23 research outputs found

    Congenital cytomegalovirus infection: do pregnant women and healthcare providers know enough? A systematic review

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    Background: Cytomegalovirus (CMV) is the most frequent cause of congenital infection worldwide causing serious morbidity in newborns, infants, and children. Despite the clinical importance of congenital CMV (cCMV), studies conducted so far conclude that there is limited awareness in both the medical community and public of cCMV infection. The aim of this systematic review was to assess the knowledge and awareness of cCMV among pregnant women and healthcare providers during the last decade. Methods: A literature search was performed in PubMed and Scopus, including studies published between 2011 and 2020. Eligibility criteria included articles focusing on either pregnant women or healthcare providers and reporting data about cCMV awareness. We included cross-sectional and interventional studies. Study quality was assessed using the Study Quality Assessment Tools by National Institute of Health. Results: Overall, 23 studies fulfilled the inclusion criteria, 13 studies referred to pregnant women and 10 to healthcare providers. A total of 6521 pregnant women and 3609 healthcare providers were included. The level of awareness of pregnant women about cCMV was low to moderate. However, pregnant women showed willingness to adopt hygiene strategies following interventional-educational practices. Concurrently, awareness among healthcare providers varied depending on the specialty. Nonetheless, a great proportion admitted feeling inadequate in advising pregnant women for cCMV screening and prevention. Conclusion: The role of healthcare providers in growing awareness among pregnant women is of paramount importance. Due to the lack of an effective vaccine as yet, education of women regarding hygiene measures is currently the best strategy to prevent cCMV disease. © 2021 Informa UK Limited, trading as Taylor & Francis Group

    Latent Thermal Energy Storage Application in a Residential Building at a Mediterranean Climate

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    An innovative thermal energy storage system (TESSe2b) was retrofitted in a residential building in Cyprus with a typical Mediterranean climate. The system comprises flat-plate solar collectors, thermal energy storage tanks filled with organic phase change material, a geothermal installation consisting of borehole heat exchangers with and without phase change material and a ground source heat pump, an advanced self-learning control system, backup devices and several other auxiliary components. The thermal energy storage tanks cover the building’s needs at certain temperature ranges (10–17◦ C for cooling, 38–45◦ C for heating and 50–60◦ C for domestic hot water). A performance evaluation was conducted by comparing the TESSe2b system with the existing conventional heating and cooling system. The systems were simulated using commercial software, and the performance of the systems and the building’s energy needs were calculated. Based on the energy quantities, an economic analysis followed. The equivalent annual primary energy consumption with the conventional system resulted in being 43335 kWh, while for the storage system, it was only 8398 kWh. The payback period for the storage system was calculated to be equal to 9.76 years. The operation of the installed storage system provided data for calculations of the seasonal performance factor and storage performance. The seasonal performance factor values were very high during June, July and August, since the TESSe2b system works very efficiently in cooling mode due to the very high temperatures that dominate in Cyprus. The measured stored thermal energy for cooling, heating and domestic hot water resulted in being 14.5, 21.9 and 6.2 kWh, respectively. Moreover, the total volume of the phase change material thermal energy storage tanks for heating and domestic hot water was calculated to be roughly several times smaller than the volume of a tank with water as a storage medium. © 2022 by the authors. Licensee MDPI, Basel, Switzerland
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