Analyzing and improving the energy balancing market in the power trading agent competition

Widespread adoption of sustainable energy sources is driving electricity grid operators to supplement hierarchical control regimes with market-based control that better motivates stakeholder involvement. However, to prevent market failures, such controls require testing before real-world implementation. The Power Trading Agent Competition is a competitive simulation of distribution grids that mirrors real-world scenarios and tests alternative policy and business scenarios. In Power TAC, broker agents acquire energy through bidding in a forward wholesale market to satisfy their customers overall demand on an hourly basis. In addition, a balancing market is intended to resolve real-time energy imbalances caused by broker prediction errors using demand response resources. As part of the annual alignment process, we discovered that brokers in the 2015 competition were persistently buying insufficient energy on the wholesale market to satisfy their customer demand. Instead, the balancing market made up the deficit, charging brokers a premium over the wholesale price. Also, demand response resources were heavily underused. We studied the economic impact of this systematic imbalance on brokers and discovered that they were behaving rationally, given the prices they faced in the two markets. We present the process and results of this analysis, and show how the balancing markets pricing mechanism can be adjusted for the 2016 competition to make it rational for brokers to achieve an overall neutral imbalance

Molecular Epidemiology of Mycobacterium Tuberculosis Strains in the North‑West and West of Iran

Background: Identifying Mycobacterium tuberculosis (MTB) transmission type is a key step in the control of this disease. Aim: This study aimed to determine the path and transmission type of MTB and the insertion sequence IS6110 band number and verify their relationship to demographic and clinical risk factors. Subjects and Methods: In this cross‑sectional study, 64 MTB patients from three border provinces of Iran were selected after full clinical history and physical evaluation design. The drug susceptibility testing was carried out using the standard proportion technique on sputum samples. Isolates tested with restriction fragment length polymorphism technique used IS6110. Results: Recent transmission of disease was 33/50 (66%) based on clustering rate. The IS6110 band number had a significant relationship with drug resistance detected in proportion method tested by univariate linear regression (P < 0.01). Furthermore, the IS6110 band number had association with Bacillus Calmette–Guérin vaccination history (P = 0.02), sex (P < 0.01), and purified protein derivative (PPD) reaction size (P < 0.01) tested by multiple analysis. The risk of recent transmission inferred from the clustering rate was significantly higher in patients from Western provinces compared to those from the North‑West province (P = 0.048). However, age (P = 0.39), gender (P = 0.16), vaccination history (P = 0.57), drug susceptibility, and PPD (P = 0.6) were independent of clustering. The largest cluster of up to six subjects was found in the Western provinces.Conclusion: Recent MTB transmission was much more common in the West compared to the North‑West of Iran. Large MTB clusters with strong epidemiological links may be reflective of a disease outbreak. Correlation noted between the IS6110 band number and vaccination history; PPD size and female gender necessitates further studies.Keywords: Molecular epidemiology, Mycobacterium tuberculosis, Polymorphism, Restriction fragment lengt

Cancer treatment-induced oral mucositis

Oral mucositis is one of the main complications in non-surgical cancer treatments. It represents the major dose-limiting toxicity for some chemotherapeutic agents, for radiotherapy of the head and neck region and for some radiochemotherapy combined treatments. Many reviews and clinical studies have been published in order to define the best clinical protocol for prophylaxis or treatment of mucositis, but a consensus has not yet been obtained. This paper represents an updated review of prophylaxis and treatment of antineoplastic-therapy-related mucositis using a MEDLINE search up to May 2006, in which more than 260 clinical studies have been found. They have been divided according to antineoplastic therapy (chemotherapy, radiotherapy, chemo-radiotherapy, high-dose chemotherapy). The prophylactic or therapeutic use of the analysed agents, the number of enrolled patients and the study design (randomized or not) were also specified for most studies. Accurate pre-treatment assessment of oral cavity hygiene, frequent review of symptoms during treatment, use of traditional mouthwashes to obtain mechanical cleaning of the oral cavity and administration of some agents like benzydamine, imidazole antibiotics, tryazolic antimycotics, povidone iodine, keratinocyte growth factor and vitamin E seem to reduce the intensity of mucositis. Physical approaches like cryotherapy, low energy Helium-Neon laser or the use of modern radiotherapy techniques with the exclusion of the oral cavity from radiation fields have been shown to be efficacious in preventing mucositis onset. Nevertheless a consensus protocol of prophylaxis and treatment of oral mucositis has not yet been obtained

Temporal city-scale matching of solar photovoltaic generation and electric vehicle charging

The number of electric vehicles (EVs) and solar photovoltaic panels (PVs) are rapidly increasing in many power grids. An important emerging challenge is managing their less desirable consequences (e.g. grid instability and peak load), particularly in urban environments. We present a solution that matches the temporal nature of PV generation and EV charging. This solution is a simple coordination strategy for EV charging which minimally affects EV availability for drivers while maximizing the PV electricity generation absorbed by EV batteries. The strategy is benchmarked with high-resolution data from a medium-sized European city. We find that this coordination provides large benefits compared to commonly-observed uncoordinated charging patterns across seasons and PV and EV integration levels. With charging coordination, almost 71%–92% of the EV charging load can be provided by solar panels in the summer. However, winter’s lower solar irradiance results in a larger range of possibilities (13%–76%), with the exact value depending on the combination of PV and EV integration level. The gains compared to uncoordinated charging are generally highest in winter and similarly vary based on PV and EV integration levels (from 5 to 63 percentage points). Additionally, these benefits do not appear to come at a significant cost to EV availability for drivers

