The impact of test medium on use of visual analogue scales

Objectives: Visual analog scales are frequently used as a means of allowing participants to rate symptoms during clinical trials. The accuracy and reproducibility of these scales play an important role in determining the experimental value of the data they provide. This study was initiated to compare the data collected using paper- and computer-based (Tablet PC) analog scales to better understand the variability in data provided by a visual analog scale.

Methods: Thirty participants rated ocular comfort, redness, and clarity of vision (right and left eyes) on a nondemarcated horizontal line on both paper and a Tablet PC. Measurements were taken in the morning between the hours of 8:30 and 10:30 am and again the same day between 2:30 and 4:30 pm.

Results: The mean difference between the measures recorded in the morning for the 2 media was 2.6 ± 0.9 (confidence intervals, 2 standard errors of the differences) units on a 100 unit scale, with the Tablet PC having the higher mean measure. The limits of agreement (2 standard deviations of the differences) was 9.4 units. Comparing the difference of the differences (1.0 ± 1.3) between the 2 methods of measure (morning vs. afternoon) the visual analog scales on the Tablet PC seemed to have good reproducibility of agreement in comparison with the paper version.

Conclusions: Discrepancy analysis yielded no significant difference and slight bias between paper- and computer-based analog scales. Repeatability of measures using the Tablet PC was also demonstrated. These results suggest that the choice of medium does not significantly influence the outcome for subjective analog scales.

Impact of a rub and rinse on solution-induced corneal staining

Purpose. To investigate whether the inclusion of a rub and rinse step before contact lens disinfection has an impact on solution-induced corneal staining.

Methods. This was a prospective, double-masked, single investigator study. Twenty participants were recruited for two visits, where balafilcon-A lenses were worn bilaterally for 2 h. Each pair of lenses was prepared using two different methodologies. The “control” lens was transferred from the blister pack directly into a storage case containing polyhexamethylene biguanide-based lens care solution. The contralateral “test” lens was rubbed and simultaneously rinsed using the same polyhexamethylene biguanide-based care solution, for either 60 s (visit 1) or 20 s (visit 2). Both lenses were then soaked in the solution overnight. After baseline corneal staining assessments, the lenses were inserted following a randomized contralateral model. After 2 h, lenses were removed, corneal staining was regraded, and comfort scores were obtained.

Results. Rubbed and rinsed test lenses induced significantly less corneal staining than control lenses for all participants during visit 1 (mean ± SD: 516 ± 843 vs. 2170 ± 902; p < 0.001) and visit 2 (522 ± 417 vs. 2091 ± 965; p < 0.001). There was no significant difference between the test lenses during visits 1 and 2 (p = 0.72) or controls (p = 0.50). Comfort scores did not differ between eyes (p > 0.05).

Conclusions. Corneal staining induced after 2 h of lens wear with the combination of balafilcon-A and polyhexamethylene biguanide-based lens care solution can be significantly reduced by including a rub and rinse step before overnight soaking. Further work is required to establish the longevity of this effect during the monthly wearing cycle.

Investigation of the performance of the menifocal Z gas-permeable bifocal contact lens during continuous wear

Purpose. The Menifocal Z is an alternating vision, concentric, bifocal gas-permeable (GP) contact lens; center distance is connected to near periphery by a smooth transition zone. The lens is produced using tisilfocon A (Menicon Z material), which is approved for up to 30 days of continuous wear (CW). The aim of this study was to evaluate the clinical performance of the Menifocal Z when worn for up to 30 days of CW for 6 months.

Methods. Thirty-five existing GP lens wearers were enrolled in the study. Subjects were fitted with Menifocal Z lenses and follow-up visits were conducted after 2 weeks of daily wear and 1 day, 1 week, 6 weeks, 3 and 6 months of CW. A range of objective and subjective clinical performance measures were assessed, including distance and near visual acuity, the physiological response to CW, and subjective evaluation of vision and comfort.

Results. Twenty-seven subjects (77%) completed the study and eight (23%) discontinued: five (14%) as a result of lens-related problems (four vision, one comfort) and three (9%) as a result of non-lens related reasons. Average CW time achieved by the subjects was 22 ± 2 days. Mean binocular logarithm of the minimum angle of resolution (logMAR) acuities at 6 months were: high contrast distance 0.03 (20/20-), low contrast distance 0.63 (20/80-), and high contrast near 0.26 (20/25, N4). Adverse responses and lens binding were minimal, and there were no significant increases in corneal staining, corneal vascularization, or superior palpebral conjunctival papillae over time (p > 0.05). Problems with night vision (distance and near) with the lenses were the most common difficulties reported by the subjects.

