Aggregation and remuneration in Demand-Response with a blockchain-based framework

This paper describes the possibility to use the blockchain technology for load and generation aggregation in a new distributed Demand Response (DR) service and customers remuneration system. The blockchain technology and the use of smart contracts for DR allow the creation of a distributed system in which customers can communicate directly, in a transparent, secure and traceable way, with the grid operator to provide their flexibility. In this paper, the DR problem formulation takes into account several aspects, which are periodically executed. First, the blockchain records customers’ energy consumption or production, then, the smart contract starts calculating the baseline and the potential support provided by each customer to fulfil the requested load adaptation. Customers’ availability for generation and load profile modulation is also taken into account, as well as their privacy and an updated definition of the roles of grid and market operators in a new Demand-Response scenario supported by the blockchain technology. The blockchain used is Hyperledger Fabric, since it turned to be flexible for smart contracts implementation while supporting multi-tenancy. Results show the possibility to successfully apply the blockchain technology to this particular topic, even considering privacy-preserving issues

Retrospective analyses of psychological distress and defense style among cancer patients

Objective: Psychological distress is common in cancer patients during the diagnostic phase. Research demonstrated that anxiety, depression and defense mechanisms may influence physical and psychological well-being in patients with malignant tumors. The present retrospective study investigated the associations between clinical and psychological characteristics of cancer patients waiting for the diagnosis, focusing on metastatic cancer (MC) and breast cancer (BC). Methods: Patients with a new diagnosis of cancer referring to a Clinical Oncology Unit in Central Italy were interviewed during the 2017 for psychological assessment. Double-blind information about anxiety, depression, sleep disorders, defense style, and cancer diagnosis were available for the 567 patients included in this study. T-test, chi-squared and regression analyses were performed to detect associations between psychological variables and the presence of metastasis (MC) in the whole sample and in the subgroup of breast cancer (BC) patients. Results: Female gender and younger age were associated with anxiety, depres-sion, and maladaptive defense style. A significant positive relationship was found between presence of metastasis and symptoms of anxiety. Depression resulted significantly more frequent in BC, while there was a trend close to statistical significance in MC. Immature defense style was widely used by BC women, with a score close to statistical significance. Conclusions: This retrospective study provided empirical evidence of the relationship between psychological functioning and clinical characteristics of cancer. In line with previous research, our findings confirmed the peculiar psychological functioning of BC patients. Further investigations are needed to understand how the diagnosis of cancer may influence the individual psychological functioning and vice versa

An Energy Blockchain, a Use Case on Tendermint

The recent advances in distributed energy systems require new models for exchanging energy among prosumers in microgrids. The blockchain technology promises to solve the digital issues related to distributed systems without a trusted authority and to allow quick and secure energy transactions, which are verified and cryptographically protected. Transactions are approved and subsequently recorded on all the machines participating in the blockchain. This work demonstrates how users, which are nodes of the energy and digital networks, exchange energy supported by a customized blockchain based on Tendermint. We focus on the procedures for generating blocks and defining data structures for storing energy transactions

Review of potential and actual penetration of solar power in Vietnam

With the average solar radiation reaching up to 5 kWh/m2, Vietnam is considered as a country showing an excellent potential for solar power production. Since the year 2000, there have been a lot of studies about the potential of this source in Vietnam. So far, many applications of solar power have been implemented on small, medium, and large scales. In fact, the total capacity of current grid-connected solar power plants has exceeded the planned capacity by 2020 nearly 6 times. However, the studies of solar potential in Vietnam are still incomplete. The policies and mechanisms for developing solar power projects have received attention from the authorities but have not been really satisfactory. The infrastructure is still poor and the power system does not keep up with the development of modern grids. This paper reviewed the potential and actual implementation stage of photovoltaic projects in Vietnam. Moreover, the barriers and challenges of institution, technique, economy, and finance have been considered explicitly for the future development of solar energy in Vietnam

Clinical care conditions and needs of palliative care patients from five italian regions: Preliminary data of the demetra project

In order to plan the right palliative care for patients and their families, it is essential to have detailed information about patients’ needs. To gain insight into these needs, we analyzed five Italian local palliative care networks and assessed the clinical care conditions of patients facing the complexities of advanced and chronic disease. A longitudinal, observational, noninterventional study was carried out in five Italian regions from May 2017 to November 2018. Patients who accessed the palliative care networks were monitored for 12 months. Sociodemographic, clinical, and symptom information was collected with several tools, including the Necesidades Paliativas CCOMS-ICO (NECPAL) tool, the Edmonton Symptom Assessment System (ESAS), and interRAI Palliative Care (interRAI-PC). There were 1013 patients in the study. The majority (51.7%) were recruited at home palliative care units. Cancer was the most frequent diagnosis (85.4%), and most patients had at least one comorbidity (58.8%). Cancer patients reported emotional stress with severe symptoms (38.7% vs. 24.3% in noncancer patients; p = 0.001) and were less likely to have clinical frailty (13.3% vs. 43.9%; p < 0.001). Our study confirms that many patients face the last few months of life with comorbidities or extreme frailty. This study contributes to increasing the general knowledge on palliative care needs in a high-income country

