Novel use of green hydrogen fuel cell-based combined heat and power systems to reduce primary energy intake and greenhouse emissions in the building sector

Achieving European climate neutrality by 2050 requires further efforts not only from the industry and society, but also from policymakers. The use of high-efficiency cogeneration facilities will help to reduce both primary energy consumption and CO2 emissions because of the increase in overall efficiency. Fuel cell-based cogeneration technologies are relevant solutions to these points for small- and microscale units. In this research, an innovative and new fuel cell-based cogeneration plant is studied, and its performance is compared with other cogeneration technologies to evaluate the potential reduction degree in energy consumption and CO2 emissions. Four energy consumption profile datasets have been generated from real consumption data of different dwellings located in the Mediterranean coast of Spain to perform numerical simulations in different energy scenarios according to the fuel used in the cogeneration. Results show that the fuel cell-based cogeneration systems reduce primary energy consumption and CO2 emissions in buildings, to a degree that depends on the heat-to-power ratio of the consumer. Primary energy consumption varies from 40% to 90% of the original primary energy consumption, when hydrogen is produced from natural gas reforming process, and from 5% to 40% of the original primary energy consumption if the cogeneration is fueled with hydrogen obtained from renewable energy sources. Similar reduction degrees are achieved in CO2 emissions

Mechanisms of Intragastric pH Sensing

Luminal amino acids and lack of luminal acidity as a result of acid neutralization by intragastric foodstuffs are powerful signals for acid secretion. Although the hormonal and neural pathways underlying this regulatory mechanism are well understood, the nature of the gastric luminal pH sensor has been enigmatic. In clinical studies, high pH, tryptic peptides, and luminal divalent metals (Ca2+ and Mg2+) increase gastrin release and acid production. The calcium-sensing receptor (CaSR), first described in the parathyroid gland but expressed on gastric G cells, is a logical candidate for the gastric acid sensor. Because CaSR ligands include amino acids and divalent metals, and because extracellular pH affects ligand binding in the pH range of the gastric content, its pH, metal, and nutrient-sensing functions are consistent with physiologic observations. The CaSR is thus an attractive candidate for the gastric luminal sensor that is part of the neuroendocrine negative regulatory loop for acid secretion

Diversity and ethics in trauma and acute care surgery teams: results from an international survey

Background: Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods: The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results: Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions: Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Level of evidence: Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance

Diversity and ethics in trauma and acute care surgery teams: results from an international survey

Background Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Level of evidence Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance

Comment on “Experimental investigation on cellular breakup of a planar liquid sheet from an air-blast nozzle” [ Phys. Fluids 16, 625 (2004) ]

2 pages, 2 figures.The validity of the laser diffraction technique commonly used to measure the longitudinal oscillation of an air-blasted liquid sheet was recently questioned in a paper published in Physics of Fluids.1 Some experimental results are here presented to demonstrate that it can be safely applied.Peer reviewe