Haemoglobinopathies and newborn haemoglobinopathy screening in Germany.

Germany has been an immigration country since the early 1950s. In December 2007, 6.7 million non-German citizens lived in the country. However, the total number of citizens with a migration background is 15–20 million, about 9 million of whom come from countries where sickle cell disease and thalassaemias are frequent. In a country with 82 million inhabitants health authorities are not worried by the presence of probably 1000–1500 sickle cell and 450 transfusion-dependent thalassaemia patients, and therefore no screening or preventive measures have been taken so far on a national scale. There are plans for a pilot project (1 year) to screen all newborns for sickle cell disease in obstetric hospitals in 4–5 cities with more than 20% migrants. Funding and lack of an infrastructure to provide counselling are major problems

A Prototype Toolkit For Evaluating Indoor Environmental Quality In Commercial Buildings

Measurement of building environmental parameters is often complex, expensive, and not easily proceduralized in a manner that covers all commercial buildings. Evaluating building indoor environmental quality performance is therefore not standard practice. This project developed a prototype toolkit that addressed existing barriers to widespread indoor environmental quality performance evaluation. A toolkit with both hardware and software elements was designed for practitioners around the indoor environmental quality requirements of the American Society of Heating, Refrigeration and Air Conditioning Engineers / Chartered Institution of Building Services / United States Green Building Council Performance Measurement Protocols. This unique toolkit was built on a wireless mesh network with a web-based data collection, analysis, and reporting application. The toolkit provided a fast, robust deployment of sensors, real-time data analysis, Performance Measurement Protocol-based analysis methods and a scorecard and report generation tools. A web-enabled Geographic Information System-based metadata collection system also reduced field-study deployment time. The toolkit was evaluated through three case studies, which were discussed in this report

Evaluation of the Repeatability of the Delta Q Duct Leakage Testing TechniqueIncluding Investigation of Robust Analysis Techniques and Estimates of Weather Induced Uncertainty

The DeltaQ test is a method of estimating the air leakage from forced air duct systems. Developed primarily for residential and small commercial applications it uses the changes in blower door test results due to forced air system operation. Previous studies established the principles behind DeltaQ testing, but raised issues of precision of the test, particularly for leaky homes on windy days. Details of the measurement technique are available in an ASTM Standard (ASTM E1554-2007). In order to ease adoption of the test method, this study answers questions regarding the uncertainty due to changing weather during the test (particularly changes in wind speed) and the applicability to low leakage systems. The first question arises because the building envelope air flows and pressures used in the DeltaQ test are influenced by weather induced pressures. Variability in wind induced pressures rather than temperature difference induced pressures dominates this effect because the wind pressures change rapidly over the time period of a test. The second question needs to answered so that DeltaQ testing can be used in programs requiring or giving credit for tight ducts (e.g., California's Building Energy Code (CEC 2005)). DeltaQ modeling biases have been previously investigated in laboratory studies where there was no weather induced changes in envelope flows and pressures. Laboratory work by Andrews (2002) and Walker et al. (2004) found biases of about 0.5% of forced air system blower flow and individual test uncertainty of about 2% of forced air system blower flow. The laboratory tests were repeated by Walker and Dickerhoff (2006 and 2008) using a new ramping technique that continuously varied envelope pressures and air flows rather than taking data at pre-selected pressure stations (as used in ASTM E1554-2003 and other previous studies). The biases and individual test uncertainties for ramping were found to be very close (less than 0.5% of air handler flow) to those found in for the pressure station approach. Walker and Dickerhoff also included estimates of DeltaQ test repeatability based on the results of field tests where two houses were tested multiple times. The two houses were quite leaky (20-25 Air Changes per Hour at 50Pa (0.2 in. water) (ACH50)) and were located in the San Francisco Bay area. One house was tested on a calm day and the other on a very windy day. Results were also presented for two additional houses that were tested by other researchers in Minneapolis, MN and Madison, WI, that had very tight envelopes (1.8 and 2.5 ACH50). These tight houses had internal duct systems and were tested without operating the central blower--sometimes referred to as control tests. The standard deviations between the multiple tests for all four houses were found to be about 1% of the envelope air flow at 50 Pa (0.2 in. water) (Q50) that led to the suggestion of this as a rule of thumb for estimating DeltaQ uncertainty. Because DeltaQ is based on measuring envelope air flows it makes sense for uncertainty to scale with envelope leakage. However, these tests were on a limited data set and one of the objectives of the current study is to increase the number of tested houses. This study focuses on answering two questions: (1) What is the uncertainty associated with changes in weather (primarily wind) conditions during DeltaQ testing? (2) How can these uncertainties be reduced? The first question is addressing issues of repeatability. To study this five houses were tested as many times as possible over a day. Weather data was recorded on-site--including the local windspeed. The result from these five houses were combined with the two Bay Area homes from the previous studies. The variability of the tests (represented by the standard deviation) is the repeatability of the test method for that house under the prevailing weather conditions. Because the testing was performed over a day a wide range of wind speeds was achieved following typical diurnal variations of low wind in the early morning and greatest winds in the late afternoon/early evening. Typically about ten tests were performed in each house. To answer the second question, different data analysis techniques were investigated that looked at averaging techniques, elimination of outliers, limiting leak pressures, etc. in order to minimize the influence of changing wind conditions during the test. The objective was to find a reasonable compromise between test precision and robustness--because many of the changes to the analysis to make the test more robust limit its ability to examine wide ranges of pressures and leakage flows. A secondary goal of this study is to show that DeltaQ uncertainties are acceptable for testing low leakage systems. Therefore houses with low duct leakage were deliberately chosen to be tested

