6 research outputs found
A review of solar hybrid photovoltaic-thermal (PV-T) collectors and systems
In this paper, we provide a comprehensive overview of the state-of-the-art in hybrid PV-T collectors and the wider systems within which they can be implemented, and assess the worldwide energy and carbon mitigation potential of these systems. We cover both experimental and computational studies, identify opportunities for performance enhancement, pathways for collector innovation, and implications of their wider deployment at the solar-generation system level. First, we classify and review the main types of PV-T collectors, including air-based, liquid-based, dual air–water, heat-pipe, building integrated and concentrated PV-T collectors. This is followed by a presentation of performance enhancement opportunities and pathways for collector innovation. Here, we address state-of-the-art design modifications, next-generation PV cell technologies, selective coatings, spectral splitting and nanofluids. Beyond this, we address wider PV-T systems and their applications, comprising a thorough review of solar combined heat and power (S–CHP), solar cooling, solar combined cooling, heat and power (S–CCHP), solar desalination, solar drying and solar for hydrogen production systems. This includes a specific review of potential performance and cost improvements and opportunities at the solar-generation system level in thermal energy storage, control and demand-side management. Subsequently, a set of the most promising PV-T systems is assessed to analyse their carbon mitigation potential and how this technology might fit within pathways for global decarbonization. It is estimated that the REmap baseline emission curve can be reduced by more than 16% in 2030 if the uptake of solar PV-T technologies can be promoted. Finally, the review turns to a critical examination of key challenges for the adoption of PV-T technology and recommendations
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Optimization of Solar Thermal and Solar Photovoltaic Systems for Medium Temperature Industrial Applications
Solar-derived industrial heat could be derived from the solar resource available on factory rooftops from either solar thermal (ST) collectors, which can generate heat directly, or from solar photovoltaic modules (PV), which can indirectly generate heat through heat pumps or resistance heaters. At present, there is no mature solar technology exists which integrates both for medium temperature outputs, although this has certainly been the subject of a lot of recent research. Based on this assumption, this thesis investigates the potential of using ST and PV solar collectors in a side-by-side configuration for industry rooftops, ranging from 100% PV to 100% ST. Thus, the central question for this thesis is: What is the best ‘mix’ of solar technologies for factories around the world? To answer this, a simulation-based method was developed and applied, which considered several objective functions, including economic (levelized cost of energy), technical (overall performance) and environmental (embodied energy and emissions), and multi-objective combinations of these objectives. The economic function is dependent on the local cost parameters, thus, the levelized cost of energy was determined in several geographic locations. The technical function is also local and was determined through determining the annual transient performance of each technology for the proposed application. Additionally, the environmental function requires knowledge of the embodied energy and embodied greenhouse gas emissions that are associated with these solar technologies during their manufacturing stage. Global geographical locations were also analyzed to determine the equivalent carbon dioxide impact for the primary energy mix that the solar production offsets. Several parameters/ factors were analyzed to investigate their impacts on the system performance such as the load profile, load temperature, and various solar technologies. Sensitivity analyses were also conducted for the coefficient of performance and PV efficiency to analyze the impact of changing these parameters. The results revealed that these parameters are significant on the system output and can vary the optimum solar mix by up to 17%. The results indicate that the ST collector has a lower energy payback time (i.e. EPBT<1.2 years) in high direct normal irradiation locations and that a mix of technologies provides the fastest EBPT. The cost function was reduced using the solar mix (i.e. by up to 9.8% compared to ST alone). In terms of the greenhouse gas emission payback time (GHGe PBT), the findings do not reveal a conclusive verdict for or against ST versus PV technologies. Lastly, global maps were produced to present the optimum ‘mix’ and embodied impacts based upon the findings of these results. This thesis is significant as it presents a better way to make decisions about which solar technology to use, potentially enabling industrial customers to achieve better cost, performance and emissions outcomes from their operations