Search Results (223)

Traditional Chinese villages, which have long supported villagers’ comfort level of daily activities, are increasingly affected by global climate change and rural reconstruction, prompting growing research interest in their outdoor microclimate design. This systematic review aims to synthesize and evaluate the outdoor microclimate spatial design mechanism studies in traditional Chinese villages noted for their uniqueness and complexity. Following the PRISMA method, this study was carried out on November 27, 2024, by retrieving studies from the Scopus and CNKI databases and applying predefined inclusion and exclusion criteria; 42 empirical studies were systematically reviewed. It identifies current research trends, summarizes concepts, frameworks, indicators, and methodologies with a focus on the design mechanisms considering scales, contexts, and user groups, and outlines directions for future research. The findings reveal a growing number of publications, with case studies predominantly concentrated on three concepts: physical microclimates, human comfort, and behavioral responses, characterized as distributed in south-east areas. Based on these concepts and their correlations, this study proposes a classification framework based on multiple scales, contexts, and user groups. Within this framework, the study found that relative humidity and PET (physiological equivalent temperature) emerge as the most commonly used indicators, while field measurements, simulations, surveys, and observations are identified as the primary methods. The review further reveals that unique outdoor spatial design characteristics shape physical microclimates, human comfort, and behavior indicators influenced by contexts and users from the macro to the micro scale. Future research should advance existing studies by enriching the current contextual framework and explore more microclimatic factors. This review offers a comprehensive overview and actionable insights for outdoor microclimate design, policymaking, and the promotion of climate adaptation and villagers’ public health in different traditional rural settings. Full article

Background/Objectives: Although public health organizations encourage family walking, no studies have examined children’s physical activity and enjoyment during outdoor parent–child walks. This study addresses those gaps by examining children’s moderate-to-vigorous physical activity (MVPA) and enjoyment during outdoor walks with their parents, along with parental barriers and their relationship with parent’s self-efficacy and co-activity minutes. Methods: Fifty parent–child dyads (children aged 6–12 years) completed 10 min, self-paced outdoor walks while wearing waist-worn ActiGraph monitors. Parents reported perceived barriers to walking outdoors with their child and self-efficacy for supporting their child’s daily physical activity. Results: Children reported high enjoyment (mean = 5.1 on a six-point scale) and attained high physical activity intensity (71.3% of time in MVPA, 22.0% in vigorous activity, mean step count = 1200). Parents reported an average of 2.6 barriers (SD = 1.0) to walking outdoors with their child, with poor weather (70%) and lack of time (70%) reported most frequently. Each additional barrier was associated with a 1.3-point reduction in parents’ self-efficacy (p = 0.007). Two barriers (‘diverse interests between parent and child’ and ‘other parent-suggested barriers’) were significantly associated with fewer co-activity minutes per week (p < 0.001). Conclusions: Our study highlights the benefits of parent–child outdoor walking for promoting MVPA and enjoyment in children. Because perceived barriers may lower parents’ self-efficacy in supporting their child’s physical activity, addressing these barriers may be essential for the success of family-based interventions that encourage walking together outdoors. Full article

Blindness and low vision are increasing serious public health issues that affect a significant percentage of the population worldwide. Vision plays a crucial role in spatial navigation and daily activities. Its reduction or loss creates numerous challenges for an individual. Assistive technology can enhance mobility and navigation in outdoor environments. In the field of orientation and mobility training, technologies with haptic interaction can assist individuals with visual impairments in learning how to navigate safely and effectively using the sense of touch. This paper presents a virtual reality platform designed to support the development of navigation techniques within a safe yet realistic environment, expanding upon existing research in the field. Following extensive optimization, we present a visual representation that accurately simulates various 3D tile textures using graphics replicating real tactile surfaces. We conducted a user interaction study in a virtual environment consisting of 3D navigation tiles enhanced with tactile textures, placed appropriately for a real-world scenario, to assess user performance and experience. This study also assess the usability and user experience of the platform. We hope that the findings will contribute to the development of new universal navigation techniques for people with visual impairments. Full article

