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Comparative Analysis of Hospital Energy Use: Pacific Northwest and Scandinavia

Burpee, Heather; McDade, Erin. (2014). Comparative Analysis of Hospital Energy Use: Pacific Northwest and Scandinavia. Health Environments Research & Design Journal (HERD) (Vendome Group LLC), 8(1), 20 – 44.

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Abstract

OBJECTIVE: This study aimed to establish the potential for significant energy reduction in hospitals in the United States by providing evidence of Scandinavian operational precedents with high Interior Environmental Quality (IEQ) and substantially lower energy profiles than comparable U.S. facilities. These facilities set important precedents for design teams seeking operational examples for achieving aggressive energy and interior environmental quality goals. This examination of operational hospitals is intended to offer hospital owners, designers, and building managers a strong case and concrete framework for strategies to achieve exceptionally high performing buildings. BACKGROUND: Energy efficient hospitals have the potential to significantly impact the U.S.'s overall energy profile, and key stakeholders in the hospital industry need specific, operationally grounded precedents in order to successfully implement informed energy reduction strategies. This study is an outgrowth of previous research evaluating high quality, low energy hospitals that serve as examples for new high performance hospital design, construction, and operation. Through extensive interviews, numerous site visits, the development of case studies, and data collection, this team has established thorough qualitative and quantitative analyses of several contemporary hospitals in Scandinavia and the Pacific Northwest. Many Scandinavian hospitals demonstrate a low energy profile, and when analyzed in comparison with U.S. hospitals, such Scandinavian precedents help define the framework required to make significant changes in the U.S. hospital building industry. METHODS: Eight hospitals, four Scandinavian and four Pacific Northwest, were quantitatively compared using the Environmental Protection Agency's Portfolio Manager, allowing researchers to answer specific questions about the impact of energy source and architectural and mechanical strategies on energy efficiency in operational hospitals. RESULTS: Specific architectural, mechanical, and plant systems make these Scandinavian hospitals more energy efficient than their Pacific Northwest counterparts. More importantly, synergistic systems integration allows for their significant reductions in energy consumption. CONCLUSIONS: This quantitative comparison of operational Scandinavian and Pacific Northwest hospitals resulted in compelling evidence of the potential for deep energy savings in the U.S., and allowed researchers to outline specific strategies for achieving such reductions.

Keywords

Environmental Quality; Energy Consumption; Health Facility Design & Construction; Comparative Studies; Energy Consumption In Hospitals; Pacific Northwest; Scandinavia; Built Environment; Case Study; Design Process; Healthcare Facility Design; Hospital; Post Occupancy

How Do Built-Environment Factors Affect Travel Behavior? A Spatial Analysis at Different Geographic Scales

Hong, Jinhyun; Shen, Qing; Zhang, Lei. (2014). How Do Built-Environment Factors Affect Travel Behavior? A Spatial Analysis at Different Geographic Scales. Transportation, 41(3), 419 – 440.

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Abstract

Much of the literature shows that a compact city with well-mixed land use tends to produce lower vehicle miles traveled (VMT), and consequently lower energy consumption and less emissions. However, a significant portion of the literature indicates that the built environment only generates some minor-if any-influence on travel behavior. Through the literature review, we identify four major methodological problems that may have resulted in these conflicting conclusions: self-selection, spatial autocorrelation, inter-trip dependency, and geographic scale. Various approaches have been developed to resolve each of these issues separately, but few efforts have been made to reexamine the built environment-travel behavior relationship by considering these methodological issues simultaneously. The objective of this paper is twofold: (1) to better understand the existing methodological gaps, and (2) to reexamine the effects of built-environment factors on transportation by employing a framework that incorporates recently developed methodological approaches. Using the Seattle metropolitan region as our study area, the 2006 Household Activity Survey and the 2005 parcel and building data are used in our analysis. The research employs Bayesian hierarchical models with built-environment factors measured at different geographic scales. Spatial random effects based on a conditional autoregressive specification are incorporated in the hierarchical model framework to account for spatial contiguity among Traffic Analysis Zones. Our findings indicate that land use factors have highly significant effects on VMT even after controlling for travel attitude and spatial autocorrelation. In addition, our analyses suggest that some of these effects may translate into different empirical results depending on geographic scales and tour types.

Keywords

Land-use; Urban Form; Multilevel Models; Physical-activity; Neighborhood; Choice; Impact; Specification; Accessibility; Causation; Built Environment; Travel Behavior; Self-selection; Spatial Autocorrelation; Bayesian Hierarchical Model

Multistate Evaluation of Safe Routes to School Programs

Stewart, Orion; Moudon, Anne Vernez; Claybrooke, Charlotte. (2014). Multistate Evaluation of Safe Routes to School Programs. American Journal Of Health Promotion, 28, S89 – S96.

