Search Results (2,202)

Improving outdoor thermal comfort is a critical objective in urban design, particularly in densely built urban environments. Elevated semi-open spaces—outdoor areas located beneath raised building structures—have been recognized for enhancing pedestrian comfort by improving airflow and shading. However, previous studies primarily focused on warm or temperate climates, leaving a significant research gap regarding their thermal performance in cold climate zones characterized by extreme seasonal variations. Specifically, few studies have investigated how these spaces perform under conditions typical of northern Chinese cities like Xi’an, which is explicitly classified within the Cold Climate Zone according to China’s national standard GB 50176-2016 and experiences both severe summer heat and cold winter conditions. To address this gap, we conducted field measurements and numerical simulations using the ENVI-met model (v5.0) to systematically evaluate the microclimatic performance of elevated ground-floor spaces in Xi’an. Key microclimatic parameters—including air temperature, mean radiant temperature, relative humidity, and wind velocity—were assessed during representative summer and winter conditions. Our findings indicate that the height of the elevated structure significantly affects outdoor thermal comfort, identifying an optimal elevated height range of 3.6–4.3 m to effectively balance summer cooling and winter sheltering needs. These results provide valuable design guidance for architects and planners aiming to enhance outdoor thermal environments in cold climate regions facing distinct seasonal extremes. Full article

Background: Quality care of individuals with sickle cell disease (SCD) is dependent upon education of the providers on their care team. Previous studies demonstrate lack of resident and provider comfort regarding care of patients with SCD, yet none have assessed these in medical students. Objective: This study aims to evaluate the adequacy of the research instrument for measuring medical students’ knowledge, confidence, and comfort regarding SCD and related complications prior to wider distribution. Methods: A self-assessment survey was distributed to medical students at two universities to evaluate their knowledge, confidence, and comfort in general SCD topics, in all clinical settings, and regarding common complications. Results: Of the 98 responses, knowledge (p < 0.001) and confidence (p = 0.02) were significantly different between topics, including epidemiology and genetics, pathophysiology, and treatment options. For “treatment options”, there were significant differences in knowledge (p = 0.02) and confidence (p = 0.02) between medical students at different levels of training. Students felt least knowledgeable and least comfortable with care of pregnant women and most knowledgeable and most comfortable with acute pain management. Caring for patients with specific SCD-related conditions increased knowledge and comfort across all domains. Conclusions: This instrument was adequate for measuring knowledge, confidence, and comfort in caring for those with SCD across all clinical settings. We identified a lack of knowledge, confidence, and comfort regarding treatment for those with SCD starting early in medical careers, which improves after caring for patients with various complications. Thus, educating and providing SCD patient experiences is crucial for medical student management confidence related to SCD. Full article

Enhancing the real-world performance of sustainably designed and certified green buildings remains a significant challenge, particularly in hot climates where efforts to improve thermal comfort often conflict with energy efficiency goals. In the United Arab Emirates (UAE), even newly constructed facilities with green building certifications present opportunities for retrofitting and performance optimization. This study investigates the energy and thermal comfort performance of a LEED Gold-certified, mixed-use university campus in Dubai through a calibrated digital twin developed using IES thermal modelling software. The analysis evaluated existing sustainable design strategies alongside three retrofit energy conservation measures (ECMs): (1) improved building envelope U-values, (2) installation of additional daylight sensors, and (3) optimization of fan coil unit efficiency. Simulation results demonstrated that the three ECMs collectively achieved a total reduction of 15% in annual energy consumption. Thermal comfort was assessed using operative temperature distributions, Predicted Mean Vote (PMV), and Predicted Percentage of Dissatisfaction (PPD) metrics. While fan coil optimization yielded the highest energy savings, it led to less favorable comfort outcomes. In contrast, enhancing envelope U-values maintained indoor conditions consistently within ASHRAE-recommended comfort zones. To further support energy reduction and progress toward Net Zero targets, the study also evaluated the integration of a 228.87 kW rooftop solar photovoltaic (PV) system, which offset 8.09% of the campus’s annual energy demand. By applying data-driven thermal modelling to assess retrofit impacts on both energy performance and occupant comfort in a certified green building, this study addresses a critical gap in the literature and offers a replicable framework for advancing building performance in hot climate regions. Full article

The restrictions on business and social activity during the COVID-19 pandemic have led to significant changes in consumption patterns worldwide. Such changes are causing structural shifts in the markets of goods and services, thus affecting regional resilience. In this article, we aim to assess the changing structure of the consumption of goods and services in highly urbanized Russian regions under the impact of the COVID-19 pandemic and to analyze its effects on the lifestyle of the population. According to our results, some Russian regions demonstrate a return to previous consumption levels, while others exhibit the emergence of new dynamics. The conclusion is made that COVID restrictions have invoked a paradigm shift in consumer behavior toward investment in self-development, safety, and comfort. This observation should be taken into account when developing strategies for the recovery growth of regional economies. Full article

