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32 pages, 6710 KiB  
Article
Designing Beyond Walls: An Exploration of How Architecture Can Contribute to Semi-Independent Living for Autistic Adults
by Amber Holly Abolins Haussmann and Crystal Victoria Olin
Architecture 2025, 5(3), 48; https://doi.org/10.3390/architecture5030048 - 7 Jul 2025
Viewed by 479
Abstract
High unemployment rates, inaccessible housing markets, and funding challenges create barriers to finding suitable housing for adults with Autism Spectrum Disorder (ASD) who have less obvious support needs, also known as autistic adults. While public and community housing services in Aotearoa New Zealand [...] Read more.
High unemployment rates, inaccessible housing markets, and funding challenges create barriers to finding suitable housing for adults with Autism Spectrum Disorder (ASD) who have less obvious support needs, also known as autistic adults. While public and community housing services in Aotearoa New Zealand (AoNZ) may be an option, a lack of accessible designs leaves families uncertain about future care options. This paper, part of the MBIE-funded Public Housing and Urban Regeneration: Maximising Wellbeing research programme in partnership with registered Community Housing Provider, Te Toi Mahana (TTM), takes an exploratory approach to ask how public and community housing can support and help enable semi-independent living for autistic adults. It investigates how design elements—such as dwelling layouts, material choices, colour schemes, lighting, acoustics, shared and community spaces, and external environments—impact the wellbeing of autistic adults. By extension, insights may also inform private housing design. The study focuses on autistic adults who may be considered ‘mid-to-high’ functioning or those who have been previously diagnosed with Asperger’s Syndrome, whose housing needs are often overlooked. It develops guiding principles and detailed guidance points for public and community housing, informed by the literature, case studies, and data from a photo elicitation study and interviews undertaken with autistic adults in AoNZ. These guiding principles are tested through the speculative redesign of a large TTM site in Newtown, Wellington, AoNZ. Findings should be of interest to government agencies, housing providers, architects, stakeholders, and others involved in shaping the built environment, as well as autistic adults and their supporters, both in AoNZ and internationally. Full article
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22 pages, 3682 KiB  
Article
Prediction of Urban Construction Land Carbon Effects (UCLCE) Using BP Neural Network Model: A Case Study of Changxing, Zhejiang Province, China
by Qinghua Liao, Xiaoping Zhang, Zixuan Cui and Xunxi Yin
Buildings 2025, 15(13), 2312; https://doi.org/10.3390/buildings15132312 - 1 Jul 2025
Viewed by 348
Abstract
Against the backdrop of the intensifying global climate crisis, urban construction land (UCL), as a major source of carbon emissions, faces the severe challenge of balancing emissions reduction and development in its low-carbon transformation. This study is dedicated to filling the theoretical and [...] Read more.
Against the backdrop of the intensifying global climate crisis, urban construction land (UCL), as a major source of carbon emissions, faces the severe challenge of balancing emissions reduction and development in its low-carbon transformation. This study is dedicated to filling the theoretical and methodological gap in the refined assessment of urban construction land carbon effects (UCLCE) spatial heterogeneity among regions, and proposes and validates an innovative block-scale prediction framework. To achieve this goal, this study takes the central urban area of Changxing, Zhejiang Province, as the study area and establishes a BP neural network model for predicting UCLCE based on multi-source data such as building energy consumption and built environment elements (BEF). The results demonstrate that the BP neural network model effectively predicts the different types of UCLCE, with an average error rate of 30.10%. (1) The total effect and intensity effect exhibit different trends in the study area, and a carbon effect table for different types of UCL is established. (2) The spatial distribution characteristics of UCLCE reveal a distinct reverse-L pattern (“┙”-shaped layout) with positive spatial correlation (Moran’s I = 0.11, p < 0.001). (3) The model’s core practical value lies in enabling forward-looking assessment of carbon effects in urban planning schemes and precise quantification of emissions reduction benefits. Optimization trials on representative blocks achieve up to 25.45% carbon reduction. This study provides theoretical foundations for understanding UCLCE spatial heterogeneity while delivering scientifically grounded tools for diagnosing built environment issues and advancing low-carbon optimization in urban renewal contexts. These contributions carry significant theoretical and practical implications. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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22 pages, 1576 KiB  
Article
Robust Data-Driven State of Health Estimation of Lithium-Ion Batteries Based on Reconstructed Signals
by Byron Alejandro Acuña Acurio, Diana Estefanía Chérrez Barragán, Juan Carlos Rodríguez, Felipe Grijalva and Luiz Carlos Pereira da Silva
Energies 2025, 18(10), 2459; https://doi.org/10.3390/en18102459 - 11 May 2025
Viewed by 1167
Abstract
The state of health (SoH) of lithium-ion batteries is critical for diagnosing the actual capacity of the battery. Data-driven methods have achieved impressive accuracy, but their sensitivity to sensor noise, missing samples, and outliers remains a limitation for their deployment. This paper proposes [...] Read more.
