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Sample records for building oab ssdr

  1. National Ignition Facility subsystem design requirements optics assembly building (OAB) SSDR 1.2.2.3

    International Nuclear Information System (INIS)

    Kempel, P.; Hands, J.

    1996-01-01

    This Subsystem Design Requirement (SSDR) document establishes the performance, design, and verification requirements 'for the conventional building systems and subsystems of the Optics Assembly Building (OAB). These building system requirements are associated with housing and supporting the operational flow of personnel and materials throughout the OAB for preparing and repairing optical and mechanical components used in the National Ignition Facility (NIF) Laser and Target Building (LTAB). This SSDR addresses the following subsystems associated with the OAB: * Structural systems for the building spaces and operational-support equipment and building- support equipment. * Architectural building features associated with housing the space, operational cleanliness, and functional operation of the facility. * Heating, Ventilating, and Air Conditioning (HVAC) systems for maintaining a clean and thermally stable ambient environment within the facility. * Plumbing systems that provide potable water and sanitary facilities for the occupants and stormwater drainage for transporting rainwater. * Fire Protection systems that guard against fire damage to the facility and its contents. * Material handling equipment for transferring optical assemblies and other materials within building areas and to the LTAB. * Mechanical process piping systems for liquids and gases that provide cooling, cleaning, and other service to optical and mechanical components. * Electrical power and grounding systems that provide service to the building and equipment, including lighting distribution and communications systems for the facilities. * Instrumentation and control systems that ensure the safe operation of conventional facilities systems, such as those listed above. Generic design criteria, such as siting data, seismic requirements, utility availability, and other information that contributes to the OAB design, are not addressed in this document

  2. National Ignition Facility subsystem design requirements laser and target area building (LTAB) SSDR 1.2.2.1

    International Nuclear Information System (INIS)

    Kempel, P.; Hands, J.

    1996-01-01

    This Subsystem Design Requirements (SSDR) document establishes the performance, design, and verification requirements for the conventional building systems and subsystems of the Laser and Target Area Building (LTAB), including those that house and support the operation of high-energy laser equipment and the operational flow of personnel and materials throughout the facility. This SSDR addresses the following subsystems associated with the LTAB: Building structural systems for the Target Bay, Switchyards, Diagnostic Building, Decontamination Area, Laser Bays, Capacitor Bays and Operations Support Area, and the necessary space associated with building-support equipment; Architectural building features associated with housing the space and with the operational cleanliness of the functional operation of the facilities; Heating, Ventilating, and Air Conditioning (HVAC) systems for maintaining a clean and thermally stable ambient environment within the facilities; Plumbing systems that provide potable water and sanitary facilities for the occupants, plus stormwater drainage for transporting rainwater; Fire Protection systems that guard against fire damage to the facilities and their contents; Material handling systems for transporting personnel and heavy materials within the building areas; Mechanical process piping systems for liquids and gases that provide cooling and other service to experimental laser equipment and components; Electrical power and grounding systems that provide service and standby power to building and experimental equipment, including lighting distribution and communications systems for the facilities; Instrumentation and control systems that ensure the safe operation of conventional facilities systems, such as those listed above. Detailed requirements for building subsystems that are not addressed in this document (such as specific sizes, locations, or capacities) are included in detail-level NIP Project Interface Control Documents (ICDS)

  3. National Ignition Facility subsystem design requirements NIF site improvements SSDR 1.2.1

    International Nuclear Information System (INIS)

    Kempel, P.; Hands, J.

    1996-01-01

    This Subsystem Design Requirements (SSDR) document establishes the performance, design, and verification requirements associated with the NIF Project Site at Lawrence Livermore National Laboratory (LLNL) at Livermore, California. It identifies generic design conditions for all NIF Project facilities, including siting requirements associated with natural phenomena, and contains specific requirements for furnishing site-related infrastructure utilities and services to the NIF Project conventional facilities and experimental hardware systems. Three candidate sites were identified as potential locations for the NIF Project. However, LLNL has been identified by DOE as the preferred site because of closely related laser experimentation underway at LLNL, the ability to use existing interrelated infrastructure, and other reasons. Selection of a site other than LLNL will entail the acquisition of site improvements and infrastructure additional to those described in this document. This SSDR addresses only the improvements associated with the NIF Project site located at LLNL, including new work and relocation or demolition of existing facilities that interfere with the construction of new facilities. If the Record of Decision for the PEIS on Stockpile Stewardship and Management were to select another site, this SSDR would be revised to reflect the characteristics of the selected site. Other facilities and infrastructure needed to support operation of the NIF, such as those listed below, are existing and available at the LLNL site, and are not included in this SSDR. Office Building. Target Receiving and Inspection. General Assembly Building. Electro- Mechanical Shop. Warehousing and General Storage. Shipping and Receiving. General Stores. Medical Facilities. Cafeteria services. Service Station and Garage. Fire Station. Security and Badging Services

  4. Management Prestart Review Phase 1 for the NIF Optics Assembly Building (OAB)

    International Nuclear Information System (INIS)

    Dragoo, V

    2000-01-01

    A Management Prestart Review (MPR) for the National Ignition Facility (NIF) Optics Assembly Building (OAB) was conducted from June, 2000, through October, 2000. This review was performed to determine readiness of the facility and management to transfer the facility from the construction to the commissioning and operations phase. This review process provides assurance that the appropriate line management is in place to effect the turnover. Completion and acceptance of this report constitutes a turnover of facility and equipment operational responsibility from the Beampath Infrastructure System Construction organization to the Assembly Installation and Refurbishment Operations (assembly equipment installation/activation and mechanical cleaning operations) and the Beampath Infrastructure System (BIS) Commissioning and Operations Organizations (conventional facility operations). The OAB MPR provides to the NIF Project Manager an independent, systematic assessment of: (1) Readiness of line management for the turnover to take place, (2) Completeness of the equipment and facility installation of the OAB, (3) Readiness of personnel to operate within the facility, and (4) Implementation and efficacy of key management control processes and procedures. The MPR process assures that the technical, cost, and schedule risk associated with the installation/activation of OAB special equipment, mechanical cleaning, and conventional facility operations within the OAB are evaluated and are acceptable. Specifically, the scope of the review addresses technical and operational attributes of the equipment and facility systems that have been determined to have significant project risk. This report implements the LLNL requirement that MPRs shall be conducted before all new facilities are brought into operation, Lawrence Livermore National Laboratory (LLNL) ES and H Manual (M-010), Section 2.2.5, Pre-Start Reviews. The MPR process is an essential part of the ISM work authorization and

  5. The impact of OAB on physical activity in the United States: results from OAB-POLL.

    Science.gov (United States)

    Coyne, Karin S; Sexton, Chris C; Clemens, J Quentin; Thompson, Christine L; Chen, Chieh-I; Bavendam, Tamara; Dmochowski, Roger

    2013-10-01

    To provide data on physical activity among those with and without overactive bladder (OAB) in a large, ethnically diverse U.S. sample. A cross-sectional survey was conducted via the Internet among 10,000 men and women aged 18-70 (2000 African Americans, 2000 Hispanics, and 6000 whites) using the lower urinary tract symptoms (LUTS) tool and questions from the 2007-2008 National Health and Nutrition Examination Survey (NHANES). OAB cases and those with no/minimal symptoms (NMS) were compared on federal guidelines of indices of physical activity: 2008 guidelines and 2010 Healthy People. Descriptive statistics were used to evaluate differences between OAB and NMS. Logistic regressions examined the impact of OAB on physical activity. Response rate, 57%; 818 men and 1505 women with OAB, and 1857 men and 1615 women with NMS. Respondents with other LUTS were excluded from this analysis (2302 men and 1904 women). Those with OAB were significantly less likely to report moderate and vigorous physical activities in their leisure time and to satisfy recommended physical activity levels compared to those with NMS. Symptoms of OAB (men and women: urgency and urinary frequency; women: urinary urge incontinence) were associated with limitations in physical activity in the logistic regressions. This study benchmarks physical activity levels among people with OAB. Men and women with OAB were significantly less likely to achieve recommended physical activity levels than people with NMS. More research is needed to further evaluate how OAB affects physical activity and health status and to determine causal relationships. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. Comparative study of the B-SAQ, OAB-V8 and OAB-V3 questionnaires as screening tools for overactive bladders in clinical practice.

    Science.gov (United States)

    Angulo, J C; Calderín, M P; Fernández, Y; González, M; Gómez, E; Herreros, M B; Peñasco, P; Zapatero, M; Dorado, J F

    To compare the capacity shown by 3 self-assessment questionnaires validated in Spanish (B-SAQ, OAB-V8 and OAB-V3) for the screening of patients with overactive bladder (OAB) in clinical practice. A noninterventional observational study was conducted of men and women older than 30 years evaluated in primary care consultations. The clinical diagnosis of OAB was conducted through a case history review, physical examination, urine analysis, ultrasonography and voiding diary. The presence of coping strategies and discomfort was investigated. The differential diagnosis was established in patients with symptoms not due to OAB. We assessed the correlation between the clinical tests and diagnosis (kappa .6 good; >.8 excellent) and ROC curves to define the capacity to screen the assessed questionnaires. A total of 411 patients were investigated. OAB was detected in 207 (50.4%) patients, other causes for the lower urinary tract symptoms were detected in 63 (15.3%), and 141 (34.3%) patients had no diagnosis. The voiding diary suggested OAB in 197 (47.9%) patients. The correlation between the clinical diagnosis and the diagnosis based on the voiding diary was .702. The correlation between the clinical diagnosis and B-SAQ, OAB-V8 and OAB-V3 was .59, .673 and .732, respectively. The area under the curve (AUC) was .799 for B-SAQ; .837 for OAB-V8 and .867 for OAB-V3 (OAB-V3 vs. OAB-V8, P=.02; OAB-V3 vs. B-SAQ, P<.0001). The AUC for the voiding diary was .852 (OAB-V3 vs. diary, P=.47). OAB-V3 is a simple questionnaire with excellent performance for screening OAB in a specific population and that is superior to the OAB-V8 and B-SAQ. The accuracy of the voiding diary for the same indication is equivalent to that of the OAB-V3 in our setting. Copyright © 2017 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. National Ingition Facility subsystem design requirements optical mounts SSDR 1.4.4

    International Nuclear Information System (INIS)

    Richardson, M.

    1996-01-01

    This SSDR establishes the performance, design, development and test requirements for NIF Beam Transport Optomechanical Subsystems. optomechanical Subsystems includes the mounts for the beam transport mirrors, LMl - LM8, the polarizer mount, and the spatial filter lens mounts

  8. [Psychometric validation of the OAB-V8 and OAB-V3 scales for the screening of patients with probable overactive bladder in the Spanish population].

    Science.gov (United States)

    Brenes, Francisco J; Angulo, Javier C; Ochayta, David; Rejas, Javier; Arumí, Daniel; Cañadas, Ana; Lizarraga, Isabel

    2014-12-23

    To perform the psychometric validation in the Spanish population of the Overactive Bladder Awareness Tool (OAB-V8) scale and its abbreviated version OAB-V3 for screening patients with probable overactive bladder (OAB). A cross-sectional study was conducted in a population aged over 18 years, which was representative of the prevalence of OAB in Spain using an online methodology (Internet survey). Psychometric properties included feasibility, reliability, and validity. Subjects were classified according to the likelihood of OAB, using an automated algorithm validated previously. ROC curve analysis was performed, and the sensitivity, specificity, and positive and negative predictive values were also assessed. A total of 2,035 subjects with a mean+SD age of 52.7+12.1 years were included (50.8%) men. In total 13.7% were classified as «Probable», 27.9% «Possible», and 58.3% «No» OAB. The internal consistency of both OAB-V8 and OAB-V3 scales was high (0.894 and 0.851, respectively). The item-total correlation coefficients were high; 0.87-0.88 and 0.71-0.83, respectively. Intraclass correlation coefficient for OAB-V8 was 0.826 (confidence interval 95% 0.695-0.901) and it was 0.828 (confidence interval 0.623-0.922) for OAB-V3. The optimum cut-off value of OAB-V8 for detecting probable OAB was≥8 points (AUC=0.895, sensitivity 0.875, specificity 0.735), while for the OAB-V3 it was ≥ 3 (AUC=0.910, sensitivity 0.828, specificity 0.825). Both OAB-V8 and OAB-V3 scales were considered useful online self-administered screening tools, which were also feasible, reliable and valid for the detection of patients with probable OAB in the general population in Spain. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  9. [EPIDEMIOLOGY OF OVER-ACTIVE BLADDER (OAB) SYNDROME].

    Science.gov (United States)

    Eshkoli, Tamar; Yohai, David; Laron, Elad; Weintraub, Adi Y

    2016-11-01

    An over-active bladder is a common disorder which influences women's health and quality of life. There is difficulty defining the exact prevalence of the disorder since there are various definitions in the literature. The ICS definition from 2002 on the over-active bladder (OAB) syndrome enables more uniformity, by declaring that OAB syndrome is a symptomatic syndrome defined as presence of urgency with or without urinary incontinence, mostly accompanied by frequency and nocturia. In this article we reviewed the current medical literature on the prevalence of the OAB syndrome by focusing on relevant crosssectional and longitudinal studies, the trend changes during life, co-morbidities, the influence of quality of life and the economic burden following the disorder and its treatment. The authors' hope is that elevating awareness of the OAB syndrome will help improve its diagnosis and treatment.

  10. National Ignition Facility subsystem design requirements target diagnostics subsystem SSDR 1.8.3

    International Nuclear Information System (INIS)

    Lee, D.

    1996-01-01

    This SSDR establishes the performance, design, development and test requirements for the Target Experimental System's Diagnostic, WBS 1.8. 3. This includes the individual diagnostic components, the Target Diagnostic Data Acquisition System (Target DAS), the diagnostic vacuum system, the timing/fiducial system, and the EMI protection system

  11. National Ignition Facility subsystem design requirements final optics assembly subsystem SSDR 1.8.7

    International Nuclear Information System (INIS)

    Adams, C.

    1996-01-01

    This SSDR establishes the performance, design, development and test requirements for the Final Optic Assembly (FOA). The FOA (WBS 1.8.7) as part of the Target Experimental System (1.8) includes vacuum windows, frequency conversion crystals, focus lens, debris shields and supporting mechanical equipment

  12. Elevated CXC chemokines in urine noninvasively discriminate OAB from UTI.

    Science.gov (United States)

    Tyagi, Pradeep; Tyagi, Vikas; Qu, Xianggui; Chuang, Yao Chi; Kuo, Hann-Chorng; Chancellor, Michael

    2016-09-01

    Overlapping symptoms of overactive bladder (OAB) and urinary tract infection (UTI) often complicate the diagnosis and contribute to overprescription of antibiotics. Inflammatory response is a shared characteristic of both UTI and OAB and here we hypothesized that molecular differences in inflammatory response seen in urine can help discriminate OAB from UTI. Subjects in the age range of (20-88 yr) of either sex were recruited for this urine analysis study. Urine specimens were available from 62 UTI patients with positive dipstick test before antibiotic treatment. Six of these patients also provided urine after completion of antibiotic treatment. Subjects in cohorts of OAB (n = 59) and asymptomatic controls (n = 26) were negative for dipstick test. Urinary chemokines were measured by MILLIPLEX MAP Human Cytokine/Chemokine Immunoassay and their association with UTI and OAB was determined by univariate and multivariate statistics. Significant elevation of CXCL-1, CXCL-8 (IL-8), and CXCL-10 together with reduced levels for a receptor antagonist of IL-1A (sIL-1RA) were seen in UTI relative to OAB and asymptomatic controls. Elevated CXCL-1 urine levels predicted UTI with odds ratio of 1.018 and showed a specificity of 80.77% and sensitivity of 59.68%. Postantibiotic treatment, reduction was seen in all CXC chemokines with a significant reduction for CXCL-10. Strong association of CXCL-1 and CXCL-10 for UTI over OAB indicates mechanistic differences in signaling pathways driving inflammation secondary of infection in UTI compared with a lack of infection in OAB. Urinary chemokines highlight molecular differences in the paracrine signaling driving the overlapping symptoms of UTI and OAB. Copyright © 2016 the American Physiological Society.

  13. Management of OAB in those over age 65.

    Science.gov (United States)

    Natalin, Ricardo; Lorenzetti, Fabio; Dambros, Miriam

    2013-10-01

    The International Continence Society (ICS) defines overactive bladder (OAB) as an association of symptoms including "urgency, with or without urge incontinence, usually with increased frequency and nocturia". This conditon has been associated with a decrease in quality of life and a higher related risk of overall health condition decrease, and is rising since its prevalence increases with age and the forecast for the world population estimates an increase of those over 65 years old. Aging alone can be considered a major risk factor for developing OAB symptoms that are considered multifactorial and due to body tissue and anatomic changes, lifestyle-associated factors, comorbidities and personal characteristics. The high prevalence of this condition and multiple etiology factors makes of its treatment a challenge-especially in the older population. A major concern over OAB treatment of elderly patients is the risk of cognitive side effects due to the pharmacologic treatment with anticholinergic drugs. First-line treatment for OAB symptoms are the use of pharmacologic therapy with antimuscarinic drugs, which has been proved to be effective in controlling urgency, urge incontinence episodes, incontinence episodes, and nocturia. The impact caused by this condition is significant regarding the economic and human costs associated bringing into attention the need of studying and reviewing this specific population. Conservative Management and Lifestyle Modifications: Behavioral therapy's aims are to reduce urinary frequency and urgency to an accepted level and to increase bladder outlet volume. It consists of actions to teach patients to improve and learn bladder control. Lifestyle modifications are a conjunct of daily activities that can be managed to have the lowest interference on the functioning of the urinary tract. Pharmacologic Therapy: There are various medications with antimuscarinic properties available for the treatment of OAB symptoms. The most commonly used are

  14. National Ingition Facility subsystem design requirements optics subsystems SSDR 1.6

    International Nuclear Information System (INIS)

    English, R.E.

    1996-01-01

    This Subsystems Design Requirement (SSDR) document specifies the functions to be performed and the subsystems design requirements for the major optical components. These optical components comprise those custom designed and fabricated for amplification and transport of the full aperture NIF beam and does not include those off-the-shelf components that may be part of other optical sub-systems (i.e. alignment or diagnostic systems). This document also describes the optical component processing requirements and the QA/damage testing necessary to ensure that the optical components meet or exceed the requirements

  15. Psychometric Properties of the Korean Version of the Overactive Bladder Questionnaire (OAB-q in a Korean Population

    Directory of Open Access Journals (Sweden)

    Seung-June Oh

    2012-06-01

    Full Text Available Purpose Psychometric properties of the overactive bladder questionnaire (OAB-q were recently examined. However, since the cross-cultural adaptation of a non-English version of the OAB-q has never been demonstrated, we evaluated the psychometric properties of a Korean version of the OAB-q in a Korean population with OAB. Methods A prospective cohort study involving 116 women with 58 OAB and 58 control subjects was performed and convergent validity was assessed. Total and subscale OAB-q scores of the control and OAB groups were compared to their sensitivity to score changes before and after administering anti-cholinergic medication for 12 weeks. Short form 36 and King's health questionnaire (KHQ were also used for comparison or correlation. Results Assessment of face validity showed that the Korean version of the OAB-q was reasonable with OAB-q subscale scores being significantly different between the control and patient groups. Significant correlation (range, -0.29 to -0.81 was found between the OAB-q scores and KHQ results for the OAB patients. Cronbach's alpha coefficients (range, 0.77 to 0.95 indicated excellent internal consistency and test-retest analysis involving 35 OAB patients showed that each questions as well as subscale scores were reproducible. Each score of OAB-q also showed statistically significant sensitivity to changes following anti-muscarinic treatment for OAB (n=27, P<0.001 except for social, P=0.059. Conclusions The Korean version of the OAB-q is a valid and reliable instrument to measure outcomes in Korean patients with OAB.

  16. Patterns of medical management of overactive bladder (OAB) and benign prostatic hyperplasia (BPH) in the United States.

    Science.gov (United States)

    Anger, Jennifer T; Goldman, Howard B; Luo, Xuemei; Carlsson, Martin O; Chapman, Douglass; Zou, Kelly H; Russell, David; Ntanios, Fady; Esinduy, Canan B; Clemens, J Quentin

    2018-01-01

    Overactive bladder (OAB) and benign prostatic hyperplasia (BPH) are highly prevalent conditions that place a large burden on the United States (US) health care system. We sought to analyze patterns of prescription medication usage for incident OAB in men and women, and for incident BPH in men using US health insurance claims data. This study used Truven Health MarketScan® Commercial and Medicare Supplemental Research databases. The data were pooled from diverse points of care. BPH subjects included men age 18+ with the first and last two diagnoses of BPH ≥30 days apart and no BPH diagnosis for 1 year prior. OAB subjects included men and women age 18+, who were diagnosed similarly with incident OAB. The type of medication, medication continuation (persistence), and switching to a different medication were analyzed through September 30, 2013. Medication persistence was much higher overall for BPH than OAB (56% vs 34%, respectively, P BPH age 65+ (62%). Patients age 18-64 were less likely to continue medication than older adults (age 65+) for both BPH and OAB. A 9.4% of patients in the OAB cohort and 6.9% of men with BPH switched from one medication to another. Persistence was higher with BPH than OAB medications overall, whereas switching rates were higher in the OAB group. The lower persistence of OAB medication may be due to less efficacy or tolerability. The possibility of under treatment of OAB also warrants future investigations. © 2017 Wiley Periodicals, Inc.

  17. Anticholinerge Therapie der OAB

    Directory of Open Access Journals (Sweden)

    Hampel C

    2007-01-01

    Full Text Available Kenntnisse über Differentialdiagnostik und Pathophysiologie des Blasenüberaktivitäts-Syndroms sind essentiell für eine erfolgreiche Therapie. Obwohl Verhaltenstraining und Elektrostimulation ihre Wirksamkeit bei OAB bewiesen haben, ist die Therapie der ersten Wahl nach wie vor die anticholinerge Behandlung. Dessen ungeachtet ist die Einnahmetreue der Patienten unbefriedigend, was in der letzten Zeit zu verschiedenen Medikamentenneuentwicklungen mit verbesserter Verträglichkeit bei gleichbleibend hoher Effektivität geführt hat. Retard-Formulierungen, extraenterale Applikationswege und Rezeptor-Subselektivität sind hierbei die Prinzipien, welche die Behandlungsakzeptanz und Patientenzufriedenheit steigern sollen.

  18. National Ignition Facility subsystem design requirements target area auxiliary subsystem SSDR 1.8.6

    International Nuclear Information System (INIS)

    Reitz, T.

    1996-01-01

    This Subsystem Design Requirement (SSDR) establishes the performance, design, development, and test requirements for the Target Area Auxiliary Subsystems (WBS 1.8.6), which is part of the NIF Target Experimental System (WBS 1.8). This document responds directly to the requirements detailed in NIF Target Experimental System SDR 003 document. Key elements of the Target Area Auxiliary Subsystems include: WBS 1.8.6.1 Local Utility Services; WBS 1.8.6.2 Cable Trays; WBS 1.8.6.3 Personnel, Safety, and Occupational Access; WBS 1.8.6.4 Assembly, Installation, and Maintenance Equipment; WBS 1.8.6.4.1 Target Chamber Service System; WBS 1.8.6.4.2 Target Bay Service Systems

  19. How long do we have to treat overactive bladder syndrome (OAB)? A questionnaire survey of Canadian urologists and gynecologists.

    Science.gov (United States)

    Przydacz, Mikolaj; Campeau, Lysanne; Walter, Jens-Erik; Corcos, Jacques

    2018-05-14

    Overactive bladder syndrome (OAB) is a highly prevalent and costly condition worldwide with negative impact on health-related quality of life. Although many guidelines exist and anticholinergics are considered to be the mainstay of pharmacological treatment, data are lacking regarding optimal treatment duration. Therefore, the aim of this study was to determine practice patterns of Canadian urologists and gynecologists regarding duration of OAB pharmacotherapy. A 14-question survey was designed and survey links (English and French) were sent by email to all practicing urologists and gynecologists registered with the Canadian Urological Association and the Society of Obstetricians and Gynecologists of Canada via the associations' email lists. The SurveyMonkey website served as platform where responses were collected and stored. A total of 301 physicians completed the questionnaire; 250 respondents (83%) prescribe anticholinergics or beta-3-adrenoceptor agonist (mirabegron) in their practice, and 202 (81%) start patient treatment with the lowest recommended medication dose. One hundred and twelve respondents (45% of those who prescribe OAB medications) classified OAB pharmacotherapy as a lifelong management strategy, whereas 130 (52% of those who prescribe OAB medications) think that OAB pharmacotherapy should be administered for a defined time period. Six-month and one-year time periods of drug treatments are the most commonly chosen answers given by physicians who treat their patients for a defined duration. There is general agreement among Canadian urologists and gynecologists that OAB treatment should be started with the lowest recommended medication dose. A slim majority of respondents think that OAB pharmacotherapy should be administered for a defined duration.

  20. Cultural adaptation to Spanish (Spain) of the "Overactive Bladder - Family Impact Measure (OAB-FIM)" questionnaire.

    Science.gov (United States)

    Arlandis Guzmán, S; Martínez Cuenca, E; Martínez García, R; Bonillo García, M A; Rejas, J; Broseta-Rico, E

    2017-06-01

    The OAB-FIM was developed as a measure of the impact of an overactive bladder (OAB) on relatives who live with the patient. The objective of this study was conduct a cultural adaptation to Spanish (Spain) of the OAB-FIM questionnaire. The adaptation included a conceptual and linguistic validation phase, as well as a phase for measuring the psychometric properties in 25 relatives [mean age, 63.0 years (SD, 14.3); 44% women] who regularly live with patients with OAB, who are of either sex and 18 years of age or older. We measured conceptual and linguistic equivalence, internal reliability, construct validity and content validity. We assessed the applicability and administration load. The OAB-FIM was conceptually and linguistically equivalent to the original, maintaining its 6 domains: social, travel, worry, irritability, sleep and sex. The interagreement correctly placed all items in their domain, except for number 10, which was placed more in worry than in irritability, motivates its reformulation. Some 2.95% of the items were missing. The floor and ceiling effects of the items varied, respectively, between 20-28%, and 0-16%. The mean time for completing the questionnaire was 5.2minutes (SD, 2.8), and 24% of the participants required some type of assistance. The α-Cronbach coefficient varied between 0.948-0.839. The correlations with similar scales in the family were moderate-high (0.407-0.753) or small-moderate with those administered to the patient (0.004-0.423). We obtained a Spanish (Spain) version of the OAB-FIM that was conceptually and linguistically equivalent to the original. The questionnaire showed good internal consistency, content and construct validity and applicability. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  1. [Prevalence and characterization of overactive bladder detected in a population in Madrid with self-administered OAB-V3 questionnaire in Primary Care].

    Science.gov (United States)

    Angulo, Javier C; Calderín, María P; Fernández, Yolanda; González, Miriam; Gómez, Esther; Herreros, Maria B; Peñasco, Purificación; Zapatero, Manuela; Dorado, Juan F

    2018-02-01

    Determining the prevalence of symptoms suggestive of overactive bladder (OAB) in a Spanish population and evaluate the impact of these symptoms on well-being and labour productivity in this population. Transversal study. Primary health care, Madrid, Spain. Males and females >30 years. Classification by primary care physicians with the Overactive Bladder Awareness Tool abbreviated version (OAB-V3). Subjects with score ≥3 and a similarly balanced control population with score <3 were clinically investigated. History, physical examination, urinalysis, sonography, general well-being scale and the questionnaires PPBC, OAB-q y WPAI-SHP. A total 923 subjects were screened, of which 209 (22.6%), 35% males and 65% females, had probable OAB. Age distribution increased from 11.1% in 4th decade to 44.4% in 9th decade. Kappa coefficient between suspected OAB and definite diagnosis was .83. The area under ROC curve for diagnosis based on OAB-V3 questionnaire and the presence of perceived bother and coping strategies was 92%. Subjects classified by score ≥3 had worse well-being, higher PPBC score and worse parameters on total OAB-q and transformed scores for each OAB-q subscale (P<.0001). In these subjects labour productivity was not affected (P=.14) but the capacity to perform regular activities was (P<.0001). OAB-V3 is a simple questionnaire to screen OAB with good predictive accuracy in a primary care setting and reveals important implications on health related quality of life issues. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  2. Contra as reformas e o comunismo: a atuação da Ordem dos Advogados do Brasil (OAB no governo Goulart

    Directory of Open Access Journals (Sweden)

    Marco Aurélio Vanucchi Leme de Mattos

    2012-06-01

    Full Text Available O presente artigo examina o combate travado pela OAB, por meio de sua instância diretiva máxima, o Conselho Federal, contra o governo Goulart. A atuação oposicionista da OAB deve ser compreendida no quadro da mobilização civil que colocou em marcha uma campanha de desestabilização do governo federal. Deposto Goulart, a OAB, como instituição, e os conselheiros federais, individualmente, colaboraram ativamente com a ditadura militar nos seus primeiros anos. Propõe-se que o oposicionismo da OAB ao governo Goulart derivasse de quatro fatores: os interesses socioeconômicos dos conselheiros federais; seus vínculos político-partidários; a cultura política dominante no Conselho Federal; questões corporativo-institucionais.

  3. Assessment of female prevalence of overactive bladder (OAB) in Barcelona using a self-administered screening questionnaire: the Cuestionario de Autoevaluación del Control de la Vejiga (CACV).

    Science.gov (United States)

    Lugo Salcedo, Félix; Sánchez Borrego, Rafael

    2013-09-01

    Overactive bladder (OAB) syndrome is common urological condition, usually underdiagnosed and difficult to identify. The screening of lower urinary tract symptoms (LUTS) through patient self-administered questionnaires can be useful not only for timely identification of these patients but to implement early interventions for symptoms and their implication in a patients' quality of life (QOL). Our objective was to assess the prevalence of OAB symptoms in patients attending general gynecology units in Barcelona, Spain, through a self-administered screening questionnaire. A cross-sectional, multicenter, observational, epidemiological study was carried out at general gynecology units of ten primary health centers in Barcelona, Spain. The study was conducted during a patient's single visit through self-administered forms. Patients recorded sociodemographic data, medical history and comorbidities, and scored the presence and bother related to specific urological symptoms using the Cuestionario de Autoevaluación del Control de la Vejiga (CACV), the validated Spanish version of the Bladder Control Self-Assessment Questionnaire (B-SAQ). A score ≥6 on the symptoms scale of the CACV was taken as an indicator of suspected OAB. One thousand and four women aged between 18 and 82 participated in the study. The overall prevalence of OAB was 11.8 %. A patient being >50 years was significantly associated with suspected OAB in comparison with the younger group [odds ratio (OR) 3.1 (2.1-4.7); p bladder showed significant association with factors other than age, menopause, and previous urogynecological history, such as high body mass index (BMI) and parity. The estimated prevalence of suspected OAB in patients attending general gynecological services in Barcelona is 11.8 %. Overweight or obese patients and those with three or more children were found to be at elevated risk for developing OAB.

  4. The efficacy and safety of onabotulinumtoxinA in treating idiopathic OAB: A systematic review and meta-analysis.

    Science.gov (United States)

    Cui, Yuanshan; Zhou, Xin; Zong, Huantao; Yan, Huilei; Zhang, Yong

    2015-06-01

    We carried out a systematic review and meta-analysis to assess the efficacy and safety of the drug for treating idiopathic OAB. A literature review was performed to identify all published randomized double-blind, placebo-controlled trials of onabotulinumtoxinA for the treatment of idiopathic OAB. The search included the following databases: MEDLINE, EMBASE, and the Cochrane Controlled Trials Register. The reference lists of the retrieved studies were also investigated. Eight publications involving a total of 1,320 patients were used in the analysis, including six RCTs that compared onabotulinumtoxinA with placebo. OnabotulinumtoxinA significantly decreased the mean number of urinary incontinence (UI) per day -2.77 versus -1.01 (the standardized mean difference (SMD) = -1.68, 95% CI = -2.06 to -1.31, P SMD = -1.82, 95% CI = -2.61 to -1.02, P SMD = 63.82, 95% CI = 38.14 to 89.50, P SMD = 33.05, 95% CI = 22.45 to 43.66, P infections (UTI; P < 0.00001) and clean intermittent catheterization (CIC; P < 0.00001). This meta-analysis indicates that onabotulinumtoxinA to be an effective treatment for idiopathic overactive bladder symptoms with side effects primarily localized to urinary tract. © 2014 Wiley Periodicals, Inc.

  5. Additional correction of OAB symptoms by two anti-muscarinics for men over 50 years old with residual symptoms of moderate prostatic obstruction after treatment with Tamsulosin.

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    Kosilov, Kirill; Loparev, Sergey; Ivanovskaya, Marina; Kosilova, Liliya

    2015-03-01

    To study the effectiveness and safety of combined standard-dosed Solifenacin and Trospium for management of symptoms of overactive bladder (OAB) in elderly patients after the treatment with Tamsulosin. A total of 417 men over 50 years of age (average age 57.9 (8.3)) with diagnosed prostatic obstruction (score 8-19 according to I-PSS), who had not taken Tamsulosin before, were enrolled in the study. I-PSS questionnaire (from 8 to 19 - moderate) and Awareness Tool questionnaire for evaluating OAB symptoms (total score for OAB symptoms over 8) were used at the beginning and at the end of the observation. Also, urodynamic parameters were examined. Percentage of patients with prevalent symptoms of obstruction of urethra decreases after the treatment with Tamsulosin and then rises again (36.2%), but absolute number of patients remains smaller than initial data. Percentage of patients with relative prevalence of symptoms of overactive bladder slightly increases against administration of Tamsulosin and reaches initial values at the time of administration of anti-muscarinic drugs with absolute decrease in number of such patients. Combination of Trospium and Solifenacin is an effective way to manage residual symptoms of hyperactive bladder during treatment of early obstruction of urinary bladder.

  6. Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria

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    Javier C. Angulo

    2018-02-01

    Conclusiones: OAB-V3 es un cuestionario simple para el cribado de VH con buena exactitud de predicción en atención primaria y que conlleva implicaciones importantes en la calidad de vida relacionada con la salud.

  7. Prevalence of overactive bladder syndrome (OABS among women with gynaecological problems and its risk factors in a tertiary hospital, Negeri Sembilan, Malaysia: Implication for primary healthcare providers

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    Sharifah Sulaiha Syed Aznal

    2015-12-01

    Full Text Available Overactive bladder (OAB is defined as frequent urination with or without urge incontinence and is usually associated with frequency and nocturia in the absence of an infection or other pathological conditions. It is a common and distressing medical condition that can severely affect patient’s quality of life.

  8. Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria

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    Javier C. Angulo; María P. Calderín; Yolanda Fernández; Miriam González; Esther Gómez; Maria B. Herreros; Purificación Peñasco; Manuela Zapatero; Juan F. Dorado

    2018-01-01

    Objetivo: Determinar la prevalencia de síntomas sugestivos de vejiga hiperactiva (VH) en una población española y evaluar su impacto en el bienestar y la productividad laboral de esta población. Diseño: Estudio transversal. Emplazamiento: Atención primaria, Madrid, España. Participantes: Varones y mujeres > 30 años. Intervenciones: Clasificación con el instrumento abreviado Overactive Bladder Awareness Tool (OAB-V3). Sujetos con puntuación ≥ 3 y una población control similar con p...

  9. Should we use the shorter Thai-version quality of life and symptoms questionnaires in women with overactive bladder?

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    Bunyavejchevin, Suvit; Liao, Limin; Lu, Shing-Hwa; Choo, Myung-Soo; Rabbani, Khalid Javed; Havanond, Piyalamporn

    2015-08-01

    The aim of this study was to test: (i) the validation and reliability of the Thai versions of overactive bladder (OAB) questionnaires (the 8-item and 3-item Overactive Bladder Symptoms Score questionnaires [OAB-v8 and OAB-v3, respectively] and the Overactive Bladder Questionnaire [OAB-q]); and (ii) the correlation of the OAB-v8, OAB-v3, and the single-question Quality of Life Questionnaire (1-QoL) to the OAB-q in Thai women with OAB. During January to March 2011, 36 Thai women with OAB attending a urogynecology clinic at Chulalongkorn Hospital, Bangkok, Thailand were recruited. All questionnaires were given as a psychometric test twice, 2 weeks apart. Cronbach's alpha of the OAB-v8 was higher (and above 0.7) than OAB-v3 at both week 0 and week 2. The intraclass correlations (ricc ) were 0.64, 0.85, and 0.97 for the OABV8, OAB-v3, and OAB-q, respectively. The correlation coefficient (r) of OAB-v3 and OAB-q at weeks 0 and 2 (0.40 and 0.49) were lower than those for OAB-v8 and OAB-q at weeks 0 and 2 (0.62 and 0.62). All questions on the OAB-v3 had a lower weighted kappa than OAB-v8. There was no statistically significant difference in the OAB-q score in each level of 1-QoL score at week 0 (P = 0.12) and at week 2 (P = 0.29). The reliability of the OAB-v3 is poorer than that of the OAB-v8. The OAB-v3 is poorer correlated to the OAB-q than to the OAB-v8. A short questionnaire, such as the OAB-v3 and the 1-QoL, has poor reliability and is poorly correlated to the OAB-q and is not recommended as a replacement for the standard questionnaires, such as the OAB-q and the OAB-v8. The OAB-v3 should only be used in large screening populations where there are time limits. © 2015 The Authors Journal of Obstetrics and Gynaecology Research © 2015 Japan Society of Obstetrics and Gynecology.

  10. Patient-reported outcomes in patients with overactive bladder treated with mirabegron and tolterodine in a prospective, double-blind, randomized, two-period crossover, multicenter study (PREFER).

    Science.gov (United States)

    Herschorn, Sender; Staskin, David; Tu, Le Mai; Fialkov, Jonathan; Walsh, Terry; Gooch, Katherine; Schermer, Carol R

    2018-04-19

    The PREFER study was an assessment of medication tolerability, treatment preference and symptom improvement during treatment with mirabegron (M) and tolterodine (T) extended release (ER) in patients with overactive bladder (OAB). In this analysis of PREFER, patient-reported outcomes (PROs) were assessed during treatment. PREFER was a two-period, 8-week crossover, double-blind, phase IV study (NCT02138747) of treatment-naïve adults with OAB ≥3 months randomized to 1 of 4 treatment sequences (M/T; T/M; M/M; T/T), separated by a 2-week washout. Tolterodine ER was dosed at 4 mg for 8 weeks and mirabegron was dosed at 25 mg for 4 weeks then increased to 50 mg for the next 4 weeks. At each visit, PROs related to treatment satisfaction, quality of life and symptom bother were assessed using the OAB Satisfaction (OAB-S; 3 independent scales/5 single-item overall assessments), OAB-q (total health-related QoL [HRQoL] and subscales [Sleep, Social, Coping, Concern] and Symptom Bother scale) and Patient Perception of Bladder Condition (PPBC) questionnaires. Responder rates were reported for OAB-q subscales based on a minimal important difference (MID; ≥ 10-point improvement) and OAB-S Medication Tolerability score ≥ 90. In total, 358 randomized patients received ≥1 dose of double-blind study medication and completed ≥1 post-baseline value (OAB-S scale, OAB-q, PPBC): M/T (n = 154), T/M (n = 144), M/M (n = 30) or T/T (n = 30). At end of treatment (EoT), mirabegron and tolterodine ER were associated with similar mean improvements in 7 of the 8 OAB-S scores investigated, OAB-q scales and PPBC. A higher percentage of patients achieved clinically relevant improvements (MID) in OAB-q scales and OAB-S Medication Tolerability score during treatment with mirabegron than tolterodine ER. On average, patients with OAB experienced improvements in treatment satisfaction, HRQoL and symptom bother that were of a similar magnitude during treatment with

  11. Effect of Low-Dose Triple Therapy Using Gabapentin, Amitriptyline, and a Nonsteroidal Anti-Inflammatory Drug for Overactive Bladder Symptoms in Patients With Bladder Pain Syndrome

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    Whi-An Kwon

    2013-06-01

    Full Text Available Purpose: Patients with bladder pain syndrome/interstitial cystitis (BPS/IC can have pain as a main symptom and overactive bladder (OAB symptoms that are directly or indirectly related to a major mechanism that causes pain. The primary purpose of this study is firstly to identify the prevalence rate of OAB symptoms in patients with BPS/IC, secondly to identify changes in OAB symptoms after low-dose triple therapy, and thirdly to build a theoretical foundation to improve quality of life for patients. Methods: Patients who met the inclusion criteria of BPS/IC through basic tests including the O’Leary-Sant symptom index, overactive bladder symptom score (OABSS, and visual analog scale (VAS were identified. Treatment-based changes in OAB symptoms were identified using the IC Symptom Index and IC Problem Index (ICSI/ICPI, OABSS, and VAS before, and 4 and 12 weeks after low-dose triple therapy. Results: The patients consisted of 3 men and 20 women, and their mean age was 61.9 years (41.0–83.2 years. Comparing values before treatment, and 4 and 12 weeks after treatment (baseline vs. 4 weeks to baseline vs. 12 weeks, the rates of improvement were as follows: ICSI, 44.2% to 63.7%; ICPI, 46.9% to 59.4%; OABSS, 34.3% to 58.2%; and VAS, 53.6% to 75.0%, which showed statistically significant differences (P0.05. Conclusions: Low-dose triple therapy in BPS/IC results in a clear decrease in OAB symptoms in the first 4 weeks after treatment, and additional treatment for 8 weeks had a partial effect with varied statistical significances depending on the questionnaires.

  12. [Economic impact of overactive bladder symptoms in Japan].

    Science.gov (United States)

    Inoue, Sachie; Kobayashi, Makoto; Sugaya, Kimio

    2008-11-01

    Overactive bladder (OAB) is characterized by involuntary contractions of the detrusor muscles of the bladder. The primary symptoms of OAB include urinary urgency and frequency, with or without urge incontinence. Despite the growing awareness of OAB as a chronic medical condition, little is known about the disease's economic burden. Therefore, in the present study, the costs associated with the management of OAB symptoms in Japan were estimated, and the potential cost saving by increasing the rate of physician visits in OAB population was analyzed. To estimate the costs of OAB symptoms in Japan, we collected a variety of epidemiologic and economic literatures about OAB or urinary incontinence published by June, 2007. Three types of costs were considered in this estimation: 1. OAB treatment cost (pharmacological treatment cost, diagnostic cost and cost for physician visits), 2. direct cost (OAB-related cost [urinary tract infections, skin infections and fractures] and incontinence care cost [costs of pads, diapers and cleaning]), and 3. indirect cost (work loss due to absence from work and decrease in productivity). The analysis was conducted on community dwelling Japanese persons aged > or = 40 years, and assumed that OAB patients visited a hospital or a clinic once every four weeks. For the estimation of pharmacological treatment cost, four anticholinergic drugs (immediate-release oxybutynin (Pollakisu), propiverine (BUP-4), extended-release tolterodine (Detrusitol) and solifenacin (Vesicare)) were referred. Potential cost saving was estimated on the assumption that the hospital visit rate would increase from the current 22.7% to 35% and 50%, respectively. The number of persons with OAB symptoms and OAB patients was estimated at 8.6 million (4.6 million men, 4.0 million women) and 2.0 million (1.7 million men, 0.3 million women), respectively. The annual cost for OAB was estimated to be 956.2 billion yen (112,000 yen per one person with OAB symptoms). This cost

  13. The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study.

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    Coyne, Karin S; Sexton, Chris C; Irwin, Debra E; Kopp, Zoe S; Kelleher, Con J; Milsom, Ian

    2008-06-01

    To examine the effect overactive bladder (OAB) and other lower urinary tract symptoms (LUTS) on health-related quality of life (HRQoL) in a population sample, as OAB often occurs in conjunction with many other LUTS. A nested case-control analysis was performed on men and women with (cases) and without (controls) OAB, from the EPIC study. OAB was assessed using 2002 International Continence Society definitions. Based on their responses to questions about LUTS, cases were classified into five groups; continent OAB, OAB with incontinence, OAB + postmicturition, OAB + voiding, and OAB + postmicturition + voiding. Both cases and controls were asked questions about symptom bother (OAB-q), generic QoL (EQ-5D), work productivity (Work Productivity and Activity Impairment, WPAI), depressive symptoms (Center for Epidemiologic Studies Depression Scale), sexual satisfaction, and erectile dysfunction (men only) using the Massachusetts Male Aging Study. Cases answered additional condition-specific questions HRQoL (OAB-q short form), Patient Perception of Bladder Condition and work productivity related to a specific health problem (WPAI-SHP). General linear models were used to evaluate group differences. Of the EPIC participants, 1434 identified OAB cases were matched by age, gender and country, with 1434 participants designated as controls. Cases and controls were primarily Caucasian (96.2% and 96.7%, respectively), and most (65%) were female; the mean age was 53.8 and 53.7 years, respectively. Comorbid conditions differed significantly by case/control status, with cases reporting significantly greater rates of chronic constipation, asthma, diabetes, high blood pressure, bladder or prostate cancer, neurological conditions and depression. There were significant differences between the cases and controls in all reported LUTS. The OAB + postmicturition + voiding group reported significantly greater symptom bother, worse HRQoL, higher rates of depression and decreased enjoyment of

  14. Bladder symptoms assessed with overactive bladder questionnaire in Parkinson's disease.

    Science.gov (United States)

    Iacovelli, Elisa; Gilio, Francesca; Meco, Giuseppe; Fattapposta, Francesco; Vanacore, Nicola; Brusa, Livia; Giacomelli, Elena; Gabriele, Maria; Rubino, Alfonso; Locuratolo, Nicoletta; Iani, Cesare; Pichiorri, Floriana; Colosimo, Carlo; Carbone, Antonio; Palleschi, Giovanni; Inghilleri, Maurizio

    2010-07-15

    In Parkinson's disease (PD) the urinary dysfunction manifests primarily with symptoms of overactive bladder (OAB). The OAB questionnaire (OAB-q) is a measure designed to assess the impact of OAB symptoms on health-related quality of life. In this study, we quantified the urinary symptoms in a large cohort of PD patients by using the OAB-q short form. Possible correlations between the OAB-q and clinical features were tested. Three hundred and two PD patients were enrolled in the study. Correlations between the OAB-q and sex, age, Unified Parkinson's Disease Rating Scale part III (UPDRS-III), Hoehn-Yahr (H-Y) staging, disease duration, and treatment were analyzed. Data were compared with a large cohort of 303 age-matched healthy subjects. The OAB-q yielded significantly higher scores in PD patients than in healthy subjects. In the group of PD patients, all the variables tested were similar between men and women. Pearson's coefficient showed a significant correlation between mean age, disease duration, mean OAB-q scores, UPDRS-III scores, and H-Y staging. A multiple linear regression analysis showed that OAB-q values were significantly influenced by age and UPDRS-III. No statistical correlations were found between OAB-q scores and drug therapy or the equivalent levodopa dose, whilst the items relating to the nocturia symptoms were significantly associated with the equivalent levodopa dose. Our findings suggest that bladder dysfunction assessed by OAB-q mainly correlates with UPDRS-III scores for severity of motor impairment, possibly reflecting the known role of the decline in nigrostriatal dopaminergic function in bladder dysfunction associated with PD and patients' age. Our study also suggests that the OAB-q is a simple, easily administered test that can objectively evaluate bladder function in patients with PD.

  15. Impact of overactive bladder on work productivity in the United States: results from EpiLUTS.

    Science.gov (United States)

    Sexton, Chris C; Coyne, Karin S; Vats, Vasudha; Kopp, Zoe S; Irwin, Debra E; Wagner, Todd H

    2009-03-01

    Little research has focused on the impact of overactive bladder (OAB) on work productivity. Consequently, the impact of OAB and other lower urinary tract symptoms (LUTS) on work productivity was evaluated in employed men and women aged 40 to 65 in the United States. Data from a population-based, cross-sectional Internet survey were used to examine the impact of OAB symptoms on work productivity. US participants aged 40 to 65 working full- or part-time were included in the analysis. Participants were asked about the incidence of OAB and other LUTS and a series of questions about work productivity. Descriptive statistics and linear and logistic regressions were used to evaluate outcome differences for men and women by the OAB groups of no/minimal symptoms, continent OAB, and incontinent OAB. The response rate was 60%, and a total of 2876 men and 2820 women were analyzed. Men and women with incontinent OAB reported the lowest levels of work productivity and highest rates of daily work interference. Storage symptoms associated with OAB were most consistently associated with work productivity outcomes; however, significant associations were also found for other storage, voiding, and postmicturition LUTS. In this large US population-based study, OAB was highly prevalent and was associated with lower levels of work productivity. These findings add to the literature documenting the burden of OAB and other LUTS, underscoring the need for increased screening and treatment.

  16. A prospective, double-blind, randomized, two-period crossover, multicenter study to evaluate tolerability and patient preference between mirabegron and tolterodine in patients with overactive bladder (PREFER study).

    Science.gov (United States)

    Staskin, David; Herschorn, Sender; Fialkov, Jonathan; Tu, Le Mai; Walsh, Terry; Schermer, Carol R

    2018-02-01

    The objective of this study was to assess the tolerability and treatment preference in patients with overactive bladder (OAB) treated with mirabegron or tolterodine. This was a two-period, 8-week crossover, double-blind, phase IV study (PREFER; NCT02138747) in treatment-naive adults with OAB for 3 months or longer randomized to one of four treatment sequences in a 5:5:1:1 ratio (mirabegron/tolterodine, tolterodine/mirabegron, mirabegron/mirabegron, or tolterodine/tolterodine), separated by a washout period of 2 weeks. The primary endpoint was drug tolerability using the Medication Tolerability scale of the OAB Treatment Satisfaction (OAB-S) questionnaire at end of treatment (EoT). Period-by-treatment interactions were analyzed to determine any effect of drug order. Patient preference, change from baseline in OAB symptoms, and treatment-emergent adverse events (TEAEs) were assessed. A total of 358 randomized patients completed the OAB-S Medication Tolerability scale questionnaire at one or more visits after the baseline evaluation. The mean (95% CI) OAB-S Medication Tolerability scores were significantly higher (better tolerability) for mirabegron (86.29 [83.50, 89.08]) than for tolterodine (83.40 [80.59, 86.20]; p = 0.004). The period-by-treatment interaction was not significant (p = 0.955). Improvements in OAB-S Medication Tolerability scores at EoT were more evident in women, patients aged ≥65 years, and in patients without baseline incontinence, and were greater with mirabegron than with tolterodine extended release. There were no significant differences in patient preference or improvements in OAB symptoms. Significant differences in favor of mirabegron were observed for anticholinergic TEAEs (20.4% vs. 27.4%; p = 0.042) and specifically for gastrointestinal disorders (14.7% vs. 22.5%; p = 0.015). Tolerability of mirabegron was significantly higher than that of tolterodine, and patient preference and improvements in OAB symptoms were comparable

  17. Increased Bladder Wall Thickness in Diabetic and Nondiabetic Women With Overactive Bladder

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    Hakkı Uzun

    2013-06-01

    Full Text Available Purpose: Bladder wall thickness has been reported to be associated with overactive bladder (OAB in women. Diabetic women have an increased risk for OAB syndrome and may have an increased risk for bladder wall thickness. Methods: A total of 235 female patients aged 40 to 75 years were categorized into four groups. The first group consisted of women free of urgency or urge urinary incontinence. The second group included nondiabetic women with idiopathic OAB. The third group consisted of women with diabetes and clinical OAB, and women with diabetes but without OAB constituted the fourth group. Bladder wall thickness at the anterior wall was measured by ultrasound by the suprapubic approach with bladder filling over 250 mL. Results: The diabetic (third group and nondiabetic (second group women with OAB had significantly greater bladder wall thickness at the anterior bladder wall than did the controls. However, the difference was not significant between the diabetic (third group and the nondiabetic (second group women with OAB. Women with diabetes but without OAB (fourth group had greater bladder wall thickness than did the controls but this difference was not significant. Additionally, the difference in bladder wall thickness between diabetic women with (third group and without (fourth group OAB was not significant. Conclusions: This is the first study to show that bladder wall thickness is increased in diabetic women with and without OAB. Additionally, nondiabetic women with OAB had increased bladder wall thickness. Further studies may provide additional information for diabetic and nondiabetic women with OAB, in whom the etiopathogenesis of the disease may be similar.

  18. Cross-cultural differences for adapting overactive bladder symptoms: results of an epidemiologic survey in Korea.

    Science.gov (United States)

    Choo, Myung-Soo; Ku, Ja Hyeon; Lee, Jong Bok; Lee, Dong Hwan; Kim, Joon Chul; Kim, Hyung-Jee; Lee, Jeong Ju; Park, Won-Hee

    2007-10-01

    The purpose of this study was to evaluate the prevalence of overactive bladder (OAB) in a Korean national community sample of adults aged 40-89 years. A national Korean telephone survey using quota sampling methods was conducted. A clinically validated computer-assisted telephone interview approach was used in the survey. In 2,005 subjects (1,005 women and 1,000 men) interviewed, the prevalence of OAB(wet) increased with age in both men and women but OAB(dry) did not. OAB(dry) of men and women was not different in each age decade but OAB(wet) was more common among women than men aged cross-cultural differences for adapting OAB symptoms.

  19. The multidimensional sensation of desire to void differs between people with and without overactive bladder.

    Science.gov (United States)

    Das, Rebekah; Buckley, Jonathan D; Williams, Marie T

    2015-06-01

    To determine whether the multidimensional sensation of desire to void can be reliability assessed and whether differences exist between people with and without overactive bladder (OAB). Assessing reliability and convergent validity of OAB screening tools comprised a secondary aim. This observational, repeated-measures study involved 64 volunteers (47 female), aged ≥50 years, with and without OAB symptoms. Six sensory dimensions (intensity, unpleasantness, suddenness, perceived difficulty "holding on," bladder fullness and location of sensation) were assessed by structured interview on two occasions. Overactive bladder status was determined using the OAB Symptom Score and OAB Awareness Tool. Reliability of sensory dimensions was assessed via random effects mixed modeling. The ability of each sensory dimension to predict OAB status was determined by partial least squares regression. With the exception of sensory intensity, perceived bladder fullness, and one location of sensation, sensory dimensions were reliably reported. Sensory intensity, unpleasantness, suddenness, and perceived difficulty "holding on" predicted OAB, whereas perceived bladder fullness and sensory location did not. The OAB screening questionnaires demonstrated comparable test-retest reliability and convergent validity. People with and without OAB can reliably describe the multidimensional sensation of desire to void. The sensation of desire to void is more intense, unpleasant, sudden, and perceived as more difficult to hold on in people with OAB. © 2014 Wiley Periodicals, Inc.

  20. Refractory overactive bladder: Beyond oral anticholinergic therapy

    Science.gov (United States)

    Glinski, Ronald W.; Siegel, Steven

    2007-01-01

    Objectives: In this review, we discuss the treatment of refractory overactive bladder (OAB) that has not adequately responded to medication therapy and we propose an appropriate care pathway to the treatment of OAB. We also attempt to address the cost of OAB treatments. Materials and Methods: A selective expert review of the current literature on the subject of refractory OAB using MEDLINE was performed and the data is summarized. We also review our experience in treating refractory OAB. The role and outcomes of various treatment options for refractory OAB are discussed and combined therapy with oral anticholinergics is explored. Emerging remedies including intravesical botulinum toxin injection and pudendal neuromodulation are also reviewed, along with conventional surgical options. Results: In general behavioral therapy, pelvic floor electrical stimulation, magnetic therapy and posterior tibial nerve stimulation (PTNS), have shown symptom decreases in 50-80% of patients with OAB. Depending on the study, combination therapy with oral anticholinergics seems to improve efficacy of behavioral therapy and PTNS in approximately 10-30%. In multicenter, long-term randomized controlled trials, sacral neuromodulation has been shown to improve symptoms of OAB and OAB incontinence in up to 80% of the patients treated. Studies involving emerging therapies such as pudendal serve stimulation suggest that there may be a 15-20% increase in efficacy over sacral neuromodulation, but long-term studies are not yet available. Another emerging therapy, botulinum toxin, is also showing similar success in reducing OAB symptoms in 80-90% of patients. Surgical approaches, such as bladder augmentation, are a last resort in the treatment of OAB and are rarely used at this point unless upper tract damage is a concern and all other treatment options have been exhausted. Conclusion: The vast majority of OAB patients can be managed successfully by behavioral options with or without

  1. Refractory overactive bladder: Beyond oral anticholinergic therapy

    Directory of Open Access Journals (Sweden)

    Ronald W Glinski

    2007-01-01

    Full Text Available Objectives: In this review, we discuss the treatment of refractory overactive bladder (OAB that has not adequately responded to medication therapy and we propose an appropriate care pathway to the treatment of OAB. We also attempt to address the cost of OAB treatments. Materials and Methods: A selective expert review of the current literature on the subject of refractory OAB using MEDLINE was performed and the data is summarized. We also review our experience in treating refractory OAB. The role and outcomes of various treatment options for refractory OAB are discussed and combined therapy with oral anticholinergics is explored. Emerging remedies including intravesical botulinum toxin injection and pudendal neuromodulation are also reviewed, along with conventional surgical options. Results: In general behavioral therapy, pelvic floor electrical stimulation, magnetic therapy and posterior tibial nerve stimulation (PTNS, have shown symptom decreases in 50-80% of patients with OAB. Depending on the study, combination therapy with oral anticholinergics seems to improve efficacy of behavioral therapy and PTNS in approximately 10-30%. In multicenter, long-term randomized controlled trials, sacral neuromodulation has been shown to improve symptoms of OAB and OAB incontinence in up to 80% of the patients treated. Studies involving emerging therapies such as pudendal serve stimulation suggest that there may be a 15-20% increase in efficacy over sacral neuromodulation, but long-term studies are not yet available. Another emerging therapy, botulinum toxin, is also showing similar success in reducing OAB symptoms in 80-90% of patients. Surgical approaches, such as bladder augmentation, are a last resort in the treatment of OAB and are rarely used at this point unless upper tract damage is a concern and all other treatment options have been exhausted. Conclusion: The vast majority of OAB patients can be managed successfully by behavioral options with or

  2. The impact of overactive bladder on mental health, work productivity and health-related quality of life in the UK and Sweden: results from EpiLUTS.

    Science.gov (United States)

    Coyne, Karin S; Sexton, Chris C; Kopp, Zoe S; Ebel-Bitoun, Caty; Milsom, Ian; Chapple, Chris

    2011-11-01

    • To examine the prevalence and burden of overactive bladder (OAB) with bother in the UK and Sweden compared to OAB without bother and no/minimal OAB/lower urinary tract (LUTS) symptoms, respectively. • A cross-sectional population-representative survey was conducted via the Internet in the UK, Sweden and USA. • Participants rated the frequency and bother of OAB and LUTS. Patient outcomes included the Overactive Bladder Questionnaire Short Form, Patient Perception of Bladder Condition, Short Form-12, Hospital Anxiety and Depression Scale-Anxiety and Hospital Anxiety and Depression Scale-Depression, as well as questions about treatment seeking and work productivity. • OAB was defined as urgency at least sometimes or the presence of urinary urgency incontinence. Three subgroups were compared: no/minimal symptoms, OAB without bother and OAB with bother. • Analyses were conducted by gender and country using general linear and logistic regression models to examine bothersome OAB and treatment seeking. • Survey response was 59.2%; 10,000 people (4724 men and 5276 women) participated. • The prevalence of OAB with bother at least 'somewhat' was 10.9% and 14.6% for men in the UK and Sweden, and 22.5% and 33.7% for women in the UK and Sweden, respectively. • Men and women with bothersome OAB were significantly more likely to seek treatment, report the lowest levels of health-related quality of life and work productivity and the highest levels of anxiety and depression compared to those with no/minimal symptoms and OAB without bother. • Greater symptom severity of urgency, urgency urinary incontinence, frequency, nocturia, and increasing levels of anxiety were strongly predictive of OAB bother in both men and women. • Predictors of treatment seeking included frequency, bother as a result of urgency, and lower levels of depressive symptoms in men, and frequency, nocturia and urgency in women. • OAB is common in the UK and Sweden, and women are more

  3. Analysis of the risk factors for overactive bladder on the basis of a survey in the community.

    Science.gov (United States)

    Jo, Jung Ki; Lee, Seungwook; Kim, Yong Tae; Choi, Hong Yong; Kim, Shin Ah; Choi, Bo Youl; Moon, Hong Sang

    2012-08-01

    To evaluate the risk factors for overactive bladder (OAB) in a population aged 40 years and over in the community. We conducted a community-based survey of OAB in a population aged 40 years and over in Guri City and Yangpyeong County, South Korea, by use of the overactive bladder symptom score (OABSS) questionnaire. A total of 926 subjects were included in the final analysis. The definition of OAB was more than 2 points for the urgency score and 3 points for the sum of scores. In addition, the subjects were asked about age, dwelling place, marital status, educational status, behavioral factors (smoking, drinking, etc), and medical history. Categorical variables were analyzed by using the logistic regression model and were adjusted for age by using the logistic regression model. Overall OAB prevalence was 14.1% (130/926), made up of 49/403 males (12.2%) and 81/523 females (15.5%). OAB prevalence increased with age (p<0.0001). Risk factors for OAB were educational status (age-adjusted p=0.0487), stroke (p=0.0414), osteoporosis (p=0.0208), asthma (p=0.0091), rhinitis (p=0.0008), and cataract. Other factors (dwelling place, marital status, smoking, drinking, hypertension, diabetes, hyperlipidemia, myocardial infarction, angina, tuberculosis, atopic dermatitis, hepatitis B, and depression) were not associated with OAB. The prevalence of OAB in our study was about 14.1% and the risk factors for OAB were educational status, stroke, osteoporosis, asthma, rhinitis, and cataract. Knowledge of these risk factors may help in the diagnosis and treatment of OAB.

  4. Antimuscarinic Use in Females With Overactive Bladder Syndrome Increases the Risk of Depressive Disorder: A 3-Year Follow-up Study.

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    Chung, Shiu-Dong; Weng, Sung-Shun; Huang, Chao-Yuan; Lin, Herng-Ching; Kao, Li-Ting

    2017-08-01

    To date, the relationship between antimuscarinics for overactive bladder (OAB) syndrome and depressive disorder still remains unclear. Therefore, this retrospective cohort study examined the association between antimuscarinic use and the subsequent risk of depressive disorder using a population-based data set. This study used data from the Taiwan Longitudinal Health Insurance Database 2005. We selected 1952 OAB women who received antimuscarinics as the study cohort and 9760 OAB women who did not receive antimuscarinics as the comparison cohort. Each subject was tracked for 3 years from her index date to determine all those who were subsequently diagnosed with depressive disorder. Results indicated that the adjusted hazard ratio (HR) for depressive disorder in OAB women who received antimuscarinics was 1.38 (95% confidence interval [CI], 1.15-1.64) compared with those OAB women who did not receive antimuscarinics. In addition, the adjusted HRs for subsequent depressive disorder for OAB women aged 18-39, 40-59, and ≥60 years who received antimuscarinics were 1.83 (95%CI, 1.27-2.64), 1.36 (95%CI, 1.03-1.81), and 1.16 (95%CI, 0.86-1.56), respectively, compared with those OAB women who did not receive antimuscarinics. We concluded that women with OAB who received antimuscarinics had a significantly higher risk of subsequent depressive disorder compared with those OAB women who did not receive antimuscarinics. Accordingly, clinicians should be alert to the relationship between antimuscarinics usage and depressive disorder in OAB women and provide appropriate instructions for these patients. © 2017, The American College of Clinical Pharmacology.

