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Energy consumption and carbon emissions of hospitals in Tianjin

Chongxu JIANG, Jincheng XING, Jihong LING, Xiaona QIN

《能源前沿（英文）》 2012年 第6卷 第4期   页码 427-435 doi: 10.1007/s11708-012-0199-5

摘要： An energy audit of 22 tertiary hospitals was conducted in Tianjin. The detailed content included design data, basic information, energy bills and equipment lists. It was shown that during the study, the energy intensity of hospitals in Tianjin was approximately stable and the average level of energy consumption was 348 kW·h/(m ·a). From the date collected, it was calculated that the energy intensity of general hospitals was 380 kW·h/(m ·a), and the average carbon emissions was 157 kgCO /(m ·a); While the energy intensity of specialized hospitals was 309 kW·h/(m ·a), and the average carbon emissions was 131 kgCO /(m ·a). By breaking the energy consumption down into several items, it was found that the heating system consumed the highest amount of energy (42.12%), followed by the cooling system (6.78%), the medical equipment (4.98%) and the lighting system (3.63%). The main factors that affect the hospital energy consumption were determined, and some feasible technology and management measures to save energy and reduce carbon emissions were proposed.

关键词： hospital building     energy consumption     carbon emissions     energy saving     emission reduction    

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Qualitative analysis of direction of public hospital reforms in China

null

《医学前沿（英文）》 2018年 第12卷 第2期   页码 218-223 doi: 10.1007/s11684-017-0534-7

摘要：

Reforms in public hospitals are among the most important improvements in China’s health care system over the last two decades. However, the reforms that should be implemented in public hospitals are unclear. Thus, a feasible direction of reforms in Chinese public hospitals is suggested and reliable policy suggestions are provided for the government to reform public hospitals. The data used in this study were mainly derived from a qualitative study. Focus group discussions and in-depth interviews were conducted in Shanghai, Guangdong, and Gansu between May and December 2014. Government funding accounted for approximately eight percent of the total annual revenue of public hospitals in China, and the insufficient government subsidy considerably affects the operation mechanism of public hospitals. However, solely increasing this subsidy cannot address the inappropriate incentives of public hospitals in China. The most crucial step in setting the direction of reforms in public hospitals in China is transforming inappropriate incentives by implementing a new evaluation index system for directors and physicians in public hospitals.

关键词： public hospital     government hospital     public funding     operation mechanism    

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Membrane bioreactors for hospital wastewater treatment: recent advancements in membranes and processes

《化学科学与工程前沿（英文）》 2022年 第16卷 第5期   页码 634-660 doi: 10.1007/s11705-021-2107-1

摘要： Discharged hospital wastewater contains various pathogenic microorganisms, antibiotic groups, toxic organic compounds, radioactive elements, and ionic pollutants. These contaminants harm the environment and human health causing the spread of disease. Thus, effective treatment of hospital wastewater is an urgent task for sustainable development. Membranes, with controllable porous and nonporous structures, have been rapidly developed for molecular separations. In particular, membrane bioreactor (MBR) technology demonstrated high removal efficiency toward organic compounds and low waste sludge production. To further enhance the separation efficiency and achieve material recovery from hospital waste streams, novel concepts of MBRs and their applications are rapidly evolved through hybridizing novel membranes (non hydrophilic ultrafiltration/microfiltration) into the MBR units (hybrid MBRs) or the MBR as a pretreatment step and integrating other membrane processes as subsequent secondary purification step (integrated MBR-membrane systems). However, there is a lack of reviews on the latest advancement in MBR technologies for hospital wastewater treatment, and analysis on its major challenges and future trends. This review started with an overview of main pollutants in common hospital wastewater, followed by an understanding on the key performance indicators/criteria in MBR membranes (i.e., solute selectivity) and processes (e.g., fouling). Then, an in-depth analysis was provided into the recent development of hybrid MBR and integrated MBR-membrane system concepts, and applications correlated with wastewater sources, with a particular focus on hospital wastewaters. It is anticipated that this review will shed light on the knowledge gaps in the field, highlighting the potential contribution of hybrid MBRs and integrated MBR-membrane systems toward global epidemic prevention.

