We assessed the difference between mean radiant temperature (! ) and air temperature (! ) in conditioned office buildings to provide guidance on whether practitioners should separately measure ! or operative temperature to control heating and cooling systems. We used measurements from 48 office buildings in the ASHRAE Global Thermal Comfort Database, five field studies in radiant and all-air buildings, and five test conditions from a laboratory experiment that compared radiant and all-air cooling. The ASHRAE Global Thermal Comfort Database is the largest of these three datasets and most representative of typical thermal conditions in an office; in this dataset the median absolute difference between ! and ! was 0.4 (with 5 th , 25 th , 75 th , and 95 th percentiles = 0.2, 0.2, 0.6, and 1.6 °C). More specifically, the median difference shows that was 0.4 warmer than (with 5 th , 25 th , 75 th , and 95 th percentiles = -0.4 °C, 0.2 °C, 0.6 °C, and 1.6 °C). The laboratory experiments revealed that in a radiant cooled space ! was significantly (p<0.05) cooler than ! (average difference -0.1 ! ), while in the all-air cooled space ! was significantly (p<0.05) warmer than ! (average difference +0.3 ! ). These observations indicate that ! and ! are typically closer in radiant cooled spaces than in all-air cooled spaces. Although the differences are significant, the effect sizes are negligible to small based on Cohen's d and Spearman's rho. Therefore, we conclude that measurement of ! is sufficient to estimate ! under typical office conditions, and that separate measurement of ! or operative temperature is not likely to have practical benefits to thermal comfort in most cases -this is especially true for buildings with radiant systems. Furthermore, spatial and temporal variations in ! can be greater than or equal to the difference between ! and ! at any one location in a thermal zone, thus we expect that such variations typically have a greater impact on occupant thermal comfort than the differences between ! and ! .
Wildfires and associated emissions of particulate matter pose significant environmental and health concerns. In this study we propose tools to evaluate building resilience to extreme episodes of outdoor particulate matter using a combination of indoor and outdoor IoT measurements, coupled with survey-based information of occupants’ perception and behaviour. We demonstrated the application of the tools on two buildings with different modes of ventilation during the Chico Camp fire event. We characterized the resilience of the buildings on different temporal and spatial scales using the well-established I/O ratio and a newly proposed E-index that evaluates indoor concentration in the context of adopted 24-hour exposure thresholds. Indoor PM2.5 concentration during the entire Chico Camp Fire event was 21 μg/m3 for 4th Street (Mechanically Ventilated) and 36 μg/m3 for Wurster Hall (Naturally Ventilated). The cumulative median I/O ratio during the fire event was 0.27 for 4th Street and 0.67 for Wurster Hall. Overall E-index for 4th Street was 0.82, suggesting that the whole building was resilient to outdoor air pollution while overall E-index was 1.69 for Wurster Hall suggesting that interventions are necessary. The survey revealed that occupant perception of workplace air quality aligns with measured PM2.5 in the two buildings. The results also highlight that a large portion of occupants wore face masks, even though the PM2.5 concentration was below WHO threshold level. The results of our study demonstrate the utility of the proposed IoT-enabled and survey tools to assess the degree of protection from air pollution of outdoor origin for a single building or across a portfolio of buildings. The proposed survey tool also provides direct links between the PM2.5 levels and occupants’ perception and behavior.
Opioids are major contributing factors to the problem of constipation in palliative care. Whilst this is without doubt, it remains unclear how much other factors also contribute to the problem. The aim of this audit is to review what other contributing factors are present when methylnaltrexone, the peripheral opioid antagonist is prescribed for constipation. The medical records of people prescribed methylnaltrexone over a four-month period were reviewed to examine certain characteristics of people including the whether the reason for constipation was charted, whether other factors that could contribute to constipation were considered and the effectiveness of methylnaltrexone. Over the study period, 10 people received methylnaltrexone, only 4 of whom had a bowel action less than 24 hours after administration with 3 not having any bowel actions reported 6 days after administration. Whilst all were receiving opioids, the opioids doses were in the moderate range (61-200 mg morphine equivalent). However, all had other factors that could contribute to constipation including impaired functional status and medications with anti-cholinergic effects (mean anti-cholinergic load 4.5). In conclusion, methylnaltrexone is targeted treatment for the management of opioid-induced constipation. However, there is a percentage of people who fail to respond. The impact of other factors on the problem of constipation requires greater clarification.
We performed a post-occupancy assessment based on 500 occupant surveys in eight buildings using embedded radiant heating and cooling systems. This study follows-up on a quantitative assessment of 60 office buildings that found radiant and all-air buildings have comparable temperature and acoustic satisfaction with a tendency for increased temperature satisfaction in radiant buildings. Our objective was to investigate reasons of comfort and discomfort in the radiant buildings, and to relate these to building characteristics and operations strategies. The primary sources of thermal discomfort are lack of control over the thermal environment (both temperature and air movement) and slow system response, both of which were seen to be alleviated with fast-response adaptive opportunities such as operable windows and personal fans. There was no optimal radiant design or operation that maximized thermal comfort, and building operators were pleased with reduced repair and maintenance associated with radiant systems compared to all-air systems. Occupants reported low satisfaction with acoustics. This was primarily due to sound privacy issues in open-plan offices which may be exacerbated by highly reflective surfaces common in radiant spaces.
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