  5. Evaluation of Overactive Bladder in Male Antidepressant Users: A Prospective Study

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    Volkan Solmaz

    2017-03-01

    Full Text Available Purpose In this study, we investigated overactive bladder (OAB functions in male patients who used antidepressant drugs (ADs that were previously examined in female patients, based on conflicting data in literature regarding the effects of AD on OAB and the differences between male and female urinary system physiologies (anatomical and hormonal. Methods The study included 202 male patients (a control group of 90 healthy subjects, and an experimental group of 112 patients taking ADs for different disorders. All the patients completed the overactive bladder-validated 8 (OAB-V8 questionnaire, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF, and the Beck Depression Inventory (BDS. Results The OAB-V8, ICIQ-SF, and BDS scores for the antidepressant users were significantly higher than those of the control group. The highest prevalence of OAB symptoms was observed in patients taking venlafaxine (68.2%, and the lowest prevalence was in patients taking sertraline (28.0%. Moreover, the frequency of OAB between the antidepressant groups was statistically significant. The univariate logistic regression analyses showed a significant relationship between the presence of OAB, antidepressant usage, BDS score, and the age of a patient. In the multivariate logistic regression analyses, the association between the presence of OAB and antidepressant usage was statistically significant. Conclusions The present study showed that the incidence of OAB and the severity of OAB symptoms increased in males using antidepressants for various disorders. This may have been due to unique pharmacological effects, on a molecular or individual level, of serotonin-norepinephrine reuptake inhibitors.

  6. The influence of an overactive bladder on falling: a study of females aged 40 and older in the community.

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    Moon, Seung-Jin; Kim, Yong Tae; Lee, Tchun Yong; Moon, Hongsang; Kim, Mi Jung; Kim, Shin Ah; Choi, Bo Youl

    2011-03-01

    An overactive bladder (OAB) affects a person's quality of life. Patients who suffer from OAB run to the toilet frequently to prevent incontinence, and this behavior increases their risk of falling and fear of falling. This study evaluated the influence of OAB on falls and concern about falling in females aged 40 and over living in urban and rural communities. We conducted a population-based cohort study using King's Health Questionnaire (KHQ), the Korean version of Falls Efficacy Scale-International (KFES-I) and a questionnaire regarding falls, in females aged 40 and over in Guri city and Yangpyeong county. The data from 514 responders were analyzed. The definition of OAB was 'moderately' or 'a lot' of urgency, or urge incontinence in KHQ. Falls was defined as experience of falls in the last year. High fear of falling was defined as a score of 24 or over in KFES-I. The factors were analyzed by the exact chi-square test and Student's t-test. The multivariate logistic regression model was adopted in order to examine the effects of OAB on falls and concern about falling. Of the 514 responders, 98 fitted the criterion of OAB. Eighty-nine (17.3%) of the responders had experienced falls in the last year: twenty-seven (27.5%) in the group with OAB and 62 (14.9%) in the group without OAB. There was a significant association between falls and OAB (odds ratio [OR], 1.76; 95% confidence interval [CI], 1.00 to 3.08; P=0.0485), and between high fear of falling and OAB (OR, 2.72; 95% CI, 1.42 to 5.20; P=0.0024). Urgency and symptoms of urge incontinence increase the risk of falls in women aged 40 or older in the community. Early diagnosis and proper treatment may prevent falls and improve quality of life in OAB patients.

  7. Does the Severity of Overactive Bladder Symptoms Correlate With Risk for Female Sexual Dysfunction?

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    Juliato, Cássia Raquel Teatin; Melotti, Iane Glauce Ribeiro; Junior, Luiz Carlos Santos; Britto, Luiz Gustavo Oliveira; Riccetto, Cássio Luiz Zanettini

    2017-07-01

    Several studies have associated overactive bladder (OAB) with female sexual dysfunction (FSD); however, there are no reports using a quantitative approach to measure OAB severity and to relate OAB to the risk of FSD. To evaluate women with OAB and to correlate the severity of their urinary symptoms with their sexual function. This cross-sectional study included 267 women older than 18 years with untreated OAB. All subjects completed the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB) and the Female Sexual Function Index (FSFI). Linear regression was used to analyze the association between variables and the numeric FSFI score, and categorical FSFI scores were analyzed using logistic regression. Spearman rank correlation coefficient was used to assess the correlation between ICIQ-OAB results and the different FSFI domains. The significance level was 5%. Subjects' mean age was 50.2 ± 11.9 years. Most women were married, had at least three children, and were postmenopausal (54.3%). Mean FSFI total score was 19.2 ± 9.8. For menopausal status, 65.6% of premenopausal women had a risk for FSD vs 86.2% of postmenopausal women. Mean ICIQ-OAB score was 10 ± 3.17. Postmenopausal women had the following risk factors statistically associated with sexual dysfunction: age, ICIQ score, and marital status. For these women, greater OAB severity, especially those with urgency and/or urge incontinence, was associated with worse scores in the arousal, lubrication, orgasm, and sexual pain domains. However, there was no statistically significant association for premenopausal women. Health professionals have to pay attention to OAB in women because of the greater risk for FSD in these patients. The strength was using a quantitative approach to measure OAB severity in a larger population. Limitations include a convenience sample with no power calculation; exclusion of women who did not have sexual intercourse in the past month; unmeasured distress

  8. Analysis of the prevalence and associated factors of overactive bladder in adult Korean men.

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    So Young Kim

    Full Text Available Overactive bladder (OAB is a prevalent condition characterized by lower urinary tract symptoms (LUTS. Age, education, income, marital status, sleep, and emotional problems have been associated with OAB; however, conflicting results exist. The present study was conducted to estimate the prevalence of OAB and comprehensively analyze its associated factors in a large cross-sectional, population-based study. The data of 94,554 participants aged 19-107 were analyzed from the Korean Community Health Survey (KCHS of 2012. Data on marital status, physical activity, education level, occupation, body mass index (BMI, income level, sleep time, and stress level were retrieved for all enrolled participants. The overactive bladder symptom score (OABSS was used to evaluate the presence and degree of OAB. Simple and multiple logistic regression analyses with complex sampling were used for the associations between various factors and the presence of OAB. Overall, OAB was present in approximately 2.9% of the participants. The prevalence of OAB increased with age and steeply increased after 60 years of age (adjusted odds ratio [AOR] for each 10 years = 1.70, 95% confidence interval [CI] = 1.61-1.80, P 2.16 (1.88-2.48 > 1.39 (1.23-1.57 for severe stress > moderate stress > some stress, respectively, P<0.001]. A medical history of diabetes mellitus, hyperlipidemia, and/or cerebral stroke was significantly related to OAB. Approximately 2.9% of adult Korean men experienced OAB based on the OABSS. Unmarried status; occupation; being underweight; inadequate sleep; stress; and medical history of diabetes mellitus, hyperlipidemia, or cerebral stroke were significantly correlated with OAB.

  9. Biofeedback as a first-line treatment for overactive bladder syndrome refractory to standard urotherapy in children.

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    Ebiloglu, Turgay; Kaya, Engin; Köprü, Burak; Topuz, Bahadır; Irkilata, Hasan Cem; Kibar, Yusuf

    2016-10-01

    Overactive bladder syndrome (OAB) and dysfunctional voiding (DV) are subgroups of lower urinary tract dysfunction (LUTD). Standard urotherapy is the first-line treatment option of OAB in children. The aim was to investigate the use of biofeedback as a first-line treatment option in OAB refractory to standard urotherapy, and determine the factors affecting efficacy. Between 2005 and 2015, we retrospectively analyzed a total of 136 hospital records of children with OAB who had not previously used any anticholinergics and were refractory to standard urotherapy. Patients with urgency and/or urge incontinence and/or making holding maneuvers to suppress urgency were defined as having OAB symptoms, and resolution of these complaints was defined as successful biofeedback therapy. Seventy-three of 136 OAB patients' urgency recovered by biofeedback therapy with the success rate of 53% (p biofeedback therapies, respectively (p Biofeedback can be thought of as the first-line treatment option when standard urotherapy fails in children with OAB. Copyright © 2016 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

  10. Impact of urinary incontinence on healthcare resource utilization, health-related quality of life and productivity in patients with overactive bladder.

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    Tang, Derek H; Colayco, Danielle C; Khalaf, Kristin M; Piercy, James; Patel, Vaishali; Globe, Denise; Ginsberg, David

    2014-03-01

    To evaluate the impact of urinary incontinence (UI) on healthcare resource utilization (HRU), health-related quality of life (HRQoL) and productivity measures in patients with overactive bladder (OAB). This retrospective, cross-sectional study used data from the Adelphi OAB/UI Disease Specific Programme, a multinational survey of patient- and physician-reported data, fielded between November 2010 and February 2011. The primary patient groups of interest were those with OAB, both with and without UI. Health-related quality of life and productivity measures were derived from the EuroQoL-5D, the Incontinence Quality of Life questionnaire, the Overactive Bladder Questionnaire, and the Work Productivity and Activity Impairment Questionnaire. Measures of HRU included OAB-related surgeries, OAB-related hospitalizations, incontinence pads, anticholinergic use and physician visits. Multivariate linear regression models and literature-based minimal clinically important differences were used to assess statistically significant and clinically meaningful differences in HRQoL and productivity measures between patients with OAB with UI and those without UI. A total of 1 730 patients were identified, with a mean age of 60.7 years, and 77.0% of them were women, 84.2% were non-Hispanic whites, and 71% were incontinent. Bivariate analyses showed that HRU was significantly higher among patients with OAB with UI than among those without UI in all categories except for the number of OAB-related physician visits. In both bivariate and multivariate analyses, incontinent patients presented with clinically and statistically significantly lower HRQoL and productivity measures with respect to all study endpoints, except for percentage of work time missed due to their OAB/UI. Urinary incontinence was associated with significantly higher HRU and lower HRQoL and productivity in this population of patients with OAB from five different countries. In addition to clinical considerations, the

  11. The association of pelvic organ prolapse severity and improvement in overactive bladder symptoms after surgery for pelvic organ prolapse

    OpenAIRE

    Kim, Mi Sun; Lee, Gee Hoon; Na, Eun Duc; Jang, Ji Hyon; Kim, Hyeon Chul

    2016-01-01

    Objective The purpose of this study was to evaluate the impact of pelvic organ prolapse (POP) repair on overactive bladder (OAB) symptoms in women with POP and the effect of baseline POP severity on improvement in OAB after surgical repair of POP. And we also tried to identify any preoperative factors for persistent postoperative OAB symptoms. Methods A total of 87 patients with coexisting POP and OAB who underwent surgical correction of POP were included and retrospectively analyzed and post...

  12. Estimated cost of overactive bladder in Thailand.

    Science.gov (United States)

    Prasopsanti, Kriangsak; Santi-Ngamkun, Apirak; Pornprasit, Kanokwan

    2007-11-01

    To estimate the annual direct and indirect costs of overactive bladder (OAB) in indigenous Thai people aged 18 years and over in the year 2005. Economically based models using diagnostic and treatment algorithms from clinical practice guidelines and current disease prevalence data were used to estimate direct and indirect costs of OAB. Prevalence and event probability estimates were obtained from the literature, national data sets, and expert opinion. Costs were estimated from a small survey using a cost questionnaire and from unit costs of King Chulalongkorn Memorial Hospital. The annual cost of OAB in Thailand is estimated as 1.9 billion USD. It is estimated to consume 1.14% of national GDP The cost includes 0.33 billion USD for direct medical costs, 1.3 billion USD for direct, nonmedical costs and 0.29 billion USD for indirect costs of lost productivity. The largest costs category was direct treatment costs of comorbidities associated with OAB. Costs of OAB medication accountedfor 14% of the total costs ofOAB.

  13. Evaluation and management of overactive bladder: strategies for optimizing care

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    Willis-Gray MG

    2016-07-01

    Full Text Available Marcella G Willis-Gray, Alexis A Dieter, Elizabeth J Geller Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA Abstract: Overactive bladder (OAB is a common condition affecting millions of men and women worldwide. It is an embarrassing condition with far-reaching consequences. Although many treatment options exist, no single treatment has been proven to be most effective. Often a combination of therapy is required to successfully manage OAB symptoms. In this review, we provide an overview of OAB, including risk factors for development of OAB; keys to diagnosis; therapeutic options including conservative and medical management, as well as treatments for refractory OAB; when to consider referral to a specialist; and resources for clinicians and patients. The aim of this review is to inform clinicians regarding OAB management in order to improve patient counseling and care. Keywords: overactive bladder, urge incontinence, urinary incontinence, bladder training, lifestyle modifications

  14. Medical management of overactive bladder

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    Sarvpreet S Ubee

    2010-01-01

    Full Text Available Overactive bladder (OAB, as defined by the International Continence Society, is characterized by a symptom complex including urinary urgency with or without urge incontinence, usually associated with frequency and nocturia. OAB syndrome has an incidence reported from six European countries ranging between 12-17%, while in the United States; a study conducted by the National Overactive Bladder Evaluation program found the incidence at 17%. In Asia, the prevalence of OAB is reported at 53.1%. In about 75%, OAB symptoms are due to idiopathic detrusor activity; neurological disease, bladder outflow obstruction (BOO intrinsic bladder pathology and other chronic pelvic floor disorders are implicated in the others. OAB can be diagnosed easily and managed effectively with both non-pharmacological and pharmacological therapies. The first-line treatments are lifestyle interventions, bladder training, pelvic floor muscle exercises and anticholinergic drugs. Antimuscarinics are the drug class of choice for OAB symptoms; with proven efficacy, and adverse event profiles that differ somewhat.

  15. Solifenacin objectively decreases urinary sensation in women with overactive bladder syndrome.

    Science.gov (United States)

    Lowenstein, Lior; Kenton, Kimberly; Mueller, Elizabeth R; Brubaker, Linda; Sabo, Edmond; Durazo-Arivzu, Ramón A; Fitzgerald, Mary P

    2012-04-01

    To evaluate the test-retest reliability of a device that measures urinary sensation during cystometry, and to use that device to determine whether treatment of overactive bladder syndrome (OAB) with solifenacin is associated with a change in urinary sensation. Overall 15 women were recruited for this study, ten women with OAB and urodynamically demonstrated detrusor overactivity and five controls without OAB underwent filling cystometry twice with contemporaneous, continuous recording of urinary sensation. Women with OAB received solifenacin 10 mg daily during the weeks between testing. We compared the areas under the initial and repeat sensation-volume curves. While taking solifenacin, the maximum cystometric capacity increased from 329 ± 168 ml to 464 ± 123 ml (P sensation curve decreased (P sensation during the treatment of OAB with solifenacin. If clinical correlations are confirmed by future study, such urinary sensation measures may prove useful as assessment, treatment predictor, or outcome measures in OAB research and/or clinical care.

  16. Effect of Long-term Exercise on Voiding Functions in Obese Elderly Women

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    Il Gyu Ko

    2013-09-01

    Full Text Available Purpose An overactive bladder (OAB may be defined as urgency that is a sudden, compelling, difficult to defer desire to pass urine that is usually accompanied by frequency and nocturia and possibly by incontinence. Obesity and old age are two factors in various causes of OAB. Several epidemiologic studies have identified positive associations among obesity, old age, urinary incontinence, and OAB. However, although exercise has been known to improve obesity and reduce incontinent urine loss, little research has been done in elderly women. Therefore, we investigated the effects of exercise on obesity-related metabolic factors, blood lipid factors, and OAB symptoms in elderly Korean women. Methods Twenty-one women aged between 69 and 72 years were recruited from the Seoul senior towers in Korea. All subjects worked out on a motorized treadmill and stationary cycle for 40 minutes, respectively, and performed resistance exercise for 30 minutes once a day for 52 weeks. Body composition, blood pressure, blood lipids, OAB symptom score, and King's health questionnaire were investigated and analyzed. Results Before performing physical exercise, all subjects showed increased OAB symptoms in association with enhanced body mass index (BMI, percentage fat, and blood lipid profiles. However, physical exercise for 52 weeks suppressed BMI, percentage fat, and blood lipid profiles and thus improved OAB symptoms. Conclusions We suggest that long-term physical exercise can be a valuable tool for remarkable improvement of OAB.

  17. Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study.

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    Steven R Hahn

    Full Text Available Overactive bladder (OAB and urinary incontinence are common problems that have significant impact on quality of life (QOL. Less than half of sufferers seek help from their physicians; many who do are dissatisfied with treatment and their physicians' understanding of their problems. Little is known about the sociolinguistic characteristics of physician-patient communication about OAB in community practice.An IRB-approved observational sociolinguistic study of dialogues between patients with OAB and treating physicians was conducted. Study design included semi-structured post-visit interviews, post-visit questionnaires, and follow-up phone calls. Conversations were analyzed using techniques from interactional sociolinguistics.Communication was physician- rather than patient-centered. Physicians spoke the majority of words and 83% of questions were closed-ended. The impact of OAB on QOL and concerns about and adherence to treatment were infrequently addressed by physicians, who were poorly aligned with patients in their understanding. These topics were addressed more frequently when open-ended questions successfully eliciting elaborated responses were used in ask-tell-ask or ask-tell sequences.Clinical dialogue around OAB is physician-centered; topics critical to managing OAB are infrequently and inadequately addressed. The use of patient-centered communication is correlated with more discussion of critical topics, and thus, more effective management of OAB.

  18. Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study

    Science.gov (United States)

    Hahn, Steven R.; Bradt, Pamela; Hewett, Kathleen A.; Ng, Daniel B.

    2017-01-01

    Introduction Overactive bladder (OAB) and urinary incontinence are common problems that have significant impact on quality of life (QOL). Less than half of sufferers seek help from their physicians; many who do are dissatisfied with treatment and their physicians’ understanding of their problems. Little is known about the sociolinguistic characteristics of physician-patient communication about OAB in community practice. Methods An IRB-approved observational sociolinguistic study of dialogues between patients with OAB and treating physicians was conducted. Study design included semi-structured post-visit interviews, post-visit questionnaires, and follow-up phone calls. Conversations were analyzed using techniques from interactional sociolinguistics. Results Communication was physician- rather than patient-centered. Physicians spoke the majority of words and 83% of questions were closed-ended. The impact of OAB on QOL and concerns about and adherence to treatment were infrequently addressed by physicians, who were poorly aligned with patients in their understanding. These topics were addressed more frequently when open-ended questions successfully eliciting elaborated responses were used in ask-tell-ask or ask-tell sequences. Discussion Clinical dialogue around OAB is physician-centered; topics critical to managing OAB are infrequently and inadequately addressed. The use of patient-centered communication is correlated with more discussion of critical topics, and thus, more effective management of OAB. PMID:29140974

  19. Physician-patient communication about overactive bladder: Results of an observational sociolinguistic study.

    Science.gov (United States)

    Hahn, Steven R; Bradt, Pamela; Hewett, Kathleen A; Ng, Daniel B

    2017-01-01

    Overactive bladder (OAB) and urinary incontinence are common problems that have significant impact on quality of life (QOL). Less than half of sufferers seek help from their physicians; many who do are dissatisfied with treatment and their physicians' understanding of their problems. Little is known about the sociolinguistic characteristics of physician-patient communication about OAB in community practice. An IRB-approved observational sociolinguistic study of dialogues between patients with OAB and treating physicians was conducted. Study design included semi-structured post-visit interviews, post-visit questionnaires, and follow-up phone calls. Conversations were analyzed using techniques from interactional sociolinguistics. Communication was physician- rather than patient-centered. Physicians spoke the majority of words and 83% of questions were closed-ended. The impact of OAB on QOL and concerns about and adherence to treatment were infrequently addressed by physicians, who were poorly aligned with patients in their understanding. These topics were addressed more frequently when open-ended questions successfully eliciting elaborated responses were used in ask-tell-ask or ask-tell sequences. Clinical dialogue around OAB is physician-centered; topics critical to managing OAB are infrequently and inadequately addressed. The use of patient-centered communication is correlated with more discussion of critical topics, and thus, more effective management of OAB.

  20. Impact of overactive bladder on work productivity.

    Science.gov (United States)

    Coyne, Karin S; Sexton, Chris C; Thompson, Christine L; Clemens, J Quentin; Chen, Chieh I; Bavendam, Tamara; Dmochowski, Roger

    2012-07-01

    To evaluate the impact of overactive bladder (OAB) on work productivity in a large, population-based study in the United States, with an overrepresentation of minorities. This cross-sectional, Internet-based survey was conducted among men and women aged 18-70. The lower urinary tract symptoms (LUTS) tool was used to assess symptoms over past 4 weeks. OAB was defined by urinary urgency of at least "sometimes" and/or urgency urinary incontinence (UUI). Outcomes included work status, Work Productivity and Activity Impairment Questionnaire--General Health (WPAI-GH) and Specific Health (WPAI-SH), and questions about the impact of urinary symptoms on work. Descriptive statistics were used to evaluate group differences (no/minimal symptoms [NMS] vs OAB). Logistic regressions evaluated predictors of unemployment status controlling for comorbid conditions, risk factors, and demographic variables. The response rate was 57%. A total of 5795 men and women were included in the analysis (OAB, 2323; NMS, 3472). OAB cases were significantly more likely to be unemployed (men, 44%; women, 54%) compared to those with NMS (men, 24%; women, 41%). Mean work productivity and activity impairment (WPAI) percent impairment while working was as follows: 19% and 21% among men and women with OAB; NMS, 4% and 7%. Significant differences were found for all urinary-specific WPAI-SHP items and other condition-specific outcomes. Men with OAB were 1.5 times more likely to be unemployed as compared to those with NMS when covariates were controlled for, whereas the association between OAB and unemployment in multivariate analysis was nonsignificant among women. Comparison with other outcomes suggests that OAB impairs work at levels comparable to other serious chronic conditions, including rheumatoid arthritis and asthma. Copyright © 2012 Elsevier Inc. All rights reserved.

  1. The association between overactive bladder and fibromyalgia syndrome: a community survey.

    Science.gov (United States)

    Chung, Jae Hoon; Kim, Shin Ah; Choi, Bo Youl; Lee, Hye-Soon; Lee, Seung Wook; Kim, Yong Tae; Lee, Tchun Yong; Moon, Hong Sang

    2013-01-01

    Fibromyalgia syndrome (FMS) is the most common disease causing chronic generalized pain, and FMS patients often complain of urinary symptoms such as frequency or urgency. This study focuses on the association of overactive bladder (OAB) and FMS in adults aged 40 and over. A survey of adults aged 40s and over was conducted in the Guri and Yangpyeong areas of South Korea. The response rate was 74.2% (940/1,266). After excluding subjects with incomplete questionnaires (n = 20), 920 were included in the final analysis. The association of FMS and OAB was analyzed by univariate and multivariate logistic regression analysis. Individuals with FMS had a significantly increased symptoms of OAB after adjustment for gender, age group, and area of residence (odds ratio (OR) 3.39, 95% confidence interval (CI) 1.82-6.31). The association between FMS and severity of OAB was statistical significant (P for trend <0.0001). OAB is associated with FMS. Moreover FMS increases with severity of OAB. Copyright © 2012 Wiley Periodicals, Inc.

  2. [Developments in the medical treatment of overactive bladder].

    Science.gov (United States)

    Alcántara Montero, A

    Overactive Bladder (OAB) is a common problem among men and women. Antimuscarinic drugs are a reference treatment for OAB and act by blocking the muscarinic receptors (M2 and M3 subtypes) in the bladder. Adherence to antimuscarinic treatment is usually low, due to the perceived lack of efficacy and adverse effects. Therefore, new treatments with different mechanisms of action and a more acceptable tolerability profile are needed, and that improve the symptoms of OAB. Mirabegron is a new treatment option for all patients with OAB and could solve an unmet need in patients still not satisfied, or where the antimuscarinic therapy is not indicated, is an alternative option for patients with OAB. Copyright © 2015 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  3. Cost-effectiveness analysis of main diagnosis tools in women with overactive bladder. Clinical history, micturition diary and urodynamic study.

    Science.gov (United States)

    López-Fando, L; Carracedo, D; Jiménez, M; Gómez de Vicente, J M; Martínez, L; Gómez-Cañizo, C; Gómez, V; Burgos, F J

    2015-01-01

    The aim of the present clinical research is to analyze, in the light of the best scientific evidence, the performance and the cost of the main diagnostic tools for overactive bladder (OAB). It is an exploratory transversal study in which 199 women diagnosed of OAB between 2006 and 2008 were selected and underwent to following prospective analyses: physical examination, urine analysis, micturition diary (MD) and urodynamic study (UDS). A percentage of 80% was assumed as highly sensitive and a diagnostic difference among tests of 10% would be considered clinically relevant. Tests' sensitivity for diagnosis of OAB was statistically established by two ways: isolated and combined. Besides, the direct and indirect costs of these tests performance were conducted. Cost-effectiveness study of clinical history (CH), MD and US for the diagnosis of OAB was performed. Overall sensitivity for OAB diagnosis is low for the 3 tests used in isolated way, whilst the combination of any two tests shows good overall sensitivity. The combination of CH and MD has appeared as the most cost-effective alternative to OAB diagnosis. For OAB diagnosis, CH-DM combination shows the same sensitivity than the association of either of them with the UDS, but unlike to these, it shows the lowest cost. Copyright © 2013 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. Non-invasive characterization of real-time bladder sensation using accelerated hydration and a novel sensation meter: An initial experience.

    Science.gov (United States)

    Nagle, Anna S; Speich, John E; De Wachter, Stefan G; Ghamarian, Peter P; Le, David M; Colhoun, Andrew F; Ratz, Paul H; Barbee, Robert W; Klausner, Adam P

    2017-06-01

    The purpose of this investigation was to develop a non-invasive, objective, and unprompted method to characterize real-time bladder sensation. Volunteers with and without overactive bladder (OAB) were prospectively enrolled in a preliminary accelerated hydration study. Participants drank 2L Gatorade-G2® and recorded real-time sensation (0-100% scale) and standardized verbal sensory thresholds using a novel, touch-screen "sensation meter." 3D bladder ultrasound images were recorded throughout fillings for a subset of participants. Sensation data were recorded for two consecutive complete fill-void cycles. Data from 14 normal and 12 OAB participants were obtained (ICIq-OAB-5a = 0 vs. ≥3). Filling duration decreased in fill2 compared to fill1, but volume did not significantly change. In normals, adjacent verbal sensory thresholds (within fill) showed no overlap, and identical thresholds (between fill) were similar, demonstrating effective differentiation between degrees of %bladder capacity. In OAB, within-fill overlaps and between-fill differences were identified. Real-time %capacity-sensation curves left shifted from fill1 to fill2 in normals, consistent with expected viscoelastic behavior, but unexpectedly right shifted in OAB. 3D ultrasound volume data showed that fill rates started slowly and ramped up with variable end points. This study establishes a non-invasive means to evaluate real-time bladder sensation using a two-fill accelerated hydration protocol and a sensation meter. Verbal thresholds were inconsistent in OAB, and the right shift in OAB %capacity-sensation curve suggests potential biomechanical and/or sensitization changes. This methodology could be used to gain valuable information on different forms of OAB in a completely non-invasive way. © 2016 Wiley Periodicals, Inc.

  5. Publicidade na ética profissional: uma comparação do CEPC com os códigos de ética da IFAC, OAB e CFM

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    Ivan Antonio Kretzer Santos

    2006-07-01

    Full Text Available Este trabalho tem como objetivo a comparação das determinações relativas à publicidade constantes do Código de Ética Profissional do Contabilista (CEPC, do Código de Ética para Contadores da Federação Internacional de Contadores (IFAC, do Código de Ética e Disciplina (CED, da Ordem dos Advogados do Brasil (OAB e do Código de Ética Médica (CEM, do Conselho Federal de Medicina (CFM. Quanto à metodologia, foi realizada uma pesquisa do tipo exploratório, abordando-se o assunto de forma qualitativa, com o emprego de dados levantados de forma bibliográfica. Com estes procedimentos chegou-se aos resultados desta pesquisa. O ordenamento ético atual da classe contábil no Brasil é canhado quanto à previsão de se realizar publicidade profissional. Acrescente-se a isto o fato do número de profissionais na área contábil ser relativamente grande. Conseqüência natural é a equiparação da contabilidade a uma atividade puramente mercantil, confundindo-se publicidade com mera propaganda se não forem observadas algumas regras de conduta. Contrariamente à regra pátria, o ordenamento ético internacional do contador veda literalmente a publicidade não institucional, rejeitando qualquer forma de publicidade puramente mercantil. Ainda, do mesmo modo que a regra internacional, os outros ordenamentos profissionais pátrios mencionados neste trabalho também restringem a publicidade profissional.

  6. Bevacizumab, an anti-vascular endothelial growth factor antibody, inhibits osteoarthritis.

    Science.gov (United States)

    Nagai, Toshihiro; Sato, Masato; Kobayashi, Miyuki; Yokoyama, Munetaka; Tani, Yoshiki; Mochida, Joji

    2014-09-18

    Angiogenesis is an important factor in the development of osteoarthritis (OA). We investigated the efficacy of bevacizumab, an antibody against vascular endothelial growth factor and an inhibitor of angiogenesis, in the treatment of OA using a rabbit model of anterior cruciate ligament transection. First, we evaluated the response of gene expression and histology of the normal joint to bevacizumab treatment. Next, in a rabbit model of OA induced by anterior cruciate ligament transection, we used macroscopic and histological evaluations and real-time polymerase chain reaction (PCR) to examine the responses to intravenous (systemic) administration of bevacizumab (OAB IV group). We also investigated the efficacy of intra-articular (local) administration of bevacizumab in OA-induced rabbits (OAB IA group). Histologically, bevacizumab had no negative effect in normal joints. Bevacizumab did not increase the expression of genes for catabolic factors in the synovium, subchondral bone, or articular cartilage, but it increased the expression of collagen type 2 in the articular cartilage. Macroscopically and histologically, the OAB IV group exhibited a reduction in articular cartilage degeneration and less osteophyte formation and synovitis compared with the control group (no bevacizumab; OA group). Real-time PCR showed significantly lower expression of catabolic factors in the synovium in the OAB IV group compared with the OA group. In articular cartilage, expression levels of aggrecan, collagen type 2, and chondromodulin-1 were higher in the OAB IV group than in the OA group. Histological evaluation and assessment of pain behaviour showed a superior effect in the OAB IA group compared with the OAB IV group 12 weeks after administration of bevacizumab, even though the total dosage given to the OAB IA group was half that received by the OAB IV group. Considering the dosage and potential adverse effects of bevacizumab, the local administration of bevacizumab is a more

  7. The own-age face recognition bias is task dependent.

    Science.gov (United States)

    Proietti, Valentina; Macchi Cassia, Viola; Mondloch, Catherine J

    2015-08-01

    The own-age bias (OAB) in face recognition (more accurate recognition of own-age than other-age faces) is robust among young adults but not older adults. We investigated the OAB under two different task conditions. In Experiment 1 young and older adults (who reported more recent experience with own than other-age faces) completed a match-to-sample task with young and older adult faces; only young adults showed an OAB. In Experiment 2 young and older adults completed an identity detection task in which we manipulated the identity strength of target and distracter identities by morphing each face with an average face in 20% steps. Accuracy increased with identity strength and facial age influenced older adults' (but not younger adults') strategy, but there was no evidence of an OAB. Collectively, these results suggest that the OAB depends on task demands and may be absent when searching for one identity. © 2014 The British Psychological Society.

  8. Impact of daily number of urgency urinary incontinence episodes on overactive bladder patient reported outcomes.

    Science.gov (United States)

    Angulo, J C; Brenes, F J; Lizarraga, I; Rejas, J; Trillo, S; Ochayta, D; Arumi, D

    2016-04-01

    To explore the impact of urgency urinary incontinence (UUI) on well-being in non-institutionalized patients with overactive bladder (OAB) in a community sample. A cross-sectional web-based study was conducted in the general population, including males and females, >18 years of age. Patients with probable OAB were identified using a validated algorithm together with a score ≥8 on the OAB-V8 scale. Presence of coping behavior was considered determinant for the clinical diagnosis of OAB. Individual well-being was determined through a battery of patient-reported outcomes (PRO) measurements including assessment of health-related quality of life (EQ-5D), sleep disturbances (MOS Sleep), and life satisfaction (LISAT-8). Patients were grouped according to the number of daily UUI episodes (UUI severity): 0 (dry OAB),1, 2-3, or ≥4. Multivariate analysis to evaluate factors independently affecting quality of life was undertaken. A total of 396 patients (52.5% women, mean age: 55.3 [11.1] years, OAB-V8 mean score: 14.5 [7.9]) out of 2035 subjects participating from the general population met the criteria for OAB: 203 (51.3%) with 0episodes, 119 (30.1%) with 1, 52 (13.1%) with 2 or 3, and 22 (5.6%) with ≥4 episodes. A statistically significant linear adjusted association was found between number of UUI episodes and PRO scores. Participants with more episodes had poorer health profiles and self-evaluated quality of life, worse life satisfaction, and more sleep disturbances and fewer hours of sleep per night. Number of incontinence episodes was independent factor to affect quality of life using both LISAT-8 and MOS questionnaires. Severity of UUI was significantly associated with poorer individual well-being in subjects with OAB in a community sample in Spain. Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Short-term Effects of a Systematized Bladder Training Program for Idiopathic Overactive Bladder: A Prospective Study

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    Hahn-Ey Lee

    2013-03-01

    Full Text Available Purpose: This study was to investigate whether a systematized bladder training (BT program is effective for patients with idiopathic overactive bladder (OAB. Methods: A prospective study was conducted on 105 patients with OAB from March 2009 to November 2011. We developed a 30 minutes BT program, which consisted of first, refraining from going to the bathroom after feeling an urge to void, second, in order to stop thinking about voiding, ceasing action and thought temporarily, and third, performing pelvic floor exercises 5 to 6 times. Before and after BT, the patients filled out voiding diaries as well as the following questionnaires; International Consultation on Incontinence Questionnaire for overactive bladder (ICIQ-OAB, International Prostate Symptom Score (IPSS, overactive bladder questionnaire (OAB-q, the short form 36-item health survey (SF-36 questionnaire, the work productivity and activity impairment questionnaire, and a patients’ perception of treatment benefit (PPTB. Results: A final analysis was performed from on 85 patients (38 male, 47 female with idiopathic OAB. After the first BT, the results of the ICIQ-OAB showed improvement in frequency, nocturia, and urgency (P<0.05, and all domains of IPSS questionnaires showed significant improvement (P<0.05. Among the SF-36 domains, the role-physical domain showed significant improvement after the first BT, and the general health domain showed significant improvement after the second. The voiding diaries showed statistically significant changes in maximal voided volume after the first BT, and nocturia index and nocturnal polyuria index after the second BT. According to the PPTB questionnaire, the perceived usefulness of BT increased after each session, and almost all of the patients replied that BT improved their symptoms. Conclusions: Our results demonstrated that BT was effective in improving many OAB related symptoms and quality of life in patients with idiopathic OAB. More clinical

  10. Expert consensus on scientific evidence available on the use of botulinum toxin in overactive bladder.

    Science.gov (United States)

    Esteban, M; Salinas, J; Arlandis, S; Díez, J; Jiménez, M; Rebassa, M; Angulo, J C

    2014-05-01

    Overactive bladder (OAB) is a pathology impairing patients' quality of life and with a high percentage of patients who are refractory to medication. In this paper, technical opinion of an «expert panel» is assessed in order to gain the most reliable professional consensus on scientific evidence available on the criteria of use of Onabotulinumtoxin A (OnabotA) in OAB. according to DELPHI method, 42 panelists answered a survey of 93 items divided into four strategic areas including clinical criteria and recommendations in order to improve, at different levels, the current approach to patients with OAB. The recent advances in the field, areas of controversy and their real application possibilities in the different areas of our health care system were taken into consideration. Two rounds of the questionnaire were completed by all experts. In the first round, a criteria consensus was reached for 64 of 93 (68.8%) questions analyzed; in the second round the consensus reached was for 83 items evaluated (89.25%). An agreement among panelist was reached for: 1) definition, classification, detection and differential diagnosis; 2) medical treatment; 3) surgical treatment; 4) role of OnabotA in the treatment of OAB. the consensus is broadly in line with the latest scientific evidence on OAB. The panelists believe that it is necessary to propose a change in the current definition of OAB and that it seems necessary to improve the screening tools too. Medical treatment of OAB must be tailored to each patient, staged and progressive. The use of OnabotA (Botox(®)) could imply therapeutic advantages with respect to other treatments, and positions itself as a safe and effective alternative to treat drug refractory OAB. Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.

  11. Effect of extracorporeal magnetic energy stimulation on bothersome lower urinary tract symptoms and quality of life in female patients with stress urinary incontinence and overactive bladder.

    Science.gov (United States)

    Lo, Tsia-Shu; Tseng, Ling-Hong; Lin, Yi-Hao; Liang, Ching-Chung; Lu, Ching-Yi; Pue, Leng Boi

    2013-11-01

    The aim of this study was to investigate the efficacy of extracorporeal magnetic stimulation (EMS) for the treatment of bothersome and severe symptoms of stress urinary incontinence (SUI) and overactive bladder syndrome (OAB) in female patients. A retrospective review was conducted on patients with SUI and OAB who were referred to EMS therapy. Successful treatment for the bothersome symptoms of OAB and SUI was defined as score ≤1 for questions 2 and 3 on the Urodynamic Distress Inventory-6. The objective cure of SUI and OAB was defined as no urinary leakage during the cough stress test and any urgency, urge incontinence and voiding frequency of less than eight times per 24 h based on the 3-day bladder diary, after the 9 weeks of treatment, respectively. Ninety-three patients with SUI or OAB underwent a 9-week course of EMS at 20 min twice weekly. Seventy-two (77%) patients completed EMS treatment. Geographical factor and poor economic status were two main factors for dropout. A total of 94.1% (32 of 34) and 86.8% (33 of 38) of subjects had successful treatment for the bothersome symptoms of OAB and SUI, respectively. In contrast, the cure rate for OAB and SUI was only 61.7% and 42.1%, respectively. There was also a significant improvement in both Urogenital Distress Inventory Short Form (bothersome on lower urinary tract symptoms) and the Incontinence Impact Questionnaire Short Form (quality of life) total score in both groups after EMS. EMS is a safe and effective alternative method for treating SUI and OAB. Further studies are needed to evaluate the long-term efficacy. © 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.

  12. Dealing with complex overactive bladder syndrome patient profiles with focus on fesoterodine: in or out of the EAU guidelines?

    Directory of Open Access Journals (Sweden)

    Heesakkers J

    2017-10-01

    Full Text Available John Heesakkers,1 Montserrat Espuña Pons,2 Philip Toozs Hobson,3 Emmanuel Chartier-Kastler4 1Department of Urology, Radboud University Medical Center, Nijmegen, Netherlands; 2Pelvic Floor Unit, ICGON, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain; 3Department of Urogynecology, Birmingham Women’s Hospital, Birmingham, UK; 4Department of Urology, Academic Hospital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Pierre et Marie Curie Medical School, Paris 6 University, Sorbonne Universités, Paris, France Abstract: Overactive bladder (OAB syndrome is a common, complex, and challenging condition. To assist the management of these patients, the European Association of Urology (EAU updates its guidelines annually. This review reports the presentations from the symposium titled “Dealing with complex OAB patient profiles: in or out of the EAU guidelines?” held at the 32nd EAU Annual Congress in March 2017 in London. The symposium focused on three groups of OAB patients: women who may also suffer pelvic organ prolapse, stress urinary incontinence, the genitourinary syndrome of menopause (GSM; patients at risk of cognitive impairment; and elderly patients. The aim of the symposium was to determine how the 2017 EAU guidelines can best assist physicians, as well as to assess the benefits of fesoterodine in these patients. The EAU guidelines recommend antimuscarinic agents (grade A for the medical treatment of OAB. In women, OAB is correlated with GSM, both of which are underdiagnosed and undertreated. Fesoterodine decreases OAB symptoms and the associated limitation of physical activity. A combination of fesoterodine and vaginal estrogens is appropriate for OAB associated with GSM. In patients at risk of cognitive impairment, prescribers should pay particular attention to the choice of medication. Fesoterodine is a Pgp substrate with limited ability to cross the blood–brain barrier, which may explain the lack

  13. Systematic literature review of clinical trials evaluating pharmacotherapy for overactive bladder in elderly patients: An assessment of trial quality.

    Science.gov (United States)

    Kistler, Kristin D; Xu, Yingxin; Zou, Kelly H; Ntanios, Fady; Chapman, Douglass S; Luo, Xuemei

    2018-01-01

    Overactive bladder (OAB) disproportionately affects older-aged adults, yet most randomized controlled trials (RCTs) underrepresent patients ≥65. This systematic literature review (SLR) identified RCTs evaluating β-3 adrenergic agonists or muscarinic antagonists in elderly patients with OAB, and compared study quality across trials. MEDLINE ® , Embase ® , and Cochrane Collaboration Central Register of Clinical Trials databases were searched from inception through April 28, 2015 to identify published, peer-reviewed RCT reports evaluating β-3 adrenergic agonists or muscarinic antagonists in elderly OAB patients (either ≥65 years or study-described as "elderly"). To assess study quality of RCT reports, we focused on internal/external validity, assessed via two scales: the validated Effective Public Health Practice Project [EPHPP]): Quality Assessment Tool for Quantitative Studies, and a tool commissioned by the Agency for Healthcare Research and Quality (AHRQ). Database searches yielded 1380 records that were then screened according to predefined inclusion/exclusion criteria. We included eight papers meeting study criteria. Despite scientific community efforts to improve RCT reporting standards, published reports still include incomplete and inconsistent reporting-of subject attrition, baseline patient characteristics, inclusion/exclusion criteria, and other important details. Only three of the eight OAB RCTs in this review received quality ratings of Strong (EPHPP) or Fair (AHRQ) and were multicenter with large samples. Despite the prevalence of OAB among older age individuals, relatively few RCTs evaluate OAB treatments explicitly among elderly subjects. The findings from this quality assessment suggest some areas for improvement in both conduct and reporting of future RCTs assessing OAB treatment in elderly. © 2017 Wiley Periodicals, Inc.

  14. Botulinum toxin and neuromodulation for overactive bladder treatment

    Directory of Open Access Journals (Sweden)

    Ramazan Yavuz Akman

    2013-03-01

    Full Text Available The overactive bladder (OAB is a symptom complex characterized by urgency with /without urge incontinence, and often associated with frequency and nocturia. First-line therapy for OAB includes behavioral therapies and anticholinergic drugs. Although a large number of patients respond to conservative or pharmacological therapy or a combination of the two, some patients are refractory and require additional options for intervention. Botulinum toxin therapy and neuromodulation are frequently used treatment options in refractory OAB patients.

  15. Overactive bladder symptom severity, bother, help-seeking behavior, and quality of life in patients with type 2 diabetes: a path analysis.

    Science.gov (United States)

    Xu, Dongjuan; Zhao, Meng; Huang, Liqun; Wang, Kefang

    2018-01-02

    This study aimed to investigate the relationships among overactive bladder (OAB) symptom severity, bother, help-seeking behavior, and quality of life (QOL) in patients with type 2 diabetes. A total of 127 diabetic patients, aged at least 18 years, with overactive bladder from a hospital in Shandong Province, China, were recruited for this study. Symptom severity, bother, and quality of life were assessed using the Overactive Bladder Symptom Score (OABSS), Patient Perception of Bladder Condition (PPBC), and Overactive Bladder Questionnaire Short Form (OAB-q SF), respectively. Help-seeking behavior was assessed by asking patients whether they consulted health care professionals or received treatment for their bladder problems. A two-step path analysis was performed to analyze the data. OAB symptom severity was directly associated with lower levels of QOL, and the strength of this association was no longer significant when taking bother and help-seeking behavior into account. Bother increased with OAB symptom severity, and patients with bothersome OAB tended to have lower levels of QOL. Moreover, bother increased help-seeking behavior; however, patients who sought help tended to have lower levels of QOL. Our findings highlight the role of bother and help-seeking behavior in the relationship between OAB symptom severity and QOL. To improve a patient's QOL, health care providers should focus not only on symptom bother but also on dysfunctional help-seeking patterns.

  16. Practical Aspects of Botulinum Toxin-A Treatment in Patients With Overactive Bladder Syndrome

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    Chun-Hou Liao

    2015-12-01

    Full Text Available Intravesical onabotulinumtoxinA (BoNT-A injection is an effective treatment for overactive bladder syndrome (OAB that is refractory to antimuscarinics. An injectable dose of 100 U has been suggested to achieve the optimal balance of benefit and safety in patients with OAB. BoNT-A (total volume of 10 mL was administered as evenly distributed intradetrusor injections (5 U across 20 sites approximately 1 cm apart (0.5 mL per site using a flexible or rigid cystoscope. Treatment with BoNT-A was generally well tolerated by most patients, and most treatment-related adverse events were localized to the urinary tract. The prevalence of OAB increases with age, and elderly patients are more vulnerable to complications. The short-term efficacy of intravesical BoNT-A injection for refractory OAB with no treatment-related complications in the elderly population has been documented. Frail elderly patients can experience the same treatment results, such as significantly improved urgent urinary incontinence and quality of life, as young and nonfrail elderly patients with 100-U BoNT-A injections. However, increased risk of larger postvoid residual (PVR urine and lower long-term success rates were noted in frail elderly patients; around 11% had acute urinary retention, while 60% had PVR urine volume >150 mL after treatment. In addition, intravesical injection of BoNT-A effectively decreased urgency symptoms in elderly patients with OAB and central nervous system lesions. The adverse effects were acceptable, while the long-term effects were comparable to those in patients with OAB without central nervous system lesions. Nonetheless, the possibility of longstanding urinary retention and chronic catheterization in this vulnerable population requires careful evaluation before treatment with intravesical BoNT-A. In conclusion, the current findings indicate that intravesical BoNT-A is an effective and safe treatment for OAB in elderly patients.

  17. The effect of hyperactive bladder severity on healthcare utilization and labor productivity.

    Science.gov (United States)

    Angulo, J C; Brenes, F J; Ochayta, D; Lizarraga, I; Arumí, D; Trillo, S; Rejas, J

    2014-05-01

    To explore the relationship between the severity of urinary urge incontinence (UUI) on healthcare resources utilization (HRU) and loss of labor productivity of subjects with overactive bladder (OAB) in the general population in Spain. Secondary analysis of a cross-sectional web-based study conducted in the general population >18 years, through a battery of HRU questions asked using an online method. Probable OAB subjects were identified using a previously validated algorithm and a score >8 in the OAB-V8 questionnaire. HRU questions included an assessment of concomitant medication used as a consequence of OAB/UUI, pad utilization, and medical office visits. Patients were grouped according to the number of UUI episodes into 0, 1, 2-3 or 4+ episodes. Of a total of 2,035 subjects participating from the general population, 396 patients [52.5% women, mean age: 55.3 (11.1) years, OAB-V8 mean score: 14.5 (7.9)] were analyzed; 203 (51.3%) with 0 episodes, 119 (30.1%) with 1, 52 (13.1%) with 2 or 3, and 22 (5.6%) with 4 or more episodes. A linear and significant adjusted association was observed between the number of UUI episodes and HRU; the higher the number of daily episodes the higher the HRU. Subjects with more episodes had medical visits more frequently at the primary care (P = .001) and specialist (P = .009) level as well. Consumption of day (P < .001) and night (P < .001) urinary absorbents, anxiolytic medicines (P = .021) and antibiotics (P = .05) was higher in patients with more UUI episodes. The severity of OAB in terms of frequency of daily urge incontinence episodes was significantly and linearly associated with higher healthcare resources utilization and a decrease in labor productivity in subjects with probable OAB in Spain. Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.

  18. Effect of anticholinergics on the overactive bladder and bowel domain of the electronic personal assessment questionnaire (ePAQ).

    Science.gov (United States)

    Bulchandani, S; Toozs-Hobson, P; Parsons, M; McCooty, S; Perkins, K; Latthe, P

    2015-04-01

    Evidence suggests that OAB (overactive bladder) can occur alongside disorders of the colon, such as irritable bowel syndrome (IBS). Moreover, patients with constipation are more likely to develop OAB symptoms than those without. Anticholinergic medications (AcH) are commonly used for treating OAB, and can result in the unwanted side effects of constipation. We aimed to study the relationship of AcH, and their effects on quality of life using the electronic Personal Assessment Questionnaire (ePAQ) by assessing changes in the bowel and bladder domains, pre- and post-AcH treatment. Ninety patients completed the ePAQ pre- and post-AcH treatment from January 2011 to April 2014. Data were collected retrospectively and prospectively, and analysed using a paired t test. Effect size (ES) was calculated for OAB and bowel domains to quantify the effect on QoL. There was a significant improvement in the OAB (p = 0.0005) and bowel domains (p = 0.0005). In the bowel domains, the largest effect size was seen for IBS (0.5) followed by continence (0.4), evacuation (0.375) and a small ES was seen for constipation (0.2). There was a reduction in the "degree of bother" in OAB and bowel domains. Patients may benefit from the possible effects of AcH on their bowels, and assessment of all aspects of pelvic floor function is important before commencing AcH. This may help to counsel patients, with possibly improved compliance with therapy.

  19. Reproducibility of urodynamic filling sensation at weekly interval in healthy volunteers and in women with detrusor overactivity.

    Science.gov (United States)

    Van Meel, Tom David; Wyndaele, Jean-Jacques

    2011-11-01

    To evaluate the reproducibility of bladder sensation during standardized filling cystometry in female volunteers and overactive bladder (OAB) patients, repeated with weekly interval. We recruited 13 female nulliparous volunteers (age 21-47) and 17 female patients with OAB between (age 18-72). They participated in three investigation periods, each separated by 7 days to assess reproducibility of sensation related to standardized cystometry. Subjects were asked to report all sensations they felt during bladder filling. The previously described pattern of sensation was reported during bladder filling in all. Consecutive sensations corresponded to statistically higher bladder volumes. Volumes, at which different sensations of bladder filling were reported, were significantly higher in controls than in OAB patients [first sensation of filling (FSF) P = 0.003, first desire to void (FDV) P sensation/volume ratios were significantly higher in patients with OAB than in the healthy volunteers: FSF occurred at mean 46% and FDV at mean 73% of SDV in OAB patients, compared to 36% and 64% in healthy volunteers. Sensations proved highly reproducible when determined with weekly interval. Our data demonstrate that cystometric filling sensation determined in a standardized way with weekly interval is highly reproducible in healthy and in OAB patients. This finding has, in our opinion, clinical importance as it shows that the technique is reliable both for a sensory evaluation of the LUT as to study influence of treatment aimed at changing this sensation. Copyright © 2011 Wiley Periodicals, Inc.

  20. Comparative Efficacy of an Organic Acid Blend and Bacitracin Methylene Disalicylate as Growth Promoters in Broiler Chickens: Effects on Performance, Gut Histology, and Small Intestinal Milieu

    Directory of Open Access Journals (Sweden)

    Saikat Samanta

    2010-01-01

    Full Text Available This study evaluated the efficacy of organic acids as a growth promoter for broiler chickens relative to antibiotic growth promoters (AGPs. Broiler chickens were supplemented with graded doses of an organic acid blend (OAB, 1 g and 2 g/kg diet and bacitracin methylene disalicylate (BMD, 0.5 g and 1 g/kg diet for 35 days. Supplementation of OAB improved (<.001 feed conversion ratio (FCR and increased protein accretion (<.001. Dietary acidification caused pH of the gizzard to decline linearly (<.01 with the dose of supplemental OAB. In the lower intestine, pH remained unaffected by dietary treatments. Unlike BMD, supplemental OAB selectively promoted growth of lactobacilli in the small intestine. Moreover, compared to BMD, OAB tended to maintain the villi in the small intestine at a greater height. Although benefits of exceeding the dose of supplemental organic acids more than 1 g/kg diet are not always conspicuous, based on the live weight and feed conversion data, supplementation of 2 g organic acid per kg diet may be recommended for total replacement of AGPs in broiler diet.

  1. Intravesical prostatic protrusion correlates well with storage symptoms in elderly male patients with non-neurogenic overactive bladder

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    Shih-Yen Lu

    2016-03-01

    Conclusion: In elderly male patients with non-neurogenic OAB, more severe storage symptoms are associated with a lower maximum flow rate and a more prominent IPP, indicating that a significant cause of male non-neurogenic OAB is prostate associated.

  2. Smart Structures for Aircraft and Spacecraft (Les Structures Intelligentes pour les Aeronefs et les Vaisseaux Spatiaux)

    Science.gov (United States)

    1993-04-01

    mainly done manually using hand held equipment. Aircraft operation is only accepted to be economical when repair is identified in less than 1 out of...mounting requirements, and the available space. The panel consists of a layer of Lockheed high thermal performance ( HTP ) insulation which is a rigid...sensor The HTP material has low density and dielectric experiments, record subsystem sensor data in its constant. own 32 Mbyte SSDR, process raw data as

  3. Role of muscarinic receptor antagonists in urgency and nocturia

    NARCIS (Netherlands)

    Michel, Martin C.; de La Rosette, Jean J. M. C. H.

    2005-01-01

    The overactive bladder (OAB) syndrome is defined as urgency, with or without urgency incontinence, usually accompanied by frequency and nocturia. Muscarinic receptor antagonists are the most established form of treatment for OAB, but until recently their effectiveness was only confirmed for symptoms

  4. Management of overactive bladder review: the role of percutaneous tibial nerve stimulation

    Directory of Open Access Journals (Sweden)

    Elita Wibisono

    2017-01-01

    Full Text Available Overactive bladder (OAB is a common condition that is experienced by around 455 million people (11% of the world population and associated with significant impact in patients’ quality of life. The first line treatments of OAB are conservative treatment and anti-muscarinic medication. For the refractory OAB patients, the treatment options available are surgical therapy, electrical stimulation, and botulinum toxin injection. Among them, percutaneous tibial nerve stimulation (PTNS is a minimally invasive option that aims to stimulate sacral nerve plexus, a group of nerve that is responsible for regulation of bladder function. After its approval by food and drug administration (FDA in 2007, PTNS revealed considerable promise in OAB management. In this review, several non-comparative and comparative studies comparing PTNS with sham procedure, anti-muscarinic therapy, and multimodal therapy combining PTNS and anti-muscarinic had supportive data to this consideration.

  5. Effect of Reflexology to Depressive Symptoms in Women With Overactive Bladder.

    Science.gov (United States)

    Aydin, Yasemin; Aslan, Ergul; Yalcin, Onay

    2016-01-01

    This study is to determine the effect of foot reflexology on the level of depression in women with OAB. Study findings included in the study showed foot reflexology as a part of OAB treatment relieved urinary and depressive symptoms and had a positive effect on quality of life.

  6. Satisfaction with tolterodine: assessing symptom-specific patient-reported goal achievement in the treatment of overactive bladder in female patients (STARGATE study).

    Science.gov (United States)

    Choo, M-S; Doo, C K; Lee, K-S

    2008-02-01

    Open-label study to evaluate the effect of tolterodine extended-release (ER) on symptom-specific patient-reported goal achievement (PGA) of overactive bladder (OAB) symptoms in females. Eligible patients who had frequency >or= 8 and urgency >or= 2 episodes per 24 h with or without urgency incontinence were treated with 12-week tolterodine ER (4 mg once daily). Primary end-point was the rate of PGA by a visual analogue scale compared with initial expectation with treatment. At baseline, patients were asked to set their personal goals for each OAB symptom with treatment. Secondary efficacy variables were changes in symptom severity, voiding diary and patient perception of bladder condition (PPBC), global impression of improvement (GII), and willingness to continue treatment. A total of 56 patients were entered. The median rate of symptom-specific PGA and reductions in symptom severity were for frequency (60%, 45%), episodes of urgency 60%, 55%), urge incontinence (80%, 71%), nocturia (50%, 52%) and tenesmus (30%, 26%) after 12 weeks treatment. There was a significant improvement in all OAB symptoms in voiding diary. Thirty-five patients (62.5%) experienced an improvement of >or= 2 points in PPBC. Thirty (53.6%) and 22 (39.3%) of patients reported much and little improvement of their symptoms in GII. A total of 41 (73.2%) patients wanted to continue taking the medication at the end of the study. Most OAB patients reported improvement of their OAB symptoms with 12-week tolterodine ER 4 mg treatment. There was a significant achievement of symptom-specific goal on the key OAB symptoms. But, PGA did not correlate with objective outcomes.

  7. Pharmacoeconomic evaluation of antimuscarinic agents for the treatment of overactive bladder.

    Science.gov (United States)

    Ko, Yu; Malone, Daniel C; Armstrong, Edward P

    2006-12-01

    To compare the cost-effectiveness of various antimuscarinic agents for the treatment of overactive bladder (OAB). A decision-analysis model was developed and included clinical outcomes (i.e., therapy continued or discontinued, treatment success or failure, OAB-induced comorbidities) and costs for drugs and treatment of OAB-induced comorbidities (i.e., urinary tract infections, fractures, depression, and skin infections). Treatment success was defined as complete continence. A systematic MEDLINE literature search from January 1990-January 2006 identified English-language articles concerning the eight antimuscarinic drugs: darifenacin, solifenacin, trospium, immediate-release oxybutynin, extended-release oxybutynin, transdermal oxybutynin, immediate-release tolterodine, and extended-release tolterodine. Probabilities and cost data for these drugs were retrieved from the literature, and drug costs were based on 2005 average wholesale prices. The analysis was constructed from a payer's perspective. The time frame for the model was 3 months. Expected costs for each patient with OAB ranged from $3373 when treated with solifenacin to $3769 when treated with immediate-release oxybutynin. The average cost/patient with continued and successful treatment was lowest for solifenacin ($6863). Solifenacin dominated all other antimuscarinic agents because they were associated with high costs and low effectiveness. Success rates were the key parameters driving the sensitivity analysis. Among various antimuscarinic agents, solifenacin 5 mg had the lowest costs and highest effectiveness in the treatment of OAB.

  8. Clinical Factors Associated With Dose Escalation of Solifenacin for the Treatment of Overactive Bladder in Real Life Practice

    Directory of Open Access Journals (Sweden)

    Ji-Youn Chun

    2014-03-01

    Full Text Available PurposeTo determine the baseline clinical characteristics associated with dose escalation of solifenacin in patients with overactive bladder (OAB.MethodsWe analyzed the data of patients with OAB (micturition frequency ≥8/day and urgency ≥1/day who were treated with solifenacin and followed up for 24 weeks. According to our department protocol, all the patients kept voiding diaries, and OAB symptom scores (OABSS were monitored at baseline and after 4, 12, and 24 weeks of solifenacin treatment.ResultsIn total, 68 patients (mean age, 60.8±10.0 years were recruited. The dose escalation rate by the end of the study was 41.2%, from 23.5% at 4 weeks and 17.6% at 12 weeks. At baseline, the dose escalator group had significantly more OAB wet patients (53.6% vs. 20.0% and higher total OABSS (10.2±2.4 vs. 7.9±3.5, P=0.032 than the nonescalator group. OAB wet (odds ratio [OR], 4.615; 95% confidence interval [CI], 1.578-13.499; P<0.05 and total OABSS (OR, 1.398; 95% CI, 1.046-1.869; P<0.05 were found to be independently associated with dose escalation.ConclusionsPatients who have urgency urinary incontinence and high total OABSS have a tendency for dose escalation of solifenacin.

  9. Pelvic floor muscle training for overactive bladder symptoms – A prospective study

    Directory of Open Access Journals (Sweden)

    Fátima Fitz

    Full Text Available Summary Introduction: Pelvic floor muscle training (PFMT involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB symptoms. Objective: To verify the effects of isolated PFMT on the symptoms of OAB. Method: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI, with predominance of OAB symptoms and loss ≥ 2 g in the pad test. It was evaluated: pelvic floor muscles (PFMs function (digital palpation and manometry; urinary symptoms (nocturia, frequency and urinary loss; degree of discomfort of OAB symptoms; and quality of life (Incontinence Quality-of-Life Questionnaire [I-QoL]. The PFMT program consisted of 24 outpatient sessions (2x/week + home PFMT. The Mann-Whitney and Wilcoxon tests (with a significance level of 5% were used to analyse the data. Results: There was a significant improvement of the urinary symptoms to the pad test (5.8±9.7, p<0.001, urinary loss (0.7±1.1, p=0.005 and nocturia (0.8±0.9, p=0.011. Reduction in the degree of discomfort of urinary symptoms was observed according to OAB-V8 questionnaire (10.0±7.7, p=0.001. There were also significant results in PFMs function: Oxford (3.6±0.9, p=0.001, endurance (5.2±1.8, p<0.001, fast (8.9±1.5, p<0.001 and manometry (26.6±15.8, p=0.003. In addition, quality of life had a significant improvement in the three domains evaluated by I-QoL. Conclusion: The PFMT without any additional guidelines improves the symptomatology, the function of PFMs and the quality of life of women with OAB symptoms.

  10. The translation and validation of Chinese overactive bladder symptom score for assessing overactive bladder syndrome and response to solifenacin treatment

    Directory of Open Access Journals (Sweden)

    Eric Chieh-Lung Chou

    2014-08-01

    Conclusion: The Chinese OABSS has been validated as a reliable instrument for assessing OAB. Solifenacin 5 mg once daily improved urgency and other symptoms of OAB including frequency, urge incontinence, OABSS and International Prostatic Symptom Score. The adverse effects were acceptable and became less significant with time in the three months of treatment.

  11. Efficacy of pelvic floor muscle training in women with overactive bladder syndrome: a systematic review.

    Science.gov (United States)

    Monteiro, Silvia; Riccetto, Cassio; Araújo, Angélica; Galo, Laryssa; Brito, Nathália; Botelho, Simone

    2018-04-11

    Our objective was to evaluate the effectiveness of pelvic floor muscle training (PFMT) in reducing overactive bladder (OAB) symptoms in women. Searches were performed at MEDLINE, PubMed, Physiotherapy Evidence Database (PEDro), Scielo, and Central Cochrane Library PubMed until January 2017. Controlled trials were researched by two independent reviewers. Eligible studies were restricted to random and controlled clinical trials that investigated the effectiveness of PFMT in decreasing OAB symptoms. Qualitative methodology was evaluated using the PEDro scale. Data was analyzed and interpreted qualitatively. The final search retrieved eight studies (n = 1161 women with urgency symptoms), which were published between 2002 and 2016. The methodological scores varied between 4 and 7 in the PEDro scale. PFMT, with the objective of controlling urgent micturition, demonstrated improvements in quality of life in women with OAB. Most data in this revision came from small- to moderate-sized trials, with different and inconsistent outcome measures, which could have impacted the end results. The literature regarding the effectiveness of PFMT in OAB remains heterogeneous and inconclusive.

