Indoor environmental quality in Hellenic hospital operating rooms

Indoor environmental quality (IEQ) in hospital operating rooms (ORs) constitutes a major challenge for the proper design and operation of an energy efficient hospital. A subjective assessment of the indoor environment along with a short monitoring campaign was performed during the audits of 18 ORs at nine major Hellenic hospitals. A total of 557 medical personnel participated in an occupational survey, providing data for a subjective assessment of IEQ in the audited ORs. The OR personnel reported work related health symptoms and an assessment of indoor conditions (thermal, visual and acoustical comfort, and air quality). Overall, personnel reported an average of 2.24 work-related symptoms each, and 67.2% of respondents reported at least one. Women suffer more health symptoms than men. Special dispositions, such as smoking and allergies, increase the number of reported symptoms for male and female personnel. Personnel that perceive satisfactory indoor comfort conditions (temperature, humidity, ventilation, light, and noise) average 1.18 symptoms per person, while for satisfactory indoor air quality the average complaints are 0.99. The perception of satisfactory IEQ (satisfactory comfort conditions and air quality) reduces the average number of health complaints to 0.64 symptoms per person and improves working conditions, even in a demanding OR environment.     

A multivariate-logistic model for acceptance of indoor environmental quality (IEQ) in offices

The indoor environmental quality (IEQ) in offices is examined from the prospect of an occupant's acceptance in four aspects: thermal comfort, indoor air quality, noise level and illumination level. Based on the evaluations made by 293 occupants of the IEQ of offices in Hong Kong, empirical expressions have been proposed to approximate an overall IEQ acceptance of an office environment at certain operative temperature (T_o), carbon dioxide concentration (CO₂), equivalent noise level (L_eq) and illumination level (lux). The overall IEQ acceptance is calculated from a multivariate logistic regression model. A range of acceptance in typical office environmental conditions and its dependence on the four parameters stated above are determined for design conditions. The proposed overall IEQ acceptance can be used as a quantitative assessment criterion for an office environment and similar environment where an occupant's evaluation is expected.     

An evaluation model for indoor environmental quality (IEQ) acceptance in residential buildings

The indoor environmental quality (IEQ) in residential buildings is examined from the prospect of an occupant's acceptance in four aspects: thermal comfort, indoor air quality, noise level and illumination level. Based on the evaluations by 125 occupants living in 32 typical residential apartments in Hong Kong, this study proposes empirical expressions to approximate the overall IEQ acceptance with respect to four contributors, namely operative temperature, carbon dioxide concentration, equivalent noise level and illumination level, via a multivariate logistic regression model. A range of IEQ acceptances for regular residential conditions is determined and the dependence of the predicted overall IEQ acceptance on the variations of the contributors is discussed. The proposed overall IEQ acceptance can be used as a quantitative assessment criterion for similar residential environments where an occupant's evaluation is expected.     

Energy performance and indoor environmental quality in Hellenic schools

School buildings constitute a major part of the non-residential building stock, though due to their operational characteristics, they represent a low percentage of the overall energy balance of the building sector. Although health and productivity of pupils and teachers is strongly affected by the indoor environmental quality of their school, poor indoor air quality has been reported in published literature, even so for recently constructed school buildings. The same applies for the energy consumption, with large amounts of energy being wasted because no energy saving measures are applied for the operation of schools. This paper presents the outcome of a study on the energy performance of Hellenic school buildings. The general features of the contemporary building stock are presented along with the results from an energy survey in 135 Hellenic schools. The derived energy consumption benchmarks are compared with published literature. Finally, the energy performance and indoor environmental quality of a representative sample of schools in metropolitan Athens are assessed in a holistic approach to the “energy efficiency – thermal comfort – indoor air quality” dilemma. The IEQ assessment was based on an objective evaluation by monitoring crucial indoor conditions and a subjective occupant evaluation using standardized questionnaires. The potential of several energy conservation measures is evaluated in terms of energy savings and reduction of greenhouse gas emissions along with the related payback periods.     

