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The spatial configuration of cities can affect how urban environments alter local energy balances. Previous studies have reached the paradoxical conclusions that both sprawling and high-density urban development can amplify urban heat island intensities, which has prevented consensus on how best to mitigate the urban heat island effect via urban

The spatial configuration of cities can affect how urban environments alter local energy balances. Previous studies have reached the paradoxical conclusions that both sprawling and high-density urban development can amplify urban heat island intensities, which has prevented consensus on how best to mitigate the urban heat island effect via urban planning. To investigate this apparent dichotomy, we estimated the urban heat island intensities of the 50 most populous cities in the United States using gridded minimum temperature data sets and quantified each city's urban morphology with spatial metrics. The results indicated that the spatial contiguity of urban development, regardless of its density or degree of sprawl,was a critical factor that influenced the magnitude of the urban heat island effect. A ten percentage point increase in urban spatial contiguity was predicted to enhance the minimum temperature annual average urban heat island intensity by between 0.3 and 0.4 °C. Therefore, city contiguity should be considered when devising strategies for urban heat island mitigation, with more discontiguous development likely to ameliorate the urban heat island effect. Unraveling how urban morphology influences urban heat island intensity is paramount given the human health consequences associated with the continued growth of urban populations in the future.

ContributorsDebbage, Neil (Author) / Shepherd, J. Marshall (Author)
Created2015-09-12
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Description

This paper explores how urbanization, through its role in the evolution of Urban Heat Island (UHI), affects residential water consumption. Using longitudinal data and drawing on a mesoscale atmospheric model, we examine how variations in surface temperature at the census tract level have affected water use in single family residences

This paper explores how urbanization, through its role in the evolution of Urban Heat Island (UHI), affects residential water consumption. Using longitudinal data and drawing on a mesoscale atmospheric model, we examine how variations in surface temperature at the census tract level have affected water use in single family residences in Phoenix, Arizona. Results show that each Fahrenheit rise in nighttime temperature increases water consumption by 1.4%. This temperature effect is found to vary significantly with lot size and pool size. The study provides insights into the links between urban form and water use, through the dynamics of UHI.

ContributorsAggarwal, Rimjhim M. (Author) / Guhathakurta, Subhrajit (Author) / Grossman‐Clarke, Susanne (Author) / Lathey, Vasudha (Author)
Created2012-06-14
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Description

Presentation by David Sailor, professor in the School of Geographical Sciences and Urban Planning and director of the Urban Climate Research Center at ASU. Sailer's presentation addresses how to define urban heat islands (UHI), and decisions about why and how to measure these complex ecosystems.

ContributorsSailor, David (Author)
Created2017-09-07
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Description

The relationship between the characteristics of the urban land system and land surface temperature (LST) has received increasing attention in urban heat island and sustainability research, especially for desert cities. This research generally employs medium or coarser spatial resolution data and primarily focuses on the effects of a few classes

The relationship between the characteristics of the urban land system and land surface temperature (LST) has received increasing attention in urban heat island and sustainability research, especially for desert cities. This research generally employs medium or coarser spatial resolution data and primarily focuses on the effects of a few classes of land-cover composition and pattern at the neighborhood or larger level using regression models. This study explores the effects of land system architecture—composition and configuration, both pattern and shape, of fine-grain land-cover classes—on LST of single family residential parcels in the Phoenix, Arizona (southwestern USA) metropolitan area. A 1 m resolution land-cover map is used to calculate land architecture metrics at the parcel level, and 6.8 m resolution MODIS/ASTER data are employed to retrieve LST. Linear mixed-effects models quantify the impacts of land configuration on LST at the parcel scale, controlling for the effects of land composition and neighborhood characteristics. Results indicate that parcel-level land-cover composition has the strongest association with daytime and nighttime LST, but the configuration of this cover, foremost compactness and concentration, also affects LST, with different associations between land architecture and LST at nighttime and daytime. Given information on land system architecture at the parcel level, additional information based on geographic and socioeconomic variables does not improve the generalization capability of the statistical models. The results point the way towards parcel-level land-cover design that helps to mitigate the urban heat island effect for warm desert cities, although tradeoffs with other sustainability indicators must be considered.

