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  1 / 1945 MEDLINE  
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[PMID]:27771200
[Au] Autor:Kataki S; Hazarika S; Baruah DC
[Ad] Endereço:Energy Conservation Laboratory, Department of Energy, Tezpur University, Assam, India. Electronic address: sam_kat@tezu.ernet.in.
[Ti] Título:Assessment of by-products of bioenergy systems (anaerobic digestion and gasification) as potential crop nutrient.
[So] Source:Waste Manag;59:102-117, 2017 Jan.
[Is] ISSN:1879-2456
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Alternative fertilizer resources have drawn attention in recent times in order to cope up with ever increasing demand for fertilizer. By-products of bioenergy system are considered favourable as organic fertilizer due to their ability to recycle plant nutrients. Present study evaluates fertilizer suitability of by-products of two bioenergy systems viz. 3 types of anaerobic digestion by-products (digestate) from local surplus biomass such as cowdung, Ipomoea carnea:cowdung (60:40) and ricestraw:green gram stover:cowdung (30:30:40) and one gasification by-product (biochar) from rice husk. Digestates were assessed considering 4 different application options of each viz. whole, solid, liquid and ash from solid digestates. Digestate characteristics (organic matter, macronutrients, micronutrients and heavy metal content) were found to be a function of feedstock and processing (solid liquid separation and ashing). Ipomoea carnea based digestates in all application options showed comparatively higher N, P, K, NH -N, Ca, Mg, S and micro nutrient content than other digestates. Separation concentrated plant nutrients and organic matter in solid digestates, making these suitable both as organic amendments and fertilizer. Separated liquid digestate shared larger fraction of ammonium nitrogen (61-91% of total content), indicating their suitability as readily available N source. However, fertilizer application of liquid digestate may not match crop requirements due to lower total nutrient concentration. Higher electrical conductivity of the liquid digestates (3.4-9.3mScm ) than solid digestates (1.5-2mScm ) may impart phyto-toxic effect upon fertilization due to salinity. In case of by-products with unstable organic fraction i.e. whole and solid digestates of rice straw:green gram stover:cowdung digestates (Humification index 0.7), further processing (stabilization, composting) may be required to maximize their fertilizer benefit. Heavy metal contents of the by-products were found to be within the permitted range specified for organic fertilizer (vermicompost) in India. However, higher Al content of the digestates in whole, solid and ash phase (0.06-16.97gkg fresh matter) can be a concern in acid soil which may cause Al toxicity. Understanding on agrochemical characteristics of bioenergy by-products with varying feedstock and application option is expected to promote their valorization opportunities considering user specific requirements. In the context of agriculturally dominant but energy deficient rural Indian scenario, integrated production of bioenergy and by-product based fertilizer could be very significant to meet the critical additional requirement of both energy and fertilizer.
[Mh] Termos MeSH primário: Agricultura/métodos
Produtos Agrícolas/química
Fertilizantes/análise
Nitrogênio/análise
Eliminação de Resíduos/métodos
Esgotos/química
Solo/química
[Mh] Termos MeSH secundário: Amônia/química
Anaerobiose
Biomassa
Conservação dos Recursos Naturais
Fontes Geradoras de Energia
Gases
Concentração de Íons de Hidrogênio
Índia
Ipomoea
Metais Pesados/análise
Nitrogênio/química
Compostos Orgânicos
Resíduos Sólidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fertilizers); 0 (Gases); 0 (Metals, Heavy); 0 (Organic Chemicals); 0 (Sewage); 0 (Soil); 0 (Solid Waste); 7664-41-7 (Ammonia); N762921K75 (Nitrogen)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  2 / 1945 MEDLINE  
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[PMID]:28456918
[Au] Autor:Tang E; Peng C
[Ad] Endereço:Institute of Auditing Science, Nanjing Audit University, No. 86 West Yushan Road, Pukou District, Nanjing, 211815, Jiangsu, People's Republic of China. tangerzi_nau@126.com.
