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The mortality rate due to intrapartum asphyxia is generally considered a good guide to the quality of perinatal care. Using a routine system of surveillance, we identified a six‐fold difference in mortality rate due to intrapartum asphyxia depending on the hospital of birth, with the lowest rate (95 per cent confidence intervals) of 0.25 (0.10, 0.64)/1,000 births and the highest rate of 1.59 (0.77, 3.27)/1,000 births. A framework of internal and external reviews of the clinical services was developed, that is able to tackle such clinical governance issues in a robust but sensitive manner. The outcome included specific improvements in service provision. The model is generally applicable and is thus suitable for use wherever such clinical governance issues are identified.

Aims to establish a mechanism to determine prospectively the health status at two years of babies who weighed less than 1.5kg at birth, born and receiving neonatal intensive care in North Wales. Maternal and neonatal data on all babies discharged from each of the three units in North Wales meeting this criteria were collated by the study co‐ordinator. A mechanism for review of the health status at two years, corrected for gestational age, was established using the data set recommended by a working group convened by the National Perinatal Epidemiology Unit and Oxford Regional Health Authority. The procedures developed and the outcome data, for a two year cohort of babies born in 1995 and 1996, are reported. Concludes that prevalence of severe disability was similar to that found in other studies, with a considerable number exhibiting impaired growth and delay in speech development.

Quantity surveying is a profession that blends engineering, construction and economics. To be competent is to have the ability to apply the set of related knowledge, skills and abilities to perform a task effectively. This paper examines the competency requirements for quantity surveyors (QSs) in the face of changing and increasing client needs.

Based on a detailed meta-analysis of the literature, 12 basic/core and 16 evolving competencies are identified. Primary data were gathered through a field survey involving practicing QSs from client, consultant and contractor organisations, and university students undertaking QS programmes in Malaysia. The data obtained were analysed using both descriptive and inferential statistical tools.

The significance of the basic/core and evolving competencies are presented. Overall, the most important contemporary skills are cost planning, valuation of works, measurement/quantification and contract documentation. The evolved roles require expertise in communication and negotiation, ethics and professional conduct and value management. The analysis of variance (ANOVA) indicates there are misaligned expectations of the proficiency levels needed to provide contemporary and future services between practitioners in client/consultant organisations, contractors and new generation students.

The findings provide guidance on the education, training and practice of quantity surveying to deal with emerging challenges in the dynamic built environments in Malaysia and beyond.

This book is intended to be a comprehensive work of reference on the subject of radio aids to civil aviation. It is not written for the circuit designer or routine operator requiring detailed information on existing aids but rather for the system designer and operational planner. To this end it gives systems information required by the radio engineer or operational specialist. The inclusion at an early stage of some one hundred and fifteen pages devoted to the basic principles of radio propagation, radar, etc., assists those having a nodding acquaintance only with radio engineering to a better understanding of the later sections of the book; besides presenting a number of nomograms, graphs, and formulae directly useful to the systems designer.

Patient dependence on an emergency department (ED) for ongoing, non-urgent health care is a complex issue related to poor mental and physical health, disability, previous trauma, social disadvantage and lack of social supports. Working Together to Connect Care is an innovative program that provides an assertive community case management approach coupled with an ED management plan to support people who frequently attend the Royal Brisbane and Women’s Hospital ED. The program, which is yet to be fully evaluated, currently helps to manage a large number of patients with a wide variety of complex needs. To demonstrate the scope and capabilities of the program, the purpose of this paper is to present a series of case studies of patients who frequently attended the ED and subsequently became program participants.

A series of five case studies is used to illustrate the variety of patient characteristics and available management pathways. Outcomes, including rates of ED attendance, at five months after program commencement are also described.

The variety of characteristics and experiences of the patients in the case studies is representative of the program cohort as a whole. Program participation has resulted in improved patient outcomes as demonstrated by crisis resolution, housing stability, engagement with primary health care and reduced frequency of ED presentations.

A personalized, integrated-care management approach is both flexible and effective in responding to the complex needs of five patients who frequently attend EDs.

The purpose of this paper is to examine the need to develop building service standard method of measurement (BSSMM) that would provide a home ground advantage and a framework for managing the cost of building services by quantity surveyors.

A review of previous research on the rules of measurement was carried out. This exercise provides the basis for questionnaire design which was administered to quantity surveyors in Malaysia construction industry.

The results indicated the need to develop BSSMM. In total, 23 variables were identified as essential features of such standard method of measurement. These variables were grouped into three categories and a priority ranking of them was carried out. The analysis revealed a strong agreement among quantity surveyors on the priority ranking of the essential features of the BSSMM.

Although, the research would assist industry stakeholders in developing BSSMM that reflects local and international best practices, there is need to further investigate how the rules of the BSSMM could be aligned with construction industry classification systems.

The availability of information and computer technology (ICT) tools has transformed the traditional practices in the industry and offered values to quantity surveyors, but if quantity surveyors’ tools cannot be consolidated and incorporated into emerging ICT applications, then QS collaboration will be difficult, and the requirements for electronic data exchange will be impractical. Therefore, this type of standard method of measurement will facilitate cross-referencing and coordination between BoQ and other documents such as drawings, specifications and tender produced by other project participants and thereby lay efficient foundation for effective collaboration of quantity surveyors in BIM model. In addition, the BSSMM will not only comply with local industry practices, it will also be internationally compatible.

