Hybrid Sankey diagrams: Visual analysis of multidimensional data for understanding resource use

Sankey diagrams are used to visualise flows of materials and energy in many applications, to aid understanding of losses and inefficiencies, to map out production processes, and to give a sense of scale across a system. As available data and models become increasingly complex and detailed, new types of visualisation may be needed. For example, when looking for opportunities to reduce steel scrap through supply chain integration, it is not enough to consider simply flows of “steel” — the alloy, thickness, coating and forming history of the metal can be critical. This paper combines data-visualisation techniques with the traditional Sankey diagram to propose a new type of “hybrid” Sankey diagram, which is better able to visualise these different aspects of flows. There is more than one way to visualise a dataset as a Sankey diagram, and different ways are appropriate in different situations. To facilitate this, a systematic method is presented for generating different hybrid Sankey diagrams from a dataset, with an accompanying open-source Python implementation. A common data structure for flow data is defined, through which this method can be used to generate Sankey diagrams from different data sources such as material flow analysis, life-cycle inventories, or directly measured data. The approach is introduced with a series of visual examples, and applied to a real database of global steel flows.This work was supported by EPSRC [EP/N02351x/1]

Re-framing the threat of global warming: an empirical causal loop diagram of climate change, food insecurity and societal collapse

Funder: The General Sir John Monash FoundationFunder: The Cambridge TrustAbstractThere is increasing concern that climate change poses an existential risk to humanity. Understanding these worst-case scenarios is essential for good risk management. However, our knowledge of the causal pathways through which climate change could cause societal collapse is underdeveloped. This paper aims to identify and structure an empirical evidence base of the climate change, food insecurity and societal collapse pathway. We first review the societal collapse and existential risk literature and define a set of determinants of societal collapse. We develop an original methodology, using these determinants as societal collapse proxies, to identify an empirical evidence base of climate change, food insecurity and societal collapse in contemporary society and then structure it using a novel-format causal loop diagram (CLD) defined at global scale and national granularity. The resulting evidence base varies in temporal and spatial distribution of study and in the type of data-driven methods used. The resulting CLD documents the spread of the evidence base, using line thickness and colour to depict density and type of data-driven method respectively. It enables exploration of how the effects of climate change may undermine agricultural systems and disrupt food supply, which can lead to economic shocks, socio-political instability as well as starvation, migration and conflict. Suggestions are made for future work that could build on this paper to further develop our qualitative understanding of, and quantitative complex systems modelling capabilities for analysing, the causal pathways between climate change and societal collapse.</jats:p

Control data, Sankey diagrams, and exergy: Assessing the resource efficiency of industrial plants

Studies analysing the resource use of industrial production are often performed at highly aggregated levels, e.g. yearly across industry sectors. Conversely, the remit of work performed at the operational level is limited to the management of energy or concerned with aspects such as safety or reliability, both of which fail to consider material efficiency options at that scale. This gap is filled by applying the concept of exergy to the disaggregated time-scales and scopes typical of real-time operations. Our tool measures the resource efficiency of processes and visually traces the use of both energy and materials from available control data. This is exemplified through the case study of a Tata Steel basic oxygen steelmaking plant, where resource flows are visualised using Sankey diagrams. An analysis of the resource efficiency variations across batches and days for a period of 30 days - over 900 batches - show the plant's inefficiencies primarily arise from the converter process, the resource efficiency of which varies from 87.4% to 93.7%. By recovering material and energy by-products, and reducing fuel inputs we estimate that 7% of the total exergy input can be saved or further utilised. About 60% of these improvements arise from energy-related measures. The remaining 40% emanates from reductions in material use, a contribution which would be missed if using conventional energy metrics. This approach makes three contributions. First, it gives industry a single metric of resource efficiency that can jointly measure the system-level performance of material and energy transformations. Second, it provides a new picture of the plant's operational resource use. Third, it allows managers to have more detailed information on resource flows and thus helps place material-efficiency improvements on an equal footing to energy efficiency. This, therefore, provides a clearer picture of where interventions can deliver the greatest efficiency gains.This research is funded by Emerson Electric co. This study was supported by Tata Steel UK

“A good little tool to get to know yourself a bit better”: a qualitative study on users’ experiences of app-supported menstrual tracking in Europe