  12. Comparative Evaluation of the Safety and Efficacy of Long-Term Use of Imidafenacin and Solifenacin in Patients with Overactive Bladder: A Prospective, Open, Randomized, Parallel-Group Trial (the LIST Study

    Directory of Open Access Journals (Sweden)

    Masayoshi Zaitsu

    2011-01-01

    Full Text Available Objectives. Overactive bladder (OAB is a chronic disease, but comparative trials of anticholinergics, which are commonly used for treatment of OAB, have generally been performed for up to 12 weeks only. There is no comparative study of a long-term intervention. Methods. We conducted a 52-week prospective randomized comparative study to evaluate the efficacy and tolerability of two anticholinergics. Results. Forty-one Japanese patients with untreated OAB were randomly assigned to imidafenacin and solifenacin groups. There was no difference in OABSS and KHQ scores between the two groups, but the severity and incidence of adverse events caused by the anticholinergics showed increased differences between the groups with time. The severity of dry mouth and the incidence of constipation were significantly lower in the imidafenacin group (=0.0092 and =0.0013, resp.. Conclusions. This study is the first long-term trial to show differences in the properties of anticholinergics that were not detected in short-term studies. Since OAB is a chronic disease, we conclude that imidafenacin is preferable to solifenacin from a perspective of safety.

  13. POLYMORPHISM OF THE SYNDROME OF HYPERACTIVE URINARY BLADDER IN PATIENTS WITH ACUTE AND CHRONIC VASCULAR DISEASES OF THE BRAIN

    Directory of Open Access Journals (Sweden)

    P. G. Shvarts

    2016-01-01

    Full Text Available Abstract. The paper discusses the main etiological, phenomenological and pathogenetic mechanisms of forming the syndrome of overactive bladder (OAB in patients with acute and chronic cerebrovascular diseases. Describes the role of melatonin, arginine vasopressin (AVP and corticotropin-releasing factor hormone (CRFH in maintaining the rhythms of urination, urine formation and retention of urine in norm and abnormalities in these systems in acute and chronic vascular pathology of the brain. Described phenomenology OAB syndrome in vascular diseases of the brain. Shows a differentiated approach to pharmacological correction in patients with different clinical variants of urinary disorders and urine formation in the framework of the OAB syndrome with the use of neurotransmitter therapy and hormonesensitive.

  14. Urothelial dysfunction and sensory protein expressions in patients with urological or systemic diseases and hypersensitive bladder

    Directory of Open Access Journals (Sweden)

    Hueih-Ling Ong

    2017-09-01

    Conclusion: Patients with OAB or HSB showed increased urothelial inflammation and lower barrier protein expression. Increased M3/β3-AR or M2/β3-AR in the urothelium was associated with OAB, whereas decreased M3/β3-AR or M2/β3-AR was associated with poor voiding efficiency and large PVR in LUTD.

  15. Impact of solifenacin on quality of life, medical care use, work productivity, and health utility in the elderly: an exploratory subgroup analysis.

    Science.gov (United States)

    Zinner, Norman; Noe, Les; Rasouliyan, Lawrence; Marshall, Thomas; Runken, M Christopher; Seifeldin, Raafat

    2009-12-01

    Overactive bladder (OAB) is a common problem among the elderly and a financial burden to society. The prevalence of OAB increases with age and affects > or = 25% of people aged > or = 65 years. The goal of this exploratory subgroup analysis of the VESIcare Efficacy and Research Study US (VERSUS) was to assess changes in health-related quality of life (HRQoL), medical care resource utilization, work and activity impairment, and health utility among elderly patients with OAB who continued to have urgency symptoms with tolterodine and were willing to try solifenacin. This was a 12-week, multicenter, prospective, open-label, noncomparative, flexible-dosing study designed to assess the efficacy and tolerability of solifenacin. Patients who received tolterodine 4 mg/d for > or = 4 weeks but continued to experience urgency symptoms (> or = 3 urgency episodes/24 hours) were enrolled. This exploratory analysis describes results from 2 elderly cohorts (patients 65 to 74 years and > or = 75 years of age). After a washout period of > or = 14 days, patients began treatment with solifenacin 5 mg/d with dosing adjustments allowed at week 4 (to 10 mg/d) and at week 8 (back to 5 mg/d for patients whose dose was increased to 10 mg/d at week 4). Outcomes were assessed using the OAB-q (a questionnaire specific to OAB and HRQoL), the Work Productivity and Activity Impairment-Specific Health Problem index, the Medical Care Use Index, and the Health Utilities Index Mark 2 and Mark 3 (HUI2/3), administered at the prewashout and week-12 visits. The subgroup analysis included 108 patients 65 to 74 years of age and 86 patients > or = 75 years of age. Patients in both age groups experienced significant improvement in HRQoL (P working reported significantly less impairment related to OAB while working during solifenacin treatment than during tolterodine treatment (P work productivity, activity participation, and reduced medical care resource utilization in these elderly subjects with OAB who

  16. National Ignition Facility Site Management Plan

    International Nuclear Information System (INIS)

    Roberts, V.

    1997-01-01

    The purpose of the NIF Site Management Plan is to describe the roles, responsibilities, and interfaces for the major NIF Project organizations involved in construction of the facility, installation and acceptance testing of special equipment, and the NIF activation. The plan also describes the resolution of priorities and conflicts. The period covered is from Critical Decision 3 (CD3) through the completion of the Project. The plan is to be applied in a stepped manner. The steps are dependent on different elements of the project being passed from the Conventional Facilities (CF) Construction Manager (CM), to the Special Equipment (SE) CMs, and finally to the Activation/ Start-Up (AS) CM. These steps are defined as follows: The site will be coordinated by CF through Project Milestone 310, end of conventional construction. The site is defined as the fenced area surrounding the facility and the CF laydown and storage areas. The building utilities that are installed by CF will be coordinated by CF through the completion of Project Milestone 310, end of conventional construction. The building utilities are defined as electricity, compressed air, de-ionized water, etc. Upon completion of the CF work, the Optics Assembly Building/Laser and Target Area Building (OAB/LTAB) will be fully operational. At that time, an Inertial Confinement Fusion (ICF) Program building coordinator will become responsible for utilities and site activities. * Step 1. Mid-commissioning (temperature stable, +1 degree C) of an area (e.g., Laser Bay 2, OAB) will precipitate the turnover of that area (within the four walls) from CF to SE. * Step 2. Interior to the turned-over space, SE will manage all interactions, including those necessary by CF. * Step 3. As the SE acceptance testing procedures (ATPS) are completed, AS will take over the management of the area and coordinate all interactions necessary by CF and SE. For each step, the corresponding CMs for CF, SE, or AS will be placed in charge of

  17. National Ignition Facility Site Management Plan

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, V.

    1997-09-01

    The purpose of the NIF Site Management Plan is to describe the roles, responsibilities, and interfaces for the major NIF Project organizations involved in construction of the facility, installation and acceptance testing of special equipment, and the NIF activation. The plan also describes the resolution of priorities and conflicts. The period covered is from Critical Decision 3 (CD3) through the completion of the Project. The plan is to be applied in a stepped manner. The steps are dependent on different elements of the project being passed from the Conventional Facilities (CF) Construction Manager (CM), to the Special Equipment (SE) CMs, and finally to the Activation/ Start-Up (AS) CM. These steps are defined as follows: The site will be coordinated by CF through Project Milestone 310, end of conventional construction. The site is defined as the fenced area surrounding the facility and the CF laydown and storage areas. The building utilities that are installed by CF will be coordinated by CF through the completion of Project Milestone 310, end of conventional construction. The building utilities are defined as electricity, compressed air, de-ionized water, etc. Upon completion of the CF work, the Optics Assembly Building/Laser and Target Area Building (OAB/LTAB) will be fully operational. At that time, an Inertial Confinement Fusion (ICF) Program building coordinator will become responsible for utilities and site activities. * Step 1. Mid-commissioning (temperature stable, +1{degree}C) of an area (e.g., Laser Bay 2, OAB) will precipitate the turnover of that area (within the four walls) from CF to SE. * Step 2. Interior to the turned-over space, SE will manage all interactions, including those necessary by CF. * Step 3. As the SE acceptance testing procedures (ATPS) are completed, AS will take over the management of the area and coordinate all interactions necessary by CF and SE. For each step, the corresponding CMs for CF, SE, or AS will be placed in charge of

  18. Do we need to know more about the effects of hormones on lower urinary tract dysfunction? ICI-RS 2014.

    Science.gov (United States)

    Hanna-Mitchell, Ann T; Robinson, Dudley; Cardozo, Linda; Everaert, Karel; Petkov, Georgi V

    2016-02-01

    This review article reflects the presentations and subsequent discussions during a think tank at the 5th International Consultation on Incontinence Research Society's annual meeting, held in Bristol, UK (September 22-24, 2014). It reviews the current state of knowledge on the role of hormones in lower urinary tract dysfunction (LUTD) and overactive bladder (OAB) and in particular: highlights some specific basic research findings from discussion participants; reviews future research topics; and discusses potential new therapeutic opportunities for LUTD and OAB. The role of the large conductance voltage- and Ca(2+) -activated K(+) (BK) channels, as novel therapeutic targets for OAB was discussed, in particular as recent studies on human detrusor smooth muscle suggest that estradiol exerts a direct non-genomic activation of the BK channels. Recent developments on the roles of sex hormones on diuresis, as well as the roles of melatonin and vitamin D on LUTD were also discussed. It was concluded that further basic science and translational studies are needed to better understand hormonal regulatory mechanisms of the lower urinary tract and the implications for novel treatment options for LUTD and OAB. © 2016 Wiley Periodicals, Inc.

  19. Pelvic floor electrostimulation in women with urinary incontinence and/or overactive bladder syndrome: a systematic review.

    Science.gov (United States)

    Jerez-Roig, J; Souza, D L B; Espelt, A; Costa-Marín, M; Belda-Molina, A M

    2013-01-01

    Electrostimulation (ES) is one of the techniques employed in conservative treatment of urinary incontinence (UI) and/or overactive bladder syndrome (OAB). Nevertheless, there is controversy in the scientific literature regarding its effectiveness as monotherapy. To evaluate the scientific evidence on ES of the pelvic floor in women with UI and with/without OAB. A systematic review of clinical trials was carried out in the following databases: PubMed, Cochrane, PEDro, Elsevier (Doyma) and EnFisPo (1980-2011). Quality of study registries was evaluated and information was obtained from those that presented the inclusion criteria established in the review. The 27 clinical trials were included in the review: 13 randomized controlled trials, 11 randomized non-controlled trials and 3 non-randomized trials. Most of the clinical trials conclude that ES is effective in the treatment of UI and OAB in women. However, better methodological quality studies are needed to obtain a higher level of scientific evidence and to know the optimal current modality, type and parameters for each type of UI and OAB. Copyright © 2012 AEU. Published by Elsevier Espana. All rights reserved.

  20. Changes in intraocular pressure and tear secretion in patients given 5 mg solifenacin for the treatment of overactive bladder.

    Science.gov (United States)

    Turkoglu, Ali Riza; Yener, Neslihan Parmak; Coban, Soner; Guzelsoy, Muhammet; Demirbas, Murat; Demirci, Hakan

    2017-05-01

    To investigate the effect of solifenacin succinate on intraocular pressure (IOP) and dry eye in patients with overactive bladder (OAB). The study was conducted prospectively between October 2014 and November 2015. A total of 93 female OAB patients with a mean age of 48.59 ± 11.28 years (range 19-75 years) were evaluated. A full ophthalmic examination, including the Schirmer I test and IOP measurements, was conducted. Solifenacin succinate (5 mg/day) was started orally. All procedures were repeated at the 4- and 12-week follow-up, and the effects and side effects were documented. No statistically significant difference was observed in IOP (p = 0.282, p = 0.189) and tear secretion (p = 0.122, p = 0.071) values from the baseline (day 0) to the 12th week in OAB patients using solifenacin succinate. Solifenacin succinate treatment was terminated in 3 patients owing to dry eye in 1 patient, increased IOP in 1 patient, and systemic side effects in 1 patient. Constipation and dry mouth at various rates were the most common systemic side effects observed. Solifenacin succinate is useful in eliminating OAB symptoms in female patients, but can cause systemic side effects. It had no significant side effects on tear secretion (Schirmer I) and IOP. We concluded that solifenacin succinate could be reliably used in pure OAB patients without comorbidity in terms of dry eye and IOP. We believe that prospective studies with larger series are still needed to reach a definite conclusion.

  1. Urinary incontinence and overactive bladder in patients attending the family practice physicians office: a pan-Slovenian cross-sectional, questionnaire-based survey

    Directory of Open Access Journals (Sweden)

    Igor But

    2013-04-01

    Conclusions: Both, UI and OAB represent a significant problem among patients attending the family practice physician office. It seems that the knowledge of both dysfunctions is satisfactory among physicians. The majority of patients would tell their doctors about UI and OAB and would also receive appropriate instructions regarding the bladder training and PFMT, both methods being very important for the prevention and treatment of these dysfunctions.

  2. Building

    OpenAIRE

    Seavy, Ryan

    2014-01-01

    Building for concrete is temporary. The building of wood and steel stands against the concrete to give form and then gives way, leaving a trace of its existence behind. Concrete is not a building material. One does not build with concrete. One builds for concrete. MARCH

  3. Overactive bladder syndrome in the older woman: conservative treatment.

    Science.gov (United States)

    Stewart, Ellie

    2009-11-01

    Over active bladder syndrome (OAB) is the most common cause of urinary incontinence in the older population (Gadgil and Wagg, 2008). Many women do not seek medical help and advice as they consider it to be an inevitable part of ageing. It can have significant impact on sufferers' lives and can contribute to an increased risk of falls, reduced quality of life, social isolation and depression. It is also known to be hugely underreported as patients are often too embarrassed to discuss their symptoms with members of their family or health professionals. OAB syndrome can however, be treated effectively in primary care with conservative, nurse-led treatments. This article will discuss the causes, implications, assessment and conservative treatments available to women over 65 years old presenting with OAB syndrome in primary care.

  4. Public Relations: Ketchum brands new product with innovative PR strategy.

    Science.gov (United States)

    2006-01-01

    Novartis Pharmaceuticals tapped publis relations (PR) giant Ketchum earlier this year to spearhead a marketing campaign that would make its new U.S. Food and Drug Administration-approved prescription-based medication, Enablex, stand out among the crowd in over active bladder (OAB) treatment. OAB is a disorder that affects an estimated 33 million Americans making this treatment highly in demand with consumers and highly competitive with other pharmaceutical companies.

  5. [Effects of transcranial magnetotherapy on electroencephalographic parameters in females with overactive urinary bladder].

    Science.gov (United States)

    Neĭmark, A I; Klyzhina, E A; Neĭmark, B A; Mel'nik, M A

    2007-01-01

    Urodynamic parameters and bioelectric brain activity were studied in 30 females aged 24-66 years with overactive bladder (OAB) before and after transcranial magnetotherapy. It was found that OAB patients have disorders of bioelectric brain activity by two types of EEG patterns (I.A. Svyatogor classification)--thalamic and stem, Patients with thalamic type EEG benefit more from magnetotherapy higher efficacy of which manifests with regress of clinical symptoms and urodynamic improvement.

  6. Enuresis and overactive bladder in children: what is the relationship between these two conditions?

    Directory of Open Access Journals (Sweden)

    Ariane Sampaio Sousa

    Full Text Available ABSTRACT Objective: Evaluate clinical aspects associated with the presence of nocturnal enuresis (NE in children with a diagnosis of overactive bladder (OAB. Material and Methods: A data base of 200 children who were evaluated by a structured questionnaire was analysed retrospectively . OAB was defined as the presence of urinary urgency (n=183 cases and/or daytime urinary incontinence associated with holding maneuvers (n=168 cases. Inclusion criteria were a confirmed diagnosis of OAB, age 5-16 years, and no anatomical or neurological alterations of the urinary tract. Patients were divided into enuretics and non-enuretics. The two groups were compared with respect to sex, age, skin color, presence urinary infection, urgency, urge incontinence, non-urge incontinence, pollakiuria, urinary dysfunction, nocturia, holding maneuvers, number of episodes of enuresis and bowel alterations. In a univariate analysis, the chi-square test was used to compare proportions, with p-values <0.05 being considered significant. A multivariate analysis was conducted to identify independent predictive factors. Results: Enuresis was diagnosed in 141/200 children. The two groups were similar with respect to sex, age and skin color. No difference was found in relation to urinary infection, non-urge incontinence, urinary dysfunction, nocturia, encopresis or constipation. The two groups were significantly different with regard to some symptoms related to OAB such as urgency (p=0.001, urge incontinency (p=0.001 and holding maneuvers (p=0.033. Following multivariate analysis, only holding maneuvers (p=0.022 remained as an independent predictive factor. Conclusion: The only independent predictive factor for resolution of enuresis in children with OAB, as detected in the multivariate analysis, was holding maneuvers.

  7. Do we need a new definition of the overactive bladder syndrome? ICI-RS 2013.

    Science.gov (United States)

    Drake, Marcus J

    2014-06-01

    Overactive bladder syndrome (OAB) has a symptom-based definition. Following a presentation of issues, the definition was subjected to expert discussion at the International Consultation on Incontinence Research Society to identify key issues. OAB is a widely used term; it is a pragmatic approach to categorizing a recognized group of patients, and is understood by the patients, however, expert opinion suggested several issues for which additional evidence should be sought. Naming an organ (bladder) in the condition may suggest underlying mechanism, when contributory aspects may lie outside the bladder. No severity thresholds are set, which can cause uncertainty. Urgency is prominent in the definition, but may not be prominent in patients whose adaptive behavior reduces their propensity to urgency. OAB can co-exist with other common conditions, such as benign prostate enlargement (BPE), stress incontinence or nocturnal polyuria. Consensus led by the International Continence Society can be attempted for aspects such as "fear of leakage." To develop a new definition, more substantive evidence is needed for key elements, and until such evidence is available, full redefinition is not appropriate. Thus, the medical profession should accept constructive compromise and work supportively. The ICI-RS proposes that the terminology is slightly rephrased as: "overactive bladder syndrome (OAB) is characterized by urinary urgency, with or without urgency urinary incontinence, usually with increased daytime frequency and nocturia, if there is no proven infection or other obvious pathology." More substantive changes would require additional scientific evidence. Strengths, limitations, and practicalities of the definition of OAB were discussed at the ICIRS meeting 2013. Following a presentation of issues, the definition was subjected to expert discussion. © 2014 Wiley Periodicals, Inc.

  8. How should we address the diagnosis of overactive bladder in women?

    Science.gov (United States)

    Jiménez Cidre, M A; López-Fando, L; Esteban, M; Franco, A; Arlandis, S; Castro, D; Prieto, L; Salinas, J; Gutiérrez, C; Gutiérrez Baños, J L; Cambronero, J

    2016-01-01

    Determine the degree of completion, agreement and diagnostic performance of various instruments for assessing the presence and intensity of urgency and other symptoms of idiopathic overactive bladder (OAB) and determine which is the best diagnostic combination. Observational, noninterventional, cross-sectional multicentre study on 247 women aged 18 years or older, with a clinical diagnosis of OAB, evaluated in 55 functional urology and urodynamic units. The women completed the Patient Perception of Intensity of Urgency Scale questionnaire, an independent bladder control self-assessment questionnaire (B-SAQ), the Overactive Bladder Questionnaire Short-Form and a 3-day voiding diary (VD3d), and they underwent a urodynamic study (UDS). The degree of completion and agreement among the instruments was assessed using the Kappa index (95% CI) and Cramér's V. The diagnostic performance of each tool and their combination was studied using absolute frequencies of positive cases for each OAB symptom. The patients mean age was 57.66 years (SD, 13.43). There was a high degree of completion (>85%). The agreement among the instruments was poor or moderate, and there was no agreement with the UDS. The best combination of tools for the diagnosis of OAB in women was the B-SAQ and VD3d. The degree of completion of all instruments was high, the agreement between them was poor-moderate and not significant for the UDS. The instruments that had the best diagnostic performance for assessing urgency and other OAB symptoms, providing data on their severity and discomfort, were the B-SAQ and the VD3d. Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Patient-targeted websites on overactive bladder: What are our patients reading?

    Science.gov (United States)

    Clancy, Aisling A; Hickling, Duane; Didomizio, Laura; Sanaee, May; Shehata, Fady; Zee, Rebekah; Khalil, Hisham

    2018-02-01

    Patients often turn to the Internet for information on medical conditions. We sought to evaluate the quality and readability of highly visible websites on overactive bladder (OAB). A survey of 42 consecutive patients attending outpatient urogynecology clinics was performed to identify the most commonly used Internet search engines and search terms for information on OAB. The three most commonly used search engines (Google, Bing, and Yahoo!) were then queried using the three most commonly used search terms. The first 20 relevant websites from each search were reviewed. After excluding duplicates, 35 websites were analyzed. Website quality of information on OAB was evaluated using the DISCERN score, JAMA benchmark criteria, and Health on the Net code (HONcode) accreditation status. Readability was assessed using the Simplified Measure of Gobbledygook (SMOG) and Dale-Chall indices. Websites were classified as advertisement/commercial (31%), health portal (29%), professional (26%), patient group (6%), and other (9%). The overall mean DISCERN score was 44 ± 18 (maximum possible score of 80). Three websites (9%) met all four JAMA benchmark criteria. Seventeen percent of websites provided adequate information on content authorship and contributions. Median SMOG and Dale-Chall indices were 9.9 (IQR 9.3-11.2) and 9.0 (IQR 8.1-9.4), respectively. Nine websites (26%) were HONcode certified. Popular websites on OAB are of low quality, written for a high school to college-level readership, and often lack adequate information to assess the potential for commercial bias. Patients should be cautioned that incomplete and potentially biased information on OAB is prevalent online. © 2017 Wiley Periodicals, Inc.

  10. Building Better Buildings: Sustainable Building Activities in California Higher Education Systems.

    Science.gov (United States)

    Sowell, Arnold; Eichel, Amanda; Alevantis, Leon; Lovegreen, Maureen

    2003-01-01

    This article outlines the activities and recommendations of California's sustainable building task force, discusses sustainable building activities in California's higher education systems, and highlights key issues that California is grappling with in its implementation of sustainable building practices. (EV)

  11. Building performance simulation for sustainable buildings

    NARCIS (Netherlands)

    Hensen, J.L.M.

    2010-01-01

    This paper aims to provide a general view of the background and current state of building performance simulation, which has the potential to deliver, directly or indirectly, substantial benefits to building stakeholders and to the environment. However the building simulation community faces many

  12. Building a capacity building manual

    CSIR Research Space (South Africa)

    Clinton, DD

    2010-02-01

    Full Text Available Organizations 2010 Building a capacity building manual Daniel D. Clinton, Jr., P.E., F.NSPE Chair, WFEO Capacity Building Committee Dr Andrew Cleland, FIPENZ, Chief Executive, IPENZ, NZ Eng David Botha, FSAICE, Executive Director, SAICE, SA Dawit... 2010 Tertiary level University curricula Coaches and mentors Facilities EXCeeD Remuneration of Academics Experiential training Outreach to Students Students chapters Young members forum World Federation of Engineering Organizations 2010 Post...

  13. Effectiveness of pelvic floor muscle training on symptoms and uroflowmetry parameters in female patients with overactive bladder

    OpenAIRE

    KULAKSIZOĞLU, HALUK; AKAND, MURAT; ÇAKMAKÇI, EVRİM; GÜL, MURAT; SEÇKİN, BEDREDDİN

    2015-01-01

    Background/aim: To evaluate the effects of pelvic floor muscle training (PFMT) on symptoms of overactive bladder (OAB) as well as uroflowmetry parameters and functional bladder capacity. Materials and methods: Fifty-nine female patients with OAB symptoms were included. Patients were assessed by SEAPI-QMM, uroflowmetry, and abdominal ultrasound. A specially designed PFMT program using a Pilates ball was generated for patients. The training period was 1-h sessions twice a week for 6 weeks and ...

  14. Health economics perspective of fesoterodine, tolterodine or solifenacin as first-time therapy for overactive bladder syndrome in the primary care setting in Spain.

    Science.gov (United States)

    Sicras-Mainar, Antoni; Rejas, Javier; Navarro-Artieda, Ruth; Aguado-Jodar, Alba; Ruiz-Torrejón, Amador; Ibáñez-Nolla, Jordi; Kvasz, Marion

    2013-10-21

    Overactive bladder (OAB) is associated with high healthcare costs, which may be partially driven by drug treatment. There is little comparative data on antimuscarinic drugs with respect to resource use and costs. This study was conducted to address this gap and the growing need for naturalistic studies comparing health economics outcomes in adult patients with OAB syndrome initiating treatment with different antimuscarinic drugs in a primary care setting in Spain. Medical records from the databases of primary healthcare centres in three locations in Spain were assessed retrospectively. Men and women ≥18 years of age who initiated treatment with fesoterodine, tolterodine or solifenacin for OAB between 2008 and 2010 were followed for 52 weeks. Healthcare resource utilization and related costs in the Spanish National Health System were compared. Comparisons among drugs were made using multivariate general linear models adjusted for location, age, sex, time since diagnosis, Charlson comorbidity index, and medication possession ratio. A total of 1,971 medical records of patients (58.3% women; mean age, 70.1 [SD:10.6] years) initiating treatment with fesoterodine (n = 302), solifenacin (n = 952) or tolterodine (n = 717) were examined. Annual mean cost per patient was €1798 (95% CI: €1745; €1848). Adjusted mean (95% bootstrap CI) healthcare costs were significantly lower in patients receiving fesoterodine (€1639 [1542; 1725]) compared with solifenacin (€1780 [€1699; €1854], P = 0.022) or tolterodine (€1893 [€1815; €1969], P = 0.001). Cost differences occurred because of significantly fewer medical visits, and less use of absorbent products and OAB-related concomitant medication in the fesoterodine group. Compared with solifenacin and tolterodine, fesoterodine was a cost-saving therapy for treatment of OAB in the primary care setting in Spain.

  15. Impact of convenience void in a bladder diary with urinary perception grade to assess overactive bladder symptoms: a community-based study.

    Science.gov (United States)

    Honjo, Hisashi; Kawauchi, Akihiro; Nakao, Masahiro; Ukimura, Osamu; Kitakoji, Hiroshi; Miki, Tsuneharu

    2010-09-01

    Bladder diaries including bladder perception grade were analyzed to assess convenience void (CV) in community-dwelling women 40 years of age or older. A total of 310 women completed a 3-day bladder diary with a grade for bladder perception. The grade was defined on scores 0-5 as follows: 0 = No bladder sensation, 1 = Sensation of bladder filling without desire to void, 2 = Desire to void, 3 = Strong desire to void, 4 = Urgency without urge urinary incontinence (UUI), and 5 = Urge incontinence episode. CV was defined as void without desire to void: when the grade was 0, CV in a narrow sense, and when 0 or 1, CV in a broad sense. The incidence of CV in the broad sense significantly decreased with age. Of the 310 women, 48 (15.5%) had overactive bladder (OAB) symptoms on the medical interview, including 37 (11.9%) without UUI (OAB-Dry) and 11 (3.5%) with UUI (OAB-Wet). Of the remaining 262 women, 111 (35.8%), who had urgency but a urinary frequency of 7 or less, and another 141 (48.7%) were classified into the Normal with Urgency and Normal without Urgency groups, respectively. The incidence of CV in a broad sense in the Normal without Urgency group was significantly greater than that in the Normal with Urgency and OAB-Wet groups. The mean voided volumes of CV in the broad sense in the OAB-Wet group were significantly smaller than those in the other three groups. The evaluation of CV may be a new tool in assessing storage condition and voiding dysfunction. © 2010 Wiley-Liss, Inc.

  16. Trospium chloride has no effect on memory testing and is assay undetectable in the central nervous system of older patients with overactive bladder.

    Science.gov (United States)

    Staskin, D; Kay, G; Tannenbaum, C; Goldman, H B; Bhashi, K; Ling, J; Oefelein, M G

    2010-08-01

    Muscarinic receptors in the brain play an important role in cognitive function, especially memory, and there is growing awareness that specific antimuscarinic drugs for overactive bladder (OAB) may have adverse central nervous system (CNS) effects. Selection of an antimuscarinic OAB drug with reduced potential for CNS effects could be especially beneficial in the elderly people, in whom even the modest cognitive impairment may negatively affect independence. The purpose of the study is to determine if trospium chloride is assay detectable in the CNS of older adults with OAB and to assess whether deterioration of memory occurs in these individuals. Twelve cognitively intact older adults (>or=65-75 years old) with OAB were given extended-release trospium chloride 60 mg once daily over a 10-day period to achieve plasma steady-state levels. Standardised memory testing (Hopkins Verbal Learning Test-Revised and Brief Visuospatial Memory Test-Revised) was performed predose and postdose. Cerebrospinal spinal fluid (CSF) and plasma samples were drawn on day 10 and assayed for trospium chloride. Predose (day 0) and postdose (day 10) results on the memory tests were compared using a reliable change index to assess a meaningful change in learning or memory. Trospium chloride levels in all the CSF samples (n = 72) of all participants were assay undetectable (memory testing revealed no significant net drug effect on learning or recall. This is the first study to investigate for the presence of an OAB antimuscarinic in the human brain, performed by assaying for concentrations of trospium chloride and correlating with simultaneous clinical cognitive safety measures. The results of both pharmacological and neuropsychological testing support the hypothesis of a lack of detectable CNS penetration for the quaternary amine trospium chloride.

  17. Impact of overactive bladder symptoms on work activity: The ACTIVHA study.

    Science.gov (United States)

    Rapariz, M; Mora, A M; Roset, M

    2018-04-01

    To analyse the impact of overactive bladder (OAB) symptoms on the work activity of patients in Spain. An observational, multicentre cross-sectional study was conducted with 149 urologists and 131 gynaecologists of Spain and included patients diagnosed with OAB, according to clinical judgment, who were of working age (18-65 years). We collected sociodemographic, clinical and work activity data. The patients filled out the Bladder Control Self-Assessment Questionnaire (B-SAQ) and the Work Productivity and Activity Impairment Questionnaire-General Health (WPAI-GH). The effect of each symptom on the daily and occupational activity was assessed. The results were stratified according to sex and the presence of emergency and urinary incontinence (UI) according to the B-SAQ. We assessed 768 patients (89% women), with a mean (SD) age of 52.5 (9.3) years and 2.6 (2.6) years of OAB progression. The most common symptoms according to the patients were urgent urination (89.8%), nocturia (75.7%), urge incontinence (68.5%) and frequent urination (68.2%). Ninety-six percent of the patients adopted adaptive measures for their OAB. According to the B-SAQ, 543 patients (71%) presented urgent urination; of these, 294 (54%) showed UI. The symptom that most affected work activity was frequent urination (59.8%). According to the WPAI-GH, the patients reported an impact of 32% during the workday (41% in patients with urgent urination and UI) and a loss of work time of 6.5% (9.9% in patients with urgent urination and UI). The symptoms of OAB negatively affect work activity, especially in patients who have urgent urination and UI. Copyright © 2017 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Rate and associated factors of solifenacin add-on after tamsulosin monotherapy in men with voiding and storage lower urinary tract symptoms.

    Science.gov (United States)

    Lee, H N; Lee, K-S; Kim, J C; Chung, B H; Kim, C-S; Lee, J G; Kim, D K; Park, C H; Park, J K; Hong, S J

    2015-04-01

    To explore the rate of add-on therapy with solifenacin in men with voiding and storage lower urinary tract symptoms (LUTS) after tamsulosin monotherapy and to explore predictive factors for starting solifenacin add-on therapy. Men aged ≥ 45 years with IPSS ≥ 12 and symptoms of OAB (OAB-V8 ≥ 8, micturition ≥ 8/24 h, urgency ≥ 2/24 h) were enrolled to receive tamsulosin 0.2 mg once daily. After 4 weeks, men with residual symptoms of OAB and reported 'dissatisfied' or 'a little satisfied' were received solifenacin 5 mg in combination with tamsulosin monotherapy. Subjects completed an IPSS, a Quality of life (QoL) index, OAB V8, and an International Consultation of Incontinence Questionnaire (ICIQ)-Male LUTS, and patient perception of bladder condition (PPBC) at baseline and week 4. Of a total of 305 patients, 254 patients completed 4 weeks of tamsulosin treatment. For 176 patients, solifenacin was added (69.3%). Significant predictive factors of solifenacin add-on therapy included long LUTS duration, high IPSS, number of micturitions per 24 h, more urgency episodes, high urgency severity score in a voiding diary and high OAB V8 score. Based on multivariable analysis, potential predictive factors of solifenacin add-on therapy included long LUTS duration (OR = 1.008, 95% CI: 1.001-1.014), high serum PSA (OR = 1.543, 95% CI: 1.136-2.095) and small prostate size (OR = 0.970, 95% CI: 0.947-0.994) (p tamsulosin monotherapy. Two thirds of men with voiding and storage LUTS needed to add anticholinergics after 4 weeks of tamsulosin monotherapy. Patients with longer lasting symptoms and storage symptoms with small prostate volume may require the anticholinergic add-on. © 2014 John Wiley & Sons Ltd.

  19. Factors Associated with Therapeutic Efficacy of Intravesical OnabotulinumtoxinA Injection for Overactive Bladder Syndrome.

    Directory of Open Access Journals (Sweden)

    Sheng-Mou Hsiao

    Full Text Available To analyze the predictors of therapeutic efficacy after intravesical botulinum toxin A injection for overactive bladder syndrome (OAB refractory to antimuscarinic therapy.All consecutively OAB patients, who visited the urologic outpatient clinics of a medical center and refractory to antimuscarinic treatment, were prospectively enrolled. All enrolled patients received intravesical injection of 100 U onabotulinumtoxinA (Botox. The Global Response Assessment (GRA score ≥ 2 at 3 months after Botox injection was defined as a successful treatment, otherwise failed.Overall, 89 patients received intravesical injection. Eighty patients, including 42 men and 38 women, had received follow-up at 3 months. The overall success rate was 63.8%. The global response assessment, urgency severity score, urgency, urgency urinary incontinence and frequency episodes, and functional bladder capacity improved after treatment. However, post-void residual volume (PVR increased, and voiding efficiency (VE decreased after treatment. Female gender (odds ratio = 3.75 was the only independent factor associated with the success. Female gender (coefficient = 0.74, low baseline overactive bladder symptoms score (coefficient = -0.12 and the presence of OAB-wet (coefficient = 0.79 were independent factors associated with therapeutic efficacy (i.e., GRA score. VE (odds ratio = 0.062 was the only predictor for a large PVR at 3 months. The optimum cutoff value of VE was <87% with the area under the ROC curve being 0.64 (sensitivity = 63.8%, specificity = 57.1%.The therapeutic effects of Botox can persist till 6 months after treatment. Female gender, low overactive bladder symptoms score and OAB-wet are associated better therapeutic efficacy, and low baseline VE is associated with large PVR. These findings can serve as an initial guide or assist in consultation regarding the treatment of OAB patients with Botox injection.ClinicalTrials.gov NCT01657409.

  20. Bellanca building, Yellowknife : building envelope retrofit project

    Energy Technology Data Exchange (ETDEWEB)

    Rajewski, G. [A.D. Williams Engineering Inc., Edmonton, AB (Canada)

    2008-07-01

    The Bellanca building is a ten-story, commercial office building, located in Yellowknife, Northwest Territories. The owner was concerned about annual fuel consumption, relative to other buildings of similar size. Tenants reported cold drafts and some ice build-up had been reported in the past, on the exterior of the cladding. In addition, some water penetration had occurred during rainfall. This presentation provided background information on the Bellanca building and discussed a building envelope retrofit project. A.D. Williams was hired in late 2006 in order to provide an opinion on the present condition of the building envelope. This presentation described the site investigation and presented an interior and exterior review of the building. It also presented a thermographic survey in order to map thermal anomalies and establish trends. Following acceptance of the report on findings, one of five options was selected for further development. This included removal of existing cladding, exterior gypsum wallboard, fiberglass insulation and application of BASF Walltite CT foam, sheathing, rigid insulation, drainage plane and new cladding. The preliminary design was then presented. This paper also described the tender and award of the contract; construction phase; and substantial completion of the project. tabs, figs.

  1. Smart buildings: Energy efficient conditioning of building occupants

    NARCIS (Netherlands)

    Zeiler, W.; Houten, van M.A.; Boxem, G.; Vehler, R.; Verhoeven, M.; Fremouw, M.

    2009-01-01

    To further optimize energy performance of buildings, intelligent building control offers new possibilities. Intelligent Software Agents (ISA) can be implemented at different levels of building automation. Individual agents for individual climate control for each user of the building in combination

  2. Fundamentals and clinical perspective of urethral sphincter instability as a contributing factor in patients with lower urinary tract dysfunction--ICI-RS 2014.

    Science.gov (United States)

    Kirschner-Hermanns, Ruth; Anding, Ralf; Rosier, Peter; Birder, Lori; Andersson, Karl Erik; Djurhuus, Jens Christian

    2016-02-01

    Urethral pathophysiology is often neglected in discussions of bladder dysfunction. It has been debated whether "urethral sphincter instability," referred to based on observed "urethral pressure variations," is an important aspect of overactive bladder syndrome (OAB). The purpose of this report is to summarize current urethral pathophysiology evidence and outline directions for future research based on a literature review and discussions during the ICI-RS meeting in Bristol in 2014. Urethral pathophysiology with a focus on urethral pressure variation (UPV) was presented and discussed in a multidisciplinary think tank session at the ICI_R meeting in Bristol 2014. This think tank session was based on collaboration between physicians and basic science researchers. Experimental animal studies or studies performed in clinical series (predominantly symptomatic women) provided insights into UPV, but the findings were inconsistent and incomplete. However, UPV is certainly associated with lower urinary tract symptoms (likely OAB), and thus, future research on this topic is relevant. Future research based on adequately defined clinical (and urodynamic) parameters with precisely defined patient groups might shed better light on the cause of OAB symptoms. Further fundamental investigation of urethral epithelial-neural interactions via the release of mediators should enhance our knowledge and improve the management of patients with OAB. © 2016 The Authors. Neurourology and Urodynamics published by Wiley Periodicals, Inc.

  3. The Add-On Effect of Solifenacin for Patients with Remaining Overactive Bladder after Treatment with Tamsulosin for Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction

    Directory of Open Access Journals (Sweden)

    Naoya Masumori

    2010-01-01

    Full Text Available Objectives. To investigate the add-on effect of solifenacin for Japanese men with remaining overactive bladder (OAB symptoms after tamsulosin monotherapy for lower urinary tract symptoms (LUTS suggestive of benign prostatic obstruction (BPO in real-life clinical practice. Methods. Patients aged ≥ 50 having remaining OAB symptoms (≥ 3 of OAB symptom score (OABSS with ≥2 of urgency score after at least 4 weeks treatment by 0.2 mg of tamsulosin for BPO/LUTS received 2.5 or 5.0 mg of solifenacin for 12 weeks. The International Prostate Symptom Score (IPSS, QOL index and OABSS, maximum flow rate (Qmax and postvoid residual urine volume (PVR were determined. Results. A total of 48 patients (mean age 72.5 years completed the study. There were significant improvement in IPSS (15.1 to 11.2 and QOL index (4.2 to 3.0 by add-on of solifenacin. Although the IPSS storage symptom score was significantly improved, there were no changes observed in the IPSS voiding symptom score. The OABSS showed significant improvement (8.0 to 4.8. No changes were observed in Qmax and PVR. Conclusions. Under the supervision of an experienced urologist, the additional administration of solifenacin to patients with BPO/LUTS treated with tamsulosin, is effective in controlling remaining OAB symptoms.

  4. Fesoterodine for the treatment of urinary incontinence and overactive bladder

    Directory of Open Access Journals (Sweden)

    Pamela Ellsworth

    2009-11-01

    Full Text Available Pamela EllsworthThe Alpert School of Medicine at Brown University Providence, RI, USAAbstract: Overactive bladder (OAB is a highly prevalent condition, affecting males and females. The prevalence increases with age. Behavioral therapy and antimuscarinic therapy remain the first-line therapies for management of OAB. Despite improvements in symptoms, persistence with antimuscarinic therapy has remained low. Multiple factors including patient expectations, adverse effects and cost may affect persistence. Fesoterodine is one of the newest antimuscarinic agent approved for the management of OAB. It is unique in that it shares the same active metabolite as tolterodine, 5-hydoxymethyltolterodine (5-HMT; however, this conversion is established via ubiquitous esterases and not via the cytochrome P450 system, thus providing a faster and more efficient conversion to 5-HMT. Fesoterodine is available in 2 doses, 4 mg and 8 mg. Clinical trials have established a dose response relationship in efficacy parameters as well as improvements in quality of life. As with all antimuscarinics, dry mouth and constipation are the more common side effects. A combination of medical therapy and behavioral therapy improves the overall outcome in management of OAB. Dose flexibility may help improve efficacy outcomes and patient education on the management of common adverse effects may improve tolerability with these agents.Keywords: overactive bladder, antimuscarinic agent, esterase, 5-HMT, fesoterodine

  5. Danish building typologies and building stock analyses

    DEFF Research Database (Denmark)

    Wittchen, Kim Bjarne; Kragh, Jesper

    energy savings in residential buildings. The intension with this analysis was to investigate the possible energy reduction in Denmark if the same approach had been taken for the entire Danish building stock. The report concludes that the ZeroHome initiative clearly results in energy savings, but far from...... enough to meet the government’s plan to make Danish buildings free from use of fossil fuels by 2035. This will probably require around 50 % energy savings in the Danish building stock as a whole. However, the project has proven that dedicated engagement of locals can speed up market penetration...... for energy savings in the existing Building stock....

  6. Physiologically anaerobic microorganisms of the deep subsurface. Progress report, June 1, 1991--May 31, 1992

    Energy Technology Data Exchange (ETDEWEB)

    Stevens, S.E. Jr.; Chung, K.T.

    1992-06-01

    A variety of different media were used to isolate facultatively (FAB) and obligately anaerobic bacteria (OAB). These bacteria were isolated from core subsamples obtained from boreholes at the Idaho National Engineering Lab. (INEL) or at the Hanford Lab. (Yakima). Core material was sampled at various depths to 600 feet below the surface. All core samples with culturable bacteria contained at least FAB making thisthe most common physiological type of anaerobic bacteria present in the deep subsurface at these two sites. INEL core samples are characterized by isolates of both FAB and OAB. No isolates of acetogenic, methanogenic, or sulfate reducing bacteria were obtained. Yakima core samples are characterized by a marked predominance of FAB in comparison to OAB. In addition, isolates of acetogenic, methanogenic, and sulfate reducing bacteria were obtained. The Yakima site has the potential for complete anaerobic mineralization of organic compounds whereas this potential appears to be lacking at INEL.

  7. Physiologically anaerobic microorganisms of the deep subsurface

    Energy Technology Data Exchange (ETDEWEB)

    Stevens, S.E. Jr.; Chung, K.T.

    1992-06-01

    A variety of different media were used to isolate facultatively (FAB) and obligately anaerobic bacteria (OAB). These bacteria were isolated from core subsamples obtained from boreholes at the Idaho National Engineering Lab. (INEL) or at the Hanford Lab. (Yakima). Core material was sampled at various depths to 600 feet below the surface. All core samples with culturable bacteria contained at least FAB making thisthe most common physiological type of anaerobic bacteria present in the deep subsurface at these two sites. INEL core samples are characterized by isolates of both FAB and OAB. No isolates of acetogenic, methanogenic, or sulfate reducing bacteria were obtained. Yakima core samples are characterized by a marked predominance of FAB in comparison to OAB. In addition, isolates of acetogenic, methanogenic, and sulfate reducing bacteria were obtained. The Yakima site has the potential for complete anaerobic mineralization of organic compounds whereas this potential appears to be lacking at INEL.

  8. Percutaneous tibial nerve stimulation versus electrical stimulation with pelvic floor muscle training for overactive bladder syndrome in women: results of a randomized controlled study

    Directory of Open Access Journals (Sweden)

    Carlo Vecchioli Scaldazza

    Full Text Available ABSTRACT Introduction This study compared percutaneous tibial nerve stimulation (PTNS versus electrical stimulation with pelvic floor muscle training (ES + PFMT in women with overactive bladder syndrome (OAB. Materials and Methods 60 women with OAB were enrolled. Patients were randomized into two groups. In group A, women underwent ES with PFMT, in group B women underwent PTNS. Results A statistically significant reduction in the number of daily micturitions, episodes of nocturia and urge incontinence was found in the two groups but the difference was more substantial in women treated with PTNS; voided volume increased in both groups. Quality of life improved in both groups, whereas patient perception of urgency improved only in women treated with PTNS. Global impression of improvement revealed a greater satisfaction in patients treated with PTNS. Conclusion This study demonstrates the effectiveness of PTNS and ES with PFMT in women with OAB, but greater improvements were found with PTNS.

  9. Compliance with building energy regulations for new-build dwellings

    International Nuclear Information System (INIS)

    Pan, Wei; Garmston, Helen

    2012-01-01

    Despite increasingly stringent building energy regulations worldwide, non-compliance exists in practice. This paper examines the profile of compliance with building energy regulations for new-build dwellings. In total 404 new-build dwellings completed in the UK from 2006 to 2009 were investigated. Only a third of these dwellings were evidenced as being compliant with Building Regulations Part L (England and Wales). Such low compliance casts a serious concern over the achievability of the UK Government's target for all new-build homes to be ‘zero carbon’ from 2016. Clearly evidenced was a lack of knowledge of Part L and its compliance requirements among the supply and building control sides of new-build dwellings. The results also indicate that the compliance profile was influenced by factors including Standard Assessment Procedure (UK Government's methodology for energy efficiency) calculation submissions, learning and experience of builders and building controls with Part L, use of Part L1A checklist, the introduction of energy performance certificate (EPC), build method, dwelling type, and project size. Better compliance was associated with flats over houses and timber frame over masonry. The use of EPC and Part L1A checklist should be encouraged. Key to addressing the lack of compliance with building energy regulations is training. -- Highlights: ► There exists a lack of compliance, worldwide, with building energy regulations. ► The implementation of England and Wales building energy regulations is problematic. ► Training, learning and experience of builders and building control are critical. ► Energy performance certificate and Part L 2006 checklist helped achieve compliance. ► Flats achieved better compliance over houses; and timber frame over masonry.

  10. Solar energy in buildings solved by building information modeling

    Science.gov (United States)

    Chudikova, B.; Faltejsek, M.

    2018-03-01

    Building lead us to use renewable energy sources for all types of buildings. The use of solar energy is the alternatives that can be applied in a good ratio of space, price, and resultant benefits. Building Information Modelling is a modern and effective way of dealing with buildings with regard to all aspects of the life cycle. The basis is careful planning and simulation in the pre-investment phase, where it is possible to determine the effective result and influence the lifetime of the building and the cost of its operation. By simulating, analysing and insert a building model into its future environment where climate conditions and surrounding buildings play a role, it is possible to predict the usability of the solar energy and establish an ideal model. Solar systems also very affect the internal layout of buildings. Pre-investment phase analysis, with a view to future aspects, will ensure that the resulting building will be both low-energy and environmentally friendly.

  11. Building 2000

    International Nuclear Information System (INIS)

    Den Ouden, C.; Steemers, T.C.

    1992-01-01

    This is the first volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this first rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In a second volume, a similar series of studies is presented for the building categories: office buildings, public buildings and hotels and holiday complexes. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (15 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

  12. Building 2000

    Energy Technology Data Exchange (ETDEWEB)

    Den Ouden, C [EGM Engineering BV, Dordrecht (Netherlands); Steemers, T C [Commission of the European Communities, Brussels (Belgium)

    1992-01-01

    This is the first volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this first rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In a second volume, a similar series of studies is presented for the building categories: office buildings, public buildings and hotels and holiday complexes. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (15 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues.

  13. The sick-building syndrome; Das Sick-Building-Syndrom

    Energy Technology Data Exchange (ETDEWEB)

    Henne, A.; Neumann, H.F.; Winneke, G.

    1992-12-31

    The sick-building syndrome is characterized by the presence of general, non-specific symptoms (e.g., headache, tiredness, respiratory problems, eye trouble, vertigo, nausea, unspecific hypersensitivity) in association with a particular indoor ambience. It is clearly distinguishable from `building-related illness`, referring to a well-defined clinical syndrome due to staying in a building and for which a cause can, in general, be established. Disorders in the case of the sick-building syndrome are manifold and confirmed objectifiable results are hardly available so far. Yet there are some organ-related methods for the confirmation of findings concerning, for instance, the eyes, the skin and the area of the nose. The causes of the incidence of sick-building syndrome are more or less unclear. It is a multifactorial phenomenon involving physical, biological, chemical, individual-specific and psychological factors. Buildings where sick-building syndrome occurs typically exhibit certain properties. The European Community has already made proposals for the investigation of incriminated buildings. A systematic survey by questionnaire together with individual interviews plays an import part towards clarifying the syndrome. (orig./UWA) [Deutsch] Das Sick-Building-Syndrom beschreibt das Vorhandensein von allgemeinen, nicht spezifischen Symptomen (z.B. Kopfschmerzen, Muedigkeit, Atembeschwerden, Augenreizungen, Schwindelgefuehl, Uebelkeit, unspezifische Ueberempfindlichkeit), assoziiert mit einer besonderen Innenraumumgebung. Deutlich hiervon abzugrenzen ist die ``Building related illness``, bei der ein klinisch definiertes Krankheitsbild vorliegt, das durch den Aufenthalt im Gebaeude verursacht wird und fuer das im allgemeinen eine Ursache ermittelt werden kann. Das Beschwerdebild beim Sick-Building-Syndrom ist vielfaeltig, und gesicherte, objektivierbare Befunde liegen hierzu bisher kaum vor. Dennoch gibt es einige organbezogenen Methoden zur Befundabsicherung, z.B. fuer das

  14. Energy Efficiency, Building Productivity and the Commercial Buildings Market

    Energy Technology Data Exchange (ETDEWEB)

    Jones, D.W.

    2002-05-16

    The energy-efficiency gap literature suggests that building buyers are often short-sighted in their failure to apply life-cycle costing principles to energy efficient building technologies, with the result that under investment in these advanced technology occurs. This study examines the reasons this behavior may occur, by analyzing the pressures that market forces place on purchasers of buildings. Our basic conclusion is that the fundamental manner in which the buildings sector does business creates pressures to reduce initial capital outlays and to hedge against a variety of risks, including the ability of building owners to capture benefits from energy efficiency. Starting from the position that building buyers' willingness to pay drives choices over building attributes, we examine basic market principles, the structure of the buildings market, including the role of lenders, and policies that promote penetration of energy efficient technologies. We conclude that greater attention to buyers, and to the incentives and constraints they face, would promote a better understanding of building investment choices and contribute to better policies to promote the penetration of these technologies into markets.

  15. Irregular Shaped Building Design Optimization with Building Information Modelling

    Directory of Open Access Journals (Sweden)

    Lee Xia Sheng

    2016-01-01

    Full Text Available This research is to recognise the function of Building Information Modelling (BIM in design optimization for irregular shaped buildings. The study focuses on a conceptual irregular shaped “twisted” building design similar to some existing sculpture-like architectures. Form and function are the two most important aspects of new buildings, which are becoming more sophisticated as parts of equally sophisticated “systems” that we are living in. Nowadays, it is common to have irregular shaped or sculpture-like buildings which are very different when compared to regular buildings. Construction industry stakeholders are facing stiff challenges in many aspects such as buildability, cost effectiveness, delivery time and facility management when dealing with irregular shaped building projects. Building Information Modelling (BIM is being utilized to enable architects, engineers and constructors to gain improved visualization for irregular shaped buildings; this has a purpose of identifying critical issues before initiating physical construction work. In this study, three variations of design options differing in rotating angle: 30 degrees, 60 degrees and 90 degrees are created to conduct quantifiable comparisons. Discussions are focused on three major aspects including structural planning, usable building space, and structural constructability. This research concludes that Building Information Modelling is instrumental in facilitating design optimization for irregular shaped building. In the process of comparing different design variations, instead of just giving “yes or no” type of response, stakeholders can now easily visualize, evaluate and decide to achieve the right balance based on their own criteria. Therefore, construction project stakeholders are empowered with superior evaluation and decision making capability.

  16. A randomized, multicenter, controlled study, comparing efficacy and safety of a new complementary and alternative medicine (CAM) versus Solifenacin Succinate in women with overactive bladder syndrome.

    Science.gov (United States)

    Vecchioli-Scaldazza, Carlo; Morosetti, Carolina; Maruccia, Serena; Casellato, Stefano; Rociola, Wilma; Illiano, Ester; Garofalo, Francesco

    2017-12-31

    To assess efficacy and tolerability of a new complementary and alternative medicine (CAM) consisting of vitamins (C and D), herbal products (cucurbita maxima, capsicum annum, polygonum capsicatum) and amino acid L-Glutammina, in the treatment of female Overactive Bladder syndrome (OAB). 90 consecutive women with OAB symptoms were enrolled in this prospective, randomized, controlled study. Women were divided randomly into two groups of 45 patients each. In group A, women received Solifenacin Succinate (SS), 5 mg. once a day for 12 weeks. In group B, women received CAM, 930 mg, twice daily for 12 weeks. Women were assessed with 3-day micturition diary, Patient Perception of Intensity of Urgency Scale (PPIUS), Overactive Bladder questionnaire Short Form (OAB-q SF) and Patient Global Impression of Improvement questionnaire (PGI-I). 8 patients in group A and 1 patient in group B dropped out from therapy because of side effects. A reduction in the number of daily micturitions, nocturia and episodes of urge incontinence was present with both SS and CAM with statistically highly significant differences, but CAM was significantly more effective than SS. PPIUS and OAB-q SF showed improvements with both SS and CAM with a more significant efficacy of CAM. PGI-I, demonstrated improvements in the two groups of patients with a greater satisfaction expressed by patients treated with CAM. the small number of patients does not permit definitive conclusions; however, the results of the research showed the greater effectiveness and tolerability of CAM.

  17. Acupuncture for adults with overactive bladder

    Science.gov (United States)

    Zhao, Yuwei; Zhou, Jing; Mo, Qian; Wang, Yang; Yu, Jinna; Liu, Zhishun

    2018-01-01

    Abstract Background: Overactive bladder is stated as the occurrence of urinary urgency which will cause negative impacts and decrease patients’ health-related quality of life. The aim of this systematic review is to assess the efficiency and safety of acupuncture for adults with overactive bladder (OAB) comparing with sham-acupuncture, drugs, and acupuncture plus drugs. Methods: We independently searched 9 databases from beginning to August 15, 2017. Two writers extracted data at the same time independently. Study outcomes were calculated by standardized mean differences (SMD) with 95% confidence intervals (CIs) and mean difference (MD) with 95% CIs. Results: Ten randomized controlled trials (RCTs) with 794 patients were included in this systematic review. The combined results showed that electroacupuncture (EA) may be more effective than sham electroacupuncture (sham EA) in improving the 24-hour nocturia episodes and EA may enhance tolterodine for relieving voiding symptoms and enhancing patients’ quality of life. However, more trials with high quality and larger sample sizes will be needed in the future to provide sufficient evidence. Only 15 of 794 OAB patients from the included studies reported mild adverse reactions related to EA, therefore, acupuncture is safe for treating OAB. Conclusion: Acupuncture might have effect in decreasing the number of micturition episodes, incontinence episodes, and nocturia episodes. However, the evidence is insufficient to show the effect using acupuncture alone or the additional effect to drugs in treating OAB. PMID:29465566

  18. Danish building typologies

    DEFF Research Database (Denmark)

    Wittchen, Kim Bjarne; Kragh, Jesper

    The objective of TABULA is to develop a harmonised building typology for European countries. Each national building typology will consist of a set of residential model buildings with characteristic energy-related properties (element areas of the thermal building envelope, U-values, supply system...... efficiencies). The model buildings will each represent a specific construction period of the country in question and a specific building size. Furthermore the number of buildings, flats and the overall floor areas will be given, which are represented by the different building types of the national typologies....

  19. Estimated Budget Impact of Increased Use of Mirabegron, A Novel Treatment for Overactive Bladder.

    Science.gov (United States)

    Perk, Sinem; Wielage, Ronald C; Campbell, Noll L; Klein, Timothy M; Perkins, Anthony; Posta, Linda M; Yuran, Thomas; Klein, Robert W; Ng, Daniel B

    2016-09-01

    avoided events were predicted as 452 UTIs, 2,598 depression diagnoses, and 3,020 skin rashes during the time horizon of the model. Mirabegron addresses an unmet need for therapy for certain OAB patients, for whom antimuscarinics are not recommended because of a risk of cognitive impairment and who are intolerant to the anticholinergic AEs. Using mirabegron involves moderate additional economic cost to a commercial or Medicare Advantage health plan for which medical cost savings can offset a substantial part of increased pharmacy costs. Funding for this study was provided by Astellas. Perk, Wielage, T. Klein, and R. Klein are employed by Medical Decision Modeling, a contract research company that was paid to perform the described outcomes research and build the model contained in this study. Campbell and Perkins are employed by the Regenstrief Institute, which conducted a database analysis for this research. Campbell reports consultancy fees from Astellas, as well as pending grants from Merck, Sharpe, and Dohme Corp. Posta, Yuran, and Ng are employed by Astellas Pharma Global Development, the developer of mirabegron. Study concept and design were contributed by Perk, Wielage, R. Klein, and Ng. Campbell, T. Klein, and Perkins took the lead in data collection, assisted by Perk, Wielage, and Ng. Data interpretation was performed by Posta and Yuran, along with Perk, Wielage, R. Klein, Ng, Campbell, and Perkins. The manuscript was written by Perk and R. Klein, along with Wielage, T. Klein, Posta, Yuran, and Ng, and revised by all the authors.

  20. BREEAM [Building Research Establishment Environmental Assessment Method] BRE [Building Research Establishment] assessment method for buildings

    International Nuclear Information System (INIS)

    Baldwin, R.

    1994-01-01

    Buildings account for a large share of environmental impacts in their construction, use, and demolition. In western Europe, buildings account for ca 50% of primary energy use (hence CO 2 output), far outweighing the contribution of the transport and industrial sectors. Other impacts from building energy use include the use of chemicals such as chlorofluorocarbons for cooling. In the United Kingdom, the Building Research Establishment (BRE) has developed a certificate system for environmental labelling of buildings so that the performance of the building against a set of defined environmental criteria can be made visible to clients. This system thus rewards positive actions to improve the environmental performance of buildings and assists in marketing to an environmentally aware clientele. Issues included in assessments for awarding the certificate are addressed under three main headings: global issues and use of resources, local issues, and indoor issues. Global issues include ozone depletion and CO 2 emissions; local issues include public health and water conservation; and indoor issues include air quality and lighting. 8 refs., 1 tab

  1. Building 2000

    International Nuclear Information System (INIS)

    Den Ouden, C.; Steemers, T.C.

    1992-01-01

    This is the second volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this second rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In the first volume, a similar series of studies is presented for the building categories: schools, laboratories and universities, and sports and educational centres. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (11 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues

  2. Building 2000

    Energy Technology Data Exchange (ETDEWEB)

    Den Ouden, C [EGM Engineering BV, Dordrecht (Netherlands); Steemers, T C [Commission of the European Communities, Brussels (Belgium)

    1992-01-01

    This is the second volume of Building 2000, a pilot project of the Commission's R and D-programme 'Solar Energy Applications to Buildings' with the purpose of encouraging the adoption of solar architecture in large buildings. In this second rich illustrated volume the results of the design studies illustrating passive solar architecture in buildings in the European Community are presented in particular for the building categories as mentioned in the subtitle. In the first volume, a similar series of studies is presented for the building categories: schools, laboratories and universities, and sports and educational centres. Several Design Support Workshops were organized during the Building 2000 programme during which Building 2000 design teams could directly exchange ideas with the various design advice experts represented at these workshops. In the second part of the Building 2000 final report a summary of a selection of many reports is presented (11 papers), as produced by Design Support experts. Most of the design support activities resulted in changes of the various designs, as have been reported by the design teams in the brochures presented in the first part of this book. It is to be expected that design aids and simulation tools for passive solar options, daylighting concepts, comfort criteria etc., will be utilized more frequently in the future. This will result in a better exchange of information between the actual design practitioners and the European R and D community. This technology transfer will result in buildings with a higher quality with respect to energy and environmental issues.

  3. The effect of extended release tolterodine used for overactive bladder treatment on female sexual function

    Directory of Open Access Journals (Sweden)

    Athanasios Zachariou

    Full Text Available ABSTRACT Introduction Overactive bladder (OAB is a common condition, especially in middle aged women, requiring long term therapy with anticholinergics to maintain symptoms relief. The aim of the study was to determine the effect of tolterodine extended release (ER used for OAB treatment on the sexual function of women. Materials and Methods Between August 2010 and August 2014, 220 women with confirmed OAB, attended Urogynecology Outpatient Clinic and were prospectively enrolled in this study. 158 women were evaluated, with a comprehensive history, physical examination, urodynamic studies and Female Sexual Function Index (FSFI questionnaire. 73 patients of group A (control group received no treatment and 85 patients of group B received an anticholinergic regimen – tolterodine ER 4mg once daily. Data were evaluated again in accordance with FSFI after three months, using SPSS software. Results A statistically significant increase was noted in group B in domains of desire (pre-treatment 2.5±0.2 to 4.5±0.2 post-treatment, arousal (3.1±0.2 to 3.1±0.2 respectively, lubrication (3.4±0.3 to 4.3±0.3 respectively, orgasm (3.5±0.3 to 4.5±0.3 respectively, satisfaction (2.6±0.2 to 4.2±0.3 respectively and pain (2.4±0.2 to 4.6±0.4 respectively after three months treatment with tolterodine ER. In group A there were no statistically significant changes in pre and post treatment values (p>0.05. Total FSFI score for group B was significantly higher after tolterodine treatment (26.5±1.5 compared to pre-treatment values (17.4±1.4, p0,05 respectively. Conclusions This preliminary study demonstrates that treatment of OAB with tolterodine ER was found to have positive effect on sexual function of patients with OAB.

  4. Building founding method

    International Nuclear Information System (INIS)

    Tateno, Seiya; Hirako, Shizuka.

    1996-01-01

    The lower portion of a reactor building is buried at a level of a base rock. In the step of building construction, the base rock around the building is dug of keeping a construction space. The base rock present between the digging line and the building is replaced with an artificial base rock comprising aggregates and cement having a building constraining force substantially equal with that of the lower supporting base rock to obtain constraining force for the side portion of the building. The building itself is made of concrete steels. As the material for replacing the base rock between the digging line and the building, non-reinforced concrete having no steels may provide sufficient function. The burying depth is determined so as to align the surface of the base rock with the level of the base floor of the building. With such procedures, since it is not necessary to increase the area of the lower portion of the building, the amount of the materials for the building can be reduced. In addition, the earthquakes stability can be ensured without changing the shape of the building. (I.N.)

  5. Integrating Responsive Building Elements in Buildings

    DEFF Research Database (Denmark)

    Haase, Matthias; Amato, Alex; Heiselberg, Per

    2006-01-01

    energy strategies to develop guidelines and procedures for estimation of environmental performance of responsive building elements and integrated building concepts This paper introduces the ideas of this collaborative work and discusses its usefulness for Hong Kong and China. Special focus was put...