[Ti] Título:The global contribution of energy consumption by product exports from China.
[So] Source:Environ Sci Pollut Res Int;24(17):14690-14699, 2017 Jun.
[Is] ISSN:1614-7499
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:This paper presents a model to analyze the mechanism of the global contribution of energy usage by product exports. The theoretical analysis is based on the perspective that contribution estimates should be in relatively smaller sectors in which the production characteristics could be considered, such as the productivity distribution for each sector. Then, we constructed a method to measure the global contribution of energy usage. The simple method to estimate the global contribution is the percentage of goods export volume compared to the GDP as a multiple of total energy consumption, but this method underestimates the global contribution because it ignores the structure of energy consumption and product export in China. According to our measurement method and based on the theoretical analysis, we calculated the global contribution of energy consumption only by industrial manufactured product exports in a smaller sector per industry or manufacturing sector. The results indicated that approximately 42% of the total energy usage in the whole economy for China in 2013 was contributed to foreign regions. Along with the primary products and service export in China, the global contribution of energy consumption for China in 2013 by export was larger than 42% of the total energy usage.
[Mh] Termos MeSH primário: Comércio
Fontes Geradoras de Energia
Indústrias
[Mh] Termos MeSH secundário: China
Conservação de Recursos Energéticos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171215
[Lr] Data última revisão:
171215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE
[do] DOI:10.1007/s11356-017-9074-6


  3 / 1945 MEDLINE  
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[PMID]:28787031
[Au] Autor:Li Y; Zheng J; Li F; Jin X; Xu C
[Ad] Endereço:Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, China.
[Ti] Título:Assessment of municipal infrastructure development and its critical influencing factors in urban China: A FA and STIRPAT approach.
[So] Source:PLoS One;12(8):e0181917, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Municipal infrastructure is a fundamental facility for the normal operation and development of an urban city and is of significance for the stable progress of sustainable urbanization around the world, especially in developing countries. Based on the municipal infrastructure data of the prefecture-level cities in China, municipal infrastructure development is assessed comprehensively using a FA (factor analysis) model, and then the stochastic model STIRPAT (stochastic impacts by regression on population, affluence and technology) is examined to investigate key factors that influence municipal infrastructure of cities in various stages of urbanization and economy. This study indicates that the municipal infrastructure development in urban China demonstrates typical characteristics of regional differentiation, in line with the economic development pattern. Municipal infrastructure development in cities is primarily influenced by income, industrialization and investment. For China and similar developing countries under transformation, national public investment remains the primary driving force of economy as well as the key influencing factor of municipal infrastructure. Contribution from urbanization and the relative consumption level, and the tertiary industry is still scanty, which is a crux issue for many developing countries under transformation. With economic growth and the transformation requirements, the influence of the conventional factors such as public investment and industrialization on municipal infrastructure development would be expected to decline, meanwhile, other factors like the consumption and tertiary industry driven model and the innovation society can become key contributors to municipal infrastructure sustainability.
[Mh] Termos MeSH primário: Cidades
[Mh] Termos MeSH secundário: China
Cidades/economia
Países em Desenvolvimento/economia
Fontes Geradoras de Energia/economia
Análise Fatorial
Seres Humanos
Pobreza
Análise de Regressão
Planejamento Social
Processos Estocásticos
Tecnologia
Transportes/economia
População Urbana
Urbanização
Gerenciamento de Resíduos/economia
Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
059QF0KO0R (Water)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170809
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181917


  4 / 1945 MEDLINE  
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[PMID]:28709032
[Au] Autor:Cox RS; Irwin P; Scannell L; Ungar M; Bennett TD
[Ad] Endereço:ResiliencebyDesign Research Lab, School of Humanitarian Studies, Royal Roads University, Victoria, BC, Canada. Electronic address: Robin.Cox@RoyalRoads.ca.
[Ti] Título:Children and youth's biopsychosocial wellbeing in the context of energy resource activities.