Background: Menstrual apps facilitate observation and analysis of menstrual cycles and associated factors through the collection and interpretation of data entered by users. As a subgroup of health-related apps, menstrual apps form part of one of the most dynamic and rapidly growing developments in biomedicine and health care. However, despite their popularity, qualitative research on how people engaging in period-tracking use and experience these apps remains scarce. Results: An inductive content analysis was performed and eight characteristics of app-supported menstrual tracking were identified: 1) tracking menstrual cycle dates and regularities, 2) preparing for upcoming periods, 3) getting to know menstrual cycles and bodies, 4) verifying menstrual experiences and sensations, 5) informing healthcare professionals, 6) tracking health, 7) contraception and seeking pregnancy, and 8) changes in tracking. Our study finds that period-tracking via apps has the potential to be an empowering practice as it helps users to be more aware of their menstrual cycles and health and to gain new knowledge. However, we also show that menstrual tracking can have negative consequences as it leads to distress in some cases, to privacy issues, and the work it requires can result in cessation. Finally, we present practical implications for healthcare providers and app developers. Conclusions: This qualitative study gives insight into users’ practices and experiences of app-supported menstrual tracking. The results provide information for researchers, health care providers and app designers about the implications of app-supported period-tracking and describe opportunities for patient-doctor interactions as well as for further development of menstrual apps.This research has received funding from the European Union’s Horizon 2020 research and innovation program under the Marie Skłodowska-Curie grant agreement No 675378

How much cement can we do without? Lessons from cement material flows in the UK

Cement manufacture is responsible for 5-7% of world CO2emissions. Cement is primarily used in concrete, the most used material on the planet and a critical part of any analysis of emissions reduction strategy. To estimate the potential for reducing demand, this work analyses material flow in the cement industry, using the UK in 2014 as a case study. Combining published data, analytic assumptions, and interviews we estimated the material flow of cement from the production to a breakdown of its use in applications. Having broken down the demand for cement into 25 applications, multiple material efficiency techniques were considered: substituting cement for calcined clay and limestone, reducing the cement content of concrete, post-tensioning floor slabs, using more precast building elements, reducing construction waste, and reducing the overdesign in construction. We produce a final estimate of the total reduction in emissions achievable from material efficiency: 51.3%. Due to overlap and interactions between the methods, the attribution of the carbon abatement depends on the sequence of application. In this analysis, we have applied the reduction of overdesign last, because it is independent of the others, and would require a cultural change. We show then that cement demand from floors, repairs and maintenance, concrete beams, and applications within the transport sector should be targeted. The substitution of cement with calcined clay and limestone has the biggest potential to reduce cement demand (27%) and carbon emissions in the UK. Reducing the amount of cement in concrete has the next highest potential (10%), followed by post-tensioning floor slabs (3%).NMZL/112 RG82144 EPSRC ref EP/N02351X/

The sponge effect and carbon emission mitigation potentials of the global cement cycle

Funder: Det Frie Forskningsråd (Danish Council for Independent Research); doi: https://doi.org/10.13039/501100004836Funder: Syddansk Universitet (University of Southern Denmark); doi: https://doi.org/10.13039/501100006356Funder: RCUK | Engineering and Physical Sciences Research Council (EPSRC); doi: https://doi.org/10.13039/501100000266Abstract: Cement plays a dual role in the global carbon cycle like a sponge: its massive production contributes significantly to present-day global anthropogenic CO2 emissions, yet its hydrated products gradually reabsorb substantial amounts of atmospheric CO2 (carbonation) in the future. The role of this sponge effect along the cement cycle (including production, use, and demolition) in carbon emissions mitigation, however, remains hitherto unexplored. Here, we quantify the effects of demand- and supply-side mitigation measures considering this material-energy-emissions-uptake nexus, finding that climate goals would be imperiled if the growth of cement stocks continues. Future reabsorption of CO2 will be significant (~30% of cumulative CO2 emissions from 2015 to 2100), but climate goal compliant net CO2 emissions reduction along the global cement cycle will require both radical technology advancements (e.g., carbon capture and storage) and widespread deployment of material efficiency measures, which go beyond those envisaged in current technology roadmaps

Beyond price: individuals' accounts of deciding to pay for private healthcare treatment in the UK

<p>Abstract</p> <p>Background</p> <p>Delivering appropriate and affordable healthcare is a concern across the globe. As countries grapple with the issue of delivering healthcare with finite resources and populations continue to age, more health-related care services or treatments may become an optional 'extra' to be purchased privately. It is timely to consider how, and to what extent, the individual can act as both a 'patient' and a 'consumer'. In the UK the majority of healthcare treatments are free at the point of delivery. However, increasingly some healthcare treatments are being made available via the private healthcare market. Drawing from insights from healthcare policy and social sciences, this paper uses the exemplar of private dental implant treatment provision in the UK to examine what factors people considered when deciding whether or not to pay for a costly healthcare treatment for a non-fatal condition.</p> <p>Methods</p> <p>Qualitative interviews with people (n = 27) who considered paying for dental implants treatments in the UK. Data collection and analysis processes followed the principles of the constant comparative methods, and thematic analysis was facilitated through the use of NVivo qualitative data software.</p> <p>Results</p> <p>Decisions to pay for private healthcare treatments are not simply determined by price. Decisions are mediated by: the perceived 'status' of the healthcare treatment as either functional or aesthetic; how the individual determines and values their 'need' for the treatment; and, the impact the expenditure may have on themselves and others. Choosing a private healthcare provider is sometimes determined simply by personal rapport or extant clinical relationship, or based on the recommendation of others.</p> <p>Conclusions</p> <p>As private healthcare markets expand to provide more 'non-essential' services, patients need to develop new skills and to be supported in their new role as consumers.</p