关键词： membrane technology     membrane bioreactor     hospital wastewater     hybrid MBR     integrated MBR-membrane system    

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SinoSCORE: a logistically derived additive prediction model for post-coronary artery bypass grafting in-hospital

null

《医学前沿（英文）》 2013年 第7卷 第4期   页码 477-485 doi: 10.1007/s11684-013-0284-0

摘要：

This study aims to construct a logistically derived additive score for predicting in-hospital mortality risk in Chinese patients undergoing coronary artery bypass surgery (CABG). Data from 9839 consecutive CABG patients in 43 Chinese centers were collected between 2007 and 2008 from the Chinese Coronary Artery Bypass Grafting Registry. This database was randomly divided into developmental and validation subsets (9:1). The data in the developmental dataset were used to develop the model using logistic regression. Calibration and discrimination characteristics were assessed using the validation dataset. Thresholds were defined for each model to distinguish different risk groups. After excluding 275 patients with incomplete information, the overall mortality rate of the remaining 9564 patients was 2.5%. The SinoSCORE model was constructed based on 11 variables: age, preoperative NYHA stage III or IV, chronic renal failure, extracardiac arteriopathy, chronic obstructive pulmonary disease, preoperative atrial fibrillation or flutter (within 2βweeks), left ventricular ejection fraction, other elective surgery, combined valve procedures, preoperative critical state, and BMI. In the developmental dataset, calibration using a Hosmer-Lemeshow (HL) test was at =β0.44 and discrimination based on the area under the receiver operating characteristic curve (ROC) was 0.80. In the validation dataset, the HL test was at =β0.34 and the area under the ROC (AUC) was 0.78. A logistically derived additive model for predicting in-hospital mortality among Chinese patients undergoing CABG was developed based on the most up-to-date multi-center data from China.

关键词： coronary artery bypass grafting     risk stratification     in-hospital mortality    

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Removal efficiencies of natural and synthetic progesterones in hospital wastewater treated by different

《环境科学与工程前沿（英文）》 2022年 第16卷 第10期 doi: 10.1007/s11783-022-1558-z

摘要：

● The concentrations of 61 progesterones in HWW, PFTE, SBTE were evaluated.

关键词： Progesterones     Hospital wastewater     Primary filtration treatment effluent     Secondary biological treatment effluent     Disinfection process    

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Association between ICU quality and in-hospital mortality of V-V ECMO-supported patients—the ECMO quality

《医学前沿（英文）》 doi: 10.1007/s11684-023-1014-x

摘要： This cohort study was performed to explore the influence of intensive care unit (ICU) quality on in-hospital mortality of veno-venous (V-V) extracorporeal membrane oxygenation (ECMO)-supported patients in China. The study involved all V-V ECMO-supported patients in 318 of 1700 tertiary hospitals from 2017 to 2019, using data from the National Clinical Improvement System and China National Critical Care Quality Control Center. ICU quality was assessed by quality control indicators and capacity parameters. Among the 2563 V-V ECMO-supported patients in 318 hospitals, a significant correlation was found between ECMO-related complications and prognosis. The reintubation rate within 48 hours after extubation and the total ICU mortality rate were independent risk factors for higher in-hospital mortality of V-V ECMO-supported patients (cutoff: 1.5% and 7.0%; 95% confidence interval: 1.05–1.48 and 1.04–1.45; odds ratios: 1.25 and 1.23; P = 0.012 and P = 0.015, respectively). Meanwhile, the V-V ECMO center volume was a protective factor (cutoff of ≥ 50 cases within the 3-year study period; 95% confidence interval: 0.57–0.83, odds ratio: 0.69, P = 0.0001). The subgroup analysis of 864 patients in 11 high-volume centers further strengthened these findings. Thus, ICU quality may play an important role in improving the prognosis of V-V ECMO-supported patients.