ContributorsLi, Xiaoxiao (Author) / Kamarianakis, Yiannis (Author) / Ouyang, Yun (Author) / Turner II, B. L. (Author) / Brazel, Anthony J. (Author)
Created2017-02-14
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Description

This study seeks to determine the role of land architecture—the composition and configuration of land cover—as well as cadastral/demographic/economic factors on land surface temperature (LST) and the surface urban heat island effect of Phoenix, Arizona. It employs 1 m National Agricultural Imagery Program data of land-cover with 120mLandsat-derived land surface

This study seeks to determine the role of land architecture—the composition and configuration of land cover—as well as cadastral/demographic/economic factors on land surface temperature (LST) and the surface urban heat island effect of Phoenix, Arizona. It employs 1 m National Agricultural Imagery Program data of land-cover with 120mLandsat-derived land surface temperature, decomposed to 30 m, a new measure of configuration, the normalized moment of inertia, and U.S. Census data to address the question for two randomly selected samples comprising 523 and 545 residential neighborhoods (census blocks) in the city. The results indicate that, contrary to most other studies, land configuration has a stronger influence on LST than land composition. In addition, both land configuration and architecture combined with cadastral, demographic, and economic variables, capture a significant amount of explained variance in LST. The results indicate that attention to land architecture in the development of or reshaping of neighborhoods may ameliorate the summer extremes in LST.

ContributorsLi, Xiaoxiao (Author) / Li, Wenwen (Author) / Middel, Ariane (Author) / Harlan, Sharon L. (Author) / Brazel, Anthony J. (Author) / Turner II, B. L. (Author)
Created2015-12-29
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Description

We investigated the spatial and temporal variation in June mean minimum temperatures for weather stations in and around metropolitan Phoenix, USA, for the period 1990 to 2004. Temperature was related to synoptic conditions, location in urban development zones (DZs), and the pace of housing construction in a 1 km buffer

We investigated the spatial and temporal variation in June mean minimum temperatures for weather stations in and around metropolitan Phoenix, USA, for the period 1990 to 2004. Temperature was related to synoptic conditions, location in urban development zones (DZs), and the pace of housing construction in a 1 km buffer around fixed-point temperature stations. June is typically clear and calm, and dominated by a dry, tropical air mass with little change in minimum temperature from day to day. However, a dry, moderate weather type accounted for a large portion of the inter-annual variability in mean monthly minimum temperature. Significant temperature variation was explained by surface effects captured by the type of urban DZ, which ranged from urban core and infill sites, to desert and agricultural fringe locations, to exurban. An overall spatial urban effect, derived from the June monthly mean minimum temperature, is in the order of 2 to 4 K. The cumulative housing build-up around weather sites in the region was significant and resulted in average increases of 1.4 K per 1000 home completions, with a standard error of 0.4 K. Overall, minimum temperatures were spatially and temporally accounted for by variations in weather type, type of urban DZ (higher in core and infill), and the number of home completions over the period. Results compare favorably with the magnitude of heating by residential development cited by researchers using differing methodologies in other urban areas.

ContributorsBrazel, Anthony J. (Author) / Gober, Patricia (Author) / Lee, Seung-Jae (Author) / Grossman-Clarke, Susanne (Author) / Zehnder, Joseph (Author) / Hedquist, Brent (Author) / Comparri, Erin (Author)
Created2007-02-22
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Description
Objective: Pediatric patients with asthma are frequently cared for in the emergency department (ED). Many studies show early administration of corticosteroids (CS) can improve outcomes for children experiencing an asthma exacerbation. Despite the evidence, delays in care remain. The purpose of this study is to streamline the process for nurse-initiated,

Objective: Pediatric patients with asthma are frequently cared for in the emergency department (ED). Many studies show early administration of corticosteroids (CS) can improve outcomes for children experiencing an asthma exacerbation. Despite the evidence, delays in care remain. The purpose of this study is to streamline the process for nurse-initiated, triage-based CS administration and determine the effect on overall length of stay (LOS). Methods: For this quality improvement initiative, ED nurses at a large, freestanding, children’s emergency department in the southwestern United States were given education on inclusion and exclusion criteria for nurse-initiated CS in ED triage. Time to CS administration, LOS, and whether the ED nurse or provider ordered the CS were evaluated through chart reviews of patients presenting with a chief complaint of difficulty breathing. These metrics were compared to charts from the previous year during the same timeframe to evaluate for improved timeliness of CS delivery. Results: Time to CS administration decreased from a mean of 98.6 minutes to 57.6 minutes. LOS decreased from an average of 259.3 minutes to 169.6 minutes. The effect of timely CS on LOS was significant for December p =.003, January p =.002, and February p = <.001. Conclusion: A streamlined process for CS delivery to pediatric patients experiencing an asthma exacerbation can enable providers to achieve efficient and effective care in the ED and decrease a patient’s overall LOS.
Created2021-04-23
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Objective: Nearly 90% of sex trafficking victims will come into contact with an emergency department healthcare provider during his or her period of exploitation. Yet, victim identification by healthcare providers remains inadequate. The purpose of this quality improvement project is to improve emergency department healthcare providers’ confidence and ability to

