Healthcare workers hospitalized due to COVID-19 have no higher risk of death than general population. Data from the Spanish SEMI-COVID-19 Registry

Aim To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). Methods Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. Results As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). Conclusions Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Role of age and comorbidities in mortality of patients with infective endocarditis

Purpose: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. Methods: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015. Patients were stratified into three age groups:<65 years, 65 to 80 years, and = 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. Results: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 = 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients =80 years who underwent surgery were significantly lower compared with other age groups (14.3%, 65 years; 20.5%, 65-79 years; 31.3%, =80 years). In-hospital mortality was lower in the <65-year group (20.3%, <65 years;30.1%, 65-79 years;34.7%, =80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%, =80 years; p = 0.003).Independent predictors of mortality were age = 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI = 3 (HR:1.62; 95% CI:1.39–1.88), and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared, the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. Conclusion: There were no differences in the clinical presentation of IE between the groups. Age = 80 years, high comorbidity (measured by CCI), and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Building Retrofit with Photovoltaics: Construction and Performance of a BIPV Ventilated Façade

Building retrofit offers the opportunity to reduce energy consumption, improve energy efficiency and increase the use of renewable energy sources. The photovoltaic (PV) technology can be integrated into the building envelope, where conventional construction materials can be easily substituted by PV modules. Prices are competitive with some other solutions and good architectural building integrated photovoltaics (BIPV) solutions enhance the appearance of the buildings. All this makes BIPV an attractive solution for effectively and sustainably retrofitting building envelopes, providing savings in materials and in conventional electricity consumption and, at the same time, improving the energy efficiency of the buildings. This paper shows a building retrofit case study in which standard PV modules are integrated into a new ventilated fa&ccedil;ade, aiming at serving as an easy-to-implement example for large-scale actions

Assessment of PV Module Temperature Models for Building-Integrated Photovoltaics (BIPV)

This paper assesses two steady-state photovoltaic (PV) module temperature models when applied to building integrated photovoltaic (BIPV) rainscreens and curtain walls. The models are the Ross and the Faiman models, both extensively used for PV modules mounted on open-rack support structures in PV plants. The experimental setups arrange the BIPV modules vertically and with different backside boundary conditions to cover the mounting configurations under study. Data monitoring over more than a year was the experimental basis to assess each model by comparing simulated and measured temperatures with the help of four different metrics: mean absolute error, root mean square error, mean bias error, and coefficient of determination. The performance ratio of each system without the temperature effect was calculated by comparing the experimental energy output with the energy output determined with the measured temperatures. This parameter allowed the estimation of the PV energy with the predicted temperatures to assess the suitability of each temperature model for energy-prediction purposes. The assessment showed that the Ross model is the most suitable for predicting the annual PV energy in rainscreen and curtain-wall applications. Highlighted is the importance of fitting the model coefficients with a representative set of in situ monitored data. The data set should preferably include the inner (backside) temperature, i.e., the air chamber temperature in ventilated façades or the indoor temperature in curtain walls and windows

Exploring the PV Power Forecasting at Building Façades Using Gradient Boosting Methods

2023 Descuento MDPISolar power forecasting is of high interest in managing any power system based on solar energy. In the case of photovoltaic (PV) systems, and building integrated PV (BIPV) in particular, it may help to better operate the power grid and to manage the power load and storage. Power forecasting directly based on PV time series has some advantages over solar irradiance forecasting first and PV power modeling afterwards. In this paper, the power forecasting for BIPV systems in a vertical façade is studied using machine learning algorithms based on decision trees. The forecasting scheme employs the skforecast library from the Python environment, which facilitates the implementation of different schemes for both deterministic and probabilistic forecasting applications. Firstly, deterministic forecasting of hourly BIPV power was performed with XGBoost and Random Forest algorithms for different cases, showing an improvement in forecasting accuracy when some exogenous variables were used. Secondly, probabilistic forecasting was performed with XGBoost combined with the Bootstrap method. The results of this paper show the capabilities of Random Forest and gradient boosting algorithms, such as XGBoost, to work as regressors in time series forecasting of BIPV power. Mean absolute error in the deterministic forecast, using the most influencing exogenous variables, were around 40% and close below 30% for the south and east array, respectively.Ministerio de Ciencia, Innovación y Universidades (España)Depto. de Física de la Tierra y AstrofísicaFac. de Ciencias FísicasTRUEpubDescuento UC

Impact of measured spectrum variation on solar photovoltaic efficiencies worldwide

In photovoltaic power ratings, a single solar spectrum, AM1.5, is the de facto standard for record laboratory efficiencies, commercial module specifications, and performance ratios of solar power plants. More detailed energy analysis that accounts for local spectral irradiance, along with temperature and broadband irradiance, reduces forecast errors to expand the grid utility of solar energy. Here, ground-level measurements of spectral irradiance collected worldwide have been pooled to provide a sampling of geographic, seasonal, and diurnal variation. Applied to nine solar cell types, the resulting divergence in solar cell efficiencies illustrates that a single spectrum is insufficient for comparisons of cells with different spectral responses. Cells with two or more junctions tend to have efficiencies below that under the standard spectrum. Silicon exhibits the least spectral sensitivity: relative weekly site variation ranges from 1% in Lima, Peru to 14% in Edmonton, Canada