关键词： veno-venous extracorporeal membrane oxygenation     in-hospital mortality     high-volume centers     quality control     intensive care unit capacity parameters    

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Prevalence and determinations of physical inactivity among public hospital employees in Shanghai, China

null

《医学前沿（英文）》 2015年 第9卷 第1期   页码 100-107 doi: 10.1007/s11684-014-0372-9

摘要：

This study aims to explore the prevalence and determinations of physical inactivity among hospital employees in Shanghai, China. A cross-sectional study of 4612 employees aged 19 to 68 years was conducted through stratified cluster sampling from different classes of Shanghai hospitals in 2011. The total physical activity was evaluated using the metabolic equivalent according to the Global Physical Activity Questionnaire. Among the participants, 38.5%, 32.3%, and 64.6% of the employees are inactive at work, commuting, and taking leisure time, respectively. Up to 41.8% of the men and 37.8% of the women (P = 0.012) are physically inactive. When the age and educational level are adjusted, male doctors and medical technicians show a higher percentage of physical inactivity than male workers in logistics (P = 0.001). Among females, employees who are working in second- and third-class hospitals show a higher proportion of physical inactivity than those who are working in community health care centers. Logistic regression analyses show that the odds ratios (ORs) of leisure-time physical inactivity associated with the intensity of physical activity at work are 2.259, 2.897, and 4.266 for men (P<0.001) and 2.456, 3.259, and 3.587 for women (P<0.001), respectively. The time during commuting activities is significantly associated with leisure-time physical inactivity in either sex (OR= 2.116 for men and 2.173 for women, P<0.001). Hospital employees, particularly doctors and medical technicians, show a higher proportion of physical inactivity than other inhabitants in Shanghai. The time and intensity of activity at work and commuting are associated with leisure-time activities.

关键词： prevalence     determination     employee     public hospital     cross-sectional study     physical inactivity    

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Investigating the impact of air pollution on AMI and COPD hospital admissions in the coastal city of

《环境科学与工程前沿（英文）》 2022年 第16卷 第5期 doi: 10.1007/s11783-021-1490-7

摘要：

• The impact of air pollution on AMI/COPD hospital admissions were examined.

关键词： AMI     COPD     Air pollution exposure     GAM    

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Assessment of leaching behavior and human bioaccessibility of rare earth elements in typical hospital

Chunfeng Wang, Guanfei Chen, Yanchen Zhu, Dan Yao, Wanfeng Wang, Lianjun Wang

《环境科学与工程前沿（英文）》 2017年 第11卷 第6期 doi: 10.1007/s11783-017-0946-2

摘要： Leaching behavior and gastrointestinal bioaccessibility of rare earth elements (REEs) from hospital waste incineration (HWI) fly and bottom ash samples collected from Beijing and Nanjing Cities were assessed. In the same ash sample, the leaching concentrations of individual REEs determined by the Toxicity Characteristic Leaching Procedure (TCLP) were higher than those detected by the European standard protocol (EN-type test), thereby suggesting that the low pH value of leaching solution was an important factor influencing the leachability of REE. The REE bioaccessibility results, which were evaluated using the physiologically based extraction test (PBET), indicated that REEs were highly absorbed during gastric phase by dissolution; and subsequently precipitated and/or re-adsorbed in small intestinal phase. The relative amounts of the total REEs extracted by the TCLP method, EN-type test and PBET test were compared. In addition to the pH value of extraction solutions, the chelating role of REEs with organic ligands used in the PBET method was also an important parameter affecting REE adsorption in human body. Additionally, this study showed that REEs were extracted by these methods as concomitants of heavy metals and anions (NO , F , SO , and Cl ) from HWI ash, which probably caused the remarkably complex toxicity on human body by the exposure pathway.

关键词： Assessment     Rare earth elements     Leaching behavior     Bioaccessibility     Hospital waste    

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Innovation Ecosystem for Green Smart City Building in China

Jin Chen

《工程管理前沿（英文）》 2015年 第2卷 第4期   页码 325-330 doi: 10.15302/J-FEM-2015058

摘要： Green Smart City (GSC), is one of the new types of cities which integrates eco-concepts and information technologies. As GSC construction is a resource intensive process, it requires a large amount of knowledge, information, talent and capital. Thus, setting up an innovation ecosystem is an astute way to promote the construction of a GSC. This paper, based on the case study by the Insigma Group, tries to explore the rules of innovation ecosystem building for the construction of GSCs in China.

