Private hospital energy performance benchmarking using energy audit data: an Italian case study

The increased focus on energy efficiency, both at the national and international levels, has fostered the diffusion and development of specific energy consumption benchmarks for most relevant economic sectors. In this context, energy-intensive facilities, such as hospitals and health structures, represent a unique case. Indeed, despite the high energy consumption of these structures, scientific literature lacks the presence of adequate energy performance benchmarks, especially in regard to the European context. Thus, this study aimed at defining energy benchmark indicators for the Italian private healthcare sector using data collected from the Italian mandatory energy audits according to Art.8 EU Directive 27/2012. The benchmark indicators’ definition was made using a methodology proposed by the Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA). This methodology provided the calculation of specific energy performance indicators (EnPIs) by considering the global energy consumption of the different sites and the sector’s relevant variables. The results obtained were compared with those obtained from a consolidated but more complex methodology: the one envisaged by the Environmental Protection Agency. The results obtained allowed us to validate the reliability of the proposed methodology, as well as the validity and future usability of the calculated indicators. Relying on a significant database containing actual data from recent energy audits, this study was thus able to provide an up-to-date and reliable benchmark for the private healthcare sector

Nutritional Quality of Meat Analogues: Results From the Food Labelling of Italian Products (FLIP) Project

Nowadays, the interest in meat substitutes is increasing, and consumers perceive their nutritional quality better than that of the animal products they intend to resemble. Therefore, this work aimed to investigate the overall nutritional quality of these new products. Regulated information [Regulation (EU) 1169/2011], the presence/absence of nutrition or health claim and organic declarations, the gluten-free indication, and the number of ingredients were collected from the food labels of 269 commercial meat analogues currently sold on the Italian market. Nutritional information of reference animal meat products was used to compare the nutrition profile. As an indicator of the nutritional quality, the Nutri-Score of meat analogues and counterparts was also determined. Plant-based steaks showed significantly higher protein, lower energy, fats and salt contents, and better Nutri-Scores than the other analogues. All the meat analogues showed a higher fibre content than meat products, while plant-based burgers and meatballs had lower protein contents than meat counterparts. Ready-sliced meat analogues showed a lower salt content than cured meats. Overall, all these plant-based products showed a longer list of ingredients than animal meat products. Results from this survey highlighted that plant-based steaks, cutlets, and cured meats have some favourable nutritional aspects compared to animal-based products. However, they cannot be considered a “tout-court” alternative to meat products from a nutritional point of view

Analisis Penataan Kawasan Simongan Berdasarkan Perda No. 14 Tahun 2011 Tentang Rencana Tata Ruang Wilayah Kota Semarang Tahun 2011-2031

Industrial development is not simply about the significant contributions for national economic growth , but also provide more jobs for the unemployment rate in Indonesia. Especially in Semarang, industrial development in the Semarang City hit by the problems that Perda No. 14 Tahun 2011 about to the regional landscaping plan Semarang City 2011-2031 which in it is because the management of the area set Simongan a mixture of investments from the industry and settlement be residential compound.In this research, researchers used a method of qualitative data will produce a descriptive. To obtain the purpose of research data sources in accordance, researchers using a technique purpose of sampling to do an interview with The Planning and Regional Development of Semarang City, The Office of Town Planning and Housing the Semarang City, House of Representatives of Semarang City, The Industry Simongan Semarang, Workers and People who live in the area of Simongan Semarang.The research results show that the arrangement Simongan area must be done for a long time because the area was not a Simongan the Industrial Park, designation but the area of settlement goods and services trading. See the Simongan area along the Kaligarang's river was also considered less ideal as an industrial park for because in worried about will have an impact on a river that pollution which a brook Kaligarang be used as a source of springs in the Semarang City.The scientists, in definition the spatial planning should be on all agreement includes minorities. So it makes the spatial planning is not only the relevant authorities. And the industry which stood at the Simongan must consider the rules and regulations

