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Climate change is a significant challenge that the medical community must address. Hospitals are large facilities with high water and energy consumption, as well as high levels of waste generation, which makes it important to pursue green hospital initiatives. Neurosurgery requires substantial energy for surgeries and tests. Based on the keywords "Climate change," "green hospital," "neurosurgery," "energy consumption," "environmental impact" listed in this paper, we extracted representative manuscripts, and the practices employed in the authors' hospital were assessed. The "Guidelines for Environmental Consideration in Hospitals" and "Guidelines for the Sustainability of Hospital Environments" have been developed; however, they are not implemented in most hospitals in Japan. Inhalational anesthetics were found to contribute significantly to greenhouse gas emissions. Educating patients and staff and employing the "8 Rs" (rethink, refuse, reduce, reuse, recycle, research, renovation, and revolution) showed promise in achieving green hospital standards. The advent of 'green hospitals' in Japan is imminent. The active participation of neurosurgeons can play a crucial role in diminishing the environmental footprint of health care while simultaneously enhancing medical standards. Given the pressing challenges posed by climate change, there is a critical need for an overhaul of medical practices. It is imperative for neurosurgeons to pioneer the adoption of new, sustainable medical methodologies. [ABSTRACT FROM AUTHOR]

This paper studies the influence of temperature and of rainfall intensity and the effect of such variations on the treatment efficiencies and on the electrical consumptions in seven medium-large size Wastewater Treatment Plants (WWTPs) in Apulia in South Italy (Bari, Barletta, Brindisi, Lecce, Foggia, Andria and Taranto). It has been observed, in the considered WWTPs, a slight but clear increase of the incoming flow due to the increase in rainfall intensity, which results to an increase of the energy consumption per incoming volume. The impact of the climate change to the incoming flow, during the last five years (2016–2020), has been assessed indicating that an increase in rainfall intensity results to an increase of the WWTPs energy consumptions per wastewater treated volume. More specifically, for a specific WWTP (Lecce) it was found that the electrical consumption increases from 0.36 kw/m3 to 0.51 kw/m3 when the rainfall intensity was increased from 0.8 mm/min to 2.9 mm/min. Some adaption measures have been considered to upgrade the existing WWTP so to mitigate the energy increase and to limit the global effects of climate change. [Display omitted] • As Rain intensity rises, wastewater influx into WWTPs increases. • Rainfall intensity influences negatively electrical consumptions. • BOD removal is lower with increasing annual precipitations. • Temperature influences BOD, COD and SST removal efficiency. [ABSTRACT FROM AUTHOR]

Energy model, a systematic data-intensive multi-objective framework replicating the energy sector of the country or globe, constitutes of energy resource supply, energy consumption sector-by-sector, energy transformation technologies, greenhouse gas emission and energy pricing. Considering the atypical weather pattern yearly and geographical diversity, the challenges and benefits of designing an energy model have been summarized. The paper has documented the tremendous jeopardy of drastic climate change, energy crisis on the global economy, requirement for transition to low carbon economy and rural electrification which have been impetus for the evolution of legitimate energy model. Special emphasis has been provided on the types of energy models that have been developed and practiced throughout the world followed by a comparative analysis of a few. The requirement to configure a unique energy model in India followed by certain recommendations has been proposed in this paper. [ABSTRACT FROM AUTHOR]

• Globally, population weighting substantially changes degree-days rate of change. • Choice of base temperature strongly influences degree-day calculation. • For typical base temperatures, heating degree-days are falling at twice the rate that cooling degree days are increasing. • Within countries, heterogeneity in population changes determines relative changes in heating and cooling degree-days. Anthropogenic greenhouse gas emissions are driving global increases in temperature. This rise will likely lead to an increase in demand for cooling in the coming years. However, increasing temperatures are not the main explanatory factor for why the world is moving towards more cooling. This paper compares population and area-weighted cooling and heating degree-days derived using ERA5-Land reanalysis temperature, to show that population growth in warmer parts of the world drives cooling demand globally. The analysis shows that mean global area-weighted heating degree-days have fallen 8.46 °C days/year, whereas population-weighted heating degree-days have fallen by 12.5 °C days/year. At the same time, mean global area-weighted cooling degree-days have risen by 3.0 °C days/year, while population-weighted cooling degree-days have risen at 6.0 °C days/year. By using sub-country analysis, this paper shows that population-weighted degree-days can substantially differ from area-weighted degree-days. Finally, the findings highlight that the choice of heating and cooling degree-day base temperature is the most important parameter in the variability of degree-days and will need to be understood better in order to accurately account for future heating and cooling energy demand. [ABSTRACT FROM AUTHOR]

