Matching Items (24)
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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

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
Description

The intent of this study is to develop a new eco-cultural design model of development for the Salt River watershed and surrounding areas with renewed respect for the land in modern society. It includes both conceptual and practical community guides to facilitate and catalyze a new community-driven typology of planning

The intent of this study is to develop a new eco-cultural design model of development for the Salt River watershed and surrounding areas with renewed respect for the land in modern society. It includes both conceptual and practical community guides to facilitate and catalyze a new community-driven typology of planning prepared for rapid community change and climate challenges. This study includes the review of prominent existing projects, both regionally and globally, with expertise in the areas of urban development, culture and place keeping/making, ecology and water management. This study aims to exhibit the diverse components of urbanism and its effects on the Salt River corridor, surrounding urban ecosystems and climate. This thesis argues for simultaneous and codependent cultural and ecological growth and healing, and its necessity for sustainable urban development. Lastly, an urban revitalization framework is manifested in a community-oriented handbook based on key findings to produce a unified vision executed by watershed community co-design of the Phoenix metropolitan area.

ContributorsBascom, Erin Elizabeth (Author) / Coseo, Paul (Thesis director) / Underwood, Max (Thesis director) / Weisz, Claire (Committee member) / Dean, W.P. Carey School of Business (Contributor) / The Design School (Contributor, Contributor, Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description
This project focuses on providing a series of Sensory Design Guidelines (SDG) for the creation of restorative environments for people and nature promoting cognitive health, motor skill development, and outdoor therapy for urban society’s most vulnerable. Although the project framework is structured around guidelines for the creation of spaces specifically

This project focuses on providing a series of Sensory Design Guidelines (SDG) for the creation of restorative environments for people and nature promoting cognitive health, motor skill development, and outdoor therapy for urban society’s most vulnerable. Although the project framework is structured around guidelines for the creation of spaces specifically designed for children with Sensory Processing Disorder, it is not restricted to that specific application. Guidelines are further developed structured around inclusive and universal design approaches.

The project is divided into four sections. The first section explores what Sensory Processing Disorder is, how Occupational Therapy with Sensory Integration positively impacts healing processes, and how designers can expand this processing into the natural healing environment of the great outdoors in a toxic and urbanized world. The second section discusses the vision, goals and objectives for implementation of Sensory Design Guidelines as discussed in the third section. And finally, the fourth section provides a conceptual example of what SDG would look like when applied to a physical site along a natural corridor in a densely urbanized landscape.

The final example of SDG implementation is applied to a site along the Salt River (Rio Salado) Corridor in Phoenix, Arizona. The Corridor is the subject of a coordinated inter-agency public/private restoration initiative spanning more than fifty-five miles along the Salt River that has been strongly supported by former U.S. Senator John McCain and greatly influenced by active involvement from Arizona State University students. The designated example site is designed as one site to be utilized in a larger network of easily accessible Sensory sites, each to be designed with a different approach to sensory development, as well as variation in challenges based on age and sensory abilities. Guidelines are intended to work in conjunction with future local projects promoting social and ecological growth and wellbeing, such as the Phoenix site is intended to work in conjunction with future Rio Re-imagined projects.

The findings, guidelines, and examples provided throughout the paper are focused on re-inventing the relationship between the built and natural environments in the urbanized landscape into one of daily nature-engagement and can be applied to any group living within an urban setting. By designing for society’s most vulnerable populations, design application benefits not only the individual, but creates a resilient, healthy environment for the entire urban population today, and for future generations.
ContributorsSquyres, Katryn O (Author) / Coseo, Paul (Thesis director) / Hargrove, Allyce (Committee member) / The Design School (Contributor) / Department of Finance (Contributor) / Dean, W.P. Carey School of Business (Contributor) / Department of Information Systems (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
Following the prolific car-centric design of the twentieth century, many cities are grappling with increasing pedestrian deaths and greater vehicle congestion. To solve these problems, many of these cities are expressing a desire to create more effective and vibrant walkable places. Aside from safety, numerous benefits come from pedestrian friendly