Faktor Karakteristik Klinis Host dan Sosiodemografik yang Berpengaruh terhadap Kejadian Dengue Shock Syndrome

Background : Dengue Shock Syndrome (DSS) is DHF grades III and IV, which can result in disease severity and lead to the death. In 2016, the number of DHF/DSS cases in Semarang City was 2.200 cases (IR=124,50) with 293 cases DSS or 15,4% from DHF, and CFR DSS cases is 9,21%.Methods : An observational analytic was conducted with case-control study design. Study populations were patients with diagnosis of DSS or diagnosis of DHF that admitted inK.R.M.T Wongsonegoro Hospital Semarang City. The samples were 70 cases and 70controls by consecutive sampling. Data were analyzed by logistic regression.Results : Patients DHF with age ≤ 15 years OR=4,277 (95% CI=1,325-13,598), secondary infection OR=2,807 (95% CI=1,116-7,055), hepatomegaly OR=3,206 (95% CI=1,055-9,745) and thrombocytopenia (<50.000/µL) OR=11,301 (95% CI= 4,674-27,325) is a factors that influenced for incidence of dengue shock syndrome. Sex, nausea/vomiting,hemoconcentration, BMI, blood type, prolonged acces to health services, signs of spontaneous bleeding, abdominal pain, hypotension, acces to health services, knowledge and awareness of parents / suffers were not associated with DSS.Conclusion : Host clinical characteristic variables were evident influenced to DSS is age ≤ 15 years, secondary infection, hepatomegaly, and thrombocytopenia (<50.000/µL)

Climate and soil factors influencing seedling recruitment of plant species used for dryland restoration

Land degradation affects 10–20% of drylands globally. Intensive land use and management, largescale disturbances such as extractive operations, and global climate change, have contributed to degradation of these systems worldwide. Restoring these damaged environments is critical to improving ecosystem services and functions, conserve biodiversity, and contribute to climate resilience, food security, and landscape sustainability. Here, we present a case study on plant species of the mining intensive semi-arid Pilbara region in Western Australia that examines the effects of climate and soil factors on the restoration of drylands. We analysed the effects of a range of rainfall and temperature scenarios and the use of alternative soil materials on seedling recruitment of key native plant species from this area. Experimental studies were conducted in controlled environment facilities where conditions simulated those found in the Pilbara. Soil from topsoil (T) stockpiles and waste materials (W) from an active mine site were mixed at different proportions (100% T, 100% W, and two mixes of topsoil and waste at 50 : 50 and 25 : 75 ratios) and used as growth media. Our results showed that seedling recruitment was highly dependent on soil moisture and emergence was generally higher in the topsoil, which had the highest available water content. In general, responses to the climate scenarios differed significantly among the native species which suggest that future climate scenarios of increasing drought might affect not only seedling recruitment but also diversity and structure of native plant communities. The use of waste materials from mining operations as growth media could be an alternative to the limited topsoil. However, in the early stages of plant establishment successful seedling recruitment can be challenging in the absence of water. These limitations could be overcome by using soil amendments but the cost associated to these solutions at large landscape scales needs to be assessed and proven to be economically feasible

Faktor-Faktor yang Berpengaruh terhadap Kejadian Tuberkulosis pada Wanita (Studi Kasus di RSUD Kabupaten Brebes)

Background: Tuberculosis (TB) risk in women increased during the productive age. Various problems can arise if a woman suffering from TB given the role of women, especially married, pregnant, and have children. Her role as a housewife who must carry out the task of physical and mental care of children at the same time taking care of her husband will be disrupted. To determine the chances of marital status, pregnancy, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, household contact history, history of comorbidities DM, population density, and spacious house ventilation of TB incidence in women.Methods: The study was observational analytic study with case control design. The sample size is as much as 128 people, consisting of 64 cases and 64 controls. Sampling was done by proportional random sampling technique. Data were analyzed with univariable, bivariable, and multivariable.Results: The results of multivariate analysis, parity (OR 5.9, 95% CI 2.40-14.89, p 0.0001), contact history (OR 4.9, 95% CI 1.75-14.14, p 0.003), pollution kitchen smoke (OR 4.2, 95% CI 1.71-10.67, p 0.002), ventilation (OR 4.2, 95% CI 1.72- 10.44, p 0.002) as a risk factor for TB in women.Conclusion: The incidence of tuberculosis in women in Brebes chance or greater risk inwomen with high parity, a history of contacts, exposure to cooking smoke pollution is high and stay at home with ventilation that do not qualify health requirements