The building sector is considered as the biggest single contributor to world energy consumption and greenhouse gas emissions. Therefore, a good understanding of the nature and structure of energy use in buildings is crucial for establishing the adequate future energy and climate change policies. Availability of the updated data is becoming increasingly important in order to allow a rigorous analysis. In this paper, recent data on the world energy consumption in both residential and commercial buildings are reported. Past situation, current status and future trends are discussed and analyzed for selected countries. A breakdown of buildings energy consumption is realized in order to determine the influencing key parameters. A whole section of this paper is dedicated to give an overview of measures and policies adopted by different countries, allowing the monitoring, management and reduction of the energy consumption in buildings. Critical aspects of these policies are discussed based on the feedback of the early adopters. [ABSTRACT FROM AUTHOR]

Global warming, climate change, and resource depletion have forced us to reconsider energy usage and efficiencies over the last few decades. Residential and commercial buildings are both large energy consumers, so improving energy and material usage efficiency in this sector is a common research topic. According to a recent study, the Building Sector (BS) accounts for 40% of greenhouse gas emissions. The primary objective of this paper is to examine and assess the potential of Renewable Energy Systems (RES) and their combinations for enhancing energy efficiency in the BS. Specifically, the focus will be on converting low energy-efficient buildings into highly efficient ones. The potential of the RES and their combinations for the BS is evaluated based on payback durations, energy generation, and reduction of CO 2 emissions. The optimization flow charts for the RES, feasibility studies, commercialization road maps of energy storage systems and the necessity of control mechanisms for enhancing RES efficiency were discussed. Additionally, the technology drawbacks are discussed, along with various innovative techniques recommended to direct future study in this area. Finally, this article assists the audience clear idea in the selection of the right combination of potential RES based on different conditions to achieve deep decarbonization in BSs. • Buildings sector (BS) responsible for 40% of GHG emissions. • Study assesses potential of Renewable Energy System (RES) in BS. • RES evaluated on payback, energy generation, and CO 2 reduction. • Optimization, feasibility and commercialization studies were discussed. • Article recommends right RES combinations for deep decarbonization in BS. [ABSTRACT FROM AUTHOR]

• Investigated climate change impacts on office building performance in Brussels. • Applied a long-term climate change sensitive system sizing and design approach. • Time-integrated discomfort analysis showed a major surge in overheating by 2100. • Long-term climate change resistivity is ensured in reference building until 2100. • Primary energy use and GHG emission findings are useful in mixed humid climates. As climate change continues, it is expected that the risk of overheating will rise in both new and existing buildings in mixed humid climate zones in Europe. This study introduced a novel climate change sensitive sizing and design approach for cooling and heating systems in nearly zero-energy office buildings in Brussels, Belgium, for different weather scenarios. This approach considered the long-term effects of climate change on building performance. The climate change effects were assessed using current and future climate data from the regional atmospheric model, MAR. To demonstrate the approach, a case study of a nearly zero-energy office building in Brussels was conducted. The reference building model was first calibrated using monthly energy use data from the year 2019 using ASHRAE Guideline 14. Then, the building was evaluated with different HVAC strategies and their performances were quantified. The results indicated an increase in overheating as high as 1.2 °C and cooling energy use as high as 13.5 kWh/m2 and a decrease in overcooling as low as 0.3 °C and heating energy use as low as 10.9 kWh/m2 in the reference building by the end of the century. In addition, due to climate change sensitive sizing and design approach coupled with optimal sizing, the reference building was climate change resistant towards the worst-case scenario by end of the century with up to 3.7 for climate change overheating resistivity and 20.2 for climate change overcooling resistivity. Finally, the paper provided recommendations for future practice and research based on the study findings. [ABSTRACT FROM AUTHOR]

This paper assesses costs, emissions, and climate impact by freight shipping in the Arctic with main focus on the Northern Sea Route. The entire route lies in Arctic waters, which due to global warming, has become ice free during summer and autumn. The route goes from the Atlantic Ocean to the Pacific Ocean along the Russian Arctic coast and reduces voyage distance by 40% between Northern Europe and Japan. Traditionally, comparisons of the climate impact of transport solutions have been based on fuel consumption and carbon dioxide (CO 2 ), while other trace emissions in the exhaust gas have been ignored. It is becoming increasingly well-known however, that aerosols, and their precursors emitted from shipping are strong climate forcers, with a magnitude that is intimately connected to the specific region of emission. Taking into account these considerations, we apply region-specific Global Warming Potential (GWP) characterization factors to estimate the relative magnitude of the short-lived climate forcers in the Arctic compared to traditional shipping regions and to the impact of CO 2 emissions in light of reduced overall fuel consumption. The results indicate that there are no general climate benefits of utilizing the Northern Sea Route, even with cleaner fuels, since the additional impact of emissions in the Arctic more than offsets the effect of shorter voyages. In terms of climate change mitigation, managing this trade-off will be challenging, as the Northern Sea Route offers cost savings per ton of freight transported. [ABSTRACT FROM AUTHOR]

