Matching Items (25)
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Description
Critical care environments are complex in nature. Fluctuating team dynamics and the plethora of technology and equipment create unforeseen demands on clinicians. Such environments become chaotic very quickly due to the chronic exposure to unpredictable clusters of events. In order to cope with this complexity, clinicians tend to develop ad-hoc

Critical care environments are complex in nature. Fluctuating team dynamics and the plethora of technology and equipment create unforeseen demands on clinicians. Such environments become chaotic very quickly due to the chronic exposure to unpredictable clusters of events. In order to cope with this complexity, clinicians tend to develop ad-hoc adaptations to function in an effective manner. It is these adaptations or "deviations" from expected behaviors that provide insight into the processes that shape the overall behavior of the complex system. The research described in this manuscript examines the cognitive basis of clinicians' adaptive mechanisms and presents a methodology for studying the same. Examining interactions in complex systems is difficult due to the disassociation between the nature of the environment and the tools available to analyze underlying processes. In this work, the use of a mixed methodology framework to study trauma critical care, a complex environment, is presented. The hybrid framework supplements existing methods of data collection (qualitative observations) with quantitative methods (use of electronic tags) to capture activities in the complex system. Quantitative models of activities (using Hidden Markov Modeling) and theoretical models of deviations were developed to support this mixed methodology framework. The quantitative activity models developed were tested with a set of fifteen simulated activities that represent workflow in trauma care. A mean recognition rate of 87.5% was obtained in automatically recognizing activities. Theoretical models, on the other hand, were developed using field observations of 30 trauma cases. The analysis of the classification schema (with substantial inter-rater reliability) and 161 deviations identified shows that expertise and role played by the clinician in the trauma team influences the nature of deviations made (p<0.01). The results shows that while expert clinicians deviate to innovate, deviations of novices often result in errors. Experts' flexibility and adaptiveness allow their deviations to generate innovative ideas, in particular when dynamic adjustments are required in complex situations. The findings suggest that while adherence to protocols and standards is important for novice practitioners to reduce medical errors and ensure patient safety, there is strong need for training novices in coping with complex situations as well.
ContributorsVankipuram, Mithra (Author) / Greenes, Robert A (Thesis advisor) / Patel, Vimla L. (Thesis advisor) / Petitti, Diana B. (Committee member) / Dinu, Valentin (Committee member) / Smith, Marshall L. (Committee member) / Arizona State University (Publisher)
Created2012
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Description
Urban areas produce an urban heat island (UHI), which is manifest as warmer temperatures compared to the surrounding and less developed areas. While it is understood that UHI's are warmer than their surrounding areas, attributing the amount of heat added by the urban area is not easily determined. Current generation

Urban areas produce an urban heat island (UHI), which is manifest as warmer temperatures compared to the surrounding and less developed areas. While it is understood that UHI's are warmer than their surrounding areas, attributing the amount of heat added by the urban area is not easily determined. Current generation modeling systems require diurnal anthropogenic heating profiles. Development of diurnal cycle profiles of anthropogenic heating will help the modeling community as there is currently no database for anthropogenic heating profiles for cities across the United States. With more accurate anthropogenic heating profiles, climate models will be better able to show how humans directly impact the urban climate. This research attempts to create anthropogenic heating profiles for 61 cities in the United States. The method used climate, electricity, natural gas, and transportation data to develop anthropogenic heating profiles for each state. To develop anthropogenic heating profiles, profiles are developed for buildings, transportation, and human metabolism using the most recently available data. Since utilities are reluctant to release data, the building energy profile is developed using statewide electricity by creating a linear regression between the climate and electricity usage. A similar method is used to determine the contribution of natural gas consumption. These profiles are developed for each month of the year, so annual changes in anthropogenic heating can be seen. These profiles can then be put into climate models to enable more accurate urban climate modeling.
ContributorsMilne, Jeffrey (Author) / Georgescu, Matei (Thesis director) / Sailor, David (Committee member) / Brazel, Anthony (Committee member) / Barrett, The Honors College (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / School of Geographical Sciences and Urban Planning (Contributor)
Created2014-05
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Description

The urban thermal environment varies not only from its rural surroundings but also within the urban area due to intra-urban differences in land-use and surface characteristics. Understanding the causes of this intra-urban variability is a first step in improving urban planning and development. Toward this end, a method for quantifying

