Mobile Architecture and Built Environment Laboratory (MABEL) - a building performance evaluation tool

This paper describes the Mobile Architecture and Built Environment Laboratory (MABEL) and its application for systematic building performance evaluation for compliance testing, commissioning, strategic and operational facility management and continuous improvement in the built environment.<br /><br />The first part of the paper introduces the application areas of on-site building performance evaluation and discusses the shortcomings in this regard in current practice. It emphasises the need for on-site investigations to generate information on 'as built performance' for the 'feedback' loop between design, operation and occupancy of new buildings, retrofit or adjustment.<br /><br />The second part introduces the Energy-Comfort-Behaviour Framework for 'across-the-board' building evaluation and discusses MABEL's role in this scheme. MABEL's objectives, procedures and the performance measurement matrix are explained and discussed. <br />

Womens satisfaction with their breast prosthesis: What determines a quality prosthesis

The aim of this study is to determine what factors constitute a quality prosthesis and ascertain which factors affect prosthesis satisfaction. Sixty-four women who received full funding for their prosthesis and 38 women who received their hospital&rsquo;s usual fundingwere recruited. Women rated the information provided about breast prostheses very highly, with 85% reporting that it was &quot;very good&quot; or &quot;excellent.&quot; Satisfaction was significantly associatedwith how well the prosthesis fit (1 week,p=.<i>001; 3 months</i>,p=<i>.01</i>), <i>level of comfort (3 months</i>,p=.<i>005</i>), <i>and appearance of the prosthesis when worn (6 months,</i>p = <i>.001</i>). <i>Quality was significantly associated with how well it fit (1 week,</i>p <i>= .001; 3months,</i>p = <i>.001</i>), <i>how natural it felt (1 week,</i>p <i>= .001; 6months,</i>p<i>=.01), the weight of the prosthesis (3 months,</i>p=.<i>003), and appearance when worn (6 months,</i>p = .03). The results will be used to improve women&rsquo;s access to a quality prosthesis. <br /><br /><br />

Supportng Chinese distance learners through computer-mediated communication- revisting Salmon`s model

Salmon&rsquo;s (2000) proposed model for the effective development of on-line communication and collaboration between student suggests that on-line socialisation forms an early and important component of establishing required levels of comfort and skill. In this paper we review research with Chinese learners that suggests that some adjustments to Salmon&rsquo;s model may be advisable for these students. Specifically, the model is redeveloped to provide a more structured experience, and to use that structure to develop online skills, such that comfortable socialisation is seen as an end-point rather than as an early enabler.<br />

Energy use in relocatable classrooms

A nine month study of four relocatables in Melbourne, each containing two classrooms and retro-fitted with various models of small reverse cycle air conditioner, found that the energy used for heating these &quot;temporary&quot; classrooms was only 19-20% of the energy used in permanent classrooms fitted with individual gas heaters. The energy delivered to the relocatables was calculated to be 20-27% less than that delivered to the permanent classrooms, when equipment efficiencies were considered. The reasons for this difference are explored in this paper. It was found superior insulation levels and reduced comfort levels appear to be the key factors responsible for the reduced annual heating energy demand. CO² emissions for the AC units in heating mode were calculated to be 16% greater than for individual gas heaters. The AC units were also used for cooling and on average the total annual energy consumption for heating and cooling was found to be just over 700 kWh or 11.6 kWh ^-2 m.<br />

A case for a mobile architecture and built environment laboratory

Deakin University and other research and industry partners have recently won a grant for the establishment of a Mobile Architecture and Built Environment Laboratory (MABEL). MABEL provides the first means of integrated, on-site measurement of the key aspects of the built environment (power, sound, light and comfort) using the latest instrument technology. There exists an ongoing need to establish a versatile and comprehensive in-situ testing facility for built internal environments, for the provision of research, education, training and technology diffusion. The ability to make on-site measurements across the environmental spectrum is unique and important. Individual measurements might demonstrate improved lighting performance, reduced power consumption, and improved ventilation or better building acoustics. More importantly, an integrated perspective will address an interaction in terms of energy efficiency and overall occupant comfort. H is recognised that many of the parameters we can measure with existing instrumentation remain unresolved regarding their diagnostic significance on occupant health, comfort and productivity. Also, developed standards for in-situ measurement are at an emerging state, in the delivery of reliable and useful assessment methods. This paper discusses the inception and role of the MABEL facility for building research, learning and teaching.<br />

Validated model and study of a rammed earth wall building

A 2100 m² (GFA) two-storey rammed earth building was built on the Thurgoona campus of Charles Sturt University in 1999. The building is novel both in the use of materials and equipment for heating and cooling. The climate at Wodonga can be characterised as hot and dry, so the challenge of providing comfortable working conditions with minimal energy consumption is considerable. This paper describes a thermal model of one of the second-storey offices on the west-end of the building. The simulation software, TRNSYS, has been used to predict office temperatures and comparisons are made between these and measurements made over a typical week in summer. Reasonable agreement has been achieved under most conditions. The model has been used to investigate key building parameters and strategies, including night flushing, to improve the thermal comfort in the office.<br />