Laser surgery of early glottic cancer in elderly

Aim of this retrospective study is to evaluate the impact of transoral laser surgery of early glottic cancer in elderly patients in terms of feasibility, disease-free survival, overall survival and organ preservation, in a single Institute (European Institute of Oncology). A total of 122 patients (male/female ratio 113/9), over 70s with untreated early stage glottic cancer, were consecutively evaluated and treated at the European Institute of Oncology from 2000 to 2008. None had contraindications to general anaesthesia and all patients signed informed consent to this surgical treatment. The severity of pre-operative comorbidities and the intra-operative risk were evaluated according to the American Society of Anaesthesiologists Grading classification. All patients underwent laser cordectomies according to the European Laryngological Society classification. Histopathological examination demonstrated no evidence of tumour (pT0) in 19 patients (calculated only in patients with a previous vocal cord biopsy positive for squamous cell carcinoma), pTis in 18, pT1a in 53, pT1b in 16, pT2 in 14 and pT3 in 2, respectively. A 10-year overall survival, a tumour specific survival and a laryngeal tumour-specific survival were, respectively, 64.9%, 84.8% and 94.3%. In conclusion, transoral laser surgery is feasible in elderly patients with early stage glottic cancer, providing good results in terms of disease-free survival, organ preservation and quality of life. Our group of elderly patients had no intra-operative or post-surgical complications and resumed normal activities the day after discharge from hospital. Considering these factors, we can assess, that transoral laser surgery, therefore, represents a modern treatment that should be offered as an alternative to conventional radiotherapy in elderly patients with early glottic cancer referred to medical centres with expertise for this surgical procedure

Clinical presentation and etiologic factors of hirsutism in premenopausal Iranian women

Background: Hirsutism is a common clinical condition with different etiologies. Many of these patients have frank or subclinical abnormalities in the adrenal and ovarian steroidogenesis. The disease may be associated with other clinical signs of hyperandrogenism. The objective of this study was to investigate the clinical features of hirsutism and its etiologic factors in premenopausal Iranian women. Methods: In a cross-sectional study, 790 consecutive premenopausal women referred to the dermatology Clinics of Hazrat-e Rasool and Firoozgar University Hospitals and three private dermatology clinics during 2001-2003 with the clinical diagnosis of hirsutism were studied. All patients underwent detailed clinical assessment and transabdominal ultrasonography of the ovaries. Endocrinologic work-up was performed for 285 patients. Results: Hirsutism was mild in 65, moderate in 32.5, and severe in 2.5 of the patients. Positive family history was found in 56.2. Hormonal studies revealed some abnormalities in 35.2 of the patients. Coexisting medical conditions included acne in 70 of the patients, menstrual irregularity in 38.6, androgenic alopecia in 21.3, obesity in 6.5, acanthosis nigricans in 4.9, and diabetes in 0.6 of the patients. Etiology of hirsutism was identified as polycystic ovary syndrome (62.53), idiopathic (35.19), congenital adrenal hyperplasia (0.38), prolactinoma (0.13), and undetermined (1.77). Polycystic ovary syndrome was diagnosed more frequently in women with menstrual irregularity than eumenorrheic patients (97.70 vs. 40.41, P < 0.001). Conclusion: Hirsute patients frequently have either elevated androgen levels or clinical conditions associated with hyperandrogenemia. Eumenorrhea does not rule out endocrine abnormality and particularly polycystic ovary syndrome which is a common cause of hirsutism. We recommend performing endocrinologic work up, investigation of coexisting hyperandrogenic. states, and evaluation of polycystic ovary syndrome in all patients with hirsutism

Image-Guided Thermal Ablation as an Alternative to Surgery for Papillary Thyroid Microcarcinoma: Preliminary Results of an Italian Experience

Purpose: To report the results of our preliminary experience in treating patients with papillary thyroid microcarcinoma (PTMC) with image-guided thermal ablation, in particular estimating the feasibility, safety and short-term efficacy Materials and Methods: From 2018 patients with cytologically proven PTMC &lt; 10&nbsp;mm were discussed in a multidisciplinary team and evaluated for feasibility of image-guided thermal ablation. In case of technical feasibility, the three possible alternatives (i.e., image-guided thermal ablation, surgery, and active surveillance) were discussed with patients. Patients who agreed to be treated with image guided thermal ablation underwent radiofrequency (RFA) or laser ablation under local anesthesia and conscious sedation. Treatment feasibility, technical success, technique efficacy, change in thyroid function tests, side effects, minor and major complications, patients satisfaction and pain/discomfort perception during and after treatment, and disease recurrence during follow-up were recorded. Results: A total of 13 patients were evaluated, and 11/13 (84.6%) patients (9 female, 2 male, mean age 49.3 ± 8.7 years) resulted suitable for image-guided thermal ablation. All 11 patients agreed to be treated with image-guided thermal ablation. In addition, 3/11 (27.3%) were treated with laser ablation and 8/11 (72.7%) with RFA. All procedures were completed as preoperatively planned (technical success 100%). Technique efficacy was achieved in all 11/11 (100%) cases. Ablated volume significantly reduced from 0.87 ± 0.67&nbsp;ml at first follow-up to 0.17 ± 0.36 at last follow-up (p = 0.003). No change in thyroid function tests occurred. No minor or major complications occurred. All patients graded 10 the satisfaction for the treatment, and mean pain after the procedure was reported as 1.4 ± 1.7, and mean pain after the procedure as 1.2 ± 1.1 At a median follow-up of 10.2 months (range 1.5–12 months), no local recurrence or distant metastases were found. Conclusions: Image guided thermal ablations appear to be feasible and safe in the treatment of PTMC. These techniques hold the potential to offer patients a minimally invasive curative alternative to surgical resection or active surveillance. These techniques appear to be largely preferred by patients