Volcanic eruptions release gases and particulates that may adversely affect human health. The Tajogaite eruption on La Palma provided a unique opportunity to evaluate inorganic pollutant exposure in a directly affected population. As part of the ISVOLCAN study, blood samples from 393 adults residing in the island’s western region were analyzed for 43 inorganic elements using Inductively Coupled Plasma Mass Spectrometry (ICP-MS), including 20 toxic elements identified by the Agency for Toxic Substances and Disease Registry (ATSDR). The median age of participants was 51 years, and 56.7% were female. Higher levels of Hg and Mn were associated with long-term occupational exposure, while smoking was linked to elevated Cd, Pb, and Sr levels. Participants living within 6.5 km of the volcano had significantly higher concentrations of Al and Ti. Ash cleanup activities were associated with increased levels of Ni and Cu, and those spending over five hours outdoors daily showed elevated Se and Pb. This is the first biomonitoring study to assess blood concentrations of inorganic pollutants in a population exposed to volcanic emissions. The findings highlight key exposure factors and underscore the need for continued research to assess long-term health effects and inform public health measures. Full article

Background/Objectives: Visual recovery after cataract surgery may be affected by lifestyle and environmental factors. This study aimed to investigate the association between daily outdoor activity and patient-reported visual outcomes after cataract surgery under perioperative management using cyclosporine and rebamipide. Methods: This retrospective study included 90 eyes from patients who underwent standardized cataract surgery with implantation of TECNIS Eyhance intraocular lenses. Patients were divided into two groups based on their average daily outdoor activity during the first postoperative month: Group 1 (≤3 h/day) and Group 2 (>3 h/day). Postoperative assessments included Cataract-related Visual Function Questionnaire (CVFQ) scores, uncorrected and corrected distance visual acuity, and ocular surface parameters such as tear breakup time, Oxford score, SICCA score, and OSDI. Results: Group 1 reported significantly higher CVFQ scores for daytime (p = 0.020) and night-time driving (p = 0.037) compared to Group 2, indicating lower levels of visual discomfort in these tasks. No significant differences were observed between the groups for other CVFQ subcategories or ocular surface parameters. Conclusions: Except for driving-related discomfort, no significant differences were found in CVFQ scores between the groups. No difference in ocular surface parameters can be attributed to the perioperative management using cyclosporine and rebamipide. CVFQ may be a useful tool for assessing subjective visual outcomes after cataract surgery. Full article

Objectives: This single-arm, pre–post intervention study with a three-month follow-up aimed to determine whether a ten-day outdoor camp combining mixed-modality physical activity and time-restricted feeding elicits positive changes in multiple body-composition outcome measures and whether those changes persist at three-month follow-up. Methods: Forty healthy undergraduates (18 male, 22 female) participated in a 10-day outdoor camp that combined multi-modal physical activities (rock climbing and bouldering, swimming, hiking, applied paddling, survival skills, etc.) with a 13 h daily time-restricted feeding window. Body fat percentage, skeletal muscle percentage, body mass, total body-water percentage, visceral fat level, and skeletal muscle index were measured using the InBody 270 at baseline, immediately post-camp, and at the three-month follow-up. Results: Mixed-effects models with random intercepts for subject revealed significant reductions in body fat percentage (β = −1.63, p < 0.001) and visceral fat level (β = −0.72, p = 0.001), alongside increases in skeletal muscle percentage (β = 1.02, p < 0.001), skeletal muscle index (β = 0.30, p < 0.001), and total body-water percentage (β = 1.19, p < 0.001) from baseline to post-camp; no outcomes differed between baseline and follow-up and no time × sex interactions were observed. Conclusions: These findings indicate that a brief, intensive nature-based intervention can drive rapid, multidimensional improvements in body composition, but structured maintenance is required to sustain benefits. Full article