Teaching and learning online with wikis

Wikis are fully editable websites; any user can read or add content to a wiki site. This functionality means that wikis are an excellent tool for collaboration in an online environment. This paper presents wikis as a useful tool for facilitating online education. Basic wiki functionality is outlined and different wikis are reviewed to highlight the features that make them a valuable technology for teaching and learning online. Finally, the paper discuses a wiki project underway at Deakin University. This project uses a wiki to host an icebreaker exercise which aims to facilitate ongoing interaction between members of online learning groups. Wiki projects undertaken in America are outlined and future wiki research plans are also discussed. These wiki projects illustrate how e-learning practitioners can and are moving beyond their comfort zone by using wikis to enhance the process of teaching and learning online.<br />

Solving problems collaboratively online : experiences of Australian and Chinese heritage university students

The research reported in this paper is part of a larger project designed to compare the online collaborative learning behaviours of Chinese Heritage Culture (CHC) university students, for whom a Chinese dialect is a first language, with Australian university students of European descent, and for whom English is a first language. The collaborative learning discussion focussed on in the research involved fellow students, rather than tutorial staff, facilitating those discussions.<br /><br />The first component of the research was quantitative, comprising a questionnaire on readiness for online learning, and a quantitative analysis of student postings to a student-led collaborative problem solving task conducted online. The first component of the research (reported in Smith et at, 2005) showed no differences between the two groups in their willingness to self-manage their own learning, but did show that the CHC students were significantly less comfortable than the Australian students with online learning. Student postings to the online discussions were classified into organisational postings, social postings, and intellectual. There were substantial differences between the two groups in their patterns of online postings among those classifications, as well as differences in the length of postings made.<br /><br />This paper will explore these findings in more detail through qualitative data generated through interviews with a subset of students from each group. Interview data provided further insight into the lesser comfort with e-learning among CHC students. Students from both groups felt there were inefficiencies in the online discussion, but CHC students also felt rather marginalised by the process. Australian students were more likely to evaluate the experience in terms of its capacity to achieve required learning outcomes in a time efficient way, while CHC students expressed more concern about how the process had impacted upon them personally. The interview data also indicated that a tutor sensitive to cultural difference is important for comfort among the CHC students in particular, since there is need for encouragement to those students to make reflective inputs to the discussion.<br />

Haptic handwriting aid for training and rehabilitation

This paper reports a method of controlling a user's hand through the process of writing. Developed predominantly for enabling users to re-learn the skill of writing after a stroke, the process could also be used for teaching children hand/eye coordination, motor skills, movement and position awareness in writing. Utilising low cost haptic technology and custom control software, the system has the potential to increase writing skills in stroke sufferers in the privacy and comfort of their own home. <br />

Injecting early years teaching with a strong dose of multiliteracies

Tech-savvy children elaborately dance through a myriad of informal and formal school and out-of-school literacy practices, sometimes leaving the adults who teach and care for them feeling like relics of yesterday. How can we harness what students bring to learning and reconcile that with what we have traditionally taught this age group? How do we leave our comfort zones and design meaningful experiences which transform learners (both young and not so young)?<br />

Carbon dioxide levels and ventilation strategies in 'green' office buildings

Energy efficient office buildings are intended to provide a comfortable and healthy environment for their occupants as well as reducing the energy consumption of the building. They are often designed as &quot;showcase&quot; buildings illustrating the potential for savings through some innovative design technology. But do such buildings actually deliver the desired energy savings and satisfactory comfort conditions for occupants? Measurements of a &quot;green&quot; University campus building in Victoria, Australia, designed with an innovative fabric energy storage system, demonstrate that the ventilation system is not providing acceptable indoor air quality conditions. The design strategies used to reduce energy consumption have had negative consequences on the air quality of the building. Insufficient fresh air is being drawn into the building leading to an excessive build up of carbon dioxide. It is recommended that monitoring systems need to use a wider range of measurements than temperature alone to guarantee good quality indoor air and working conditions and that commissioning of buildings should include adequate monitoring of the operational performance of the building. Designers need to be made aware of the potential consequences of their decisions when attempting innovative energy-efficient designs.<br />

