Scales are widely used to assess the personal experience of thermal conditions in built environments. Most commonly, thermal sensation is assessed, mainly to determine whether a particular thermal condition is comfortable for individuals. A seven-point thermal sensation scale has been used extensively, which is suitable for describing a one-dimensional relationship between physical parameters of indoor environments and subjective thermal sensation. However, human thermal comfort is not merely a physiological but also a psychological phenomenon. Thus, it should be investigated how scales for its assessment could benefit from a multidimensional conceptualization. The common assumptions related to the usage of thermal sensation scales are challenged, empirically supported by two analyses. These analyses show that the relationship between temperature and subjective thermal sensation is non-linear and depends on the type of scale used. Moreover, the results signify that most people do not perceive the categories of the thermal sensation scale as equidistant and that the range of sensations regarded as ‘comfortable’ varies largely. Therefore, challenges known from experimental psychology (describing the complex relationships between physical parameters, subjective perceptions and measurement-related issues) need to be addressed by the field of thermal comfort and new approaches developed.

Design approaches towards energy efficient hospitals often result in a deteriorated indoor environmental quality, adverse health and comfort outcomes, and is a public health concern. This research presents an advanced approach to the design of a hospital environment based on a stimulative paradigm of healing to achieve not only healthy but also comforting conditions. A hospital room for severely burn patient was considered as one of the most demanding spaces. The healing environment was designed as a multi-levelled, dynamic process including the characteristics of users, building and systems. The developed integral user-centred cyber-physical system (UCCPS) was tested in a test room and compared to the conventional system. The thermodynamic responses of burn patients, health care worker and visitor were simulated by using modified human body exergy models. In a healing environment, UCCPS enables optimal thermal balance, individually regulated according to the user specifics. For burn patient it creates optimal healing-oriented conditions with the lowest possible human body exergy consumption (hbExC), lower metabolic thermal exergy, lower sweat exhalation, evaporation, lower radiation and convection. For healthcare workers and visitors, thermally comfortable conditions are attained with minimal hbExC and neutral thermal load on their bodies. The information on this is an aid in integral hospital design, especially for future extensive renovations and environmental health actions.

Exergy is a thermodynamic concept that allows us to articulate what is consumed and where it occurs in a working system. This paper provides an overview of the present state‐of‐the‐art of exergy research done by the author over the last 3 decades. In this paper, first, a brief introduction of warm and cool exergy concepts as quantities of state and flow, which can be rationally derived from the 2 fundamental laws of thermodynamics, is presented. Then, 3 typical applications are demonstrated: (a) exergetic evaluation of window systems with shading devices; (b) human body exergy analysis for summer seasons; and (c) exergetic evaluation of a heat‐pump system. Thorough and connective thinking with the concept of exergy helps us understand the essential points in environmental planning and design of the built environment.