An Eco-Energetic performance comparison of dehumidification systems in High-Moisture indoor environments

This study discusses the choice of dehumidification systems for high-moisture indoor environments, such as indoor swimming pools, supported by an eco-energetic performance comparison. Initially, the causes of the high relative humidity and condensation in these spaces are reported, as well as the available dehumidification technologies. Two different solutions are described: desiccant wheel dehumidification and re-cooling. The energy demand required by a refrigeration system is lower than the desiccant wheel; however, the former system requires less maintenance and does not require refrigerant fluid. An eco-energetic comparison is performed between the two systems in two countries with different energy matrices (Brazil and USA). In Brazil, the desiccant wheel is the best choice for the past 10 years, with a predicted 351,520 kgCO2 of CO2 emissions, which is 38% lower than the refrigeration system. In the USA, the best option is the refrigeration system (1,463,350 kgCO2), a 12% more efficient option than desiccant wheels. This model can be considered for energy and CO2 emissions assessment, predicting which system has better energy efficiency and lower environmental impact, depending on the refrigerant type, location and environmental conditions.info:eu-repo/semantics/publishedVersio

Free boson formulation of boundary states in W_3 minimal models and the critical Potts model

We develop a Coulomb gas formalism for boundary conformal field theory having a $W$ symmetry and illustrate its operation using the three state Potts model. We find that there are free-field representations for six $W$ conserving boundary states, which yield the fixed and mixed physical boundary conditions, and two $W$ violating boundary states which yield the free and new boundary conditions. Other $W$ violating boundary states can be constructed but they decouple from the rest of the theory. Thus we have a complete free-field realization of the known boundary states of the three state Potts model. We then use the formalism to calculate boundary correlation functions in various cases. We find that the conformal blocks arising when the two point function of $\phi_{2,3}$ is calculated in the presence of free and new boundary conditions are indeed the last two solutions of the sixth order differential equation generated by the singular vector.Comment: 25 page

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Boundary states and broken bulk symmetries in W A(r) minimal models

We study the boundary states of (p', p) rational conformal field theories having a W symmetry of the type A(r) using the multi-component free-field formalism. The classification of primary fields for these models given in the literature is shown to be incomplete; we give the correct classification by demanding modular covariance and show that the resulting modular S matrix satisfies all the necessary conditions. Basis states satisfying the boundary conditions are found in the form of coherent states and as expected we find that W violating states can be found for all these models. We construct consistent physical boundary for all the rank 2 (p+1, p) models (of which the already known case of the 3-state Potts model is the simplest example) and find that the W violating sector possesses a direct analogue of the Verlinde formula