Conclusions. The Menifocal Z appears to be a promising option for presbyopic vision correction, providing successful correction of distance and near vision in a group of experienced GP lens wearers. The hyper Dk tisilfocon A (Menicon Z) material allowed for safe wear of the lenses on a CW basis.

Study on the visual performance of a traditional residential neighborhood in Old Cairo

Traditional dwellings located in the hot arid zone in Egypt are well known for their sensitive architectural response to the region's climatic conditions and socio-cultural norms. The majority of these dwellings are well recognized for their courtyard arrangement and perforated fenestration systems that evolved to control the harsh solar, climatic conditions without compromising the aesthetic quality of the space and the occupants' well-being. The unique visual characteristics of these structures cannot be fully appreciated by assessing the visual performance of buildings in isolation from their urban context. Much of the character of the traditional urban fabric of this region came from the collective visual perception of its architectural components as well as urban patterns. This paper examines daylight behavior of a well-known historic alleyway and of a courtyard house in the Old City of Cairo. Using the Radiance IES simulation modeling tool and a scaled model under an artificial sky dome, the paper investigates the visual comfort in a typical pedestrian street and a selected house. A comparative analysis between simulated results and measured values at target points was conducted. The results indicate a reasonable agreement with the simulation results. The paper gives an insight into the overall visual experience in the traditional settlements in the Old City of Cairo in relation to daylight components and hence their contribution to the unique sense of identity of the place.

Comparison of advanced waste heat recovery systems with a novel oil heating system

Latest trends in waste heat recovery include systems like Thermo Electric Generation (TEG), Rankine cycle, and active warm up systems. The advantages and disadvantages of different approaches are critically discussed and compared with a novel and effective oil heating system that can deliver between 7% and 12% reductions of CO2 emissions and fuel consumption. The comparison includes the expected CO2 and fuel saving potential related to the legal drive cycle as well as real world driving, effects on regulated exhaust emissions, utilisation of resources, maintenance and service, vehicle performance, comfort, noise, and durability.

"Tomorrow's car" : Deakin Universities new cross vehicle that combines the best of 2 worlds

Motorbike riders are 34-times more likely to die in a crash compared to car drivers per km travelled (1). Such safety risks together with special skill requirements for the driver and much lower comfort compared to normal cars are the main reasons why motorbikes represent only a fraction of all vehicle sales in developed countries. Deakin University is developing a revolutionary cross-over fun vehicle with ultra low fuel consumption and emissions. This new vehicle generation combines the best of two worlds: the fun to drive, low cost, and small size of a scooter together with the safety, comfort and easiness to operate of a car. The result is a vehicle that is more fuel efficient than most cars or even scooters.

Various tilting cross over vehicles have been presented over the last decade that were trying to automate the tilting control of narrow vehicles to make them safer. Examples of these concepts are the Carver, Clever and in some way also the MP3 scooter from Piaggio. The problem with fully enclosed concepts like the Carver or Clever is that they require very complex and therefore also expensive tilting control systems so that the vehicles are not price competitive compared to low cost micro cars or even normal small cars. The MP3 on the other hand comes with a tilting control system which is only semi automatic so that typical car advantages - comprehensive safety features like crush zones, roll over protection, air bags, safety belts or comfort features like full weather protection including heating and cooling – can not be provided.

Deakin’s approach is quite different to the above mentioned concepts. The requirements were derived based on two different investigations: The first step was a critical evaluation of social trends and the second step was an in-depth benchmarking study of existing concepts which identified the typical strengths and weaknesses of these concepts. In a critical next step a new concept was created that addresses most of the weaknesses of existing tilting three-wheelers in a holistic approach by setting clear priority rankings for the vehicle targets, based on current trends. The priorities were set in the following order: Safety, Affordability, Fun and Efficiency (SAFE).