The state of health (SoH) of lithium-ion batteries is critical for diagnosing the actual capacity of the battery. Data-driven methods have achieved impressive accuracy, but their sensitivity to sensor noise, missing samples, and outliers remains a limitation for their deployment. This paper proposes a robust, purely data-driven SoH estimation methodology that addresses these challenges. Our method uses a proposed non-iterative closed-form signal reconstruction derived from a modified Tikhonov regularization. Five new features were extracted from reconstructed voltage and temperature discharge profiles. Finally, a Huber regression model is trained using these features for SoH estimation. Six ageing scenarios built from the public NASA and Sandia National Laboratories datasets, under severe Gaussian noise conditions (10 dB SNR), were employed to validate our proposed approach. In noisy environments and with limited training data, our proposed approach maintains a competitive accuracy across all scenarios, achieving low error metrics, with an RMSE on the order of 104, an MAE on the order of 102, and a MAPE below 1%. It outperforms state-of-the-art deep neural networks, direct-feature Huber models, and hybrid physics/data-driven models. In this work, we demonstrate that robustness in SoH estimation for lithium-ion batteries is influenced by the choice of machine learning architecture, loss function, feature selection, and signal reconstruction technique. In addition, we found that tracking the time to minimum discharge voltage and the time to maximum discharge temperature can be used as effective features to estimate SoH in data-driven models, as they are directly correlated with capacity loss and a decrease in power output. Full article
(This article belongs to the Section D: Energy Storage and Application)
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39 pages, 4863 KiB  
Article
Towards Clean Energy Transition: An Exploratory Case Study from Rural Egypt
by Ahmed Abouaiana and Alessandra Battisti
Sustainability 2025, 17(4), 1597; https://doi.org/10.3390/su17041597 - 14 Feb 2025
Cited by 1 | Viewed by 1405
Abstract
Rural areas are ideal for renewable energy facilities, supporting sustainable development and energy transition. Egypt aims to reduce greenhouse gas emissions in the electricity sector by 37% and energy consumption by 17% by 2030. Rural Egypt, hosting two-thirds of the population and building [...] Read more.
Rural areas are ideal for renewable energy facilities, supporting sustainable development and energy transition. Egypt aims to reduce greenhouse gas emissions in the electricity sector by 37% and energy consumption by 17% by 2030. Rural Egypt, hosting two-thirds of the population and building stock, consumes one-third of the total electricity. Thus, this paper provides an exploratory study to diagnose and benchmark the energy-use intensity of rural buildings and quantify the correlation between residential electricity consumption, built environment elements, and socio-economic factors, in addition to promoting techno-economic assessments of renewable energy from photovoltaic panels in rural Egypt, supporting national policies amid rapid rural development. The study utilized different analytical and field methods and statistical analyses. A typical agriculture-based rural village in the Delta region, northern Egypt, was selected; the built environment, building types, and socio-economic factors were examined. The results revealed a significant correlation between lifestyle, built-up area, household size, and floor numbers with residential buildings’ electricity consumption. The average annual electricity use intensity was benchmarked at 2.5–92.3 kWh/m2 for six non-residential building typologies and at 22 kWh/m2 and 6.67 kWh/dwelling for residential buildings. Under current regulations, rooftop solar panels can generate electricity significantly, but are not profitable. Eventually, insights for policymakers to inform energy transition policies and national initiatives for rural regeneration were provided. The research focused on a local context, but the methodology can be applied to rural settlements in similar contexts. Full article
(This article belongs to the Special Issue Renewable Energies in the Built Environment)
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44 pages, 6347 KiB  
Systematic Review
Exploring the Synergy of Advanced Lighting Controls, Building Information Modelling and Internet of Things for Sustainable and Energy-Efficient Buildings: A Systematic Literature Review
by Gabriele Zocchi, Morteza Hosseini and Georgios Triantafyllidis
Sustainability 2024, 16(24), 10937; https://doi.org/10.3390/su162410937 - 13 Dec 2024
Cited by 8 | Viewed by 3385
Abstract
Buildings are responsible for approximately 40% of global energy consumption, putting pressure on the construction industry to mitigate its environmental impact. Therefore, there is an urgent need for innovative solutions to reduce power consumption, particularly in lighting systems. This study’s primary objective was [...] Read more.