[So] Source:Environ Res;158:499-507, 2017 10.
[Is] ISSN:1096-0953
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Children and youth emerge as key populations that are impacted by energy resource activities, in part because of their developmental vulnerabilities, as well as the compounding effects of energy systems on their families, communities, and physical environments. While there is a larger literature focused on fossil fuel emissions and children, the impacts of many aspects of energy systems on children and youth remain under examined and scattered throughout the health, social science, and environmental science literatures. OBJECTIVES: This systematic interdisciplinary review examines the biological, psychosocial, and economic impacts of energy systems identified through social science research - specifically focused on household and industrial extraction and emissions - on children and youth functioning. METHODS: A critical interpretive search of interdisciplinary and international social sciences literature was conducted using an adaptive protocol focusing on the biopsychosocial and economic impacts of energy systems on children and youth. The initial results were complemented with a purposeful search to extend the breadth and depth of the final collection of articles. DISCUSSION: Although relatively few studies have specifically focused on children and youth in this context, the majority of this research uncovers a range of negative health impacts that are directly and indirectly related to the development and ongoing operations of natural resource production, particularly oil and gas, coal, and nuclear energy. Psychosocial and cultural effects, however, remain largely unexamined and provide a rich avenue for further research. CONCLUSIONS: This synthesis identifies an array of adverse biopsychosocial health outcomes on children and youth of energy resource extraction and emissions, and identifies gaps that will drive future research in this area.
[Mh] Termos MeSH primário: Adaptação Psicológica
Fontes Geradoras de Energia
Indústrias Extrativas e de Processamento
[Mh] Termos MeSH secundário: Seres Humanos
Resiliência Psicológica
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171120
[Lr] Data última revisão:
171120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE


  5 / 1945 MEDLINE  
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[PMID]:28650968
[Au] Autor:Vilela T; Reid J
[Ad] Endereço:Conservation Strategy Fund, Washington DC, United States of America.
[Ti] Título:Improving hydropower choices via an online and open access tool.
[So] Source:PLoS One;12(6):e0179393, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper describes and validates the HydroCalculator Tool developed by Conservation Strategy Fund. The HydroCalculator Tool allows researchers, policy-makers and citizens to easily assess hydropower feasibility, by calculating traditional financial indicators, such as the levelized cost of energy, as well as greenhouse gas emissions and the economic net present value including emissions costs. Currently, people other than project developers have limited or no access to such information, which stifles informed public debate on electric energy options. Within this context, the use of the HydroCalculator Tool may contribute to the debate, by facilitating access to information. To validate the tool's greenhouse gas calculations, we replicate two peer-reviewed articles that estimate greenhouse gas emissions from different hydropower plants in the Amazon basin. The estimates calculated by the HydroCalculator Tool are similar to the ones found in both peer-reviewed articles. The results show that hydropower plants can lead to greenhouse gas emissions and that, in some cases, these emissions can be larger than those of alternative energy sources producing the same amount of electricity.
[Mh] Termos MeSH primário: Fontes Geradoras de Energia
Monitoramento Ambiental/métodos
Centrais Elétricas
[Mh] Termos MeSH secundário: Acesso à Informação
Poluição do Ar/análise
Monitoramento Ambiental/economia
Efeito Estufa
Política Pública
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0179393


  6 / 1945 MEDLINE  
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[PMID]:28592172
[Au] Autor:Preuster P; Alekseev A; Wasserscheid P
[Ad] Endereço:Lehrstuhl für Chemische Reaktionstechnik, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany; email: peter.wasserscheid@fau.de.
[Ti] Título:Hydrogen Storage Technologies for Future Energy Systems.
[So] Source:Annu Rev Chem Biomol Eng;8:445-471, 2017 Jun 07.
[Is] ISSN:1947-5446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Future energy systems will be determined by the increasing relevance of solar and wind energy. Crude oil and gas prices are expected to increase in the long run, and penalties for CO emissions will become a relevant economic factor. Solar- and wind-powered electricity will become significantly cheaper, such that hydrogen produced from electrolysis will be competitively priced against hydrogen manufactured from natural gas. However, to handle the unsteadiness of system input from fluctuating energy sources, energy storage technologies that cover the full scale of power (in megawatts) and energy storage amounts (in megawatt hours) are required. Hydrogen, in particular, is a promising secondary energy vector for storing, transporting, and distributing large and very large amounts of energy at the gigawatt-hour and terawatt-hour scales. However, we also discuss energy storage at the 120-200-kWh scale, for example, for onboard hydrogen storage in fuel cell vehicles using compressed hydrogen storage. This article focuses on the characteristics and development potential of hydrogen storage technologies in light of such a changing energy system and its related challenges. Technological factors that influence the dynamics, flexibility, and operating costs of unsteady operation are therefore highlighted in particular. Moreover, the potential for using renewable hydrogen in the mobility sector, industrial production, and the heat market is discussed, as this potential may determine to a significant extent the future economic value of hydrogen storage technology as it applies to other industries. This evaluation elucidates known and well-established options for hydrogen storage and may guide the development and direction of newer, less developed technologies.
[Mh] Termos MeSH primário: Fontes Geradoras de Energia
Hidrogênio/química
[Mh] Termos MeSH secundário: Conservação de Recursos Energéticos/economia
Fontes de Energia Elétrica/economia
Eletricidade
Eletrólise/economia
Fontes Geradoras de Energia/economia
Hidrogênio/isolamento & purificação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
7YNJ3PO35Z (Hydrogen)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170727
[Lr] Data última revisão:
170727
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1146/annurev-chembioeng-060816-101334


  7 / 1945 MEDLINE  
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[PMID]:28561821
[Au] Autor:Mari M; Rovira J; Sánchez-Soberón F; Nadal M; Schuhmacher M; Domingo JL
[Ad] Endereço:Environmental Engineering Laboratory, Departament d'Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia, Spain. montserrat.mari@urv.cat.
[Ti] Título:Environmental trends of metals and PCDD/Fs around a cement plant after alternative fuel implementation: human health risk assessment.
[So] Source:Environ Sci Process Impacts;19(7):917-927, 2017 Jul 19.
[Is] ISSN:2050-7895
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study aimed at evaluating the potential impact of a cement plant after 4 years of the employment of alternative fuel. In June 2015, concentrations of PCDD/Fs and metals were determined in soils, vegetation and air in order to measure potential changes with respect to previous surveys before (July 2011) and after (June 2013) the employment of alternative fuel. Risks to human health were also assessed. In soils, metal levels were similar to those observed in June 2013 (p > 0.05). In comparison with July 2011, the increment was only statistically significant for As and Cd (p < 0.05). A notable increase in levels of PCDD/Fs was noted when current levels in soils (1.14 ng WHO-TEQ per kg) were compared with those observed in July 2011 (0.37 ng WHO-TEQ per kg) (p > 0.05) and June 2013 (0.41 ng WHO-TEQ per kg) (p < 0.05). This increase was mainly caused by the increase in PCDD/F levels at one sampling site, which showed the heterogeneity of PCDD/F levels in soils, possibly as a result of different point emissions over the years. On the other hand, temporal trends in levels of metals and PCDD/Fs in vegetation showed a clear decrease, which indicated that the particle fraction of these pollutants would potentially be removed from leaf surfaces by wash-off. In air, levels were similar to those found in previous surveys. The results of PCA showed that the change in fuel had not affected the environmental profiles of metals and PCDD/Fs around the cement plant. The exposure of the population living in the surroundings of the plant was measured and it was shown that diet was the major contributor for both metals and PCDD/Fs, with percentages of over 97%, the only exceptions being As and Pb, for which dietary intake accounted for 43% and 71% of the total exposure, respectively. Environmental non-cancer and cancer risks were within the limits considered as acceptable by international standards.