The urban thermal environment varies not only from its rural surroundings but also within the urban area due to intra-urban differences in land-use and surface characteristics. Understanding the causes of this intra-urban variability is a first step in improving urban planning and development. Toward this end, a method for quantifying causes of spatial variability in the urban heat island has been developed. This paper presents the method as applied to a specific test case of Portland, Oregon. Vehicle temperature traverses were used to determine spatial differences in summertime ~2 m air temperature across the metropolitan area in the afternoon. A tree-structured regression model was used to quantify the land-use and surface characteristics that have the greatest influence on daytime UHI intensity. The most important urban characteristic separating warmer from cooler regions of the Portland metropolitan area was canopy cover. Roadway area density was also an important determinant of local UHI magnitudes. Specifically, the air above major arterial roads was found to be warmer on weekdays than weekends, possibly due to increased anthropogenic activity from the vehicle sector on weekdays. In general, warmer regions of the city were associated with industrial and commercial land-use. The downtown core, whilst warmer than the rural surroundings, was not the warmest part of the Portland metropolitan area. This is thought to be due in large part to local shading effects in the urban canyons.

ContributorsHart, Melissa A. (Author) / Sailor, David (Author)
Created2008-05-07
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Description

Objectives: We estimated neighborhood effects of population characteristics and built and natural environments on deaths due to heat exposure in Maricopa County, Arizona (2000–2008).

Methods: We used 2000 U.S. Census data and remotely sensed vegetation and land surface temperature to construct indicators of neighborhood vulnerability and a geographic information system to

Objectives: We estimated neighborhood effects of population characteristics and built and natural environments on deaths due to heat exposure in Maricopa County, Arizona (2000–2008).

Methods: We used 2000 U.S. Census data and remotely sensed vegetation and land surface temperature to construct indicators of neighborhood vulnerability and a geographic information system to map vulnerability and residential addresses of persons who died from heat exposure in 2,081 census block groups. Binary logistic regression and spatial analysis were used to associate deaths with neighborhoods.

Results: Neighborhood scores on three factors—socioeconomic vulnerability, elderly/isolation, and unvegetated area—varied widely throughout the study area. The preferred model (based on fit and parsimony) for predicting the odds of one or more deaths from heat exposure within a census block group included the first two factors and surface temperature in residential neighborhoods, holding population size constant. Spatial analysis identified clusters of neighborhoods with the highest heat vulnerability scores. A large proportion of deaths occurred among people, including homeless persons, who lived in the inner cores of the largest cities and along an industrial corridor.

Conclusions: Place-based indicators of vulnerability complement analyses of person-level heat risk factors. Surface temperature might be used in Maricopa County to identify the most heat-vulnerable neighborhoods, but more attention to the socioecological complexities of climate adaptation is needed.

ContributorsHarlan, Sharon L. (Author) / Declet-Barreto, Juan H. (Author) / Stefanov, William L. (Author) / Petitti, Diana B. (Author)
Created2013-02-01
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Description

In this study we characterized the relationship between temperature and mortality in central Arizona desert cities that have an extremely hot climate. Relationships between daily maximum apparent temperature (ATmax) and mortality for eight condition-specific causes and all-cause deaths were modeled for all residents and separately for males and females ages

In this study we characterized the relationship between temperature and mortality in central Arizona desert cities that have an extremely hot climate. Relationships between daily maximum apparent temperature (ATmax) and mortality for eight condition-specific causes and all-cause deaths were modeled for all residents and separately for males and females ages <65 and ≥65 during the months May–October for years 2000–2008. The most robust relationship was between ATmax on day of death and mortality from direct exposure to high environmental heat. For this condition-specific cause of death, the heat thresholds in all gender and age groups (ATmax = 90–97 °F; 32.2‒36.1 °C) were below local median seasonal temperatures in the study period (ATmax = 99.5 °F; 37.5 °C). Heat threshold was defined as ATmax at which the mortality ratio begins an exponential upward trend. Thresholds were identified in younger and older females for cardiac disease/stroke mortality (ATmax = 106 and 108 °F; 41.1 and 42.2 °C) with a one-day lag. Thresholds were also identified for mortality from respiratory diseases in older people (ATmax = 109 °F; 42.8 °C) and for all-cause mortality in females (ATmax = 107 °F; 41.7 °C) and males <65 years (ATmax = 102 °F; 38.9 °C). Heat-related mortality in a region that has already made some adaptations to predictable periods of extremely high temperatures suggests that more extensive and targeted heat-adaptation plans for climate change are needed in cities worldwide.

