Improving Demand Response Strategies Utilizing Data Collected by Industrial Assessments to Reduce Cost for Users

Demand Response Programs have the potential to incentivize users to modify their electricity consumption pattern based on their given price and any bonuses that come along with it. Through the effective utilization of renewable sources and energy storage devices, household electricity bills can be reduced since the consumption of electricity during high price periods can be replaced by either renewable resources or electricity from energy storage devices. The balancing of energy demand and generation using the latest management technologies is considered as an immediate requirement to improve the operation of electrical distribution networks and peak demand management. Many Independent system operators have deployed several terms of demand response programs. Electric Reliability Council of Texas (ERCOT) is responsible for the electric market in most of Texas. In the past ERCOT\u27s demand response programs have provided promising outcomes in an economic and reliability perspective. Currently, demand-side resources, mainly on the industrial load class, can participate in the ancillary service market. The purpose of this thesis is to explore the methods in which current demand response techniques can be improved upon to further promote it and get it widely available to commercial and residential customers. The thesis will also look into methods to integrate renewable energy generation into these setting for further energy and cost savings

Asynchronous digital health interventions for reviewing asthma: a mixed-methods systematic review protocol

INTRODUCTION: People living with asthma require regular reviews to address their concerns and questions, assess control, review medication, and support self-management. However, practical barriers to attending face-to-face consultations might limit routine reviews. Reviewing asthma using asynchronous digital health interventions could be convenient for patients and an efficient way of maintaining communication between patients and healthcare professionals and improving health outcomes. We, therefore, aim to conduct a mixed-methods systematic review to assess the effectiveness of reviewing asthma by asynchronous digital health interventions and explore the views of patients and healthcare professionals about the role of such interventions in delivering asthma care. METHODS: We will search MEDLINE, Embase, Scopus, PsycInfo, CINAHL, and Cochrane Library from 2001 to present without imposing any language restrictions. We are interested in studies of asynchronous digital health interventions used either as a single intervention or contributing to mixed modes of review. Two review authors will independently screen titles and abstracts, and retrieve potentially relevant studies for full assessment against the eligibility criteria and extract data. Disagreements will be resolved by discussion with the review team. We will use 'Downs and Black' checklist, 'Critical Appraisal Skills Programme', and 'Mixed Methods Appraisal Tool' to assess methodological quality of quantitative, qualitative, and mixed-methods studies respectively. After synthesising quantitative (narrative synthesis) and qualitative (thematic synthesis) data separately, we will integrate them following methods outlined in the Cochrane Handbook for Systematic Reviews of Interventions. CONCLUSION: The findings of this review will provide insights into the role of asynchronous digital health interventions in the routine care of people living with asthma. TRIAL REGISTRATION: Systematic review registration: PROSPERO registration number: CRD42022344224

Exploring the perceptions of Patients with Chronic Respiratory Diseases and their insights into Pulmonary Rehabilitation in Bangladesh

Background: Chronic respiratory diseases (CRDs) require holistic management reflecting patient preferences, appropriate pharmacotherapy, pulmonary rehabilitation, and integrated care. We aimed to understand the perceptions of people with CRDs about their condition and pulmonary rehabilitation in Bangladesh.Methods: We conducted semi-structured interviews with a maximum variation sample of people with CRD who had participated in a feasibility study of pulmonary rehabilitation in 2021/ 2022. Interviews were transcribed verbatim, analysed in Bengali using a grounded theory approach and interpreted by a multidisciplinary team.Results: We interviewed 15 participants with COPD, asthma, or post-tuberculosis. Analysis revealed three themes. 1) Understanding CRD: patients characterised their condition by the symptoms (e.g., ‘Hapani’ meaning ‘breathlessness’) rather than describing a disease entity. Some identified occupation, previous infection or family history that they believed was the cause. 2) Perceptions of pulmonary rehabilitation: Exercise was counterintuitive as it exacerbated the breathlessness symptom that defined their disease. Views varied, though many acknowledged the benefits after a few sessions. Even with home-based programmes, participants described practical barriers to finding time for the sessions and adopted strategies to overcome the challenges. 3) Implementation: Participants highlighted the need for raising awareness of CRD and the potential of pulmonary rehabilitation in the community, adapting to the local context, and establishing an accessible resourced service. Conclusion: Understanding how patients and their communities perceive their condition and the barriers (both conceptual and logistical) to acceptance is the first step to embedding this highly effective intervention into routine healthcare services in Bangladesh with potential benefits for the increasing number of people living with CRDs in LMICs.<br/

Systematic review (protocol) of clinical effectiveness and models of care of Low-Resource Pulmonary Rehabilitation

Abstract More than half of the people with chronic respiratory diseases (CRDs) live in low- and middle-income countries (LMICs). The increasing disability, reduced productivity, associated anxiety and depression from CRDs result in social isolation and economic hardship for patients and their families. Pulmonary rehabilitation (PR) is a guideline-recommended multidisciplinary and multifaceted intervention that improves the physical and psychological condition of people with CRD. However, PR services are underprovided and uptake is poor in LMICs, especially in low-resourced setting. We aim to systematically assess the effectiveness, applicable components and mode of delivery of PR. We will search MEDLINE, EMBASE, CABI, AMED and CENTRAL from January 1990 using a PICOS search strategy (Population: adults with CRD (including chronic obstructive pulmonary disease, post-tuberculosis, remodelled asthma); Intervention: PR; Comparator: usual care; Outcomes: functional exercise capacity and Health-Related Quality-of-Life; Setting: low-resource settings). Two reviewers will independently screen titles/abstracts and full texts for eligibility and extract data from included papers. We will use the Cochrane Risk-of-Bias tool, rating the quality of evidence using GRADE. We will use narrative synthesis to answer our three objectives: What is the effectiveness of PR in low-resource settings? What components are used in effective studies? What models of service delivery are used? This systematic review will inform the potential impact and practical models of low-resource PR for the betterment of patients with CRDs to improve their substantial health-care burden and address poor quality of life

Effectiveness of home-based pulmonary rehabilitation:systematic review and meta-analysis

INTRODUCTION: Despite proven effectiveness for people with chronic respiratory diseases, practical barriers to attending centre-based pulmonary rehabilitation (centre-PR) limit accessibility. We aimed to review the clinical effectiveness, components and completion rates of home-based pulmonary rehabilitation (home-PR) compared to centre-PR or usual care. METHODS AND ANALYSIS: Using Cochrane methodology, we searched (January 1990 to August 2021) six electronic databases using a PICOS (population, intervention, comparison, outcome, study type) search strategy, assessed Cochrane risk of bias, performed meta-analysis and narrative synthesis to answer our objectives and used the Grading of Recommendations, Assessment, Development and Evaluations framework to rate certainty of evidence. RESULTS: We identified 16 studies (1800 COPD patients; 11 countries). The effects of home-PR on exercise capacity and/or health-related quality of life (HRQoL) were compared to either centre-PR (n=7) or usual care (n=8); one study used both comparators. Compared to usual care, home-PR significantly improved exercise capacity (standardised mean difference (SMD) 0.88, 95% CI 0.32–1.44; p=0.002) and HRQoL (SMD −0.62, 95% CI −0.88–−0.36; p<0.001). Compared to centre-PR, home-PR showed no significant difference in exercise capacity (SMD −0.10, 95% CI −0.25–0.05; p=0.21) or HRQoL (SMD 0.01, 95% CI −0.15–0.17; p=0.87). CONCLUSION: Home-PR is as effective as centre-PR in improving functional exercise capacity and quality of life compared to usual care, and is an option to enable access to pulmonary rehabilitation