Green buildings are recognised for their potential to reduce energy consumption, minimise environmental impact, and improve occupants’ well-being, benefits that are especially critical in rapidly urbanising regions. However, questions remain about whether these buildings fully meet occupant comfort expectations while delivering energy efficiency. This is particularly relevant in Africa, where climate conditions and energy infrastructure challenges make sustainable building operation essential. Although interest in sustainable construction has increased, limited research has examined the real-world performance of green buildings in Africa. This study helps address that gap by evaluating indoor thermal comfort in a green-certified office building and two conventional office buildings in Abuja, Nigeria, through post-occupancy evaluation (POE). The Predicted Mean Vote (PMV) and Thermal Sensation Vote (TSV) were used to assess comfort, revealing discrepancies between predicted and actual occupant responses. In the green building, PMV indicated near-neutral conditions (0.28), yet occupants reported a slightly cool sensation (TSV: −1.1). Neutral temperature analysis showed that the TSV-based neutral temperature (26.5 °C) was 2.2 °C higher than the operative temperature (24.3 °C), suggesting overcooling. These findings highlight the importance of incorporating occupant feedback into HVAC control. Aligning cooling setpoints with comfort preferences could improve satisfaction and reduce unnecessary cooling, promoting energy-efficient building operation. Full article

Vehicle-to-everything (V2X) communication is a fundamental technology in the development of intelligent transportation systems, encompassing vehicle-to-vehicle (V2V), infrastructure (V2I), and pedestrian (V2P) communications. This technology enables connected and autonomous vehicles (CAVs) to interact with their surroundings, significantly enhancing road safety, traffic efficiency, and driving comfort. However, as V2X communication becomes more widespread, it becomes a prime target for adversarial and persistent cyberattacks, posing significant threats to the security and privacy of CAVs. These challenges are compounded by the dynamic nature of vehicular networks and the stringent requirements for real-time data processing and decision-making. Much research is on using novel technologies such as machine learning, blockchain, and cryptography to secure V2X communications. Our survey highlights the security challenges faced by V2X communications and assesses current ML and blockchain-based solutions, revealing significant gaps and opportunities for improvement. Specifically, our survey focuses on studies integrating ML, blockchain, and multi-access edge computing (MEC) for low latency, robust, and dynamic security in V2X networks. Based on our findings, we outline a conceptual framework that synergizes ML, blockchain, and MEC to address some of the identified security challenges. This integrated framework demonstrates the potential for real-time anomaly detection, decentralized data sharing, and enhanced system scalability. The survey concludes by identifying future research directions and outlining the remaining challenges for securing V2X communications in the face of evolving threats. Full article

Dynamic and Adaptive solar systems demonstrate a greater potential to enhance the satisfaction of occupants, in terms of indoor environment quality and the energy efficiency of the buildings, than conventional shading solutions. This study has evaluated Dynamic and Adaptive Photovoltaic Shading Systems (DAPVSSs) through a comprehensive analysis of six shading designs in which their energy production and the comfort of occupants were considered. Energy generation, thermal comfort, daylight, and glare control have been assessed in this study, considering multiple orientations throughout the seasons, and a variety of tools, such as Rhino 6.0, Grasshopper, ClimateStudio 2.1, and Ladybug, have been exploited for these purposes. The results showed that the prototypes that were geometrically more complex, designs 5 and 6 in particular, had approximately 485 kWh higher energy production and energy savings for cooling and 48% better glare control than the other simplified configurations while maintaining the minimum daylight as the threshold (min DF: 2%) due to adaptive and control methodologies. Design 6 demonstrated optimal balanced performance for all the aforementioned criteria, achieving 587 kWh/year energy production while maintaining the daylight factor within the 2.1–2.9% optimal range and ensuring visual comfort compliance during 94% of occupied hours. This research has established a framework that can be used to make well-informed design decisions that could balance energy production, occupants’ wellbeing, and architectural integration, while advancing sustainable building envelope technologies. Full article

This study investigated the nuanced influence of urban morphology on the thermal performance of nine mass housing blocks (21–26, 28–30) in New Belgrade’s Central Zone. These blocks, showcasing diverse structures, provided a robust basis for evaluating the design parameters. ENVI-met simulations were used to assess two scenarios: an “asphalt-only” environment, isolating the urban structure’s impact, and a “real-world” scenario, including green infrastructure (GI). Overall, the findings emphasize that while GI offers mitigation, the inherent urban built structure fundamentally determines thermal outcomes. An urban block’s thermal performance, it turns out, is a complex interplay between morphological factors and local climate. Crucially, simple metrics like Green Area Percentage (GAP) and Building Coverage Ratio (BCR) proved unreliable predictors of thermal performance. This highlights the critical need for urban planning regulations to evolve beyond basic surface indicators and embrace sophisticated, context-sensitive design principles for effective heat mitigation. Optimal performance arises from morphologies that actively manage heat accumulation and facilitate its dissipation, a characteristic exemplified by Block 22’s integrated design. However, even the best-performing Block 22 remains warmer compared to denser central areas, suggesting that urban densification can be a strategy for heat mitigation. Given New Belgrade’s blocks are protected heritage, targeted GI reinforcements remain the only viable approach for improving the outdoor thermal comfort. Full article