"All-versus-nothing" nonlocality test of quantum mechanics by two-photon hyperentanglement

We report the experimental realization and the characterization of polarization and momentum hyperentangled two photon states, generated by a new parametric source of correlated photon pairs. By adoption of these states an "all versus nothing" test of quantum mechanics was performed. The two photon hyperentangled states are expected to find at an increasing rate a widespread application in state engineering and quantum information. PACS: 03.65.Ud, 03.67.Mn, 42.65. LmComment: Replaced with published versio

Influence of participation, facilitator styles, and metacognitive reflection on knowledge building in online university courses

Understanding how to foster knowledge building in online and blended learning environments is a key for computer-supported collaborative learning research. Knowledge building is a deeply constructivist pedagogy and kind of inquiry learning focused on theory building. A strong indicator of engagement in knowledge building activity is the socio-cognitive dynamic of epistemic agency, in which students exercise a higher level of agency for setting forth their ideas and negotiating fit with those of others rather than relying on their teacher. The purpose of this paper is to investigate the influence of (a) levels of participation, (b) facilitator styles and (c) metacognitive reflection on knowledge building in two blended, post-secondary education contexts. A study of a total of 67 undergraduate students suggest that high levels of participation, a supportive facilitator style, and ample opportunities for metacognitive reflection on the students’ own participation strategies are most conducive for fostering epistemic agency for knowledge building. Implications of these results for research and instructional design of online courses are discussed

The Cluster and Field Galaxy AGN Fraction at z = 1 to 1.5: Evidence for a Reversal of the Local Anticorrelation Between Environment and AGN Fraction

The fraction of cluster galaxies that host luminous AGN is an important probe of AGN fueling processes, the cold ISM at the centers of galaxies, and how tightly black holes and galaxies co-evolve. We present a new measurement of the AGN fraction in a sample of 13 clusters of galaxies (M >= 10^{14} Msun) at 1<z<1.5 selected from the Spitzer/IRAC Shallow Cluster Survey, as well as the field fraction in the immediate vicinity of these clusters, and combine these data with measurements from the literature to quantify the relative evolution of cluster and field AGN from the present to z~3. We estimate that the cluster AGN fraction at 1<z<1.5 is f_A = 3.0^{+2.4}_{-1.4}% for AGN with a rest-frame, hard X-ray luminosity greater than L_{X,H} >= 10^{44} erg/s. This fraction is measured relative to all cluster galaxies more luminous than M*_{3.6}(z)+1, where M*_{3.6}(z) is the absolute magnitude of the break in the galaxy luminosity function at the cluster redshift in the IRAC 3.6um bandpass. The cluster AGN fraction is 30 times greater than the 3sigma upper limit on the value for AGN of similar luminosity at z~0.25, as well as more than an order of magnitude greater than the AGN fraction at z~0.75. AGN with L_{X,H} >= 10^{43} erg/s exhibit similarly pronounced evolution with redshift. In contrast with the local universe, where the luminous AGN fraction is higher in the field than in clusters, the X-ray and MIR-selected AGN fractions in the field and clusters are consistent at 1<z<1.5. This is evidence that the cluster AGN population has evolved more rapidly than the field population from z~1.5 to the present. This environment-dependent AGN evolution mimics the more rapid evolution of star-forming galaxies in clusters relative to the field.Comment: ApJ Accepted. 16 pages, 8 figures in emulateapj forma