Objective: Nearly 90% of sex trafficking victims will come into contact with an emergency department healthcare provider during his or her period of exploitation. Yet, victim identification by healthcare providers remains inadequate. The purpose of this quality improvement project is to improve emergency department healthcare providers’ confidence and ability to identify sex trafficking victims through staff education centered around sex trafficking. Method: A quality improvement project, guided by the Social Cognitive Theory, was implemented in an Arizona emergency department. ED staff were provided with a 40-minute education video about sex trafficking, including victim identification and appropriate responses. Participation in this project was open to all current healthcare workers employed at this emergency department. Stakeholders within the facility assisted with recruitment via weekly staff emails over a three-week period. A pre- and post-survey, consisting of a self-evaluation Likert scale, was used to assess confidence in identifying victims. Case studies were included to measure the participants’ ability to identify victims of trafficking. All aspects of this project were approved by Arizona State University’s and the organization’s Institutional Review Board. Results: One hundred percent of staff agreed to feeling confident in their ability to identify sex trafficking victims post intervention. However, there was no improvement in staff’s actual ability to identify victims through case studies post intervention. Conclusions: Education can be a valuable tool to improve confidence in identifying victims of sex trafficking in an emergency setting.
Created2021-04-28
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Description
Over the last ten years, a dramatic increase in Emergency Department (ED) visits has been prominent. Non-emergent chief complaints, such as repeat chronic care needs, are causing increased ED visits. The underutilization of primary care resources has been correlated with the overutilization of emergency care resources. ED overutilization is having

Over the last ten years, a dramatic increase in Emergency Department (ED) visits has been prominent. Non-emergent chief complaints, such as repeat chronic care needs, are causing increased ED visits. The underutilization of primary care resources has been correlated with the overutilization of emergency care resources. ED overutilization is having a negative rippling effect on the ability of the US healthcare system to care for patients. Emergency department personnel and other resources are strained, leading to overcrowding and decreased quality of care. Health insurance and provider accessibility has been linked to the high rates of ED usage by adults age 18 – 64, with the highest rates seen in those under public health coverage, such as Medicaid, compared to those who were uninsured. To encourage primary care visits and discourage non-emergent ED usage, the United States health system includes patient education on the appropriate ED use, higher-copayment as financial disincentives, and encouragement of provider-patient relationships with Primary care providers (PCP). The public health clinics, including Federally Qualified Health Centers, provide patient education on the appropriate use of PCP versus ED resources, and offer extended office hours during evenings and weekends; trimming the rate of non-emergent ED visits can significantly reduce health care costs.
ContributorsMarcus, Toyin (Author) / Ochieng, Dr. Judith (Author, Thesis advisor)
Created2019-05-04
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Description

Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected and increases the risk for re-injury and death. ED HCPs frequently cite lack of knowledge or confidence in

Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected and increases the risk for re-injury and death. ED HCPs frequently cite lack of knowledge or confidence in screening for and detecting child physical abuse.

The purpose of this evidence-based quality improvement project was to implement a comprehensive screening program that included ED HCP education on child physical abuse, a systematic screening protocol, and use of the validated Escape Instrument. After a 20-minute educational session, there was a significant increase in ED HCP knowledge and confidence scores for child physical abuse screening and recognition (p < .001). There was no difference in diagnostic coding of child physical abuse by ED HCPs when evaluating a 30-day period before and after implementation of the screening protocol.

In a follow-up survey, the Escape Instrument and educational session were the most reported screening facilitators, while transition to a new electronic health system was the most reported barrier. The results of this project support comprehensive ED screening programs as a method of improving HCP knowledge and confidence in screening for and recognizing child physical abuse. Future research should focus on the impact of screening on the diagnosis and treatment of child physical abuse. Efforts should also be made to standardize child abuse screening programs throughout all EDs, with the potential for spread to other settings.

ContributorsCarson, Sheri C. (Author) / Hagler, Debra (Thesis advisor)
Created2018-04-09