117 research outputs found
Validity of the hospital anxiety and depression scale for use with patients with noncardiac chest pain
The role of district heating systems to provide balancing services in the European Union
European electricity markets ensure the matching between supply and demand at all times. Due to their time-scale operations, the balancing markets are the last resources to achieve so and ensure the grid frequency. The increasing shares of non-dispatchable power capacities intensify the demand for flexibility. District heating systems (DHs) are potential sources of flexibility if interface technologies are in place like CHP or power-to-heat, together with thermal storage. This study assesses the technical potential of DHs to contribute to frequency containment reserves (FCR), automatic and manual frequency restoration reserves (aFRR and mFRR) markets. Through a review of case-studies, we gain insight and derive appropriate assumptions to estimate the potential at country and EU levels. Based on the POTEnCIA Central scenario up to 2050 — a description of the evolution of the EU energy system with the assumption of no further policies introduced beyond 2017 —, we find that the potential is highest for the provision of aFRR, followed by mFRR and FCR. Specifically, the aFRR technical potential is currently 32 GW — 4 times the aFRR contracted in 2019 in the EU — and it only slightly decreases by 2050. Overall, this study highlights the lack of data on current (and future) DHs and their variety in size and composition. A sensitivity analysis is performed by examining different scenarios for DHs deployment. This research emphasizes the large untapped potential to exploit flexibility from DHs, however, the evaluation of the actual potential shall be done on a case-by-case basis
Impacts of booming economic growth and urbanization on carbon dioxide emissions in Chinese megalopolises over 1985–2010: an index decomposition analysis
Given the booming economic growth and urbanization in China, cities have become crucial to sustaining this development and curbing national emissions. Understanding the key drivers underlying the rapid emissions growth is critical to providing local solutions for national climate targets. By using index decomposition analysis, we explore the factors contributing to the carbon dioxide (CO2) emissions in Chinese megalopolises from 1985 to 2010. An additional decomposition analysis of the industry sector is performed because of its dominant contribution to the total emissions. The booming economy and expanding urban areas are the major drivers to the increasing CO2 emissions in Chinese megalopolises over the examined period. The significant improvement in energy intensity is the primary factor for reducing CO2 emissions, the declining trend of which, however, has been suspended or reversed since 2000. The decoupling effect of the adjustments in the economic structure only occurred in three megalopolises, namely, the Yangtze River Delta (YRD), the Beijing-Tianjin-Heibei Megalopolis (BTJ), and the Pearl River Delta (PRD). In comparison, the impacts of urban density and carbon intensity are relatively marginal. The further disaggregated decomposition analysis in the industry sector shows that energy intensity improvements were widely achieved in 36 sub-industries in the PRD. The results also indicate the concentrations of energy-intensive industries in the PRD, posing a major challenge to local governments for a low-carbon economy. As economic growth and urbanization continue, reductions in energy intensity and clean energy therefore warrant much more policy attentions due to their crucial roles in reducing carbon emissions and satisfying the energy demand
Myocyte Enhancer Factor 2 and Class II Histone Deacetylases Control a Gender-Specific Pathway of Cardioprotection Mediated by the Estrogen Receptor
Gender differences in cardiovascular disease have long been recognized and attributed to beneficial cardiovascular actions of estrogen. Class II histone deacetylases (HDACs) act as key modulators of heart disease by repressing the activity of the myocyte enhancer factor (MEF)2 transcription factor, which promotes pathological cardiac remodeling in response to stress. Although it is proposed that HDACs additionally influence nuclear receptor signaling, the effect of class II HDACs on gender differences in cardiovascular disease remains unstudied
Determining the optimal interval for imaging surveillance of ascending aortic aneurysms