The key feature that enables an enclosed tilting vehicle is a fully automatic tilting control system. With an automatic tilting control system the driver does not need to put the feet on the ground to balance the vehicle when he stops, so the vehicle can be built with a full enclosure. This allows the implementation of typical car like safety features (seat belts, roll over structure, crush zones, air bags). The SafeRide™ tilting control system is a passive system that involves the driver’s balancing sense in its feedback control system. The vehicle has typical scooter like steering characteristics, where the steering is initiated through countersteering. Another safety critical design feature is the crush zone between the two front wheels which is not possible with only one front wheel or with the powertrain positioned between the front wheels, as the powertrain can’t absorb a lot of energy due to its structural stiffness and density. The passive tilting control system is quite simple and therefore makes the vehicle very affordable, an important factor for successful commercialisation.

Another advantage of integrating the human balancing senses in the feedback control of the tilting system is that the system kicks in slightly after the human balancing reacts. In some instances that can generate the typical adrenalin thrill known from riding a bike. This fun factor is quite common with many trend sports like mountain biking, surfing, roller-skating, snowboarding, or skateboarding. Some of these sports have seen very rapid growth only a short time after they have been invented. Utilising the human balancing system during driving also makes the vehicle safer as the adrenalin is produced after reaching a semi-stable driving condition that is controlled by the vehicles tilting control system, but before the vehicle reaches an unstable driving condition that can not be controlled by the vehicle but only (eventually) by the driver – if he has got the required driving skill and if he is alert enough.

Efficiency superior to most cars and scooters is achieved by the aerodynamics of a fully enclosed body structure in combination with the small frontal area of a typical scooter and the droplet shape enabled by the relatively wide front with 2 wheels and the very narrow tail with only one rear wheel. The passive tilting system also contributes to the extreme efficiency as the system only draws some small electrical power for the electronic control unit. Another feature is a low cost exhaust energy recovery system which is discussed in another paper.

Evolution of moisture management behavior of high-wicking 3D warp knitted spacer fabrics

Moisture management behavior is a vital factor in evaluating thermal and physiological comfort of functional textiles. This research work studies functional 3 dimensional (3D) warp knitted spacer fabrics containing high-wicking materials characterized by their profiled cross section. These spacer fabrics can be used for protective vest to absorb a user’s sweat, to reduce the humidity and improve user’s thermal comfort. For this reason, different 3D warp knitted spacer fabrics were produced with functional fiber yarns in the back layer of the fabric (close to the body) and polyester in the front and middle layers (outer surface). Comfort properties such as air and water vapor permeability and wicking and other moisture management properties (MMP) of different fabric samples were measured. It is demonstrated that by using profiled fibers such as Coolmax fiber, moisture management properties of spacer fabrics can be improved, enabling them to be use as a snug-fitting shirt worn under protective vests with improved comfort.

Review of measurements in schools to improve IEQ

An Australian research facility, MABEL (the Mobile Architecture and Built Environment Laboratory) measured several school classrooms for their indoor environmental performance (IEQ) performance. This paper is a reporting of a case study, highlighting the processed measurement of a classroom and its findings. A review of the literature, also reveals particular sectors of IEQ in schools that are worthy of measurement. A primary intention here is to determine the type of IEQ measurements and their evaluation methods together with their corresponding instrumentation. A secondary intention is to highlight particular IEQ discrepancies in existing school classroom design resulting from these case study measurements, suggesting construction and operational conditioning improvements.In particular this research reveals international research on the subject of IEQ in school buildings and confirms the usefulness, urgency and necessity of IEQ measurements, world wide, in this area. As most of the existing literature on the subject seems to fall short of acknowledging all sectors of IEQ, this paper would like to address the importance of multiple IEQ parameters, experienced through on-site measurement case studies. It is suggested that the existing literature intends to target a specific IEQ sector or parameter, predetermining its effect on student absenteeism or reduced performance. In contrast to this, this paper would like to acknowledge the interactive effects of an IEQ index (standard) in general. One of the reasons for this are that such an index still appears to remain in the developmental stages.Various sectors of IEQ measurements, as measured with the MABEL facility, are demonstrated in this paper. They illustrate a cross-section of typical classroom evidence-based problems backed by measurement. A literature review confirms that similar problems in school buildings are evident in other parts of Australia as well as throughout the world, in identical and different climates. A holistic IEQ measurement acknowledges that there may be several outstanding, as well as poor IEQ parameters within the same classroom. Solutions to these poor IEQ results may be remedied, yet, it is the measurement that highlights the periods, degree and extent to which these problems occur. It is suggested here that a holistic approach to IEQ is required and that the development of its measurement standards and reporting are desperately needed.