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Abstract

Purpose. State Safe Routes to School (SRTS) programs provide competitive grants to local projects that support safe walking, bicycling, and other modes of active school travel (AST). This study assessed changes in rates of AST after implementation of SRTS projects at multiple sites across four states. Design. One-group pretest and posttest. Setting. Florida, Mississippi, Washington, and Wisconsin. Subjects. Convenience sample of 48 completed SRTS projects and 53 schools affected by a completed SRTS project. Intervention. State-funded SRTS project. Measures. AST was measured as the percentage of students walking, bicycling, or using any AST mode. SRTS project characteristics were measured at the project, school, and school neighborhood levels. Analysis. Paired-samples t-tests were used to assess changes in AST. Bivariate analysis was used to identify SRTS project characteristics associated with increases in AST. Data were analyzed separately at the project (n = 48) and school (n = 53) levels. Results. Statistically significant increases in AST were observed across projects in all four states. All AST modes increased from 12.9% to 17.6%; walking from 9.8% to 14.2%; and bicycling from 2.5% to 3.0%. Increases in rates of bicycling were negatively correlated with baseline rates of bicycling. Conclusion. State-funded SRTS projects are achieving one of the primary program goals of increasing rates of AST. They may be particularly effective at introducing bicycling to communities where it is rare. The evaluation framework introduced in this study can be used to continue tracking the effect of state SRTS programs as more projects are completed.

Keywords

Transportation Of School Children; Physical Activity Measurement; Health Promotion; Cycling; Walking; School Children -- United States; Bicycling; Children; Commuting; Health Focus: Fitness/physical Activity; Manuscript Format: Research; Outcome Measure: Behavioral; Prevention Research; Research Purpose: Program Evaluation; Schools; Setting: School; Strategy: Skill Building/behavior Change, Built Environment; Study Design: Quasi-experimental; Target Population Age: Youth; Target Population Circumstances: Geographic Location; Physical-activity; Mental-health; Travel; Association; Validity; Mode; Bus

Using Ontology-based Text Classification To Assist Job Hazard Analysis

Chi, Nai-wen; Lin, Ken-yu; Hsieh, Shang-hsien. (2014). Using Ontology-based Text Classification To Assist Job Hazard Analysis. Advanced Engineering Informatics, 28(4), 381 – 394.

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Abstract

The dangers of the construction industry due to the risk of fatal hazards, such as falling from extreme heights, being struck by heavy equipment or materials, and the possibility of electrocution, are well known. The concept of Job Hazard Analysis is commonly used to mitigate and control these occupational hazards. This technique analyzes the major tasks in a construction activity, identifies all potential task-related hazards, and suggests safe approaches to reduce or avoid each of these hazards. In this paper, the authors explore the possibility of leveraging existing construction safety resources to assist JHA, aiming to reduce the level of human effort required. Specifically, the authors apply ontology-based text classification (TC) to match safe approaches identified in existing resources with unsafe scenarios. These safe approaches can serve as initial references and enrich the solution space when performing JHA. Various document modification strategies are applied to existing resources in order to achieve superior TC effectiveness. The end result of this research is a construction safety domain ontology and its underlying knowledge base. A user scenario is also discussed to demonstrate how the ontology supports JHA in practice. (C) 2014 Elsevier Ltd. All rights reserved.

Keywords

Construction Industry; Health Hazards; Human Factors; Occupational Safety; Ontologies (artificial Intelligence); Pattern Classification; Text Analysis; Ontology-based Text Classification; Job Hazard Analysis; Fatal Hazards; Task-related Hazard; Construction Safety Resource; Jha; Construction Safety Domain Ontology; Construction; Information; Construction Safety; Information Retrieval; Knowledge Management; Ontology; Text Classification

Free: Accounting for the Costs of the Internet’s Most Popular Price

Hoofnagle, Chris Jay; Whittington, Jan. (2014). Free: Accounting for the Costs of the Internet’s Most Popular Price. UCLA Law Review, 61(3), 606 – 670.

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Abstract

Offers of free services abound on the Internet. But the focus on the price rather than on the cost of free services has led consumers into a position of vulnerability. For example, even though internet users typically exchange personal information for the opportunity to use these purportedly free services, one court has found that users of free services are not consumers for purposes of California consumer protection law. This holding reflects the common misconception that the costs of free online transactions are negligible when in fact true costs may be quite significant. To elucidate the true costs of these allegedly free services, we apply a transaction cost economics (TCE) approach. Unlike orthodox economic theory, TCE provides a framework for analyzing exchanges in which the price of the product seems to be zero. Under a TCE analysis, we argue that information-intensive companies misuse the term free to promote products and services that involve numerous nonpecuniary costs. In so doing, firms generate contractual hazards for consumers, ignore consumer preferences for privacy, and mislead consumers by creating the impression that a given transaction will be free. While psychological research and behavioral economics may support an outright ban of free offers because of their biasing effects, TCE suggests reforming governance structures to place the business risks associated with free transactions more firmly in the hands of businesses. We suggest alterations to governance structures such as the Federal Trade Commission's Guide Concerning Use of the Word Free (FTC Guide) to curb the incentives of firms to raise transaction costs for consumers. The FTC Guide provides support for two of the consumer protection measures we propose: first, a requirement that free service providers clearly disclose that such providers seek users' personal information in exchange for those services, and, second, the establishment of a regular price before providers can market a service as free. We further argue that the recognition of users of free services as consumers for purposes of consumer protection law would better align incentives and ensure users access to legal redress against some of the most popular services on the Internet. Lastly, we suggest the adoption of alternative governance structures designed to reduce the cost of transacting by curbing the collection of personal information from consumers of free services and by enhancing the rights of consumers to govern the dispersal of personal information from free online services to third parties.

Keywords

Free Internet Service Providers; Internet Usage Monitoring; Transaction Cost Theory Of The Firm; Internet Privacy -- Law & Legislation; Law; United States. Federal Trade Commission; Vertical Integration; Privacy

The Influence of Street Environments on Fuel Efficiency: Insights from Naturalistic Driving

Wang, X.; Liu, C.; Kostyniuk, L.; Shen, Q.; Bao, S. (2014). The Influence of Street Environments on Fuel Efficiency: Insights from Naturalistic Driving. International Journal Of Environmental Science And Technology, 11(8), 2291 – 2306.

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Abstract

Fuel consumption and greenhouse gas emissions in the transportation sector are a result of a three-legged stool: fuel types, vehicle fuel efficiency, and vehicle miles travelled (VMT). While there is a substantial body of literature that examines the connection between the built environment and total VMT, few studies have focused on the impacts of the street environment on fuel consumption rate. Our research applied structural equation modeling to examine how driving behaviors and fuel efficiency respond to different street environments. We used a rich naturalistic driving dataset that recorded detailed driving patterns of 108 drivers randomly selected from the Southeast Michigan region. The results show that, some features of compact streets such as lower speed limit, higher intersection density, and higher employment density are associated with lower driving speed, more speed changes, and lower fuel efficiency; however, other features such as higher population density and higher density of pedestrian-scale retails improve fuel efficiency. The aim of our study is to gain further understanding of energy and environmental outcomes of the urban areas and the roadway infrastructure we plan, design, and build and to better inform policy decisions concerned with sustainable transportation.

Keywords

Travel; Consumption; Emissions; Cities; Energy; Street Environments; Fuel Efficiency; Structural Equation Modeling; Naturalistic Driving

Use of Health Impact Assessment for Transportation Planning Importance of Transportation Agency Involvement in the Process

Dannenberg, Andrew L.; Ricklin, Anna; Ross, Catherine L.; Schwartz, Michael; West, Julie; White, Steve; Wier, Megan L. (2014). Use of Health Impact Assessment for Transportation Planning Importance of Transportation Agency Involvement in the Process. Transportation Research Record, 2452, 71 – 80.

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Abstract

A health impact assessment (HIA) is a tool that can be used to inform transportation planners of the potential health consequences of their decisions. Although dozens of transportation-related HIAs have been completed in the United States, the characteristics of these HIAs and the interactions between public health professionals and transportation decision makers in these HIM have not been documented. A master list of completed HIAs was used to identify transportation-related HIAs. Seventy-three transportation-related HIAs conducted in 22 states between 2004 and 2013 were identified. The HIAs were conducted for projects such as road redevelopments, bridge replacements, and development of trails and public transit. Policies such as road pricing, transit service levels, speed limits, complete streets, and safe routes to schools were also assessed. Five HIAs in which substantial interactions between public health and transportation professionals took place during and after the HIA were examined in detail and included HIAs of the road pricing policy in San Francisco, California; a bridge replacement in Seattle, Washington; new transit lines in Baltimore, Maryland, and Portland, Oregon; and the BeltLine transit, trails, and parks project in Atlanta, Georgia. Recommendations from the HIAs led to changes in decisions in some cases and helped to raise awareness of health issues by transportation decision makers in all cases. HIAs are now used for many topics in transportation. The range of involvement of transportation decision makers in the conduct of HIAs varies. These case studies may serve as models for the conduct of future transportation-related HIAs, because the involvement of transportation agencies may increase the likelihood that an HIA will influence subsequent decisions.