[Mh] Termos MeSH primário: Dibenzofuranos Policlorados/análise
Fontes Geradoras de Energia
Monitoramento Ambiental/métodos
Poluentes Ambientais/análise
Metais Pesados/análise
Dibenzodioxinas Policloradas/análise
[Mh] Termos MeSH secundário: Poluentes Atmosféricos/análise
Indústria Química
Seres Humanos
Plantas/química
Medição de Risco
Esgotos/química
Poluentes do Solo/análise
Espanha
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Dibenzofurans, Polychlorinated); 0 (Environmental Pollutants); 0 (Metals, Heavy); 0 (Polychlorinated Dibenzodioxins); 0 (Sewage); 0 (Soil Pollutants)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE
[do] DOI:10.1039/c7em00121e


  8 / 1945 MEDLINE  
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[PMID]:28561767
[Au] Autor:Thomson H; Snell C; Bouzarovski S
[Ad] Endereço:School of Environment, Education and Development, University of Manchester, Manchester M13 9PL, UK. harriet.thomson@manchester.ac.uk.
[Ti] Título:Health, Well-Being and Energy Poverty in Europe: A Comparative Study of 32 European Countries.
[So] Source:Int J Environ Res Public Health;14(6), 2017 May 31.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Despite growing pan-European interest in and awareness of the wide-ranging health and well-being impacts of energy poverty-which is characterised by an inability to secure adequate levels of energy services in the home-the knowledge base is largely British-centric and dominated by single-country studies. In response, this paper investigates the relationship between energy poverty, health and well-being across 32 European countries, using 2012 data from the European Quality of Life Survey. We find an uneven concentration of energy poverty, poor health, and poor well-being across Europe, with Eastern and Central Europe worst affected. At the intersection of energy poverty and health, there is a higher incidence of poor health (both physical and mental) amongst the energy poor populations of most countries, compared to non-energy poor households. Interestingly, we find the largest disparities in health and well-being levels between energy poor and non-energy poor households occur within relatively equal societies, such as Sweden and Slovenia. As well as the unique challenges brought about by rapidly changing energy landscapes in these countries, we also suggest the relative deprivation theory and processes of social comparison hold some value in explaining these findings.
[Mh] Termos MeSH primário: Fontes Geradoras de Energia
Nível de Saúde
Saúde Mental
Pobreza
Qualidade de Vida
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Europa (Continente)/epidemiologia
Características da Família
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores Socioeconômicos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE


  9 / 1945 MEDLINE  
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[PMID]:28387897
[Au] Autor:Meo SA; Usmani AM; Qalbani E
[Ad] Endereço:Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. sultanmeo@hotmail.com.
[Ti] Título:Prevalence of type 2 diabetes in the Arab world: impact of GDP and energy consumption.
[So] Source:Eur Rev Med Pharmacol Sci;21(6):1303-1312, 2017 Mar.
[Is] ISSN:2284-0729
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Diabetes Mellitus (DM) is a rapidly growing and most challenging health issue of the 21st century. This study aimed to investigate the prevalence of type-2 DM and its association with Gross Domestic Product (GDP) and energy consumption in the Arab world countries. MATERIALS AND METHODS: We identified 88 articles through systematic searches including Institute of Scientific Information (ISI) Web of Science, PubMed and EMBASE databases published between 1980-2015. The related literature was searched by using the keywords including diabetes mellitus, prevalence, incidence, epidemiology of type-2 diabetes mellitus (T2DM), and names of the individual Arab world countries. The articles were selected and investigated for the prevalence of T2DM. No limitations were imposed in the design of the study or publication language. Finally, 50 peer-reviewed publications were included and the rest were excluded. RESULTS: Arab world countries with the highest prevalence of T2DM are: Kingdom of Saudi Arabia 31.6%, Oman 29%, Kuwait 25.4%, Bahrain 25.0% and United Arab Emirates 25.0%. The lowest prevalence was found in Mauritania (4.7%) and Somalia (3.9%). The highest prevalence was observed in Gulf Cooperation Council (GCC) countries (25.45%) whilst non-GCC countries had the lowest prevalence (12.69%). The combined mean prevalence of T2DM in both GCC and Non-GCC Arab countries was 16.17%. The prevalence of T2DM was found to be significantly associated with higher Gross Domestic Product (GDP) (p=0.020) and energy consumption (p=0.017). CONCLUSIONS: In the Arab world, the countries with the highest prevalence of type 2 diabetes mellitus are: Saudi Arabia, Oman, Kuwait, Bahrain and UAE, whilst the countries with the lowest prevalence are Mauritania and Somalia. This prevalence was significantly associated with high GDP per capita and energy consumption. Arab states must incorporate diabetes preventive policies on a war-footing basis to minimize the burden of the disease.