  6. Global building physics

    DEFF Research Database (Denmark)

    Rode, Carsten

    2013-01-01

    High ambitions are set for the building physics performance of buildings today. No single technology can achieve fulfilment of these ambitions alone. Integrated, multi-facetted solutions and optimization are necessary. A holistic, or ‘global’, technological perspective is needed, which includes all...... aspects of the building as defined in building engineering. We live in an international society and building solutions are developed across country borders. Building physics is a global theme. The International Association of Building Physics has global appeal. This brief article reports the keynote...

  7. Global Building Physics

    DEFF Research Database (Denmark)

    Rode, Carsten

    2012-01-01

    High ambitions are set for the building physics performance of buildings today. No single technology can achieve fulfilment of these ambitions alone. Integrated, multi-facetted solutions and optimization are necessary. A holistic, or “global”, technological perspective is needed, which includes all...... aspects of the building as defined in building engineering. We live in an international society and building solutions are developed across country borders. Building physics is a global theme. The International Association of Building Physics has global appeal. The keynote lecture and this brief paper...

  8. Significance of Building Maintenance Management on Life-Span of Buildings

    Directory of Open Access Journals (Sweden)

    Md Azree Othuman Mydin

    2017-06-01

    Full Text Available The attentions and skills of maintenance are required for the construction of buildings in this twenty-first century. Because much architectural education is still focused on the one-of-a-kind assignment, encouraging the notion of personal fulfillment through leaving a mark for off-springs and obtaining a design award by means of concept drawings. Due to the reason that many building designers (architects, engineers, technicians are not encompassed in the subsequent maintenance of the building, they just regard it as other specialists’ responsibilities. In all likelihood, the building user-to-be has no formal role: the building contractors just fulfill their accountabilities to complete the building in compliance with the contract documents, not to care occupier’s needs and wants. This paper will focus on the important of building maintenance management on the life-span of buildings.

  9. Building Languages

    Science.gov (United States)

    ... Glossary Contact Information Information For… Media Policy Makers Building Languages Recommend on Facebook Tweet Share Compartir Communicating ... any speech and only very loud sounds. Close × “Building Blocks” “Building Blocks” refers to the different skills ...

  10. ORGANIZATIONAL STRUCTURE FOR BUILDINGS RECONSTRUCTION OF HISTORICAL BUILDING OF ODESSA

    Directory of Open Access Journals (Sweden)

    POSTERNAK I. М.

    2016-12-01

    Full Text Available Formulation of the problem. As one of perspective forms of integration various complexes act in town-planning structure. In the course of formation of plans of social and economic development of large cities even more often there is a situation when for increase of efficiency of used resources concentration of efforts is necessary not simply, but also new progressive forms of the organization of building manufacture. Purpose. To offer the organizational structure using in practice the saved up scientific and technical potential for reconstruction of buildings of historical building of Odessa 1820 … 1920 years under standards power efficiency and to execute researches engineering architectonics residential buildings of historical building of a city of Odessa. Conclusion. It is offered to create in the city of Odessa "the Corporate scientific and technical complex town-planning power reconstruction "CSTC T-PPR", as innovative organizational structure which uses in practice the saved up scientific and technical potential for reconstruction of buildings of historical building of Odessa under standards power efficiency. It is considered engineering architectonics residential buildings of historical building of a city of Odessa, in particular, not looking on diverse buildings of inhabited appointment of Odessa, for them there are defining factors on which probably to make their grouping and at the same time to allocate the general lines inherent to a housing estate as a whole. It is resulted a general characteristic and classification of residential buildings of historical building of a city of Odessa ХІХ … beginnings ХХ centuries It is allocated and expanded classification of such buildings of inhabited appointment by duration of residing at them.

  11. ORGANIZATIONAL STRUCTURE FOR RECONSTRUCTION OF BUILDINGS HISTORICAL BUILDING OF ODESSA

    Directory of Open Access Journals (Sweden)

    POSTERNAK I. М.

    2017-05-01

    Full Text Available Summary. Raising of problem. As one of perspective forms of integration various complexes act in town- planning structure. In the course of formation of plans of social and economic development of large cities even more often there is a situation when for increase of efficiency of used resources concentration of efforts is necessary not simply, but also new progressive forms of the organization of building manufacture. Purpose. To offer the organizational structure using in practice the saved up scientific and technical potential for reconstruction of buildings of historical building of Odessa 1820 … 1920 years under standards power efficiency and to execute researches engineering architectonics residential buildings of historical building of a city of Odessa. Conclusion. It is offered to create in the city of Odessa "the Corporate scientific and technical complex town-planning power reconstruction "CSTC T-PPR", as innovative organizational structure which uses in practice the saved up scientific and technical potential for reconstruction of buildings of historical building of Odessa under standards power efficiency. It is considered engineering architectonics residential buildings of historical building of a city of Odessa, in particular, not looking on diverse buildings of inhabited appointment of Odessa, for them there are defining factors on which probably to make their grouping and at the same time to allocate the general lines inherent to a housing estate as a whole. It is resulted a general characteristic and classification of residential buildings of historical building of a city of Odessa ХІХ beginnings ХХ centuries It is allocated and expanded classification of such buildings of inhabited appointment by duration of residing at them.

  12. Reactor building

    International Nuclear Information System (INIS)

    Ebata, Sakae.

    1990-01-01

    At least one valve rack is disposed in a reactor building, on which pipeways to a main closure valve, valves and bypasses of turbines are placed and contained. The valve rack is fixed to the main body of the building or to a base mat. Since the reactor building is designed as class A earthquake-proofness and for maintaining the S 1 function, the valve rack can be fixed to the building main body or to the base mat. With such a constitution, the portions for maintaining the S 1 function are concentrated to the reactor building. As a result, the dispersion of structures of earthquake-proof portion corresponding to the reference earthquake vibration S 1 can be prevented. Accordingly, the conditions for the earthquake-proof design of the turbine building and the turbine/electric generator supporting rack are defined as only the class B earthquake-proof design conditions. In view of the above, the amount of building materials can be saved and the time for construction can be shortened. (I.S.)

  13. Building integrated photovoltaics

    NARCIS (Netherlands)

    Ritzen, M.J.; Vroon, Z.A.E.P.; Geurts, C.P.W.; Reinders, Angèle; Verlinden, Pierre; Sark, Wilfried; Freundlich, Alexandre

    2017-01-01

    Photovoltaic (PV) installations can be realized in different situations and on different scales, such as at a building level. PV installations at the building level can either be added to the building envelope, which is called building added PV (BAPV), or they can be integrated into the building

  14. Better Buildings Neighborhood Program: BetterBuildings Lowell Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Heslin, Thomas

    2014-01-31

    The City of Lowell set four goals at the beginning of the Better Buildings Neighborhood Program: 1. Improve the Downtown Historic Park District’s Carbon Footprint 2. Develop a sustainable and replicable model for energy efficiency in historic buildings 3. Create and retain jobs 4. Promote multi-stakeholder partnerships The City of Lowell, MA was awarded $5 million in May 2010 to conduct energy efficiency retrofits within the downtown National Historical Park (NHP). The City’s target was to complete retrofits in 200,000 square feet of commercial space and create 280 jobs, while adhering to the strict historical preservation regulations that govern the NHP. The development of a model for energy efficiency in historic buildings was successfully accomplished. BetterBuildings Lowell’s success in energy efficiency in historic buildings was due to the simplicity of the program. We relied strongly on the replacement of antiquated HVAC systems and air sealing and a handful of talented energy auditors and contractors. BetterBuildings Lowell was unique for the Better Buildings Neighborhood Program because it was the only program that focused solely on commercial properties. BetterBuildings Lowell did target multi-family properties, which were reported as commercial, but the majority of the building types and uses were commercial. Property types targeted were restaurants, office buildings, museums, sections of larger buildings, mixed use buildings, and multifamily buildings. This unique fabric of building type and use allows for a deeper understanding to how different properties use energy. Because of the National Historical Park designation of downtown Lowell, being able to implement energy efficiency projects within a highly regulated historical district also provided valuable research and precedent proving energy efficiency projects can be successfully completed in historical districts and historical buildings. Our program was very successful in working with the local

  15. Building Maintenance in Old Buildings Conservation Approach: An Overview of Related Problems

    Directory of Open Access Journals (Sweden)

    Brit Kayan

    2006-12-01

    Full Text Available Building maintenance in conservation of old buildings is one of the approaches applied within the built environment of Malaysia. For instance, it is realised that these old buildings contribute an important significance to our nation's priceless heritage and unique historical development. However, most of these buildings' maintenance is influenced by related problems that affect the overall building conservation approach. Therefore, these old buildings face problems which greatly affect their overall condition and performance: building structure; building appearance and aesthetic; building materials and building character. In most critical situations, there is a greater possibility that we could lose the cultural significance and heritage values of these old buildings through ignoring the related problems. This paper tries to identify the related problems, reveal the findings and discuss suitable approaches to conserving these old buildings.

  16. Courthouse Prototype Building

    Energy Technology Data Exchange (ETDEWEB)

    Malhotra, Mini [ORNL; New, Joshua Ryan [ORNL; Im, Piljae [ORNL

    2018-02-01

    As part of DOE's support of ANSI/ASHRAE/IES Standard 90.1 and IECC, researchers at Pacific Northwest National Laboratory (PNNL) apply a suite of prototype buildings covering 80% of the commercial building floor area in the U.S. for new construction. Efforts have started on expanding the prototype building suite to cover 90% of the commercial building floor area in the U.S., by developing prototype models for additional building types including place of worship, public order and safety, public assembly. Courthouse is courthouse is a sub-category under the “Public Order and Safety" building type category; other sub-categories include police station, fire station, and jail, reformatory or penitentiary.ORNL used building design guides, databases, and documented courthouse projects, supplemented by personal communication with courthouse facility planning and design experts, to systematically conduct research on the courthouse building and system characteristics. This report documents the research conducted for the courthouse building type and proposes building and system characteristics for developing a prototype building energy model to be included in the Commercial Building Prototype Model suite. According to the 2012 CBECS, courthouses occupy a total of 436 million sqft of floor space or 0.5% of the total floor space in all commercial buildings in the US, next to fast food (0.35%), grocery store or food market (0.88%), and restaurant or cafeteria (1.2%) building types currently included in the Commercial Prototype Building Model suite. Considering aggregated average, courthouse falls among the larger with a mean floor area of 69,400 sqft smaller fuel consumption intensity building types and an average of 94.7 kBtu/sqft compared to 77.8 kBtu/sqft for office and 80 kBtu/sqft for all commercial buildings.Courthouses range in size from 1000 sqft to over a million square foot building gross square feet and 1 courtroom to over 100 courtrooms. Small courthouses

  17. ImBuild: Impact of building energy efficiency programs

    Energy Technology Data Exchange (ETDEWEB)

    Scott, M.J.; Hostick, D.J.; Belzer, D.B.

    1998-04-01

    As part of measuring the impact of government programs on improving the energy efficiency of the Nation`s building stock, the Department of Energy Office of Building Technology, State and Community Programs (BTS) is interested in assessing the economic impacts of its portfolio of programs, specifically the potential impact on national employment and income. The special-purpose version of the IMPLAN model used in this study is called ImBuild. In comparison with simple economic multiplier approaches, such as Department of Commerce RIMS 2 system, ImBuild allows for more complete and automated analysis of the economic impacts of energy efficiency investments in buildings. ImBuild is also easier to use than existing macroeconomic simulation models. The authors conducted an analysis of three sample BTS energy programs: the residential generator-absorber heat exchange gas heat pump (GAX heat pump), the low power sulfur lamp (LPSL) in residential and commercial applications, and the Building America program. The GAX heat pump would address the market for the high-efficiency residential combined heating and cooling systems. The LPSL would replace some highly efficient fluorescent commercial lighting. Building America seeks to improve the energy efficiency of new factory-built, modular, manufactured, and small-volume, site-built homes through use of systems engineering concepts and early incorporation of new products and processes, and by increasing the demand for more energy-efficient homes. The authors analyze a scenario for market penetration of each of these technologies devised for BTS programs reported in the BTS GPRA Metrics Estimates, FY99 Budget Request, December 19, 1997. 46 figs., 4 tabs.

  18. Environmental effect of structural solutions and building materials to a building

    International Nuclear Information System (INIS)

    Haapio, Appu; Viitaniemi, Pertti

    2008-01-01

    The field of building environmental assessment tools has become a popular research area over the past decade. However, how the service life of a building affects the results of the environmental assessment of a building has not been emphasised previously. The aim of this study is to analyse how different structural solutions and building materials affect the results of the environmental assessment of a whole building over the building's life cycle. Furthermore, how the length of the building's service life affects the results is analysed. The environmental assessments of 78 single-family houses were calculated for this study. The buildings have different wall insulations, claddings, window frames, and roof materials, and the length of the service life varies from 60 years up to 160 years. The current situation and the future of the environmental assessment of buildings are discussed. In addition, topics for further research are suggested; for example, how workmanship affects the service life and the environmental impact of a building should be studied

  19. Solar building

    OpenAIRE

    Zhang, Luxin

    2014-01-01

    In my thesis I describe the utilization of solar energy and solar energy with building integration. In introduction it is also mentioned how the solar building works, trying to make more people understand and accept the solar building. The thesis introduces different types of solar heat collectors. I compared the difference two operation modes of solar water heating system and created examples of solar water system selection. I also introduced other solar building applications. It is conv...

  20. Building envelope

    CSIR Research Space (South Africa)

    Gibberd, Jeremy T

    2009-01-01

    Full Text Available for use in the building. This is done through photovoltaic and solar water heating panels and wind turbines. Ideally these are integrated in the design of the building envelope to improve the aesthetic quality of the building and minimise material... are naturally ventilated. Renewable energy The building envelope includes renewable energy generation such as photovoltaics, wind turbines and solar water heaters and 10% of the building’s energy requirements are generated from these sources. Views All...

  1. The relationship between overactive bladder and sexual activity in women

    Directory of Open Access Journals (Sweden)

    Patel Ankur S.

    2006-01-01

    Full Text Available PURPOSE: We assessed the relationships between bladder symptoms, demographic, and medical history variables and sexual dysfunction in women with overactive bladder (OAB disorder. MATERIALS AND METHODS: Seventy-eight women diagnosed with OAB completed self-administered questionnaires related to overall heath status, bladder function, and sexual function. Data were compiled for questionnaire responses, and multivariate logistic regression analyses were performed to determine predictors of sexual dysfunction. RESULTS: Bothersome bladder symptoms were reported by superscript three 60% of the sample. Sixty-percent of the sample was sexually active in the past month. Difficulty with sexual arousal, orgasm, and sexual enjoyment were reported by about 25% of the women. Sexual partner status was the best predictor of sexual arousal, orgasm, and sexual enjoyment. Menopausal status emerged as an important predictor of arousal and sexual enjoyment. CONCLUSION: The majority of women with symptoms of OAB viewed these symptoms as bothersome. However, the extent of symptom bother did not predict aspects of female sexual dysfunction (FSD. Instead, menopausal and partner status emerged as the best predictors of FSD in our sample.

  2. Hydrogen generation from deliquescence of ammonia borane using Ni-Co/r-GO catalyst

    Science.gov (United States)

    Chou, Chang-Chen; Chen, Bing-Hung

    2015-10-01

    Hydrogen generation from the catalyzed deliquescence/hydrolysis of ammonia borane (AB) using the Ni-Co catalyst supported on the graphene oxide (Ni-Co/r-GO catalyst) under the conditions of limited water supply was studied with the molar feed ratio of water to ammonia borane (denoted as H2O/AB) at 2.02, 3.97 and 5.93, respectively. The conversion efficiency of ammonia borane to hydrogen was estimated both from the cumulative volume of the hydrogen gas generated and the conversion of boron chemistry in the hydrolysates analyzed by the solid-state 11B NMR. The conversion efficiency of ammonia borane could reach nearly 100% under excess water dosage, that is, H2O/AB = 3.97 and 5.93. Notably, the hydrogen storage capacity could reach as high as 6.5 wt.% in the case with H2O/AB = 2.02. The hydrolysates of ammonia borane in the presence of Ni-Co/r-GO catalyst were mainly the mixture of boric acid and metaborate according to XRD, FT-IR and solid-state 11B NMR analyses.

  3. Challenges in Commercial Buildings | Buildings | NREL

    Science.gov (United States)

    systems Assessing the energy and economic impacts of various technologies, giving priority to those that standardized language for commercial building energy audit data that can be used by software developers to exchange data between audit tools, and can be required by building owners and audit program managers to

  4. Building energy analysis tool

    Science.gov (United States)

    Brackney, Larry; Parker, Andrew; Long, Nicholas; Metzger, Ian; Dean, Jesse; Lisell, Lars

    2016-04-12

    A building energy analysis system includes a building component library configured to store a plurality of building components, a modeling tool configured to access the building component library and create a building model of a building under analysis using building spatial data and using selected building components of the plurality of building components stored in the building component library, a building analysis engine configured to operate the building model and generate a baseline energy model of the building under analysis and further configured to apply one or more energy conservation measures to the baseline energy model in order to generate one or more corresponding optimized energy models, and a recommendation tool configured to assess the one or more optimized energy models against the baseline energy model and generate recommendations for substitute building components or modifications.

  5. Sustainable Building Operation

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole

    2009-01-01

    of sustainable building operation and a survey amongst building administrators from the private and the social housing sector. Our results show that there are many good examples on sustainable building operation in Danish housing estates, where local building managers, residents etc. have gained impressive......Energy-savings in the existing building stock have becomes a main goal in national and international policies. Often focus is on building-renovations, whereas the potential of sustainable building operation to a large extent has been neglected. Nevertheless, international research as well...... as practical experiences from Danish housing estates indicates that there are large potentials for energy savings by focusing on the operation of the buildings. We suggest that in order to achieve sustainability in the existing housing, renovation and operations should be seen as integrated parts...

  6. Sick building syndrome

    Directory of Open Access Journals (Sweden)

    Tjandra Y. Aditama

    2002-06-01

    Full Text Available Sick building syndrome describes a number of mostly unspesific complaints of some occupants of the building. The exact pathophysiological mechanism remains elusive. It is a multi factorial event which may include physical, chemical, biological as well as psycological factors. In many cases it is due to insufficient maintenance of the HVAC (heating, ventilation, air conditioning system in the building. Sign and symptoms can be uncomfortable and even disabling, which may include mucus membrane irritation, neurotoxic symptoms, asthma like symptoms, skin complaints, gastrointestinal symptoms and other related symptoms. There are various investigation methods to diagnose sick building syndrome, and on site assessment of the building is extremely useful. Prevention through a proactive air quality monitoring program is far more desirable than dealing with an actual sick building. Indoor air and the sick building symdrome serves as a paradigm of modern occupational and environmental medicine. (Med J Indones 2002; 11:124-31Keywords: indoor air pollution, sick building syndrome, building related illness

  7. Applied building physics

    CERN Document Server

    Hens, Hugo S L C

    2012-01-01

    The energy crises of the 1970s, persisting moisture problems, complaints about sick buildings, thermal, visual and olfactory discomfort, and the move towards more sustainability in building construction have pushed Building Physics to the forefront of building innovation. The societal pressure to diminish energy consumption in buildings without impairing usability acted as a trigger to activate the whole notion of performance based design and construction. As with all engineering sciences, Building Physics is oriented towards application, which is why, after a first book on fundamentals this s

  8. Assessment Framework of Building Facade in Optimizing Indoor Thermal Comfort of Green Building Index (GBI Certified Office Building

    Directory of Open Access Journals (Sweden)

    Abdul Tharim Asniza Hamimi

    2016-01-01

    Full Text Available During the past decade, the construction industry has seen a new trend in the development of “green” or “sustainable” construction concept around the world with vast support from prominent organization, together with the introduction of sustainable building codes. The establishment of green building certification systems worldwide is seen as one of the most efforts in the emerging green building movement. In order to support the development of the “green” and “sustainable” concept in Malaysia, Green Building Index (GBI was launched by the government on 21 May 2009 that created to promote sustainability in the built environment and raise awareness of environmental issues. However, the construction industry seems to have focused only on findings the “right mechanism” for an environmentally sustainable “final result” in order for the building to be certified as green with the lacking of continuous assessment on the building performance after the certifications. This study is purposely conducted to investigate the performance of various rated Green Building Index (GBI Non-Residential New Construction office buildings and the influence on Indoor Thermal Comfort (ITC of the selected buildings. The aim is to develop an assessment framework for optimum green building architectural façade to be used for office buildings in Malaysia as well as to analyse the occupants’ perception, satisfaction and performance in the selected Green Building Index (GBI rated office indoor environment. This research is still in its infancy; therefore the paper is focused on research aims, research scope and methodology, and expected deliverables for the proposed research.

  9. Building Performance Simulation for Sustainable Energy Use in Buildings

    NARCIS (Netherlands)

    Hensen, J.L.M.

    2010-01-01

    This paper aims to provide a general view of the background and current state of building performance simulation, which has the potential to deliver, directly or indirectly, substantial benefits to building stakeholders and to the environment. However the building simulation community faces many

  10. Building performance simulation for sustainable building design and operation

    NARCIS (Netherlands)

    Hensen, J.L.M.

    2011-01-01

    This paper aims to provide a general view of the background and current state of building performance simulation, which has the potential to deliver, directly or indirectly, substantial benefits to building stakeholders and to the environment. However the building simulation community faces many

  11. 49 CFR 41.110 - New DOT owned buildings and additions to buildings.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false New DOT owned buildings and additions to buildings....110 New DOT owned buildings and additions to buildings. (a) DOT Operating Administrations responsible for the design and construction of new DOT Federally owned buildings will ensure that each building is...

  12. Virtual building environments (VBE) - Applying information modeling to buildings

    Energy Technology Data Exchange (ETDEWEB)

    Bazjanac, Vladimir

    2004-06-21

    A Virtual Building Environment (VBE) is a ''place'' where building industry project staffs can get help in creating Building Information Models (BIM) and in the use of virtual buildings. It consists of a group of industry software that is operated by industry experts who are also experts in the use of that software. The purpose of a VBE is to facilitate expert use of appropriate software applications in conjunction with each other to efficiently support multidisciplinary work. This paper defines BIM and virtual buildings, and describes VBE objectives, set-up and characteristics of operation. It informs about the VBE Initiative and the benefits from a couple of early VBE projects.

  13. Safety, Efficacy, and Persistence of Long-Term Mirabegron Treatment for Overactive Bladder in the Daily Clinical Setting: Interim (1-Year) Report from a Japanese Post-Marketing Surveillance Study.

    Science.gov (United States)

    Kato, Daisuke; Tabuchi, Hiromi; Uno, Satoshi

    2017-08-01

    To report interim 1-year results from a 3-year surveillance study evaluating safety, efficacy, and persistence of long-term mirabegron for overactive bladder (OAB). Patients starting treatment with mirabegron for urinary urgency, daytime frequency, and urgency incontinence associated with OAB were registered and followed up for 3 years. Data were collected on adverse drug reactions (ADR), changes in OAB symptoms, changes in Overactive Bladder Symptom Score (OABSS), and treatment discontinuations. Treatment persistence rates were calculated by Kaplan-Meier analysis. Eighty-one ADR were observed in 72/1139 patients (6.3%) through 1 year of mirabegron treatment, with the incidence highest during the first month. No significant change in residual urine volume was observed at any observation point up to 1 year of mirabegron treatment. Mirabegron was deemed "effective" in 883/1091 patients (80.9%) at 1 year/discontinuation. Total OABSS was decreased with statistical significance at 3 months, 6 months, and 1 year, or at discontinuation (P similar for male and female patients but significantly higher for patients aged ≥65 years (67.3%; n = 908) compared with those aged <65 years (59.8%; n = 231; log-rank test: P = 0.032). Long-term OAB treatment with mirabegron was well-tolerated, with effectiveness maintained through 1 year. Mirabegron treatment persistence was higher than has been previously reported, and was greater in patients aged ≥65 years compared with those aged <65 years. © 2017 John Wiley & Sons Australia, Ltd.

  14. A randomized, multicenter, controlled study, comparing efficacy and safety of a new complementary and alternative medicine (CAM versus Solifenacin Succinate in women with overactive bladder syndrome

    Directory of Open Access Journals (Sweden)

    Carlo Vecchioli-Scaldazza

    2017-12-01

    Full Text Available Introduction: To assess efficacy and tolerability of a new complementary and alternative medicine (CAM consisting of vitamins (C and D, herbal products (cucurbita maxima, capsicum annum, polygonum capsicatum and amino acid L-Glutammina, in the treatment of female Overactive Bladder syndrome (OAB. Materials and methods: 90 consecutive women with OAB symptoms were enrolled in this prospective, randomized, controlled study. Women were divided randomly into two groups of 45 patients each. In group A, women received Solifenacin Succinate (SS, 5 mg. once a day for 12 weeks. In group B, women received CAM, 930 mg, twice daily for 12 weeks. Women were assessed with 3-day micturition diary, Patient Perception of Intensity of Urgency Scale (PPIUS, Overactive Bladder questionnaire Short Form (OAB-q SF and Patient Global Impression of Improvement questionnaire (PGI-I. Results: 8 patients in group A and 1 patient in group B dropped out from therapy because of side effects. A reduction in the number of daily micturitions, nocturia and episodes of urge incontinence was present with both SS and CAM with statistically highly significant differences, but CAM was significantly more effective than SS. PPIUS and OAB-q SF showed improvements with both SS and CAM with a more significant efficacy of CAM. PGI-I, demonstrated improvements in the two groups of patients with a greater satisfaction expressed by patients treated with CAM. Conclusions: the small number of patients does not permit definitive conclusions; however, the results of the research showed the greater effectiveness and tolerability of CAM.

  15. Urinary Nerve Growth Factor as a Potential Biomarker of Treatment Outcomes in Overactive Bladder Patients

    Directory of Open Access Journals (Sweden)

    Yoon Seok Suh

    2017-12-01

    Full Text Available Purpose The aim of this study was to investigate urinary nerve growth factor (NGF as a biomarker of treatment efficacy and recurrence in overactive bladder (OAB patients. Methods We enrolled 189 OAB subjects who visited our outpatient clinic from February 2010 to February 2015. All subjects with OAB received antimuscarinic treatment. A 3-day voiding diary and questionnaire were collected from each patient. Urinary levels of NGF were evaluated at baseline, the beginning of antimuscarinic treatment, and the end of antimuscarinic treatment. Urinary NGF was normalized to urine creatinine (Cr. Between-group comparisons of baseline characteristics were made using the Mann-Whitney U-test. Multivariate logistic regression analyses were used to predict responses to anticholinergic treatment and recurrence. The Wilcoxon signed-rank test with the Bonferroni correction was used for intragroup comparisons. A receiver operating characteristic curve was used to analyze the utility of this biomarker. Results Urinary levels of NGF/Cr tended to decrease in patients who responded to treatment (n=62, but this was not significant (P=0.260. Urinary NGF levels were higher at baseline in patients who did not experience recurrence than in those who did (P=0.047. In those who did not experience recurrence (n=29, urinary NGF/Cr decreased at the end of treatment compared to baseline, and this reduction was maintained at 12 weeks after the end of treatment (P<0.05. Conclusions Urinary NGF is a potential biomarker for predicting the outcome of antimuscarinic treatment in OAB patients. This may provide useful information when deciding to stop antimuscarinic treatment in responders.

  16. OpenBAN: An Open Building ANalytics Middleware for Smart Buildings

    Directory of Open Access Journals (Sweden)

    Pandarasamy Arjunan

    2016-03-01

    Full Text Available Towards the realization of smart building applications, buildings are increasingly instrumented with diverse sensors and actuators. These sensors generate large volumes of data which can be analyzed for optimizing building operations. Many building energy management tasks such as energy forecasting, disaggregation, among others require complex analytics leveraging collected sensor data. While several standalone and cloud-based systems for archiving, sharing and visualizing sensor data have emerged, their support for analyzing sensor data streams is primitive and limited to rule-based actions based on thresholds and simple aggregation functions. We develop OpenBAN, an open source sensor data analytics middleware for buildings, to make analytics an integral component of modern smart building applications. OpenBAN provides a framework of extensible sensor data processing elements for identifying various building context, which different applications can leverage. We validate the capabilities of OpenBAN by developing three representative real-world applications which are deployed in our test-bed buildings: (i household energy disaggregation, (ii detection of sprinkler usage from water meter data, and (iii electricity demand forecasting. We also provide a preliminary system performance of OpenBAN when deployed in the cloud and locally.

  17. Bore pile foundation tall buildings closed in the heritage building

    Science.gov (United States)

    Triastuti, Nusa Setiani

    2017-11-01

    Bore pile foundation for high building surroundings heritage building should be not damage. Construction proses must good, no necking, no mixed deep water, no sliding soil, nonporous concrete. Objective the execution of bore pile so that heritage buildings and neighboring buildings that are old do not experience cracks, damage and tilting. The survey methodology was observe the process of the implementation of the dominant silt, clay soil, in addition a limited space and to analyze the results of loading tests, investigations of soil and daily reports. Construction process determines the success of the structure bore pile in high building structure bearing, without damaging a heritage building. Attainment the hard soil depth, density concrete, observable clean reinforcement in the implementation. Monitoring the implementation of, among others, the face of the ground water little reduce in the area and outside the footprint of the building, no impact of vibration drilling equipment, watching the mud content on the water coming out at the time of drilling, concrete volume was monitored each 2 m bore depth of pile, The result researched heritage building was not damage. The test results bore pile axial, lateral analyzed the results have the appropriate force design required.

  18. Retrofitting Listed Buildings

    DEFF Research Database (Denmark)

    Rasmussen, Torben Valdbjørn

    2011-01-01

    The paper presents a case study where the energy demand for a listed building constructed in 1900 is reduced. Many older buildings are listed and have restrictions that include the entire building or that include only its exterior. For the building presented, only its exterior facade is listed. T...

  19. Multidisciplinary Energy Assessment of Tertiary Buildings: Automated Geomatic Inspection, Building Information Modeling Reconstruction and Building Performance Simulation

    Directory of Open Access Journals (Sweden)

    Faustino Patiño-Cambeiro

    2017-07-01

    Full Text Available There is an urgent need for energy efficiency in buildings within the European framework, considering its environmental implications, and Europe’s energy dependence. Furthermore, the need for enhancing and increasing productivity in the building industry turns new technologies and building energy performance simulation environments into extremely interesting solutions towards rigorous analysis and decision making in renovation within acceptable risk levels. The present work describes a multidisciplinary approach for the estimation of the energy performance of an educational building. The research involved data acquisition with advanced geomatic tools, the development of an optimized building information model, and energy assessment in Building Performance Simulation (BPS software. Interoperability issues were observed in the different steps of the process. The inspection and diagnostic phases were conducted in a timely, accurate manner thanks to automated data acquisition and subsequent analysis using Building Information Modeling based tools (BIM-based tools. Energy simulation was performed using Design Builder, and the results obtained were compared with those yielded by the official software tool established by Spanish regulations for energy certification. The discrepancies between the results of both programs have proven that the official software program is conservative in this sense. This may cause the depreciation of the assessed buildings.

  20. Team Building e a enfermagem Team Building e enfermería Team Building and nursing

    Directory of Open Access Journals (Sweden)

    Filipa Homem

    2012-07-01

    Full Text Available Num ambiente de insatisfação crescente e de imprevisibilidade como é o da enfermagem, cada vez mais é fundamental motivar as equipas, conferindo-lhes competências pessoais, relacionais, comunicacionais e, acima de tudo, fomentar o trabalho em equipa e consequentemente a produtividade. O Team Building, surge assim como uma estratégia eficaz para obter resultados positivos. Por ser uma estratégia ainda pouco utilizada em Portugal, decidimos realizar este artigo teórico sobre o assunto e refletir sobre a sua pertinência e potencialidades nas equipas de enfermagem, tendo definido como objetivos: aprofundar conhecimentos sobre Team Building, contextualizar o Team Building no âmbito das teorias organizacionais, descrever diferentes modelos de Team Building e refletir sobre a utilidade do Team Building na qualidade da prestação de cuidados de enfermagem. Deste modo, foram pesquisados artigos na plataforma eletrónica de bases de dados EBSCO, assim como consultada literatura relacionada com a psicologia organizacional. Com a presente pesquisa conclui-se que esta estratégia de dinamização de equipas é útil no âmbito da enfermagem, podendo melhorar a comunicação e relações interpessoais, identificar pontos fortes e fracos das equipas, proporcionar maior satisfação no trabalho e, deste modo, aumentar a qualidade dos cuidados de saúde prestados.En un ambiente de creciente descontento y de imprevisibilidad como el de la enfermería, es cada vez más primordial motivar a los equipos, dándoles competencias personales, relacionales, y, sobre todo, fomentar el trabajo en equipo y consecuentemente la productividad. El Team Building surge así como una estrategia eficaz para lograr resultados positivos. Al ser una estrategia aún poco utilizada en Portugal, se decidió realizar este artículo teórico sobre el asunto y reflexionar sobre la pertinencia y el potencial de los equipos de enfermería, para lo que se definieron los objetivos

  1. Building Process and Architectural Planning Characteristics of Daehan Hospital Main Building

    Directory of Open Access Journals (Sweden)

    Geauchul LEE

    2016-04-01

    Full Text Available This paper explores the introduction process of Daehan Hospital from Japan as the modern medical facility in Korea, and the architectural planning characteristics as a medical facility through the detailed building process of Daehan Hospital main building. The most noticeable characteristic of Daehan Hospital is that it was designed and constructed not by Korean engineers but by Japanese engineers. Therefore, Daehan Hospital was influenced by Japanese early modern medical facility, and Japanese engineers modeled Daehan Hospital main building on Tokyo Medical School main building which was constructed in 1876 as the first national medical school and hospital. The architectural type of Tokyo Medical School main building was a typical school architecture in early Japanese modern period which had a middle corridor and a pseudo Western-style tower, but Tokyo Medical School main building became the model of a medical facility as the symbol of the medical department in Tokyo Imperial University. This was the introduction and transplantation process of Japanese modern ‘model’ like as other modern systems and technologies during the Korean modern transition period. However, unlike Tokyo Medical School main building, Daehan Hospital main building was constructed not as a wooden building but as a masonry building. Comparing with the function of Daehan Hospital main building, its architectural form and construction costs was excessive scale, which was because Japanese Resident-General of Korea had the intention of ostentation that Japanese modernity was superior to Korean Empire.

  2. [Building Process and Architectural Planning Characteristics of Daehan Hospital Main Building].

    Science.gov (United States)

    Lee, Geauchul

    2016-04-01

    This paper explores the introduction process of Daehan Hospital from Japan as the modern medical facility in Korea, and the architectural planning characteristics as a medical facility through the detailed building process of Daehan Hospital main building. The most noticeable characteristic of Daehan Hospital is that it was designed and constructed not by Korean engineers but by Japanese engineers. Therefore, Daehan Hospital was influenced by Japanese early modern medical facility, and Japanese engineers modeled Daehan Hospital main building on Tokyo Medical School main building which was constructed in 1876 as the first national medical school and hospital. The architectural type of Tokyo Medical School main building was a typical school architecture in early Japanese modern period which had a middle corridor and a pseudo Western-style tower, but Tokyo Medical School main building became the model of a medical facility as the symbol of the medical department in Tokyo Imperial University. This was the introduction and transplantation process of Japanese modern 'model' like as other modern systems and technologies during the Korean modern transition period. However, unlike Tokyo Medical School main building, Daehan Hospital main building was constructed not as a wooden building but as a masonry building. Comparing with the function of Daehan Hospital main building, its architectural form and construction costs was excessive scale, which was because Japanese Resident-General of Korea had the intention of ostentation that Japanese modernity was superior to Korean Empire.

  3. Building control. Technical building systems: Automation and management; Building Control. Technische Gebaeudesysteme: Automation und Bewirtschaftung

    Energy Technology Data Exchange (ETDEWEB)

    Kranz, H.R.; Baenninger, M.; Bieler, P.; Brettschneider, J.P.; Damnig, A.; Fassbender, H.W.; Friedrichs, K.; Gauchel, J.; Hegewald, B.; Kaelin, W.; Lezius, A.; Markert, H.; Oehler, A.; Otto, J.; Puettmer, M. Jr.; Rohrbacher, H.; Schuerdt, K.; Vogt, D.; Wittling, J.

    1995-12-31

    Cost-optimised management and maintenance of buildings can no longer be carried out without electronic data processing. The present anthology gives a comprehensive overview of the planning and operation of building automation systems. The following topics are discussed: ecological cooling and facade concepts, facility management, jeopardy alarm technology, building automation, communication technology, open communication and networks, building system technology, norms and directives, building right and law. A special abstract has been prepared for each of the 23 chapters. (BWI). 260 figs., 161 refs. [Deutsch] Kostenoptimiertes Management, Bewirtschaftung und Instandhaltung von Gebaeuden sind ohne EDV nicht mehr denkbar. Das vorliegende Buch gibt einen umfassenden Ueberblick ueber Planung und Betrieb von Gebaeudeautomationssystemen. Es wird dabei auf folgende Themenkomplexe eingegangen: Oekologische Kuehl- und Fassadenkonzepte; Facility Management, Gefahrenmeldetechnik, Gebaeudeautomation; Kommunikationstechnik, offenen Kommunikation und Netzwerke; Gebaeudesystemtechnik und Installationsbus; Energiemanagement; Betreibererfahrungen; Normen und Richtlinien; Baurecht und Gesetz. Fuer alle 23 Einzelkapitel wurde eine gesonderte inhaltliche Erschliessung durchgefuehrt. (BWI)

  4. Potential Retrofit of Existing Sultan Ismail Parliament Building, Johor to Green Building

    Directory of Open Access Journals (Sweden)

    Yasin Mohd Norazam

    2017-01-01

    Full Text Available The concept of retrofitting an existing building towards green building was introduced to move towards greener development. This paper investigates the benefits of retrofitting an existing building to green building. The potential retrofit of the existing Sultan Ismail Parliament building was also determined and later the elements of the building to be retrofitted were proposed. The Sultan Ismail Parliament building is one of the newest development that serves as the Johor state administrative center under Iskandar Malaysia. Therefore, this paper focuses on whether the existing building has fulfilled all of the green building elements. A set of questionnaire was distributed to the targeted respondents who were the engineers, architects, technicians, staffs and those who were involved in the development of the Sultan Ismail Parliament building. A total of 60 respondents was involved. Based on the analyzed data, it shows that the existing building has fulfilled only one of the green building elements which is the Indoor Environmental Quality. The items that scored 3.5 and above mean index under this element include the daylight glare is not bothering, the ventilation in the building is adequate, inspections are done regularly, smoking regulation is implemented and the number of openings of windows and doors is sufficient. While it shows that other elements were only partially fulfilled. The criteria that achieved below 3.5 mean index values is considered to be the potential elements that could be used for future retrofitting initiative.

  5. Auxiliary buildings

    International Nuclear Information System (INIS)

    Lakner, I.; Lestyan, E.

    1979-01-01

    The nuclear power station represents a complicated and a particular industrial project. Consequently, the design of the auxiliary buildings serving the power station (offices, kitchen, refreshment room, workshops, depots, water treatment plant building, boiler houses, etc.) requires more attention than usual. This chapter gives a short survey of the auxiliary buildings already completed and discusses the problems of their design, location and structure. (author)

  6. Building thermography as a tool in energy audits and building commissioning procedure

    Science.gov (United States)

    Kauppinen, Timo

    2007-04-01

    A Building Commissioning-project (ToVa) was launched in Finland in the year 2003. A comprehensive commissioning procedure, including the building process and operation stage was developed in the project. This procedure will confirm the precise documentation of client's goals, definition of planning goals and the performance of the building. It is rather usual, that within 1-2 years after introduction the users complain about the defects or performance malfunctions of the building. Thermography is one important manual tool in verifying the thermal performance of the building envelope. In this paper the results of one pilot building (a school) will be presented. In surveying the condition and energy efficiency of buildings, various auxiliary means are needed. We can compare the consumption data of the target building with other, same type of buildings by benchmarking. Energy audit helps to localize and determine the energy saving potential. The most general and also most effective auxiliary means in monitoring the thermal performance of building envelopes is an infrared camera. In this presentation some examples of the use of thermography in energy audits are presented.

  7. Laboratory Building

    Energy Technology Data Exchange (ETDEWEB)

    Herrera, Joshua M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-03-01

    This report is an analysis of the means of egress and life safety requirements for the laboratory building. The building is located at Sandia National Laboratories (SNL) in Albuquerque, NM. The report includes a prescriptive-based analysis as well as a performance-based analysis. Following the analysis are appendices which contain maps of the laboratory building used throughout the analysis. The top of all the maps is assumed to be north.

  8. Improving building energy efficiency in India: State-level analysis of building energy efficiency policies

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Sha; Tan, Qing; Evans, Meredydd; Kyle, Page; Vu, Linh; Patel, Pralit L.

    2017-11-01

    India is expected to add 40 billion m2 of new buildings till 2050. Buildings are responsible for one third of India’s total energy consumption today and building energy use is expected to continue growing driven by rapid income and population growth. The implementation of the Energy Conservation Building Code (ECBC) is one of the measures to improve building energy efficiency. Using the Global Change Assessment Model, this study assesses growth in the buildings sector and impacts of building energy policies in Gujarat, which would help the state adopt ECBC and expand building energy efficiency programs. Without building energy policies, building energy use in Gujarat would grow by 15 times in commercial buildings and 4 times in urban residential buildings between 2010 and 2050. ECBC improves energy efficiency in commercial buildings and could reduce building electricity use in Gujarat by 20% in 2050, compared to the no policy scenario. Having energy codes for both commercial and residential buildings could result in additional 10% savings in electricity use. To achieve these intended savings, it is critical to build capacity and institution for robust code implementation.

  9. ICT Enhanced Buildings Potentials

    DEFF Research Database (Denmark)

    Christiansson, Per

    2007-01-01

    component systems that are accessed and integrated in the real world of building use in different contexts. The ICT systems may be physically or virtually embedded in the building. Already in 1982 AT&T established the 'intelligent buildings', IB, concept due to marketing reasons and the Informart building...... with focus on virtual building models support, new services and user environment definitions and development, virtual spaces and augmented reality, intelligent building components, application ontologies, and ICT systems integration to illustrate ICT enhanced buildings potentials and R&D needs.  ...

  10. BIM. Building Information Model. Special issue; BIM. Building Information Model. Themanummer

    Energy Technology Data Exchange (ETDEWEB)

    Van Gelder, A.L.A. [Arta and Consultancy, Lage Zwaluwe (Netherlands); Van den Eijnden, P.A.A. [Stichting Marktwerking Installatietechniek, Zoetermeer (Netherlands); Veerman, J.; Mackaij, J.; Borst, E. [Royal Haskoning DHV, Nijmegen (Netherlands); Kruijsse, P.M.D. [Wolter en Dros, Amersfoort (Netherlands); Buma, W. [Merlijn Media, Waddinxveen (Netherlands); Bomhof, F.; Willems, P.H.; Boehms, M. [TNO, Delft (Netherlands); Hofman, M.; Verkerk, M. [ISSO, Rotterdam (Netherlands); Bodeving, M. [VIAC Installatie Adviseurs, Houten (Netherlands); Van Ravenswaaij, J.; Van Hoven, H. [BAM Techniek, Bunnik (Netherlands); Boeije, I.; Schalk, E. [Stabiplan, Bodegraven (Netherlands)

    2012-11-15

    A series of 14 articles illustrates the various aspects of the Building Information Model (BIM). The essence of BIM is to capture information about the building process and the building product. [Dutch] In 14 artikelen worden diverse aspecten m.b.t. het Building Information Model (BIM) belicht. De essentie van BIM is het vastleggen van informatie over het bouwproces en het bouwproduct.

  11. Analysis of Embodied Environmental Impacts of Korean Apartment Buildings Considering Major Building Materials

    Directory of Open Access Journals (Sweden)

    Seungjun Roh

    2018-05-01

    Full Text Available Because the reduction in environmental impacts (EIs of buildings using life-cycle assessment (LCA has been emphasized as a practical strategy for the sustainable development of the construction industry, studies are required to analyze not only the operational environmental impacts (OEIs of buildings, but also the embodied environmental impacts (EEIs of building materials. This study aims to analyze the EEIs of Korean apartment buildings on the basis of major building materials as part of research with the goal of reducing the EIs of buildings. For this purpose, six types of building materials (ready-mixed concrete, reinforcement steel, concrete bricks, glass, insulation, and gypsum for apartment buildings were selected as major building materials, and their inputs per unit area according to the structure types and plans of apartment buildings were derived by analyzing the design and bills of materials of 443 apartment buildings constructed in South Korea. In addition, a life-cycle scenario including the production, construction, maintenance, and end-of-life stage was constructed for each major building material. The EEIs of the apartment buildings were quantitatively assessed by applying the life-cycle inventory database (LCI DB and the Korean life-cycle impact assessment (LCIA method based on damage-oriented modeling (KOLID, and the results were analyzed.

  12. Efficacy and persistence of low-dose mirabegron (25 mg) in patients with overactive bladder: analysis in a real-world urological practice.

    Science.gov (United States)

    Shen, Yuan Chi; Wang, Hung Jen; Chuang, Yao Chi

    2018-06-07

    Mirabegron is a relatively new drug to treat overactive bladder (OAB). The therapeutic doses are between 25 and 100 mg in clinical trials. We aimed to evaluate the efficacy and persistence of low-dose mirabegron (25 mg) in patients with OAB in daily urological practice. The study was a retrospective consecutive cohort of 177 OAB patients (101 male and 76 female) treated with 25 mg of mirabegron mg since January 2016 to November 2016. The therapeutic outcomes were assessed at baseline, 4, 12, and 24 weeks. Mirabegron usage was associated with a statistically significant decrease in Overactive Bladder Symptom Score, Urgency Severity Score, urge urinary incontinence, International Prostate Symptom Score (both storage and voiding symptom) at 4-week follow-up, and the therapeutic effects were further improved at 12- and 24-week follow-up. Among them, 118 patients (66.7%) and 84 patients (47.5%) were maintained on mirabegron therapy for more than 3 and 6 months, respectively. However, 29 patients (16%) had poor response with drug discontinuation within 3 months and 8 patients (4.5%) stopped medication due to adverse effects. The overall side effect was 10.2%, and the most common side effect was elevated blood pressure (2.8%) and increased post-void residual (2.8%). Between male and female patients, there was no statistical difference of symptom improvement and drug persistence rate. Low-dose mirabegron (25 mg) improves clinical outcomes in two-thirds of OAB patients with good safety profile and high persistence in daily urological practice. The therapeutic effect is similar between the genders.

  13. Overactive bladder in the vulnerable elderly

    Directory of Open Access Journals (Sweden)

    Wolff GF

    2014-10-01

    Full Text Available Gillian F Wolff,1 George A Kuchel,2 Phillip P Smith1,21Division of Urology, Department of Surgery, 2UConn Center on Aging, University of Connecticut Health Center, Farmington, CT, USAAbstract: Overactive bladder (OAB is a common problem that may occur in individuals of all ages. It has a considerable impact on patient quality of life, and although moderately effective management strategies do exist, this condition often remains undiagnosed and untreated. OAB needs to be viewed as a symptom complex. Its presentation and management are complicated in the vulnerable elderly by the presence of baseline frailty and multiple coexisting chronic conditions. Furthermore, and beyond a simple understanding of symptomatology, providers must address patient goals and motivations as well as the expectations of caretakers. These multiple levels of perception, function, expectations, and treatment efficacy/risks must be tailored to the individual patient. While the vulnerable elderly patient may often have evidence of urinary tract dysfunction, OAB and urge urinary incontinence in this population must be understood as a multifactorial geriatric syndrome and viewed in the context of medical and functional baseline and precipitating risk factors. Expectations and goals must be tailored to the resources of vulnerable elderly patients and their caregivers, and care must be coordinated with other medical care providers. The management of OAB in the vulnerable elderly often poses significant management challenges. Nonetheless, with a thoughtful approach and an aim towards future research specifically for this population, significant reductions in morbidity and mortality long with enhancement in health-related quality of life are possible.Keywords: urinary incontinence, urgency, antispasmodics, aging, frailty

  14. OnabotulinumtoxinA 100U provides significant improvements in overactive bladder symptoms in patients with urinary incontinence regardless of the number of anticholinergic therapies used or reason for inadequate management of overactive bladder.

    Science.gov (United States)

    Sievert, K-D; Chapple, C; Herschorn, S; Joshi, M; Zhou, J; Nardo, C; Nitti, V W

    2014-10-01

    A prespecified pooled analysis of two placebo-controlled, phase 3 trials evaluated whether the number of prior anticholinergics used or reason for their discontinuation affected the treatment response to onabotulinumtoxinA 100U in overactive bladder (OAB) patients with urinary incontinence (UI). Patients with symptoms of OAB received intradetrusor injections of onabotulinumtoxinA 100U or placebo, sparing the trigone. Change from baseline at week 12 in UI episodes/day, proportion of patients reporting a positive response ('greatly improved' or 'improved') on the treatment benefit scale (TBS), micturition and urgency were evaluated by number of prior anticholinergics (1, 2 or ≥ 3) and reason for their discontinuation (insufficient efficacy or side effects). Adverse events (AE) were assessed. Patients had taken an average of 2.4 anticholinergics before study enrolment. OnabotulinumtoxinA reduced UI episodes/day from baseline vs. placebo, regardless of the number of prior anticholinergics (-2.82 vs. -1.52 for one prior anticholinergic; -2.58 vs. -0.58 for two prior anticholinergics; and -2.92 vs. -0.73 for three or more prior anticholinergics; all p reason for discontinuation. OnabotulinumtoxinA reduced the episodes of urgency and frequency of micturition vs. placebo in all groups. AEs were well tolerated, with a comparable incidence in all groups. In patients with symptoms of OAB who were inadequately managed by one or more anticholinergics, onabotulinumtoxinA 100U provided significant and similar treatment benefit and safety profile regardless of the number of prior anticholinergics used or reason for inadequate management of OAB. ClinicalTrials.gov: NCT00910845, NCT00910520. © 2014 The Authors. International Journal of Clinical Practice published by John Wiley & Sons Ltd.

  15. The own-age bias in face memory is unrelated to differences in attention--evidence from event-related potentials.

    Science.gov (United States)

    Neumann, Markus F; End, Albert; Luttmann, Stefanie; Schweinberger, Stefan R; Wiese, Holger

    2015-03-01

    Participants are more accurate at remembering faces from their own relative to a different age group (the own-age bias, or OAB). A recent socio-cognitive account has suggested that differential allocation of attention to old versus young faces underlies this phenomenon. Critically, empirical evidence for a direct relationship between attention to own- versus other-age faces and the OAB in memory is lacking. To fill this gap, we tested the roles of attention in three different experimental paradigms, and additionally analyzed event-related brain potentials (ERPs). In Experiment 1, we compared the learning of old and young faces during focused versus divided attention, but revealed similar OABs in subsequent memory for both attention conditions. Similarly, manipulating attention during learning did not differentially affect the ERPs elicited by young versus old faces. In Experiment 2, we examined the repetition effects from task-irrelevant old and young faces presented under varying attentional loads on the N250r ERP component as an index of face recognition. Independent of load, the N250r effects were comparable for both age categories. Finally, in Experiment 3 we measured the N2pc as an index of attentional selection of old versus young target faces in a visual search task. The N2pc was not significantly different for the young versus the old target search conditions, suggesting similar orientations of attention to either face age group. Overall, we propose that the OAB in memory is largely unrelated to early attentional processes. Our findings therefore contrast with the predictions from socio-cognitive accounts on own-group biases in recognition memory, and are more easily reconciled with expertise-based models.

  16. Sustainable Buildings in Interaction

    DEFF Research Database (Denmark)

    Elle, Morten

    2007-01-01

    The first attempts to build sustainable buildings in Denmark were typically located on the countryside. The basic idea was to create buildings that were independent of the technical infrastructure. District heating has, however, been the dominating solution to heating in buildings in Denmark......, and the focus on sustainable building have gradually turned from special houses on the countryside to normally looking houses in the urban fabric, integrated in the technical infrastructure. Some new built urban areas in Denmark will, however, not have to be supplied with district heating – these developments...... are going to consist of passive houses. The first sustainable buildings were built by their users, and the user – building interaction still play a decisive role for the performance of the present sustainable buildings. The users have to understand how the building functions. Urban design is essential...

  17. Green Buildings and Health.

    Science.gov (United States)

    Allen, Joseph G; MacNaughton, Piers; Laurent, Jose Guillermo Cedeno; Flanigan, Skye S; Eitland, Erika Sita; Spengler, John D

    2015-09-01

    Green building design is becoming broadly adopted, with one green building standard reporting over 3.5 billion square feet certified to date. By definition, green buildings focus on minimizing impacts to the environment through reductions in energy usage, water usage, and minimizing environmental disturbances from the building site. Also by definition, but perhaps less widely recognized, green buildings aim to improve human health through design of healthy indoor environments. The benefits related to reduced energy and water consumption are well-documented, but the potential human health benefits of green buildings are only recently being investigated. The objective of our review was to examine the state of evidence on green building design as it specifically relates to indoor environmental quality and human health. Overall, the initial scientific evidence indicates better indoor environmental quality in green buildings versus non-green buildings, with direct benefits to human health for occupants of those buildings. A limitation of much of the research to date is the reliance on indirect, lagging and subjective measures of health. To address this, we propose a framework for identifying direct, objective and leading "Health Performance Indicators" for use in future studies of buildings and health.

  18. Kayenta Township Building & Safety Department, Tribal Green Building Code Summit Presentation

    Science.gov (United States)

    Tribal Green Building Code Summit Presentation by Kayenta Township Building & Safety Department showing how they established the building department, developed a code adoption and enforcement process, and hired staff to carry out the work.

  19. Green buildings pay

    DEFF Research Database (Denmark)

    Naboni, Emanuele; Edwards, Brian

    The new edition of ‘Green Buildings Pay’ authored by Brian Edwards and Emanuele Naboni explores the business and professional benefits which derive from architectural design driven by sustainability. With a new sub-title ‘Green Buildings Pay: design, productivity and ecology’ the book argues...... that environmental design has altered how we design, construct and manage buildings. The book has relevance to those who not only design and engineer buildings but to those who commission architecture and those who occupy the products of this process. Hence, the user is a key consideration. The book examines via...... a number of LEED and BREEAM cases the buildings which flow from corporate environmental responsibility. A number of office and university buildings are examined from three main perspectives- the architect, client and user. One key finding is that architectural innovation has been driven by ecological...

  20. Refurbishment and school buildings management in a smart building environment

    Science.gov (United States)

    Di Giuda, Giuseppe Martino; Villa, Valentina; Tagliabue, Lavinia Chiara; Giana, Paolo Ettore; Rinaldi, Stefano; Ciribini, Angelo Luigi Camillo

    2018-05-01

    Building Information Modelling is a methodology, which is able to take into account many data, both geometrical and non-geometrical, in order to evaluate at the actual condition of the asset. The project has the scope of evaluating the conditions of different school buildings, in order to develop a way to choose the best-tailored management solution to the owner. A further step is the management and planning of design solutions during the life cycle customized on monitored buildings' conditions. The research work focuses on providing a support decisions concerning the gap between the present building state laws and the current state of the existing buildings. The process will be developed in an expanded BIM environment, using sensors, which will give back the state of the consistency of the actual conditions to enable the buildings to adapt themselves in the best way into their specific constraints and boundaries. The results of the study are (i) a complete workflow to make decision and the possibility to shape the decision process on an objective through a scientific approach, (ii) evaluate the current state of the asset and (iii) manage maintenance in the lifespan. Further development will take in consideration all the aspects related to management of big data environment generated by a smart buildings system.

  1. Building America

    Energy Technology Data Exchange (ETDEWEB)

    Brad Oberg

    2010-12-31

    IBACOS researched the constructability and viability issues of using high performance windows as one component of a larger approach to building houses that achieve the Building America 70% energy savings target.

  2. Object Based Building Extraction and Building Period Estimation from Unmanned Aerial Vehicle Data

    Science.gov (United States)

    Comert, Resul; Kaplan, Onur

    2018-04-01

    The aim of this study is to examine whether it is possible to estimate the building periods with respect to the building heights in the urban scale seismic performance assessment studies by using the building height retrieved from the unmanned aerial vehicle (UAV) data. For this purpose, a small area, which includes eight residential reinforced concrete buildings, was selected in Eskisehir (Turkey) city center. In this paper, the possibilities of obtaining the building heights that are used in the estimation of building periods from UAV based data, have been investigated. The investigations were carried out in 3 stages; (i) Building boundary extraction with Object Based Image Analysis (OBIA), (ii) height calculation for buildings of interest from nDSM and accuracy assessment with the terrestrial survey. (iii) Estimation of building period using height information. The average difference between the periods estimated according to the heights obtained from field measurements and from the UAV data is 2.86 % and the maximum difference is 13.2 %. Results of this study have shown that the building heights retrieved from the UAV data can be used in the building period estimation in the urban scale vulnerability assessments.

  3. Buildings Interoperability Landscape

    Energy Technology Data Exchange (ETDEWEB)

    Hardin, Dave [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Stephan, Eric G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Wang, Weimin [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Corbin, Charles D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Widergren, Steven E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-12-31

    Through its Building Technologies Office (BTO), the United States Department of Energy’s Office of Energy Efficiency and Renewable Energy (DOE-EERE) is sponsoring an effort to advance interoperability for the integration of intelligent buildings equipment and automation systems, understanding the importance of integration frameworks and product ecosystems to this cause. This is important to BTO’s mission to enhance energy efficiency and save energy for economic and environmental purposes. For connected buildings ecosystems of products and services from various manufacturers to flourish, the ICT aspects of the equipment need to integrate and operate simply and reliably. Within the concepts of interoperability lie the specification, development, and certification of equipment with standards-based interfaces that connect and work. Beyond this, a healthy community of stakeholders that contribute to and use interoperability work products must be developed. On May 1, 2014, the DOE convened a technical meeting to take stock of the current state of interoperability of connected equipment and systems in buildings. Several insights from that meeting helped facilitate a draft description of the landscape of interoperability for connected buildings, which focuses mainly on small and medium commercial buildings. This document revises the February 2015 landscape document to address reviewer comments, incorporate important insights from the Buildings Interoperability Vision technical meeting, and capture thoughts from that meeting about the topics to be addressed in a buildings interoperability vision. In particular, greater attention is paid to the state of information modeling in buildings and the great potential for near-term benefits in this area from progress and community alignment.

  4. Residential and commercial buildings

    Energy Technology Data Exchange (ETDEWEB)

    Svendsen, Svend; Furbo, S.

    2012-11-15

    Low-energy buildings can make a major contribution to general sustainable development by providing a solution to problems related to the use of fossil fuels. The EPBD (EU Directive on Energy Performance of Buildings) requirements that by 2020 new building shall be constructed to use nearly zero energy, and no fossil fuels, can be accomplished by combining low-energy buildings with renewable energy via low-temperature district heating in cities and suburbs, and via heat pumps for low-density settlements. Based on experience with passive houses, low-energy buildings meeting the energy performance requirements of 2020 are expected to cost only a few percent more than conventional buildings. The very large and rapid changes needed in the energy performance of buildings is a challenge for the building sector, but one that can be overcome by better methods of developing products and designing, constructing and operating buildings. Simulation-based analysis and optimisation, and considerations of durability, will be important here. Building may thus be transformed from an experience-based sector to one based on knowledge and research, with high-quality sustainable products and good business opportunities. (Author)

  5. Building sustainability

    CSIR Research Space (South Africa)

    Mass Media

    2007-11-01

    Full Text Available particu- lar social environment also being awarded. If a building can be used by the community after hours, it should be awarded extra points.” School sports facilities or meeting halls in corporate buildings, are some example. Multi-purpose use..., architect and senior researcher for the CSIR’s Built Environment Unit, the integra- tion of sustainability in building design cannot begin soon enough before it is too late. He says: “Unfortunately nothing is in place in South Africa. For a start...

  6. Re-Assessing Green Building Performance: A Post Occupancy Evaluation of 22 GSA Buildings

    Energy Technology Data Exchange (ETDEWEB)

    Fowler, Kimberly M.; Rauch, Emily M.; Henderson, Jordan W.; Kora, Angela R.

    2010-06-01

    2nd report on the performance of GSA's sustainably designed buildings. The purpose of this study was to provide an overview of measured whole building performance as it compares to GSA and industry baselines. The PNNL research team found the data analysis illuminated strengths and weaknesses of individual buildings as well as the portfolio of buildings. This section includes summary data, observations that cross multiple performance metrics, discussion of lessons learned from this research, and opportunities for future research. The summary of annual data for each of the performance metrics is provided in Table 25. The data represent 1 year of measurements and are not associated with any specific design features or strategies. Where available, multiple years of data were examined and there were minimal significant differences between the years. Individually focused post occupancy evaluation (POEs) would allow for more detailed analysis of the buildings. Examining building performance over multiple years could potentially offer a useful diagnostic tool for identifying building operations that are in need of operational changes. Investigating what the connection is between the building performance and the design intent would offer potential design guidance and possible insight into building operation strategies. The 'aggregate operating cost' metric used in this study represents the costs that were available for developing a comparative industry baseline for office buildings. The costs include water utilities, energy utilities, general maintenance, grounds maintenance, waste and recycling, and janitorial costs. Three of the buildings that cost more than the baseline in Figure 45 have higher maintenance costs than the baseline, and one has higher energy costs. Given the volume of data collected and analyzed for this study, the inevitable request is for a simple answer with respect to sustainably designed building performance. As previously stated

  7. Guidelines for Using Building Information Modeling for Energy Analysis of Buildings

    Directory of Open Access Journals (Sweden)

    Thomas Reeves

    2015-12-01

    Full Text Available Building energy modeling (BEM, a subset of building information modeling (BIM, integrates energy analysis into the design, construction, and operation and maintenance of buildings. As there are various existing BEM tools available, there is a need to evaluate the utility of these tools in various phases of the building lifecycle. The goal of this research was to develop guidelines for evaluation and selection of BEM tools to be used in particular building lifecycle phases. The objectives of this research were to: (1 Evaluate existing BEM tools; (2 Illustrate the application of the three BEM tools; (3 Re-evaluate the three BEM tools; and (4 Develop guidelines for evaluation, selection and application of BEM tools in the design, construction and operation/maintenance phases of buildings. Twelve BEM tools were initially evaluated using four criteria: interoperability, usability, available inputs, and available outputs. Each of the top three BEM tools selected based on this initial evaluation was used in a case study to simulate and evaluate energy usage, daylighting performance, and natural ventilation for two academic buildings (LEED-certified and non-LEED-certified. The results of the case study were used to re-evaluate the three BEM tools using the initial criteria with addition of the two new criteria (speed and accuracy, and to develop guidelines for evaluating and selecting BEM tools to analyze building energy performance. The major contribution of this research is the development of these guidelines that can help potential BEM users to identify the most appropriate BEM tool for application in particular building lifecycle phases.