Buildings are responsible for approximately 40% of global energy consumption, putting pressure on the construction industry to mitigate its environmental impact. Therefore, there is an urgent need for innovative solutions to reduce power consumption, particularly in lighting systems. This study’s primary objective was to investigate novel integrated lighting solutions that significantly reduce energy use, as well as to explore their enhancement through Building Information Modelling (BIM) and the Internet of Things (IoT) to improve energy efficiency further and reduce the carbon footprint of buildings. Hence, this literature review examined energy-saving actions, retrofitting practices and interventions across a range of multi-use buildings worldwide, focusing on research from 2019 to 2024. The review was conducted using Scopus and Web of Science databases, with inclusion criteria limited to original research. The objective was to diagnose the goals being undertaken and ultimately validate new actions and contributions to minimise energy consumption. After applying eligibility criteria, 48 studies were included in the review. First, daylight harvesting and retrofitting solutions were examined using the latest technologies and external shading. The review indicates a lack of proper coordination between daylight and electrical lighting, resulting in energy inefficiency. Secondly, it reviews how the integration of BIM facilitates the design process, providing a complete overview of all the building variables, thus improving indoor daylight performance and proper lighting with energy analysis. Lastly, the review addresses the role of the Internet of Things (IoT) in providing real-time data from sensor networks, allowing for continuous monitoring of building conditions. This systematic literature review explores the integration of these fields to address the urgent need for innovative strategies and sustainability in the built environment. Furthermore, it thoroughly analyses the current state of the art, identifying best practices, emerging trends and concrete insight for architects, engineers and researchers. The goal is to promote the widespread adoption of low-carbon systems and encourage collaboration among industry professionals and researchers to advance sustainable building design. Ultimately, a new parametric design framework is proposed, consisting of five iterative phases that cover all design stages. This framework is further enhanced by integrating BIM and IoT, which can be used together to plan, reconfigure, and optimise the building’s performance. Full article
(This article belongs to the Section Green Building)
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11 pages, 3814 KiB  
Article
The Impact of Melanoma Imaging Biomarker Cues on Detection Sensitivity and Specificity in Melanoma versus Clinically Atypical Nevi
by Rosario Agüero, Kendall L. Buchanan, Cristián Navarrete-Dechent, Ashfaq A. Marghoob, Jennifer A. Stein, Michael S. Landy, Sancy A. Leachman, Kenneth G. Linden, Sandra Garcet, James G. Krueger and Daniel S. Gareau
Cancers 2024, 16(17), 3077; https://doi.org/10.3390/cancers16173077 - 4 Sep 2024
Viewed by 1908
Abstract
Incorporation of dermoscopy and artificial intelligence (AI) is improving healthcare professionals’ ability to diagnose melanoma earlier, but these algorithms often suffer from a “black box” issue, where decision-making processes are not transparent, limiting their utility for training healthcare providers. To address this, an [...] Read more.
Incorporation of dermoscopy and artificial intelligence (AI) is improving healthcare professionals’ ability to diagnose melanoma earlier, but these algorithms often suffer from a “black box” issue, where decision-making processes are not transparent, limiting their utility for training healthcare providers. To address this, an automated approach for generating melanoma imaging biomarker cues (IBCs), which mimics the screening cues used by expert dermoscopists, was developed. This study created a one-minute learning environment where dermatologists adopted a sensory cue integration algorithm to combine a single IBC with a risk score built on many IBCs, then immediately tested their performance in differentiating melanoma from benign nevi. Ten participants evaluated 78 dermoscopic images, comprised of 39 melanomas and 39 nevi, first without IBCs and then with IBCs. Participants classified each image as melanoma or nevus in both experimental conditions, enabling direct comparative analysis through paired data. With IBCs, average sensitivity improved significantly from 73.69% to 81.57% (p = 0.0051), and the average specificity improved from 60.50% to 67.25% (p = 0.059) for the diagnosis of melanoma. The index of discriminability (d′) increased significantly by 0.47 (p = 0.002). Therefore, the incorporation of IBCs can significantly improve physicians’ sensitivity in melanoma diagnosis. While more research is needed to validate this approach across other healthcare providers, its use may positively impact melanoma screening practices. Full article
(This article belongs to the Special Issue Skin Cancer: Risk Factors and Prevention)
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22 pages, 24829 KiB  
Article
A Method to Estimate Climate Drivers of Maize Yield Predictability Leveraging Genetic-by-Environment Interactions in the US and Canada
by Parisa Sarzaeim and Francisco Muñoz-Arriola
Agronomy 2024, 14(4), 733; https://doi.org/10.3390/agronomy14040733 - 2 Apr 2024
Cited by 4 | Viewed by 1744
Abstract
Throughout history, the pursuit of diagnosing and predicting crop yields has evidenced genetics, environment, and management practices intertwined in achieving food security. However, the sensitivity of crop phenotypes and genetic responses to climate still hampers the identification of the underlying abilities of plants [...] Read more.
Throughout history, the pursuit of diagnosing and predicting crop yields has evidenced genetics, environment, and management practices intertwined in achieving food security. However, the sensitivity of crop phenotypes and genetic responses to climate still hampers the identification of the underlying abilities of plants to adapt to climate change. We hypothesize that the PiAnosi and WagNer (PAWN) global sensitivity analysis (GSA) coupled with a genetic by environment (GxE) model built of environmental covariance and genetic markers structures, can evidence the contributions of climate on the predictability of maize yields in the U.S. and Ontario, Canada. The GSA-GxE framework estimates the relative contribution of climate variables to improving maize yield predictions. Using an enhanced version of the Genomes to Fields initiative database, the GSA-GxE framework shows that the spatially aggregated sensitivity of maize yield predictability is attributed to solar radiation, followed by temperature, rainfall, and relative humidity. In one-third of the individually assessed locations, rainfall was the primary responsible for maize yield predictability. Also, a consistent pattern of top sensitivities (Relative Humidity, Solar Radiation, and Temperature) as the main or the second most relevant drivers of maize yield predictability shed some light on the drivers of genetic improvement in response to climate change. Full article
(This article belongs to the Special Issue Crop Models for Agricultural Yield Prediction under Climate Change)
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14 pages, 2478 KiB  
Article
Classifying Raman Spectra of Colon Cells Based on Machine Learning Algorithms
by Maria Lasalvia, Crescenzio Gallo, Vito Capozzi and Giuseppe Perna
Photonics 2024, 11(3), 275; https://doi.org/10.3390/photonics11030275 - 21 Mar 2024
Cited by 1 | Viewed by 1989
Abstract
Colorectal cancer is very widespread in developed countries. Its diagnosis partly depends on pathologists’ experience and their laboratories’ instrumentation, producing uncertainty in diagnosis. The use of spectroscopic techniques sensitive to the cellular biochemical environment could aid in achieving a reliable diagnosis. So, we [...] Read more.