Accompanying critically ill relatives in emergency departments

<b>Background.</b> Family members are a crucial part of the holistic approach to care in emergency departments. In particular, they are a group who are vulnerable, yet have been overlooked when considering care options.<br /><br /><b>Aim.</b> The primary aim of this systematic review was to appraise research relevant to identifying and meeting the needs of family members who accompany a critically ill person into the Emergency Department (ED). The information was intended to inform future research into the care of these people.<br /><br /><b>Method.</b> A quality assessment strategy was specifically developed to evaluate the various research designs used. The outcomes of the highest quality studies were used to develop evidence-based clinical practice guidelines to inform clinicians caring for family members who accompany a critically ill person into the ED.<br /><br /><b>Results.</b> Recommendations for family care drawn from this review provide the foundation for more rigorous methodologies in future research into this topic. Key findings concern family needs for communication, proximity, support, comfort, assurance and to locate meaning in the event.<br /><br /><b>Conclusion. </b>The review has revealed current knowledge about the care of family members who accompany a critically ill person into the ED that provides guidelines for practice. Despite significant limitations, the knowledge can lead to recommendation to guide and inform future intervention research.<br />

Families needs in emergency departments: instument development

<b>Background.</b> Families who accompany critically ill relatives in emergency departments (EDs) are an integral part of the care unit. However, there are few empirical data on their needs during this phase of care. In order to guide quality care, general and specific needs of families accompanying these critically ill relatives should be systematically examined.<br /><br /><b>Aim.</b> The aim of this pilot project was to test the tool, methods and analysis plan for a study to examine the perceived needs of family members accompanying critically ill patients in EDs and their perceptions of ED staff's ability to meet these needs.<b><br /><br />Method.</b> Over a 6-week period in 1996, 84 relatives who met the inclusion criteria were recruited to the study. A postal questionnaire, to uncover the needs of family members, was pilot tested. The questionnaire consisted of 40 need statements reflecting five major themes: meaning, proximity, communication, comfort and support. Of the 84 relatives selected for the study, 73% returned completed questionnaires.<br /><br /><b>Results. </b>The findings of this pilot study suggest that the questionnaire is a valid and reliable tool for researchers wishing to examine and rank the needs of family members who accompany critically ill people in EDs. In addition, the analysis plan was found to be appropriate.<br /><b><br />Conclusions. </b>This pilot study provides both a method and a tool for further research into family needs. Examination of the pilot data supported the reliability and validity of the tool and produced findings that challenge nurses to move beyond traditional practice that has excluded families from being an integral part of caring for critically ill patients in EDs.<br />

Key stakeholders' expectations of educational outcomes from Australian critical care nursing courses: a Delphi study

<b>Background</b><br />Educational preparation for critical care nursing in Australia varies considerably in terms of the level of qualification resulting in a lack of clarity for key stakeholders about student outcomes.<br /><br /><b>Objectives</b><br />The study aim was to identify and reach consensus regarding the desired learning outcomes from Australian post-registration critical care education programs as demonstrated through the graduate's knowledge, skills and attitudes.<br /><br /><b>Design</b><br />A Delphi technique was used to establish consensus between educators, managers, clinicians and students regarding learning outcomes expected of graduates with a Graduate Certificate, Graduate Diploma and Master level qualification in critical care nursing.<br /><br /><b>Participants</b><br />A total of 164 critical care nurses (66 clinicians, 48 educators, 32 managers and 18 students) participated and 99 questionnaires were returned in the first round (response rate 60%). Fifty-seven questionnaires were returned for Round 2 (response rate 58%).<br /><br /><b>Methods</b><br />Learning outcomes were obtained from the Australian College of Critical Care Nurses Competency Standards for Specialist Critical Care Nurses. Some statements included more than one characteristic, and these were split to create learning outcomes with one characteristic per item. A survey of Australian higher education providers of critical care education provided additional learning outcomes, for a total of 73 learning outcomes for the first Delphi round.<br /><br /><b>Results</b><br />Findings suggest that patient comfort, safety, professional responsibility and ethical conduct are deemed most important for all three levels of educational preparation. There was a lack of emphasis on clinical practice issues for all levels. Participants placed higher emphasis on learning outcomes related to complex decision-making, leadership, supervision, policy development and research for Graduate Diploma and Master level programs.<br /><br /><b>Conclusion</b><br />The findings have implications for curriculum development and the profession with regards to the level of educational preparation required of critical care nurses and suggest that further work is required before clear recommendations can be made for desired educational outcomes from critical care nursing programs in Australia.<br /><br /><br />

Re Kevin : gender dysphoria and the right to marry

What does it comfort any of us to insist that an individual shall be a man, when for the purposes of ordinary life that individual can only be, and be recognised, as a woman? What pride can there be for a law which vetoes the attitudes dictated by ordinary humanity?[1] <br /><br />Those suffering from gender dysphoria have been described in the following simple language:<br /><br />People with gender dysphoria or gender identity disorder live with a conviction that their physical anatomy is incompatible with their true gender role. They have an overwhelming desire to live and function in the opposite biological sex.<br />