Comparison Study Of Energy Efficiency Activities Programs Among The Selected Region And Countries: Lessons Learned For Malaysia

This study reviews the contemporary tendencies in energy efficiency performance in chosen regions and countries. It also reviews the energy efficiency strategies and activities accomplished in these countries which pursue the program of reduction in energy consumption while maintaining the comfort level. These become the objectives and today’s energy efficiency requirement. This study also aims to highlight these activities and the outcomes of the energy efficiency implementation. The extent of this action and its effectiveness is being ascertained. The indicator used to evaluate the Energy Efficiency activities is the Energy Intensity Indicator which is provided by International Energy Agency (IEA). The reports and measurements of the International Energy Agency (IEA) are considered in order to make comparison among the selected countries. The main reason of focus on Energy Intensity levels is because this indicator reflects the result of all activities in different sectors and make sense which country has fulfilled the requirement of Energy Efficiency. The regions and countries are selected on the basis that their level of achievement in the energy efficiency programs are high. However, comparison is still made because each region and country has different emphasis and focus. Despite that Malaysia is a developing country, the achievement towards satisfactory energy efficiency implementation can be considered as encouraging and can only advance further if energy efficiency practice in these selected countries will be learned

Permeance Based Algorithm For Computation Of Flux Linkage Characteristics Of Non-Linear 6/4 Switched Reluctance Motor (SRM)

The concept of permeance is used in the analysis of flux linkage of 6/4 SRM. The aim of this paper is to develop an efficient algorithm exploiting the nonlinear feature of the 6/4 SRM using the aforementioned concept of permeance. The first step is to generate the relevant equations related to permeances of the 6/4 SRM under study. The 6/4 SRM’s magnetization curve is then derived from the summation of mmf drops at various blocks representing the motor. The air gap permeances are derived at various angles and 3-D leakage effects are taken into account. These permeances are used for the mmf drop computation. The algorithm is capable of efficiently computing mmf drop at every block to consequently yield a complete accurate nonlinear flux linkage feature of the 6/4 switched reluctance motor. In this way, the capability of the SRM to produce the expected four times the specific output torque due to operation in high saturation region compared to an equivalent induction motor as special the attribute of the SRM is demonstrated

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely