46 research outputs found

    Prediction of breast self-examination in a sample of Iranian women: an application of the Health Belief Model

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    <p>Abstract</p> <p>Background</p> <p>Iranian women, many of whom live in small cities, have limited access to mammography and clinical breast examinations. Thus, breast self examination (BSE) becomes an important and necessary approach to detecting this disease in its early stages in order to limit its resultant morbidity and mortality. This study examined constructs arising from the Health Belief Model as predictors of breast self examination behavior in a sample of women living in Bandar Abbas, Iran.</p> <p>Methods</p> <p>This study was conducted in eight health centers located in Bandar Abbas, Iran. The sample consisted of 240 eligible women who were selected from referrals to the centers. The inclusion criteria were as follows: aged 30 years and over; and able to read and write Farsi. Women with breast cancer, who were pregnant, or breast feeding, were excluded from the study. Data were collected by using a self administered questionnaire which included demographic characteristics and Champion's Health Belief Model Scale. This instrument measures the concepts of disease susceptibility (3 items), seriousness (6 items), benefits (4 items), barriers (8 items) and self-efficacy (10 items).</p> <p>Results</p> <p>The subjects' mean age was 37.2 (SD = 6.1) years. Just under a third of the subjects (31.7%) had performed BSE in the past and 7.1% of them performed it at least monthly. Perceived benefits and perceived self-efficacy of the women who performed BSE were significantly higher compared with women who did not practice BSE (p < 0.03). Furthermore, perceived barriers were lower among those who had performed BSE (p < 0.001). Logistic regression analysis indicated that women who perceived fewer barriers (OR: 0.70, 95% CI: 0.63-0.77, p < 0.001) and had higher self-efficacy (OR: 1.08, 95% CI: 1.02-1.13, p = 0.003) were more likely to perform BSE (R<sup>2 </sup>= 0.52).</p> <p>Conclusion</p> <p>Findings from this study indicated that perceived barriers and perceived self-efficacy could be predictors of BSE behavior among the sample of women. Therefore, BSE training programs that emphasize self-efficacy and address perceived barriers are recommended.</p

    Advanced Modeling of Enclosed Airspaces to Determine Thermal Resistance for Building Applications

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    Enclosed airspaces to reduce heat flow have been recognized for well over 100 years. Airspaces with one or more reflective surfaces define reflective insulation (RI) assemblies, a product type used in walls, roofs, windows with multiple panes, curtain walls and skylights. The thermal resistance (R value) of airspaces depends on the emittance of all surfaces, airspace dimensions and orientation, heat flow direction and surfaces temperatures. The modeling of RI now includes CFD coupled with radiation to quantify the total heat transfer. This study compares a validated model for airspace R values with existing methods such as ISO 6946 and hot-box results that provide the R values in the ASHRAE Handbook of Fundamentals. The existing methods do not include an airspace aspect ratio. This study showed that the aspect ratio can impact the R value by a factor of two. The impact of aspect ratio was calculated for double airspaces variation such as that for single airspaces. The present calculations are two-dimensional and also consider all the bounding airspace surfaces, while previous methods are one-dimensional and do not include surface temperature variations or detailed radiative transport

    Field evaluation of reflective insulation in south east Asia

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    The objective of this research was to obtain thermal performance data for reflective insulations in a South East Asia environment. Thermal resistance data (RSI, m2 K/W) for reflective insulations are well established from 1-D steady-state tests, but thermal data for reflective insulation in structures like those found in South East Asia are scarce. Data for reflective insulations in South East Asia will add to the worldwide database for this type of energy-conserving material. RSI were obtained from heat flux and temperature data of three identical structures in the same location. One unit did not have insulation above the ceiling, while the second and third units were insulated with reflective insulation with emittance less than 0.05. RSI for the uninsulated test unit varied from 0.37 to 0.40 m2 K/W. RSI for a single-sheet reflective insulation (woven foil) varied from 2.15 to 2.26 m2 K/W, while bubble-foil insulation varied from 2.69 to 3.09 m2 K/W. The range of RSI values resulted from differences in the spacing between the reflective insulation and the roof. In addition, the reflective insulation below the roof lowered attic temperatures by as much as 9.7° C. Reductions in ceiling heat flux of 80 to 90% relative to the uninsulated structure, due to the reflective insulation, were observed

    Field evaluation of reflective insulation in south east Asia

    No full text
    The objective of this research was to obtain thermal performance data for reflective insulations in a South East Asia environment. Thermal resistance data (RSI, m2 ⋅ K/W) for reflective insulations are well established from 1-D steady-state tests, but thermal data for reflective insulation in structures like those found in South East Asia are scarce. Data for reflective insulations in South East Asia will add to the worldwide database for this type of energy-conserving material. RSI were obtained from heat flux and temperature data of three identical structures in the same location. One unit did not have insulation above the ceiling, while the second and third units were insulated with reflective insulation with emittance less than 0.05. RSI for the uninsulated test unit varied from 0.37 to 0.40 m2 ⋅ K/W. RSI for a single-sheet reflective insulation (woven foil) varied from 2.15 to 2.26 m2 ⋅ K/W, while bubble-foil insulation varied from 2.69 to 3.09 m2 ⋅ K/W. The range of RSI values resulted from differences in the spacing between the reflective insulation and the roof. In addition, the reflective insulation below the roof lowered attic temperatures by as much as 9.7° C. Reductions in ceiling heat flux of 80 to 90% relative to the uninsulated structure, due to the reflective insulation, were observed

    Position Paper Introducing a Sustainable, Universal Approach to Retrofitting Residential Buildings

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    Protests during the 2021 Climate Conference in Glasgow exemplified our dilemma. The establishment perpetuates old thinking, while young people demand a new approach to mitigate the impact of climate change. The authors agree with the young people, and as a solution we propose to replace the current fragmentary approach with a new holistic one. The passive house approach that was conceptualized by the University of Illinois and built in Canada in 1977 showed us that energy consumption can be reduced about half of that used in the traditional design. Seventeen years later, a European passive house was built in Darmstadt. In 2008, a demonstration house in Syracuse, NY, showed that integrated passive measures produced energy use by about half of the NY state code for 2004. At the same time, some advanced houses in the USA showed total energy use of about 70 kWh/(m2∙y). In 2008, at the first Building Enclosure Science and Technology Conference, two equally important objectives for 2030 were proposed by the Lawrence Berkeley National Laboratory: (1) a 90% reduction of energy use in new buildings and (2) 50% for the retrofitting of existing buildings, i.e., to the level achieved in the 1980s. The first objective has recently been achieved in small buildings while the large residential buildings remain on the level obtained in the 2000s. Yet, the retrofitting of existing buildings (the second objective) has been a dismal failure. This paper acknowledges progress in hydronic heating and cooling involving electric heat pumps and hybrid solar panels, building automatics used for operation of HVAC, and modification of air distribution systems that comes from experience with the SARS-CoV-2 pandemic. Furthermore, it highlights that to accelerate energy efficiency and carbon emission reductions, there must be broad public-private educational programs with demonstrations of a new generation of retrofitting. Economically and ecologically retrofitted buildings will create a new approach to real estate investment
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