Due to the effect of room acoustics on musical interpretation, a musician’s rehearsal may be greatly enhanced by leveraging virtual and augmented reality technology. This paper presents a preliminary study on a rehearsal tool designed for musicians, enabling practice in a virtual acoustic environment with audience-positioned playback. Fourteen participants, both professional and non-professional musicians, were recruited to practice with the rehearsal tool prior to performing in an unfamiliar venue. Throughout the rehearsal, the subjects either played in a virtual environment that matched the acoustics of the performance venue or one that was acoustically different. A control group rehearsed in an acoustically dry room with no virtual acoustic environment. The tool’s effectiveness was evaluated with two 16-item questionnaires that assessed quality, usefulness, satisfaction with the rehearsal, and aspects of the performance. Findings indicate that rehearsing in a virtual acoustic environment that matches the performance venue improves acoustic awareness during the performance and enhances ease and comfort on stage compared to practising in a different environment. These results support the integration of virtual acoustics in rehearsal tools to help musicians better adapt their performance to concert settings. Full article

Effective building operation requires a careful balance between energy conservation and indoor environmental comfort. Although numerous methods have been developed to reduce energy consumption during the operational phase, their objectives and applications vary widely. However, the complexity of building energy management makes it challenging to identify the most suitable methods that simultaneously achieve both comfort and efficiency goals. Existing studies often lack a systematic framework that supports integrated decision-making under comfort constraints. This research aims to address this gap by proposing a decision-making tree for selecting energy conservation methods during building operation with an explicit consideration of indoor environmental comfort. A comprehensive literature review is conducted to identify four main energy-consuming components during building operation: the building envelope, HVAC systems, lighting systems, and plug loads and appliances. Three key comfort indicators—thermal comfort, lighting comfort, and air quality comfort—are defined, and energy conservation methods are categorized into three strategic groups: passive strategies, control optimization strategies, and behavioural intervention strategies. Each method is assessed using a defined set of evaluation criteria. Subsequently, a questionnaire survey is administered for the calibration of the decision tree, incorporating stakeholder preferences and expert judgement. The findings contribute to the advancement of understanding regarding the co-optimization of energy conservation and occupant comfort in building operations. Full article

Background and Objectives: Depression is a leading cause of disability globally, with treatment challenges including limited access, stigma, and poor adherence. Gamification, which applies game elements such as points, levels, and storytelling into non-game contexts, offers a promising strategy to enhance engagement and augment traditional treatments. Our research is the first study designed to explore the implementation of gamification within the Malaysian context. The objective was to explore the feasibility of implementation of gamification as an adjunctive treatment for adults with depression. Materials and Methods: Focus group discussions were held with five mental health professionals and ten patients diagnosed with moderate depression. The qualitative component assessed perceptions of gamified interventions, while quantitative measures evaluated participants’ depressive and anxiety symptomatology. Results: Three key themes were identified: (1) understanding of gamification as a treatment option, (2) factors influencing its acceptance, and (3) characteristics of a practical and feasible intervention. Clinicians saw potential in gamification to boost motivation, support psychoeducation, and encourage self-paced learning, but they expressed concerns about possible addiction, stigma, and the complexity of gameplay for some patients. Patients spoke of gaming as a source of comfort, escapism, and social connection. Acceptance was shaped by engaging storylines, intuitive design, balanced difficulty, therapist guidance, and clear safety measures. Both groups agreed that gamification should be used in conjunction with standard treatments, be culturally sensitive, and be presented as a meaningful therapeutic approach rather than merely as entertainment. Conclusions: Gamification emerges as an acceptable and feasible supplementary approach for managing depression in Malaysia. Its success depends on culturally sensitive design, robust clinical oversight, and seamless integration with existing care pathways. Future studies should investigate long-term outcomes and establish guidelines for the safe and effective implementation of this approach. We recommend targeted investment into culturally adapted gamified tools, including training, policy development, and collaboration with key stakeholders to realistically implement gamification as a mental health intervention in Malaysia. Full article