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/epidemiologia
Fontes Geradoras de Energia
Produto Interno Bruto
[Mh] Termos MeSH secundário: Mundo Árabe
Seres Humanos
Oriente Médio/epidemiologia
Prevalência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE


  10 / 1945 MEDLINE  
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[PMID]:28376522
[Au] Autor:Brown LH; Chaiechi T; Buettner PG; Canyon DV
[Ad] Endereço:From the Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas-Austin, Austin, Texas, Discipline of Economics, School of Business, James Cook University, Cairns, Australia, Tropical Health Solutions Pty Ltd, Idalia, Australia, and the Daniel K. Inouye Asia Paci
[Ti] Título:Association Between Energy Prices and US Hospital Patient Outcomes.
[So] Source:South Med J;110(4):257-264, 2017 Apr.
[Is] ISSN:1541-8243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate associations between changing energy prices and US hospital patient outcomes. METHODS: Generalized estimating equations were used to analyze relationships between changes in energy prices and subsequent changes in hospital patient outcomes measures for the years 2008 through 2014. Patient outcomes measures included 30-day acute myocardial infarction, heart failure, and pneumonia mortality rates, and 30-day acute myocardial infarction, heart failure, and pneumonia readmission rates. Energy price data included state average distillate fuel, electricity and natural gas prices, and the US average coal price. All of the price data were converted to 2014 dollars using Consumer Price Index multipliers. RESULTS: There was a significant positive association between changes in coal price and both short-term ( = 0.029) and long-term ( = 0.017) changes in the 30-day heart failure mortality rate. There was a similar significant positive association between changes in coal price and both short-term ( <0.001) and long-term ( = 0.002) changes in the 30-day pneumonia mortality rate. Changes in coal prices also were positively associated with long-term changes in the 30-day myocardial infarction readmission rate ( < 0.001). Changes in coal prices ( = 0.20), natural gas prices ( = 0.040), and electricity prices ( = 0.040) were positively associated with long-term changes in the 30-day heart failure readmission rate. CONCLUSIONS: Changing energy prices are associated with subsequent changes in hospital mortality and readmission measures. In light of these data, we encourage hospital, health system, and health policy leaders to pursue patient-support initiatives, energy conservation programs, and reimbursement policy strategies aimed at mitigating those effects.
[Mh] Termos MeSH primário: Comércio
Fontes Geradoras de Energia/economia
Hospitais/normas
[Mh] Termos MeSH secundário: Carvão Mineral/economia
Comércio/economia
Eletricidade
Insuficiência Cardíaca/mortalidade
Mortalidade Hospitalar
Hospitais/estatística & dados numéricos
Seres Humanos
Estudos Longitudinais
Gás Natural/economia
Avaliação de Resultados da Assistência ao Paciente
Readmissão do Paciente/estatística & dados numéricos
Pneumonia/mortalidade
Estudos Retrospectivos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Coal); 0 (Natural Gas)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170605
[Lr] Data última revisão:
170605
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.14423/SMJ.0000000000000636



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