Colorectal cancer is very widespread in developed countries. Its diagnosis partly depends on pathologists’ experience and their laboratories’ instrumentation, producing uncertainty in diagnosis. The use of spectroscopic techniques sensitive to the cellular biochemical environment could aid in achieving a reliable diagnosis. So, we used Raman micro-spectroscopy, combined with a spectral analysis by means of machine learning methods, to build classification models, which allow colon cancer to be diagnosed in cell samples, in order to support such methods as complementary tools for achieving a reliable identification of colon cancer. The Raman spectra were analyzed in the 980–1800 cm−1 range by focusing the laser beam onto the nuclei and the cytoplasm regions of single FHC and CaCo-2 cells (modelling healthy and cancerous samples, respectively) grown onto glass coverslips. The comparison of the Raman intensity of several spectral peaks and the Principal Component Analysis highlighted small biochemical differences between healthy and cancerous cells mainly due to the larger relative lipid content in the former cells with respect to the latter ones and to the larger relative amount of nucleic acid components in cancerous cells compared with healthy ones. We considered four classification algorithms (logistic regression, support vector machine, k nearest neighbors, and a neural network) to associate unknown Raman spectra with the cell type to which they belong. The built machine learning methods achieved median values of classification accuracy ranging from 95.5% to 97.1%, sensitivity values ranging from 95.5% to 100%, and specificity values ranging from 93.9% to 97.1%. The same median values of the classification parameters, which were estimated for a testing set including unknown spectra, ranged between 93.1% and 100% for accuracy and between 92.9% and 100% for sensitivity and specificity. A comparison of the four methods pointed out that k nearest neighbors and neural networks better perform the classification of nucleus and cytoplasm spectra, respectively. These findings are a further step towards the perspective of clinical translation of the Raman technique assisted by multivariate analysis as a support method to the standard cytological and immunohistochemical methods for diagnostic purposes. Full article
(This article belongs to the Special Issue Advanced Photonic Sensing and Measurement II)
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18 pages, 16138 KiB  
Article
Exploring Students’ Emotional Well-Being in the Ideal University Hostel Using the Qualitative Repertory Grid Technique
by Fanan Jameel and Ahmed Agiel
Int. J. Environ. Res. Public Health 2023, 20(18), 6724; https://doi.org/10.3390/ijerph20186724 - 7 Sep 2023
Cited by 1 | Viewed by 4033
Abstract
One of the ramifications of the COVID-19 pandemic is that it has lent urgency to ongoing discussions on mental well-being, particularly among university students. While standard techniques are available to diagnose mental health disorders such as depression, anxiety, and stress, ambiguity persists regarding [...] Read more.
One of the ramifications of the COVID-19 pandemic is that it has lent urgency to ongoing discussions on mental well-being, particularly among university students. While standard techniques are available to diagnose mental health disorders such as depression, anxiety, and stress, ambiguity persists regarding the emotional aspect of well-being. Emotional well-being (EWB) is a recently developed concept that seeks to understand the contribution of emotions to one’s well-being. Interactive approaches for such investigations are recommended to understand people’s contextual experiences in the built environment. This study utilizes a qualitative approach, underpinned by personal construct theory (PCT) and the qualitative repertory grid technique (RGT), to understand how university hostel designs can contribute to students’ emotional well-being. We interviewed fifteen students from the United Arab Emirates University (UAEU) and obtained their perceptions of three built environments they experienced and an ideal place they imagined. The results unveiled design-related factors associated with students’ emotional constructs and elucidated characteristics of an ‘ideal’ hostel in response to these emotional constructs. These findings enrich our knowledge of EWB within university hostels offering insights for the future design that consider the emotional aspect of well-being for residents. Full article
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27 pages, 6516 KiB  
Systematic Review
Insights and Evidence on Energy Retrofitting Practices in Rural Areas: Systematic Literature Review (2012–2023)
by Ahmed Abouaiana and Alessandra Battisti
Buildings 2023, 13(7), 1586; https://doi.org/10.3390/buildings13071586 - 22 Jun 2023
Cited by 3 | Viewed by 4107
Abstract
Rural commons face extraordinary challenges like fragility and sensitivity due to climate change. Retrofitting rural built environments affords benefits that could overcome these challenges and support sustainable development. However, notwithstanding the vast energy retrofitting interventions available, the associated aspects require investigation, particularly in [...] Read more.