"As soon as you’ve had the baby that’s it…” a qualitative study of 24 postnatal women on their experience of maternal obesity care pathways

Abstract Background Maternal obesity is associated with risks to mother and infant, and has implications for healthcare costs. United Kingdom (UK) levels of maternal obesity are rising, with higher prevalence in North East (NE) England, where this study was set. Pregnancy is often seen as an opportune time for intervention – a ‘teachable moment’ - which is ripe for promoting behaviour change. In response to rising obesity levels, a National Health Service (NHS) Foundation Trust in NE England implemented three maternal obesity care pathways contingent on Body Mass Index (BMI) at time of booking: pathway 1 for those with BMI ≥30 kg/m2; pathway 2 for BMI ≥35 kg/m2; and pathway 3 for BMI ≥40 kg/m2. These incorporated relevant antenatal, intrapartum and postnatal clinical requirements, and included a focus on weight management intervention. This evaluation explored the accounts of postnatal women who had been through one of these pathways in pregnancy. Methods The study used a generic qualitative approach. Semi-structured interviews were carried out to explore the views and experiences of 24 recent mothers (aged 20–42), living in NE England, who had commenced on one of the pathways during pregnancy. Interviews explored experiences of weight management support during and after pregnancy, and perceived gaps in this support. Data were analysed using thematic content analysis. Results Three main themes emerged reflecting women’s views and experiences of the pathways: communication about the pathways; treating obese pregnant women with sensitivity and respect; and appropriate and accessible lifestyle services and information for women during and after pregnancy. An overarching theme: differences in care, support and advice, was evident when comparing the experiences of women on pathways 1 or 2 with those on pathway 3. Conclusions This study indicated that women were not averse to risk management and weight management intervention during and after pregnancy. However, in order to improve reach and effectiveness, such interventions need to be well communicated and offer constructive, individualised advice and support. The postnatal phase may also offer an opportune moment for intervention, suggesting that the simple notion of seeing pregnancy alone as a window of opportunity or a ‘teachable moment’ should be reconsidered

GPs' decision-making when prescribing medicines for breastfeeding women: Content analysis of a survey

<p>Abstract</p> <p>Background</p> <p>Many breastfeeding women seek medical care from general practitioners (GPs) for various health problems and GPs may consider prescribing medicines in these consultations. Prescribing medicines to a breastfeeding mother may lead to untimely cessation of breastfeeding or a breastfeeding mother may be denied medicines due to the possible risk to her infant, both of which may lead to unwanted consequences. Information on factors governing GPs' decision-making and their views in such situations is limited.</p> <p>Methods</p> <p>GPs providing shared maternity care at the Royal Women's Hospital, Melbourne were surveyed using an anonymous postal survey to determine their knowledge, attitudes and practices on medicines and breastfeeding, in 2007/2008 (n = 640). Content analysis of their response to a question concerning decision-making about the use of medicine for a breastfeeding woman was conducted. A thematic network was constructed with basic, organising and global themes.</p> <p>Results</p> <p>335 (52%) GPs responded to the survey, and 253 (76%) provided information on the last time they had to decide about the use of medicine for a breastfeeding woman. Conditions reported were mastitis (24%), other infections (24%) and depressive disorders (21%). The global theme that emerged was "<it>complexity of managing risk in prescribing for breastfeeding women"</it>. The organising themes were: <it>certainty around decision-making; uncertainty around decision-making; need for drug information to be available, consistent and reliable; joint decision-making; the vulnerable "third party" </it>and <it>infant feeding decision</it>. Decision-making is a spectrum from a straight forward decision, such as treatment of mastitis, to a complicated one requiring multiple inputs and consideration. GPs use more information seeking and collaboration in decision-making when they perceive the problem to be more complex, for example, in postnatal depression.</p> <p>Conclusion</p> <p>GPs feel that prescribing medicines for breastfeeding women is a contentious issue. They manage the risk of prescribing by gathering information and assessing the possible effects on the breastfed infant. Without evidence-based information, they sometimes recommend cessation of breastfeeding unnecessarily.</p