Digital Platforms for Renewable Energy Communities Projects: An Overview

The European Union energy policy agenda of achieving the transition to carbon neutrality has been established by an important legislative package called "Clean Energy for all Europeans". A novel approach introduced was to put the citizen at the center of the energy transition. On one side, by powering his freedom of action and, on the other side, by asking him an exceptional engagement in energy consumption reduction activities and in participating in the investments for new distributed Renewable Energy Sources (RES) power plants. The Renewable Energy Communities (REC) is the policy framework used to implement this strategy introduced by the Renewable Energy Directive Recast (RED II). In particular, RECs promote citizen’s active role by encouraging energy consumption reduction and energy demand flexibility while reducing the Not In My Bachyard (NIMBY) effect towards RES. Each member state is transposing the RED II directive, adapting it to national legislation and energy transition strategy. Pioneers countries like Italy have already started the experimentation of this framework and developing the first pilot projects. The citizens’ interest and their will to participate in REC projects indicate the need for supporting tools guiding them along all the project development stages: “design”, “creation”, and “operation”. This work presents three categories of supporting digital tools and platforms required to develop REC projects: Commercial, EU Founded and Freeware. We analyzed 30 tools, evaluating the services provided in each of the different stages of REC project implementation

Simulation of the Impact on the Workload of the Enlargement of the Clinical Staff of a Specialistic Reference Center

Quality of care and patient satisfaction are important aspects of high standard care. If clinical staff is subject to an elevated workload there is a possible decrease of both. This justifies the development of tools to quantify the workload and to find organizational changes that will normalize it. We have previously developed a simulation system to quantify the workload of the staff working in a regional reference center for the treatment of bleeding and hemorrhagic disorders. The goal of this new work is to simulate, through an agent-based model, the impact of adding a physician to the staff. Ten sets of initial parameters were defined to simulate ten typical weeks. Results show that the introduction of the new physician together with a second ambulatory room can reduce the workload of all the staff to the expected 8-hour. In this situation, in which the staff workload does not exceed the daily capacity, we may suppose that an increase in the quality of care and patient satisfaction will be possible

Techno-economic comparison of buildings acting as Single-Self Consumers or as energy community through multiple economic scenarios

The European Union has set ambitious targets to move towards a society with high penetration of renewable energy sources. In the forthcoming energy transition, Energy Communities (EC), i.e., legal entities where different actors, including citizens, cooperate in energy generation, storage and management, will play a crucial role. The present work simulates the energy flows and assesses the potential economic benefits of a cluster of buildings acting collectively as an energy community – a specific case study is set in northern Italy by comparing the EC performance with a configuration where customers act as Single Self-Consumers (SSCs). Pending the transposition of EU Directives to binding national laws, due by 2021, different supporting tariffs (economic scenarios) have been simulated in order to determine which scheme will support more effectively the integration of Energy Communities in the national energy market. Results show that ECs (i.e., customers acting collectively as energy prosumers) are able to accelerate the diffusion of building-integrated renewable energy sources (RES), resulting in higher overall self-consumption rates than SSCs. Self-consumed electricity generates savings on the energy bill of EC, and we calculated positive economic performance indicators for all the analysed economic scenarios. The sensitivity analysis carried out on system and transport charges of the electricity bill shows their remarkable impact on the economics making the EC less attractive for investors and citizens without proper supporting schemes

Agent-Based Modeling and Simulation of Care Delivery for Patients with Thrombotic and Bleeding Disorders

The quality of patients care delivery is thought to be strongly affected by the physicians' workload. In this study we present an Agent-Based model of the processes during a typical working day. We simulated the current scenario and a possible scenario concerning the introduction of a second ambulatory as a potential improvement in the center organization. Our results validated the reliability of the model and showed that the introduction of a second ambulatory averagely reduces the daily physician' workload

A Prevention through Design Approach for the Environmental S&H Conditions and the Ventilation System at an Italian Underground Quarry

Even if the number of the Italian quarrying operations in underground is steadily growing, in many cases the safety criticalities are somehow underestimated, in spite of the regulations D.Lgs. 81/08 and D.Lgs. 624/96, Italian enforcements of the European Directives. Ventilation system is conceived to face very simplified requirements, whilst critical pollutants or emergency situations are not taken in due considerations. Asides, the ventilation system fault and availability analysis is seldom included in the project. The paper deals with the results of a research work started some years ago at an underground quarry exploited through drift sublevel based on drill and blast technique, to identify criteria suitable to grant effective safety and health -S&H- conditions for the workers operating in the underground in the Prevention through Design approach. Taken into account that the phases for an effective approach to the S&H problems in underground must follow a hierarchic method in which the risk management should be faced from an effective hazard reduction to a minimum at the sources, and the ventilation should be considered only as a 4th level solution, the possibilities of control at the main pollution sources, i.e. the emission of pollutants due to the rock winning and mucking operations, have been examined. The residual risk was then faced with both the original underground and airways layout definition for a new exploitation development, based on technical and efficiency considerations, and on fire emergency computer simulations. Finally, the paper summarizes the results of an availability analysis of the ventilation system for the normal operating conditions and the emergencies management, on the basis of the results of Hazard Evaluation techniques, in particular Hazard and Operability Analysis and Fault Tree Analysis