ContributorsHarlan, Sharon L. (Author) / Chowell, Gerardo (Author) / Yang, Shuo (Author) / Petitti, Diana B. (Author) / Morales Butler, Emmanuel J. (Author) / Ruddell, Benjamin L. (Author) / Ruddell, Darren M. (Author)
Created2014-05-20
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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

Ozone is a highly reactive compound that is harmful at very low concentrations as compared to other pollutants. One method of pollution control is the use of photocatalysis, specifically with titanium dioxide to induce ozone decomposition. An experiment was designed and executed in order to determine the rate of decomposition

Ozone is a highly reactive compound that is harmful at very low concentrations as compared to other pollutants. One method of pollution control is the use of photocatalysis, specifically with titanium dioxide to induce ozone decomposition. An experiment was designed and executed in order to determine the rate of decomposition by coating concrete in 5% by weight titanium dioxide mixed with paint. The experiment was unsuccessful in inducing decomposition but gave important insight into the adsorptive properties of ozone over surfaces, particularly with bare concrete that had an adsorption of 22.51 ± 2.457 ppbv, which was much better than the coated samples. Further studies into the development of photocatalytic paint is needed in order to develop an effective urban ozone pollution control method to be implemented in major cities, particularly in the most polluted such as Los Angeles, California.

ContributorsMedina, Taylor (Author) / Andino, Jean (Thesis director) / Sailor, David (Committee member) / Chemical Engineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description
Photovoltaic panels are commonly used for their versatility in on-site generation of clean electricity in urban environments, specifically on rooftops. However, their implementation on rooftops poses potential (positive and negative) impacts on the energy use of buildings, and urban climates. The negative impacts are compounded if PV is installed on

Photovoltaic panels are commonly used for their versatility in on-site generation of clean electricity in urban environments, specifically on rooftops. However, their implementation on rooftops poses potential (positive and negative) impacts on the energy use of buildings, and urban climates. The negative impacts are compounded if PV is installed on top of a high-albedo rooftop. This study quantitively investigates these impacts from PV installation on top of a building with a white roof in Phoenix, AZ. We supplemented our measurements with EnergyPlus simulations to model the energy implications for archetypical residential and retail buildings and calculated the energy penalty to generation ratio as well as sensible heat flux for each combination of panel height and building type. Results indicate that the daily cooling energy penalty to due blockage of outgoing longwave radiation can be 4.9—11.2% of the PV generation. In addition, while we observed a small decrease in nighttime sensible heat flux to the ambient, PV cases increased the daytime heat flux by more than a factor of 10. This study highlights the potential unintended consequences of rooftop PV under certain conditions and provides a broader perspective for building designers and urban planners.
ContributorsBrown, Kyle (Author) / Sailor, David (Thesis director) / Phelan, Patrick (Committee member) / Department of Physics (Contributor) / Dean, W.P. Carey School of Business (Contributor) / School of Sustainability (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description

The City of Phoenix Street Transportation Department partnered with the Rob and Melani Walton Sustainability Solutions Service at Arizona State University (ASU) and researchers from various ASU schools to evaluate the effectiveness, performance, and community perception of the new pavement coating. The data collection and analysis occurred across multiple neighborhoods

The City of Phoenix Street Transportation Department partnered with the Rob and Melani Walton Sustainability Solutions Service at Arizona State University (ASU) and researchers from various ASU schools to evaluate the effectiveness, performance, and community perception of the new pavement coating. The data collection and analysis occurred across multiple neighborhoods and at varying times across days and/or months over the course of one year (July 15, 2020–July 14, 2021), allowing the team to study the impacts of the surface treatment under various weather conditions.

Created2021-09
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Description

Major urban centers are warming due to a combination of global and local phenomena. City governments are increasingly adopting strategies to mitigate the causes and impacts of extreme heat on their populations. Among these strategies are high solar-reflectance (cool) surfaces installed on building roofs and walls. Use of cool surfaces

Major urban centers are warming due to a combination of global and local phenomena. City governments are increasingly adopting strategies to mitigate the causes and impacts of extreme heat on their populations. Among these strategies are high solar-reflectance (cool) surfaces installed on building roofs and walls. Use of cool surfaces is a cost-effective and simple strategy that replaces conventional darker surfaces with surfaces that have a high reflectance to shortwave (solar) energy.

This report reviews the recent history of cool-surface deployment efforts. This includes peer-reviewed literature, conference proceedings, and grey literature to identify challenges and barriers to wide-scale deployment of cool surfaces. We have also researched heat action plans and programs from cities and different codes and standards, as well as available incentive and rebate programs.

The review identifies challenges, barriers, and opportunities associated with large-scale deployment of cool surfaces and categorizes them broadly as being related to product development & performance or policies & mandates. It provides a foundation upon which we intend to build a roadmap for rapidly accelerating future deployments of cool surfaces. This roadmap will address identified challenges and incorporate lessons learned from historical efforts to generate a practical and actionable plan.

ContributorsAlhazmi, Mansour (Author) / Sailor, David (Author) / Levinson, Ronnen (Author)
Created2023-05-24