisis of drug-related deaths. The government has rejected recommendations to open overdose prevention services, under the Misuse of Drugs Act 1971. To report on the operation and use of an unsanctioned overdose prevention service which operated in Glasgow city centre from September 2020 to May 2021.Methods: Description of the service, with analysis of data collected on its use.Results: The service operated for nine months without permission or funding from official sources. We report on the 894 injections supervised and recorded, and nine successful interventions with overdose events (seven opioid/two cocaine). Powder cocaine injection predominated either alone (60.6%) or with heroin (22.1%). Injection was mostly in the groin (68.0%) or arm (16.8%). More injections were recorded by males (70.1%). Conclusion: It is possible to operate an overdose prevention service in the UK without it being shut down by the police. There is an urgent need and demand for these services in the UK to reduce harm, prevent and intervene during overdose, and provide vital psychosocial support for health and wellbeing in a highly marginalised population.