Understanding the chemical composition and mixing states of individual particles in indoor/outdoor environments is important for assessing daily human exposure. In this study, the chemical composition and mixing states of micron-sized individual particles in university classrooms, dwellings, and corresponding outdoor atmospheres collected between November 2024 and January 2025 were analyzed using micro-Raman spectroscopy. Inorganics and carbonaceous matter were identified in the individual particles; inorganics included CaCO₃, CaMg(CO₃)₂, Ca(NO₃)₂, CaSO₄, CaSO₄•2H₂O, Mg(NO₃)₂, Na₂SO₄, SiO₂, NH₄NO₃, and (NH₄)₂SO₄, and carbonaceous matter included soot and organics. This study found significant differences in the chemical composition of indoor and outdoor particles. For example, the percentage of particles containing CaSO₄ was higher in university classrooms than in corresponding outdoor atmospheres, which may be related to the use of chalk. Particles containing organics in the dwelling accounted for more than 80% of the total, which was significantly higher than those found in the corresponding outdoor atmospheres. This may be due to indoor cooking and cleaning activities. Internally mixed CaSO₄/NH₄NO₃ particles and internally mixed CaSO₄•2H₂O/NH₄NO₃/(NH₄)₂SO₄ particles were identified in the indoor atmospheres, indicating the complexity of indoor particle formation. In addition, soot and organics were primarily internally mixed with inorganics in individual particles in both indoor and outdoor atmospheres. This study offers new insights for understanding the formation mechanisms and sources of individual atmospheric particles. Full article

Despite significant progress in fall detection systems, many of the proposed algorithms remain difficult to implement in real-world applications. A common limitation is the lack of location awareness, especially in outdoor scenarios where accurately determining the fall location is crucial for a timely emergency response. Moreover, the complexity of many existing algorithms poses a challenge for deployment on edge devices, such as wearable systems, which are constrained by limited computational resources and battery life. As a result, these solutions are often impractical for long-term, continuous use in practical settings. To address the aforementioned issues, we developed a portable, wearable device that integrates a microcontroller (MCU), an inertial sensor, and a chip module featuring Global Positioning System (GPS) and Narrowband Internet of Things (NB-IoT) technologies. A low-complexity algorithm based on a finite-state machine was employed to detect fall events, enabling the module to meet the requirements for long-term outdoor use. The proposed algorithm is capable of filtering out eight types of daily activities—running, walking, sitting, ascending stairs, descending stairs, stepping, jumping, and rapid sitting—while detecting four types of falls: forward, backward, left, and right. In case a fall event is detected, the device immediately transmits a fall alert and GPS coordinates to a designated server via NB-IoT. The server then forwards the alert to a specified communication application. Experimental tests demonstrated the system’s effectiveness in outdoor environments. A total of 6750 samples were collected from fifteen test participants, including 6000 daily activity samples and 750 fall events. The system achieved an average sensitivity of 97.9%, an average specificity of 99.9%, and an overall accuracy of 99.7%. The implementation of this system provides enhanced safety assurance for elderly individuals during outdoor activities. Full article

Weather patterns substantially influence extreme weathers in Japan. Extreme high temperature events can cause serious health problems, including heat stroke. Therefore, understanding weather patterns, along with their impacts on human health, is critically important for developing effective public health measures. This study examines the impact of weather patterns on heat stroke risk, focusing on a two-tiered high-pressure system (DH: double high) consisting of a lower tropospheric western Pacific subtropical high (WPSH) and an overlapping upper tropospheric South Asian high (SAH), which is thought to cause high-temperature events in Japan. In this study, the self-organizing map technique was utilized to investigate the relationship between pressure patterns and the number of heat stroke patients in four populous cities. The study period covers July and August from 2008 to 2021. The results show that the average number of heat stroke patients in these cities is higher on DH days than on WPSH days in which SAH is absent. The probability of an extremely high daily number of heat stroke patients is more than twice as high on DH days compared to WPSH days. Notably, this result remains true even when WPSH and DH days are compared within the same air temperature range. This is attributable to the higher humidity and stronger solar radiation under DH conditions, which enhances the risk of heat stroke. Large-scale circulation anomalies similar to the Pacific–Japan teleconnection are found on DH days, suggesting that both high humidity and cloudless conditions are among the large-scale features controlled by this teleconnection. Early countermeasures to mitigate heat stroke risk, including advisories for outdoor activities, should be taken when DH-like weather patterns are predicted. Full article