对热舒适、空气感觉质量及能耗的模拟研究

室内空调设计温度和新风量对热舒适，室内空气质量及能耗量有重要影响，然而对它们之间相互关系进行研究的文献却较少。通过计算机模拟空调系统在7种室内设计温度和7种新风量条件下的运行情况，得到不同的设计条件组合对热舒适、人体感觉空气质量及建筑能耗量的影响。基于这项分析，提出了此办公建筑合理的室内设计温度和新风量取值。     

Application of the Building Environmental Performance Model (BEPM) in Hong Kong

Since the energy crisis of 1973, engineers have endeavoured to implement energy conservation in buildings. Unfortunately, their efforts have often resulted in energy saving which ignores the fundamental delivery of indoor satisfaction. Hence, either energy is conserved sacrificing indoor environmental quality (IEQ), or additional energy is consumed for the cooling of occupancy space. These misconceptions have prompted the development of an integrated design and operation protocol based on a so-called Building Environmental Performance Model (BEPM).The Building Environmental Performance Model links the IEQ and the building energy consumption together. It treats a building as a system. Energy consumption in the building services systems is the input to this system with the IEQ as the output. The BEP model incorporates two main modules: an adaptive comfort temperature control module (ACT) and a new CO₂ demand control module (nDCV). These two modules (ACT and nDCV) take an innovative approach and help maintain satisfaction levels as well as optimum energy consumption.The BEP model was built into an algorithm for implementation in a Direct Digital Control system. It was used in a longitudinal monitoring study in a typical Hong Kong office, so that the usefulness of the model could be verified. It was found that the BEPM was able to save up to 15% of total energy used, and maintain the occupant dissatisfaction rate of thermal comfort and indoor air quality at around 20%.The incentive of the BEPM can be deduced from a simple life cycle costing analysis. It assumes an inflation rate and bank interest rate of 8 and 10%, respectively, the total net present value (NPV) for the original airside system is higher than that employing the BEPM by HK$ 19,700,000 for 20 years of operation.     

Associations of perceived indoor environmental quality with stress in the workplace

Indoor environmental quality (IEQ) is a general indicator of the quality of conditions inside a building. We investigated associations of perceived IEQ including air quality, thermal comfort, noise, and light quality with stress at work and the extent to which workplace location modifies these associations. We recruited 464 full-time workers from four companies in Singapore. Data on socio-demographic characteristics, lifestyle/health-related factors, and workplace factors were collected through self-administered questionnaires. Perceived IEQ satisfaction scores of all four factors were collected using the validated OFFICAIR questionnaire. We fitted a logistic regression model to assess associations between each perceived IEQ score and stress at work, adjusting for potential confounders. The odds ratio for stress at work associated with a 1-unit increase in perceived air quality score was 0.88 (0.82-0.94), 0.89 (0.82-0.97) for thermal comfort, 0.93 (0.87-0.98) for noise, and 0.88 (0.82-0.94) for light quality. Significant associations were found in office and control rooms for all four perceived IEQ, except for thermal comfort in office rooms. Higher satisfaction levels of perceived air quality, thermal comfort, noise, and lighting, were significantly associated with a reduction in stress at work. Our findings could potentially provide a useful tool for environmental health impact assessment for buildings.     

Application of statistical power analysis – How to determine the right sample size in human health,comfort and productivity research

The minimum size of subjects required for the research on human health, thermal comfort and productivity is a frequently asked question. In this paper the idea of power analysis, which helps to determine required sample size as well as to interpret research results, is introduced in order to promote good practice of power analysis in the context of human and building environment relationship research. How to calculate effect size from published article or experimental data is presented with plenty of examples. The effect sizes of several physiological and psychological measurements indicating the effect of indoor environment quality on human health, thermal comfort and productivity are presented, which could be worked as references when researchers planning their own studies. How to determine required sample size when planning a study and how to interpret the research results with power analysis are also illustrated step by step with samples. Finally how to make decisions when evaluating the study results is summarized. It is expected that these examples and the summary could help researchers to better apply power analysis in indoor environment quality (IEQ) studies. Some statistical terms used in this paper, such as power analysis, effect size, and t-test, etc., are explained in detail in the Appendix.     