Current Choices and Management of Treatment in Persons with Severe Hemophilia A without Inhibitors: A Mini‐Delphi Consensus

Background. Regular treatment to prevent bleeding and consequent joint deterioration (prophylaxis) is the standard of care for persons with severe hemophilia A, traditionally based on intravenous infusions of the deficient clotting FVIII concentrates (CFCs). In recent years, extended half‐life (EHL) CFCs and the non‐replacement agent emicizumab, subcutaneously administered, have reduced the treatment burden. Methods. To compare and integrate the opinions on the different therapies available, eight hemophilia specialists were involved in drafting items of interest and relative statements through the Estimate‐Talk‐Estimate (ETE) method (“mini‐Delphi”), in this way reaching consensus. Results. Eighteen items were identified, then harmonized to 10, and a statement was generated for each. These statements highlight the importance of personalized prophylaxis regimens. CFCs, particularly EHL products, seem more suitable for this, despite the challenging intravenous (i.v.) administration. Limited real‐world experience, particularly in some clinical settings, and the lack of evidence on long‐term safety and efficacy of non‐replacement agents, require careful individual risk/benefit assessment and multidisciplinary data collection. Conclusions. The increased treatment options extend the opportunities of personalized prophylaxis, the mainstay of modern management of hemophilia. Close, long‐term clinical and laboratory follow‐up of patients using newer therapeutic approaches by specialized hemophilia treatment centers is needed

The energy center initiative at politecnico di torino: practical experiences on energy efficiency measures in the municipality of torino

Urban districts should evolve towards a more sustainable infrastructure and greener energy carriers. The utmost challenge is the smart integration and control, within the existing infrastructure, of new information and energy technologies (such as sensors, appliances, electric and thermal power and storage devices) that are able to provide multi-services based on multi-actors and multi and interchangeable energy carriers. In recent years, the Municipality of Torino represents an experimental scenario, in which practical experiences in the below-areas have taken place through a number of projects: 1. energy efficiency in building; 2. smart energy grids management and smart metering; 3. biowaste-to-energy: mixed urban/industrial waste management with enhanced energy recovery from biogas. This work provides an overview and update on the most interesting initiatives of smart energy management in the urban context of Torino, with an analysis and quantification of the advantages gained in terms of energy and environmental efficiency

Second-line administration of thrombopoietin receptor agonists in immune thrombocytopenia: Italian Delphi-based consensus recommendations

Introduction: In patients with primary immune thrombocytopenia (ITP), a short course of steroids is routinely given as first-line therapy. However, the response is often transient and additional therapy is usually needed. Thrombopoietin receptor agonists (TPO-RAs) are frequently used as second-line therapy, although there is little clinical guidance on the timing of their administration and on tapering/discontinuation of the drug. To provide clinical recommendations, we used the Delphi technique to obtain consensus for statements regarding administration and on tapering/discontinuation of second-line TPO-RAs among a group of Italian clinicians with expertise in management of ITP. Methods: The Delphi process was used to obtain agreement on five statements regarding initiation and on tapering/discontinuation of second-line TPO-RAs. Agreement was considered when 75% of participants approved the statement. Eleven experts participated in the voting. Results: Full consensus was reached for three of the five statements. The experts held that an early switch from corticosteroids to a TPO-RA has the dual advantage of sparing patients from corticosteroid abuse and improve long-term clinical outcomes. All felt that dose reduction of TPO-RAs can be considered in patients with a stable response and platelet count >100 × 109/L that is maintained for at least 6 months in the absence of concomitant treatments, although there was less agreement in patients with a platelet count >50 × 109/L. Near consensus was reached regarding the statement that early treatment with a TPO-RA is associated with an increase in clinically significant partial or complete response. The experts also agreed that optimization of tapering and discontinuation of TPO-RA therapy in selected patients can improve the quality of life. Conclusion: The present consensus can help to provide guidance on use of TPO-RAs in daily practice in patients with ITP. Plain language summary: Second-line administration of thrombopoietin receptor agonists in immune thrombocytopenia There is little guidance on the timing of administration and tapering/discontinuation of thrombopoietin receptor agonists (TPO-RAs) in patients with primary immune thrombocytopenia (ITP).The Delphi technique was used to obtain consensus for five statements.The present consensus among Italian clinicians aims to provide guidance on second-line use of TPO-RAs for patients with ITP in daily practice