In 2017, the Chinese government launched a clean heating campaign that replaced millions of rural coal stoves with various clean heaters. The clean heating program contributed to remarkable improvements in air quality. However, the benefits of reducing heating demand by improving building envelope efficiency were not sufficiently considered. This study provides a needed quantitative assessment of potential energy-savings, costs, greenhouse gas emission reductions, and adoption strategies for improving building envelope efficiency in Chinese rural residential buildings. We find that different strategies must be employed in existing and new buildings to achieve desired outcomes. For existing buildings, to encourage easy and beneficial building retrofits (e.g., air sealing, efficient windows), current fuel subsidies should be replaced with retrofit subsidies. Building retrofits can reduce the size and hence capital costs of new clean heaters. They can also reduce operating costs, hence reducing the likelihood of backsliding to coal. For new construction, whole-home insulation and heat pumps would best avoid carbon lock-in. These efficient technologies have high upfront costs but decrease heating costs and significantly reduce carbon emissions relative to current policies. Hence, subsidies and policies that encourage improvements in building envelopes as well as the uptake of clean and efficient heaters are critical.
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http://dx.doi.org/10.1021/acs.est.2c06863 | DOI Listing |
J Med Internet Res
January 2025
College of Nursing, University of Nebraska Medical Center, Omaha, NE, United States.
Background: The known and established benefits of exercise in patients with heart failure (HF) are often hampered by low exercise adherence. Mobile health (mHealth) technology provides opportunities to overcome barriers to exercise adherence in this population.
Objective: This systematic review builds on prior research to (1) describe study characteristics of mHealth interventions for exercise adherence in HF including details of sample demographics, sample sizes, exercise programs, and theoretical frameworks; (2) summarize types of mHealth technology used to improve exercise adherence in patients with HF; (3) highlight how the term "adherence" was defined and how it was measured across mHealth studies and adherence achieved; and (4) highlight the effect of age, sex, race, New York Heart Association (NYHA) functional classification, and HF etiology (systolic vs diastolic) on exercise adherence.
JAMA Netw Open
January 2025
Department of Management, Policy, and Community Health, School of Public Health, The University of Texas Health Science Center, Houston.
Importance: COVID-19 vaccine hesitancy among Black women is a critical public health concern, potentially exacerbating existing health disparities and impacting community-wide vaccination efforts.
Objective: To explore the factors associated with COVID-19 vaccine hesitancy among Black women in the US and identify the specific concerns and experiences shaping hesitant attitudes toward vaccination.
Design, Setting, And Participants: Qualitative study using in-depth, semistructured interviews conducted virtually between June and November 2021.
Eur J Epidemiol
January 2025
Department of Dermatology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Early-stage cutaneous melanoma patients generally have a favorable prognosis, yet a significant proportion of metastatic melanoma cases arise from this group, highlighting the need for improved risk stratification using novel prognostic biomarkers. The Dutch Early-Stage Melanoma (D-ESMEL) study introduces a robust, population-based methodology to develop an absolute risk prediction model for stage I/II melanoma, incorporating clinical, imaging, and multi-omics data to identify patients at increased risk for distant metastases. Utilizing the Netherlands Cancer Registry and Dutch Nationwide Pathology Databank, we collected primary tumor samples from early-stage melanoma patients, with and without distant metastases during follow-up.
View Article and Find Full Text PDFContemp Nurse
January 2025
Faculty of Health, University of Technology Sydney, 235 Jones Street, Ultimo, NSW 2007, Australia.
Indigenous Australians are disproportionately affected by diabetes, with a diagnosis rate nearly four times higher than people from a non-Indigenous background. This health disparity highlights the urgent need for healthcare providers to develop cultural empathy - a critical competency for delivering culturally safe and person-centered care. Cultural empathy is essential for building trust and effective communication in diabetes education and management within Indigenous people.
View Article and Find Full Text PDFBackground: A decline in Instrumental Activities of Daily Living (IADLs) indicates cognitive impairment, a marker of early detection of Alzheimer's disease (AD). Obtaining hand information within the assessment of IADLs may be an innovative approach to predicting cognitive decline. Hands play a vital role while performing IADL and can be used in assessing human visuomotor skills.
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