Rural commons face extraordinary challenges like fragility and sensitivity due to climate change. Retrofitting rural built environments affords benefits that could overcome these challenges and support sustainable development. However, notwithstanding the vast energy retrofitting interventions available, the associated aspects require investigation, particularly in distinct rural contexts with all their valuable, cultural, and historical inheritance. Hence, this study aimed to examine energy retrofitting practices in rural settlements worldwide over a decade to diagnose the goals that are being undertaken, stakeholder engagement, and finally, the bi-correlation between rural contexts and interventions, and retrofitting contributions to valorizing the place’s identity. This study is a systematic literature review (SLR) considering the items of the PRISMA checklist (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). An SLR of published peer-reviewed studies between January 2012 and March 2023 in 16 electronic databases in all available languages, using a combination of seven keywords within three domains, was conducted. The initial search resulted in 397; after applying the inclusion/exclusion criteria, there were 60 eligible articles. The academic progress and tendencies in the energy retrofitting domain of rural built environments are discussed and summarized into four major thematic classifications (energy efficiency strategies, energy efficiency planning, policy evaluation, and occupant behavior). Briefly, rural buildings lack energy-saving designs. Simulation tools are essential; however, they should be calibrated with on-site conditions, showing the reasons for selecting the applied retrofitting measures and correlation with the surrounding context. Successful implementation requires cross-disciplinary collaboration, engaging decision makers, and providing energy education for the local community. Regulations should include micro-context-specific environmental performance indicators. These insights could help map out future academic pursuits and help the stakeholders better understand their nature. Simultaneously, this study assists early-stage researchers in conducting systematic literature reviews utilizing different tools. However, the SLR protocol may have limited findings due to the specific search terms used, so the authors believe the more the literature search scope is broadened, the more discoveries could be made. Full article
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11 pages, 326 KiB  
Essay
Translational Research in Cancer Screening: Long-Term Population-Action Bridges to Diffuse Adherence
by Lea Hagoel, Gad Rennert and Efrat Neter
Int. J. Environ. Res. Public Health 2021, 18(15), 7883; https://doi.org/10.3390/ijerph18157883 - 26 Jul 2021
Viewed by 2478
Abstract
The population-level implementation of innovative, evidence-based medical recommendations for adopting health-behaviors depends on the last link in the translation chain: the users. “User-friendly” medical interventions aimed at engaging users to adopt recommended health behaviors are best developed in a collaborative bio-medical and social [...] Read more.
The population-level implementation of innovative, evidence-based medical recommendations for adopting health-behaviors depends on the last link in the translation chain: the users. “User-friendly” medical interventions aimed at engaging users to adopt recommended health behaviors are best developed in a collaborative bio-medical and social sciences setting. In the 1990s, National Breast and Colorectal Cancer Early Detection Programs were launched at the Israeli Department of Community Medicine and Epidemiology. Operating under the largest HMO (Health Maintenance Organization) in Israel (“Clalit Health Services”), the department had direct access to HMO community primary-care clinics’ teams, insured members, and medical records. Academically affiliated, the department engaged in translational research. In a decades-long translational process, this multi-disciplinary unit led a series of interventions built upon basic and applied behavioral/social science phenomena such as framing, “Implementation Intentions,” and “Question-Behavior-Effect”. A heterogeneous team of disciplinary specialists created an integrated scientific environment. In order to enhance screening, the team focused on the establishment of a systematic mechanism actively inviting programs’ “users” (average-risk targeted individuals on the national level), and continuously applied social and health psychology concepts to study individuals’ perceptions, expectations, and needs related to cancer screening. The increase in adherence to screening recommendations was slow and incremental. A decrease in late-stage breast and colorectal cancer diagnoses was observed nationally, but participation was lower than expected. This paper positions screening adherence as a unique challenge and proposes new social and network avenues to enhance future participation. Full article
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
15 pages, 811 KiB  
Article
Urban Environment and Health: A Cross-Sectional Study of the Influence of Environmental Quality and Physical Activity on Blood Pressure
by Regina Grazuleviciene, Sandra Andrusaityte, Audrius Dėdelė, Tomas Grazulevicius, Leonas Valius, Aurimas Rapalavicius, Violeta Kapustinskiene and Inga Bendokiene
Int. J. Environ. Res. Public Health 2021, 18(11), 6126; https://doi.org/10.3390/ijerph18116126 - 6 Jun 2021
Cited by 15 | Viewed by 4669
Abstract
Few studies have examined the relation between urban built environment and the prevalence of hypertension. This cross-sectional study aimed at assessing the relationship between the environmental quality, physical activity, and stress on hypertension among citizens of Kaunas city, Lithuania. We conducted a survey [...] Read more.