The electricity consumption in the ASEAN (Association of East Asian Nations) region is one of the fastest growing in the world and will lead to a dramatic increase in greenhouse gas emissions in the next decades. A decarbonization of the region's electricity supply is thus a very important measure when taking action on global climate change. This paper defines cost-optimal pathways towards a sustainable power system in the region by employing linear optimization. The proposed model simultaneously optimizes the required capacities and the hourly operation of generation, transmission, and storage. The obtained results show that all different kinds of renewable sources will have to be utilized, while none of them should have a share of more than one third. The findings give reason for setting up an ASEAN power grid, as it enables the transportation of electricity from the best sites to load centers and leads to a balancing of the fluctuations from wind and solar generation. We suggest fostering a diversified extension of renewables and to elaborate on political and technical solutions that enable the build up an transnational supergrid. [ABSTRACT FROM AUTHOR]

Climate change and global warming as the main human societies’ threats are fundamentally associated with energy consumption and GHG emissions. The residential sector, representing 27% and 17% of global energy consumption and CO 2 emissions, respectively, has a considerable role to mitigate global climate change. Ten countries, including China, the US, India, Russia, Japan, Germany, South Korea, Canada, Iran, and the UK, account for two-thirds of global CO 2 emissions. Thus, these countries’ residential energy consumption and GHG emissions have direct, significant effects on the world environment. The aim of this paper is to review the status and current trends of energy consumption, CO 2 emissions and energy policies in the residential sector, both globally and in those ten countries. It was found that global residential energy consumption grew by 14% from 2000 to 2011. Most of this increase has occurred in developing countries, where population, urbanization and economic growth have been the main driving factors. Among the ten studied countries, all of the developed ones have shown a promising trend of reduction in CO 2 emissions, apart from the US and Japan, which showed a 4% rise. Globally, the residential energy market is dominated by traditional biomass (40% of the total) followed by electricity (21%) and natural gas (20%), but the total proportion of fossil fuels has decreased over the past decade. Energy policy plays a significant role in controlling energy consumption. Different energy policies, such as building energy codes, incentives, energy labels have been employed by countries. Those policies can be successful if they are enhanced by making them mandatory, targeting net-zero energy building, and increasing public awareness about new technologies. However, developing countries, such as China, India and Iran, still encounter with considerable growth in GHG emissions and energy consumption, which are mostly related to the absence of strong, efficient policy. [ABSTRACT FROM AUTHOR]

In the long-term stabilization targets of greenhouse gases concentrations, various carbon emission rights allocation schemes have been proposed. To compare and evaluate them, the most essential is the equity-efficiency tradeoff. This paper measures the equity and the efficiency in the global rather than the narrower national perspective. Specifically, the equity of the first allocation is quantified by the carbon Gini coefficient defined by per capita cumulative emission, and the economic efficiency to accomplish obligations is described with the discounted global abatement costs. Under 20 key allocation schemes, the numerical comparison on the equity-efficiency tradeoff side is carried out through the Equitable Access to Sustainable Development model. Our studies indicate that the equity and the efficiency of future emission space allocation approximately show a three-stage relationship. [ABSTRACT FROM AUTHOR]

The mitigation of climate change is the main issue for environmental policymakers. A large number of authors analysed the impact of various factors on greenhouse gas (GHG) emissions. In this paper, we proposed a multiplicative approach to use 2- and 3-way interactions simultaneously in order to analyse the effects of energy efficiency, renewable energy and sector mix as the moderators that shape the economic activity – environmental degradation nexus. The results encompassing global panel data show that the turning point increased from 1990 to 1995 to 2002–2007 and decreased afterwards. Considering the analysis of moderators, a high share of agriculture and industry sectors make the curve flat with a positive slope and a high level of economic activity was associated with more GHG emissions with no turning point. The marginal effect of energy efficiency to reduce the negative impact of agriculture and industry sectors was growing. Meanwhile, the marginal effect of renewables to reduce the negative impact of agriculture and industry sectors was diminishing. Service sector and energy efficiency, service sector and renewables worked as the substituting forces reducing GHG emissions with a diminishing marginal rate of substitution. Therefore, this study confirms that the economic activity – environmental degradation relationship is very complex and further studies should consider the role of the moderators of this nexus. [Display omitted] • Technique, composition effects should be considered as moderators of HGH emissions. • The multiplicative approach was applied to model interactions of GHG factors. • Agriculture, industry sectors made the economic activity GHG emissions curve flat. • Marginal effect of renewables to reduce GHG emissions was diminishing. • Service sector and renewables worked as substituting forces reducing emissions. [ABSTRACT FROM AUTHOR]