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Environmental Approach for Energy audits on Government Buildings: A Mexican Case for the Air Conditioning System

Journal of Environmental Protection 2018年第3期9卷 278-293页

作者： Luis E. Velazquez Rafael Perez-Rios Nora E. Munguia David S. Zepeda Carla Neudert Javier Esquer Sustainability Graduate Program Industrial Engineering Department University of Sonora Hermosillo Mexico Freelance Sustainability Consultant Hermosillo Mexico

In the face of the climate change, energy consumption is one of the main issues to be solved. Energy audits are useful tools that may contribute to develop energy efficiency initiatives. The purpose of this paper is to provide insights into how energy audits, with a scope on air conditioning (AC) systems, contribute to develop energy efficiency options for a government building in the city of Hermosillo, Mexico. The methodology is based in the energy audit framework proposed by the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE). Results show that, in a typical day of maximum consumption, AC represents 64% of the total electrical consumption, while office equipment accounted for 22%, and lighting 14%. Additionally, AC system has a yearly consumption of 54,419.40 kWh with an emission estimate of 24.92 tons of CO2-eq/year. Three approaches for energy efficiency proposals were addressed through AC systems: Improvement of the operation and consumption habits, maintenance and reconditioning of facilities, and replacement of AC units. While Mexico has international commitments through environmental treaties related to contribute to climate change mitigation, this study shows that, at least one government building still produces potential impacts that can be deterred by addressing structural and behavioral changes related to AC operation. Finally, this study may be used as reference for energy efficiency practitioners or decision-making authorities in the public administration field for developing better energy policies for government buildings.

关键词： Electricity Consumption Energy audits Energy Efficiency Environmental Impact

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Causes of Maternal Mortality According to Reports of Maternal Death audits in the University Teaching Hospital Bogodogo (UTH-B) from January to December 2017

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1345-1353页

作者： Ouattara Adama Ouédraogo Smaila Lankoandé Bako Coulibaly Natacha Kain Dantola Paul Tougma Sanou Aline Ouédraogo Marie Charlemagne Ouédraogo Ali Thieba Bonané Blandine Training and Research Unit in Health Sciences (TRU/HS) University Ouaga 1 Pr Joseph KI ZERBO Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The University Teaching Hospital Yalgado Ouedraogo of Ouagadougou (UTH-YO) Ouagadougou Burkina Faso Department of Gynecology and Obstetrics The Bogodogo University Teaching Hospital of Ouagadougou (UTH-B) Ouagadougou Burkina Faso

Objective: To study causes of maternal mortality according to reports of maternal death audits in the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso. Materials and Method: This was a prospective study that took place over a year from 1 January to 31 December 2017.? It concerned maternal deaths that occurred during this period in the obstetrics and gynecology department of the University Teaching Hospital Bogodogo (UTH-B). All maternal deaths were systematically audited by the audit committee;interviews with providers and families were sometimes conducted. The record books of all patients were analyzed by the audit committee;if necessary, interviews were conducted with care providers and families. The main information collected were recorded on individual files, entered and analyzed using the software Epi-info 7. Result: During the study period, we recorded 32 maternal deaths i.e., 587 per 100,000 live births. Deceased women under age 20 were the most numerous, followed by women aged 20 to 24. The death occurred in most cases in the puerperium in 69.80% of cases. Complications of pregnancy were the most incriminated causes in maternal deaths. Bleeding was the leading cause, accounting for 34.3%. They are followed by hypertensive disorders of pregnancy (21.8%) and infections (18.8%). In the contributing factors, resource factors were incriminated in 56.2% of cases, social factors in 43.7% of cases and medical factors in 25.4% of cases. Death was non-preventable in 76.2% of cases compared to 23.8% of preventable deaths. Conclusion: Maternal mortality is a major public health problem at the maternity hospital of the university hospital Yalgado Ouedraogo. Hemorrhage is the first cause of death. Hypertensive diseases are more and more worrying. Solutions must be found to improve the practice of audits in the obstetrics and gynecology department of UTH-B.