  8. Re: Prospective Pilot Study of Mirabegron in Pediatric Patients with Overactive Bladder

    Directory of Open Access Journals (Sweden)

    Sinharib Çitgez

    2016-12-01

    Full Text Available EDITORIAL COMMENT Overactive bladder (OAB is a highly prevalent disorder in the pediatric population. This event negatively affects and impairs children’s development. Antimuscarinics are the mainstay pharmacological management of OAB, but their side effects profile limits their use. Mirabegron, a new molecule with a distinct mechanism of action (b3-adrenoreceptor agonist, was recently approved as monotherapy for idiopathic OAB in adults but has not been studied in the pediatric population. Blais et al. have evaluated the efficacy and safety of mirabegron in the treatment of urinary incontinence in children with idiopathic OAB who were refractory to and/or intolerant of antimuscarinics. This prospective off-label study, using an adjusted-dose regimen of mirabegron (25-50 mg, included pediatric patients with refractory urinary incontinence due to OAB. Patients without symptom improvement or with partial response under intensive behavioral protocol and medical therapy (at least two different antimuscarinic agents were included in the study. Their primary outcome was better reported efficacy than with the use of prior anticholinergic medication. Secondary end points were tolerability and safety. Families were questioned for continence, side effects, compliance, and Patient Perception of Bladder Condition (PPBC questionnaire. A total of 58 patients (14 girls, 44 boys were enrolled in a mirabegron open-label trial. The median age at initiation of mirabegron was 10.1 years [interquartile range (IQR: 8.8-13.5]. The median duration of treatment was 11.5 months (IQR: 6.0-15.0. The median bladder capacity improved from 150 ml to 200 ml (p<0.001. Continence improved in 52 of 58, with 13 being completely dry. The median PPBC score improved from 4.0 to 2.0 (p<0.001. The authors also assessed the safety of mirabegron. All electrocardiogram and blood tests remained normal. No significant change in blood pressure (<5 mmHg and heart rate (fewer than five beats

  9. Energy management systems in buildings

    Energy Technology Data Exchange (ETDEWEB)

    Lush, D. M.

    1979-07-01

    An investigation is made of the range of possibilities available from three types of systems (automatic control devices, building envelope, and the occupants) in buildings. The following subjects are discussed: general (buildings, design and personnel); new buildings (envelope, designers, energy and load calculations, plant design, general design parameters); existing buildings (conservation measures, general energy management, air conditioned buildings, industrial buildings); man and motivation (general, energy management and documentation, maintenance, motivation); automatic energy management systems (thermostatic controls, optimized plant start up, air conditioned and industrial buildings, building automatic systems). (MCW)

  10. Building calculations

    DEFF Research Database (Denmark)

    Jensen, Bjarne Christian; Hansen, Svend Ole

    Textbook on design of large panel building including rules on robustness and a method for producing the Statical documentattion......Textbook on design of large panel building including rules on robustness and a method for producing the Statical documentattion...

  11. Buildings interoperability landscape - Draft

    Energy Technology Data Exchange (ETDEWEB)

    Hardin, Dave B. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Stephan, Eric G. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Wang, Weimin [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Corbin, Charles D. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Widergren, Steven E. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States)

    2015-02-01

    Buildings are an integral part of our nation’s energy economy. The advancement in information and communications technology (ICT) has revolutionized energy management in industrial facilities and large commercial buildings. As ICT costs decrease and capabilities increase, buildings automation and energy management features are transforming the small-medium commercial and residential buildings sectors. A vision of a connected world in which equipment and systems within buildings coordinate with each other to efficiently meet their owners’ and occupants’ needs, and where buildings regularly transact business with other buildings and service providers (such as gas and electric service providers) is emerging. However, while the technology to support this collaboration has been demonstrated at various degrees of maturity, the integration frameworks and ecosystems of products that support the ability to easily install, maintain, and evolve building systems and their equipment components are struggling to nurture the fledging business propositions of their proponents.

  12. Dutch Building Decree

    NARCIS (Netherlands)

    Scholten, N.P.M.

    2000-01-01

    On the 1 October 1992 a change in the Dutch building legislation took effect: the revised Housing Act, the Building Decree and the technical documents related to this legislation came into force. This publication contains an English translation of the Building Decree. In order to give an idea of the

  13. Improving building performance using smart building concept: Benefit cost ratio comparison

    Science.gov (United States)

    Berawi, Mohammed Ali; Miraj, Perdana; Sayuti, Mustika Sari; Berawi, Abdur Rohim Boy

    2017-11-01

    Smart building concept is an implementation of technology developed in the construction industry throughout the world. However, the implementation of this concept is still below expectations due to various obstacles such as higher initial cost than a conventional concept and existing regulation siding with the lowest cost in the tender process. This research aims to develop intelligent building concept using value engineering approach to obtain added value regarding quality, efficiency, and innovation. The research combined quantitative and qualitative approach using questionnaire survey and value engineering method to achieve the research objectives. The research output will show additional functions regarding technology innovation that may increase the value of a building. This study shows that smart building concept requires higher initial cost, but produces lower operational and maintenance costs. Furthermore, it also confirms that benefit-cost ratio on the smart building was much higher than a conventional building, that is 1.99 to 0.88.

  14. Building Evidence for Health: Green Buildings, Current Science, and Future Challenges.

    Science.gov (United States)

    Cedeño-Laurent, J G; Williams, A; MacNaughton, P; Cao, X; Eitland, E; Spengler, J; Allen, J

    2018-04-01

    Civilizational challenges have questioned the status quo of energy and material consumption by humans. From the built environment perspective, a response to these challenges was the creation of green buildings. Although the revolutionary capacity of the green building movement has elevated the expectations of new commercial construction, its rate of implementation has secluded the majority of the population from its benefits. Beyond reductions in energy usage and increases in market value, the main strength of green buildings may be the procurement of healthier building environments. Further pursuing the right to healthy indoor environments could help the green building movement to attain its full potential as a transformational public health tool. On the basis of 40 years of research on indoor environmental quality, we present a summary of nine environment elements that are foundational to human health. We posit the role of green buildings as a critical research platform within a novel sustainability framework based on social-environmental capital assets.

  15. Building valve amplifiers

    CERN Document Server

    Jones, Morgan

    2013-01-01

    Building Valve Amplifiers is a unique hands-on guide for anyone working with tube audio equipment--as an electronics hobbyist, audiophile or audio engineer. This 2nd Edition builds on the success of the first with technology and technique revisions throughout and, significantly, a major new self-build project, worked through step-by-step, which puts into practice the principles and techniques introduced throughout the book. Particular attention has been paid to answering questions commonly asked by newcomers to the world of the valve, whether audio enthusiasts tackling their first build or

  16. U.S. Department of Energy Commercial Reference Building Models of the National Building Stock

    Energy Technology Data Exchange (ETDEWEB)

    Deru, M.; Field, K.; Studer, D.; Benne, K.; Griffith, B.; Torcellini, P.; Liu, B.; Halverson, M.; Winiarski, D.; Rosenberg, M.; Yazdanian, M.; Huang, J.; Crawley, D.

    2011-02-01

    The U.S. Department of Energy (DOE) Building Technologies Program has set the aggressive goal of producing marketable net-zero energy buildings by 2025. This goal will require collaboration between the DOE laboratories and the building industry. We developed standard or reference energy models for the most common commercial buildings to serve as starting points for energy efficiency research. These models represent fairly realistic buildings and typical construction practices. Fifteen commercial building types and one multifamily residential building were determined by consensus between DOE, the National Renewable Energy Laboratory, Pacific Northwest National Laboratory, and Lawrence Berkeley National Laboratory, and represent approximately two-thirds of the commercial building stock.

  17. Commercial Buildings Characteristics, 1992

    Energy Technology Data Exchange (ETDEWEB)

    1994-04-29

    Commercial Buildings Characteristics 1992 presents statistics about the number, type, and size of commercial buildings in the United States as well as their energy-related characteristics. These data are collected in the Commercial Buildings Energy Consumption Survey (CBECS), a national survey of buildings in the commercial sector. The 1992 CBECS is the fifth in a series conducted since 1979 by the Energy Information Administration. Approximately 6,600 commercial buildings were surveyed, representing the characteristics and energy consumption of 4.8 million commercial buildings and 67.9 billion square feet of commercial floorspace nationwide. Overall, the amount of commercial floorspace in the United States increased an average of 2.4 percent annually between 1989 and 1992, while the number of commercial buildings increased an average of 2.0 percent annually.

  18. Building performance simulation as a design tool for refurbishment of buildings

    NARCIS (Netherlands)

    Hensen, J.L.M.; Bartak, M.; Drkal, F.; Dunovska, T.; Lain, M.; Matuska, T.; Schwarzer, J.; Sourek, B.; Bednar, T.

    2004-01-01

    This paper attempts to outline the current state-of-the-art regarding the use of building performance simulation as a design tool for refurbishment of buildings. This is illus-trated by means of three recent studies for conversion of historical buildings (an early 20th century factory, and a water

  19. Measurement in Sustainable Building

    DEFF Research Database (Denmark)

    Hale, Lara

    2018-01-01

    Measurement is a necessary aspect of planning and constructing buildings. However, recent attempts to integrate the social dimension of sustainable building into building design and specifications demand measurement of non-technical qualities, such as well-being. The Active House Alliance, in lieu...... and continued provision of sustainable buildings to market demand....

  20. Characterization of prejunctional serotonin receptors modulating [3H]acetylcholine release in the human detrusor.

    Science.gov (United States)

    D'Agostino, Gianluigi; Condino, Anna M; Gallinari, Paola; Franceschetti, Gian P; Tonini, Marcello

    2006-01-01

    Bladder overactivity (OAB) is a chronic and debilitating lower urinary tract (LUT) disorder that affects millions of individuals worldwide. LUT symptoms associated with OAB, such as urgency and urinary incontinence, cause a hygienic and social concern to patients, but their current pharmacological treatment is largely inadequate due to the lack of uroselectivity. Although OAB etiology remains multifactorial and poorly understood, increasing evidence indicates that serotonin [5-hydroxytryptamine (5-HT)] is an endogenous substance involved in the control of micturition at central and peripheral sites. In this study, we demonstrated the presence of three distinct 5-HT receptors localized at parasympathetic nerve terminals of the human bladder by measuring electrically evoked tritiated acetylcholine release in isolated detrusor strips. These prejunctional receptors, involved in both positive and negative feedback mechanisms regulating cholinergic transmission, have been characterized by means of three highly selective 5-HT antagonists for 5-HT(4), 5-HT(7), and 5-HT(1A) receptors, namely GR113808A ([1-[2-[(-methylsulphonyl) amino] ethyl]4-piperinidyl]methyl1-methyl-1H-indole-3-carboxylate succinate), SB269970 [(R)-3-(2-(2-(4-methylpiperidin-1-yl)ethyl)pyrrolidine-1-sulfonyl)phenol hydrochloride], and WAY100635 [N-(2-(4-(2-methoxyphenyl)-1-piperazinyl)ethyl)-N-(2-pyridyl)-cyclohexane-carboxamide trichloride]. Under these conditions, we confirmed the facilitatory role of 5-HT(4) heteroreceptors on acetylcholine release and revealed for the first time the occurrence of 5-HT(7) and 5-HT(1A) heteroreceptors with a facilitatory and an inhibitory action, respectively. Our findings strengthen the novel concept for the use of recently patented selective 5-HT agonists and antagonists for the control of OAB dysfunctions associated with inflammatory conditions, although their therapeutic efficacy needs to be explored in the clinical setting.

  1. Outcomes of intradetrusor onabotulinum toxin A injection in patients with Parkinson's disease.

    Science.gov (United States)

    Vurture, Gregory; Peyronnet, Benoit; Feigin, Andrew; Biagioni, Milton C; Gilbert, Rebecca; Rosenblum, Nirit; Frucht, Steven; Di Rocco, Alessandro; Nitti, Victor W; Brucker, Benjamin M

    2018-05-16

    To assess the safety and efficacy of intradetrusor onabotulinum toxin A injections for the treatment of overactive bladder (OAB) in patients with Parkinson's disease (PD). All PD patients who underwent intradetrusor injections of onabotulinum toxin A (BoNT-A) for storage symptoms between 2010 and 2017 were included in a retrospective study. A 100 U dose of BoNT-A (Botox®, Allergan Irvine, CA) was used for the first injection in all patients. The primary endpoint was clinical success defined as any subjective improvement in OAB symptoms self-assessed by the patients 4 weeks after the injections. Out of 24 patients analyzed, 19 reported improvement of their OAB symptoms 4 weeks after the first injection (79.2%) with complete resolution of urgency urinary incontinence in seven patients (29.1%; P < 0.001). The average post-void residual (PVR) increased significantly after the first injection from 17.6 to 125.3 mL (P < 0.001). Three of the patients had to start clean intermittent catheterization (CIC) after the first injection (12.5%). Out of 49 injections in total, only five caused incomplete bladder emptying requiring the use of CIC (10.2%). Higher pre-injection PVR was significantly associated with both a lower chance of symptomatic improvement (P = 0.04) and a higher risk of incomplete bladder emptying with institution of CIC (P = 0.047). Intradetrusor injections of BoNT-A 100 U appeared as a safe and effective option in PD patients with OAB symptoms and a low PVR before the injection. Higher preoperative PVR was the strongest predictor of both treatment failure and postoperative urinary retention requiring CIC. © 2018 Wiley Periodicals, Inc.

  2. Effectiveness of Retropubic Tension-Free Vaginal Tape and Transobturator Inside-Out Tape Procedures in Women With Overactive Bladder and Stress Urinary Incontinence

    Directory of Open Access Journals (Sweden)

    Ji-Yeon Han

    2013-09-01

    Full Text Available Purpose We compared the effectiveness of the retropubic tension-free vaginal tape (TVT and the transobturator inside-out tape (TVT-O in treating symptoms of overactive bladder (OAB in women with stress urinary incontinence (SUI. Methods Women with urodynamic SUI and OAB (mean urgency episodes ≥1 and frequency ≥8/24 hours on a 3-day voiding diary were assigned to the TVT or TVT-O group. Preoperative measures were based on a urodynamic study, 3-day voiding diary, the Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTSSF, and the urgency perception scale (UPS. At 12 postoperative months, the 3-day voiding diary, symptoms questionnaire, patient satisfaction, and standing stress test were assessed. The primary endpoint was change in the number of urgency episodes/24 hours from baseline to 12 months. Results In this group of 132 women, 42 received TVT and 90 received TVT-O. The mean urgency episodes/24 hours decreased from 6.3±5.5 to 1.6±3.2 in the TVT group and from 5.1±4.4 to 1.8±3.0 in the TVT-O group. The mean percent change was significantly greater after TVT than after TVT-O (73% vs. 60%, P=0.049. All subscales of BFLUTSSF and UPS were significantly improved using either method, with significantly greater improvement seen in the quality of life (QoL domain after TVT (P=0.002. There were no significant differences in the cure and satisfaction rates between the two groups. Conclusions Intervention with the TVT or the TVT-O significantly improved symptoms of OAB in women with SUI and OAB. Urgency and QoL significantly improved after TVT compared with that after TVT-O.

  3. Effectiveness of Retropubic Tension-Free Vaginal Tape and Transobturator Inside-Out Tape Procedures in Women With Overactive Bladder and Stress Urinary Incontinence

    Science.gov (United States)

    Han, Ji-Yeon; Choo, Myung-Soo; Lee, Young-Suk; Seo, Ju Tae; Kim, Jang Hwan; Kim, Young Ho

    2013-01-01

    Purpose We compared the effectiveness of the retropubic tension-free vaginal tape (TVT) and the transobturator inside-out tape (TVT-O) in treating symptoms of overactive bladder (OAB) in women with stress urinary incontinence (SUI). Methods Women with urodynamic SUI and OAB (mean urgency episodes ≥1 and frequency ≥8/24 hours on a 3-day voiding diary) were assigned to the TVT or TVT-O group. Preoperative measures were based on a urodynamic study, 3-day voiding diary, the Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTSSF), and the urgency perception scale (UPS). At 12 postoperative months, the 3-day voiding diary, symptoms questionnaire, patient satisfaction, and standing stress test were assessed. The primary endpoint was change in the number of urgency episodes/24 hours from baseline to 12 months. Results In this group of 132 women, 42 received TVT and 90 received TVT-O. The mean urgency episodes/24 hours decreased from 6.3±5.5 to 1.6±3.2 in the TVT group and from 5.1±4.4 to 1.8±3.0 in the TVT-O group. The mean percent change was significantly greater after TVT than after TVT-O (73% vs. 60%, P=0.049). All subscales of BFLUTSSF and UPS were significantly improved using either method, with significantly greater improvement seen in the quality of life (QoL) domain after TVT (P=0.002). There were no significant differences in the cure and satisfaction rates between the two groups. Conclusions Intervention with the TVT or the TVT-O significantly improved symptoms of OAB in women with SUI and OAB. Urgency and QoL significantly improved after TVT compared with that after TVT-O. PMID:24143294

  4. Epidemiology and impact of urinary incontinence, overactive bladder, and other lower urinary tract symptoms: results of the EPIC survey in Russia, Czech Republic, and Turkey.

    Science.gov (United States)

    Kogan, Mikhail Iosifovich; Zachoval, Roman; Ozyurt, Ceyhun; Schäfer, Thomas; Christensen, Nicola

    2014-10-01

    To estimate the prevalence of urinary incontinence (UI), overactive bladder (OAB), and other lower urinary tract symptoms (LUTS) in the Czech Republic, Russia, and Turkey. Stage one of this population-based survey consisted of computer-assisted telephone interviews to obtain prevalence estimates of storage, voiding, and post-micturition LUTS. Stage two face-to-face interviews evaluated subjects with mixed urinary incontinence (MUI), stress urinary incontinence (SUI) or OAB (case group) and a control group (subjects with other incontinence or LUTS complaints, or no symptoms). Prevalence of LUTS categories were determined for each country based on International Continence Society (ICS) criteria. A total of 3130 individuals agreed to participate in the survey, which found high rates of LUTS (men 80%; women 84%) and OAB (men 18%; women 28%). Duration of urinary symptoms was relatively brief (approximately 60% ≤ 3 years) and was associated with relatively modest effects on quality of life and work performance in the majority of individuals. Forty percent had consulted with a healthcare provider about their urinary symptoms, of whom 37% had consulted with a physician and 34% with an urologist, and 12% had been treated with a prescription medication. Drug therapy, while uncommon, was associated with a high degree of self-reported improvement (96%). Because of between-country population differences, aggregate results may not always be representative of results for each of the three countries individually. Study limitations include reliance on patient self-report, and potential bias introduced by patients who declined to participate in the survey. The results of this epidemiologic survey found high rates of LUTS and OAB, but low levels of medical consultation and very low use of medication treatment, despite high levels of improvement when medications were used.

  5. Healthy Buildings '88

    International Nuclear Information System (INIS)

    Berglund, B.; Lindvall, T.; Maansson, L.G.

    1988-06-01

    The Healthy Buildings '88 Conference focuses on the technical solutions and functional requirements contributing to Healthy Buildings for people to live and work in. The main object of the Conference is to give architects, consultants, real-estate owners and manufacturers of building materials recommendations on choice of materials and choice of systems and on how to combine materials and systems. The program includes overview lectures, plenary symposia with invited speakers, workshops, poster presentations and an exhibition of scientific, educational and technical material. One part of the conference is devoted to the problem of radon in residential buildings

  6. Building perservation practice

    DEFF Research Database (Denmark)

    Pilegaard, Marie Kirstine

    , and they indicate the importance of this story to be preserved. The professionals, who cooperate on the preservation efforts for the cultural environments today, all emphasizes the communication of the story, but using different approaches towards the processes of reading, interpreting and communicating. The role...... planning? In this paper I will focus on the communication of the architects working with building preservation and planning, how they communicate the building, the interventions and the storytelling in practice. The methods used by the architects are based on a practice, where some skills are learned...... through education, such as documentation of buildings and the restoration as a way of communicating the architect's intervention on the building, meanwhile the communication of the buildings history is seen as a "natural" skill and the methods are not questioned in the practice. The storytelling has today...

  7. Building materials. Stichwort Baustoff

    Energy Technology Data Exchange (ETDEWEB)

    Rohwer, W

    1981-01-01

    To handle building materials properly, one must know about their characteristics. This pocket book will be of help: structured like a glossary, it gives brief descriptions of the most common building materials. It is small and handy enough to be a constant companion to resident engineers, foremen, gangers, building tradesmen, and construction workers and an aid in their training. The following groups of building materials are discussed: Natural stone; units for brick walls, floors, and roofs; mortar and concrete (definitions, binders, aggregates, additives, admixtures, mixing water); special types of plaster and rendering; light-weight building boards and wood wool basis; multilayer light-weight building boards; gypsum plasterboards; chimney construction; sewers; thermal insulation and sound section; structural steels; plastics.

  8. Environmental Evaluation of Building Materials of 5 Slovak Buildings

    Science.gov (United States)

    Porhincak, Milan; Estokova, Adriana

    2013-11-01

    Building activity has recently led to the deterioration of environment and has become unsustainable. Several strategies have been introduced in order to minimize consumption of energy and resulting CO2 emissions having their origin in the operational phase. But also other stages of Life Cycle should are important to identify the overall environmental impact of construction sector. In this paper 5 similar Slovak buildings (family houses) were analyzed in terms of environmental performance of building materials used for their structures. Evaluation included the weight of used materials, embodied energy and embodied CO2 and SO2 emissions. Analysis has proven that the selection of building materials is an important factor which influences the environmental profile. Findings of the case study indicated that materials like concrete, ceramic or thermal insulation materials based on polystyrene and mineral wool are ones with the most negative environmental impact.

  9. Building Momentum: National Trends and Prospects for High-Performance Green Buildings.

    Science.gov (United States)

    2003

    This report is an outgrowth of the Green Building Roundtable of the U.S. Senate Committee on Environment and Public Works held in conjunction with the U.S. Green Building Council on April 24, 2002. The roundtable brought together diverse interests to educate members of Congress on green building trends and generated discussion about the economic…

  10. Optimizing Energy Consumption in Building Designs Using Building Information Model (BIM

    Directory of Open Access Journals (Sweden)

    Egwunatum Samuel

    2016-09-01

    Full Text Available Given the ability of a Building Information Model (BIM to serve as a multi-disciplinary data repository, this paper seeks to explore and exploit the sustainability value of Building Information Modelling/models in delivering buildings that require less energy for their operation, emit less CO2 and at the same time provide a comfortable living environment for their occupants. This objective was achieved by a critical and extensive review of the literature covering: (1 building energy consumption, (2 building energy performance and analysis, and (3 building information modeling and energy assessment. The literature cited in this paper showed that linking an energy analysis tool with a BIM model helped project design teams to predict and create optimized energy consumption. To validate this finding, an in-depth analysis was carried out on a completed BIM integrated construction project using the Arboleda Project in the Dominican Republic. The findings showed that the BIM-based energy analysis helped the design team achieve the world’s first 103% positive energy building. From the research findings, the paper concludes that linking an energy analysis tool with a BIM model helps to expedite the energy analysis process, provide more detailed and accurate results as well as deliver energy-efficient buildings. The study further recommends that the adoption of a level 2 BIM and the integration of BIM in energy optimization analyse should be made compulsory for all projects irrespective of the method of procurement (government-funded or otherwise or its size.

  11. Measures taken by the building authorities in order to reduce radiation risks in buildings

    International Nuclear Information System (INIS)

    Tell, Wilhelm

    1980-01-01

    The Swedish radon commission has recommended that the risk of radiation and radon emission from the ground be considered when planning for new settlements, building materials with high radioactivity not be allowed for new buildings, and existing buildings with high levels of radioactivity be traced and improved. Maps of gamma radiation from the ground are being worked out showing areas with levels higher than 30 μR/h. Within such areas buildings should be planned taking the ultimate limits for new buildings into account. Building permits are granted for construction of new structures or extensive renovations if it can be shown that radiation levels within the buildings will be within legal limits: 70 Bq/m 3 for new buildings and 200 Bq/m 3 for existing ones. The radon commission has suggested that buildings with a radon daughter concentration exceeding 400 Bq/m 3 should be found and levels reduced to 200 Bq/m 3

  12. Building energy, building leadership : recommendations for the adoption, development, and implementation of a commercial building energy code in Manitoba

    Energy Technology Data Exchange (ETDEWEB)

    Akerstream, T. [Manitoba Hydro, Winnipeg, MB (Canada); Allard, K. [City of Thompson, Thompson, MB (Canada); Anderson, N.; Beacham, D. [Manitoba Office of the Fire Commissioner, Winnipeg, MB (Canada); Andrich, R. [The Forks North Portage Partnership, MB (Canada); Auger, A. [Natural Resources Canada, Ottawa, ON (Canada). Office of Energy Efficiency; Downs, R.G. [Shindico Realty Inc., Winnipeg, MB (Canada); Eastwood, R. [Number Ten Architectural Group, Winnipeg, MB (Canada); Hewitt, C. [SMS Engineering Ltd., Winnipeg, MB (Canada); Joshi, D. [City of Winnipeg, Winnipeg, MB (Canada); Klassen, K. [Manitoba Dept. of Energy Science and Technology, Winnipeg, MB (Canada); Phillips, B. [Unies Ltd., Winnipeg, MB (Canada); Wiebe, R. [Ben Wiebe Construction Ltd., Winnipeg, MB (Canada); Woelk, D. [Bockstael Construction Ltd., Winnipeg, MB (Canada); Ziemski, S. [CREIT Management LLP, Winnipeg, MB (Canada)

    2006-09-15

    This report presented a strategy and a set of recommendations for the adoption, development and implementation of an energy code for new commercial construction in Manitoba. The report was compiled by an advisory committee comprised of industry representatives and government agency representatives. Recommendations were divided into 4 categories: (1) advisory committee recommendations; (2) code adoption recommendations; (3) code development recommendations; and (4) code implementation recommendations. It was suggested that Manitoba should adopt an amended version of the Model National Energy Code for Buildings (1997) as a regulation under the Buildings and Mobile Homes Act. Participation in a national initiative to update the Model National Energy Code for Buildings was also advised. It was suggested that the energy code should be considered as the first step in a longer-term process towards a sustainable commercial building code. However, the code should be adopted within the context of a complete market transformation approach. Other recommendations included: the establishment of a multi-stakeholder energy code task group; the provision of information and technical resources to help build industry capacity; the establishment of a process for energy code compliance; and an ongoing review of the energy code to assess impacts and progress. Supplemental recommendations for future discussion included the need for integrated design by building design teams in Manitoba; the development of a program to provide technical assistance to building design teams; and collaboration between post-secondary institutions to develop and deliver courses on integrated building design to students and professionals. 17 refs.

  13. Building integration of PCM for natural cooling of buildings

    International Nuclear Information System (INIS)

    Álvarez, Servando; Cabeza, Luisa F.; Ruiz-Pardo, Alvaro; Castell, Albert; Tenorio, José Antonio

    2013-01-01

    Highlights: ► A brief overview of PCM solutions for buildings is provided. ► Some weaknesses of existing PCM solutions for buildings were identified. ► New solutions for PCM integration in buildings are proposed. ► Proposed solutions overcome identified weaknesses of existing solutions. - Abstract: The use of night cooling ventilation in addition of phase change materials (PCMs) is a very powerful strategy for reducing the cooling demand of buildings. Nevertheless, there are inherent drawbacks in the way things have been doing so far: (a) The limited area of contact between PCM and the air; (b) the very low convective heat transfer coefficients which prevents the use of significant amounts of PCM and (c) the very low utilization factor of the cool stored due to the large phase shift between the time when cool is stored and time when it is required by the building. In this paper, we present innovative solutions using PCM to overcome the above situation. Compared with existing solutions, innovative solutions proposed, increase the contact area between PCM and air by a factor of approximately 3.6, increase the convective heat transfer coefficient significantly, and improve the utilization factor due to the inclusion of active control systems which allow the cold stored be actually used when required

  14. Building-related symptoms and inflammatory potency of dust from office buildings

    DEFF Research Database (Denmark)

    Allermann, L; Pejtersen, J; Gunnarsen, L

    2007-01-01

    UNLABELLED: The aim was to investigate the association between building-related symptoms (BRS) in office buildings and the inflammatory potency of dust (PD). Furthermore, the association between dust potency and various building characteristics was investigated. Occupants of 22 office buildings...... received a retrospective questionnaire about BRS (2301 respondents). Dust was collected from groups of offices and building characteristics were recorded. The potency of a dust sample to induce interleukin-8 (IL-8) secretion from the lung epithelial cell line A549 was measured as the slope of the initial...... linear part of the concentration-response curve. Symptoms of the central nervous system (CNS) were associated with the potency of surface dust (OR = 1.4). This association may be due to an association between an index of CNS symptoms and dust potency in offices of 1-6 occupants (OR = 1.5). No single...

  15. Energy savings potential from improved building controls for the US commercial building sector

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez, Nick; Katipamula, Srinivas; Wang, Weimin; Xie, Yulong; Zhao, Mingjie

    2017-09-27

    The U.S. Department of Energy’s (DOE’s) Building Technologies Office (BTO) sponsored a study to determine the potential national savings achievable in the commercial building sector through widespread deployment of best practice controls, elimination of system and component faults, and use of better sensing. Detailed characterization of potential savings was one source of input to set research, development, and deployment (RD&D) goals in the field of building sensors and controls. DOE’s building energy simulation software, EnergyPlus, was employed to estimate the potential savings from 34 measures in 9 building types and across 16 climates representing almost 57% of commercial building sector energy consumption. In addition to estimating savings from individual measures, three packages of measures were created to estimate savings from the packages. These packages represented an 1) efficient building, 2) typical building, and 3) inefficient building. To scale the results from individual measures or a package to the national scale, building weights by building type and climate locations from the Energy Information Administration’s 2012 Commercial Building Energy Consumption Survey (CBECS) were used. The results showed significant potential for energy savings across all building types and climates. The total site potential savings from individual measures by building type and climate location ranged between 0% and 25%. The total site potential savings by building type aggregated across all climates (using the CBECS building weights) for each measure varied between 0% and 16%. The total site potential savings aggregated across all building types and climates for each measure varied between 0% and 11%. Some individual measures had negative savings because correcting underlying operational problems (e.g., inadequate ventilation) resulted in increased energy consumption. When combined into packages, the overall national savings potential is estimated to be 29

  16. Future Green Buildings

    DEFF Research Database (Denmark)

    Mathiesen, Brian Vad; Drysdale, David; Lund, Henrik

    an energy system integration perspective, heat savings, electricity savings, and user behavioural aspects as well as energy storage and household level flexibility. Many reports on green or sustainable buildings focus only on savings levels and disregard the cost of renewable energy production. Some reports......Efficient buildings are essential for an affordable Danish energy supply in 2050. The purpose of this report is to describe the contribution and role of the building sector in a 100% renewable energy future, as well as the transitions that are necessary in the building sector to support this change....... The report builds on a literature review encompassing more than 50 reports and research papers over the last 10 years and more than a two decades knowledge about the interactions between different components of the energy sector. The review has been focused on aspects such as cost-effective solutions from...

  17. Modern frame structure buildings

    Directory of Open Access Journals (Sweden)

    В. М. Першаков

    2013-07-01

    Full Text Available The article deals with the design, construction and implementation of reinforced concrete frame structures with span 18, 21 m for agricultural production buildings, hall-premises of public buildings and buildings of agricultural aviation. Structures are prefabricated frame buildings and have such advantages as large space inside the structure and lower cost compared with other facilities with same purpose

  18. Building Acoustics

    Science.gov (United States)

    Cowan, James

    This chapter summarizes and explains key concepts of building acoustics. These issues include the behavior of sound waves in rooms, the most commonly used rating systems for sound and sound control in buildings, the most common noise sources found in buildings, practical noise control methods for these sources, and the specific topic of office acoustics. Common noise issues for multi-dwelling units can be derived from most of the sections of this chapter. Books can be and have been written on each of these topics, so the purpose of this chapter is to summarize this information and provide appropriate resources for further exploration of each topic.

  19. Building Software with Gradle

    CERN Multimedia

    CERN. Geneva; Studer, Etienne

    2014-01-01

    In this presentation, we will give an overview of the key concepts and main features of Gradle, the innovative build system that has become the de-facto standard in the enterprise. We will cover task declaration and task graph execution, incremental builds, multi-project builds, dependency management, applying plugins, extracting reusable build logic, bootstrapping a build, and using the Gradle daemon. By the end of this talk, you will have a good understanding of what makes Gradle so powerful yet easy to use. You will also understand why companies like Pivotal, LinkedIn, Google, and other giants with complex builds count on Gradle. About the speakers Etienne is leading the Tooling Team at Gradleware. He has been working as a developer, architect, project manager, and CTO over the past 15 years. He has spent most of his time building software products from the ground up and successfully shipping them to happy customers. He had ...

  20. Wall envelopes in office buildings: design trend and implications on cooling load of buildings

    International Nuclear Information System (INIS)

    Ibrahim, N.; Ahmed, A.Z.; Ahmed, S.S.

    2006-01-01

    The wall envelope is a vital element of a building especially to a high rise building where its wall to building volume ratio is higher compared to other building forms. As well as a means of architectural expression, the wall envelope protects and regulates the indoor environment. In recent years there have been many applications of glass products and cladding systems in high-rise buildings built in Kuala Lumpur. This paper describes a recent research and survey on wall envelope designs adopted in 33 high-rise office buildings built in the central business district of Kuala Lumpur since 1990. This research adopts component design analysis to identify dominant trends on wall envelope design for the surveyed buildings. The paper seeks to discourse the implications of this design trend on energy consumption of high-rise office buildings in the country

  1. Urinary tract infections in women with urogynaecological symptoms.

    Science.gov (United States)

    Lakeman, Marielle M E; Roovers, Jan-Paul W R

    2016-02-01

    Urinary tract infections are common in the field of urogynaecology. Women with persistent urinary symptoms seem more likely to have bacteriuria despite negative cultures. In this review, we will give an overview of the recent insights on the relationship between urinary tract infection and persistent urinary symptoms and possible new therapeutic options. Recently published articles evaluated the prevalence of low-count bacteriuria (≥10 CFU/ml) or intracellular bacterial communities in women with overactive bladder symptoms (OAB). Differences in urinary microbioma observed in women with and without OAB symptoms were evaluated. In the light of these findings, current screening strategies were discussed and alternative screening methods for bacteriuria developed. Low-count bacteriuria (≥10 CFU/ml) seems to be more prevalent in women with OAB. Also intracellular bacterial communities are more commonly detected in these women. The microbioma found in women with urinary symptoms appeared to differ from healthy controls. The current screening methods might be insufficient as they are targeted at detecting uropathogenic Escherichia coli, mostly using a detection threshold of at least 10 CFU/ml and failing to detect intracellular bacterial communities. Studies evaluating the efficacy of treating women with low-count bacteriuria are limited but promising.

  2. Tribal Green Building Toolkit

    Science.gov (United States)

    This Tribal Green Building Toolkit (Toolkit) is designed to help tribal officials, community members, planners, developers, and architects develop and adopt building codes to support green building practices. Anyone can use this toolkit!

  3. Design and development of Building energy simulation Software for prefabricated cabin type of industrial building (PCES)

    Science.gov (United States)

    Zhang, Jun; Li, Ri Yi

    2018-06-01

    Building energy simulation is an important supporting tool for green building design and building energy consumption assessment, At present, Building energy simulation software can't meet the needs of energy consumption analysis and cabinet level micro environment control design of prefabricated building. thermal physical model of prefabricated building is proposed in this paper, based on the physical model, the energy consumption calculation software of prefabricated cabin building(PCES) is developed. we can achieve building parameter setting, energy consumption simulation and building thermal process and energy consumption analysis by PCES.

  4. Building-related symptoms and inflammatory potency of dust from office buildings

    DEFF Research Database (Denmark)

    Allermann, Leila; Pejtersen, Jan; Gunnarsen, Lars Bo

    2007-01-01

    Abstract The aim was to investigate the association between building-related symptoms (BRS) in office buildings and the inflammatory potency of dust (PD). Furthermore, the association between dust potency and various building characteristics was investigated. Occupants of 22 office buildings...... received a retrospective questionnaire about BRS (2301 respondents). Dust was collected from groups of offices and building characteristics were recorded. The potency of a dust sample to induce interleukin-8 (IL-8) secretion from the lung epithelial cell line A549 was measured as the slope of the initial...... linear part of the concentration- response curve. Symptoms of the central nervous system (CNS) were associated with the potency of surface dust (OR ¼ 1.4). This association may be due to an association between an index of CNS symptoms and dust potency in offices of 1-6 occupants (OR ¼ 1.5). No single...

  5. CERN's newest building

    CERN Multimedia

    Anaïs Vernède

    2011-01-01

    With a growing number of users looking for offices, the shortage of space has become acute, particularly for physicists. Building 42, inaugurated on Friday 11 February, offers almost 300 new work-spaces and a particularly pleasant working environment.   Mauro Dell’Ambrogio, the Swiss State Secretary for Education and Research (left), Rolf Heuer , CERN Director-General (centre), and Mark Muller, President of the Government of the Republic and Canton of Geneva and Head of the Department of Construction and Information Technology (right) at the opening of Building 42 on 11 February, 2011.   Construction work for the new Building 42 began in January 2009, thanks to support from the Swiss foundation FIPOI (Fondation des immeubles pour les organisations internationales). After two years of work, the building, an extension of Building 40, is ready to accommodate physicists from around the world who have come to work on the LHC. "We had more than 25 external contractors working...

  6. Building Energy Efficiency in India: Compliance Evaluation of Energy Conservation Building Code

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Sha; Evans, Meredydd; Delgado, Alison

    2014-03-26

    India is experiencing unprecedented construction boom. The country doubled its floorspace between 2001 and 2005 and is expected to add 35 billion m2 of new buildings by 2050. Buildings account for 35% of total final energy consumption in India today, and building energy use is growing at 8% annually. Studies have shown that carbon policies will have little effect on reducing building energy demand. Chaturvedi et al. predicted that, if there is no specific sectoral policies to curb building energy use, final energy demand of the Indian building sector will grow over five times by the end of this century, driven by rapid income and population growth. The growing energy demand in buildings is accompanied by a transition from traditional biomass to commercial fuels, particularly an increase in electricity use. This also leads to a rapid increase in carbon emissions and aggravates power shortage in India. Growth in building energy use poses challenges to the Indian government. To curb energy consumption in buildings, the Indian government issued the Energy Conservation Building Code (ECBC) in 2007, which applies to commercial buildings with a connected load of 100 kW or 120kVA. It is predicted that the implementation of ECBC can help save 25-40% of energy, compared to reference buildings without energy-efficiency measures. However, the impact of ECBC depends on the effectiveness of its enforcement and compliance. Currently, the majority of buildings in India are not ECBC-compliant. The United Nations Development Programme projected that code compliance in India would reach 35% by 2015 and 64% by 2017. Whether the projected targets can be achieved depends on how the code enforcement system is designed and implemented. Although the development of ECBC lies in the hands of the national government – the Bureau of Energy Efficiency under the Ministry of Power, the adoption and implementation of ECBC largely relies on state and local governments. Six years after ECBC

  7. 77 FR 24494 - Office of Federal High-Performance Green Buildings; Green Building Advisory Committee...

    Science.gov (United States)

    2012-04-24

    ... Federal High-Performance Green Buildings; Green Building Advisory Committee; Notification of Upcoming... agenda for the May 9, 2012, meeting of the Green Building Advisory Committee Meeting (the Committee). The... Sandler, Designated Federal Officer, Office of Federal High-Performance Green Buildings, Office of...

  8. 77 FR 66616 - Office of Federal High-Performance Green Buildings; Green Building Advisory Committee...

    Science.gov (United States)

    2012-11-06

    ... Federal High-Performance Green Buildings; Green Building Advisory Committee; Notification of Upcoming... and agenda for the November 27, 2012, meeting of the Green Building Advisory Committee Meeting (the... Green Buildings, Office of Government-wide Policy, General Services Administration, 1275 First Street NE...

  9. 78 FR 21368 - Office of Federal High-Performance Green Buildings; Green Building Advisory Committee...

    Science.gov (United States)

    2013-04-10

    ... Federal High-Performance Green Buildings; Green Building Advisory Committee; Notification of Upcoming... and agenda for the May 1, 2013, meeting of the Green Building Advisory Committee Meeting (the... Green Buildings, Office of Government-wide Policy, General Services Administration, 1275 First Street NE...

  10. Impact of 2015 Update to the Beers Criteria on Estimates of Prevalence and Costs Associated with Potentially Inappropriate Use of Antimuscarinics for Overactive Bladder.

    Science.gov (United States)

    Suehs, Brandon T; Davis, Cralen; Ng, Daniel B; Gooch, Katherine

    2017-07-01

    Research has demonstrated that the use of potentially inappropriate medication (PIM) is highly prevalent among older individuals and may lead to increased healthcare costs, adverse drug reactions, hospitalizations, and mortality. The purpose of this study was to examine the impact of the 2015 updates to the Beers Criteria on estimates of prevalence and cost associated with potentially inappropriate use of antimuscarinic medications indicated for treatment of overactive bladder (OAB). A retrospective database analysis was conducted using a historical cohort design and including data collected between 2007 and 2013. Claims data were used to identify Medicare Advantage patients aged ≥65 years newly initiated on antimuscarinic OAB treatment. Patients were classified with potentially inappropriate use of antimuscarinic OAB drugs based on either the 2012 Beers Criteria or the 2015 Beers Criteria. Prevalence of PIM at the time of antimuscarinic initiation was determined. Bivariate comparisons of healthcare costs and medical condition burden were conducted to compare the marginal groups of patients (who qualified based on the 2012 Beers Criteria only or the 2015 Beers Criteria only). Differences in healthcare costs for patients with and without potentially inappropriate use of urinary antimuscarinics based on the 2012 and 2015 Beers Criteria were also examined. Of 66,275 patients, overall prevalence of potentially inappropriate use of OAB antimuscarinics was higher using 2015 Beers Criteria than when using the 2012 Beers Criteria (25.0 vs. 20.6%). Dementia was the most common PIM-qualifying condition under both versions. The 2015 Beers Criteria identified more females, more White people, and a younger population with PIM. Comorbid medical condition burden was lower using the 2015 Beers Criteria. The 2015 Beers Criteria only group had lower median unadjusted healthcare costs ($7104 vs. 8301; p cost associated with potentially inappropriate use of antimuscarinic

  11. Predictors of outcome in children and adolescents with overactive bladder treated with parasacral transcutaneous electrical nerve stimulation.

    Science.gov (United States)

    Hoffmann, Anselmo; Sampaio, Clara; Nascimento, Ana Aparecida; Veiga, Maria Luiza; Barroso, Ubirajara

    2018-02-01

    Parasacral transcutaneous electrical nerve stimulation (TENS) has emerged as an effective treatment for overactive bladder (OAB) in view of its high success rates in improving lower urinary tract symptoms and constipation, with no direct side effects. However, the clinical characteristics associated with the outcomes remain to be established. The aim of this study was to evaluate potential predictors of outcome in children with OAB treated using parasacral TENS. This was a prospective study of children with symptoms of isolated OAB, enrolled consecutively to the study and treated with parasacral TENS (figure). Isolated OAB was defined as the presence of urinary urgency with no signs of dysfunctional voiding. The symptoms were considered completely resolved when a patient's parents/guardians or the patients themselves reported a 100% improvement. Parasacral TENS was performed twice weekly for a total of 20 sessions of 20 min each at 10 Hz. The potential predictive factors evaluated were: sex, age, daytime incontinence, nocturia, a prior history of urinary tract infection, the presence of nocturnal enuresis, constipation and holding maneuvers. Eighty-three patients with a mean age of 7.8 ± 2.8 years were included in the study. Complete resolution of symptoms was achieved in 47 (56.6%). Following parasacral TENS treatment, a significant response was reported in 96.4% of cases. Of the 55 patients with nocturnal enuresis, partial resolution was achieved in 30 cases (54.5%), with a statistically significant association between nocturnal enuresis and the patient's response to treatment (p < 0.004; OR = 4.4, 95% CI 1.5-12.5). No other factor was associated with response to treatment. To the best of our knowledge, this association between nocturnal enuresis and failure to respond to parasacral TENS treatment for lower urinary tract dysfunction has not previously been reported. The identification of factors capable of predicting therapeutic failure may allow

  12. Building lifespan: effect on the environmental impact of building components in a Danish perspective

    DEFF Research Database (Denmark)

    Marsh, Rob

    2017-01-01

    of building lifespan are inadequately addressed. The aim of this research is therefore to explore how environmental impact from building components is affected by building lifespans of 50, 80, 100 and 120 years in a Danish context. LCAs are undertaken for 792 parametric variations of typical construction...... solutions, covering all primary building components and based on contemporary practice. A full statistical analysis is carried out, which shows a significant statistical correlation between changes in building lifespan and environmental impact for all primary building components, except windows......Construction professionals must now integrate environmental concerns with life cycle assessment (LCA) early in the procurement process. Building lifespan is important to LCA, since results must be normalized on an annualized basis for comparison. However, the scientific literature shows that issues...

  13. Green Building Tools for Tribes

    Science.gov (United States)

    Tribal green building tools and funding information to support tribal building code adoption, healthy building, siting, energy efficiency, renewable energy, water conservation, green building materials, recycling and adaptation and resilience.

  14. BUILDING 341 Seismic Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Halle, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-06-15

    The Seismic Evaluation of Building 341 located at Lawrence Livermore National Laboratory in Livermore, California has been completed. The subject building consists of a main building, Increment 1, and two smaller additions; Increments 2 and 3.

  15. Regression Tree-Based Methodology for Customizing Building Energy Benchmarks to Individual Commercial Buildings

    Science.gov (United States)

    Kaskhedikar, Apoorva Prakash

    According to the U.S. Energy Information Administration, commercial buildings represent about 40% of the United State's energy consumption of which office buildings consume a major portion. Gauging the extent to which an individual building consumes energy in excess of its peers is the first step in initiating energy efficiency improvement. Energy Benchmarking offers initial building energy performance assessment without rigorous evaluation. Energy benchmarking tools based on the Commercial Buildings Energy Consumption Survey (CBECS) database are investigated in this thesis. This study proposes a new benchmarking methodology based on decision trees, where a relationship between the energy use intensities (EUI) and building parameters (continuous and categorical) is developed for different building types. This methodology was applied to medium office and school building types contained in the CBECS database. The Random Forest technique was used to find the most influential parameters that impact building energy use intensities. Subsequently, correlations which were significant were identified between EUIs and CBECS variables. Other than floor area, some of the important variables were number of workers, location, number of PCs and main cooling equipment. The coefficient of variation was used to evaluate the effectiveness of the new model. The customization technique proposed in this thesis was compared with another benchmarking model that is widely used by building owners and designers namely, the ENERGY STAR's Portfolio Manager. This tool relies on the standard Linear Regression methods which is only able to handle continuous variables. The model proposed uses data mining technique and was found to perform slightly better than the Portfolio Manager. The broader impacts of the new benchmarking methodology proposed is that it allows for identifying important categorical variables, and then incorporating them in a local, as against a global, model framework for EUI

  16. Green commercial building insurance in Malaysia

    Science.gov (United States)

    Yang, Yu Xin Ou; Chew, Boon Cheong; Loo, Heoy Shin; Tan, Lay Hong

    2017-03-01

    Green building construction is growing tremendously globally even in Malaysia. Currently, there are approximate 636 buildings have registered and to be certified with Green Building Index. Among these buildings, 45 buildings have already fulfilled the requirements and fully certified. The other buildings still under provisional certification stage. Malaysia had adopted Green Building Index in 2009 to support a move to promote green building concept. Malaysia starts to move towards green building because Malaysian construction and building industry realizes that both energy consumed and waste produced are reduced without irreversible impacts to ecosystems. Consequently, insurance companies such as Fireman's Fund from America has started the green building insurance policies for their green building in the year of 2006, while Malaysia still remain the coverage for green buildings using conventional property insurance. There are lacks of efforts to be seen from insurance companies to propose green building insurance for these green buildings. There are a few factors which can take into consideration for insurance companies to start the very first green building insurance in Malaysia. Although there are challenges, some efficient strategies have been identified to overcome the problems. The methods used in this research topic is qualitative research. The results obtained shows that green commercial building insurance has a huge business opportunity in Malaysia because the number of green commercial buildings are increasing tremendously in Malaysia. It is a favor to implement green building insurance in Malaysia. Furthermore, insurance companies can consider to add in extra coverage in standard building policy to provide extra protection for non-certified green buildings which have the intention to rebuilt in green when damage happens. Generally, it is very important to introduce green commercial buildings insurance into Malaysia so that all of the green commercial

  17. Daylight case study building. A working document of Task 21. Daylight in buildings

    Energy Technology Data Exchange (ETDEWEB)

    Kristensen, P E

    1997-05-01

    This report describes 16 buildings, that have been selected as Task 21 case studies. Totally 15 buildings will be monitored and described according to the procedures developed in Task 21. One case study building is in design stage, the new ISE Headquarters in Freiburg, and this project has been selected as a case study on building design. The monitoring programme for the buildings runs through 1997 until mid 1998. The present document serves as a basic document describing the case studies, until the projects will be described in more detail, including monitoring results, towards the end of the Task. (au)

  18. Impact of Building Design Parameters on Thermal Energy Flexibility in a Low-Energy Building

    OpenAIRE

    Sarran, Lucile; Foteinaki, Kyriaki; Gianniou, Panagiota; Rode, Carsten

    2017-01-01

    This work focuses on demand-side management potential for the heating grid in residential buildings. The possibility to increase the flexibility provided to the heat network through specific building design is investigated. The role of different parts of the building structure on thermal flexibility is assessed through a parameter variation on a building model. Different building designs are subjected to heat cut-offs, and flexibility is evaluated with respect to comfort preservation and heat...

  19. Digital Handover of Data from Building Projects to Building Operation

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2006-01-01

    pro-jects to building operation. This project started in 2004 with research and analyses fol-lowed by development of a proposal for client requirements and in 2005 a first test on a real construction project has been carried out. After revision of the requirements a second test will be started early...... and construction and on the other side in building opera-tion and facilities management. In Denmark the government has launched a development program called Digital Construction and one of the projects concerns specifying require-ments for building clients in relation to digital handover of data from construction...... by a consortium called DACaPo consisting of a building client/facilities manager, a consulting company, a contractor and a university institute. This paper presents some of the results from the project with the main focus on the initial research....

  20. Hawaii-Okinawa Building Evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, I.; Salasovich, J.

    2013-05-01

    NREL conducted energy evaluations at the Itoman City Hall building in Itoman, Okinawa Prefecture, Japan, and the Hawaii State Capitol building in Honolulu, Hawaii. This report summarizes the findings from the evaluations, including the best practices identified at each site and opportunities for improving energy efficiency and renewable energy. The findings from this evaluation are intended to inform energy efficient building design, energy efficiency technology, and management protocols for buildings in subtropical climates.

  1. Energy Efficiency Building Code for Commercial Buildings in Sri Lanka

    Energy Technology Data Exchange (ETDEWEB)

    Busch, John; Greenberg, Steve; Rubinstein, Francis; Denver, Andrea; Rawner, Esther; Franconi, Ellen; Huang, Joe; Neils, Danielle

    2000-09-30

    1.1.1 To encourage energy efficient design or retrofit of commercial buildings so that they may be constructed, operated, and maintained in a manner that reduces the use of energy without constraining the building function, the comfort, health, or the productivity of the occupants and with appropriate regard for economic considerations. 1.1.2 To provide criterion and minimum standards for energy efficiency in the design or retrofit of commercial buildings and provide methods for determining compliance with them. 1.1.3 To encourage energy efficient designs that exceed these criterion and minimum standards.

  2. Energy Efficiency Building Code for Commercial Buildings in Sri Lanka

    International Nuclear Information System (INIS)

    Busch, John; Greenberg, Steve; Rubinstein, Francis; Denver, Andrea; Rawner, Esther; Franconi, Ellen; Huang, Joe; Neils, Danielle

    2000-01-01

    1.1.1 To encourage energy efficient design or retrofit of commercial buildings so that they may be constructed, operated, and maintained in a manner that reduces the use of energy without constraining the building function, the comfort, health, or the productivity of the occupants and with appropriate regard for economic considerations. 1.1.2 To provide criterion and minimum standards for energy efficiency in the design or retrofit of commercial buildings and provide methods for determining compliance with them. 1.1.3 To encourage energy efficient designs that exceed these criterion and minimum standards

  3. Radon in buildings

    International Nuclear Information System (INIS)

    Ryan, N.M.; Finn, M.

    1995-01-01

    This guide is intended to inform designers, contractors, householders and other building owners about radon in buildings and to provide guidance where it has been decided to take action to reduce radon levels. It gives some pointers to good practice insofar as it relates to non complex buildings of normal design and construction. Reference is made to the usual ways of reducing l;levels of radon and guidance is given on sources of further information. I

  4. use of the RESRAD-BUILD code to calculate building surface contamination limits

    International Nuclear Information System (INIS)

    Faillace, E.R.; LePoire, D.; Yu, C.

    1996-01-01

    Surface contamination limits in buildings were calculated for 226 Ra, 230 Th, 232 Th, and natural uranium on the basis of 1 mSv y -1 (100 mrem y -1 ) dose limit. The RESRAD-BUILD computer code was used to calculate these limits for two scenarios: building occupancy and building renovation. RESRAD-BUILD is a pathway analysis model designed to evaluate the potential radiological dose incurred by individuals working or living inside a building contaminated with radioactive material. Six exposure pathways are considered in the RESRAD-BUILD code: (1) external exposure directly from the source; (2) external exposure from materials deposited on the floor; (3) external exposure due to air submersion; (4) inhalation of airborne radioactive particles; (5) inhalation of aerosol indoor radon progeny; and (6) inadvertent ingestion of radioactive material, either directly from the sources or from materials deposited on the surfaces. The code models point, line, area, and volume sources and calculates the effects of radiation shielding, building ventilation, and ingrowth of radioactive decay products. A sensitivity analysis was performed to determine how variations in input parameters would affect the surface contamination limits. In most cases considered, inhalation of airborne radioactive particles was the primary exposure pathway. However, the direct external exposure contribution from surfaces contaminated with 226 Ra was in some cases the dominant pathway for building occupancy depending on the room size, ventilation rates, and surface release fractions. The surface contamination limits are most restrictive for 232 Th, followed by 230 Th, natural uranium, and 226 Ra. The results are compared with the surface contamination limits in the Nuclear Regulatory Commission's Regulatory Guide 1.86, which are most restrictive for 226 Ra and 230 Th, followed by 232 Th, and are least restrictive for natural uranium

  5. Synthetic building materials for transport buildings and structures

    Science.gov (United States)

    Gerasimova, Vera

    2017-10-01

    The most effective building materials account for the highest growth not only in construction of residential and public buildings, but also other capital projects including roadways, bridges, drainage, communications and other engineering projects. Advancement in the technology of more efficient and ecologically responsible insulation materials have been a priority for safety, minimal maintenance and longevity of finished construction projects. The practical use of modern building materials such as insulation, sound reduction and low energy consumption are a benefit in cost and application compared to the use of outdated heavier and labor-intensive materials. The most efficient way for maximizing insolation and sound proofing should be done during the design stages of the project according to existing codes and regulations that are required by Western Government. All methods and materials that are used need to be optimized in order to reach a high durability and low operational and maintenance cost exceeding more than 50 years of the life of the building, whether it is for public, industrial or residential use. Western construction techniques and technologies need to be applied and adapted by the Russian Federation to insure the most productive successful methods are being implemented. The issues of efficient insulation materials are outlined in this article.

  6. Building 431 fire tests

    International Nuclear Information System (INIS)

    Alvares, N.J.; Beason, D.G.; Ford, H.W.; Magee, M.W.

    1977-01-01

    An extensive discussion of considerations for fire protection in the LLL mirror fusion test facility (MFTF) is presented. Because of the large volume and high bays of the building, sufficient data on fire detection is unavailable. Results of fire detection tests using controlled fire sources in the building are presented. Extensive data concerning the behavior of the building atmosphere are included. Candidate fire detection instrumentation and extinguishing systems for use in the building are briefly reviewed

  7. Building energy governance in Shanghai

    Science.gov (United States)

    Kung, YiHsiu Michelle

    With Asia's surging economies and urbanization, the region is adding to its built environment at an unprecedented rate, especially those population centers in China and India. With numerous existing buildings, plus a new building boom, construction in these major Asian cities has caused momentous sustainability challenges. This dissertation focuses on China's leading city, Shanghai, to explore and assess its existing commercial building energy policies and practices. Research estimates that Shanghai's commercial buildings might become a key challenge with regard to energy use and CO2 emissions as compared to other major Asian cities. Relevant building energy policy instruments at national and local levels for commercial buildings are reviewed. In addition, two benchmarks are established to further assess building energy policies in Shanghai. The first benchmark is based on the synthesis of relevant criteria and policy instruments as recommended by professional organizations, while the second practical benchmark is drawn from an analysis of three global cities: New York, London and Tokyo. Moreover, two large-scale commercial building sites - Shanghai IKEA and Plaza 66 - are selected for investigation and assessment of their efforts on building energy saving measures. Detailed building energy savings, CO2 reductions, and management cost reductions based on data availability and calculations are presented with the co-benefits approach. The research additionally analyzes different interventions and factors that facilitate or constrain the implementation process of building energy saving measures in each case. Furthermore, a multi-scale analytical framework is employed to investigate relevant stakeholders that shape Shanghai's commercial building energy governance. Research findings and policy recommendations are offered at the close of this dissertation. Findings and policy recommendations are intended to facilitate commercial building energy governance in Shanghai and

  8. A Study to Compare the Cost of Operation and Maintenance in Green Building Index (GBI and Non-Green Building Index (Non-GBI Rated Building in Malaysia

    Directory of Open Access Journals (Sweden)

    Ping Lee Zheng

    2016-01-01

    Full Text Available Urges for sustainable development had pushed the government and professional bodies to respond and react by implementing regulations where possible to direct development in that manner. However, the outcome in most financial conferences and dialogues on sustainable buildings flagged on high construction and maintenance cost. Thus, this study is conducted to collect and analyze actual building operation and maintenance cost between GBI and Non-GBI rated buildings in Malaysia which are more than 2 years fully operated buildings. There are two categories of selected buildings which are residential and non-residential type of building. Each category of the building consists of similar building’s characteristic such as geographic location, mode of operation, building heights, total numbers of floors and units. The scope of building’s maintenance for this study is mainly on wear and tear of the wall painting, electrical light fittings, ceiling panels, roofing system and mechanical services like water pump system are recorded for their replacement frequency of service and the cost involved within a consistent period of 12 months operation at cost percentage saving of 78.9% and 40.4% for residential and non-residential buildings respectively compare against Non-GBI rated buildings. Electricity consumption for GBI rated buildings are lower than Non-GBI rated buildings which recorded at the cost variance of 23.8% and 6.3% and water consumption at 35.9% and 44.0% for the above mentioned two main categories of selected case study buildings. Results from this study conclude major savings on residential buildings category in term of maintenance cost and electricity consumption for GBI rated buildings. Whereby, non-residential category of buildings, GBI rated building had been proven to obtain significant savings in terms of maintenance cost and water consumption.

  9. Net positive energy buildings

    International Nuclear Information System (INIS)

    Romero, A.; Barreiro, E.; Sanchez Zabala, V.

    2010-01-01

    Buildings are great consumers of energy, being responsible for almost 36% of CO2 emissions in Europe. Though there are many initiatives towards the reduction of energy consumption and CO2 emissions in buildings, many of the alternatives are diminished due to a lack of a unique and holistic approach to the problem. This paper reports a new innovative concept of Positive Energy Buildings (EB+), as well as an integral methodology that covers the overall design process for achieving them. The methodology evaluates energy efficiency solutions at different scales, from building site to generation systems. An educational building design in Navarra serves as a case study to check the feasibility of the proposed methodology. The study concludes that the key to achieve a Positive Energy Building is a minimized energy demand, complemented by efficient facilities and enhanced by distributed power generation from renewable sources. (Author).

  10. Building the green way.

    Science.gov (United States)

    Lockwood, Charles

    2006-06-01

    Just five or six years ago, the term "green building" evoked visions of barefoot, tie-dyed, granola-munching denizens. There's been a large shift in perception. Of course, green buildings are still known for conserving natural resources by, for example, minimizing on-site grading, using alternative materials, and recycling construction waste. But people now see the financial advantages as well. Well-designed green buildings yield lower utility costs, greater employee productivity, less absenteeism, and stronger attraction and retention of workers than standard buildings do. Green materials, mechanical systems, and furnishings have become more widely available and considerably less expensive than they used to be-often cheaper than their standard counterparts. So building green is no longer a pricey experiment; just about any company can do it on a standard budget by following the ten rules outlined by the author. Reliable building-rating systems like the U.S. Green Building Council's rigorous Leadership in Energy and Environmental Design (LEED) program have done much to underscore the benefits of green construction. LEED evaluates buildings and awards points in several areas, such as water efficiency and indoor environmental quality. Other rating programs include the UK's BREEAM (Building Research Establishment's Environmental Assessment Method) and Australia's Green Star. Green construction is not simply getting more respect; it is rapidly becoming a necessity as corporations push it fully into the mainstream over the next five to ten years. In fact, the author says, the owners of standard buildings face massive obsolescence. To avoid this problem, they should carry out green renovations. Corporations no longer have an excuse for eschewing environmental and economic sustainability. They have at their disposal tools proven to lower overhead costs, improve productivity, and strengthen the bottom line.

  11. Nuclear reactor buildings

    International Nuclear Information System (INIS)

    Nagashima, Shoji; Kato, Ryoichi.

    1985-01-01

    Purpose: To reduce the cost of reactor buildings and satisfy the severe seismic demands in tank type FBR type reactors. Constitution: In usual nuclear reactor buildings of a flat bottom embedding structure, the flat bottom is entirely embedded into the rock below the soils down to the deck level of the nuclear reactor. As a result, although the weight of the seismic structure can be decreased, the amount of excavating the cavity is significantly increased to inevitably increase the plant construction cost. Cross-like intersecting foundation mats are embedded to the building rock into a thickness capable withstanding to earthquakes while maintaining the arrangement of equipments around the reactor core in the nuclear buildings required by the system design, such as vertical relationship between the equipments, fuel exchange systems and sponteneous drainings. Since the rock is hard and less deformable, the rigidity of the walls and the support structures of the reactor buildings can be increased by the embedding into the rock substrate and floor responsivity can be reduced. This enables to reduce the cost and increasing the seismic proofness. (Kamimura, M.)

  12. Proceedings of the CIB World Building Congress 2004 : Building for the future. CD-ROM ed.

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This conference provided an opportunity to exchange information on recent building and construction research. The main issues were arranged into the following sessions: building techniques; buildings and the environment; building processes; sustainable construction; performance based buildings and regulatory systems; revaluing construction; and, construction in developing countries. The presentations evaluated best practices in construction with reference to a wide range of topics, including heat, air and moisture transfer in buildings, roofing materials, energy conservation, building economics, urban sustainability and the future needs of the construction industry. The conference featured 40 presentations, of which 6 have been indexed separately for inclusion in this database. refs., tabs. ,figs.

  13. Green Building Standards

    Science.gov (United States)

    Many organizations have developed model codes or rating systems that communities may use to develop green building programs or revise building ordinances. Some of the major options are listed on this page.