Background Cardiovascular guidelines recommend (bi-)annual computed tomography (CT) or magnetic resonance imaging (MRI) for surveillance of the diameter of thoracic aortic aneurysms (TAAs). However, no previous study has demonstrated the necessity for this approach. The current study aims to provide patient-specific intervals for imaging follow-up of non-syndromic TAAs. Methods A total of 332 patients with non-syndromic ascending aortic aneurysms were followed over a median period of 6.7 years. Diameters were assessed using all available imaging techniques (echocardiography, CT and MRI). Growth rates were calculated from the differences between the first and last examinations. The diagnostic accuracy of follow-up protocols was calculated as the percentage of subjects requiring pre-emptive surgery in whom timely identification would have occurred. Results The mean growth rate in our population was 0.2 +/- 0.4 mm/year. The highest recorded growth rate was 2.0 mm/year, while 40.6% of patients showed no diameter expansion during follow-up. Females exhibited significantly higher growth rates than men (0.3 +/- 0.5 vs 0.2 +/- 0.4 mm/year, p = 0.007). Conversely, a bicuspid aortic valve was not associated with more rapid aortic growth. The optimal imaging protocol comprises triennial imaging of aneurysms 40-49 mm in diameter and yearly imaging of those measuring 50-54 mm. This strategy is as accurate as annual follow-up, but reduces the number of imaging examinations by 29.9%. Conclusions In our population of patients with non-syndromic TAAs, we found aneurysm growth rates to be lower than those previously reported. Yearly imaging does not lead to changes in the management of small aneurysms. Thus, lower imaging frequencies might be a good alternative approach.Cardiovascular Aspects of Radiolog
Data on sex differences in one-year outcomes of out-of-hospital cardiac arrest patients without ST-segment elevation
Sex differences in out-of-hospital cardiac arrest (OHCA) patients are increasingly recognized. Although it has been found that post-resuscitated women are less likely to have significant coronary artery disease (CAD) than men, data on follow-up in these patients are limited. Data for this data in brief article was obtained as a part of the randomized controlled Coronary Angiography after Cardiac Arrest without ST-segment elevation (COACT) trial. The data supplements the manuscript “Sex differences in out-of-hospital cardiac arrest patients without ST-segment elevation: A COACT trial substudy” were it was found that women were less likely to have significant CAD including chronic total occlusions, and had worse survival when CAD was present. The dataset presented in this paper describes sex differences on interventions, implantable-cardioverter defibrillator (ICD) shocks and hospitalizations due to heart failure during one-year follow-up in patients successfully resuscitated after OHCA. Data was derived through a telephone interview at one year with the patient or general practitioner. Patients in this randomized dataset reflects a homogenous study population, which can be valuable to further build on research regarding long-term sex differences and to further improve cardiac care
Measurement of Z0 decays to hadrons, and a precise determination of the number of neutrino species
We have made a precise measurement of the cross section for e+e--->Z0-->hadrons with the L3 detector at LEP, covering the range from 88.28 to 95.04 GeV. From a fit to the Z0 mass, total width, and the hadronic cross section to be MZ0=91.160 +/- 0.024 (experiment) +/-0.030(LEP) GeV, [Gamma]Z0=2.539+/-0.054 GeV, and [sigma]h(MZ0)=29.5+/-0.7 nb. We also used the fit to the Z0 peak cross section and the width todetermine [Gamma]invisible=0.548+/-0.029 GeV, which corresponds to 3.29+/-0.17 species of light neutrinos. The possibility of four or more neutrino flavors is thus ruled out at the 4[sigma] confidence level.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/28683/3/0000500.pd
A measurement of the Z0 leptonic partial widths and the vector and axial vector coupling constants
We have measured the partial widths of the Z0 into lepton pairs, and the forward-backward charge asymmetry for the process e+e--->[mu]+[mu]- using the L3 detector at LEP. We obtain an average [Gamma]ll of 83.0+/-2.1+/-1.1 MeV.From this result and the asymmetry measurement, we extract the values of the vector and axial vector couplings of the Z0 to leptons: grmv=-0.066-0.027+0.046 and grmA= -0.495-0.007+0.007.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/28666/3/0000483.pd
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