关键词： green smart city     resource     innovation ecosystem building    

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Comparative analysis of energy use in China building sector: current status, existing problems and solutions

Shengyuan ZHANG, Xiu YANG, Yi JIANG, Qingpeng WEI,

《能源前沿（英文）》 2010年 第4卷 第1期   页码 2-21 doi: 10.1007/s11708-010-0023-z

摘要： Energy use in buildings has attracted more and more attention due to its significant proportion in the energy pan of the world. China is the second largest energy user, yet the situation of energy use in the China building sector remains unclear, due to problems of statistics and data processing and problematic use of these data. In this paper, a series of methods is developed, in the first place, to give strict definitions of energy data and to divide energy use into 4 sub-sectors according to the unique situation of China. Then, each sub-sector is further analyzed through international comparisons. Existing problems of energy use and solutions for energy reduction in each sub-sector are also discussed. Accordingly, it is found that China uses much less energy, in terms of both per capita and unit area, in buildings than developed countries. The difference in energy use could be attributed, in large part, to lifestyles of local people, which could determine their way of energy use but is more determined by cultural concepts than by others such as income, technique and so on, especially in China. However, to fulfill the requirements of lifestyles with higher living standards and lower energy consumption, technological innovations are needed.

关键词： building energy use     lifestyle and technology     residential building     commercial building     rural building    

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Influence of envelope insulation materials on building energy consumption

Junlan YANG, Jiabao TANG

《能源前沿（英文）》 2017年 第11卷 第4期   页码 575-581 doi: 10.1007/s11708-017-0473-7

摘要： In this paper, the influence of different external wall insulation materials on the energy consumption of a newly built apartment in Germany is investigated. Three types of insulation materials commonly used in Germany including mineral fiber, polyurethane, and vacuum insulation panel are chosen for the case studies. An energy analysis model is established to clarify the primary energy use for production of the insulation materials and for building space heating. The calculation results show that the energy consumption for insulation material production increases with the insulation thickness, whereas the energy use for space heating decreases with the insulation thickness. Thus, there exists an optimum thickness to get the lowest total energy consumption for each kind of insulation material. The ascending order of the total energy consumption of the three materials is mineral fiber, polyurethane, and vacuum insulation panel. However, the optimum insulation thicknesses for the three insulation materials show a verse order at a certain heat transfer coefficient of the base envelope. The energy payback time (EPT) is proposed to calculate the payback time of the primary energy use for insulation material production. Mineral fiber has the shortest time, followed by polyurethane and vacuum insulation panel. The EPTS is 10, 19 and 21 years, respectively when the heat transfer coefficient of the base envelope is 0.2 W/(m ·K). In addition, the simulated results show that the theoretical value and the simulated value are basically identical.

关键词： building envelope     insulation materials     energy consumption     payback time    

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Impact of climate change on building heating energy consumption in Tianjin

Cao XIANG, Zhe TIAN

《能源前沿（英文）》 2013年 第7卷 第4期   页码 518-524 doi: 10.1007/s11708-013-0261-y

摘要： This paper investigated the variation of building heating energy consumption caused by global warming in Tianjin, China. Based on the hourly historical and monthly projected future (B1/A1B emissions scenarios) meteorological data, the variation of those relevant meteorological parameters was first analyzed. A TRNSYS simulation model for a reference building was introduced to investigate historical variation of office building energy consumption. The results showed that the 10-year-average heating energy consumption of 2001–2010 had reduced by 16.1% compared to that of 1961–1970. By conducting principal component analysis and regression analysis, future variation of building heating load was studied. For B1/A1B emissions scenarios, the multi-year-average heating load was found to decrease by 9.7% (18.1%)/10.2% (22.7%) compared to that of 1971–2010 by 2011–2050 (2051–2100).