  14. Building guide : how to build Xyce from source code.

    Energy Technology Data Exchange (ETDEWEB)

    Keiter, Eric Richard; Russo, Thomas V.; Schiek, Richard Louis; Sholander, Peter E.; Thornquist, Heidi K.; Mei, Ting; Verley, Jason C.

    2013-08-01

    While Xyce uses the Autoconf and Automake system to configure builds, it is often necessary to perform more than the customary %E2%80%9C./configure%E2%80%9D builds many open source users have come to expect. This document describes the steps needed to get Xyce built on a number of common platforms.

  15. INDUCON building concept; INDUCON-rakennuskonsepti

    Energy Technology Data Exchange (ETDEWEB)

    Sarja, A.; Laine, J.; Pulakka, S.; Saari, M. [VTT Building and Transport, Espoo (Finland)

    2003-08-01

    The new and stronger requirements: lifetime economy, functionality in use and in changes of use, technical lifetime performance, energy efficiency, healthy, safety, ecology and local culture, are serving a challenge for the building technology. Additionally the pressure towards decreasing the construction costs with the increase of productivity of the work and capital is increased. The objective of this research work has been to respond the challenges described above with creating alternative building concepts, which could allow production of individually designed apartment and office buildings, including methodology and methods to optimise the building concepts and individual buildings in relation to the lifetime quality. Building concept is a repeatable and documented way of design and construction, which can result in individual buildings with an optimised and high lifetime quality. Lifetime quality is the capability of a building to fulfil the requirements of the users, owners and society during entire design period of the building. The INDUCON building concept is focused on the following issues: Classified and optimised lifetime quality (incl. the viewpoints of functionality, performance, economy, ecology and culture), and the realisation of industrial production on an advanced level (incl. new models of building design and construction, simplification of building systems and products, decrease of the number of parts of buildings, improvement of finishing of the prefabricated components and modules, and improving the interaction and compatibility of structures and building service systems). As a result are presented: systematised and classified definitions of performance properties of buildings; corresponding specifications of building systems, modules and components; design principles, process descriptions; examples (incl. Routings of technical building services, specification and classification of the health and comfort properties of indoor air, calculations

  16. Iterative model building, structure refinement and density modification with the PHENIX AutoBuild wizard

    International Nuclear Information System (INIS)

    Terwilliger, Thomas C.; Grosse-Kunstleve, Ralf W.; Afonine, Pavel V.; Moriarty, Nigel W.; Zwart, Peter H.; Hung, Li-Wei; Read, Randy J.; Adams, Paul D.

    2008-01-01

    The highly automated PHENIX AutoBuild wizard is described. The procedure can be applied equally well to phases derived from isomorphous/anomalous and molecular-replacement methods. The PHENIX AutoBuild wizard is a highly automated tool for iterative model building, structure refinement and density modification using RESOLVE model building, RESOLVE statistical density modification and phenix.refine structure refinement. Recent advances in the AutoBuild wizard and phenix.refine include automated detection and application of NCS from models as they are built, extensive model-completion algorithms and automated solvent-molecule picking. Model-completion algorithms in the AutoBuild wizard include loop building, crossovers between chains in different models of a structure and side-chain optimization. The AutoBuild wizard has been applied to a set of 48 structures at resolutions ranging from 1.1 to 3.2 Å, resulting in a mean R factor of 0.24 and a mean free R factor of 0.29. The R factor of the final model is dependent on the quality of the starting electron density and is relatively independent of resolution

  17. Integrating Environmentally Responsive Elements in Buildings

    DEFF Research Database (Denmark)

    Heiselberg, Per

    2006-01-01

    Significant improvement have been achieved on efficiency improvements of specific building elements like the building envelope and building equipment and services and whilst most building elements still offer opportunities for efficiency improvements, the greatest future potential lie with techno......Significant improvement have been achieved on efficiency improvements of specific building elements like the building envelope and building equipment and services and whilst most building elements still offer opportunities for efficiency improvements, the greatest future potential lie...

  18. Radon in buildings

    International Nuclear Information System (INIS)

    Connell, J.J.

    1991-01-01

    This guide is intended to inform designers, householders and other building owners about the radon problem and to help in deciding if there is need to take any action to reduce radon levels in their homes or other buildings.It explains what radon is, how it enters buildings and what effect it may have on health. Reference is made to some of the usual ways of reducing the level of radon and guidance is given on some sources of assistance

  19. The RENUE resource centre. Design study of building-integrated PV in a zero-carbon exhibition building

    Energy Technology Data Exchange (ETDEWEB)

    Webb, R.

    2001-07-01

    Studies at the RENUE building in London are described. The RENUE project is a renewable energy and urban sustainability demonstration of comfortable and elegant buildings which are zero-carbon users. Building-Integrated Photovoltaic (BIPV) systems are a factor in the zero-CO{sub 2} building. The building should be of special interest to protagonists of renewable energy, building designers and the PV industry.

  20. How to use Building Information Systems for a transition towards Sustainable Building Operation

    NARCIS (Netherlands)

    Itard, L.C.M.; Joosstens, F; Heiselberg, Per Kvols

    2016-01-01

    BIM Building Information Model or Modelling connects many different information
    systems from various actors during the building construction process with each
    other in one easily accessible and understandable model. BIM assures an effective
    and efficient building construction process by

  1. Environmental impacts of adobe as a building material: The north cyprus traditional building case

    Directory of Open Access Journals (Sweden)

    A.P. Olukoya Obafemi

    2016-06-01

    Summarily, this paper posits that the successful fusion of traditional building materials such as Adobe and modern design construct will not only give birth to earth conscious building, but will also be energy efficient. Moreover, it will be a substitute building material the building industry can adopt at as a contributing solution to the omniscient global warming malady.

  2. Diffusion in building wakes

    International Nuclear Information System (INIS)

    Ramsdell, J.V.

    1988-03-01

    Straight-line Gaussian models adequately describe atmospheric diffusion for many applications. They have been modified for use in estimating diffusion in building wakes by adding terms that include projected building area and by redefining the diffusion coefficients so that the coefficients have minimum values that are related to building dimensions. In a recent study, Ramsdell reviewed the building-wake dispersion models used by the Nuclear Regulatory Commission (NRC) in its control room habitability assessments. The review included comparison of model estimates of centerline concentrations with concentrations observed in experiments at seven nuclear reactors. In general, the models are conservative in that they tend to predict concentrations that are greater than those actually observed. However, the models show little skill in accounting for variations in the observed concentrations. Subsequently, the experimental data and multiples linear regression techniques have been used to develop a new building wake diffusion model. This paper describes the new building wake model and compares it with other models. 8 refs., 2 figs

  3. Use of EMW radiation in the building industry at defects in buildings

    Directory of Open Access Journals (Sweden)

    Sobotka Jindřich

    2017-01-01

    Full Text Available This paper discusses theory and application of microwave radiation and experimental optimization of microwave radiation to eliminate moisture content in wood elements. It will be appreciated that the rising moisture leaking into the structure, resulting in defects and structures of the buildings themselves. Owing to its properties, microwave radiation has been used in the construction industry in modern times, in particular to dry wet masonry of buildings. Effects of electromagnetic radiation on building structures lead to relatively sharp decreases in moisture content from damp building structures or elements. The influence of electromagnetic radiation on building structures lead to oscillation of water molecules contained in the material, which cause a phase transformation of water into vapour. Consequently, the vapour evaporates from the moist material, thereby drying the element exposed to radiation. The article describes experiments carried out at the Faculty of Civil Engineering of the Faculty of Technology in Brno that demonstrate successful decrease of water content in building materials using microwave radiation. First, the understanding of microwave radiation will be discussed. Following an analysis of research results an optimum intensity of microwave radiation sources as well as the necessary length of the irradiation of microwave radiation have been determined with respect to the particular type of building material and the success rate of elimination of moisture.

  4. 77 FR 2296 - Office of Federal High-Performance Green Buildings; the Green Building Advisory Committee...

    Science.gov (United States)

    2012-01-17

    ... Federal High-Performance Green Buildings; the Green Building Advisory Committee; Notification of Upcoming... teleconference meetings of the Green Building Advisory Committee (the Committee). The teleconference meetings are... Federal High Performance Green Buildings, Office of Governmentwide Policy, General Services Administration...

  5. Building envelope influence on the annual energy performance in office buildings

    Directory of Open Access Journals (Sweden)

    Harmati Norbert L.

    2016-01-01

    Full Text Available The objective of the research is to determine the quantitative influence of building envelope on the annual heating and cooling energy demand in office buildings demonstrated on a reference office-tower building located in Novi Sad, Serbia. The investigation intended to find preferable and applicable solutions for energy performance improvement in currently inefficient office buildings. A comparative and evaluative analysis was performed among the heating energy expenses and simulated values from the multi-zone model designed in EnergyPlus engine. The research determines an improved window to wall ratio using dynamic daylight simulation and presents the influence of glazing parameters (U-value, Solar heat gain coefficient - SHGC on the annual energy performance. Findings presented window to wall ratio reduction down to 30% and point out the significance of the SHGC parameter on the overall energy performance of buildings with high internal loads. The calculation of the air-ventilation energy demand according to EN 15251 is included respectively. Results offer effective methods for energy performance improvement in temperate climate conditions.

  6. 77 FR 43084 - Office of Federal High-Performance Green Buildings; Federal Buildings Personnel Training Act...

    Science.gov (United States)

    2012-07-23

    ... Federal High-Performance Green Buildings; Federal Buildings Personnel Training Act; Notification of... High- Performance Green Buildings, Office of Governmentwide Policy, General Services Administration... download from the Office of Federal High-Performance Green Building Web site Library at-- http://www.gsa...

  7. Brief Discussion on Green Building Materials

    International Nuclear Information System (INIS)

    Cai, Jia-wei; Sun, Jian

    2014-01-01

    With more and more emphasizes on the environment and resources, the concept of green buildings has been widely accepted. Building materials are vectors of architectures, only if green building materials and related technical means are used, can we construct green buildings to achieve the purpose of energy conservation and environmental protection. This paper introduces the relationship between green building materials and green buildings, the current situation of green building materials in China, as well as the measures to accelerate the development of green building materials

  8. 49 CFR 622.301 - Buildings.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Buildings. 622.301 Section 622.301 Transportation... Buildings. (a) FTA assistance for the construction, reconstruction, or modification of buildings for which... a building, within the scope of the proposed construction activity and at a level of detail...

  9. Relationship between Quality of Building Maintenance System and Occupant Satisfaction for Office Buildings

    Directory of Open Access Journals (Sweden)

    Hamid A.H.A

    2014-03-01

    Full Text Available Buildings will be weary, decaying and dirty as time goes by; but with highquality maintenance management we can prolong the life-span of building, provide building services and keep the building performance at its ultimate level. The importance of carrying out a systematic and routine maintenance is to conserve building performance. However, this task is often neglected due to various factors including misunderstanding the needs of the maintenance works and lack of budget allocation. This paper highlights the current practice of maintenance management that are being implemented in 6 office buildings located in Kuala Lumpur, Johor, Kedah and Pulau Pinang. Using the responses of questionnaire answered by 150 respondents employed from these selected offices, personal interviews and visual inspection the following findings were made: the occupants were satisfied with the maintenance management of their buildings elements and the delivery characteristics of maintenance works. Visual inspection however showed that some elements are not in a good condition. In conclusion, some recommendations are made to improve the existing system including the establishment of a maintenance plan, selection of experienced contractors and the provision of a service desk.

  10. Structural building screening and evaluation

    Science.gov (United States)

    Kurniawandy, Alex; Nakazawa, Shoji; Hendry, Andy; Ridwan, Firdaus, Rahmatul

    2017-10-01

    An earthquake is a disaster that can be harmful to the community, such as financial loss and also dead injuries. Pekanbaru is a city that located in the middle of Sumatera Island. Even though the city of Pekanbaru is a city that rarely occurs earthquake, but Pekanbaru has ever felt the impact of the big earthquake that occurred in West Sumatera on September 2009. As we know, Indonesia located between Eurasia plate, Pacific plate, and Indo-Australian plate. Particularly the Sumatera Island, It has the Semangko fault or the great Sumatra fault along the island from north to south due to the shift of Eurasia and Indo-Australian Plates. An earthquake is not killing people but the building around the people that could be killing them. The failure of the building can be early prevented by doing an evaluation. In this research, the methods of evaluation have used a guideline for the Federal Emergency Management Agency (FEMA) P-154 and Applied Technology Council (ATC) 40. FEMA P-154 is a rapid visual screening of buildings for potential seismic hazards and ATC-40 is seismic evaluation and retrofit of Concrete Buildings. ATC-40 is a more complex evaluation rather than FEMA P-154. The samples to be evaluated are taken in the surroundings of Universitas Riau facility in Pekanbaru. There are four buildings as case study such as the rent student building, the building of mathematics and natural science faculty, the building teacher training and education faculty and the buildings in the faculty of Social political sciences. Vulnerability for every building facing an earthquake is different, this is depending on structural and non-structural components of the building. Among all of the samples, only the building of mathematics and the natural science faculty is in critical condition according to the FEMA P-154 evaluation. Furthermore, the results of evaluation using ATC-40 for the teacher training building are in damage control conditions, despite the other three buildings are

  11. Synergy between building rating systems and design methodology for intellingent and green buildings

    NARCIS (Netherlands)

    Zeiler, W.; Boxem, G.; Plesser, S.

    2008-01-01

    There is a strong need for more efficient and more sustainable buildings. At present it is difficult to define the performance of buildings in an objective way to efficiency and sustainability. Goal of this project is to examine and to understand differences between different building rating systems

  12. Iterative model-building, structure refinement, and density modification with the PHENIX AutoBuild Wizard

    Energy Technology Data Exchange (ETDEWEB)

    Los Alamos National Laboratory, Mailstop M888, Los Alamos, NM 87545, USA; Lawrence Berkeley National Laboratory, One Cyclotron Road, Building 64R0121, Berkeley, CA 94720, USA; Department of Haematology, University of Cambridge, Cambridge CB2 0XY, England; Terwilliger, Thomas; Terwilliger, T.C.; Grosse-Kunstleve, Ralf Wilhelm; Afonine, P.V.; Moriarty, N.W.; Zwart, P.H.; Hung, L.-W.; Read, R.J.; Adams, P.D.

    2007-04-29

    The PHENIX AutoBuild Wizard is a highly automated tool for iterative model-building, structure refinement and density modification using RESOLVE or TEXTAL model-building, RESOLVE statistical density modification, and phenix.refine structure refinement. Recent advances in the AutoBuild Wizard and phenix.refine include automated detection and application of NCS from models as they are built, extensive model completion algorithms, and automated solvent molecule picking. Model completion algorithms in the AutoBuild Wizard include loop-building, crossovers between chains in different models of a structure, and side-chain optimization. The AutoBuild Wizard has been applied to a set of 48 structures at resolutions ranging from 1.1 {angstrom} to 3.2 {angstrom}, resulting in a mean R-factor of 0.24 and a mean free R factor of 0.29. The R-factor of the final model is dependent on the quality of the starting electron density, and relatively independent of resolution.

  13. Case study of a not-so-ordinary building - the Cowra Shire administration building ESD refurbishment

    Energy Technology Data Exchange (ETDEWEB)

    Halperin, M.; Arch, B. [Mahalath Halperin Architects Pty Ltd., Armidale (Australia). RAIA Country Division

    2004-07-01

    In refurbishing the Cowra Administration Building, Mahalath Halperin Architects transformed a concrete and glass building of the 1960s into an energy efficient and environmentally responsible building, yet looks to all intents and purposes like an 'ordinary building'. To some, it is simply a newer, nicer building with bright colours, open spaces and a pleasant work environment. But whilst not necessarily being outwardly different in issues of being a 'green building', the resultant building shows that there are many small yet easily achievable ways to be green. That it is not hard, and is in fact beneficial, to reduce energy consumption and overheads, take advantage of the sun (despite its poor orientation) and take on environmental responsibility. (orig.)

  14. Building Procurement

    DEFF Research Database (Denmark)

    Andersson, Niclas

    2007-01-01

    evolves from a simple establishment of a contractual relationship to a central and strategic part of construction. The authors relate to cultural, ethical and social and behavioural sciences as the fundamental basis for analysis and understanding of the complexity and dynamics of the procurement system......‘The procurement of construction work is complex, and a successful outcome frequently elusive’. With this opening phrase of the book, the authors take on the challenging job of explaining the complexity of building procurement. Even though building procurement systems are, and will remain, complex...... despite this excellent book, the knowledge, expertise, well-articulated argument and collection of recent research efforts that are provided by the three authors will help to make project success less elusive. The book constitutes a thorough and comprehensive investigation of building procurement, which...

  15. 78 FR 56703 - Office of Federal High-Performance Green Buildings; Green Building Advisory Committee...

    Science.gov (United States)

    2013-09-13

    ... Federal High-Performance Green Buildings; Green Building Advisory Committee; Notification of Upcoming... Green Building Advisory Committee Meeting (the Committee) and the schedule for a series of conference..., Designated Federal Officer, [[Page 56704

  16. Net Zero Energy Buildings

    DEFF Research Database (Denmark)

    Marszal, Anna Joanna; Bourrelle, Julien S.; Gustavsen, Arild

    2010-01-01

    and identify possible renewable energy supply options which may be considered in calculations. Finally, the gap between the methodology proposed by each organisation and their respective national building code is assessed; providing an overview of the possible changes building codes will need to undergo......The international cooperation project IEA SHC Task 40 / ECBCS Annex 52 “Towards Net Zero Energy Solar Buildings”, attempts to develop a common understanding and to set up the basis for an international definition framework of Net Zero Energy Buildings (Net ZEBs). The understanding of such buildings...

  17. Diverse interpretations of confidence building

    International Nuclear Information System (INIS)

    Macintosh, J.

    1998-01-01

    This paper explores the variety of operational understandings associated with the term 'confidence building'. Collectively, these understandings constitute what should be thought of as a 'family' of confidence building approaches. This unacknowledged and generally unappreciated proliferation of operational understandings that function under the rubric of confidence building appears to be an impediment to effective policy. The paper's objective is to analyze these different understandings, stressing the important differences in their underlying assumptions. In the process, the paper underlines the need for the international community to clarify its collective thinking about what it means when it speaks of 'confidence building'. Without enhanced clarity, it will be unnecessarily difficult to employ the confidence building approach effectively due to the lack of consistent objectives and common operating assumptions. Although it is not the intention of this paper to promote a particular account of confidence building, dissecting existing operational understandings should help to identify whether there are fundamental elements that define what might be termed 'authentic' confidence building. Implicit here is the view that some operational understandings of confidence building may diverge too far from consensus models to count as meaningful members of the confidence building family. (author)

  18. Building information deduced

    DEFF Research Database (Denmark)

    Tamke, Martin; Myrup Jensen, Morten; Beetz, Jakob

    2014-01-01

    In recent years, Building Information Models have become commonplace in building profession. The extensive use and increasing experience with BIM models offers new perspectives and potentials for design and planning. A recent stakeholder study conducted by the authors of this paper show that in p......In recent years, Building Information Models have become commonplace in building profession. The extensive use and increasing experience with BIM models offers new perspectives and potentials for design and planning. A recent stakeholder study conducted by the authors of this paper show...... that in practice models are no longer solely observed as culmination of knowledge in a 3d representation of future built structures, but as a source of information in itself. Experienced users of BIM want to Find Information within a model or across a set of these and Compare models in order to evaluate states...... of a model, differences in separate models or models from different point of time. Current BIM tools support both modes only in a rudimentary form. This paper discusses current modes of information query within and across BIM models, shows beneficial scenarios for building and planning practice through...

  19. Effect of non-ablative laser treatment on overactive bladder symptoms, urinary incontinence and sexual function in women with urodynamic stress incontinence

    Directory of Open Access Journals (Sweden)

    Yi-Hao Lin

    2017-12-01

    Conclusions: Erbium:YAG laser treatment can resolve USI and coexistent OAB symptoms three months after therapy. Sexual experience is also improved. However, repeated laser therapy may be necessary after six months.

  20. Re-conceiving building design quality: A review of building users in their social context.

    Science.gov (United States)

    Watson, Kelly J; Evans, James; Karvonen, Andrew; Whitley, Tim

    2016-05-01

    Considerable overlap exists between post-occupancy research evaluating building design quality and the concept of 'social value', popularised by its recent application to issues of the public realm. To outline this potential research agenda, the paper reviews design quality research on buildings in relation to users and their social context where the term 'social context' refers to building user group dynamics, a combination of organisational cultures, management strategies, and social norms and practices. The review is conducted across five key building types, namely housing, workplaces, healthcare, education, and the retail/service sector. Research commonalities and gaps are identified in order to build a more comprehensive picture of the design quality literature and its handling of users in their social context. The key findings concerning each building type are presented visually. It is concluded that the design quality field comprises a patchwork of relatively isolated studies of various building types, with significant potential for theoretical and empirical development through interdisciplinary collaboration. Users tend to be conceived as anonymous and autonomous individuals with little analysis of user identity or interaction. Further, the contextual impact of user group dynamics on the relationship between building design and building user is rarely addressed in the literature. Producing a more nuanced understanding of users in situ is proposed as an important area for future design quality research.

  1. Concepts in Building Firesafety.

    Science.gov (United States)

    Egan, M. David

    The goal of this book is to present in a graphical format the principles of design for building firesafety. The book's more than 270 illustrations represent the core of its coverage of factors affecting fire ignition and spread in buildings, building site planning for fire suppression and occupant rescue operations, protection by building…

  2. Continuous commissioning of buildings: A case study of a campus building in Denmark

    DEFF Research Database (Denmark)

    Markoska, Elena; Jradi, Muhyiddine; Jørgensen, Bo Nørregaard

    2016-01-01

    The general trend in building commissioning is that the commissioning is often either insufficiently comprehensive in its execution, or it is not conducted at all. As such, it has been observed that buildings often will contain faults that have not been discovered during the commissioning phase....... In this paper, we present a framework for continuous verification and commissioning of a building with a set of performance tests that are able to monitor the performance and functionality with a daily granularity. The performance tests are run on a newly constructed campus building in Denmark, over the course...... of three months, and the results of the performance tests are presented within a dashboard application, which helps verify that the building is performing accordingly to its original design intent....

  3. Zero Energy Building

    DEFF Research Database (Denmark)

    Marszal, Anna Joanna; Heiselberg, Per; Bourrelle, J.S.

    2011-01-01

    The concept of Zero Energy Building (ZEB) has gained wide international attention during last few years and is now seen as the future target for the design of buildings. However, before being fully implemented in the national building codes and international standards, the ZEB concept requires......, (4) the type of energy balance, (5) the accepted renewable energy supply options, (6) the connection to the energy infrastructure and (7) the requirements for the energy efficiency, the indoor climate and in case of gird connected ZEB for the building–grid interaction. This paper focuses...

  4. Integrated Building Design

    DEFF Research Database (Denmark)

    Heiselberg, Per

    In the first half of the 20th century, HVAC systems and artificial lighting were developed to meet indoor comfort needs. Before the introduction of mechanical systems, climate - not building style or appearance - was the major determinant of building form. Comfort was achieved through passive means...... and architectural features built into the design. However, with the advent of new technologies, architects were no longer constrained by the need to ensure that buildings had ample daylighting, remained airy and cool in the summer and warm in the winter. Since HVAC systems and artificial lighting could satisfy...

  5. Robotic buildings(s)

    NARCIS (Netherlands)

    Bier, H.H.

    2014-01-01

    Technological and conceptual advances in fields such as artificial intelligence, robotics, and material science have enabled robotic building to be in the last decade prototypically implemented. In this context, robotic building implies both physically built robotic environments and robotically

  6. Guidelines for Building Science Education

    Energy Technology Data Exchange (ETDEWEB)

    Metzger, Cheryn E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Rashkin, Samuel [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Huelman, Pat [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-11-01

    The U.S. Department of Energy’s (DOE) residential research and demonstration program, Building America, has triumphed through 20 years of innovation. Partnering with researchers, builders, remodelers, and manufacturers to develop innovative processes like advanced framing and ventilation standards, Building America has proven an energy efficient design can be more cost effective, healthy, and durable than a standard house. As Building America partners continue to achieve their stretch goals, they have found that the barrier to true market transformation for high performance homes is the limited knowledge-base of the professionals working in the building industry. With dozens of professionals taking part in the design and execution of building and selling homes, each person should have basic building science knowledge relevant to their role, and an understanding of how various home components interface with each other. Instead, our industry typically experiences a fragmented approach to home building and design. After obtaining important input from stakeholders at the Building Science Education Kick-Off Meeting, DOE created a building science education strategy addressing education issues preventing the widespread adoption of high performance homes. This strategy targets the next generation and provides valuable guidance for the current workforce. The initiative includes: • Race to Zero Student Design Competition: Engages universities and provides students who will be the next generation of architects, engineers, construction managers and entrepreneurs with the necessary skills and experience they need to begin careers in clean energy and generate creative solutions to real world problems. • Building Science to Sales Translator: Simplifies building science into compelling sales language and tools to sell high performance homes to their customers. • Building Science Education Guidance: Brings together industry and academia to solve problems related to

  7. PHYSICAL AND MECHANICAL CHARACTERISTICS OF BUILDING MATERIALS OF HISTORIC BUILDINGS

    Directory of Open Access Journals (Sweden)

    Jiří Witzany

    2017-12-01

    Full Text Available The article presents partial results of laboratory research into physical and mechanical characteristics of materials most commonly used as walling units in masonry structures of historic and heritage buildings. Core boreholes and specimens for the laboratory research of selected characteristics were sampled from accessible places of historic buildings, which had not been restored or reconstructed. The results of the research brought new knowledge about the unreliability (variance of the properties of historical, mainly natural building materials, and, at the same time, pointed out the need for further research and extension of knowledge necessary for the assessment of residual physical and mechanical characteristics of historic masonry structures.

  8. 21 CFR 226.20 - Buildings.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Buildings. 226.20 Section 226.20 Food and Drugs... Facilities and Equipment § 226.20 Buildings. Buildings in which Type A medicated article(s) are manufactured... operation for their intended purpose. The building shall: (a) Provide adequate space for the orderly...

  9. 9 CFR 354.220 - Buildings.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Buildings. 354.220 Section 354.220... CERTIFICATION VOLUNTARY INSPECTION OF RABBITS AND EDIBLE PRODUCTS THEREOF Buildings and Plant Facilities § 354.220 Buildings. The buildings shall be of sound construction and kept in good repair, and shall be of...

  10. Building Green: The Adoption Process of LEED- and Energy Star-Rated Office Buildings

    Science.gov (United States)

    Malkani, Arvin P.

    2012-01-01

    There are opportunities for green building technology in office buildings to produce energy savings and cost efficiencies that can produce a positive economic and environmental impact. In order for these opportunities to be realized, however, decision makers must appreciate the value of green building technology. The objective of this research is…

  11. Photovoltaics for Buildings Cutting-Edge PV

    International Nuclear Information System (INIS)

    Hayter, S. J.; Martin, R. L.

    1998-01-01

    Photovoltaic (PV) technology development for building-integrated applications (commonly called PV for Buildings) is one of the fastest growing areas in the PV industry. Buildings represent a huge potential market for photovoltaics because they consume approximately two-thirds of the electricity consumed in the US. The PV and buildings industries are beginning to work together to address issues including building codes and standards, integration, after-market servicing, education, and building energy efficiency. One of the most notable programs to encourage development of new PV-for-buildings products is the PV:BONUS program, supported by the US Department of Energy. Demand for these products from building designers has escalated since the program was initiated in 1993. This paper presents a range of PV-for-buildings issues and products that are currently influencing today's PV and buildings markets

  12. Federal Buildings Supplemental Survey 1993

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-01

    The Energy Information Administration (EIA) of the US Department of Energy (DOE) is mandated by Congress to be the agency that collects, analyzes, and disseminates impartial, comprehensive data about energy including the volume consumed, its customers, and the purposes for which it is used. The Federal Buildings Supplemental Survey (FBSS) was conducted by EIA in conjunction with DOE`s Office of Federal Energy Management Programs (OFEMP) to gain a better understanding of how Federal buildings use energy. This report presents the data from 881 completed telephone interviews with Federal buildings in three Federal regions. These buildings were systematically selected using OFEMP`s specifications; therefore, these data do not statistically represent all Federal buildings in the country. The purpose of the FBSS was threefold: (1) to understand the characteristics of Federal buildings and their energy use; (2) to provide a baseline in these three Federal regions to measure future energy use in Federal buildings as required in EPACT; and (3) to compare building characteristics and energy use with the data collected in the CBECS.

  13. Green Building Research Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Sailor, David Jean [Portland State Univ., Portland, OR (United States)

    2013-12-29

    This project provided support to the Green Building Research Laboratory at Portland State University (PSU) so it could work with researchers and industry to solve technical problems for the benefit of the green building industry. It also helped to facilitate the development of PSU’s undergraduate and graduate-level training in building science across the curriculum.

  14. Building Energy Monitoring and Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Tianzhen; Feng, Wei; Lu, Alison; Xia, Jianjun; Yang, Le; Shen, Qi; Im, Piljae; Bhandari, Mahabir

    2013-06-01

    This project aimed to develop a standard methodology for building energy data definition, collection, presentation, and analysis; apply the developed methods to a standardized energy monitoring platform, including hardware and software, to collect and analyze building energy use data; and compile offline statistical data and online real-time data in both countries for fully understanding the current status of building energy use. This helps decode the driving forces behind the discrepancy of building energy use between the two countries; identify gaps and deficiencies of current building energy monitoring, data collection, and analysis; and create knowledge and tools to collect and analyze good building energy data to provide valuable and actionable information for key stakeholders.

  15. Quantitation of Solifenacin in Human Plasma using a Specific and ...

    African Journals Online (AJOL)

    factors ≥ 0.9994). Method ... Overactive bladder (OAB) syndrome affects around 16 % of ... methods of medicines in biological matrices are importantly ... needed to conduct various pharmacokinetic, ... technique and a high performance liquid.

  16. Electromagnetically shielded building

    Energy Technology Data Exchange (ETDEWEB)

    Takahashi, T; Nakamura, M; Yabana, Y; Ishikawa, T; Nagata, K

    1992-04-21

    This invention relates to a building having an electromagnetic shield structure well-suited for application to an information network system utilizing electromagnetic waves, and more particularly to an electromagnetically shielded building for enhancing the electromagnetic shielding performance of an external wall. 6 figs.

  17. Electromagnetically shielded building

    International Nuclear Information System (INIS)

    Takahashi, T.; Nakamura, M.; Yabana, Y.; Ishikawa, T.; Nagata, K.

    1992-01-01

    This invention relates to a building having an electromagnetic shield structure well-suited for application to an information network system utilizing electromagnetic waves, and more particularly to an electromagnetically shielded building for enhancing the electromagnetic shielding performance of an external wall. 6 figs

  18. Competence Building

    DEFF Research Database (Denmark)

    Borrás, Susana; Edquist, Charles

    The main question that guides this paper is how governments are focusing (and must focus) on competence building (education and training) when designing and implementing innovation policies. With this approach, the paper aims at filling the gap between the existing literature on competences...... on the one hand, and the real world of innovation policy-making on the other, typically not speaking to each other. With this purpose in mind, this paper discusses the role of competences and competence-building in the innovation process from a perspective of innovation systems; it examines how governments...... and public agencies in different countries and different times have actually approached the issue of building, maintaining and using competences in their innovation systems; it examines what are the critical and most important issues at stake from the point of view of innovation policy, looking particularly...

  19. 7 CFR 1726.150 - Headquarters buildings.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Headquarters buildings. 1726.150 Section 1726.150... AGRICULTURE ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES Buildings § 1726.150 Headquarters buildings. This section includes headquarters buildings such as warehouses and equipment service type buildings...

  20. California commercial building energy benchmarking

    Energy Technology Data Exchange (ETDEWEB)

    Kinney, Satkartar; Piette, Mary Ann

    2003-07-01

    Building energy benchmarking is the comparison of whole-building energy use relative to a set of similar buildings. It provides a useful starting point for individual energy audits and for targeting buildings for energy-saving measures in multiple-site audits. Benchmarking is of interest and practical use to a number of groups. Energy service companies and performance contractors communicate energy savings potential with ''typical'' and ''best-practice'' benchmarks while control companies and utilities can provide direct tracking of energy use and combine data from multiple buildings. Benchmarking is also useful in the design stage of a new building or retrofit to determine if a design is relatively efficient. Energy managers and building owners have an ongoing interest in comparing energy performance to others. Large corporations, schools, and government agencies with numerous facilities also use benchmarking methods to compare their buildings to each other. The primary goal of Task 2.1.1 Web-based Benchmarking was the development of a web-based benchmarking tool, dubbed Cal-Arch, for benchmarking energy use in California commercial buildings. While there were several other benchmarking tools available to California consumers prior to the development of Cal-Arch, there were none that were based solely on California data. Most available benchmarking information, including the Energy Star performance rating, were developed using DOE's Commercial Building Energy Consumption Survey (CBECS), which does not provide state-level data. Each database and tool has advantages as well as limitations, such as the number of buildings and the coverage by type, climate regions and end uses. There is considerable commercial interest in benchmarking because it provides an inexpensive method of screening buildings for tune-ups and retrofits. However, private companies who collect and manage consumption data are concerned that the

  1. Building technique. Vol. 5. Construction engineering. Pt. 2. Building physics. Bautechnik. Bd. 5. Konstruktiver Ingenieurbau. T. 2. Bauphysik

    Energy Technology Data Exchange (ETDEWEB)

    Cziesielski, E [Technische Univ. Berlin (Germany, F.R.); ed.

    1988-01-01

    This volume on 'Building Technique' gives information on the following subjects: Interaction between building physics and building design (analysis, solutions); thermal protection (heat transfer, thermal protection requirements, energy saving); protection against damp (water economy, water transport, protection against rain); sealing buildings (material, stressing of buildings by humidity of the ground and service water, drainage, sealing); noise insulation (basic terms, sound absorption, acoustic phenomena, noise from domestic equipment, protection against outside noise); fire protection (technical building regulations, fire protection regulations, classes of building material, fire resistance classes, fire behaviour of special building components). The subsequent part of the report is concerned with the history of building design (design and building technique, tasks of the architect, year of birth of modern building design 1743. Prehistory of building design). (HWJ) With 186 figs.

  2. Method for simulating predictive control of building systems operation in the early stages of building design

    DEFF Research Database (Denmark)

    Petersen, Steffen; Svendsen, Svend

    2011-01-01

    A method for simulating predictive control of building systems operation in the early stages of building design is presented. The method uses building simulation based on weather forecasts to predict whether there is a future heating or cooling requirement. This information enables the thermal...... control systems of the building to respond proactively to keep the operational temperature within the thermal comfort range with the minimum use of energy. The method is implemented in an existing building simulation tool designed to inform decisions in the early stages of building design through...... parametric analysis. This enables building designers to predict the performance of the method and include it as a part of the solution space. The method furthermore facilitates the task of configuring appropriate building systems control schemes in the tool, and it eliminates time consuming manual...

  3. Energy Efficiency Requirements in Building Codes, Energy Efficiency Policies for New Buildings. IEA Information Paper

    Energy Technology Data Exchange (ETDEWEB)

    Laustsen, Jens

    2008-03-15

    The aim of this paper is to describe and analyse current approaches to encourage energy efficiency in building codes for new buildings. Based on this analysis the paper enumerates policy recommendations for enhancing how energy efficiency is addressed in building codes and other policies for new buildings. This paper forms part of the IEA work for the G8 Gleneagles Plan of Action. These recommendations reflect the study of different policy options for increasing energy efficiency in new buildings and examination of other energy efficiency requirements in standards or building codes, such as energy efficiency requirements by major renovation or refurbishment. In many countries, energy efficiency of buildings falls under the jurisdiction of the federal states. Different standards cover different regions or climatic conditions and different types of buildings, such as residential or simple buildings, commercial buildings and more complicated high-rise buildings. There are many different building codes in the world and the intention of this paper is not to cover all codes on each level in all countries. Instead, the paper details different regions of the world and different ways of standards. In this paper we also evaluate good practices based on local traditions. This project does not seek to identify one best practice amongst the building codes and standards. Instead, different types of codes and different parts of the regulation have been illustrated together with examples on how they have been successfully addressed. To complement this discussion of efficiency standards, this study illustrates how energy efficiency can be improved through such initiatives as efficiency labelling or certification, very best practice buildings with extremely low- or no-energy consumption and other policies to raise buildings' energy efficiency beyond minimum requirements. When referring to the energy saving potentials for buildings, this study uses the analysis of recent IEA

  4. Straw insulated buildings. Nature building materials; Strohgedaemmte Gebaeude. Naturbaustoffe

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-06-01

    Straw is one of the major agricultural by-products and is mainly used as litter in animal husbandry and to compensate the balance of humus. A relatively recent development is the use of straw bales for the construction of buildings. The brochure under consideration documents the technical development of straw construction in Germany. Possibilities of the use of straw in single family homes up to commercial buildings are described.

  5. RESRAD-BUILD verification

    International Nuclear Information System (INIS)

    Kamboj, S.; Yu, C.; Biwer, B. M.; Klett, T.

    2002-01-01

    The results generated by the RESRAD-BUILD code (version 3.0) were verified with hand or spreadsheet calculations using equations given in the RESRAD-BUILD manual for different pathways. For verification purposes, different radionuclides--H-3, C-14, Na-22, Al-26, Cl-36, Mn-54, Co-60, Au-195, Ra-226, Ra-228, Th-228, and U-238--were chosen to test all pathways and models. Tritium, Ra-226, and Th-228 were chosen because of the special tritium and radon models in the RESRAD-BUILD code. Other radionuclides were selected to represent a spectrum of radiation types and energies. Verification of the RESRAD-BUILD code was conducted with an initial check of all the input parameters for correctness against their original source documents. Verification of the calculations was performed external to the RESRAD-BUILD code with Microsoft Excel to verify all the major portions of the code. In some cases, RESRAD-BUILD results were compared with those of external codes, such as MCNP (Monte Carlo N-particle) and RESRAD. The verification was conducted on a step-by-step basis and used different test cases as templates. The following types of calculations were investigated: (1) source injection rate, (2) air concentration in the room, (3) air particulate deposition, (4) radon pathway model, (5) tritium model for volume source, (6) external exposure model, (7) different pathway doses, and (8) time dependence of dose. Some minor errors were identified in version 3.0; these errors have been corrected in later versions of the code. Some possible improvements in the code were also identified

  6. The Structure of Affine Buildings

    CERN Document Server

    Weiss, Richard M

    2009-01-01

    In The Structure of Affine Buildings, Richard Weiss gives a detailed presentation of the complete proof of the classification of Bruhat-Tits buildings first completed by Jacques Tits in 1986. The book includes numerous results about automorphisms, completions, and residues of these buildings. It also includes tables correlating the results in the locally finite case with the results of Tits's classification of absolutely simple algebraic groups defined over a local field. A companion to Weiss's The Structure of Spherical Buildings, The Structure of Affine Buildings is organized around the clas

  7. Geomatics applied to building management

    International Nuclear Information System (INIS)

    Gascon, M.

    1998-01-01

    An integrated information system at an educational facility which has the capacity to monitor relative data pertaining to the spatial characteristics of a building was demonstrated. The system was instrumental in optimizing building management by making use of geomatics technology. Geomatics establishes relations between geo-reference data (plans) and an actual data base. Such a system has the capability to integrate and assess all data relative to building management. The information allows building managers to rationalize exploitation costs and to coordinate energy use with the activities in the building

  8. [Combined lumbosacral and vaginal physiotherapy in the treatment of overactive bladder in postmenopausal women].

    Science.gov (United States)

    Neĭmark, B A; Neĭmark, A I; Raĭgorodskiĭ, Iu M; Tishchenko, G E; Gol'braĭkh, G E

    2011-01-01

    Efficacy of combined application of physical factors including lumbosacral magnetotherapy and vaginal vibromagnetic impact is shown in 48 postmenopausal women (mean age 62.5 +/- 1.6 years) with overactive bladder (OAB). Choice of this combination is explained by a multifactorial OAB pathogenesis and degenerative spinal diseases often encountered in postmenopausal women (70.8% in this study). The exposures of the spine and the bladder (vaginal) were made one after the other with duration of the first stage 10-15 min, of the second--5-7 min, the course consisted of 10-12 procedures. The results of the treatment were assessed by urination rhythm, volume, number of incontinence episodes. Quality of life was evaluated according to special questionnaires. Trophic function of the spinal cord and innervation of the bladder were studied by n. tibialis conduction measured by electroneuromyography (ENMG). The following results were obtained: reduction of urinations for 24 hours by 36.9%, urgent episodes--by 44%, urgent incontinence--by 59.7%. Voiding volume significantly increased (by 26%). A total score of anxiety related to OAB fell by 51.3%. M-response amplitude in ENMG rose 1.5-fold, while velocity of the impulse conduction along the n. tibialis enhanced 1.2-fold. The technique was accomplished with AMUS-01-Intramag device and attachment to it Rectomassager made in Russia.

  9. Bladder Dysfunction and Vesicoureteral Reflux

    Directory of Open Access Journals (Sweden)

    Ulla Sillén

    2008-01-01

    Full Text Available In this overview the influence of functional bladder disturbances and of its treatment on the resolution of vesicoureteral reflux (VUR in children is discussed. Historically both bladder dysfunction entities, the overactive bladder (OAB and the dysfunctional voiding (DV, have been described in conjunction with VUR. Treatment of the dysfunction was also considered to influence spontaneous resolution in a positive way. During the last decades, however, papers have been published which could not support these results. Regarding the OAB, a prospective study with treatment of the bladder overactivity with anticholinergics, did not influence spontaneous resolution rate in children with a dysfunction including also the voiding phase, DV and DES (dysfunctional elimination syndrome, most studies indicate a negative influence on the resolution rate of VUR in children, both before and after the age for bladder control, both with and without treatment. However, a couple of uncontrolled studies indicate that there is a high short-term resolution rate after treatment with flow biofeedback. It should be emphasized that the voiding phase dysfunctions (DV and DES are more severe than the genuine filling phase dysfunction (OAB, with an increased frequency of UTI and renal damage in the former groups. To be able to answer the question if treatment of bladder dysfunction influence the resolution rate of VUR in children, randomized controlled studies must be performed.

  10. Management Of Building Projects

    OpenAIRE

    Niko Majdandzic; Tadija Lovric; Vido Peric

    2006-01-01

    In this work we have shown the concept of logistic support in management in building production and in building of objects, which is realised in Enterprise resource Planning – ERP system ERPINSG, developed in Informatic firm Informatic engineering – ININ in Slavonski Brod, and in cooperation with scientists of catedra for informatics of Faculty of Mechanical Engineering and users from building firms.

  11. GEM Building Taxonomy (Version 2.0)

    Science.gov (United States)

    Brzev, S.; Scawthorn, C.; Charleson, A.W.; Allen, L.; Greene, M.; Jaiswal, Kishor; Silva, V.

    2013-01-01

    This report documents the development and applications of the Building Taxonomy for the Global Earthquake Model (GEM). The purpose of the GEM Building Taxonomy is to describe and classify buildings in a uniform manner as a key step towards assessing their seismic risk, Criteria for development of the GEM Building Taxonomy were that the Taxonomy be relevant to seismic performance of different construction types; be comprehensive yet simple; be collapsible; adhere to principles that are familiar to the range of users; and ultimately be extensible to non-buildings and other hazards. The taxonomy was developed in conjunction with other GEM researchers and builds on the knowledge base from other taxonomies, including the EERI and IAEE World Housing Encyclopedia, PAGER-STR, and HAZUS. The taxonomy is organized as a series of expandable tables, which contain information pertaining to various building attributes. Each attribute describes a specific characteristic of an individual building or a class of buildings that could potentially affect their seismic performance. The following 13 attributes have been included in the GEM Building Taxonomy Version 2.0 (v2.0): 1.) direction, 2.)material of the lateral load-resisting system, 3.) lateral load-resisting system, 4.) height, 5.) date of construction of retrofit, 6.) occupancy, 7.) building position within a block, 8.) shape of the building plan, 9.) structural irregularity, 10.) exterior walls, 11.) roof, 12.) floor, 13.) foundation system. The report illustrates the pratical use of the GEM Building Taxonomy by discussing example case studies, in which the building-specific characteristics are mapped directly using GEM taxonomic attributes and the corresponding taxonomic string is constructed for that building, with "/" slash marks separating attributes. For example, for the building shown to the right, the GEM Taxonomy string is: DX1/MUR+CLBRS+MOCL2/LWAL3/

  12. 10 CFR 434.520 - Speculative buildings.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Speculative buildings. 434.520 Section 434.520 Energy... RESIDENTIAL BUILDINGS Building Energy Cost Compliance Alternative § 434.520 Speculative buildings. 520... for the lighting power provided for the common areas of the building. 520.4Documentation for future...

  13. National Tribal Building Codes Summit

    Science.gov (United States)

    National Tribal Building Codes summit statement developed to support tribes interested in adopting green and culturally-appropriate building systems to ensure safe, sustainable, affordable, and culturally-appropriate buildings on tribal lands.

  14. Green buildings need good ergonomics.

    Science.gov (United States)

    Hedge, A; Dorsey, J A

    2013-01-01

    A retrospective post-occupancy evaluation survey of 44 occupants in two Leadership in Energy and Environmental Design (LEED) Platinum buildings on a US college campus is reported. The Internet survey covered a range of indoor environment and ergonomics issues. Results show that working in these buildings were a generally positive experience for their health, performance and satisfaction. However, in one building there were persistent issues of variability in air temperature, air freshness, air quality and noise that affected the perceived health and performance of the occupants. Although the buildings were energy-efficient and sustainable structures, ergonomics design issues were identified. Implications for the role of ergonomics in green buildings and in the US LEED rating system are discussed. This survey identified a number of ergonomics design issues present in the LEED Platinum energy-efficient and sustainable buildings that were studied. These results highlight the importance of integrating ergonomics design into green buildings as a component in the US LEED rating system.

  15. The effect of building façade on natural lighting (Case study: Building of phinisi tower UNM)

    Science.gov (United States)

    Jamala, Nurul

    2017-04-01

    Utilization of natural lighting is one factor to lower the energy consumption of a building. Model building facade effect on natural light sources that can be absorbed into the building. UNM Phinisi Tower Building is a metaphor for the display of boats phinisi using Hiperbolic paraboloid facade which is futuristic sophistication of the application of science and technology, so that this object that is the focus of research on the effects on the building facade natural lighting. A quantitative research methods using Autodesk Echotech program to determine the value of the building into the natural lighting illuminance, either by using the facade and do not. The aim of research is to determine the percentage utilization of natural light into the building using a building facade. The study concluded the decline percentage in the value of the illuminance after the building using the building facade is 49% -74% and a mean value of 60.3%, so it can be concluded that the building facade effects on the natural lighting.

  16. Building Energy Management Open Source Software

    Energy Technology Data Exchange (ETDEWEB)

    Rahman, Saifur [Virginia Polytechnic Inst. and State Univ. (Virginia Tech), Blacksburg, VA (United States)

    2017-08-25

    Funded by the U.S. Department of Energy in November 2013, a Building Energy Management Open Source Software (BEMOSS) platform was engineered to improve sensing and control of equipment in small- and medium-sized commercial buildings. According to the Energy Information Administration (EIA), small- (5,000 square feet or smaller) and medium-sized (between 5,001 to 50,000 square feet) commercial buildings constitute about 95% of all commercial buildings in the U.S. These buildings typically do not have Building Automation Systems (BAS) to monitor and control building operation. While commercial BAS solutions exist, including those from Siemens, Honeywell, Johnsons Controls and many more, they are not cost effective in the context of small- and medium-sized commercial buildings, and typically work with specific controller products from the same company. BEMOSS targets small and medium-sized commercial buildings to address this gap.

  17. Metrics for building performance assurance

    Energy Technology Data Exchange (ETDEWEB)

    Koles, G.; Hitchcock, R.; Sherman, M.

    1996-07-01

    This report documents part of the work performed in phase I of a Laboratory Directors Research and Development (LDRD) funded project entitled Building Performance Assurances (BPA). The focus of the BPA effort is to transform the way buildings are built and operated in order to improve building performance by facilitating or providing tools, infrastructure, and information. The efforts described herein focus on the development of metrics with which to evaluate building performance and for which information and optimization tools need to be developed. The classes of building performance metrics reviewed are (1) Building Services (2) First Costs, (3) Operating Costs, (4) Maintenance Costs, and (5) Energy and Environmental Factors. The first category defines the direct benefits associated with buildings; the next three are different kinds of costs associated with providing those benefits; the last category includes concerns that are broader than direct costs and benefits to the building owner and building occupants. The level of detail of the various issues reflect the current state of knowledge in those scientific areas and the ability of the to determine that state of knowledge, rather than directly reflecting the importance of these issues; it intentionally does not specifically focus on energy issues. The report describes work in progress and is intended as a resource and can be used to indicate the areas needing more investigation. Other reports on BPA activities are also available.

  18. Radon in large buildings

    International Nuclear Information System (INIS)

    Wilson, D.L.; Dudney, C.S.; Gammage, R.B.

    1993-01-01

    Over the past several years, considerable research has been devoted by the U.S. Environmental Protection Agency (USEPA) and others to develop radon sampling protocols for single family residences and schools. However, very little research has been performed on measuring radon in the work place. To evaluate possible sampling protocols, 833 buildings throughout the United States were selected for extensive radon testing. The buildings tested (warehouses, production plants and office buildings) were representative of commercial buildings across the country both in design, size and use. Based on the results, preliminary radon sampling protocols for the work place have been developed. (orig.). (5 refs., 3 figs.)

  19. Energy use in office buildings

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-10-01

    This is the report on Task IB, Familiarization with Additional Data Collection Plans of Annual Survey of BOMA Member and Non-Member Buildings in 20 Cities, of the Energy Use in Office Buildings project. The purpose of the work was to monitor and understand the efforts of the Building Owners and Managers Association International (BOMA) in gathering an energy-use-oriented data base. In order to obtain an improved data base encompassing a broad spectrum of office space and with information suitable for energy analysis in greater detail than is currently available, BOMA undertook a major data-collection effort. Based on a consideration of geographic area, climate, population, and availability of data, BOMA selected twenty cities for data collection. BOMA listed all of the major office space - buildings in excess of 40,000 square feet - in each of the cities. Tax-assessment records, local maps, Chamber of Commerce data, recent industrial-development programs, results of related studies, and local-realtor input were used in an effort to assemble a comprehensive office-building inventory. In order to verify the accuracy and completeness of the building lists, BOMA assembled an Ad-Hoc Review Committee in each city to review the assembled inventory of space. A questionnaire on office-building energy use and building characteristics was developed. In each city BOMA assembled a data collection team operating under the supervision of its regional affiliate to gather the data. For each city a random sample of buildings was selected, and data were gathered. Responses for over 1000 buildings were obtained.

  20. Radon: the building industry view

    International Nuclear Information System (INIS)

    Farnham, K.G.R.

    1992-01-01

    Guidance on radon preventive measures in new dwellings is covered by the Building Regulations, and adequate guidance has been published by the Building Research Establishment. This is a satisfactory state of affairs which, unfortunately, is not the case for remedial work in existing buildings. Work in existing buildings should be incorporated in Regulations and adequate funding should be provided by government for the training of builders. (Author)

  1. Impact of Building Design Parameters on Thermal Energy Flexibility in a Low-Energy Building

    DEFF Research Database (Denmark)

    Sarran, Lucile; Foteinaki, Kyriaki; Gianniou, Panagiota

    This work focuses on demand-side management potential for the heating grid in residential buildings. The possibility to increase the flexibility provided to the heat network through specific building design is investigated. The role of different parts of the building structure on thermal flexibil...

  2. 76 FR 35894 - Office of Federal High-Performance Green Buildings; Establishment of the Green Building Advisory...

    Science.gov (United States)

    2011-06-20

    ... Federal High-Performance Green Buildings; Establishment of the Green Building Advisory Committee AGENCY... announces the establishment of the Green Building Advisory Committee (the Committee), pursuant to Section... strategic plans, products and activities of the Office of Federal High-Performance Green Buildings and...

  3. Are building users prepared for energy flexible buildings?—A large-scale survey in the Netherlands

    NARCIS (Netherlands)

    Li, Rongling; Dane, G.Z.; Finck, C.J.; Zeiler, W.

    2017-01-01

    Building energy flexibility might play a crucial role in demand side management for integrating intermittent renewables into smart grids. The potential of building energy flexibility depends not only on the physical characteristics of a building but also on occupant behaviour in the building.

  4. Energy - efficient buildings in pakistan

    International Nuclear Information System (INIS)

    Sohail, M.; Qureshi, M.U.D.

    2011-01-01

    Pakistan is one of the countries with the highest energy consumption for domestic use. Annual energy consumption by the domestic sector is 45.9 % of the total, while the industrial sector, consumes about 27.5%. About half of the total energy consumed is used in buildings and/or heating, ventilation and air-conditioning (HVAC) and lighting appliances. The energy consumed for the same purposes in China and UK is 25 to 30 % and 40 %, respectively, even in extreme weather conditions. Energy deficiency in Pakistan is approximately 5,000 MWe, which results in worst load-shedding in summers and, lately, even in winters. Building new energy sources like dams, coal power plants and renewable energy power projects are some possible solutions, but these are time taking and need at least 2 to 6 years to complete, depending upon the nature of the project. Fast development of energy-efficient buildings is, therefore, necessary to deal with exacerbating energy-crisis and related environmental impact in Pakistan. Innovations in the prevailing building-design will help the country in reducing the energy burden. These innovations may include improved architectural designs, energy-efficient building materials, electrical appliances and implementation of building energy-efficiency codes. In 1987, the National Energy Conservation Centre (ENERCON), was established under Ministry of Environment, Government of Pakistan, with the aim to build awareness among the masses for energy conservation, and to make policies regarding energy-conservation structures in the country. But no policy regarding building energy codes has been introduced by ENERCON till now. In collaboration with Pakistan Engineering Council (PEC), ENERCON has recently finalized the Building Energy Code of Pakistan Energy Provisions 2011 for which statutory notification is under process for necessary amendment in the building by-laws. The implementation of this Energy Code will result in 25 to 30 % of energy savings in the

  5. Comparison of Building Energy Modeling Programs: Building Loads

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Dandan [Tsinghua Univ., Beijing (China); Hong, Tianzhen [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Yan, Da [Tsinghua Univ., Beijing (China); Wang, Chuang [Tsinghua Univ., Beijing (China)

    2012-06-01

    This technical report presented the methodologies, processes, and results of comparing three Building Energy Modeling Programs (BEMPs) for load calculations: EnergyPlus, DeST and DOE-2.1E. This joint effort, between Lawrence Berkeley National Laboratory, USA and Tsinghua University, China, was part of research projects under the US-China Clean Energy Research Center on Building Energy Efficiency (CERC-BEE). Energy Foundation, an industrial partner of CERC-BEE, was the co-sponsor of this study work. It is widely known that large discrepancies in simulation results can exist between different BEMPs. The result is a lack of confidence in building simulation amongst many users and stakeholders. In the fields of building energy code development and energy labeling programs where building simulation plays a key role, there are also confusing and misleading claims that some BEMPs are better than others. In order to address these problems, it is essential to identify and understand differences between widely-used BEMPs, and the impact of these differences on load simulation results, by detailed comparisons of these BEMPs from source code to results. The primary goal of this work was to research methods and processes that would allow a thorough scientific comparison of the BEMPs. The secondary goal was to provide a list of strengths and weaknesses for each BEMP, based on in-depth understandings of their modeling capabilities, mathematical algorithms, advantages and limitations. This is to guide the use of BEMPs in the design and retrofit of buildings, especially to support China’s building energy standard development and energy labeling program. The research findings could also serve as a good reference to improve the modeling capabilities and applications of the three BEMPs. The methodologies, processes, and analyses employed in the comparison work could also be used to compare other programs. The load calculation method of each program was analyzed and compared to

  6. Modules in historic building construction according to the Copenhagen Building Code

    DEFF Research Database (Denmark)

    Kudsk, Anders; Thuesen, Christian Langhoff; Hvam, Lars

    2011-01-01

    This paper describes an analysis of building works from Copenhagen, Denmark in the period 1850 to 1950. In the study we investigate, based on the theory of product architecture and product modularization, if examples of the use of well-defined interfaces can be found. Furthermore, the aim...... is to study how the use of such interfaces has influenced former building processes and how they were implemented and kept stable over decades. The result of the study is that at that time a number of standardized interfaces between the individual parts of the building work existed, and that these interfaces...

  7. Building codes as barriers to solar heating and cooling of buildings

    Energy Technology Data Exchange (ETDEWEB)

    Meeker, F.O. III

    1978-04-01

    The application of building codes to solar energy systems for heating and cooling of buildings is discussed, using as typical codes the three model building codes most widely adopted by states and localities. Some potential barriers to solar energy systems are found, federal and state programs to deal with these barriers are discussed, and alternatives are suggested. To remedy this, a federal program is needed to encourage state adoption of standards and acceptance of certification of solar systems for code approval, and to encourage revisions to codes based on model legislation prepared for the federal government by the model codes groups.

  8. Building energy efficiency in rural China

    International Nuclear Information System (INIS)

    Evans, Meredydd; Yu, Sha; Song, Bo; Deng, Qinqin; Liu, Jing; Delgado, Alison

    2014-01-01

    Rural buildings in China now account for more than half of China's total building energy use. Forty percent of the floorspace in China is in rural villages and towns. Most of these buildings are very energy inefficient, and may struggle to provide for basic needs. They are cold in the winter, and often experience indoor air pollution from fuel use. The Chinese government plans to adopt a voluntary building energy code, or design standard, for rural homes. The goal is to build on China's success with codes in urban areas to improve efficiency and comfort in rural homes. The Chinese government recognizes rural buildings represent a major opportunity for improving national building energy efficiency. The challenges of rural China are also greater than those of urban areas in many ways because of the limited local capacity and low income levels. The Chinese government wants to expand on new programs to subsidize energy efficiency improvements in rural homes to build capacity for larger-scale improvement. This article summarizes the trends and status of rural building energy use in China. It then provides an overview of the new rural building design standard, and describes options and issues to move forward with implementation. - Highlights: • Building energy use is larger in rural China than in cities. • Rural buildings are very energy intensive, and energy use is growing with incomes. • A new design standard aims to help rural communities build more efficiently. • Important challenges remain with implementation

  9. Healthy Buildings and Green Building Rating Systems; Gezond bouwen en duurzaamheidslabels

    Energy Technology Data Exchange (ETDEWEB)

    Bergs, J.; Renes, S. [BenR Adviseurs voor duurzaamheid, Amersfoort (Netherlands)

    2010-11-15

    The awareness of health issues related to buildings has heightened past decades. Indoor Environmental Quality (IEQ) has been addressed in most Green Building Rating Systems nowadays. This article analyses the scope of IEQ (Indoor Environmental Quality) within Rating Systems GPR Gebouw, BREEAM-NL (Dutch version of Building Research Establishment's Environmental Assessment Method) and LEED (Leadership in Energy and Environmental Design). Each Rating System allocates health aspects. However, none of these Rating Systems addresses a complete set of relevant aspects. High ratings do not guarantee healthy buildings. It is concluded that, in general, credits for energy efficiency do not interfere with credits for enhanced indoor environmental quality. [Dutch] Gezondheidsaspecten van gebouwen hebben afgelopen decennia steeds meer en integraler aandacht gekregen. In de instrumenten GPR Gebouw, BREEAM-NL (Nederlandse versien van 'Building Research Establishment's Environmental Assessment Method') en LEED (Leadership in Energy and Environmental Design) is gezondheid 1 van de duurzaamheidsthema's, in dit artikel wordt geconcludeerd dat deze instrumenten veel gezondheidsaspecten dekken maar dat geen enkel instrument echt volledig is. De 1 legt meer accent op gezondheid, de ander meer op comfort. Een hoog label biedt geen garantie voor een gezond gebouw. De instrumenten bevatten weinig potentieel strijdige aspecten. Gezond en energiezuinig bouwen gaan volgens deze instrumenten goed samen.

  10. Key Performance Indicator of Building Maintenance and Its Effect on the Building Life Cycle

    Directory of Open Access Journals (Sweden)

    M.A. Othuman Mydin

    2014-07-01

    Full Text Available Building maintenance is considered as one of the national agenda. Multitude barriers received by the services providers have undergone various difficulties in satisfying public interest have been progressively resolved as a sign towards becoming a more developed country. In real practice, building maintenance is the thing which we mostly tolerate. If the building is able to weather the elements, we may with delay taking action on it. Most buildings are always treated with ‘ad-hoc’ maintenance. In some instances, the building disrepair will wait until complaints are made before any repair work is done. It shows that the situation is not considered critical as it may. Maintenance is still being practiced in improper procedure by the maintenance managers which subsequently caused bad impacts to the facilities and the services provided. It can be seen that the managers prefer carrying out reactive maintenance works rather than proactive works and at times do not consider the clients satisfaction and also the performance of services. This paper will focus on some important elements of building maintenance and its relation to building performance holistically.

  11. [Consensus document on overactive bladder in older patients].

    Science.gov (United States)

    Verdejo-Bravo, Carlos; Brenes-Bermúdez, Francisco; Valverde-Moyar, Maria Victoria; Alcántara-Montero, Antonio; Pérez-León, Noemí

    2015-01-01

    Overactive nladder (OAB) is a clinical entity with a high prevalence in the population, having a high impact on quality of life, especially when it occurs with urge urinary incontinence. It is very important to highlight the low rate of consultation of this condition by the older population. This appears to depend on several factors (educational, cultural, professional), and thus leads to the low percentage of older patients who receive appropriate treatment and, on the other hand, a large percentage of older patients with a significant deterioration in their quality of life. Therefore, Scientific societies and Working Groups propose the early detection of OAB in their documents and clinical guidelines. Its etiology is not well known, but is influenced by cerebrovascular processes and other neurological problems, abnormalities of the detrusor muscle of bladder receptors, and obstructive and inflammatory processes of the lower urinary tract. Its diagnosis is clinical, and in the great majority of the cases it can be possible to establish its diagnosis and etiopathogenic orientation, without the need for complex diagnostic procedures. Currently, there are effective treatments for OAB, and we should decide the most appropriate for each elderly patient, based on their individual characteristics. Based on the main clinical practice guidelines, a progressive treatment is proposed, with the antimuscarinics being the most recommended drug treatment. Therefore, a group of very involved professionals in clinical practice for the elderly, and representing two scientific Societies (Spanish Society of Geriatrics and Gerontology [SEGG], and the Spanish Society of Primary Care Physicians [SEMERGEN]) developed this consensus document with the main objective of establishing practices and valid strategies, focused to simplify the management of this clinical entity in the elderly population, and especially to improve their quality of life. The recommendations presented in this

  12. [Efficacy of combination therapy of tamsulosin and solifenacin for mild and moderate benign prostatic hyperplasia with overactive bladder].

