2,963 research outputs found

    The Research of the Ecosystem on Green Construction

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    Green construction ecosystem was studied. The author analyses the system of construction, and proposed the system of green construction based on ecology theory which was included subsystem of the condition, process and objective on the ecosystem in order to lay the foundation for system evaluation. The text analyses elements of green construction system, which would help to improve the competitiveness of green construction for construction enterprises, and meet the requirements of environmentally friendly, resource-saving society. The competitiveness of green construction was considered with objective which was evaluated to maximize the competitiveness, and it overcomes the current competitiveness evaluation from the owners and the interests of construction enterprises ignoring the ecological environment. It is a new method which could provide a strong support as a business strategy based on ecological environmental protection, development and green construction program formulation. Analyses indicators of competitiveness and the relationship of the construction phase, it could identify the main reason for the green effect, and find the need to improve measures in order to lay the foundation for further enhancing the competitiveness of construction enterprises

    Influence of green technology, tourism, and inclusive financial development on ecological sustainability: exploring the path toward green revolution

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    This study demonstrates the linkages between green technological innovations, sustainable tourism, financial development, economic growth, and ecological sustainability using China’s regional data from 2000 to 2019. The study applies the novel estimation technique, Quantile Autoregressive Distributive Lag (QARDL) approach to examine long-run and short-run relationships between the stated variables. The initial findings confirm non-linearity in the data verified through J-B test statistics. It approves the implication of QARDL estimation for exploring ecological sustainability trends over the study period. The study outcomes confirm that tourism and green technology innovation assists in reducing ecological footprints in China in the long run. Moreover, financial development and economic growth reflect a direct role towards more ecological footprints; therefore, the sustainability dimension has been missing both in financial development and growth. Furthermore, the results in the short run cover the same phenomenon and confirm that ecological innovations and tourism would help in sustaining the natural environment. The study outcomes demonstrate that government officials in China should specifically implement long-term policies to support the natural environment from adverse shocks of more financial development and economic growth

    Use of low-dose computed tomography to assess pulmonary tuberculosis among healthcare workers in a tuberculosis hospital

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    BACKGROUND: According to the World Health Organization, China is one of 22 countries with serious tuberculosis (TB) infections and one of the 27 countries with serious multidrug-resistant TB strains. Despite the decline of tuberculosis in the overall population, healthcare workers (HCWs) are still at a high risk of infection. Compared with high-income countries, the TB prevalence among HCWs is higher in low- and middle-income countries. Low-dose computed tomography (LDCT) is becoming more popular due to its superior sensitivity and lower radiation dose. However, there have been no reports about active pulmonary tuberculosis (PTB) among HCWs as assessed with LDCT. The purposes of this study were to examine PTB statuses in HCWs in hospitals specializing in TB treatment and explore the significance of the application of LDCT to these workers. METHODS: This study retrospectively analysed the physical examination data of healthcare workers in the Beijing Chest Hospital from September 2012 to December 2015. Low-dose lung CT examinations were performed in all cases. The comparisons between active and inactive PTB according to the CT findings were made using the Pearson chi-square test or the Fisher’s exact test. Comparisons between the incidences of active PTB in high-risk areas and non-high-risk areas were performed using the Pearson chi-square test. Analyses of active PTB were performed according to different ages, numbers of years on the job, and the risks of the working areas. Active PTB as diagnosed by the LDCT examinations alone was compared with the final comprehensive diagnoses, and the sensitivity and positive predictive value were calculated. RESULTS: A total of 1 012 participants were included in this study. During the 4-year period of medical examinations, active PTB was found in 19 cases, and inactive PTB was found in 109 cases. The prevalence of active PTB in the participants was 1.24%, 0.67%, 0.81%, and 0.53% for years 2012 to 2015. The corresponding incidences of active PTB among the tuberculosis hospital participants were 0.86%, 0.41%, 0.54%, and 0.26%. Most HCWs with active TB (78.9%, 15/19) worked in the high-risk areas of the hospital. There was a significant difference in the incidences of active PTB between the HCWs who worked in the high-risk and non-high-risk areas (odds ratio [OR], 14.415; 95% confidence interval (CI): 4.733 – 43.896). Comparisons of the CT signs between the active and inactive groups via chi-square tests revealed that the tree-in-bud, cavity, fibrous shadow, and calcification signs exhibited significant differences (P = 0.000, 0.021, 0.001, and 0.024, respectively). Tree-in-bud and cavity opacities suggest active pulmonary tuberculosis, whereas fibrous shadow and calcification opacities are the main features of inactive pulmonary tuberculosis. Comparison with the final comprehensive diagnoses revealed that the sensitivity and positive predictive value of the diagnoses of active PTB based on LDCT alone were 100% and 86.4%, respectively. CONCLUSIONS: Healthcare workers in tuberculosis hospitals are a high-risk group for active PTB. Yearly LDCT examinations of such high-risk groups are feasible and necessary. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40249-017-0274-6) contains supplementary material, which is available to authorized users
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