Few studies have examined the relation between urban built environment and the prevalence of hypertension. This cross-sectional study aimed at assessing the relationship between the environmental quality, physical activity, and stress on hypertension among citizens of Kaunas city, Lithuania. We conducted a survey of 1086 citizens residing in 11 districts to determine their perceptions of environmental quality, health behavior, and health indices. The independent variables included residential traffic flows, access to public transportation and green spaces. Dependent variables included physician-diagnosed hypertension, systolic and diastolic blood pressure, and stress level. We used multivariable logistic regression to assess the associations as odds ratios (OR). The environmental factors beneficially associated with meeting the physical activity recommendations were opportunities for walking to reach the city’s green spaces and available relaxation areas. Residents of high noise level districts aged 45–64 years had a significantly higher OR of stress and a higher prevalence of hypertension when age, sex, education status, family status, and smoking were accounted for. However, meeting the physical activity recommendations had a beneficial effect on the risk of hypertension. This study provided evidence that improvement of the district-level built environment supporting citizens’ physical activity might reduce the risk of hypertension. Full article
(This article belongs to the Special Issue Evidence for Healthy Urban Design)
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17 pages, 1148 KiB  
Article
Objectively Measured Built Environments and Cardiovascular Diseases in Middle-Aged and Older Korean Adults
by Eun Young Lee, Jungsoon Choi, Sugie Lee and Bo Youl Choi
Int. J. Environ. Res. Public Health 2021, 18(4), 1861; https://doi.org/10.3390/ijerph18041861 - 14 Feb 2021
Cited by 14 | Viewed by 3413
Abstract
This study assesses the association between the objectively measured built environment and cardiovascular diseases (CVDs) in 50,741 adults from the Korean Community Health Survey. The CVD outcomes of hypertension, diabetes, dyslipidemia, stroke, and myocardial infarction (MI) or angina were derived from self-reported histories [...] Read more.
This study assesses the association between the objectively measured built environment and cardiovascular diseases (CVDs) in 50,741 adults from the Korean Community Health Survey. The CVD outcomes of hypertension, diabetes, dyslipidemia, stroke, and myocardial infarction (MI) or angina were derived from self-reported histories of physician diagnoses. Using ArcGIS software and Korean government databases, this study measured the built environment variables for the 546 administrative areas of Gyeonggi province. A Bayesian spatial multilevel model was performed independently in two age groups (i.e., 40–59 years or ≥60 years). After adjusting for statistical significant individual- and community-level factors with the spatial associations, living far from public transit was associated with an increase in the odds of MI or angina in middle-aged adults, while living in neighborhoods in which fast-food restaurants were concentrated was associated with a decrease in the odds of hypertension and stroke. For adults 60 or older, living farther from public physical-activity (PA) facilities was associated with a 15% increased odds for dyslipidemia, compared with living in neighborhoods nearer to PA facilities. These findings suggest that creating a built environment that provides more opportunities to engage in PA in everyday life should be considered a strategy to reduce the prevalence of CVD. Full article
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32 pages, 13309 KiB  
Article
An Energy-Resilient Retrofit Methodology to Climate Change for Historic Districts. Application in the Mediterranean Area
by Elena Cantatore and Fabio Fatiguso
Sustainability 2021, 13(3), 1422; https://doi.org/10.3390/su13031422 - 29 Jan 2021
Cited by 16 | Viewed by 3440
Abstract
Focusing on the uncertainties of climate change and its effects on the built environment, on the energy responsibilities of residential building stock and on the dichotomy between the transformation and preservation of cultural heritage with a long-term perspective, this paper proposes a detailed [...] Read more.