A simple-to-use calculator for determining the total solar heat gain of a glazing system

Architects and designers could readily use a quick and easy tool to determine the solar heat gains of their selected glazing systems for particular orientations, tilts and climate data. Speedy results under variable solar angles and degree of irradiance would be welcomed by most. Furthermore, a newly proposed program should utilise the outputs of existing glazing tools and their standard information, such as the use of U-values and Solar Heat Gain Coefficients (SHGC’s) as generated for numerous glazing configurations by the well-known program WINDOW 6.0 (LBNL, 2001). The results of this tool provide interior glass surface temperature and transmitted solar radiation which link into comfort analysis inputs required by the ASHRAE Thermal Comfort Tool –V2 (ASHRAE, 2011). This tool is a simple-to-use calculator providing the total solar heat gain of a glazing system exposed to various angles of solar incidence. Given basic climate (solar) data, as well as the orientation of the glazing under consideration the solar heat gain can be calculated. The calculation incorporates the Solar Heat Gain Coefficient function produced for the glazing system under various angles of solar incidence WINDOW 6.0 (LBNL, 2001). The significance of this work rests in providing an orientation-based heat transfer calculator through an easy-to-use tool (using Microsoft EXCEL) for user inputs of climate and Solar Heat Gain Coefficient (WINDOW-6) data. We address the factors to be considered such as solar position and the incident angles to the horizontal and the window surface, and the fact that the solar heat gain coefficient is a function of the angle of incidence. We also discuss the effect of the diffuse components of radiation from the sky and those from ground surface reflection, which require refinement of the calculation methods. The calculator is implemented in an Excel workbook allowing the user to input a dataset and immediately produce the resulting solar gain. We compare this calculated total solar heat gain with measurements from a test facility described elsewhere in this conference (Luther et.al., 2012).

Developing a facility for glass façade performance testing

This research aims to investigate whether real spaces can support legitimate measurements on glazing energy and thermal comfort analysis. This paper presents the development of a research facility for doing this. It will test simple to complex glazing and shading systems in a real (occupied) interior office environment. The purpose of this research project is to compare measured results with those being simulated with existing software and to discover discrepancies between simulation and real measured results. What parameters characterize a glazing system, whether simple or complex? Can these parameters be used to predict the energy transfer and comfort in the space? One must begin with simple glazing systems and verify measured with readily known simulated results. It is, at present, very difficult to use geometric based software with thermal based software to predict the performance of complex glazing systems. However, if we can characterize glazing systems with a set of reliable measurements, we can provide the data necessary for predicting performance in a live space. Specifically, the Solar Heat Gain Coefficient (SHGC) is a variable parameter based upon solar incident angle to a glazing system and is intended to be measured in its integral components: solar transmittance and inward-flowing fraction (radiative/convective) heat gain. A new instrumental approach through variable surface coated heat flux meters is being investigated to provide the measurement of interior glazing surface radiative and convective heat gain. The results suggest that this instrumentation may support be a viable method of testing inward-flowing heat gains from the interior glass surface. The test set-up also considers the application of a well-known B&K 1221 Comfort Meter for determining thermal comfort responses in the ‘perimeter zone’ on the interior side of a façade. This work requires further investigation, but is intended to be used in conjunction with solar pyranometers measuring transmittance as well as the heat flux meter and surface temperature instrumentation.

Dealing with alcohol-related harm and the night-time economy

Alcohol-related problems are a major cause of social disorder and illness in Australia. In particular, problems associated with the night-time economies of urban and regional centres cause substantial community concern and are a considerable drain on police, community and health resources. The estimated cost of alcohol to the community is $15.3 billion, including costs associated with crime, violence, patient treatment, loss of productivity and premature deaths in 2004–05 (Collins 2008). Alcohol has also been identified as a factor in around three quarters of assaults and incidents of offensive behaviour on the street (Buss 1995). Previous research has identified several issues that contribute to the levels of short-term harm associated with risky drinking. These include: excessive consumption at licensed premises, consumption in public areas and lack of transport and security in entertainment precincts (Homel et al. 1992; Graham & Homel 2008).