Following the prolific car-centric design of the twentieth century, many cities are grappling with increasing pedestrian deaths and greater vehicle congestion. To solve these problems, many of these cities are expressing a desire to create more effective and vibrant walkable places. Aside from safety, numerous benefits come from pedestrian friendly communities, including greater economic activity, better health, greater social capital, and less environmental impact. Although there are several tools already available, evaluating an area’s current walkability situation is still varied, and evaluating a pedestrian’s thoughts on safety and enjoyability is also difficult. The benefits of walkability and past and present tools are summarized in this paper. The goal of this paper was to create a walkability evaluation tool that included smaller, often overlooked aspects of the sidewalk and site design that contribute to a pedestrian’s experience and safety. The author developed a tool containing 40 different measures of the sidewalk concerning safety, connectivity, enjoyment, and accessibility, as well as created methods for visualizing the data. The tool was then utilized to gather data at six Phoenix-metro area intersections using a combination of on street data collection and GIS software and Google Street View. The paper also details suggestions on how to act upon the data and improve walkability in an area, including minor street alterations and larger policy shifts in zoning codes. Although in preliminary data collection the tool provides a good snapshot of the data, further development of the tool and assessment of its reliability are needed, as well as greater data collection to compare evaluated areas to a larger region.
ContributorsLaufer, Daniel (Author) / King, David (Thesis director) / Coseo, Paul (Committee member) / School of Geographical Sciences and Urban Planning (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
Description
This thesis will discuss how design strategies reduce the impact track venues
have on the environment and how to enhance the sense of place by investigating
ecoregional design for now and for the future. The specific site where examples of
sustainable design will be implemented is at the proposed new Arizona State University
Track

This thesis will discuss how design strategies reduce the impact track venues
have on the environment and how to enhance the sense of place by investigating
ecoregional design for now and for the future. The specific site where examples of
sustainable design will be implemented is at the proposed new Arizona State University
Track and field that will be relocated as part of the Novus Innovation Corridor Athletic
Village. First, we will discuss the impact sports have on our health and culture and why
athletics matters to society. Understanding the history of track and field and the
evolution of track stadiums and looking at current designs of stadiums will provide
insight for future track designs. Next, we will look at some existing track stadiums
around the United States and how each design is adjusted to the climate and weather of
the region to help the stadium last longer and be more sustainable. After that, we will
look at what is working for the existing Sun Angel Stadium and what should be improved
and implemented in the new design. Lastly, we will explore a proposed design for the
new Sun Angel Track Stadium and how it will benefit the student athletes, spectators,
and the environment.
ContributorsAntill, Kaylee Noelani (Author) / Coseo, Paul (Thesis director) / Martens, Lora (Committee member) / The Design School (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
The City of Phoenix has historically been developed in an unsustainable way based on the way that autocentric cities have come to mature. By learning from a few European cities, Phoenix can focus on improving in a few key areas that will make the valley more walkable, enjoyable, and beautiful.

The City of Phoenix has historically been developed in an unsustainable way based on the way that autocentric cities have come to mature. By learning from a few European cities, Phoenix can focus on improving in a few key areas that will make the valley more walkable, enjoyable, and beautiful. This process of learning from other European cities can help developers, designers, and others in the development community to improve all of the valley’s different communities with a consistent plan of increasing urban density and ending outward sprawl while redefining the connective tissue that makes up Phoenix. This paper is meant to provide a set of example cities in order to pull specific recommendations and create a system of guidelines for all autocentric cities.
ContributorsCava, Daniel (Author) / Coseo, Paul (Thesis director) / Azevedo, Justin (Committee member) / The Design School (Contributor) / Department of Management and Entrepreneurship (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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DescriptionThe goal of this creative thesis is to construct and implement an outdoor learning environment for the students who currently attend AIM's homework club. The project is underway and will be undergoing construction over the next few months.
ContributorsPeralta, Crystal Diane (Author) / Coseo, Paul (Thesis director) / Cook, Edward (Committee member) / The Design School (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Description
The suburbs provoke a deeply polarized reaction, more so than most other components of the urban landscape. Those who live in the suburbs often love them for their quietude and their spaciousness, even while urban designers lament suburban sprawl. Regardless, suburbs are deeply entrenched in patterns of American urban land

The suburbs provoke a deeply polarized reaction, more so than most other components of the urban landscape. Those who live in the suburbs often love them for their quietude and their spaciousness, even while urban designers lament suburban sprawl. Regardless, suburbs are deeply entrenched in patterns of American urban land use, so an evolution to more sustainable land use will require incremental changes to suburban landscapes. The purpose of this project is twofold: one, to design a transition to a more sustainable landscape for an HOA in Gilbert, Arizona; and two, to abstract the process of designing this transition so that it can be applied on a larger scale.
ContributorsRonczy, Patricia Sophia (Author) / Coseo, Paul (Thesis director) / Hargrove, Allyce (Committee member) / The Design School (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05