关键词： global warming     office building     heating energy consumption    

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Facility managers’ perceptions on building performance assessment

Rafaela BORTOLINI, Núria FORCADA

《工程管理前沿（英文）》 2018年 第5卷 第3期   页码 324-333 doi: 10.15302/J-FEM-2018010

摘要：

During the operational phase, building performance may decrease in various areas, so that the end users’ requirements are no longer met. Consequently, indicators are useful to assess and improve the performance of existing buildings. In this study, we carried out a literature review and organized a focus group with facility management experts to gather and analyze facility managers’ perceptions on operational indicators that could be used to assess the performance of buildings. The results revealed that the core indicators used to measure a building’s operational performance are related to safety and assets working properly, health and comfort, space functionality, and energy performance. The findings also revealed that these indicators can be obtained from three sources: a) facility managers/operators, who carry out corrective maintenance and perform technical inspections, b) regular users, who report complaints and fill-in satisfaction questionnaires, and c) sporadic users, who also fill-in satisfaction questionnaires. These indicators and their sources can contribute to a better analysis of building performance and the definition of measures to improve performance during the operational phase of a building.

关键词： building performance     facility management     non-residential buildings    

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Machine learning in building energy management: A critical review and future directions

《工程管理前沿（英文）》 2022年 第9卷 第2期   页码 239-256 doi: 10.1007/s42524-021-0181-1

摘要： Over the past two decades, machine learning (ML) has elicited increasing attention in building energy management (BEM) research. However, the boundary of the ML-BEM research has not been clearly defined, and no thorough review of ML applications in BEM during the whole building life-cycle has been published. This study aims to address this gap by reviewing the ML-BEM papers to ascertain the status of this research area and identify future research directions. An integrated framework of ML-BEM, composed of four layers and a series of driving factors, is proposed. Then, based on the hype cycle model, this paper analyzes the current development status of ML-BEM and tries to predict its future development trend. Finally, five research directions are discussed: (1) the behavioral impact on BEM, (2) the integration management of renewable energy, (3) security concerns of ML-BEM, (4) extension to other building life-cycle phases, and (5) the focus on fault detection and diagnosis. The findings of this study are believed to provide useful references for future research on ML-BEM.

关键词： building energy management     machine learning     integrated framework     knowledge evolution    

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标题 作者 时间 类型 操作

Energy consumption and carbon emissions of hospitals in Tianjin

Chongxu JIANG, Jincheng XING, Jihong LING, Xiaona QIN

期刊论文

Qualitative analysis of direction of public hospital reforms in China

null

期刊论文

Membrane bioreactors for hospital wastewater treatment: recent advancements in membranes and processes

期刊论文

SinoSCORE: a logistically derived additive prediction model for post-coronary artery bypass grafting in-hospital

null

期刊论文

Removal efficiencies of natural and synthetic progesterones in hospital wastewater treated by different

期刊论文

Association between ICU quality and in-hospital mortality of V-V ECMO-supported patients—the ECMO quality

期刊论文

Prevalence and determinations of physical inactivity among public hospital employees in Shanghai, China

null

期刊论文

Investigating the impact of air pollution on AMI and COPD hospital admissions in the coastal city of

期刊论文

Assessment of leaching behavior and human bioaccessibility of rare earth elements in typical hospital

Chunfeng Wang, Guanfei Chen, Yanchen Zhu, Dan Yao, Wanfeng Wang, Lianjun Wang

期刊论文

Innovation Ecosystem for Green Smart City Building in China

Jin Chen

期刊论文

Comparative analysis of energy use in China building sector: current status, existing problems and solutions

Shengyuan ZHANG, Xiu YANG, Yi JIANG, Qingpeng WEI,

期刊论文

Influence of envelope insulation materials on building energy consumption

Junlan YANG, Jiabao TANG

期刊论文

Impact of climate change on building heating energy consumption in Tianjin

Cao XIANG, Zhe TIAN

期刊论文

Facility managers’ perceptions on building performance assessment

Rafaela BORTOLINI, Núria FORCADA

期刊论文

Machine learning in building energy management: A critical review and future directions

期刊论文