Drinking in licensed venues is another predictor of harm and public disorder. More than half of offences occurring on the street have been associated with licensed premises in Australia (Buss 1995). A complex range of factors increase risky drinking and associated harms on licensed premises including: aspects of patron mix; levels of comfort, boredom, and intoxication; promotions that cause mass intoxication; and the behaviour of security/bouncers (Homel et al. 1992). Violence has also been shown to be perpetuated by poor venue management, lax police surveillance, lack of transport options for patrons, and inappropriate bureaucratic controls and legislation (Homel et al. 1992). This project aims to provide evidence-based knowledge regarding the implementation and impact of innovative local initiatives directed at alcohol-related harms.

Sexuality education matters : preparing pre-service teachers to teach sexuality education

Given the challenges to successful teacher-led, whole-school sexuality education there is an overall awareness that teacher education is crucial to the success of any sexuality education program undertaken within the school context. There is evidence that such teacher education, when provided, can address two of the most commonly identified barriers to successful teacher-led implementation of these programs; familiarity with the subject and curriculum content and increased levels of personal comfort and confidence regarding the topic of students’ sexual health. Sexuality Education Matters is designed to support pre-service teacher education programs to prepare students to teach sexuality education in primary and secondary schools. It builds on the research and teaching experience of Debbie Ollis and Lyn Harrison at Deakin University. It assumes that sexuality education in Australian schools is part of a comprehensive health and physical education curriculum. Even so, many of the readings and teaching and learning experiences could be adapted or used in other contexts that focus on school-based sexuality education. Sexuality Education Matters aims to equip teachers with the knowledge, skills and confidence to teach sexuality education. In light of the lack of resources for primary school based programs there is a deliberate focus on preparing both primary and secondary school pre-service teachers to teach sexuality education.
The resource is designed to:
– provide a theoretical understanding of the area
– explore the current debates
– increase knowledge
– give pre-service teachers access to a range of pedagogical approaches relevant to sexuality education
– increase students’ confidence and comfort level
– explore personal values, attitudes and ethical considerations.

Learning in social action : the informal and social learning dimensions of circumstantial and lifelong activists

This paper explores the informal and social learning dimensions of activists as they learn skills and knowledge through participating in social action. In doing this I draw on Lave and Wenger's epistemology of situated learning and Bourdieu's theory of "habitus". I argue activists learn an array of community development skills in the social environment of activism. I claim activists' learning is cognitive, embodied and situated in practice. This paper is based on empirical research in Australia, where in-depth interviews were conducted with activists to uncover their important pedagogy. It explores the learning dimensions of two groups of activists. "Lifelong activists" who have generally been involved in student politics and have participated in activism over many years, and "circumstantial activists" who become involved in protest due to a series of life circumstances. This paper claims that while both groups' learning is social and informal, lifelong activists tend to develop their skills incrementally by being involved in the fertile site of student politics. On the other hand, circumstantial activists, not having had the benefit of early immersion in a community of practice, are rapid learners. They are frequently taken out of their comfort zone as activists and need to acquire new knowledge and skills urgently in order to practise effectively. Some circumstantial activists remain on the periphery of activism and never fully immerse themselves in the practices of activism. I argue there is much to be gained from understanding learning in social action, an epistemology of adult learning which deserves greater prominence in current adult education discourse.

The pedagogy of protest : learning through crisis and the case study of Terry Hicks

This article explores the learning dimensions of circumstantial activists, activists who come to protest due to a significant life issue or crisis event, which has contributed to their motivation to campaign. The article is a case study of Terry Hicks who campaigned for more than 6 years to have his son released from Guantanamo Bay, a United States military prison in Cuba, for suspected terrorism. It outlines the learning dimensions of circumstantial activists as they participate in social change with particular reference to Terry's case and reveals that circumstantial activists' learning is fast paced and rapid. Responding to crisis and potential loss, circumstantial activists are frequently taken out of their comfort zones and on to a learning edge because they need to acquire new knowledge and skills very quickly in order to be effective as activists. The emotions are crucial to their motivation and desire to campaign and in Terry's case particularly because of his familial connection to his son David. As activists become more experienced they learn to "manage" their emotions. The article uncovers the community development skills and knowledge that is acquired by circumstantial activists as they learn mainly informally on the job of activism.