Rules and resources: a structuration approach to understanding the coordination of childrens`s inpatient health care

Aim. This paper presents findings from a multi-method study exploring the process of care coordination in children's inpatient health care.

Background. Existing work on care coordination is typified by 'black-box' type studies that measure inputs to and outcomes of care coordination roles and practices, without addressing the process of coordination.

Method. Using questionnaires, interviews and observation to collect data in multiple sites in the United Kingdom and Denmark between 1999 and 2005, the study gathered the perceptions of staff and compared these with observed practice. Giddens' structuration theory was used to provide an analytical and explanatory framework.

Findings. Current care coordination practice is diverse and inconsistent. It involves a wide range of clinical and non-clinical staff, many of whom perceive a lack of clarity about who should perform specific coordination activities. Staff draw upon a wide range of different material and non-material resources in coordinating care, the use of which is governed by largely tacit and informal rules.

Conclusions. Care coordination can be usefully conceptualized as a 'structurated' process – one that is continually produced and reproduced by staff using rules and resources to 'instantiate' or bring about care coordination through action. Potentially negative implications of this are manifested in diversity and inconsistency in care coordination practice. However, positive aspects such as the opportunity this provides to tailor care to the needs of the individual patient can be realized.

The importance of particle size in porous titanium and nonporous counterparts for surface energy and its impact on apatite formation

The importance of particle size in titanium (Ti) fabricated by powder metallurgy for the surface energy and its impact on the apatite formation was investigated. Four sorts of Ti powders of different mean particle size were realized through 20 min, 2 h, 5 h and 8 h of ball milling, respectively. Each sort of Ti powder was used to fabricate porous Ti and its nonporous counterparts sharing similar surface morphology, grain size and chemical composition, and then alkali-heat treatment was conducted on them. Surface energy was measured on the surfaces of the nonporous Ti counterparts due to the difficulty in measuring the porous surfaces directly. The surface energy increase on the alkali-heat-treated porous and nonporous Ti was observed due to the decrease in the particle size of the Ti powders and the presence of Ti–OH groups brought by the alkali-heat treatment. The apatite-inducing ability of the alkali-heat-treated porous and nonporous Ti with different surface energy values was evaluated in modified simulated body fluid and results indicated that there was a strong correlation between the apatite-inducing ability and the surface energy. The alkali-heat-treated porous and nonporous Ti discs prepared from the powders with an average particle size of 5.89 ± 0.76 μm possessed the highest surface energy and the best apatite-inducing ability when compared to the samples produced from the powders with the average particle size varying from 19.79 ± 0.31 to 10.25 ± 0.39 μm.

Energy and thermal comfort in a rammed earth office building

An analysis was made of the Charles Sturt University Academic Office building at Thurgoona from a thermal comfort and energy viewpoint. It was found that the offices did not meet low energy criteria and some were uncomfortable for 30% to 85% of occupied hours.

Fire, energy, and the ecology of reptiles in semi-arid Australia

‬Fire dependent ecosystems cover over half of the world's land surface. Understanding the factors that determine the distribution of fauna in these systems is essential to biodiversity conservation. This thesis explores the ecology of reptiles in a fire-prone region.

Energy and greenhouse gas emissions implications of alternative housing types for Australia

Many cities around the world are looking for ways to reduce their per capita greenhouse gas emissions. The outward growth of cities from a central business district, typical of many cities around the world, is often seen as working against this goal and as unsustainable. This is especially the case in circumstances where this growth is not supported by the necessary infrastructure, often resulting in an increase in the use of private transport. However, alternative scenarios to contain the outward growth are being proposed. This paper provides a comparison of the energy demand and greenhouse gas emissions between typical detached outer-suburban housing currently being built in Australia's major cities and inner-city and -suburban apartments, which are increasingly seen as a legitimate alternative to the housing that is currently being built on our outer city fringes. By analysing the energy demand associated with the construction and operation of each housing type and for occupant travel it was found that the location of the housing and its size are the dominant factors determining energy use and greenhouse gas emissions. The findings from this analysis provide useful information for policy-makers in planning the development of our cities into the future, when faced with a growing population and an increasing need to minimise greenhouse gas emissions.

Local energy and pre-envelope

We observe that the local energy is the pre-envelope for analytic function. The maxima and phase of this function can be used to compute and classify visual features such as motion and stereo disparity, texture, etc. We examine the construction of new filters for computing Local Energy, and compare these filters with the Gabor filters and the three-point-filter of Venkatesh and Owens.