A methodology for assessing the impact of salinity gradient power generation in urban contexts

The paper proposes a methodology to assess the potential impact of salinity gradient power technology in urban contexts. The idea to employ such energy source in urban contexts derives from the observation that, among the energy districts outputs, low-salinity treated wastewater can be used to produce electricity if a suitable source of high salinity feed (seawater of a salt-works) is also available. The methodology uses the HOMER software for assessing the district’s electric energy production, consumption and exchange with the main grid. Then, starting from the total gross surface and the number of inhabitants of the district, some possible realistic scenarios characterized by different wastewater flow rate are defined. Finally, for each scenario the size and the yearly energy production of the salinity gradient power system are calculated thanks to a simulator carried out by the same authors. An application example, considering three different scenarios, shows that urban density plays a crucial role in the process and that the most promising realistic scenarios are those including treated wastewater and brine and unlimited seawater and brine. The economic feasibility of the salinity gradient power technology is evaluated by a comparison with classical renewable technologies such as photovoltaic and wind systems

Critical Assessments of the Potential for Integrating Renewable Energy into Isolated Grids on Vietnamese Islands: The Case of the An-Binh Grid

Renewable electricity for off-grid areas is widely seen as one of the top choices in supporting local economic development in most countries, and so is Vietnam. Over the years, many isolated networks using renewable energy sources have been deployed for off-grid areas in Vietnam. However, the use of these energy sources in Vietnam’s isolated networks is still facing many challenges due to its infancy here. The issues of reliability and vulnerability of these networks are not given the expected attention. Another challenge is that the issues of the operational security of these systems could also be negatively affected by the variable nature of renewable sources, including static and dynamic security. For this reason, this study aims to contribute to a better understanding of integrating renewable energy into isolated networks, and in this case, using solar power for the An-Binh Island grid in Vietnam. The findings from this study suggest that choosing the right structure of the power mix could contribute to improving the operational security of isolated networks. Moreover, several solutions to enhance the reliability of this grid are also proposed. The NEPLAN environment was selected for simulation and analysis for all the scenarios in this study

Equine mesenchymal stem/stromal cells freeze-dried secretome (Lyosecretome) for the treatment of musculoskeletal diseases: Production process validation and batch release test for clinical use

In the last decades, it has been demonstrated that the regenerative therapeutic efficacy of mesenchymal stromal cells is primarily due to the secretion of soluble factors and extracellular vesicles, collectively known as secretome. In this context, our work described the preparation and characterization of a freeze-dried secretome (Lyosecretome) from adipose tissue-derived mesenchy-mal stromal cells for the therapy of equine musculoskeletal disorder. An intraarticular injectable pharmaceutical powder has been formulated, and the technological process has been validated in an authorized facility for veterinary clinical-use medicinal production. Critical parameters for quality control and batch release have been identified regarding (i) physicochemical properties; (ii) extracellular vesicle morphology, size distribution, and surface biomarker; (iii) protein and lipid content; (iv) requirements for injectable pharmaceutical dosage forms such as sterility, bacterial endotoxin, and Mycoplasma; and (v) in vitro potency tests, as anti-elastase activity and proliferative activity on musculoskeletal cell lines (tenocytes and chondrocytes) and mesenchymal stromal cells. Finally, proteins putatively responsible for the biological effects have been identified by Lyosecretome pro-teomic investigation: IL10RA, MXRA5, RARRES2, and ANXA1 modulate the inflammatory process RARRES2, NOD1, SERPINE1, and SERPINB9 with antibacterial activity. The work provides a proof-of-concept for the manufacturing of clinical-grade equine freeze-dried secretome, and prototypes are now available for safety and efficacy clinical trials in the treatment of equine musculoskeletal diseases

Long non-coding RNA gas5 and intestinal mmp2 and mmp9 expression: A translational study in pediatric patients with IBD

Background: The long non-coding RNA (lncRNA) growth arrest–specific transcript 5 (GAS5) seems to be involved in the regulation of mediators of tissue injury, in particular matrix metalloproteinases (MMPs), implicated in the pathogenesis of inflammatory bowel disease (IBD). We investigated the role of GAS5 in regulating MMP2 and MMP9 expression in pediatric patients with IBD and in vitro. Methods: In total, 25 IBD patients were enrolled: For each patient paired inflamed and non-inflamed biopsies were collected. RNA was extracted and GAS5, MMP2, and MMP9 were quantified by TaqMan assay. The expression of GAS5 and MMPs was also determined in the human monocytic THP1 cells differentiated into macrophages and stimulated with lipopolysaccharide (LPS). The function of GAS5 was assessed by overexpressing the lncRNA and evaluating the MMPs levels. Results: Real-time PCR results demonstrated a downregulation of GAS5 and an upregulation of both MMPs in inflamed tissues. In vitro data confirmed the trend observed in patients for the three genes: The stimulation with LPS promoted a downregulation of GAS5 while an increase of MMPs was observed. Overexpression experiments showed that higher levels of GAS5 lead to a decrease of both enzymes. Conclusion: These results provide new information about the role of GAS5 in IBD: The lncRNA could mediate tissue damage by modulating the expression of MMPs