Categories of indoor environmental quality and building energy demand for heating and cooling

Maintaining suitable indoor climate conditions is a need for the occupants’ well being, while requiring very strictly thermal comfort conditions and very high levels of indoor air quality in buildings represents also a high expense of energy, with its consequence in terms of environmental impact and cost. In fact, it is well known that the indoor environmental quality (IEQ), considering both thermal and indoor air quality aspects, has a primary impact not only on the perceived human comfort, but also on the building energy consumption. This issue is clearly expressed by the European Energy Performance of Buildings Directive 2002/92/EC, together with the most recent 2010/31/EU, which underlines that the expression of a judgment about the energy consumption of a building should be always joint with the corresponding indoor environmental quality level required by occupants. To this aim, the concept of indoor environment categories has been introduced in the EN 15251 standard. These categories range from I to III, where category I refers to the highest level of indoor climate requirement. In the challenge of reducing the environmental impact for air conditioning in buildings, it is essential that IEQ requirements are relaxed in order to widen the variations of the temperature ranges and ventilation air flow rates. In this paper, by means of building energy simulation, the heating and cooling energy demand are calculated for a mechanically controlled office building where different indoor environmental quality levels are required, ranging from category I to category III of EN 15251. The building is located in different European cities (Moscow, Torino and Athens), characterized by significantly different wheatear conditions. The mutual relation between heating and cooling energy demand and the required levels of IEQ is highlighted. The simulations are performed on a typical office room which is adopted as a reference in validation tests of the European Standard EN 15265 to validate calculation procedures of energy use for space heating and cooling.     

Multitrait-multimethod analysis of subjective and objective methods of indoor environmental quality assessment in buildings

Indoor environmental quality (IEQ) refers to the condition of a building’s internal environment that is related to the occupants’ health, comfort, and wellbeing. The assessment and improvement of IEQ in buildings are based on either subjective or objective assessment or the use of both measures, and in recent times, have been attracting attention due to its role in contributing to green building and sustainable environment. This study is aimed at evaluating and analysing the validity of the IEQ parameter traits as assessed using subjective and objective measures. The convergent and discriminant validity of the measured parameter traits were tested by analysing a multitrait–multimethod (MTMM) matrix using confirmatory factor analysis (CFA). The results indicated that there is no convergent validity in the IEQ parameter traits as assessed using subjective and objective methods. However, discriminant validity of the measured parameter traits was adequately supported. This clearly shows that as much as IEQ parameter traits measured through objective physical measurement and subjective occupant survey define the same concept, they cannot be taken to represent a single and same unit of measurement.     

Benefits and costs of improved IEQ in U.S. offices

This study estimates some of the benefits and costs of implementing scenarios that improve indoor environmental quality (IEQ) in the stock of U.S. office buildings. The scenarios include increasing ventilation rates when they are below 10 or 15 l/s per person, adding outdoor air economizers and controls when absent, eliminating winter indoor temperatures >23°C, and reducing dampness and mold problems. The estimated benefits of the scenarios analyzed are substantial in magnitude, including increased work performance, reduced Sick Building Syndrome symptoms, reduced absence, and improved thermal comfort for millions of office workers. The combined potential annual economic benefit of a set of nonoverlapping scenarios is approximately $20 billion. While the quantitative estimates have a high uncertainty, the opportunity for substantial benefits is clear. Some IEQ improvement measures will save energy while improving health or productivity, and implementing these measures should be the highest priority. PRACTICAL IMPLICATIONS: Owners, designers, and operators of office buildings have an opportunity to improve IEQ, health, work performance, and comfort of building occupants and to obtain economic benefits by improving IEQ. These benefits can be achieved with simultaneous energy savings or with only small increases in energy costs.     

Indoor environmental quality,occupant satisfaction,and acute building‐related health symptoms in Green Mark‐certified compared with non‐certified office buildings

Indoor environmental quality (IEQ) has become an important component of green building certification schemes. While green buildings are expected to provide enhanced IEQ, higher occupant satisfaction, and less risks of occupant health when compared with non‐green buildings, the literature suggests inconsistent evidence due to diverse research design, small sample size, and weak statistical analysis. This study compared several outcomes pertinent to IEQ performance in green and non‐green office buildings in Singapore. Adopting a cross‐sectional study design, objective measurements were taken in eight green and six non‐green buildings, and satisfaction and acute health symptom risks of 367 occupants were obtained. Green buildings exhibited lower concentration of PM2.5, bacteria, and fungi and maintained temperature and humidity more consistently compared to non‐green counterparts. The mean ratings for satisfaction with temperature, humidity, lighting level, air quality, and indoor environment were higher in green buildings (with statistical significance P < 0.05). There was statistically significant reduction in risk of occupants having headache, unusual fatigue, and irritated skin in green buildings. Although matching of buildings and occupant characteristics, survey participation bias, and sampling duration (a 1‐week snapshot) of IEQ monitoring remain as limitations, this study offered positive association of green buildings with qualitatively and quantitatively measured performance of IEQ.     