关键词： audits Review Maternal Deaths Causes of Maternal Deaths

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浅谈5ESS交换机audits故障排除

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山东通信技术 1996年第3期16卷 46-47页

作者：安玉山胜利油田通讯公司总站

audits是SESS交换机的一种程序集,用来维护系统的完备性,它主要发现系统中存在的数据性错误,并能够将错误数据隔离,防止它们在系统中扩散;同时audits尽力去纠正错误,所有这些在保证呼叫接续的顺利完成,资源完整。

关键词：程控交换机 audits 故障排除电话交换机

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Improving the outcomes in oncological colorectal surgery

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World Journal of Gastroenterology 2014年第35期20卷 12445-12457页

作者： Jeroen LA van Vugt Kostan W Reisinger Joep PM Derikx Djamila Boerma Jan HMB Stoot Department of Surgery St Antonius Hospital Department of Surgery Maastricht University Medical Center and Nutrim School for NutritionToxicology and MetabolismMaastricht University Department of Surgery Orbis Medical Center Department of Surgery Atrium Medical Center

During the last several decades,colorectal cancer surgery has experienced some major perioperative *** risk-assessment of nutrition,frailty,and sarcopenia followed by interventions for patient optimization or an adapted surgical strategy,contributed to improved postoperative *** recovery programs or fast-track surgery also resulted in reduced length of hospital stay and overall complications without affecting patient *** an initially indecisive start due to uncertainty about oncological safety,the most significant improvement in intraoperative care was the introduction of *** surgery for colon and rectal cancer is associated with better short-term outcomes,whereas long-term outcomes regarding survival and recurrence rates are ***,long-term results in rectal surgery remain to be *** recognition of anastomotic leakage remains a challenge,though multiple improvements have allowed better management of this complication.

关键词： Laparoscopic surgery Colorectal surgery Anastomotic leakage Frailty Nutritional status Sarcopenia Enhanced recovery after surgery audits

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Laboratory Quality Audit in 25 Anti-Retroviral Therapy Facilities in North West of Nigeria

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Open Journal of Clinical Diagnostics 2014年第4期4卷 193-204页

作者： Feyisayo Ebenezer Jegede Henry Akwen Mbah Timothy Nathaniel Yakubu Oluwasanmi Adedokun Olubunmi Ruth Negedu-Momoh Kwasi Torpey Family Health International (FHI360) Abuja Nigeria

Introduction: A laboratory’s ability to consistently produce high-quality and reliable results hinges on adopting laboratory standards that guide daily practices to ensure steady quality improvement. Although assessment is an extremely rewarding exercise in health care quality improvement processes, it is always considered very time consuming and expensive in developing world settings. A quarterly internal audit was conducted in 25 FHI360 supported Antiretroviral Treatment laboratories in the North West of Nigeria which can surely provide reference for other countries. Methodology: A checklist adapted from the World Health Organization/African Regional Office laboratory accreditation checklist was used to quantitatively evaluate 7 quality essentials (QEs). A team composed of technical staff from FHI360, State Ministry of Health and facility laboratory heads, conducted the audits, developed and monitored intervention plans. Information obtained with the checklist was captured in excel, validated and imported into Grappa Prism software version 5.0 for analysis. Results: Most (92%) facilities were at secondary level with (8%) at tertiary level. The mean total score on all QEs across the facilities was 63.34 ± 9.77 in quarter (Q) 1, 68.8 ± 10.91 in Q2, 72.59 ± 8.02 in Q3 and 72.72 ± 9.16 in Q4 (p ≤ 0.0001). The most improved QE through Q1-Q4 was organization and personnel (32.2%), while signage/bench top reference had an 18.6% point decline. In ranking facilities based on differences of total scores between Q4 and Q1, Kachia General Hospital was the highest with 27 point increase. Considering the mean percentage score for all quarters per facility, 4 had ≥ 80%, 19 had between 60%-80% and 2 had <60%. The total non-conformities cited for QI-Q4 were 185, 100, 78 and 64 respectively with highest recorded in internal and external quality control and the least in facility and safety. Conclusion: We recorded some improvement in most QEs confirming the benefits of internal audi

关键词： Laboratory Internal audits Quality Essentials Non-Conformities Nigeria

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Type of CPA Firm Association with Financial Statements and Commercial Lending Judgments

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Journal of Modern Accounting and Auditing 2020年第11期16卷 514-521页

作者： Arnold Schneider Georgia Institute of Technology AtlantaUSA

This study examines whether the level of Certified Public Accounting(CPA)firm assurance associated with financial statements affects commercial lending decisions.A between-subjects behavioral experiment is used with three conditions involving different levels of CPA firm assurance—compilations,reviews,and *** indicate that neither the lenders’risk assessments of loan applicants nor their elicited probabilities of granting credit differed among the three levels of CPA firm assurance.

关键词： commercial lending compilations reviews audits

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