Focusing on the uncertainties of climate change and its effects on the built environment, on the energy responsibilities of residential building stock and on the dichotomy between the transformation and preservation of cultural heritage with a long-term perspective, this paper proposes a detailed methodology aimed at managing energy retrofit transformations and preservation actions in historic districts following “resilience thinking.” The proposed methodology pursues the traditional process of retrofitting for cultural heritage, and identifies—on building and component scales—a structural process aimed at: (i) recognizing and testing the adaptive qualities of traditional built constructions to climate change based upon the genius loci experience; (ii) diagnosing critical energy emergencies which occurred due to historical transformations or exposure to criticalities of climate change; (iii) identifying and managing improvement requirements according to priority levels of transformation (MUERI). The test on a representative case study in the south of Italy (Mediterranean area) highlighted some significant results: (i) the importance of compactness and of light-colored materials in fighting local microclimate alterations; (ii) the pivotal responsibility of roofs in current and future trends in energy consumption, promoting and testing both innovative and traditional solutions; (iii) the reduction into a limited number of buildings cases to assess, solving the complex and various combinations of features, with which suitable solutions and guidelines are associated. Full article
(This article belongs to the Special Issue New Horizons for Sustainable Architecture)
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38 pages, 714 KiB  
Review
Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses
by David Rojas-Rueda, Emily Morales-Zamora, Wael Abdullah Alsufyani, Christopher H. Herbst, Salem M. AlBalawi, Reem Alsukait and Mashael Alomran
Int. J. Environ. Res. Public Health 2021, 18(2), 704; https://doi.org/10.3390/ijerph18020704 - 15 Jan 2021
Cited by 100 | Viewed by 18187
Abstract
Background: Environmental health is a growing area of knowledge, continually increasing and updating the body of evidence linking the environment to human health. Aim: This study summarizes the epidemiological evidence on environmental risk factors from meta-analyses through an umbrella review. Methods [...] Read more.
Background: Environmental health is a growing area of knowledge, continually increasing and updating the body of evidence linking the environment to human health. Aim: This study summarizes the epidemiological evidence on environmental risk factors from meta-analyses through an umbrella review. Methods: An umbrella review was conducted on meta-analyses of cohort, case-control, case-crossover, and time-series studies that evaluated the associations between environmental risk factors and health outcomes defined as incidence, prevalence, and mortality. The specific search strategy was designed in PubMed using free text and Medical Subject Headings (MeSH) terms related to risk factors, environment, health outcomes, observational studies, and meta-analysis. The search was limited to English, Spanish, and French published articles and studies on humans. The search was conducted on September 20, 2020. Risk factors were defined as any attribute, characteristic, or exposure of an individual that increases the likelihood of developing a disease or death. The environment was defined as the external elements and conditions that surround, influence, and affect a human organism or population’s life and development. The environment definition included the physical environment such as nature, built environment, or pollution, but not the social environment. We excluded occupational exposures, microorganisms, water, sanitation and hygiene (WASH), behavioral risk factors, and no-natural disasters. Results: This umbrella review found 197 associations among 69 environmental exposures and 83 diseases and death causes reported in 103 publications. The environmental factors found in this review were air pollution, environmental tobacco smoke, heavy metals, chemicals, ambient temperature, noise, radiation, and urban residential surroundings. Among these, we identified 65 environmental exposures defined as risk factors and 4 environmental protective factors. In terms of study design, 57 included cohort and/or case-control studies, and 46 included time-series and/or case-crossover studies. In terms of the study population, 21 included children, and the rest included adult population and both sexes. In this review, the largest body of evidence was found in air pollution (91 associations among 14 air pollution definitions and 34 diseases and mortality diagnoses), followed by environmental tobacco smoke with 24 associations. Chemicals (including pesticides) were the third larger group of environmental exposures found among the meta-analyses included, with 19 associations. Conclusion: Environmental exposures are an important health determinant. This review provides an overview of an evolving research area and should be used as a complementary tool to understand the connections between the environment and human health. The evidence presented by this review should help to design public health interventions and the implementation of health in all policies approach aiming to improve populational health. Full article
(This article belongs to the Special Issue Environmental Health: Feature Review Papers)
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