Keywords

Policy; Inequalities; Benefits; Justice; Oregon

How Far from Home? The Locations of Physical Activity in an Urban US Setting

Hurvitz, Philip M.; Moudon, Anne V.; Kang, Bumjoon; Fesinmeyer, Megan D.; Saelens, Brian E. (2014). How Far from Home? The Locations of Physical Activity in an Urban US Setting. Preventive Medicine, 69, 181 – 186.

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Abstract

Little is known about where physical activity (PA) occurs, or whether different demographic groups accumulate PA in different locations. Method. Objective data on PA and location from 611 adults over 7 days were collected in King County, WA in 2008-2009. The relative amounts of time spent in sedentary-to-low and moderate-to-vigorous PA (MVPA) were quantified at three locations: home (1666 m). Differences in MVPA by demographics and location were examined. The percent of daily time in MVPA was estimated using a mixed model adjusted for location, sex, age, race/ethnicity, employment, education, BMI, and income. Results. Most MVPA time occurred in nonhome locations, and disproportionately near home; this location was associated with 16.46% greater time in MVPA, compared to at-home activity (p< 0.001), whereas more time spent at away locations was associated with 3.74% greater time in MVPA (p< 0.001). Location was found to be a predictor of MVPA independent of demographic factors. Conclusion. A large proportion of MVPA time is spent at near locations, corresponding to the home neighborhood studied in previous PA research. Away locations also host time spent in MVPA and should be the focus of future research. (C) 2014 Elsevier Inc All rights reserved.

Keywords

Accelerometer Data; Built Environment; United-states; Neighborhood Walkability; Exercise Intensity; Time Use; Land-use; Walking; Health; Behavior; Physical Activity; Objective Measurement; Gps; Accelerometry; Gis

uilding Watershed Narratives: An Approach for Broadening the Scope of Success in Urban Stream Restoration

Yocom, Ken. (2014). Building Watershed Narratives: An Approach for Broadening the Scope of Success in Urban Stream Restoration. Landscape Research, 39(6), 698 – 714.

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Abstract

The success of urban stream restoration is often measured through biophysical attributes, or the progress towards restoration of a notionally intact section of landscape. What remains understudied is how success can be defined across social, economic, as well as ecological parameters. This research offers a narrative approach for urban restoration research that serves as a chronotope for untangling the biophysical and sociocultural complexities of the contemporary urban environment. The framework of this approach is presented through a case study of a recent stream restoration project in Seattle, Washington. The findings highlight the need for urban stream restoration processes to be grounded within a sociocultural context that is interdependent with biophysical conditions, and recommends measures of project success to include community, educational and participatory goals.

Keywords

River Restoration; Landscape; Management; Catchment; Systems; History; People; Restoration; Success; Watershed; Narrative; Urban

The Built Environment and Utilitarian Walking in Small U.S. Towns

Doescher, Mark P.; Lee, Chanam; Berke, Ethan M.; Adachi-mejia, Anna M.; Lee, Chun-kuen; Stewart, Orion; Patterson, Davis G.; Hurvitz, Philip M.; Carlos, Heather A.; Duncan, Glen E.; Moudon, Anne Vernez. (2014). The Built Environment and Utilitarian Walking in Small U.S. Towns. Preventive Medicine, 69, 80 – 86.

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Abstract

Objectives. The role of the built environment on walking in rural United States (U.S.) locations is not well characterized. We examined self-reported and measured built environment correlates of walking for utilitarian purposes among adult residents of small rural towns. Methods. In 2011-12, we collected telephone survey and geographic data from 2152 adults in 9 small towns from three U.S. regions. We performed mixed-effects logistic regression modeling to examine relationships between built environment measures and utilitarian walking (any versus none; high [>= 150 min per week] versus low [<150 min per week]) to retail, employment and public transit destinations. Results. Walking levels were lower than those reported for populations living in larger metropolitan areas. Environmental factors significantly (p < 0.05) associated with higher odds of utilitarian walking in both models included self-reported presence of crosswalks and pedestrian signals and availability of park/natural recreational areas in the neighborhood, and also objectively measured manufacturing land use. Conclusions. Environmental factors associated with utilitarian walking in cities and suburbs were important in small rural towns. Moreover, manufacturing land use was associated with utilitarian walking. Modifying the built environment of small towns could lead to increased walking in a sizeable segment of the U.S. population. (C) 2014 Elsevier Inc. All rights reserved.

Keywords

Cities & Towns -- Environmental Conditions; Walking; Telephone Surveys; Logistic Regression Analysis; Public Transit; Cities & Towns; Rural Conditions; United States; Exercise/physical Activity; Health Promotion; Physical Environment; Prevention; Rural Health; Social Environment; Physical-activity; Postmenopausal Women; Adults; Health; Risk; Transportation; Associations; Neighborhood; Travel; Determinants