Adoption of a structured format based on BSSMM to present building services cost information is essential in view of the increase in the value and complexity of building services in modern buildings. However, there is need to enhance quantity surveyors’ knowledge in the technology and cost management of building services so as to ensure the reliability of cost advice provided to clients. This goal would be partly achieved through education and training of Quantity Surveyors/Cost Consultants in the interpretation and use of the rules of an SMM.

Mr Malcolm J. Ross, previously commercial director of Carless Chemicals Ltd, has relinuiqshed that post to take up the appointment of managing director of Carless Chemicals Trading Ltd.

This study investigates building information modelling (BIM) penetration in quantity surveying (QS) practice by examining the significance attached to the benefits and barriers of BIM adoption, BIM capabilities and future directions of BIM in QS processes. A popular opinion amongst construction researchers is that BIM has the capacity to revolutionize the industry. The study draws-out information in the literature regarding discipline-specific penetration of BIM.

Snowball sampling method was used to obtain information through a survey questionnaire. A total of 73 participants, largely quantity surveyors in Western Australia, took part in the study. Reductionist methodology was used to identify key variables of QS-BIM competencies that are most significant statistically.

BIM does not impose additional difficulties to traditional QS processes. Adherence to standard method of measurement and limited market demand do not hinder BIM deployment significantly. Quantity surveyors are able to use BIM to support their professional services once definitive design models are involved. In addition, the study identifies BIM penetration barriers to include constraints caused by centralised database management and interoperability issues, limitations imposed by market drivers, lack of in-house expertise to manage modelling needs and limited capability in software management.

Future opportunities for skill development are in the areas noted in the findings. Whilst many studies have reported resistance and widespread scepticism amongst some construction disciplines regarding BIM adoption, this study finds BIM penetration in QS practice is considerable, a direction that could trigger further novel innovations.

The methodology reported in the study is novel. In addition, findings from the study inspires other discipline-specific studies to articulate their BIM-penetration trends so that t broad areas of construction can develop a balanced strategy around BIM and innovation development.

The opportunities that the emerging markets present to the players in the construction industry means that the players need to expand on the scope and size of their responsibilities and duties to the stakeholders. Each of the professionals now demands more specialised and sophisticated services from one another. The other players in the construction industry now require more emerging responsibilities and duties from the quantity surveyors. The purpose of this paper is to examine the roles that “modern” quantity surveyors play by measuring the gaps that exist in the services that the quantity surveyors provide.

Primary data are collected through survey questionnaires. In total, 23 roles played by modern quantity surveyors are identified and addressed to the respondents to rank the rate at which quantity surveyors provide these “emerging” services. The collected data were analysed statistically.

The results of the findings led to the conclusion that the quantity surveyors were not meeting the expectations of other players. Therefore, for competitiveness, quantity surveyors need to better meet demand expectations.

This findings of this research are constrained to the services or functions that the quantity provide in the construction industry.

This knowledge is valuable to academic institutions that offer quantity surveying programmes, to practicing quantity surveyors, governments, and other players in the construction industry. It will allow quantity surveyors to reconcile supply and demand expectations.

There is no known conclusive empirical study on services offered by quantity surveyors in any emerging markets. Therefore, the findings offer a fresh understanding on the services of quantity surveyors not only in Nigeria but elsewhere. While some of the services are common, others are peculiar to emerging markets.

This paper aims to develop a framework for implementing the integrated project delivery (IPD) approach during the design process in architecture design firms (ADFs) in Egypt.

A research methodology consists of literature review, case studies and survey questionnaire was designed to achieve the abovementioned aim. First, literature review was used to identify and categorise the challenges of implementing IPD during the design process. Second, four case studies were analysed to investigate the values delivered to the client or missed due to the use of IPD or traditional procurement approaches, respectively. Finally, a survey questionnaire was carried out with a representative sample of ADFs in Egypt to investigate their perception towards the challenges of IPD implementation in Egypt. Based on the results of the above, the research developed a framework to facilitate the implementation of IPD in ADFs in Egypt.

Through literature review, the research identified 30 challenges that hamper the implementation of IPD in ADFs. These challenges were categorised due to their nature into five groups, namely, integration, cooperation, commitment and trust challenges, knowledge, experience skills and decision-making challenges, cultural challenges, legal and contractual challenges and technical and financial challenges. Results of data analysis showed that “poor communication and spirit of collaboration between project stakeholders” was ranked the highest influential challenge as IPD is based on collaboration and trust between project participants. In addition, “lack of training and motivation in investing for using IPD” was ranked the lowest influential challenge due to the poor attention paid to training in the construction industry. Moreover, despite the benefits of IPD implementations in many countries worldwide, it is not implemented in the Egyptian context. This necessitated taking action towards developing a framework to facilitate IPD implementation in ADFs in Egypt.

The research focussed on ADFs in Egypt.

Adopting the proposed framework developed through this research will help implementing IPD during the design process in ADFs.

The research identified, categorised and analysed the challenges that obstruct the implementation of IPD in ADFs. The research tackled a topic that received scant attention in construction literature in the Middle East generally and Egypt in particular. In addition, this paper presented a framework to facilitate the implementation of IPD during the design process, which represents a synthesis that is novel and creative in thought and adds value to the knowledge in a manner that has not previously occurred.