Relationship between quality of building maintenance management services for indoor environmental quality and occupant satisfaction

Two surveys were carried out to investigate the correlation between building maintenance management services for indoor environmental quality (IEQ) and occupant satisfaction. Each maintenance management organization manager was surveyed using the Evaluation Index of Maintenance Management Service Quality, created by Akira Takakusagi. Seven office buildings in Seoul, Korea were investigated in the first survey, and two buildings from the first survey were selected for analysis in the second survey. One is a building with good maintenance management services but low occupant satisfaction, and the other is an office building with low maintenance management services but high occupant satisfaction.     

Literature survey on how different factors influence human comfort in indoor environments

The present paper shows the results of a literature survey aimed at exploring how the indoor environment in buildings affects human comfort. The survey was made to gather data that can be useful when new concepts of controlling the indoor environment are developed. The following indoor environmental conditions influencing comfort in the built environment were surveyed: thermal, visual and acoustic, as well as air quality. The literature was surveyed to determine which of these conditions were ranked by building users as being the most important determinants of comfort. The survey also examined the extent to which other factors unrelated to the indoor environment, such as individual characteristics of building occupants, building-related factors and outdoor climate including seasonal changes, influence whether the indoor environment is evaluated as comfortable or not. The results suggest that when developing systems for controlling the indoor environment, the type of building and outdoor climate, including season, should be taken into account. Providing occupants with the possibility to control the indoor environment improves thermal and visual comfort as well as satisfaction with the air quality. Thermal comfort is ranked by building occupants to be of greater importance compared with visual and acoustic comfort and good air quality. It also seems to influence to a higher degree the overall satisfaction with indoor environmental quality compared with the impact of other indoor environmental conditions.     

Parent’s self-reported indoor environment-related symptoms and health worry increase symptom reports among their children at school—Study in two independent populations

Little is known whether parent's indoor environment quality (IEQ)-related symptoms or health perceptions influence the risk of self- or parent-reported symptoms in their children. We assessed (i) the association of parents’ IEQ-related symptoms with IEQ-related symptoms in their children at school and (ii) whether parental IEQ-related health worry increases the risk for children's symptoms. We used two Finnish studies: a national, population-based survey of indoor air and related health problems (n = 611 parents) and a subset of survey for all primary school pupils (grade 3–6) and their parents in Helsinki, which also included school IEQ-related symptoms reported by children (n = 1617 parent-child dyads). In the school survey, parent's own symptoms increased strongly their reporting of their children's symptoms at school (aOR 4.0, 95% CI 2.7–6.0 for parents experiencing a lot of symptoms) and also symptoms reported by the child itself (aOR 2.2, 95% CI 1.5–3.1). Similar, but slightly weaker associations were seen with parental IEQ-related health worries. Results remained unchanged when adjusted for the IEQ of school buildings or parental and children's allergic diseases. Similar associations were seen in the national survey between parent's symptoms at work and child's symptoms at school. The results suggest that parents’ health perceptions may increase the reporting of children's IEQ-related symptoms even more than is typically seen for many indoor air contaminants.     

Indoor environment quality contracts in building projects

The scientific literature is replete with examples that indicate that poor indoor conditions at workplaces reduce work performance and increase short-term sick leave. To address good indoor environment quality (IEQ), strategic and practical design decisions are needed in the early phase of the building process to ensure successful implementation. However, current procurement practices are hampered by fragmentation, long subcontract chains and vague performance requirements. A preliminary study is undertaken that focuses on developing a method of contracting that enables the attainment and verification of the desired IEQ. Using a review of international research and practices, existing commissioning methods and contract procedures are identified for their attention to IEQ. A contract procedure is proposed that fosters agreement on indoor environment between building owners and tenants, and which directs a building project to give users the guarantee of indoor condition. To make a pre-lease contract agreement that includes IEQ, the factors having an influence on the IEQ chain must be included in all building contracts such as those of design, purchase, and operation and maintenance. Thus, the requirements of IEQ require their incorporation into every phase of the building project. The main elements in these contracts, in addition to the requirements of IEQ, are those verifying quality, bonuses and sanctions.