One of the fundamental goals of contemporary mobility is to optimize transport processes in urban areas. The solution in this area seems to be the implementation of the idea of sustainable transport systems based on the Smart City concept. The article presents a case study—an assessment of the possibilities of changing mobility habits based on the idea of sustainable urban transport, taking into account the criterion of energy consumption of individual means of transport. The analyses are based on a comparison of selected means of transport occurring in the urban environment according to several key parameters for the optimization and efficiency of transport processes, i.e., cost, time, travel comfort, and impact on the natural environment, while simultaneously linking them to the criterion of energy consumption of individual means of transport. The analyzed parameters currently constitute the most important group of challenges in the area of shaping and planning optimal and sustainable urban transport. The presented research was used to indicate the connections between various areas of optimization of the transport process and the energy efficiency of individual modes of transport. Analyses have shown that the least time-consuming process of urban mobility is associated with the highest level of CO₂ emissions and, at the same time, the highest level of energy efficiency. However, combining public transport with other means of transport can meet most of the transport expectations of city residents, also in terms of energy optimization. The research results presented in the article can contribute to the creation of a strategy for the development of the transport network based on the postulates of increasing the optimization and efficiency of individual means of transport in urban areas. At the same time, recognizing the criterion of energy intensity of means of transport as leading in the development of sustainable urban mobility. Thus, confirming the important role of existing transport systems in the process of shaping and planning sustainable urban mobility in accordance with the idea of Smart City. Full article

The double wishbone suspension (DWS) system is widely used in automotive engineering because of its favorable kinematic properties, which affect vehicle dynamics, handling, and ride comfort; hence, it is important to have an accurate 3D model, simulation, and analysis of the system in order to optimize its design. This requires efficient computational tools for parametric study. The development of effective computational tools that support parametric exploration stands as an essential requirement. Our research demonstrates a complete Wolfram Mathematica system that creates parametric 3D kinematic models and conducts simulations, performs analyses, and generates interactive visualizations of DWS systems. The system uses homogeneous transformation matrices to establish the spatial relationships between components relative to a global coordinate system. The symbolic geometric parameters allow designers to perform flexible design exploration and the kinematic constraints create an algebraic equation system. The numerical solution function NSolve computes linkage positions from input data, which enables fast evaluation of different design parameters. The integrated 3D visualization module based on Mathematica’s manipulate function enables users to see immediate results of geometric configurations and parameter effects while calculating exact 3D coordinates. The resulting robust, systematic, and flexible computational environment integrates parametric 3D design, kinematic simulation, analysis, and dynamic visualization for DWS, serving as a valuable and efficient tool for engineers during the design, development, assessment, and optimization phases of these complex automotive systems. Full article

Background/Objectives: Conventional blood collection can be challenging in a non-clinical or home-based setting. In response, vacuum-assisted lancing devices for capillary blood collection (typically from the upper arm) have gained popularity to broaden access to diagnostic testing. However, these devices are often costly relative to the reimbursement rate for common laboratory testing panels. This study describes the design and evaluation of Comfort Draw™, a simplified and economical vacuum-assisted capillary blood collection device. Methods: Comfort Draw™ was evaluated by 12 participants in a preliminary study and by 42 participants in a follow-up study. Metrics assessed included the following: vacuum pressure of the device, skin temperature generated by the Comfort Draw prep warmer, blood collection volume, and analytical accuracy (for 19 common serum-based analytes). Results: Acceptable blood volume (>400 µL) and serum volume (>100 µL) were collected by Comfort Draw in 85.5% and 95.1% of cases, respectively. Seventeen of the nineteen analytes examined were within CLIA acceptance limits compared to matched venous samples. Self-reported pain scores associated with Comfort Draw collection averaged 0.39 on a scale from 0 to 10. Conclusions: In this preliminary clinical study, Comfort Draw was found to be a valid and relatively painless method for collecting capillary blood specimens. The device’s simple design and lower cost could enable broader applications compared to more complex alternative capillary blood collection devices. Full article

Background: Lower limb lymphedema (LLL) is a frequent complication after gynecological cancer treatment, with a significant impact on quality of life. Despite the common use of compression therapy in managing established lymphedema, its role in prevention remains insufficiently explored. Methods: In this prospective randomized study, 64 women treated for gynecological malignancies were assigned to either a compression group (CG) using medium-pressure stockings (23–32 mmHg) or a no-compression group (NCG). All participants received standard education and physical activity guidance. Limb volume, symptom burden, and quality of life were assessed over 12 months. Results: The incidence of LLL was significantly lower in the CG (3.4%) compared to the NCG (38%, p = 0.003). Compression use resulted in significant reductions in limb volume and symptom severity, as well as improved physical functioning. Compliance with compression therapy was high, and patients reported good comfort and usability. Conclusions: Medium-pressure compression stockings combined with education and physical activity are effective and well-tolerated in preventing LLL following gynecological cancer treatment. Full article