Effects of indoor environmental parameters related to building heating, ventilation, and air conditioning systems on patients' medical outcomes: A review of scientific research on hospital buildings.

The indoor environment of a mechanically ventilated hospital building controls infection rates as well as influences patients' healing processes and overall medical outcomes. This review covers the scientific research that has assessed patients' medical outcomes concerning at least one indoor environmental parameter related to building heating, ventilation, and air conditioning (HVAC) systems, such as indoor air temperature, relative humidity, and indoor air ventilation parameters. Research related to the naturally ventilated hospital buildings was outside the scope of this review article. After 1998, a total of 899 papers were identified that fit the inclusion criteria of this study. Of these, 176 papers have been included in this review to understand the relationship between the health outcomes of a patient and the indoor environment of a mechanically ventilated hospital building. The purpose of this literature review was to summarize how indoor environmental parameters related to mechanical ventilation systems of a hospital building are impacting patients. This review suggests that there is a need for future interdisciplinary collaborative research to quantify the optimum range for HVAC parameters considering airborne exposures and patients' positive medical outcomes.

Embodied energy of construction materials: integrating human and capital energy into an IO-based hybrid model.

Buildings alone consume approximately 40% of the annual global energy and contribute indirectly to the increasing concentration of atmospheric carbon. The total life cycle energy use of a building is composed of embodied and operating energy. Embodied energy includes all energy required to manufacture and transport building materials, and construct, maintain, and demolish a building. For a systemic energy and carbon assessment of buildings, it is critical to use a whole life cycle approach, which takes into account the embodied as well as operating energy. Whereas the calculation of a building's operating energy is straightforward, there is a lack of a complete embodied energy calculation method. Although an input-output-based (IO-based) hybrid method could provide a complete and consistent embodied energy calculation, there are unresolved issues, such as an overdependence on price data and exclusion of the energy of human labor and capital inputs. This paper proposes a method for calculating and integrating the energy of labor and capital input into an IO-based hybrid method. The results demonstrate that the IO-based hybrid method can provide relatively complete results. Also, to avoid errors, the total amount of human and capital energy should not be excluded from the calculation.