La littérature scientifique est riche en exemples qui montrent que la médiocrité des conditions intérieures sur le lieu de travail réduit les performances opérationnelles et augmente les absences de courte durée pour raisons de santé. Pour obtenir un environnement intérieur de bonne qualité (IEQ), il faut, dès le début du processus de construction, prendre des décisions d'ordre stratégique et pratique en vue d'une mise en ?uvre réussie. Or, la fragmentation, les longues chaînes de contrats de sous-traitance et le manque de précision des impératifs de performance sont autant d'obstacles aux pratiques d'approvisionnement actuelles. Une étude préliminaire est entreprise qui porte, pour l'essentiel, sur le développement d'un mode de réalisation permettant de satisfaire et de vérifier la qualité de l'environnement intérieur recherchée. S'appuyant sur une analyse des pratiques et de la recherche au niveau international, l'auteur recense les méthodes de mise en service et les procédures contractuelles existantes en fonction de l'intérêt porté à l'IEQ. Il est proposé une procédure contractuelle qui encourage les accords en matière d'environnement intérieur entre propriétaires de bâtiments et occupants et qui prescrit un projet de construction offrant aux utilisateurs la garantie d'un environnement intérieur satisfaisant. Pour conclure une convention contractuelle, préalablement au bail de location, qui prévoit l'IEQ, il faut inclure les facteurs ayant une influence sur la chaîne IEQ dans tous les contrats de bâtiments, comme la conception, l'approvisionnement, l'exploitation et la maintenance. Les exigences en matière d'IEQ nécessitent donc qu'elles soient intégrées à toutes les phases d'un projet de bâtiment. Les principaux éléments dans ces contrats, outre les exigences d'IEQ, sont ceux qui vérifient la qualité, les primes et les sanctions.     

Integrating thermal comfort field data analysis in a case-based building simulation environment

Despite the obvious importance of thermal comfort in the design of indoor environments, it has not been effectively integrated with design support tools. The reasons can be attributed in part to an absence of modular and flexible software architecture that facilitates dynamic data transfer between building performance simulation modules. Research has shown that the mathematical models of thermal comfort sometimes fail to accurately describe or predict thermal comfort in workplace settings even when the values of environmental and personal parameters are known. Thus, there is a critical need to provide a thermal comfort evaluation framework that, in addition to the algorithmic implementation of mathematical thermal comfort prediction models, would make use of the empirical knowledge base accumulated over the last 20 years from field experiments around the world. This paper first talks about an integrated simulation environment SEMPER that allows for multiple performance evaluation including thermal comfort analysis from a shared object model of building. Then, it discusses the results of a detailed thermal comfort analysis performed to find the reasons for the discrepancy between the predicted and observed values and the factors responsible for such discrepancy. Finally, the paper shows how the results of the empirical thermal comfort analysis can be used in designing better thermal environments.     

重庆中山古镇龙塘村传统民居热舒适度调查及改造对策

根据对重庆中山古镇龙塘村6 4户 既存农宅建筑现状、室内热舒适度的调研 结果,提出传统生土材料及其建造技术充 分适应重庆地区气候条件,值得保留和推 广。针对调研中发现的生土墙粉刷层易脱 落、房间通风不佳等问题,通过新型生土砂 浆材料的运用、门窗开启形式的变化、简易 通风装置的增设等,实现对既存生土材料农 宅的低成本改造。对已改变使用功能的传 统寨堡型四合院荣庐庄园进行热环境抽样 实测,找出影响其室内热舒适度的主要原因 并提出不同于传统农宅的改造措施,指出改 造重点应为强化建筑重点部位的保温隔热 及密封性能,以避免热/冷量的流失。     

建筑西向房间夏季室内热环境改善

以国内某大学综合实验大楼为例,实测了其中一间西向房间的室内外空气温度与壁面温度,分析了其夏季室内热环境。为了在经济合理地使用能源的情况下,满足它对夏季冷量与冬季热量的需求,根据实测的数据,利用建筑热平衡原理,对其夏季室内热环境特性进行了分析,指出了其热工设计缺陷,并对其进行了热舒适性的改造。通过软件模拟出改造后房间室内空气温度值,对比改造前后室内空气温度值,结果显示改造后的温度值明显降低,热舒适性得到了改善。