Biodegradable mulch films were developed over the last decades to replace polyethylene, but their short durability and higher costs still limit their diffusion. This work aimed to test an innovative composite mulching film constituted by a mixture of carboxylmethyl cellulose, chitosan and sodium alginate, enriched or not with an inorganic N- and P-source to help the microbial breakdown in soil. The trial was carried out using outdoor mesocosms cultivated with lettuce plants with high-density planting. Commercial Mater-Bi^® and a polyethylene film were taken as control treatments. Air temperature and humidity monitored daily during the 51 d cropping cycle remained within the ideal range for lettuce growth with no mildew or fungi infection. Visible mechanical degradation of the experimental biopolymers occurred after 3 weeks; however, Mater-Bi^® and polyethylene remained unaltered until harvest. Chemical soil variables (TOC, TN, CEC, EC) remained unchanged in all theses, whereas the pH varied. The yield, pigments, total phenols, flavonoids and ROS scavenging activity of lettuce were similar among treatments. Despite their shorter life service (~3 weeks), polysaccharide-based mulching films showed their potential to protect lettuce plants at an early stage and provide yield and nutraceutical values similar to conventionally mulched plants, while allowing a reduced environmental impact and disposal operations. Full article

Objectives: Type 1 diabetes is characterized by hyperglycemic episodes influenced by diet, sleep quality, chronotype, and physical activity, among others. While aerobic exercise is known to improve glycemic control, its effect on blood glucose regulation remains underexplored. Thus, this case study aimed to evaluate the effects of a prolonged and differentiated indoor and outdoor exercise intervention on glycemic control in an individual with type 1 diabetes. Methods: The participant (age: 23 years; weight: 95 kg; height: 1.90 m; Body Mass Index: 26.3 kg/m²; waist to hip ratio: 0.98; basal metabolic rate: 2015 kcal; Heart Rate Maximum (HRmax): 197 beats·min⁻¹) completed two outdoor (~3800 m) and two indoor sessions with self-selected speed, in the initial 2 min stage, at a 0% grade slope. The grade increased by 2% at each stage during the uphill phase until reaching volitional fatigue, followed by a 2% decrease at each stage during the downhill phase until returning to a 0% grade. Blood pressure was assessed before and after each session. Daily nutrition intake, insulin intake, and blood glucose were continuously monitored. Dietary adherence (PREvención con DIeta MEDiterránea), sleep quality (Pittsburgh Sleep Quality Index), chronotype (Morningness–Eveningness Questionnaire), and physical activity levels (International Physical Activity Questionnaire) were assessed before each session. The Physical Activity Enjoyment Scale was used to measure enjoyment after each session. Results: The sessions were completed in ~44 and ~39 min with the participant achieving 84% (outdoor) and 96% (indoor) of their theoretical HRmax. The intervention resulted in glycemic improvements, with time spent in hyperglycemia (>250 mg/dL) decreasing from 56.46% to 0%, while time in the normal range (70–180 mg/dL) increased to 63.96%. A 47% reduction in insulin units showed that insulin sensitivity also improved. Conclusions: Despite differences in intensity, indoor and outdoor activities yielded comparable benefits, with outdoor activities being perceived as more enjoyable (outdoor: 28.5 ± 0.7; indoor: 24.0 ± 5.6) and positively impacting glycemic control, thus supporting the need for tailored strategies in diabetes management. Full article

Objective: This exploratory study examines potential associations between the physical features and behavioral patterns of outdoor community public spaces and the Instrumental Activities of Daily Living (IADLs) performance of older adults in Macau. IADLs refer to abilities that reflect functional independence and cognitive capacity. Methods: Nine representative public spaces were selected in Macau. Field measurements of spatial features, non-participant behavioral observations, and standardized IADL assessments were conducted. Spearman’s correlation and multiple regression analyses were employed to examine relationships among environmental factors, observed behaviors, and IADL scores. Variable selection is based on theoretical support and statistical methods, including correlation analysis and Variance Inflation Factor (VIF) diagnostics. Results: Findings suggest that a higher visible greenery ratio and a greater density of resting facilities are positively associated with IADL performance. Conversely, frequent engagement in sedentary activities, such as playing board or card games, appears to be linked to lower functional independence. Conclusions: This study highlights possible associations between public space characteristics and older adults’ functional independence. The results underscore the need to further explore how spatial design and behavioral patterns may relate to aging in urban environments. Enhancing green visibility and increasing resting facilities could potentially support functional independence, whereas reducing prolonged sedentary behaviors may also be beneficial. These insights offer preliminary guidance for policymakers and urban planners aiming to develop more age-friendly environments in high-density cities. Full article