    Science.gov (United States)

    Gao, Zhong-Wei; Xin, Shi-Yong; Zhang, Jian-Guo; Ren, Xiao-Qiang; Shang, Ya-Feng; Zhang, Wei; Li, Hui-Bing; Xiao, Fei; Shao, Chang-Shuai

    2014-03-01

    To evaluate the efficacy and safety of the combination therapy of tamsulosin and solifenacin for mild and moderate benign prostatic hyperplasia (BPH) with overactive bladder (OAB). We randomly divided 166 patients with BPH and concomitant OAB into a mild obstruction symptom group (n = 88) and a moderate obstruction symptom group (n =78), 48 of the former group treated with 0. 2 mg tamsulosin + 5 mg solifenacin and the other 40 with 0. 2 mg tamsulosin; 36 of the latter group treated with 0. 2 mg tamsulosin + 5 mg solifenacin and the other 42 with 0. 2 mg tamsulosin, all administered once daily for 12 weeks. We obtained the International Prostate Symptom Score (IPSS), urine storage period symptom score (USPSS), voiding symptom score (VSS), Qmax, residual urine volume, OAB symptom score (OABSS) and adverse reactions, and compared them among different Among the patients with mild obstruction symptoms, the combination of tamsulosin and solifenacin achieved remark-groups. able improvement in IPSS, USPSS, Qmax and OABSS as compared with the baseline (P 0. 05) , while tamsulosin improved IPSS only (P tamsulosin alone in improving IPSS (9.7 micro 3.0 vs 15.8 micro 3.3), USPSS (8. 1 micro 1.7 vs 12.3 micro 3.1), Qmax ([18.6 micro 2.3] ml/s vs [14.2 micro 2.3] ml/s ), and OABSS (5.3micro 1.3 vs 9.7 micro 2.7) (P 0. 05). In those with moderate obstruction symptoms, the combination therapy significantly improved IPSS, VSS, Qmax and OABSS (P 0. 05) in comparison with the baseline. The tamsulosin therapy achieved obvious improvement in IPSS, VSS, Qmax, OABSS and residual urine. The combination therapy showed a better effect than tamsulosin only in OABSS (4. 8 +/-1.5 vs 6.5 +/-2.5, P tamsulosin and solifenacin is obviously safe and efficacious in the treatment (P > 0.05). events of both mild and moderate BPH with concomitant OAB, and it is superior to tamsulosin alone.

  13. Towards Nearly Zero Energy Buildings in Europe: A Focus on Retrofit in Non-Residential Buildings

    Directory of Open Access Journals (Sweden)

    Delia D’Agostino

    2017-01-01

    Full Text Available Buildings are the focus of European (EU policies aimed at a sustainable and competitive low-carbon economy by 2020. Reducing energy consumption of existing buildings and achieving nearly zero energy buildings (NZEBs are the core of the Energy Efficiency Directive (EED and the recast of the Energy Performance of Building Directive (EPBD. To comply with these requirements, Member States have to adopt actions to exploit energy savings from the building sector. This paper describes the differences between deep, major and NZEB renovation and then it provides an overview of best practice policies and measures to target retrofit and investment related to non-residential buildings. Energy requirements defined by Member States for NZEB levels are reported comparing both new and existing residential and non-residential buildings. The paper shows how the attention given to refurbishment of NZEBs increased over the last decade, but the achievement of a comprehensive implementation of retrofit remains one of main challenges that Europe is facing.

  14. Designing domestic buildings for future summers: Attitudes and opinions of building professionals

    International Nuclear Information System (INIS)

    Gul, Mehreen S.; Menzies, Gillian F.

    2012-01-01

    A changing climate will produce summertime overheating where conventional domestic building design approaches do not adequately address future warming risk. This risk cannot be fully identified and avoided unless future climate information and building related adaptation measures are considered. The Low Carbon Futures project is developing a tool that uses UKCP09 climate projections input to predict dwelling overheating risks. To enhance the usefulness of this tool for the building industry, and to better understand current building design processes, interviews were conducted with building professionals, allowing industry preferences for the tool to be sought and to provide clearer indications of proposed outcomes. This paper examines results from a questionnaire, focus groups and semi-structured interviews with building industry professionals. The research shows that the housing industry maintains adherence to traditional designing methods where overheating, whether current or future, is not considered a serious concern. No design stage detailed overheating assessments are currently undertaken to reduce the UK's increased room air-conditioner sales, despite drives for low energy/zero carbon homes. The collated feedback will help tailor the tool and its eventual outputs, with this paper attempting to converge on a set of recommendations for low carbon dwelling design with reduced overheating risk. - Highlights: ► Interviews to gauge attitudes of building professionals towards future warming. ► Client requirements, capital costs and regulations take priority in typical practice. ► No actions are currently taken to prevent overheating risks in the housing sector. ► Overheating risks in housing can be tackled by the use of dynamic modelling. ► The LCF tool further helps to adapt a dwelling to reduce future overheating risks.

  15. Unintended anchors: Building rating systems and energy performance goals for U.S. buildings

    International Nuclear Information System (INIS)

    Klotz, Leidy; Mack, Daniel; Klapthor, Brent; Tunstall, Casey; Harrison, Jennilee

    2010-01-01

    In the U.S., where buildings account for 40% of energy use, commercial buildings use more energy per unit area than ever before. However, exemplary buildings demonstrate the feasibility of much better energy performance at no additional first cost. This research examines one possible explanation for this inconsistency. The aim is to investigate whether the anchoring bias, which refers to our tendency to gravitate towards a pre-defined standard regardless of its relevance, influences energy performance goals in building design. The scope examines professionals who help set energy performance goals for U.S. buildings. Prior to being asked to set an energy performance goal, these professionals were randomly directed to one of three series of questions. One series set an anchor of 90% energy reduction beyond standard practice, one set a 30% anchor, and one set no anchor. Respondents exposed to the 90% anchor, and respondents exposed to no anchor at all, set higher energy performance goals than respondents exposed to the 30% anchor. These results suggest that building rating systems that only reward incremental energy improvements may inadvertently create anchors, thereby discouraging more advanced energy performance goals and inhibiting energy performance that is technically and economically feasible.

  16. Noise, buildings and people

    Energy Technology Data Exchange (ETDEWEB)

    Croome, D J

    1977-01-01

    This book covers the physics of acoustics necessary to understand the analytical aspects of acoustical design and noise control in buildings. The major part is devoted to the problems of noise and man, and other chapters cover features of noise control in and around buildings. In an introduction, building environmental engineering is dealth with in general terms of architecture, creativity, systms design, etc. Aspects of the acoustical environment, noise sources in buildings, control of airborne and structure-borne noise and acoustical design techniques are covered in Part II. Items include: comfort, physiological response to noise and vibrations, noise criteria, human performance, speech communication, landscaped offices, sound generation by air-conditioning and heating equipment, building structure and noise attenuation, acoustical design. Part III gives some fundamentals of acoustics; mechanical vibration, wave motion, propagation of sound, structure-borne sound, behavior of sound in rooms, transmission of sound through structure. References include lists of British standards and booklets on health and safety at work.

  17. Lessons learned from the 2016 Kumamoto earthquake: Building damages and behavior of seismically isolated buildings

    Science.gov (United States)

    Morita, Keiko; Takayama, Mineo

    2017-10-01

    Powerful earthquakes stuck Kumamoto and Oita Prefectures in Kyushu, Japan. It began with the Magnitude 6.5 foreshock at 21:26 JST 14 April, followed by the Magnitude 7.3 mainshock at 1:25 JST 16 April, 2016. The sequence earthquakes also involved more than 1700 perceptible earthquakes as of 13 June. The entire sequence was named the 2016 Kumamoto earthquake by the Japan Meteorological Agency. Thousands of buildings and many roads were damaged, and landslides occurred. The Japanese building standard law is revised in 1981. Structural damages were concentrated on buildings constructed prior to 1981. The area of Mashiki and Southern Aso were most badly affected, especially wooden houses extremely damaged. In Japan, Prof. Hideyuki Tada (title at the time) undertook research on laminated rubber bearings in 1978, and put it into practical use in 1981. The single family house at Yachiyodai, Chiba Prefecture is completed in 1983, it's the first seismically isolated building which is installed laminated rubber bearings in Japan. Afterward, this system is gradually adopted to mainly office buildings, like a research laboratory, a hospital, a computer center and other offices. In the 1994 Northridge earthquake, the 1995 Kobe earthquake and 2011 Tohoku earthquake, seismically isolated buildings improve these good performances, and recently number of the buildings have increased, mainly high risk area of earthquakes. Many people believed that Kumamoto was a low risk area. But there were 24 seismically isolated buildings in Kumamoto Prefecture at the time. The seismically isolated buildings indicated excellent performances during the earthquakes. They protected people, buildings and other important facilities from damages caused by the earthquake. The purpose of this paper is to discuss lessons learned from the 2016 Kumamoto earthquake and behavior of seismically isolated buildings in the earthquake.

  18. Strategic Behavior in Certifying Green Buildings: An Inquiry of the Non-building Performance Value.

    Science.gov (United States)

    Chiang Hsieh, Lin-Han; Noonan, Douglas

    2017-08-01

    This study determines the magnitude of the market signaling effect arising from Leadership in Energy and Environmental Design certification for green buildings and explores the mechanisms behind the signaling effect. Previous studies have shown that signaling or marketability plays an important role in the pursuit for Leadership in Energy and Environmental Design and equivalent green-building certification. By analyzing all new construction projects receiving Leadership in Energy and Environmental Design certification from 2000 to 2012 in the US, this study estimates the relative importance of 'green' signaling. This broad perspective using project-level data enables an analysis of some drivers of signaling and the pursuit of marketing benefits. The roles of local competition and market conditions, as well as municipal regulations are examined, especially as they differ between types of building owners (e.g., for-profit firms, governments, nonprofits). The results indicate that the non-building performance value-value captured by Leadership in Energy and Environmental Design signals above and beyond the specific building attributes that Leadership in Energy and Environmental Design certifies-dominates the attainment of Leadership in Energy and Environmental Design scores around certification tier thresholds. Further, strong evidence of spatial clustering of this non-building performance value for some owner types indicates that for-profit owners may be more responsive to local competition than non-profit owners. Local legislative mandates predict greater signaling intensity by government-owned buildings, as expected, but for-profit-owned projects tend to signal less, even after controls for local conditions. The results highlight the importance of local conditions, including peer effects and regulations, in driving non-building performance values across a wide range of green buildings.

  19. Building Energy Monitoring and Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Tianzhen; Feng, Wei; Lu, Alison; Xia, Jianjun; Yang, Le; Shen, Qi; Im, Piljae; Bhandari, Mahabir

    2013-06-01

    U.S. and China are the world’s top two economics. Together they consumed one-third of the world’s primary energy. It is an unprecedented opportunity and challenge for governments, researchers and industries in both countries to join together to address energy issues and global climate change. Such joint collaboration has huge potential in creating new jobs in energy technologies and services. Buildings in the US and China consumed about 40% and 25% of the primary energy in both countries in 2010 respectively. Worldwide, the building sector is the largest contributor to the greenhouse gas emission. Better understanding and improving the energy performance of buildings is a critical step towards sustainable development and mitigation of global climate change. This project aimed to develop a standard methodology for building energy data definition, collection, presentation, and analysis; apply the developed methods to a standardized energy monitoring platform, including hardware and software, to collect and analyze building energy use data; and compile offline statistical data and online real-time data in both countries for fully understanding the current status of building energy use. This helps decode the driving forces behind the discrepancy of building energy use between the two countries; identify gaps and deficiencies of current building energy monitoring, data collection, and analysis; and create knowledge and tools to collect and analyze good building energy data to provide valuable and actionable information for key stakeholders.

  20. Performance-based building codes: a call for injury prevention indicators that bridge health and building sectors.

    Science.gov (United States)

    Edwards, N

    2008-10-01

    The international introduction of performance-based building codes calls for a re-examination of indicators used to monitor their implementation. Indicators used in the building sector have a business orientation, target the life cycle of buildings, and guide asset management. In contrast, indicators used in the health sector focus on injury prevention, have a behavioural orientation, lack specificity with respect to features of the built environment, and do not take into account patterns of building use or building longevity. Suggestions for metrics that bridge the building and health sectors are discussed. The need for integrated surveillance systems in health and building sectors is outlined. It is time to reconsider commonly used epidemiological indicators in the field of injury prevention and determine their utility to address the accountability requirements of performance-based codes.

  1. Building Air Quality Guide: A Guide for Building Owners and Facility Managers

    Science.gov (United States)

    The Building Air Quality, developed by the EPA and the National Institute for Occupational Safety and Health, provides practical suggestions on preventing, identifying, and resolving indoor air quality (IAQ) problems in public and commercial buildings.

  2. Building 774: open for business

    CERN Multimedia

    CERN Bulletin

    2015-01-01

    In July 2012, the demolition of Building 936 on the Prévessin site marked the start of the Building 774 project. On 23 February, less than three years later, the new 3900 m2 building was handed over to the BE department.   The brand new Building 774. (Credits: Francesco Soppelsa) Located near to the CERN Control Centre, Building 774 contains offices, laboratories and meeting rooms, as well as a huge public area consisting of a 104-seat auditorium, a changing room/shower area in the basement and a pleasant cafeteria open from 8 a.m. to 5 p.m., offering a wide range of refreshments including hot meals at lunchtime. “There were a few twists and turns during the construction of this building, but it all turned out well in the end!" says Michael Poehler, a member of the GS-SE group and the technical coordinator of the project. (Credits: Francesco Soppelsa) The 120 occupants of the building have just moved into their brand new home, bringing all the members of the...

  3. Sustainable Building Life Cycle Design

    Directory of Open Access Journals (Sweden)

    Ginzburg Alexander

    2016-01-01

    Full Text Available The current building life cycle management system in the Russian Federation is a family of discrete subsystems that exist independently for different building life cycle stages. In this situation building reliability and sustainable functioning are out of the question. The implementation of a united information model (BIM-model intended to describe building entire life cycle will allow to raise the sustainability, but this will happen only if goals and concerns of all participants of the project process are properly coordinated. An important figure of process sustainability is the organizational and technological reliability (OTR that describes the possibility of a system to reach a goal. In case of building life cycle design, the economical efficiency of a building can be considered as the goal. The required technical, ecological, organizational, and other parameters form a complex of constraints that determine the area of allowable values for building functioning. In its broad meaning, OTR may be understood as the probability of receiving an economical effect based on the value of organizational and economical reliability (OER.

  4. Energy efficiency buildings program, FY 1980

    Energy Technology Data Exchange (ETDEWEB)

    1981-05-01

    A separate abstract was prepared on research progress in each group at LBL in the energy efficient buildings program. Two separate abstracts were prepared for the Windows and Lighting Program. Abstracts prepared on other programs are: Energy Performance of Buildings; Building Ventilation and Indoor Air Quality Program; DOE-21 Building Energy Analysis; and Building Energy Data Compilation, Analysis, and Demonstration. (MCW)

  5. 29 CFR 779.335 - Sales of building materials for residential or farm building construction.

    Science.gov (United States)

    2010-07-01

    ... materials for residential or farm building construction. Section 3(n) of the Act, as amended, excludes from... 29 Labor 3 2010-07-01 2010-07-01 false Sales of building materials for residential or farm building construction. 779.335 Section 779.335 Labor Regulations Relating to Labor (Continued) WAGE AND...

  6. Building technolgies program. 1994 annual report

    Energy Technology Data Exchange (ETDEWEB)

    Selkowitz, S.E.

    1995-04-01

    The objective of the Building Technologies program is to assist the U.S. building industry in achieving substantial reductions in building sector energy use and associated greenhouse gas emissions while improving comfort, amenity, health, and productivity in the building sector. We have focused our past efforts on two major building systems, windows and lighting, and on the simulation tools needed by researchers and designers to integrate the full range of energy efficiency solutions into achievable, cost-effective design solutions for new and existing buildings. In addition, we are now taking more of an integrated systems and life cycle perspective to create cost-effective solutions for more energy efficient, comfortable, and productive work and living environments. More than 30% of all energy use in buildings is attributable to two sources: windows and lighting. Together they account for annual consumer energy expenditures of more than $50 billion. Each affects not only energy use by other major building systems, but also comfort and productivity-factors that influence building economics far more than does direct energy consumption alone. Windows play a unique role in the building envelope, physically separating the conditioned space from the world outside without sacrificing vital visual contact. Throughout every space in a building, lighting systems facilitate a variety of tasks associated with a wide range of visual requirements while defining the luminous qualities of the indoor environment. Window and lighting systems are thus essential components of any comprehensive building science program.

  7. KAJIAN SUSTAINABLE DESIGN PADA SAVILL BUILDING

    Directory of Open Access Journals (Sweden)

    Oktavi Elok Hapsari

    2015-08-01

    Full Text Available Since 1980 the development of Indonesian architecture design start to leads into sustainable architectural design which as it was expected to became a solution regarding the environmental problems. The implementation of sustainable design in buildings can be applied from the buildings typologi, renewable resources on materials untill the reduction of the negative impact againts the buildings surrounding environment. As the main object for this study was 2006 The Woods Awardee, Savill Building. A literature study was conducted related to sustainable concept design and the implementation in Savill Buildings. Savill Building is a transparance walls buildings with steel and wooden as main materials on it complex curve gridshell structures. Located in a countoured site Savill Building show it assertive appearance. Due to the good landscape processing and design the Savill Building stood out and yet still shown continuity and harmony with the surrounding environment. The buildings not only has a eco-friendly public facility function, but also has the capability on attracting visitors. In the end this study is expected able expand the knowledges on sustainable design and become a design references in Indonesia architectural design.

  8. Seismic Safety Of Simple Masonry Buildings

    International Nuclear Information System (INIS)

    Guadagnuolo, Mariateresa; Faella, Giuseppe

    2008-01-01

    Several masonry buildings comply with the rules for simple buildings provided by seismic codes. For these buildings explicit safety verifications are not compulsory if specific code rules are fulfilled. In fact it is assumed that their fulfilment ensures a suitable seismic behaviour of buildings and thus adequate safety under earthquakes. Italian and European seismic codes differ in the requirements for simple masonry buildings, mostly concerning the building typology, the building geometry and the acceleration at site. Obviously, a wide percentage of buildings assumed simple by codes should satisfy the numerical safety verification, so that no confusion and uncertainty have to be given rise to designers who must use the codes. This paper aims at evaluating the seismic response of some simple unreinforced masonry buildings that comply with the provisions of the new Italian seismic code. Two-story buildings, having different geometry, are analysed and results from nonlinear static analyses performed by varying the acceleration at site are presented and discussed. Indications on the congruence between code rules and results of numerical analyses performed according to the code itself are supplied and, in this context, the obtained result can provide a contribution for improving the seismic code requirements

  9. Building the Korogwe Laboratory

    DEFF Research Database (Denmark)

    Knudsen, Jakob; von Seidlein, Lorenz; Richard, Jean Pierre

    2011-01-01

    An illustrated description of the building of a biomedical research laboratory in Korogwe, Tanzania.......An illustrated description of the building of a biomedical research laboratory in Korogwe, Tanzania....

  10. Building technologies program. 1995 annual report

    Energy Technology Data Exchange (ETDEWEB)

    Selkowitz, S.E.

    1996-05-01

    The 1995 annual report discusses laboratory activities in the Building Technology Program. The report is divided into four categories: windows and daylighting, lighting systems, building energy simulation, and advanced building systems. The objective of the Building Technologies program is to assist the U.S. building industry in achieving substantial reductions in building-sector energy use and associated greenhouse gas emissions while improving comfort, amenity, health, and productivity in the building sector. Past efforts have focused on windows and lighting, and on the simulation tools needed to integrate the full range of energy efficiency solutions into achievable, cost-effective design solutions for new and existing buildings. Current research is based on an integrated systems and life-cycle perspective to create cost-effective solutions for more energy-efficient, comfortable, and productive work and living environments. Sixteen subprograms are described in the report.

  11. Trends in building materials

    CSIR Research Space (South Africa)

    Mapiravana, Joseph

    2012-07-01

    Full Text Available , steel and composites research. Analysis of the building materials market situation in South Africa identified the major building material cost drivers as cement and concrete and steel. For South Africa, research and development focus has been... in South Africa be cement and concrete, light-weight steel construction, smart tiles and composite materials. Nanotechnology materials should be used for property enhancement. The building materials developed should be modularised and/or panelised...

  12. Integrating Building Information Modeling and Green Building Certification: The BIM-LEED Application Model Development

    Science.gov (United States)

    Wu, Wei

    2010-01-01

    Building information modeling (BIM) and green building are currently two major trends in the architecture, engineering and construction (AEC) industry. This research recognizes the market demand for better solutions to achieve green building certification such as LEED in the United States. It proposes a new strategy based on the integration of BIM…

  13. Comparison between Dutch and German buildings

    Energy Technology Data Exchange (ETDEWEB)

    Lony, R.J.M.; Molenaar, D.J.; Rietkerk, J.; Schuiling, D.J.B.W.; Zeiler, W. [TU/e, Univ. of Technology Eindhoven (Netherlands); Brunk, M. [RWTH Aachen (Germany)

    2006-07-01

    German buildings are often seen as an example to Dutch architects and Dutch building services consultants. Goal of this article is to examine and to understand differences between the Dutch and German top office buildings. Objective is to examine to which extent these buildings were designed intelligently. An Intelligent Building is one that provides a productive cost effective environment through the optimisation of six basic elements; site, skin, systems, structures, services, space plan and staff and the interrelationship between them. Based on these six aspects the comparison is made between Dutch and German buildings. (orig.)

  14. INL High Performance Building Strategy

    Energy Technology Data Exchange (ETDEWEB)

    Jennifer D. Morton

    2010-02-01

    High performance buildings, also known as sustainable buildings and green buildings, are resource efficient structures that minimize the impact on the environment by using less energy and water, reduce solid waste and pollutants, and limit the depletion of natural resources while also providing a thermally and visually comfortable working environment that increases productivity for building occupants. As Idaho National Laboratory (INL) becomes the nation’s premier nuclear energy research laboratory, the physical infrastructure will be established to help accomplish this mission. This infrastructure, particularly the buildings, should incorporate high performance sustainable design features in order to be environmentally responsible and reflect an image of progressiveness and innovation to the public and prospective employees. Additionally, INL is a large consumer of energy that contributes to both carbon emissions and resource inefficiency. In the current climate of rising energy prices and political pressure for carbon reduction, this guide will help new construction project teams to design facilities that are sustainable and reduce energy costs, thereby reducing carbon emissions. With these concerns in mind, the recommendations described in the INL High Performance Building Strategy (previously called the INL Green Building Strategy) are intended to form the INL foundation for high performance building standards. This revised strategy incorporates the latest federal and DOE orders (Executive Order [EO] 13514, “Federal Leadership in Environmental, Energy, and Economic Performance” [2009], EO 13423, “Strengthening Federal Environmental, Energy, and Transportation Management” [2007], and DOE Order 430.2B, “Departmental Energy, Renewable Energy, and Transportation Management” [2008]), the latest guidelines, trends, and observations in high performance building construction, and the latest changes to the Leadership in Energy and Environmental Design

  15. Factsheet on Energy Neutral School Buildings and Office Buildings; Infoblad Energieneutrale scholen en kantoren

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-15

    A brief overview is given of all aspects of energy-neutral building and renovating school and office buildings. Besides technique, also attention is given to process, financing, management and maintenance. This factsheet is part of a series of three factsheets on energy neutral construction of houses and buildings. The other two are: 'Factsheet on Energy Neutral Building : Definition and ambition' and 'Factsheet on Energy Neutral Building' [Dutch] Een kort overzicht wordt gegeven van alle aspecten van energieneutraal bouwen en renoveren van woningen. Naast techniek komen ook proces, financiering en beheer en onderhoud aan de orde. Dit Infoblad maakt deel uit van een serie van drie Infobladen over energieneutraal bouwen voor woningen en gebouwen. De andere twee zijn: 'Infoblad Energieneutraal bouwen: definitie en ambitie' en 'Infoblad Energieneutrale Woningbouw'.

  16. Consumer Central Energy Flexibility in Office Buildings

    DEFF Research Database (Denmark)

    Billanes, Joy Dalmacio; Ma, Zheng; Jørgensen, Bo Nørregaard

    2017-01-01

    Energy flexibility in buildings will play an important role in the smart energy system. Office buildings have more potentials to provide energy flexibility to the grid compared to other types of buildings, due to the existing building management, control systems and large energy consumption....... Consumers in office buildings (building owners/managers and occupants) take a main role for adopting and engaging in building energy flexibility. In this paper provides a systematic review of consumer central energy flexibility in office buildings with the discussion of social, technical and business...... can boost energy flexibility in the office buildings....

  17. Vision-based building energy diagnostics and retrofit analysis using 3D thermography and building information modeling

    Science.gov (United States)

    Ham, Youngjib

    The emerging energy crisis in the building sector and the legislative measures on improving energy efficiency are steering the construction industry towards adopting new energy efficient design concepts and construction methods that decrease the overall energy loads. However, the problems of energy efficiency are not only limited to the design and construction of new buildings. Today, a significant amount of input energy in existing buildings is still being wasted during the operational phase. One primary source of the energy waste is attributed to unnecessary heat flows through building envelopes during hot and cold seasons. This inefficiency increases the operational frequency of heating and cooling systems to keep the desired thermal comfort of building occupants, and ultimately results in excessive energy use. Improving thermal performance of building envelopes can reduce the energy consumption required for space conditioning and in turn provide building occupants with an optimal thermal comfort at a lower energy cost. In this sense, energy diagnostics and retrofit analysis for existing building envelopes are key enablers for improving energy efficiency. Since proper retrofit decisions of existing buildings directly translate into energy cost saving in the future, building practitioners are increasingly interested in methods for reliable identification of potential performance problems so that they can take timely corrective actions. However, sensing what and where energy problems are emerging or are likely to emerge and then analyzing how the problems influence the energy consumption are not trivial tasks. The overarching goal of this dissertation focuses on understanding the gaps in knowledge in methods for building energy diagnostics and retrofit analysis, and filling these gaps by devising a new method for multi-modal visual sensing and analytics using thermography and Building Information Modeling (BIM). First, to address the challenges in scaling and

  18. Data on European non-residential buildings.

    Science.gov (United States)

    D'Agostino, Delia; Cuniberti, Barbara; Bertoldi, Paolo

    2017-10-01

    This data article relates to the research paper Energy consumption and efficiency technology measures in European non-residential buildings (D'Agostino et al., 2017) [1]. The reported data have been collected in the framework of the Green Building Programme that ran from 2006 to 2014. The project has encouraged the adoption of efficiency measures to boost energy savings in European non-residential buildings. Data focus on the one-thousand buildings that joined the Programme allowing to save around 985 GWh/year. The main requirement to join the Programme was the reduction of at least 25% primary energy consumption in a new or retrofitted building. Energy consumption before and after the renovation are provided for retrofitted buildings while, in new constructions, a building had to be designed using at least 25% less energy than requested by the country's building codes. The following data are linked within this article: energy consumption, absolute and relative savings related to primary energy, saving percentages, implemented efficiency measures and renewables. Further information is given about each building in relation to geometry, envelope, materials, lighting and systems.

  19. Urban Renewable Building And Neighborhood Optimization

    Energy Technology Data Exchange (ETDEWEB)

    2016-09-07

    URBANopt is a user interface for creating and running district and city scale building energy simulations. The framework is built around the OpenStudio Urban Measures which are part of the OpenStudio project. Building footprints, building height, building type, and other data can be imported from public records or other sources. Footprints and locations for new buildings and district systems can also be specified. OpenStudio Measures are used to create starting point energy models and to model energy design features and efficiency measures for each building. URBANopt allows a user to pose several scenarios such as “what if 30% of the commercial retail buildings added roof top solar” or “what if all elementary schools converted to ground source heat pumps” and then visualize the impacts at a district or city scale. URBANopt is capable of modeling existing buildings, new construction, and district energy systems. URBANopt can be used to explore options for achieving Zero Energy across a collection of buildings (e.g., Zero Energy Districts).

  20. Innovation in the U.S. building sector: An assessment of patent citations in building energy control technology

    International Nuclear Information System (INIS)

    Altwies, Joy E.; Nemet, Gregory F.

    2013-01-01

    Buildings are crucial to addressing energy problems because they are large consumers of end-use energy, and potential exists to dramatically improve their efficiencies. However, the pace of innovation in buildings is generally characterized as inadequate, despite the implementation of an array of policy instruments aimed at promoting efficiency. The literature on innovation in the building industry provides several explanations including: fragmented decision-making, principal agent problems, inadequate information, and limited learning across heterogeneous projects. We investigate the innovation process for buildings in the U.S. with a case study of patenting in energy management control systems (EMCS) for commercial buildings and programmable thermostats (PT) for residential buildings. Using U.S. patent data, we find that: (1) patenting activity peaked around 1980, subsequently declined, and then increased considerably in the past decade; (2) commercial, rather than residential, buildings account for the recent increase; and (3) building control technologies have benefitted from inventions originating outside the industry, notably from electronics and computers, with a shift toward the latter in recent years. - Highlights: ► We investigate the innovation process for buildings in the U.S. using patents. ► We use commercial and residential building controls technology as a case study. ► Patenting peaked around 1980, declined, and then increased in the past decade. ► Commercial building control patents account for most of the recent increase. ► Inventions in electronics and computers have led to innovation in building controls.

  1. Environmental indicators for buildings

    DEFF Research Database (Denmark)

    Dammann, S.

    Whenever we shop, the products we consider buying are labelled with the economical price we have to pay if we want to purchase them - an important parameter in our decisions as purchasers. The increrasing awareness for environmental limits and backlashes of human activities also in the building...... sector have fostered the wish to define 'the ecological price' of a building as a help for environmental conscious decision-making. In a social constructivist approach this Ph.D. thesis looks across and beyond the manifold existing approaches for environmental indicators for buildings. It acknowledges...... in the Netherlands. It identifies lines of conflict and areas of consent betweeen the relevant actors and elaborates scenarios for a possible closure of ongoing debate about environmental indicators for buildings....

  2. Building Materials in Arctic Climate

    DEFF Research Database (Denmark)

    Jensen, Ole Mejlhede

    2005-01-01

    Building in the artic requires special attention on the appropriateness of building materials. The harsh climate makes execution difficult and sets unusual requirements for the pure material properties. In addition, there is a lack of choice of good, natural building materials in the arctic...

  3. Building Maintenance Syllabus.

    Science.gov (United States)

    Fischer, Joseph; Messier, Joseph

    Building maintenance is a basic two-year trade education course requiring 2 1/2 hours of study on each of 160 teaching days per year. Student abilities should range from those capable of the simplest custodial work to those who may eventually be superintendents of building complexes. The syllabus is organized in sections by traditional skills…

  4. Variation of radon exhalation on building materials

    International Nuclear Information System (INIS)

    Liu Fudong; Liu Senlin; Wang Chunhong; Pan Ziqiang; Zhang Yonggui; Ji Dong

    2009-01-01

    The 19 samples from different building material factories were collected for four kinds of building materials. The activity concentration and radon exhalation of building materials were measured. The radon exhalations of building materials are not obviously different if the component is same and the processes of building materials are similar. However, the radon exhalations of same kind of building material are greatly different if the components are different and the processes of building material are varied even if the activity concentrations of building material are similar. (authors)

  5. Innovations in building regulation and control for advancing sustainability in buildings (I)

    NARCIS (Netherlands)

    Meacham, B.; Visscher, H.J.; Meijer, F.M.; Chan, C.; Chan, E.; Laubscher, J.; Neng Kwei Sung, J.; Dodds, B.; Serra, J.; Tenorio, J.A.; Echeverria, J.B.; Sanches-Ostiz, A.

    2014-01-01

    This session brings together policy-makers, government officials, researchers and others to present perspectives on how innovation in building regulation and control, such as performancebased approaches, are currently being used to advance sustainability concepts in buildings, and where and how we

  6. 75 FR 20833 - Building Energy Codes

    Science.gov (United States)

    2010-04-21

    ...-0012] Building Energy Codes AGENCY: Office of Energy Efficiency and Renewable Energy, Department of... the current model building energy codes or their equivalent. DOE is interested in better understanding... codes, Standard 90.1-2007, Energy Standard for Buildings Except Low-Rise Residential Buildings (or...

  7. Building air exhaustion device

    International Nuclear Information System (INIS)

    Suzuki, Seijiro.

    1995-01-01

    An opening is formed on the side wall of a building such as of a nuclear power plant, and a blow out panel is held (supported) by a clip for closing the opening. A large-diameter pipeline is connected at one end to the opening so as to cover the blow out panel, and immersed at the other end in a pool water. When a pipeline such as of main steam pipelines is ruptured in the building, high temperature and high pressure coolants are flown out from the ruptured port, and the pressure in the building is elevated. The blow out panel falls off from the side of the building by the elevation of the pressure in the building. Steams or compressed air discharged from the opening is introduced to the pool through the large diameter pipeline, then the steams are condensed by the pool water and radioactive materials contained in the condensed steams are kept in the pool water. Radioactive materials contained in the released compression air are also removed into the pool water. (I.N.)

  8. Integrated Building Health Management

    Data.gov (United States)

    National Aeronautics and Space Administration — Abstract: Building health management is an important part in running an efficient and cost-effective building. Many problems in a building’s system can go undetected...

  9. Requirements for existing buildings

    DEFF Research Database (Denmark)

    Thomsen, Kirsten Engelund; Wittchen, Kim Bjarne

    This report collects energy performance requirements for existing buildings in European member states by June 2012.......This report collects energy performance requirements for existing buildings in European member states by June 2012....

  10. 47 CFR 32.2121 - Buildings.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Buildings. 32.2121 Section 32.2121... FOR TELECOMMUNICATIONS COMPANIES Instructions for Balance Sheet Accounts § 32.2121 Buildings. (a) This account shall include the original cost of buildings, and the cost of all permanent fixtures, machinery...

  11. Economical optimization of building elements for use in design of nearly zero energy buildings

    DEFF Research Database (Denmark)

    Hansen, Sanne

    2012-01-01

    Nearly zero energy buildings are to become a requirement as part of the European energy policy. There are many ways of designing nearly zero energy buildings, but there is a lack of knowledge on how to end up with the most economical optimal solution. Therefore this paper present a method...... for finding the economical optimal solutions based on the use of the cost of conserved energy for each main building envelope part and building service system and cost of produced energy for each energy producing system. By use of information on construction cost and developed models of the yearly energy use...

  12. Problems of Technology of Energy-Saving Buildings and Their Impact on Energy Efficiency in Buildings

    Science.gov (United States)

    Kwasnowski, Pawel; Fedorczak-Cisak, Malgorzata; Knap, Katarzyna

    2017-10-01

    Introduction of EPBD in legislation of the EU member states caused that buildings must meet very stringent requirements of thermal protection and energy efficiency. On the basis of EPBD provisions, EU Member States introduce standard of NZEB (Nearly Zero-Energy Buildings). Such activities cause a need for new, innovative materials and technologies, and new approaches to design, construction and retrofitting of buildings. Indispensable is the precise coordination of the design of structure and technical installations of building, which may be provided in an integrated design process in the system BIM. Good coordination and cooperation of all contractors during the construction phase is also necessary. The article presents the problems and the new methodology for the design, construction and use of energy efficient buildings in terms of energy saving technologies, including discussion of the significant impact of the automation of technical installations on the building energy efficiency.

  13. Development and validation of the Chinese Overactive Bladder Symptom Score for assessing overactive bladder syndrome in a RESORT study

    Directory of Open Access Journals (Sweden)

    Man-Jung Hung

    2013-05-01

    Conclusion: The Chinese OABSS has been developed and validated as a reliable instrument for assessing OAB symptoms. OABSS can be an alternative to, but not a replacement for, a 3-day bladder diary for assessing patients.

  14. Tropical Zero Energy Office Building

    DEFF Research Database (Denmark)

    Reimann, Gregers Peter; Kristensen, Poul Erik

    2006-01-01

    The new headquarter for Pusat Tenaga Malaysia is designed to be a Zero Emission Office Building (ZEO). A full range of passive and active energy efficiency measures are implemented such that the building will need no more electricity than what can be produced via its own Building Integrated PV...... lighting. These measures include the use of high efficient lighting controlled according to demand, high efficiency pumps and fans, a high efficiency chiller, and use of energy efficient office equipment. The buildings PV system is connected to the grid. Solar electricity is exported to the grid during...... of 24 – 26 oC can be maintained throughout the office hours. The PV roof of the building serves multiple purposes. During daytime, the roof becomes the powerplant of the building, and during nighttime, the PV roof becomes the “cooling tower” for the chiller. The roof will be covered by a thin water film...

  15. Building Canada: Phase One

    Energy Technology Data Exchange (ETDEWEB)

    Anon

    2004-04-15

    The 'Building Canada' program modelled after the 'Building America' program, aims at increasing energy efficiency and affordability, primarily for single family homes. The program takes a holistic and whole house view, employing a systems approach and is committed to continuous improvement through testing, evaluation, retesting and novel construction practices. The program's objective is to re-engineer house designs so that builders can take advantage of advanced products and achieve maximum efficiency. Building Canada aims to achieve its objectives through partnership with the housing industry, focusing on increasing energy efficiency while reducing construction time, using and wasting fewer materials, forestalling call backs, and reducing overall costs. The Building Canada procedures encompass marketing, research of builder's operations, re-engineering mechanical systems, framing components and techniques, moisture control and thermal performance, construction, resolution of problems in re-engineered homes, and discussion of results in demonstration homes. The program as a whole is built on the feasibility study of a Building Canada program carried out in Nova Scotia and Ontario. Some of the results of this pilot study summarized in this report indicate that the Building Canada is not suitable for use by small builders. Benefits are most likely to be realized by only by builders constructing more than 100 homes annually.

  16. The pre-fabrication of building facades

    CERN Document Server

    Rangel, Bárbara; Faria, José

    2017-01-01

    This book compares two buildings with different technologies and distinct environment from the combined viewpoints of civil engineering and architecture. The first is the most recent building of Columbia University in New York, the Northwest Science Building, a project designed by Rafael Moneo and Dan Brodkin of Ove Arup. The second one is the Burgo Tower in Oporto, by Eduardo Souto Moura and Rui Furtado of AFA, a building that brings a new perspective to the use of prefabrication technologies with local traditional construction systems. With the detailed analyses of recognized researchers in civil engineering and architecture, this book is a reflection upon the problems and solutions in the design and construction process of a prefabricated building system. This volume, like those to follow, brings together, building research and building design practice to enhance the knowledge of complementarity areas involved in construction, engineering and architecture. This is the first book in a new series "Building R...

  17. Life cycle assessment and environmental building declaration for the design building at the University of Massachusetts

    Science.gov (United States)

    Hongmei Gu; Richard Bergman

    2018-01-01

    AbstractWith the world’s increasing focus on sustainability in the construction sector through green building systems, the U.S. Department of Agriculture (USDA) has been ac-tively engaged in green building advocacy in the United States through USDA Tall Wood Building competitions and follow-up research on use of mass timber for nonresi-dential buildings. The USDA...

  18. Green Building Adoption Index 2017

    NARCIS (Netherlands)

    Kok, Nils

    2017-01-01

    In the early 2000s, energy efficiency was for the committed few, and “green” building was a niche concept. But with the advent of strong tenant and investor interest in constructing, operating, and occupying better buildings, the concept of energy efficiency and sustainability in buildings has taken

  19. Development of Ecological Buildings

    Directory of Open Access Journals (Sweden)

    Andrius Keizikas

    2011-04-01

    Full Text Available The article presents research on ecological buildings and their influence on the constructional sphere. The aim of the paper is to reveal the essence of ecological architecture showing substantial progress and its potential to stimulate architectural and technological growth. The article also describes relations between the ideas of ecological buildings and the ‘passive house’ concepts and aspects of development as well as describes the possibilities of improving building sustainability and energy efficiency. Article in Lithuanian

  20. Building method for nuclear power plant

    International Nuclear Information System (INIS)

    Iba, Tsutomu.

    1993-01-01

    Outer shielding buildings and inner concretes are dismantled and removed. In this case, foundations are left as they are. Then, new outer shielding buildings and inner concretes are constructed on the old foundations by way of rubber a laminates. The outer shielding buildings and the inner concretes supported by the rubber laminates have an earthquake-proof structure and vibrations upon occurrence of earthquakes can be moderated by the rubber laminates. Therefore, it is not required to make the outer shielding buildings so strong, and the weight of them can be reduced. Accordingly, the weight of the buildings is reduced compared with the buildings before dismantling, so that they can be sufficiently supported by the old foundations. This enables to build a nuclear power plant without ensuring new construction sites. (I.N.)

  1. Capacity Building in Land Administration

    DEFF Research Database (Denmark)

    Enemark, Stig; Williamson, I

    2004-01-01

    Capacity building increasingly seen as a key component of land administration projects in developing and countries in transition undertaken by the international development banks and individual country development assistance agencies. However, the capacity building concept is often used within...... infrastructures for implementing land policies in a sustainable way. Where a project is established to create land administration infrastructures in developing or transition countries, it is critical that capacity building is a mainstream component, not as an add-on, which is often the case. In fact such projects...... should be dealt with as capacity building projects in themselves.    The article introduces a conceptual analytical framework that provides some guidance when dealing with capacity building for land administration in support of a broader land policy agenda....

  2. Buildings and Health. Educational campaign for healthy buildings. Educational material

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    In recent years health and comfort problems associated with the indoor climate have come to constitute a problem in Sweden. To come to grips with this a nationwide educational campaign on Buildings and Health is being run. It is directed to those involved in planning, project design, construction and management of buildings. The objective is to convey a body of knowledge to the many occupational and professional groups in the construction sector on how to avoid indoor climate problems in homes, schools, offices and other workplaces. The campaign is being run by the Swedish National Board of Housing and Planning and the Swedish Council for Building Research, in co-operation with various organizations and companies in the construction industry, and with municipalities and authorities. The knowledge which is being disseminated through the campaign is summarized in this compendium. figs., tabs.

  3. Energy audit role in building planning

    Science.gov (United States)

    Sipahutar, Riman; Bizzy, Irwin

    2017-11-01

    An energy audit is one way to overcome the excessive use of energy in buildings. The increasing growth of population, economy, and industry will have an impact on energy demand and the formation of greenhouse gas emissions. Indonesian National Standard (SNI) concerning the building has not been implemented optimally due to the socialization process by a government not yet been conducted. An energy audit of buildings has been carried out at offices and public services. Most electrical energy in buildings used for air refresher equipment or air conditioning. Calculation of OTTV has demonstrated the importance of performing since the beginning of the planning of a building to get energy-efficient buildings.

  4. Smoke control in buildings: An overview

    NARCIS (Netherlands)

    Twilt, L.; Oerle, N.J. van; Leur, P.H.E. van de

    1996-01-01

    Smoke poses a major hazard to people in a building involved in fire, being directly responsible for the majority of all deaths in building fires. Whereas the fire itself generally spreads through the building at a relatively slow rate, smoke takes only minutes to fill the building, if no actions are

  5. INTEGRATING HEALTH INTO BUILDINGS OF THE FUTURE.

    Science.gov (United States)

    Heidari, Leila; Younger, Margalit; Chandler, George; Gooch, James; Schramm, Paul

    2016-01-01

    The health and wellbeing of building occupants should be a key priority in the design, building, and operation of new and existing buildings. Buildings can be designed, renovated, and constructed to promote healthy environments and behaviors and mitigate adverse health outcomes. This paper highlights health in terms of the relationship between occupants and buildings, as well as the relationship of buildings to the community. In the context of larger systems, smart buildings and green infrastructure strategies serve to support public health goals. At the level of the individual building, interventions that promote health can also enhance indoor environmental quality and provide opportunities for physical activity. Navigating the various programs that use metrics to measure a building's health impacts reveals that there are multiple co-benefits of a "healthy building," including those related to the economy, environment, society, transportation, planning, and energy efficiency.

  6. Building states without building nations: understanding urban citizenship in Dili, Timor Leste

    Directory of Open Access Journals (Sweden)

    Valenti, Alex

    2014-03-01

    Full Text Available State and nation building, although often used interchangeably in international relations policy and literature, are in fact two distinct, although closely intertwined, processes: the (recons-truction of a state cannot be reduced to a technical exercise, that is, state building; rather, it needs to focus just as significantly on the (reconstruction of the country’s social fabric in order to develop the sense of citizenship upon which its sovereignty and legitimacy rest, that is, nation building. This research note introduces urban spaces as interesting contexts to explore the relationship between state and nation building, arguing that their diversity is both a challenge and an opportunity for the state to create a sense of citizenship amongst its population. The case of Dili, the capital of Timor Leste, where a violent past and rapid urbanisation have combined to shape extremely diverse social, political and economic urban spaces, is used here to explore how the population of three case study areas perceives the impact of state policies and to question how these perceptions influence the scales at which people build their identity as well as how these scales affect the construction of local, urban or national citizenship in Timor Leste.

  7. Building products for sustainable buildings; Bauprodukte fuer nachhaltige Gebaeude

    Energy Technology Data Exchange (ETDEWEB)

    Blumberg, Martin; Urbanek, Anja [brands und values GmbH, Bremen (Germany)

    2013-04-15

    In the light of the energy efficiency, sustainability and the increasing distribution of buildings certifications environmental product declarations have grown in significance. The environmental product declaration program for building products was organized by the Institute Construction and Environment e.V. (Koenigswinter, Federal Republic of Germany). Beside the definition of the product group specific requirements and certifications as well as an independent review process of the completed environmental product declarations, the Advisory Council guarantees that the program rules of the Institute Construction and Environment e.V. continue to develop in conformity to international standards.

  8. Building Design & Construction - Sustainability

    Energy Technology Data Exchange (ETDEWEB)

    None

    2003-11-01

    Offers a brief history of green building; presents the results of a specially commissioned survey; and analyzes the chief trends, issues, and published research, based on interviews with dozens of experts and participants in green building.

  9. Learning from Abruzzo earthquake buildings behaviour seen from the Building According-to-the-book perspectives

    International Nuclear Information System (INIS)

    Bazurro, P.; Benedettini, F.; Clemente, P.; Salvatori, A.

    2009-01-01

    A brief description, with the related photographs, is reported on the effects of the recent Abruzzo earthquake on buildings, particularly reinforced-concrete and masonry buildings. Following an overview of the technical building codes particularly focused on the area of L'Aquila, mention is made of cultural heritage structures. [it

  10. Achieving informed decision-making for net zero energy buildings design using building performance simulation tools

    NARCIS (Netherlands)

    Attia, S.G.; Gratia, E.; De Herde, A.; Hensen, J.L.M.

    2013-01-01

    Building performance simulation (BPS) is the basis for informed decision-making of Net Zero Energy Buildings (NZEBs) design. This paper aims to investigate the use of building performance simulation tools as a method of informing the design decision of NZEBs. The aim of this study is to evaluate the

  11. Office Buildings: Assessing and Reducing Plug and Process Loads in Office Buildings (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2013-04-01

    Plug and process loads (PPLs) in commercial buildings account for almost 5% of U.S. primary energy consumption. Minimizing these loads is a primary challenge in the design and operation of an energy-efficient building. PPLs are not related to general lighting, heating, ventilation, cooling, and water heating, and typically do not provide comfort to the occupants. They use an increasingly large fraction of the building energy use pie because the number and variety of electrical devices have increased along with building system efficiency. Reducing PPLs is difficult because energy efficiency opportunities and the equipment needed to address PPL energy use in office spaces are poorly understood.

  12. Retail Buildings: Assessing and Reducing Plug and Process Loads in Retail Buildings (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2013-04-01

    Plug and process loads (PPLs) in commercial buildings account for almost 5% of U.S. primary energy consumption. Minimizing these loads is a primary challenge in the design and operation of an energy-efficient building. PPLs are not related to general lighting, heating, ventilation, cooling, and water heating, and typically do not provide comfort to the occupants. They use an increasingly large fraction of the building energy use pie because the number and variety of electrical devices have increased along with building system efficiency. Reducing PPLs is difficult because energy efficiency opportunities and the equipment needed to address PPL energy use in retail spaces are poorly understood.

  13. Dampness in buildings and health. Building characteristics as predictors for dampness in 8681 Swedish dwellings

    DEFF Research Database (Denmark)

    Hagerhed, L.; Bornehag, Carl-Gustaf; Sundell, Jan

    2002-01-01

    Questionnaire data on 8681 dwellings included in the Swedish study "Dampness in Buildings and Health" have been analysed for associations between dampness indicators, perceptions of indoor air quality and building characteristics such as time of construction, type of ventilation and type of found......Questionnaire data on 8681 dwellings included in the Swedish study "Dampness in Buildings and Health" have been analysed for associations between dampness indicators, perceptions of indoor air quality and building characteristics such as time of construction, type of ventilation and type...... of "Dry air" in 17.3 and 33.7% respectively. Older buildings and the use of natural ventilation were associated with increased frequency of dampness indicators as well as to increased frequencies of complaints on bad indoor air quality....

  14. Selecting Energy Efficient Building Envelope Retrofits to Existing Department of Defense Building Using Value Focused Thinking

    National Research Council Canada - National Science Library

    Pratt, David M

    2006-01-01

    ... these facilities that have the greatest potential for energy efficient building envelope retrofits. There are hundreds of various new building envelope technologies available to retrofit an existing building envelope, including window, roof, and wall technologies...

  15. WASTE TREATMENT BUILDING SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    F. Habashi

    2000-06-22

    The Waste Treatment Building System provides the space, layout, structures, and embedded subsystems that support the processing of low-level liquid and solid radioactive waste generated within the Monitored Geologic Repository (MGR). The activities conducted in the Waste Treatment Building include sorting, volume reduction, and packaging of dry waste, and collecting, processing, solidification, and packaging of liquid waste. The Waste Treatment Building System is located on the surface within the protected area of the MGR. The Waste Treatment Building System helps maintain a suitable environment for the waste processing and protects the systems within the Waste Treatment Building (WTB) from most of the natural and induced environments. The WTB also confines contaminants and provides radiological protection to personnel. In addition to the waste processing operations, the Waste Treatment Building System provides space and layout for staging of packaged waste for shipment, industrial and radiological safety systems, control and monitoring of operations, safeguards and security systems, and fire protection, ventilation and utilities systems. The Waste Treatment Building System also provides the required space and layout for maintenance activities, tool storage, and administrative facilities. The Waste Treatment Building System integrates waste processing systems within its protective structure to support the throughput rates established for the MGR. The Waste Treatment Building System also provides shielding, layout, and other design features to help limit personnel radiation exposures to levels which are as low as is reasonably achievable (ALARA). The Waste Treatment Building System interfaces with the Site Generated Radiological Waste Handling System, and with other MGR systems that support the waste processing operations. The Waste Treatment Building System interfaces with the General Site Transportation System, Site Communications System, Site Water System, MGR

  16. WASTE TREATMENT BUILDING SYSTEM DESCRIPTION DOCUMENT

    International Nuclear Information System (INIS)

    Habashi, F.

    2000-01-01

    The Waste Treatment Building System provides the space, layout, structures, and embedded subsystems that support the processing of low-level liquid and solid radioactive waste generated within the Monitored Geologic Repository (MGR). The activities conducted in the Waste Treatment Building include sorting, volume reduction, and packaging of dry waste, and collecting, processing, solidification, and packaging of liquid waste. The Waste Treatment Building System is located on the surface within the protected area of the MGR. The Waste Treatment Building System helps maintain a suitable environment for the waste processing and protects the systems within the Waste Treatment Building (WTB) from most of the natural and induced environments. The WTB also confines contaminants and provides radiological protection to personnel. In addition to the waste processing operations, the Waste Treatment Building System provides space and layout for staging of packaged waste for shipment, industrial and radiological safety systems, control and monitoring of operations, safeguards and security systems, and fire protection, ventilation and utilities systems. The Waste Treatment Building System also provides the required space and layout for maintenance activities, tool storage, and administrative facilities. The Waste Treatment Building System integrates waste processing systems within its protective structure to support the throughput rates established for the MGR. The Waste Treatment Building System also provides shielding, layout, and other design features to help limit personnel radiation exposures to levels which are as low as is reasonably achievable (ALARA). The Waste Treatment Building System interfaces with the Site Generated Radiological Waste Handling System, and with other MGR systems that support the waste processing operations. The Waste Treatment Building System interfaces with the General Site Transportation System, Site Communications System, Site Water System, MGR

  17. Indoor Environmental Quality in Mechanically Ventilated, Energy-Efficient Buildings vs. Conventional Buildings.

    Science.gov (United States)

    Wallner, Peter; Munoz, Ute; Tappler, Peter; Wanka, Anna; Kundi, Michael; Shelton, Janie F; Hutter, Hans-Peter

    2015-11-06

    Energy-efficient buildings need mechanical ventilation. However, there are concerns that inadequate mechanical ventilation may lead to impaired indoor air quality. Using a semi-experimental field study, we investigated if exposure of occupants of two types of buildings (mechanical vs. natural ventilation) differs with regard to indoor air pollutants and climate factors. We investigated living and bedrooms in 123 buildings (62 highly energy-efficient and 61 conventional buildings) built in the years 2010 to 2012 in Austria (mainly Vienna and Lower Austria). Measurements of indoor parameters (climate, chemical pollutants and biological contaminants) were conducted twice. In total, more than 3000 measurements were performed. Almost all indoor air quality and room climate parameters showed significantly better results in mechanically ventilated homes compared to those relying on ventilation from open windows and/or doors. This study does not support the hypothesis that occupants in mechanically ventilated low energy houses are exposed to lower indoor air quality.

  18. Building application of solar energy. Study no. 2: Representative buildings for solar energy performance analysis and market penetration

    Science.gov (United States)

    Hirshberg, A. S.

    1975-01-01

    The following topics are discussed: (1) Assignment of population to microclimatic zones; (2) specifications of the mix of buildings in the SCE territory; (3) specification of four typical buildings for thermal analysis and market penetration studies; (4) identification of the materials and energy conserving characteristics of these typical buildings; (5) specifications of the HVAC functions used in each typical building, and determination of the HVAC systems used in each building; and (6) identification of the type of fuel used in each building.

  19. Toward a virtual building laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Klems, J.H.; Finlayson, E.U.; Olsen, T.H.; Banks, D.W.; Pallis, J.M.

    1999-03-01

    In order to achieve in a timely manner the large energy and dollar savings technically possible through improvements in building energy efficiency, it will be necessary to solve the problem of design failure risk. The most economical method of doing this would be to learn to calculate building performance with sufficient detail, accuracy and reliability to avoid design failure. Existing building simulation models (BSM) are a large step in this direction, but are still not capable of this level of modeling. Developments in computational fluid dynamics (CFD) techniques now allow one to construct a road map from present BSM's to a complete building physical model. The most useful first step is a building interior model (BIM) that would allow prediction of local conditions affecting occupant health and comfort. To provide reliable prediction a BIM must incorporate the correct physical boundary conditions on a building interior. Doing so raises a number of specific technical problems and research questions. The solution of these within a context useful for building research and design is not likely to result from other research on CFD, which is directed toward the solution of different types of problems. A six-step plan for incorporating the correct boundary conditions within the context of the model problem of a large atrium has been outlined. A promising strategy for constructing a BIM is the overset grid technique for representing a building space in a CFD calculation. This technique promises to adapt well to building design and allows a step-by-step approach. A state-of-the-art CFD computer code using this technique has been adapted to the problem and can form the departure point for this research.

  20. Introduction: Green Building Handbook

    CSIR Research Space (South Africa)

    Van Wyk, Llewellyn V

    2010-08-01

    Full Text Available By recognising the specific environmental challenges facing South Africa, mindful of the government‘s commitment to reducing South Africa‘s Greenhouse gas emissions, and acknowledging the need to build social cohesion, the Green Building Handbook...

  1. Environmental indicators for buildings

    DEFF Research Database (Denmark)

    Dammann, Sven

    Environmental Indicators for Buildings are studied using two different perspectives: with a technological, environmental scientific departing point and with a social scientific departing point. Different relevant groups in the building sector are identified and analysed, using the Social...

  2. Sensitivity analysis of the energy demand of existing buildings based on the Danish Building and Dwelling Register

    DEFF Research Database (Denmark)

    Nielsen, Anker; Wittchen, Kim Bjarne; Bertelsen, Niels Haldor

    2014-01-01

    performance certificate. The Danish Building Research Institute has described a method that can be applied for estimating the energy demand of dwellings. This is based on the information in the Danish Building and Dwelling Register and requirements in the Danish Building Regulations from the year......The EU Directive on the Energy Performance of Buildings requires that energy certification of buildings should be implemented in Denmark so that houses that are sold or let should have an energy performance certificate. The result is that only a small part of existing houses has an energy...... of construction of the house. The result is an estimate of the energy demand of each building with a variation. This makes it possible to make an automatic classification of all buildings. The paper discusses the uncertainties and makes a sensitivity analysis to find the important parameters. The variations...

  3. Effectiveness of pelvic floor muscle training on symptoms and uroflowmetry parameters in female patients with overactive bladder.

    Science.gov (United States)

    Kulaksizoğlu, Haluk; Akand, Murat; Çakmakçi, Evrim; Gül, Murat; Seçkin, Bedreddin

    2015-01-01

    To evaluate the effects of pelvic floor muscle training (PFMT) on symptoms of overactive bladder (OAB) as well as uroflowmetry parameters and functional bladder capacity. Fifty-nine female patients with OAB symptoms were included. Patients were assessed by SEAPI-QMM, uroflowmetry, and abdominal ultrasound. A specially designed PFMT program using a Pilates ball was generated for patients. The training period was 1-h sessions twice a week for 6 weeks and aerobic home exercises to be performed at home 4 or 5 times every other day. Following training, subjects were reevaluated for body mass index, SEAPI questionnaire, and uroflowmetry. Initial mean SEAPI score, mean maximum and average flow rates, and mean voided volume were 9.8 ± 7.2, 29.8 ± 16.4 mL/s, 16.3 ± 8.7 mL/s, and 211.6 ± 173.5 mL, respectively. After completion of the training program, SEAPI scores improved significantly to 3.4 ± 6.4 (P < 0.05). Maximum and average flow rate results did not show significant changes, whereas voided volume seemed to have improved in conjunction with patients' symptom scores (Pearson correlation coefficient: 0.86). According to. our results, we think that proper PFMT results in increase of functional bladder capacity as well as improvement in OAB symptoms and can be recommended as first-line therapy or in conjunction with medical therapy in severe cases.

  4. The value of oxybutynin in transdermal patches for treating overactive bladder.

    Science.gov (United States)

    Salinas-Casado, J; Esteban-Fuertes, M; Serrano, O; Galván, J

    2015-12-01

    There is currently a broad therapeutic arsenal of drugs for treating overactive bladder syndrome (OAB). However, there is still a need for new compounds and for improving known drugs in terms of efficacy, compliance and tolerability. To report the scientific evidence on the safety and efficacy of transdermal oxybutynin (OXY-TDS) for treating OAB. A systematic review without time restrictions was conducted until May 2015 in the MEDLINE/PubMed database. We also performed a manual review of abstracts published in international urogynaecology congresses. The evaluated studies show that patients treated with OXY-TDS experience a significant reduction in urinary incontinence episodes compared with placebo, which is comparable to that observed in patients treated with oral oxybutynin or with tolterodine. In all of the studies, we observed improvements in symptoms from the second or third week of treatment and in a sustained manner until the end of treatment (6, 12 or 24 weeks). The clinical practice study also showed improved quality of life, achieving benefits in numerous patient profiles, with an efficacy independent of previous treatments. The safety of the drug was demonstrated in the various patient profiles. OXY-TDS represents an effective alternative for the symptomatic treatment of adult patients with OAB, which, thanks to its pharmacokinetic profile, better tolerability, different administration method and dosage, could represent an added value in treating special populations. Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Bladder dysfunction in Wolfram syndrome is highly prevalent and progresses to megacystis.

    Science.gov (United States)

    Wragg, Ruth; Dias, Renuka P; Barrett, Timothy; McCarthy, Liam

    2018-02-01

    Wolfram syndrome is a rare genetic defect in WFS1 or WSF2(CISD2). It includes diabetes mellitus and insipidis, sensorineural deafness, optic atrophy, but not bladder dysfunction. However, this has appeared a common finding in our national referral clinic, and we sought to quantify this problem. Data were collected from a multidisciplinary team managing all Wolfram patients in the UK. The following was analyzed: age, date of non-invasive urodynamics (NIU), symptoms, bladder capacity, voided volume, post-void residual and uroflow pattern. Bladder capacity was given as percentage predicted bladder capacity (PBC). Bladders were divided into normal, overactive (OAB), and underactive (UAB). Symptoms, bladder behavior, and genotyping were correlated. Data were expressed as median (interquartile range). Forty patients with Wolfram syndrome were identified, and 38 underwent NIU. This showed normal bladder function (n=4), OAB (n=9), UAB (n=25). Symptoms were present in only 11 children. The different patterns of bladder behavior (OAB vs. normal vs. UAB) were significantly associated with different %PBC (36 (29-59)% vs. 105 (93-233)% vs. 100 (77.5-337)%; pWolfram syndrome (~90%), but most children cope (symptoms ~30%). With time there is a significant progression to megacystis, which may represent an underlying neuropathic myogenic failure and is likely to require intervention in the future. Level II (National cohort study of prognosis). Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  6. 43 CFR 8.6 - Buildings.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Buildings. 8.6 Section 8.6 Public Lands: Interior Office of the Secretary of the Interior JOINT POLICIES OF THE DEPARTMENTS OF THE INTERIOR AND OF THE ARMY RELATIVE TO RESERVOIR PROJECT LANDS § 8.6 Buildings. Buildings for human occupancy as well as...

  7. Educational Dimensions of School Buildings

    Science.gov (United States)

    Bengtsson, Jan, Ed.

    2011-01-01

    In all modern societies almost everyone of their citizens have spent many years in school buildings, and the largest professional group in modern societies, teachers, is working every day during the working year in school buildings. In spite of this, we know surprisingly little about the influence of school buildings on the people who use them and…

  8. Automated model building

    CERN Document Server

    Caferra, Ricardo; Peltier, Nicholas

    2004-01-01

    This is the first book on automated model building, a discipline of automated deduction that is of growing importance Although models and their construction are important per se, automated model building has appeared as a natural enrichment of automated deduction, especially in the attempt to capture the human way of reasoning The book provides an historical overview of the field of automated deduction, and presents the foundations of different existing approaches to model construction, in particular those developed by the authors Finite and infinite model building techniques are presented The main emphasis is on calculi-based methods, and relevant practical results are provided The book is of interest to researchers and graduate students in computer science, computational logic and artificial intelligence It can also be used as a textbook in advanced undergraduate courses

  9. Building a Data Warehouse.

    Science.gov (United States)

    Levine, Elliott

    2002-01-01

    Describes how to build a data warehouse, using the Schools Interoperability Framework (www.sifinfo.org), that supports data-driven decision making and complies with the Freedom of Information Act. Provides several suggestions for building and maintaining a data warehouse. (PKP)

  10. THE EFFECT OF BUILDING FAÇADE MODEL ON LIGHT DISTRIBUTION (CASE STUDY: MENARA PHINISI BUILDING OF UNM

    Directory of Open Access Journals (Sweden)

    Nurul Jamala

    2017-12-01

    Full Text Available Global warming issues influence the temperature of the earth surface. It is an impact on energy consumption, especially in buildings. Utilization of daylight is one of the factors that need to be considered, in order to minimize energy consumption as a source of artificial lighting. This study analyzed the distribution of light on the Menara Phinisi building of Makassar State University. Quantitative research method that is to describe the data of simulation in Autodesk Ecotect program. The research objective was to determine the effect of the building facade model on the value of illumination inside the building. Results of the study concluded that the decrease percentage of the distribution of light on the building facade using and not using the facade is 3,16% or 236 lux. Distribution of light in horizontal and diagonal facade models differ in the amount of 2,5%. Design analysis of the building serves as a guide for analyzing the influence of the building facade model so that it can create energy efficient buildings.

  11. User Driven Innovative Building Design

    DEFF Research Database (Denmark)

    Christiansson, Per; Sørensen, Kristian Birch; Steffensen, K. G.

    2009-01-01

    During recent years there has been an ever-increasing focus on the possibilities to change the building process to raise quality on the final building products as well as on the activities of actors involved in the building process. One reason for this interest is the new opportunities evolving due...... Space. In addition to these spaces there are supporting artifacts like Idea Bank and Good Story/Best Practice bank as well as Ontology containers and access to Communities of Practice and Interest. The project has so far validated the need for enhanced methods to involve end-users of buildings...

  12. Energy Flexibility in Retail Buildings

    DEFF Research Database (Denmark)

    Ma, Zheng; Billanes, Joy Dalmacio; Kjærgaard, Mikkel Baun

    2017-01-01

    Retail buildings has an important role for demand side energy flexibility because of their high energy consumption, variety of energy flexibility resources, and centralized control via building control systems. Energy flexibility requires agreements and collaborations among different actors......), with the discussion of the stakeholders’ roles and their interrelation in delivering energy flexibility with the influential factors to the actual implementation of energy flexible operation of their buildings. Based on a literature analysis, the results cover stakeholders’ types and roles, perceptions (drivers......, barriers, and benefits), energy management activities and technology adoptions, and the stakeholders’ interaction for the energy flexibility in retail buildings....

  13. Lifetime environmental impact of buildings

    CERN Document Server

    Mequignon, Marc

    2014-01-01

    This work discusses the impact of the life of buildings on? sustainable development methods.?The study of the lifespan of the building is used to assess and?manage the environmental impacts associated?with all the stages of a product's life, from raw material extraction?through to repair, maintenance and?? 'end of life' scenarios. While several papers have discussed thegreenhouse gas emissions of buildings,?less research has been done on how these are affected by the lifespan?of the building. This book serves to?highlight the pertinence of this factor and contributes to providing?new ideas on

  14. Descent in buildings (AM-190)

    CERN Document Server

    Mühlherr, Bernhard; Weiss, Richard M

    2015-01-01

    Descent in Buildings begins with the resolution of a major open question about the local structure of Bruhat-Tits buildings. The authors then put their algebraic solution into a geometric context by developing a general fixed point theory for groups acting on buildings of arbitrary type, giving necessary and sufficient conditions for the residues fixed by a group to form a kind of subbuilding or "form" of the original building. At the center of this theory is the notion of a Tits index, a combinatorial version of the notion of an index in the relative theory of algebraic groups. These results

  15. Energy Innovations for Healthy Buildings

    Energy Technology Data Exchange (ETDEWEB)

    Bogucz, Edward A. [Syracuse Univ., NY (United States)

    2016-09-23

    Healthy buildings provide high indoor environmental quality for occupants while simultaneously reducing energy consumption. This project advanced the development and marketability of envisioned healthy, energy-efficient buildings through studies that evaluated the use of emerging technologies in commercial and residential buildings. The project also provided resources required for homebuilders to participate in DOE’s Builders Challenge, concomitant with the goal to reduce energy consumption in homes by at least 30% as a first step toward achieving envisioned widespread availability of net-zero energy homes by 2030. In addition, the project included outreach and education concerning energy efficiency in buildings.

  16. Building-in-Briefcase: A Rapidly-Deployable Environmental Sensor Suite for the Smart Building.

    Science.gov (United States)

    Weekly, Kevin; Jin, Ming; Zou, Han; Hsu, Christopher; Soyza, Chris; Bayen, Alexandre; Spanos, Costas

    2018-04-29

    A building’s environment has profound influence on occupant comfort and health. Continuous monitoring of building occupancy and environment is essential to fault detection, intelligent control, and building commissioning. Though many solutions for environmental measuring based on wireless sensor networks exist, they are not easily accessible to households and building owners who may lack time or technical expertise needed to set up a system and get quick and detailed overview of environmental conditions. Building-in-Briefcase (BiB) is a portable sensor network platform that is trivially easy to deploy in any building environment. Once the sensors are distributed, the environmental data is collected and communicated to the BiB router via the Transmission Control Protocol/Internet Protocol (TCP/IP) and WiFi technology, which then forwards the data to the central database securely over the internet through a 3G radio. The user, with minimal effort, can access the aggregated data and visualize the trends in real time on the BiB web portal. Paramount to the adoption and continued operation of an indoor sensing platform is battery lifetime. This design has achieved a multi-year lifespan by careful selection of components, an efficient binary communications protocol and data compression. Our BiB sensor is capable of collecting a rich set of environmental parameters, and is expandable to measure others, such as CO 2 . This paper describes the power characteristics of BiB sensors and their occupancy estimation and activity recognition functionality. We have demonstrated large-scale deployment of BiB throughout Singapore. Our vision is that, by monitoring thousands of buildings through BiB, it would provide ample research opportunities and opportunities to identify ways to improve the building environment and energy efficiency.

  17. Thermo Active Building Systems – Using Building Mass To Heat and Cool

    DEFF Research Database (Denmark)

    Olesen, Bjarne W.

    2014-01-01

    , Austria, Netherlands, etc.), this type of system has been installed in a significant number of new office buildings since the late 1990s. The trend is spreading to other parts of the world (the rest of Europe, North America and Asia). Thermo active building systems (TABS) are primarily used for cooling...

  18. Pumpkin Seed Oil Extracted From Cucurbita maxima Improves Urinary Disorder in Human Overactive Bladder.

    Science.gov (United States)

    Nishimura, Mie; Ohkawara, Tatsuya; Sato, Hiroji; Takeda, Hiroshi; Nishihira, Jun

    2014-01-01

    The pumpkin seed oil obtained from Cucurbita pepo has been shown to be useful for the treatment of nocturia in patients with urinal disorders in several western countries. In this study, we evaluated the effect of the pumpkin seed oil from Cucurbita maxima on urinary dysfunction in human overactive bladder (OAB). Forty-five subjects were enrolled in this study. An extract of pumpkin seed oil from C. maxima (10 g of oil/day) was orally administrated for 12 weeks. After 6 and 12 weeks, urinary function was evaluated using Overactive Bladder Symptom Score (OABSS). Pumpkin seed oil from C. maxima significantly reduced the degree of OABSS in the subjects. The results from our study suggest that pumpkin seed oil extracts from C. maxima as well as from C. pepo are effective for urinary disorders such as OAB in humans.

  19. Pumpkin Seed Oil Extracted From Cucurbita maxima Improves Urinary Disorder in Human Overactive Bladder

    Science.gov (United States)

    Nishimura, Mie; Ohkawara, Tatsuya; Sato, Hiroji; Takeda, Hiroshi; Nishihira, Jun

    2014-01-01

    The pumpkin seed oil obtained from Cucurbita pepo has been shown to be useful for the treatment of nocturia in patients with urinal disorders in several western countries. In this study, we evaluated the effect of the pumpkin seed oil from Cucurbita maxima on urinary dysfunction in human overactive bladder (OAB). Forty-five subjects were enrolled in this study. An extract of pumpkin seed oil from C. maxima (10 g of oil/day) was orally administrated for 12 weeks. After 6 and 12 weeks, urinary function was evaluated using Overactive Bladder Symptom Score (OABSS). Pumpkin seed oil from C. maxima significantly reduced the degree of OABSS in the subjects. The results from our study suggest that pumpkin seed oil extracts from C. maxima as well as from C. pepo are effective for urinary disorders such as OAB in humans. PMID:24872936

  20. Object-based Morphological Building Index for Building Extraction from High Resolution Remote Sensing Imagery

    Directory of Open Access Journals (Sweden)

    LIN Xiangguo

    2017-06-01

    Full Text Available Building extraction from high resolution remote sensing images is a hot research topic in the field of photogrammetry and remote sensing. In this article, an object-based morphological building index (OBMBI is constructed based on both image segmentation and graph-based top-hat reconstruction, and OBMBI is used for building extraction from high resolution remote sensing images. First, bidirectional mapping relationship between pixels, objects and graph-nodes are constructed. Second, the OBMBI image is built based on both graph-based top-hat reconstruction and the above mapping relationship. Third, a binary thresholding is performed on the OBMBI image, and the binary image is converted into vector format to derive the building polygons. Finally, the post-processing is made to optimize the extracted building polygons. Two images, including an aerial image and a panchromatic satellite image, are used to test both the proposed method and classic PanTex method. The experimental results suggest that our proposed method has a higher accuracy in building extraction than the classic PanTex method. On average, the correctness, the completeness and the quality of our method are respectively 9.49%, 11.26% and 14.11% better than those of the PanTex.

  1. Tribal Green Building Administrative Code Example

    Science.gov (United States)

    This Tribal Green Building Administrative Code Example can be used as a template for technical code selection (i.e., building, electrical, plumbing, etc.) to be adopted as a comprehensive building code.

  2. Plataforma smart building

    OpenAIRE

    Cidrera Lopez, Alain

    2013-01-01

    The overall project is a system (hardware + software) that allows monitoring and control in a building / office different security systems, energy, communications, home automation, PKI's overall business that will increase all the efficiency of the building and the business and ensure the continuity of it. My participation in this Project will mainly focus on the development of hardware components, monitoring and control system (home automation, energy, safety control elements ...) and softwa...

  3. Translating building information modeling to building energy modeling using model view definition.

    Science.gov (United States)

    Jeong, WoonSeong; Kim, Jong Bum; Clayton, Mark J; Haberl, Jeff S; Yan, Wei

    2014-01-01

    This paper presents a new approach to translate between Building Information Modeling (BIM) and Building Energy Modeling (BEM) that uses Modelica, an object-oriented declarative, equation-based simulation environment. The approach (BIM2BEM) has been developed using a data modeling method to enable seamless model translations of building geometry, materials, and topology. Using data modeling, we created a Model View Definition (MVD) consisting of a process model and a class diagram. The process model demonstrates object-mapping between BIM and Modelica-based BEM (ModelicaBEM) and facilitates the definition of required information during model translations. The class diagram represents the information and object relationships to produce a class package intermediate between the BIM and BEM. The implementation of the intermediate class package enables system interface (Revit2Modelica) development for automatic BIM data translation into ModelicaBEM. In order to demonstrate and validate our approach, simulation result comparisons have been conducted via three test cases using (1) the BIM-based Modelica models generated from Revit2Modelica and (2) BEM models manually created using LBNL Modelica Buildings library. Our implementation shows that BIM2BEM (1) enables BIM models to be translated into ModelicaBEM models, (2) enables system interface development based on the MVD for thermal simulation, and (3) facilitates the reuse of original BIM data into building energy simulation without an import/export process.

  4. Translating Building Information Modeling to Building Energy Modeling Using Model View Definition

    Directory of Open Access Journals (Sweden)

    WoonSeong Jeong

    2014-01-01

    Full Text Available This paper presents a new approach to translate between Building Information Modeling (BIM and Building Energy Modeling (BEM that uses Modelica, an object-oriented declarative, equation-based simulation environment. The approach (BIM2BEM has been developed using a data modeling method to enable seamless model translations of building geometry, materials, and topology. Using data modeling, we created a Model View Definition (MVD consisting of a process model and a class diagram. The process model demonstrates object-mapping between BIM and Modelica-based BEM (ModelicaBEM and facilitates the definition of required information during model translations. The class diagram represents the information and object relationships to produce a class package intermediate between the BIM and BEM. The implementation of the intermediate class package enables system interface (Revit2Modelica development for automatic BIM data translation into ModelicaBEM. In order to demonstrate and validate our approach, simulation result comparisons have been conducted via three test cases using (1 the BIM-based Modelica models generated from Revit2Modelica and (2 BEM models manually created using LBNL Modelica Buildings library. Our implementation shows that BIM2BEM (1 enables BIM models to be translated into ModelicaBEM models, (2 enables system interface development based on the MVD for thermal simulation, and (3 facilitates the reuse of original BIM data into building energy simulation without an import/export process.

  5. A new building for testing magnets

    CERN Multimedia

    Corinne Pralavorio

    2016-01-01

    A ceremony to mark the laying of the foundation stone of Building 311, which will house a magnetic measurement laboratory, took place on 22 September.   Olaf Dunkel, head of the Building 311 project, José Miguel Jiménez, head of the Technology Department, and Lluis Miralles, head of the Site Management and Buildings Department, during the ceremony for the laying of the foundation stone of Building 311. Lluis Miralles, head of the Site Management and Buildings Department, José Miguel Jiménez, head of the Technology Department, Roberto Losito, head of the Engineering Department, and Simon Baird, head of the Occupational Health and Safety and Environmental Protection Unit, officially laid the foundation stone of Building 311 during a ceremony on Thursday, 22 September. Situated beside the water tower, the building will house a magnetic measurement laboratory for the Technology Department. With a floor space of around 1400 square metres, it will comprise a...

  6. The potential of net zero energy buildings (NZEBs) concept at design stage for healthcare buildings towards sustainable development

    Science.gov (United States)

    Hazli Abdellah, Roy; Asrul Nasid Masrom, Md; Chen, Goh Kai; Mohamed, Sulzakimin; Omar, Roshartini

    2017-11-01

    The focus on net-zero energy buildings (NZEBs) has been widely analysed and discussed particularly when European Union Parliament are progressively moving towards regulation that promotes the improvement of energy efficiency (EE). Additionally, it also to reduce energy consumption through the recast of the EU Directive on Energy Performance of Buildings (EPBD) in which all new buildings to be “nearly Zero-Energy” Buildings by 2020. Broadly, there is a growing trend to explore the feasibility of net zero energy in healthcare sector as the level energy consumption for healthcare sector is found significantly high. Besides that, healthcare buildings energy consumption also exceeds of many other nondomestic building types, and this shortcoming is still undetermined yet especially for developing countries. This paper aims to review the potential of NZEBs in healthcare buildings by considering its concept in design features. Data are gathered through a comprehensive energy management literature review from previous studies. The review is vital to encourage construction players to increase their awareness, practices, and implementation of NZEBs in healthcare buildings. It suggests that NZEBs concept has a potential to be adapted in healthcare buildings through emphasizing of passive approach as well as the utilization of energy efficiency systems and renewable energy systems in buildings. This paper will provide a basis knowledge for construction key players mainly architects to promote NZEBs concept at design stage for healthcare buildings development.

  7. The impact of building orientation and discount rates on a Portuguese reference building refurbishment decision

    International Nuclear Information System (INIS)

    Brandão de Vasconcelos, Ana; Cabaço, António; Pinheiro, Manuel Duarte; Manso, Armando

    2016-01-01

    Refurbishment, as part of the construction industry, has a strong global impact, not only from the viewpoint of economies but also from social and energy-efficiency perspectives. A thermal refurbishment process, in particular, involves numerous decisions and choices; the decision-makers being ultimately confronted with two major questions: which criterion should be adopted in the choice of the refurbishment construction solutions and which refurbishment construction solutions should be chosen? In this paper, a criterion based on technical and economic points of view is proposed, aiming to identify the cost-optimal package of energy efficient solutions from among a set of possible refurbishment measures, within the life cycle of buildings. Sensitivity analyses are also performed so that the results may help the decision-maker choose the appropriate refurbishment solutions to be adopted when different discount rates and building orientations are taken into consideration. A total of seven scenarios, for a macroeconomic perspective, and nine, for a financial perspective, are performed. The costoptimal methodology adopted, following the Directive 2010/31/EU (2010) recommendations, is applied to a Portuguese reference building. The analysis carried out allows obtaining low global life cycle costs solutions and points towards nearly Zero Energy Building (nZEB) concept. The results are important for drawing national political instruments on buildings energy efficiency. - Highlights: •Building refurbishment decision based on technical and economic points of view. •35.000 Packages of thermal rehabilitation solutions considered. •Building orientation and discount rate impact on the cost-optimal package of solutions. •Portuguese reference building case base.

  8. LCG/AA build infrastructure

    International Nuclear Information System (INIS)

    Hodgkins, Alex Liam; Diez, Victor; Hegner, Benedikt

    2012-01-01

    The Software Process and Infrastructure (SPI) project provides a build infrastructure for regular integration testing and release of the LCG Applications Area software stack. In the past, regular builds have been provided using a system which has been constantly growing to include more features like server-client communication, long-term build history and a summary web interface using present-day web technologies. However, the ad-hoc style of software development resulted in a setup that is hard to monitor, inflexible and difficult to expand. The new version of the infrastructure is based on the Django Python framework, which allows for a structured and modular design, facilitating later additions. Transparency in the workflows and ease of monitoring has been one of the priorities in the design. Formerly missing functionality like on-demand builds or release triggering will support the transition to a more agile development process.

  9. Implementing effect of energy efficiency supervision system for government office buildings and large-scale public buildings in China

    International Nuclear Information System (INIS)

    Zhao Jing; Wu Yong; Zhu Neng

    2009-01-01

    The Chinese central government released a document to initiate a task of energy efficiency supervision system construction for government office buildings and large-scale public buildings in 2007, which marks the overall start of existing buildings energy efficiency management in China with the government office buildings and large-scale public buildings as a breakthrough. This paper focused on the implementing effect in the demonstration region all over China for less than one year, firstly introduced the target and path of energy efficiency supervision system, then described the achievements and problems during the implementing process in the first demonstration provinces and cities. A certain data from the energy efficiency public notice in some typical demonstration provinces and cities were analyzed statistically. It can be concluded that different functional buildings have different energy consumption and the average energy consumption of large-scale public buildings is too high in China compared with the common public buildings and residential buildings. The obstacles need to be overcome afterward were summarized and the prospects for the future work were also put forward in the end.

  10. Implementing effect of energy efficiency supervision system for government office buildings and large-scale public buildings in China

    Energy Technology Data Exchange (ETDEWEB)

    Zhao Jing [School of Environmental Science and Engineering, Tianjin University, Tianjin 300072 (China)], E-mail: zhaojing@tju.edu.cn; Wu Yong [Department of Science and Technology, Ministry of Housing and Urban-Rural Development of the People' s Republic of China, Beijing 100835 (China); Zhu Neng [School of Environmental Science and Engineering, Tianjin University, Tianjin 300072 (China)

    2009-06-15

    The Chinese central government released a document to initiate a task of energy efficiency supervision system construction for government office buildings and large-scale public buildings in 2007, which marks the overall start of existing buildings energy efficiency management in China with the government office buildings and large-scale public buildings as a breakthrough. This paper focused on the implementing effect in the demonstration region all over China for less than one year, firstly introduced the target and path of energy efficiency supervision system, then described the achievements and problems during the implementing process in the first demonstration provinces and cities. A certain data from the energy efficiency public notice in some typical demonstration provinces and cities were analyzed statistically. It can be concluded that different functional buildings have different energy consumption and the average energy consumption of large-scale public buildings is too high in China compared with the common public buildings and residential buildings. The obstacles need to be overcome afterward were summarized and the prospects for the future work were also put forward in the end.

  11. Implementing effect of energy efficiency supervision system for government office buildings and large-scale public buildings in China

    Energy Technology Data Exchange (ETDEWEB)

    Zhao, Jing; Zhu, Neng [School of Environmental Science and Engineering, Tianjin University, Tianjin 300072 (China); Wu, Yong [Department of Science and Technology, Ministry of Housing and Urban-Rural Development of the People' s Republic of China, Beijing 100835 (China)

    2009-06-15

    The Chinese central government released a document to initiate a task of energy efficiency supervision system construction for government office buildings and large-scale public buildings in 2007, which marks the overall start of existing buildings energy efficiency management in China with the government office buildings and large-scale public buildings as a breakthrough. This paper focused on the implementing effect in the demonstration region all over China for less than one year, firstly introduced the target and path of energy efficiency supervision system, then described the achievements and problems during the implementing process in the first demonstration provinces and cities. A certain data from the energy efficiency public notice in some typical demonstration provinces and cities were analyzed statistically. It can be concluded that different functional buildings have different energy consumption and the average energy consumption of large-scale public buildings is too high in China compared with the common public buildings and residential buildings. The obstacles need to be overcome afterward were summarized and the prospects for the future work were also put forward in the end. (author)

  12. Towards green buildings: Glass as a building element-the use and misuse in the gulf region

    Energy Technology Data Exchange (ETDEWEB)

    Aboulnaga, Mohsen M. [College of Design and Applied Arts, Dubai University College, Dubai P.O. Box 14143 (United Arab Emirates)

    2006-04-15

    The recent economic growth in the Gulf region notably in Dubai, United Arab Emirates (UAE) has led to a colossal number of buildings that has been constructed in the past 5 years. In the last decade, a total glazed building's facades became the icon of Dubai. This large area of glazing in each facade needs protection against overheating and sun glare in summer. According to leader in energy and environmental design (LEED) glass selection becomes a main element in this equation to contribute towards achieving a green building. The aim of this paper is to investigate the problems associated with misuse of glass, as a building element in UAE particularly in Dubai. Inadequate design with ill-selected glass/glazing type may lead not only to poor daylighting in building interiors but also contribute significantly to fatigue, insomnia, seasonal affective disorder (SAD) and above all increase CO{sub 2} emission. The purpose of the study is to specify the required improvements to permit natural, 'free' daylight to filter through the building facade into interior space, especially with the right type of glass. This paper examines the status of buildings in Dubai in terms of glass type, visible light transmittance, reflection (out/in) and relative heat gain. A quantitative analysis is conducted to assess the impact of glass on the building users' performance in terms of daylight environment. A recent built high-rise office building was selected in the investigation to asses whether selected glass provide the recommended daylight factor (DF) and daylight level (DL) according to IES standards. The results revealed that most the glass/glazing was misused in 70% of buildings in intermediate and low performance groups. The DF and DD in the selected office building were unexpectedly tremendous and found far beyond the recommended level due to the use of spectrally selective glazing (clear on both sides). [Author].

  13. Methods of measurement and evaluation of natural radionuclide contents in buildings, at building sites, and in building materials and water

    International Nuclear Information System (INIS)

    1998-01-01

    The recommendations should serve as guidelines for specifying the scope of measurement and ways of evaluating the measuring results when satisfying the relevant requirements laid down by the Czech Atomic Act (Act No. 18/1997) and Decree No. 184/1997 in the field of natural radiation sources occurring in the environment without deliberate use. The document consists of the following sections: Methodology for the measurement and assessment of natural exposure of persons in dwelling rooms of buildings; Methodology of determination of the radon risk of building sites; Principles of systematic measurement and evaluation of natural radionuclide contents of building materials; and Principles of systematic measurement and evaluation of natural radionuclide contents of supplied water. (P.A.)

  14. Investigation Into Informational Compatibility Of Building Information Modelling And Building Performance Analysis Software Solutions

    OpenAIRE

    Hyun, S.; Marjanovic-Halburd, L.; Raslan, R.

    2015-01-01

    There are significant opportunities for Building Information Modelling (BIM) to address issues related to sustainable and energy efficient building design. While the potential benefits associated with the integration of BIM and BPA (Building Performance Analysis) have been recognised, its specifications and formats remain in their early infancy and often fail to live up to the promise of seamless interoperability at various stages of design process. This paper conducts a case study to investi...

  15. A Method to Estimate Energy Demand in Existing Buildings Based on the Danish Building and Dwellings Register (BBR)

    DEFF Research Database (Denmark)

    Nielsen, Anker; Bertelsen, Niels Haldor; Wittchen, Kim Bjarne

    2013-01-01

    an energy label. The Danish Building Research Institute has described a method that can be used to estimate the energy demand in buildings specially dwellings. This is based on the information in the Danish Building and Dwelling Register (BBR) and information on building regulations at construction year......The Energy Performance Directive requires energy certifications for buildings. This is implemented in Denmark so that houses that are sold must have an energy performance label based on an evaluation from a visit to the building. The result is that only a small part of the existing houses has...... for the house. The result is an estimate for energy demand in each building with a variation. This makes it possible to make an automatic classification of all buildings. Then it is possible to find houses in need for thermal improvements. This method is tested for single family houses and flats. The paper...

  16. Geospatial database for heritage building conservation

    Science.gov (United States)

    Basir, W. N. F. W. A.; Setan, H.; Majid, Z.; Chong, A.

    2014-02-01

    Heritage buildings are icons from the past that exist in present time. Through heritage architecture, we can learn about economic issues and social activities of the past. Nowadays, heritage buildings are under threat from natural disaster, uncertain weather, pollution and others. In order to preserve this heritage for the future generation, recording and documenting of heritage buildings are required. With the development of information system and data collection technique, it is possible to create a 3D digital model. This 3D information plays an important role in recording and documenting heritage buildings. 3D modeling and virtual reality techniques have demonstrated the ability to visualize the real world in 3D. It can provide a better platform for communication and understanding of heritage building. Combining 3D modelling with technology of Geographic Information System (GIS) will create a database that can make various analyses about spatial data in the form of a 3D model. Objectives of this research are to determine the reliability of Terrestrial Laser Scanning (TLS) technique for data acquisition of heritage building and to develop a geospatial database for heritage building conservation purposes. The result from data acquisition will become a guideline for 3D model development. This 3D model will be exported to the GIS format in order to develop a database for heritage building conservation. In this database, requirements for heritage building conservation process are included. Through this research, a proper database for storing and documenting of the heritage building conservation data will be developed.

  17. Geospatial database for heritage building conservation

    International Nuclear Information System (INIS)

    Basir, W N F W A; Setan, H; Majid, Z; Chong, A

    2014-01-01

    Heritage buildings are icons from the past that exist in present time. Through heritage architecture, we can learn about economic issues and social activities of the past. Nowadays, heritage buildings are under threat from natural disaster, uncertain weather, pollution and others. In order to preserve this heritage for the future generation, recording and documenting of heritage buildings are required. With the development of information system and data collection technique, it is possible to create a 3D digital model. This 3D information plays an important role in recording and documenting heritage buildings. 3D modeling and virtual reality techniques have demonstrated the ability to visualize the real world in 3D. It can provide a better platform for communication and understanding of heritage building. Combining 3D modelling with technology of Geographic Information System (GIS) will create a database that can make various analyses about spatial data in the form of a 3D model. Objectives of this research are to determine the reliability of Terrestrial Laser Scanning (TLS) technique for data acquisition of heritage building and to develop a geospatial database for heritage building conservation purposes. The result from data acquisition will become a guideline for 3D model development. This 3D model will be exported to the GIS format in order to develop a database for heritage building conservation. In this database, requirements for heritage building conservation process are included. Through this research, a proper database for storing and documenting of the heritage building conservation data will be developed

  18. High-performance commercial building systems

    Energy Technology Data Exchange (ETDEWEB)

    Selkowitz, Stephen

    2003-10-01

    This report summarizes key technical accomplishments resulting from the three year PIER-funded R&D program, ''High Performance Commercial Building Systems'' (HPCBS). The program targets the commercial building sector in California, an end-use sector that accounts for about one-third of all California electricity consumption and an even larger fraction of peak demand, at a cost of over $10B/year. Commercial buildings also have a major impact on occupant health, comfort and productivity. Building design and operations practices that influence energy use are deeply engrained in a fragmented, risk-averse industry that is slow to change. Although California's aggressive standards efforts have resulted in new buildings designed to use less energy than those constructed 20 years ago, the actual savings realized are still well below technical and economic potentials. The broad goal of this program is to develop and deploy a set of energy-saving technologies, strategies, and techniques, and improve processes for designing, commissioning, and operating commercial buildings, while improving health, comfort, and performance of occupants, all in a manner consistent with sound economic investment practices. Results are to be broadly applicable to the commercial sector for different building sizes and types, e.g. offices and schools, for different classes of ownership, both public and private, and for owner-occupied as well as speculative buildings. The program aims to facilitate significant electricity use savings in the California commercial sector by 2015, while assuring that these savings are affordable and promote high quality indoor environments. The five linked technical program elements contain 14 projects with 41 distinct R&D tasks. Collectively they form a comprehensive Research, Development, and Demonstration (RD&D) program with the potential to capture large savings in the commercial building sector, providing significant economic benefits to

  19. Managing Measurement Uncertainty in Building Acoustics

    Directory of Open Access Journals (Sweden)

    Chiara Scrosati

    2015-12-01

    Full Text Available In general, uncertainties should preferably be determined following the principles laid down in ISO/IEC Guide 98-3, the Guide to the expression of uncertainty in measurement (GUM:1995. According to current knowledge, it seems impossible to formulate these models for the different quantities in building acoustics. Therefore, the concepts of repeatability and reproducibility are necessary to determine the uncertainty of building acoustics measurements. This study shows the uncertainty of field measurements of a lightweight wall, a heavyweight floor, a façade with a single glazing window and a façade with double glazing window that were analyzed by a Round Robin Test (RRT, conducted in a full-scale experimental building at ITC-CNR (Construction Technologies Institute of the National Research Council of Italy. The single number quantities and their uncertainties were evaluated in both narrow and enlarged range and it was shown that including or excluding the low frequencies leads to very significant differences, except in the case of the sound insulation of façades with single glazing window. The results obtained in these RRTs were compared with other results from literature, which confirm the increase of the uncertainty of single number quantities due to the low frequencies extension. Having stated the measurement uncertainty for a single measurement, in building acoustics, it is also very important to deal with sampling for the purposes of classification of buildings or building units. Therefore, this study also shows an application of the sampling included in the Italian Standard on the acoustic classification of building units on a serial type building consisting of 47 building units. It was found that the greatest variability is observed in the façade and it depends on both the great variability of window’s typologies and on workmanship. Finally, it is suggested how to manage the uncertainty in building acoustics, both for one single

  20. Water sustainable management for buildings Water sustainable management for buildings

    Directory of Open Access Journals (Sweden)

    Juan Arturo Ocaña Ponce

    2013-01-01

    Full Text Available This paper presents a literature review article that deals with how to manage water in build­ings, specifically in facility projects, in ways to save water during the use, maintenance and operation of the building. This work is aimed at architects, builders and developers, and may be helpful for decision-making in the planning and management of efficient water use in buildings.Este trabajo es un artículo de revisión relacionado con el manejo y gestión del recurso agua, particularmente en proyectos de edificaciones, con el fin de propiciar ahorro de agua durante el uso, mantenimiento y operación del inmueble. Este documento está dirigido a arquitectos, constructores y desarrolladores inmobiliarios y puede ser de gran utilidad para la toma de decisiones en la fase de planeación y de gestión del uso eficiente del agua en los edificios.

  1. User Participation in the Building Process

    DEFF Research Database (Denmark)

    Christiansson, Per; Svidt, Kjeld; Sørensen, Kristian Birch

    2011-01-01

    building systems (FBS), which are realized as component building systems (CBS), which will form parts in the total building solution. The formulated needs provide input to specific requirements in order to assure expected performance of the building components. The final virtual building model or part...... of it is evaluated by the end-users in the (4) 'Solution space'. Three on-going construction projects were used as cases in the development and in the testing of VICMET. Collaborative Virtual Reality environments were tested in order to present and discuss the suggested solutions with users. The virtual environments...

  2. SUSY GUT Model Building

    International Nuclear Information System (INIS)

    Raby, Stuart

    2008-01-01

    In this talk I discuss the evolution of SUSY GUT model building as I see it. Starting with 4 dimensional model building, I then consider orbifold GUTs in 5 dimensions and finally orbifold GUTs embedded into the E 8 xE 8 heterotic string.

  3. Building Social Web Applications

    CERN Document Server

    Bell, Gavin

    2009-01-01

    Building a web application that attracts and retains regular visitors is tricky enough, but creating a social application that encourages visitors to interact with one another requires careful planning. This book provides practical solutions to the tough questions you'll face when building an effective community site -- one that makes visitors feel like they've found a new home on the Web. If your company is ready to take part in the social web, this book will help you get started. Whether you're creating a new site from scratch or reworking an existing site, Building Social Web Applications

  4. Has social sustainability left the building?

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole; Jørgensen, Michael Søgaard; Elle, Morten

    2012-01-01

    Sustainable buildings have often been niche products, but in recent years a new approach has emerged in Denmark aimed at mainstreaming and normalizing this mode of construction and seeking to attract ordinary Danes through market conditions. The aim is to present an alternative conceptualization...... of sustainable buildings to the ecocommunities’ vision and to involve traditional building firms in their design and development. From a theoretical perspective, the mainstreaming of sustainable buildings can be seen either as an example of ecological modernization or technological transition. The new...... conceptualization has implied a narrower approach to sustainability and a lack of social sustainability measures. While earlier paradigms of sustainable buildings emphasized themes such as community building, self-provisioning, local empowerment, and shared facilities, such objectives are largely absent in the new...

  5. Electromagnetic terrorism – threats in buildings

    Directory of Open Access Journals (Sweden)

    Marek Kuchta

    2015-06-01

    Full Text Available The paper presents the impact of electromagnetic pulses (high power and high frequency pulses — weapon E on technical infrastructure of buildings [1]. The use of modern technologies in intelligent building management i.e. human resources, control and automation systems, efficient buildings space management, requires using a large number of integrated electronic systems. From technical point of view, the intelligent building is a building in which all subsystems (e.g. technical security, air conditioning, ventilation, lighting, power, electricity, etc., interact with each other and create human-friendly environment. The use of specialized electronic systems, processors, microcontrollers in these subsystems may be a trigger of the use of weapons E as an alternative of terrorist attack— disabling automatic building management systems.[b]Keywords[/b]: electromagnetic weapons, distortion, sensitivity, susceptibility

  6. MOISTURE-BUFFERING CHARACTERISTICS OF BUILDING MATERIALS

    Directory of Open Access Journals (Sweden)

    Young Cheol Choi

    2016-05-01

    Full Text Available The humidity level of indoor air is an important factor influencing the air quality and energy consumption of buildings, as well as the durability of building components. Indoor humidity levels depend on several factors, such as moisture sources, air flow, and the adsorption/desorption properties of materials. The moisture-buffering characteristics of building materials that are in contact with indoor air may help moderate the variations of indoor humidity, especially in the summer and winter. In this study, the moisture adsorption/desorption properties of building materials were investigated experimentally and numerically. These properties can be used to characterize the ability of building materials to exchange moisture with the indoor environment. This study indicates that a building material surface resistivity was the main factor creating variations of moisture buffering.

  7. Augmented reality building operations tool

    Science.gov (United States)

    Brackney, Larry J.

    2014-09-09

    A method (700) for providing an augmented reality operations tool to a mobile client (642) positioned in a building (604). The method (700) includes, with a server (660), receiving (720) from the client (642) an augmented reality request for building system equipment (612) managed by an energy management system (EMS) (620). The method (700) includes transmitting (740) a data request for the equipment (612) to the EMS (620) and receiving (750) building management data (634) for the equipment (612). The method (700) includes generating (760) an overlay (656) with an object created based on the building management data (634), which may be sensor data, diagnostic procedures, or the like. The overlay (656) is configured for concurrent display on a display screen (652) of the client (642) with a real-time image of the building equipment (612). The method (700) includes transmitting (770) the overlay (656) to the client (642).

  8. Life cycle assessment: Existing building retrofit versus replacement

    Science.gov (United States)

    Darabi, Nura

    The embodied energy in building materials constitutes a large part of the total energy required for any building (Thormark 2001, 429). In working to make buildings more energy efficient this needs to be considered. Integrating considerations about life cycle assessment for buildings and materials is one promising way to reduce the amount of energy consumption being used within the building sector and the environmental impacts associated with that energy. A life cycle assessment (LCA) model can be utilized to help evaluate the embodied energy in building materials in comparison to the buildings operational energy. This thesis takes into consideration the potential life cycle reductions in energy and CO2 emissions that can be made through an energy retrofit of an existing building verses demolition and replacement with a new energy efficient building. A 95,000 square foot institutional building built in the 1960`s was used as a case study for a building LCA, along with a calibrated energy model of the existing building created as part of a previous Masters of Building Science thesis. The chosen case study building was compared to 10 possible improvement options of either energy retrofit or replacement of the existing building with a higher energy performing building in order to see the life cycle relationship between embodied energy, operational energy, and C02 emissions. As a result of completing the LCA, it is shown under which scenarios building retrofit saves more energy over the lifespan of the building than replacement with new construction. It was calculated that energy retrofit of the chosen existing institutional building would reduce the amount of energy and C02 emissions associated with that building over its life span.

  9. Solar Heating/Cooling of Buildings: Current Building Community Projects. An Interim Report.

    Science.gov (United States)

    National Academy of Sciences - National Research Council, Washington, DC. Building Research Advisory Board.

    Projects being carried out by the private sector involving the use of solar energy for heating and cooling buildings are profiled in this report. A substantial portion of the data were collected from a broad cross-section of the building community. Data collection efforts also involved the canvassing of the nearly 200 trade and professional…

  10. Automatic generation of smart earthquake-resistant building system: Hybrid system of base-isolation and building-connection

    Directory of Open Access Journals (Sweden)

    M. Kasagi

    2016-02-01

    Full Text Available A base-isolated building may sometimes exhibit an undesirable large response to a long-duration, long-period earthquake ground motion and a connected building system without base-isolation may show a large response to a near-fault (rather high-frequency earthquake ground motion. To overcome both deficiencies, a new hybrid control system of base-isolation and building-connection is proposed and investigated. In this new hybrid building system, a base-isolated building is connected to a stiffer free wall with oil dampers. It has been demonstrated in a preliminary research that the proposed hybrid system is effective both for near-fault (rather high-frequency and long-duration, long-period earthquake ground motions and has sufficient redundancy and robustness for a broad range of earthquake ground motions.An automatic generation algorithm of this kind of smart structures of base-isolation and building-connection hybrid systems is presented in this paper. It is shown that, while the proposed algorithm does not work well in a building without the connecting-damper system, it works well in the proposed smart hybrid system with the connecting damper system.

  11. Integrated engineering system for nuclear facilities building

    International Nuclear Information System (INIS)

    Tomura, H.; Miyamoto, A.; Futami, F.; Yasuda, S.; Ohtomo, T.

    1995-01-01

    In the construction of buildings for nuclear facilities in Japan, construction companies are generally in charge of the building engineering work, coordinating with plant engineering. An integrated system for buildings (PROMOTE: PROductive MOdeling system for Total nuclear Engineering) described here is a building engineering system including the entire life cycle of buildings for nuclear facilities. A Three-dimensional (3D) building model (PRO-model) is to be in the core of the system (PROMOTE). Data sharing in the PROMOTE is also done with plant engineering systems. By providing these basic technical foundations, PROMOTE is oriented toward offering rational, highquality engineering for the projects. The aim of the system is to provide a technical foundation in building engineering. This paper discusses the characteristics of buildings for nuclear facilities and the outline of the PROMOTE. (author)

  12. Analysis and Optimization of Building Energy Consumption

    Science.gov (United States)

    Chuah, Jun Wei

    Energy is one of the most important resources required by modern human society. In 2010, energy expenditures represented 10% of global gross domestic product (GDP). By 2035, global energy consumption is expected to increase by more than 50% from current levels. The increased pace of global energy consumption leads to significant environmental and socioeconomic issues: (i) carbon emissions, from the burning of fossil fuels for energy, contribute to global warming, and (ii) increased energy expenditures lead to reduced standard of living. Efficient use of energy, through energy conservation measures, is an important step toward mitigating these effects. Residential and commercial buildings represent a prime target for energy conservation, comprising 21% of global energy consumption and 40% of the total energy consumption in the United States. This thesis describes techniques for the analysis and optimization of building energy consumption. The thesis focuses on building retrofits and building energy simulation as key areas in building energy optimization and analysis. The thesis first discusses and evaluates building-level renewable energy generation as a solution toward building energy optimization. The thesis next describes a novel heating system, called localized heating. Under localized heating, building occupants are heated individually by directed radiant heaters, resulting in a considerably reduced heated space and significant heating energy savings. To support localized heating, a minimally-intrusive indoor occupant positioning system is described. The thesis then discusses occupant-level sensing (OLS) as the next frontier in building energy optimization. OLS captures the exact environmental conditions faced by each building occupant, using sensors that are carried by all building occupants. The information provided by OLS enables fine-grained optimization for unprecedented levels of energy efficiency and occupant comfort. The thesis also describes a retrofit

  13. Building information modelling (BIM)

    CSIR Research Space (South Africa)

    Conradie, Dirk CU

    2009-02-01

    Full Text Available The concept of a Building Information Model (BIM) also known as a Building Product Model (BPM) is nothing new. A short article on BIM will never cover the entire filed, because it is a particularly complex filed that is recently beginning to receive...

  14. Building a Circular Future

    DEFF Research Database (Denmark)

    Merrild, Heidi

    2016-01-01

    Natural resources are scarce and construction accounts for 40 percent of the material and energy consumption in Europe. This means that a switch to a circular future is necessary. ’Building a Circular Future’ maps out where we are, where we are going, and what is needed for this conversion to take...... on the project’s strategies. The financial result is a profit of DKK 35 million on the structure alone in the demolition of a building built for the cost of DKK 860 million. The total potential for the whole building, calculated in projected material prices, is estimated to be up to 16% of the total construction...... of the circular strategies is not only in the future. Increased flexibility, optimized operation and maintenance, as well as a healthier building, is low-hanging fruit that can be harvested today. The project’s principles can be implemented in industrialized construction in a large scale today. That is proven...

  15. Fundamentals and clinical perspective of urethral sphincter instability as a contributing factor in patients with lower urinary tract dysfunction--ICI-RS 2014

    NARCIS (Netherlands)

    Kirschner-Hermanns, Ruth; Anding, Ralf; Rosier, Peter; Birder, Lori; Andersson, Karl Erik; Djurhuus, Jens Christian

    AIMS: Urethral pathophysiology is often neglected in discussions of bladder dysfunction. It has been debated whether "urethral sphincter instability," referred to based on observed "urethral pressure variations," is an important aspect of overactive bladder syndrome (OAB). The purpose of this report

  16. Hazard classification methodology

    International Nuclear Information System (INIS)

    Brereton, S.J.

    1996-01-01

    This document outlines the hazard classification methodology used to determine the hazard classification of the NIF LTAB, OAB, and the support facilities on the basis of radionuclides and chemicals. The hazard classification determines the safety analysis requirements for a facility

  17. Multi-center randomized controlled trial of cognitive treatment, placebo, oxybutynin, bladder training, and pelvic floor training in children with functional urinary incontinence

    NARCIS (Netherlands)

    van Gool, Jan D.; de Jong, Tom P. V. M.; Winkler-Seinstra, Pauline; Tamminen-Moebius, Tytti; Lax, Hildegard; Hirche, Herbert; Nijman, Rien J. M.; Hjalmas, Kelm; Jodal, Ulf; Bachmann, Hannsjoerg; Hoebeke, Piet; Vande Walle, Johan; Misselwitz, Joachim; John, Ulrike; Bael, An

    Objective Functional urinary incontinence causes considerable morbidity in 8.4% of school-age children, mainly girls. To compare oxybutynin, placebo, and bladder training in overactive bladder (OAB), and cognitive treatment and pelvic floor training in dysfunctional voiding (DV), a multi-center

  18. A nurse-led long-term pelvic floor muscle training program in the management of female patients with overactive bladder – A study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Tu-Zhen Xu

    2015-06-01

    Conclusion: A nurse-led long-term (6 months pelvic floor muscle training program may alleviate OAB symptoms effectively and improve the quality of life more than a short term (3 months pelvic floor muscle training program combined with solifenacin succinate tablets.

  19. Multi-center randomized controlled trial of cognitive treatment, placebo, oxybutynin, bladder training, and pelvic floor training in children with functional urinary incontinence

    NARCIS (Netherlands)

    van Gool, Jan D.; de Jong, Tom P. V. M.; Winkler-Seinstra, Pauline; Tamminen-Möbius, Tytti; Lax, Hildegard; Hirche, Herbert; Nijman, Rien J. M.; Hjälmås, Kelm; Jodal, Ulf; Bachmann, Hannsjörg; Hoebeke, Piet; Walle, Johan Vande; Misselwitz, Joachim; John, Ulrike; Bael, An

    2014-01-01

    Functional urinary incontinence causes considerable morbidity in 8.4% of school-age children, mainly girls. To compare oxybutynin, placebo, and bladder training in overactive bladder (OAB), and cognitive treatment and pelvic floor training in dysfunctional voiding (DV), a multi-center controlled

  20. Green Buildings Amid Efficiency and Sustainability

    International Nuclear Information System (INIS)

    Khalifa, Yousef M.; Mady, Salah M.

    2014-01-01

    The vast increase of energy consumption, global warming and the harm they cause to the environment, emerge to be a major obstruction that distresses the world today. This review paper views one of the methods that the world focused on as means of reducing the environmental harms and that is, through green building, or in more common words sustainable buildings. Those means, covers the exercising of a wide range of applications including merging of new and specific technologies in which through fulfilling its basis, the process of evaluation of the building takes place in terms of its harmony with the environment, reduction of energy consumption, and the reduction of the environmental problems caused by the building life cycle starting from defining of location, design of the building, operation, maintenance, repairing and up to the renewal of the building. Despite the significance of green building, no profit nor implementations has yet been made in Libya. The latter is due to the lack of awareness by many Libyan social groups. From here, the idea behind this paper crystallized. It aims to spread and enhance the knowledge and techniques of green building. It also penetrates into the green building features and advantages that are considered to be a preliminary step to start its application in a wide range coinciding with the grand progress that the country has witnessed in the field of construction and housing. This paper concludes that it is possible to reduce energy consumption and the harm it causes to the environment after the implementation and merging of green building techniques and should be applied on a large scale covering the whole country.(author)

  1. Intelligent Facades in Buildings Facades of local Office Buildings - Case Study

    Directory of Open Access Journals (Sweden)

    Al-Qaraghuli Anwar Subhi

    2016-01-01

    Full Text Available In order to meet the functional performance and requirements on the environmental, ecological, social and aesthetical aspects, it became a necessity to develop another options of building that would be more efficient in the provision of those requirements, so a new generation have appeared called “Smart Buildings” or “Intelligent Buildings” with their sophisticated parts and various details, one of those essential parts is the “Intelligent Façade” for it’s being the essential and primary defensive line for the building against the environmental and climatic variations.This research focused on presenting the most clearly and comprehensive perception of the intelligent façades, in a manner that serves the ability of the designer to apply them in his designs or while developing an existing façades in local (Iraqi office buildings.To achieve such goal, it has been a necessity to adopt a descriptive and analytical Method for the previous knowledge and take a sequential researching steps, the first step was to build a comprehensive theoretical framework by defining the intelligent façade. Down to abstracting three main vocabularies of the theoretical framework represented by: integrated intelligent façade design, intelligent façade techniques, and effective response.The next research steps focused on applying the vocabularies of the theoretical framework on the elected local office buildings that have been adopted the matter of intelligent façades in one of their forms, and then analyze/discuss the results of the applicable study, to be able to draw the final conclusions, and by this the research presented a determined recommendations.

  2. Building Trust in High-Performing Teams

    Directory of Open Access Journals (Sweden)

    Aki Soudunsaari

    2012-06-01

    Full Text Available Facilitation of growth is more about good, trustworthy contacts than capital. Trust is a driving force for business creation, and to create a global business you need to build a team that is capable of meeting the challenge. Trust is a key factor in team building and a needed enabler for cooperation. In general, trust building is a slow process, but it can be accelerated with open interaction and good communication skills. The fast-growing and ever-changing nature of global business sets demands for cooperation and team building, especially for startup companies. Trust building needs personal knowledge and regular face-to-face interaction, but it also requires empathy, respect, and genuine listening. Trust increases communication, and rich and open communication is essential for the building of high-performing teams. Other building materials are a shared vision, clear roles and responsibilities, willingness for cooperation, and supporting and encouraging leadership. This study focuses on trust in high-performing teams. It asks whether it is possible to manage trust and which tools and operation models should be used to speed up the building of trust. In this article, preliminary results from the authors’ research are presented to highlight the importance of sharing critical information and having a high level of communication through constant interaction.

  3. Reducing the operational energy demand in buildings using building information modeling tools and sustainability approaches

    Directory of Open Access Journals (Sweden)

    Mojtaba Valinejad Shoubi

    2015-03-01

    Full Text Available A sustainable building is constructed of materials that could decrease environmental impacts, such as energy usage, during the lifecycle of the building. Building Information Modeling (BIM has been identified as an effective tool for building performance analysis virtually in the design stage. The main aims of this study were to assess various combinations of materials using BIM and identify alternative, sustainable solutions to reduce operational energy consumption. The amount of energy consumed by a double story bungalow house in Johor, Malaysia, and assessments of alternative material configurations to determine the best energy performance were evaluated by using Revit Architecture 2012 and Autodesk Ecotect Analysis software to show which of the materials helped in reducing the operational energy use of the building to the greatest extent throughout its annual life cycle. At the end, some alternative, sustainable designs in terms of energy savings have been suggested.

  4. SYSTEM ORGANIZATION OF MATERIAL PROVIDING OF BUILDING

    Directory of Open Access Journals (Sweden)

    A. V. Rаdkеvich

    2014-04-01

    Full Text Available Purpose. Development of scientific-methodical bases to the design of rational management of material streams in the field of building providing taking into account intersystem connections with the enterprises of building industry. Methodology. The analysis of last few years of functioning of building industry in Ukraine allows distinguishing a number of problems that negatively influence the steady development of building, as the component of the state economics system. Therefore the research of existent organization methods of the system of building objects providing with material resources is extremely necessary. In connection with this the article justifies the use of method of hierarchies analysis (Saati method for finding the optimal task solution of fixing the enterprises of building industry after building objects. Findings. Results give an opportunity to guidance of building organization to estimate and choose advantageous suppliers - enterprises of building industry, to conduct their rating, estimation taking into account basic descriptions, such as: quality, price, reliability of deliveries, specialization, financial status etc. Originality. On the basis of Saati method the methodologies of organization are improved, planning and managements of the reliable system of providing of building necessary material resources that meet the technological requirements of implementation of building and installation works. Practical value. Contribution to the decisions of many intricate organizational problems that are accompanied by the problems of development of building, provided due to organization of the reliable system of purchase of material resources.

  5. Emergency building temperature restrictions. Final evaluation

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-11-01

    On July 5, 1979, DOE promulgated final regulations of the Emergency Building Temperature Restrictions program, placing emergency restrictions on thermostat settings for space heating, space cooling, and hot water in commercial, industrial, and nonresidential public buildings. The final regulations restricted space heating to a maximum of 65/sup 0/F, hot water temperature to a maximum of 105/sup 0/F, and cooling temperature to a minimum of 78/sup 0/F. A comprehensive evaluation of the entire EBTF program for a nine-month period from July 16, 1979 is presented. In Chapter 1, an estimate of the population of buildings covered by EBTR is presented. In Chapter 2, EBTR compliance by building type and region is reported. Exemptions are also discussed. In Chapter 3, the simulations of building energy use are explained and the relative impact of various building characteristics and effectiveness of different control strategies are estimated. Finally, in Chapter 4, the methodology for scaling the individual building energy savings to the national level is described, and estimated national energy savings are presented.

  6. Earthquake risk assessment of building structures

    International Nuclear Information System (INIS)

    Ellingwood, Bruce R.

    2001-01-01

    During the past two decades, probabilistic risk analysis tools have been applied to assess the performance of new and existing building structural systems. Structural design and evaluation of buildings and other facilities with regard to their ability to withstand the effects of earthquakes requires special considerations that are not normally a part of such evaluations for other occupancy, service and environmental loads. This paper reviews some of these special considerations, specifically as they pertain to probability-based codified design and reliability-based condition assessment of existing buildings. Difficulties experienced in implementing probability-based limit states design criteria for earthquake are summarized. Comparisons of predicted and observed building damage highlight the limitations of using current deterministic approaches for post-earthquake building condition assessment. The importance of inherent randomness and modeling uncertainty in forecasting building performance is examined through a building fragility assessment of a steel frame with welded connections that was damaged during the Northridge Earthquake of 1994. The prospects for future improvements in earthquake-resistant design procedures based on a more rational probability-based treatment of uncertainty are examined

  7. Streamlining the Design-to-Build Transition with Build-Optimization Software Tools.

    Science.gov (United States)

    Oberortner, Ernst; Cheng, Jan-Fang; Hillson, Nathan J; Deutsch, Samuel

    2017-03-17

    Scaling-up capabilities for the design, build, and test of synthetic biology constructs holds great promise for the development of new applications in fuels, chemical production, or cellular-behavior engineering. Construct design is an essential component in this process; however, not every designed DNA sequence can be readily manufactured, even using state-of-the-art DNA synthesis methods. Current biological computer-aided design and manufacture tools (bioCAD/CAM) do not adequately consider the limitations of DNA synthesis technologies when generating their outputs. Designed sequences that violate DNA synthesis constraints may require substantial sequence redesign or lead to price-premiums and temporal delays, which adversely impact the efficiency of the DNA manufacturing process. We have developed a suite of build-optimization software tools (BOOST) to streamline the design-build transition in synthetic biology engineering workflows. BOOST incorporates knowledge of DNA synthesis success determinants into the design process to output ready-to-build sequences, preempting the need for sequence redesign. The BOOST web application is available at https://boost.jgi.doe.gov and its Application Program Interfaces (API) enable integration into automated, customized DNA design processes. The herein presented results highlight the effectiveness of BOOST in reducing DNA synthesis costs and timelines.

  8. Comparative Validation of Building Simulation Software

    DEFF Research Database (Denmark)

    Kalyanova, Olena; Heiselberg, Per

    The scope of this subtask is to perform a comparative validation of the building simulation software for the buildings with the double skin façade. The outline of the results in the comparative validation identifies the areas where is no correspondence achieved, i.e. calculation of the air flow r...... is that the comparative validation can be regarded as the main argument to continue the validation of the building simulation software for the buildings with the double skin façade with the empirical validation test cases.......The scope of this subtask is to perform a comparative validation of the building simulation software for the buildings with the double skin façade. The outline of the results in the comparative validation identifies the areas where is no correspondence achieved, i.e. calculation of the air flow...

  9. The absolute environmental performance of buildings

    DEFF Research Database (Denmark)

    Brejnrod, Kathrine Nykjær; Kalbar, Pradip; Petersen, Steffen

    2017-01-01

    Our paper presents a novel approach for absolute sustainability assessment of a building's environmental performance. It is demonstrated how the absolute sustainable share of the earth carrying capacity of a specific building type can be estimated using carrying capacity based normalization factors....... A building is considered absolute sustainable if its annual environmental burden is less than its share of the earth environmental carrying capacity. Two case buildings – a standard house and an upcycled single-family house located in Denmark – were assessed according to this approach and both were found...... to exceed the target values of three (almost four) of the eleven impact categories included in the study. The worst-case excess was for the case building, representing prevalent Danish building practices, which utilized 1563% of the Climate Change carrying capacity. Four paths to reach absolute...

  10. Building Services Requests Subsystem (BSRS) -

    Data.gov (United States)

    Department of Transportation — Lotus Notes workflow application used for the submission, processing, tracking and reporting of building service related requiests. Enables regional office building...

  11. Categorizing Building certification systems according to the definition of sustainable building

    DEFF Research Database (Denmark)

    Zimmermann, Regitze Kjær; Skjelmose, Ole; Guldager Jensen, Kasper

    2018-01-01

    The availability of sustainable (or green) building certifications schemes is constantly increasing and it is not always easy to understand how the schemes on the market differentiate from each other. The purpose of this study is to create a better dialog between client and consultant in relation...... are both of international, regional and local scale (Active House, BREEAM, DGNB, Green Star, HQE, LEED, Living Building Challenge, Miljöbyggnad, Nordic Ecolabel and WELL). The results show a large variation of the weight on the dimensions of social, environmental and economic sustainability within the 10...... the largest focus on criteria within the environmental dimension. Across the selected certifications this dimension account for an average of 51%. This indicates that certifications have “green” buildings as their main focus point. However, a certification such as WELL almost completely focuses on social...

  12. Pharmacia Building Q, Skokie, Illinois

    Energy Technology Data Exchange (ETDEWEB)

    2002-12-01

    This case study was prepared as one in a series for the Laboratories for the 21st Century program, a joint endeavor of the U.S. Environmental Protection Agency and the U.S. Department of Energy's Federal Energy Management Program. The goal of this program is to foster greater energy efficiency in new and retrofit laboratory buildings in both the public and the private sectors. The energy-efficient elements of the laboratory featured in this case study-Pharmacia Corporation's new Building Q in Skokie, Illinois-include sustainable design, light-filled interior spaces for daylighting, energy-efficient fume hoods and other equipment, occupancy sensors to reduce lighting loads, and spectrally selective glazing to allow more light and less heat into the building. Water-saving fixtures are used, as well. Building Q has been certified Gold (the second highest rating) through the U.S. Green Building Council's Leadership in Energy and Environmental Design (LEED) system.

  13. Data management for biofied building

    Science.gov (United States)

    Matsuura, Kohta; Mita, Akira

    2015-03-01

    Recently, Smart houses have been studied by many researchers to satisfy individual demands of residents. However, they are not feasible yet as they are very costly and require many sensors to be embedded into houses. Therefore, we suggest "Biofied Building". In Biofied Building, sensor agent robots conduct sensing, actuation, and control in their house. The robots monitor many parameters of human lives such as walking postures and emotion continuously. In this paper, a prototype network system and a data model for practical application for Biofied Building is pro-posed. In the system, functions of robots and servers are divided according to service flows in Biofield Buildings. The data model is designed to accumulate both the building data and the residents' data. Data sent from the robots and data analyzed in the servers are automatically registered into the database. Lastly, feasibility of this system is verified through lighting control simulation performed in an office space.

  14. Modernising ATLAS Software Build Infrastructure

    CERN Document Server

    Ritsch, Elmar; The ATLAS collaboration

    2017-01-01

    In the last year ATLAS has radically updated its software development infrastructure hugely reducing the complexity of building releases and greatly improving build speed, flexibility and code testing. The first step in this transition was the adoption of CMake as the software build system over the older CMT. This required the development of an automated translation from the old system to the new, followed by extensive testing and improvements. This resulted in a far more standard build process that was married to the method of building ATLAS software as a series of $12$ separate projects from Subversion. We then proceeded with a migration of the code base from Subversion to Git. As the Subversion repository had been structured to manage each package more or less independently there was no simple mapping that could be used to manage the migration into Git. Instead a specialist set of scripts that captured the software changes across official software releases was developed. With some clean up of the repositor...

  15. Experimental building with new types of building envelope structures. Part 1: Structures/systems. Building system: Brick walls; Forsoegshus med nye typer klimaskaermskonstruktioner. Del 1: Konstruktioner/systemer - Byggesystem: Fuldmuret

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    The house described in this report is one of several experimental houses forming part of the project 'Experimental buildings with new types of building envelope structures'. One purpose of the project is to demonstrate that it is possible to build typical single-family houses with an energy consumption that meets expected increased building regulations. Furthermore, it is important that the houses can be made securely as regards construction technology and within reasonable financial limits. Thus, the purpose is also to contribute to strengthen the development of improved building envelope structures. Another purpose is to carry out detailed measurements of energy consumption in order to validate thermal performance of future building envelope structures. The report describes the constructive design and energy systems of the house plus heat loss calculations and expected energy consumption. (BA)

  16. Building Global Learning Communities

    Science.gov (United States)

    Cochrane, Thomas; Buchem, Ilona; Camacho, Mar; Cronin, Catherine; Gordon, Averill; Keegan, Helen

    2013-01-01

    Within the background where education is increasingly driven by the economies of scale and research funding, we propose an alternative online open and connected framework (OOC) for building global learning communities using mobile social media. We critique a three year action research case study involving building collaborative global learning…

  17. Building Evacuation with Mobile Devices

    OpenAIRE

    Merkel, Sabrina

    2014-01-01

    The rapidly growing world population and increasingly dense settlements demand ever-larger and more complex buildings from today's engineers. In comparison to this technological progress, a building's equipment for emergency evacuation has been hardly developed further. This work presents a concept for a building evacuation system based on mobile devices. Furthermore, various algorithms for route planning with mobile devices and for indoor localization of mobile devices are addressed.

  18. Carbon Efficient Building Solutions

    Directory of Open Access Journals (Sweden)

    Pellervo Matilainen

    2010-03-01

    Full Text Available Traditionally, the Finnish legislation have focused on energy use and especially on energy used for heating space in buildings. However, in many cases this does not lead to the optimal concept in respect to minimizing green house gases. This paper studies how CO2 emission levels are affected by different measures to reduce energy use in buildings. This paper presents two real apartment buildings with different options of energy efficiency and power sources. The calculations clearly show that in the future electricity and domestic hot water use will have high importance in respect to energy efficiency, and therefore also CO2 equivalent (eq emissions. The importance increases when the energy efficiency of the building increases. There are big differences between average Finnish production and individual power plants; CO2 eq emissions might nearly double depending on the energy source and the power plant type. Both a building with an efficient district heating as a power source, and a building with ground heat in addition to nuclear power electricity as a complimentary electricity source performed very similarly to each other in respect to CO2 eq emissions. However, it is dangerous to conclude that it is not important which energy source is chosen. If hypothetically, the use of district heating would dramatically drop, the primary energy factor and CO2 eq emissions from electricity would rise, which in turn would lead to the increase of the ground heat systems emissions. A problem in the yearly calculations is that the fact that it is very important, sometimes even crucial, when energy is needed, is always excluded.

  19. Guidelines on Building Regulations 2008

    DEFF Research Database (Denmark)

    Thse guidelines clarify and intepret the provisions of the Building Regulations of 2008 (BR08). The Guidelines, which match BR08 in terms of organisation into Parts, are accompanied by the full text of the regulations and the explanatory notes issued by the Danish Enterprise and Construction...... Authority. The Guidelines refer the reader to sources such as relevant standards, instructions and other background material which provides more detailed information. The Guidelines cover the same ground as BR08, including building control regulations, layout, fitting out, structures, fire safety, indoor...... climate, energy consumotion and services. The Guidelines are aimed at all professionals involved in building projects, particularly building design consultants, contractors and municipal application officers....

  20. Sensitivity analysis of the energy demand of existing buildings based on the Danish Building and Dwelling Register (BBR)

    DEFF Research Database (Denmark)

    Nielsen, Anker; Wittchen, Kim Bjarne; Bertelsen, Niels Haldor

    2014-01-01

    performance certificate. The Danish Building Research Institute has described a method that can be applied for estimating the energy demand of dwellings. This is based on the information in the Danish Building and Dwelling Register and requirements in the Danish Building Regulations from the year......The EU Directive on the Energy Performance of Buildings requires that energy certification of buildings should be implemented in Denmark so that houses that are sold or let should have an energy performance certificate. The result is that only a small part of existing houses has an energy...... of construction of the house. The result is an estimate of the energy demand of each building with a variation. This makes it possible to make an automatic classification of all buildings. The paper discusses the uncertainties and makes a sensitivity analysis to find the important parameters. The variations...