Heating, Ventilating, and Air-Conditioning: Recent Advances in Diagnostics and Controls to Improve Air-Handling System Performance

The performance of air-handling systems in buildings needs to be improved. Many of the deficiencies result from myths and lore and a lack of understanding about the non-linear physical principles embedded in the associated technologies. By incorporating these principles, a few important efforts related to diagnostics and controls have already begun to solve some of the problems. This paper illustrates three novel solutions: one rapidly assesses duct leakage, the second configures ad hoc duct-static-pressure reset strategies, and the third identifies useful intermittent ventilation strategies. By highlighting these efforts, this paper seeks to stimulate new research and technology developments that could further improve air-handling systems

A novel small-caliber bacterial cellulose vascular prosthesis: production, characterization, and preliminary in vivo testing

Vascular grafts are used to bypass damaged or diseased blood vessels. Bacterial cellulose (BC) has been studied for use as an off-the-shelf graft. Herein, we present a novel, cost-effective, method for the production of small caliber BC grafts with minimal processing or requirements. The morphology of the graft wall produced a tensile strength above that of native vessels, performing similarly to the current commercial alternatives. As a result of the production method, the luminal surface of the graft presents similar topography to that of native vessels. We have also studied the in vivo behavior of these BC graft in order to further demonstrate their viability. In these preliminary studies, 1 month patency was achieved, with the presence of neo-vessels and endothelial cells on the luminal surface of the graft.This study was supported by the Portuguese Foundation for Science and Technology (FCT) and the European Community fund FEDER, through Program COMPETE, under the scope of the Projects FCOMP-01-0124-FEDER-007025 (PTDC/AMB/68393/2006), PEST-OE/EQB/LA0023/2013, PEST-C/FIS/UI607/2013, RECI/BBB-EBI/0179/2012 (FCOMP-01-0124-FEDER-027462) and the Projects "BioEnv-Biotechnology and Bioengineering for a sustainable world" and "Matepro-Optimizing Materials and Processes". NORTE-07-0124-FEDER-000048, co-funded by the Programa Operacional Regional do Norte (ON.2 - O Novo Norte), QREN, FEDER. The authors also acknowledge the fellowship awarded to Alexandre Felipe Leitao (SFRH/BD/66094/2009) funded by the Fundacao para a Ciencia e Tecnologia (FCT). The authors also thank support by FCT through the project BCGrafts, FCOMP-01-0124-FEDER-014773 (PTDC/EBB/EBI/112170/2009) and by the People Program (Marie Curie Actions) of the European Union's Seventh Framework Program FP7/2007-2013/under REA grant agreement n317512

Time-averaged ventilation for optimized control of variable-air-volume systems

Typical Variable Air Volume (VAV) terminals spend the majority of time at their minimum airflow setpoints. These are often higher than the minimum ventilation requirements defined by code, resulting in excess energy use and a risk of over-cooling the spaces. We developed and tested a Time-Averaged Ventilation (TAV) control strategy in an institutional building on the UC Berkeley campus to address this issue. Whenever a zone does not require cooling, TAV alternates the VAV damper between partially open and fully closed so that the average airflow matches a predefined ventilation setpoint. Compared to the existing, base case scenario using single-max VAV logic, this strategy reduced the mean zone airflow fraction from 0.44 to 0.27 during the intervention period. The corresponding reductions in average heating, cooling, and fan power were 41%, 23%, and 15% respectively. In addition to being programmed directly in a native control system, TAV may be applied via sMAP as a low-cost retrofit strategy in any building that has a BACnet network and direct digital control (DDC) to each VAV terminal