This study analyzed the factors influencing personal PM_2.5 exposure levels among adults with allergic diseases in Seoul using a linear mixed-effects (LMEs) model. The average personal PM_2.5 exposure concentration of the study participants was 17.38 μg/m³, exceeding the World Health Organization (WHO) daily recommended guideline (15.00 μg/m³), though it was relatively low compared to global levels. Inter-individual exposure variability was approximately 43.5%, with exposure levels varying significantly depending on microenvironments. Notably, 58% of participants exhibited higher exposure on weekends compared to weekdays, likely associated with increased outdoor activities. The LMEs model results identified smoking (90.81% higher in smokers), temperature, relative humidity, outdoor pollutants (PM_2.5, O₃, CO), indoor PM_2.5 and CO concentrations, and time spent in residential environments as factors increasing exposure, while rainfall (91.23% reduction), wind speed, and air purifier use were identified as factors reducing exposure. These findings suggest that individual activity patterns and environmental factors significantly influence exposure levels, highlighting the need for personalized mitigation strategies and national fine dust policies. This study is expected to provide scientific evidence contributing to the reduction in health risks and improvement of quality of life for individuals with allergic diseases. Full article

Indoor air quality (IAQ) in schools significantly affects health and academic performance; however, effective interventions for poor air quality remain limited, particularly in settings with restricted natural ventilation. This study evaluated the effectiveness of ventilation-type air purifiers in improving classroom IAQ in a South Korean elementary school. PM₁₀, PM_2.5, and CO₂ concentrations were monitored over 18 days (14–31 May 2021) in two classrooms—one equipped with a ventilation-type air purifier and the other serving as a control. In the classroom with the air purifier, daily average concentrations of PM₁₀, PM_2.5, and CO₂ decreased by 23.7%, 22.8%, and 21.1%, respectively, from baseline levels. The air purifier effectively reduced pollutant infiltration during periods of severe outdoor air pollution and stabilized pollutant levels during active class hours. Its efficacy was particularly prominent under conditions of restricted natural ventilation, high indoor activity, and fluctuating outdoor pollution levels. IAQ varied significantly between weekdays and weekends; pollutant levels were higher on weekdays due to occupancy and classroom activities, whereas weekends exhibited reduced concentrations. These findings suggest that ventilation-type air purifiers provide a viable strategy for improving IAQ in schools with limited ventilation. Future research should examine their long-term performance across different seasons and architectural settings. Full article

Split air conditioning units are crucial for ensuring the thermal comfort of buildings. Conventional scheduling or pre-timed system activities result in high consumption and wasted energy. This study proposes an intelligent control system for automatic setpoint adjustment in an educational building based on real-time indoor and outdoor environmental and room occupancy data. Principal component analysis was used to identify energy consumption components in ramp-up and steady-state power usage scenarios. K-means clustering was then used to categorize environmental scenarios and occupancy patterns to identify operational states, predict power consumption and environmental variables, and generate fuzzy inference system rules. The application of rough set theory eliminated rule redundancy by at least 99.27% and enhanced computational speed by 96.40%. After testing using real historical data from an uncontrolled environment and occupant thermal comfort satisfaction surveys reflecting a range of ACU setpoints, the enhanced inference system achieved daily average power savings of 25.56% and a steady-state power period at 63.24% of the ACU operating time, as compared to conventional and variable setpoint operations. The proposed technique provides a basis for dynamic and data-driven decision-making, enabling sustainable energy management in smart building applications. Full article