3 research outputs found
Exploring the Potential of Microgrids in the Effective Utilisation of Renewable Energy : A Comprehensive Analysis of Evolving Themes and Future Priorities Using Main Path Analysis
Microgrids are energy systems that can operate independently or in conjunction with the main electricity grid. Their purpose is to link different energy sources, enhance customer participation in energy markets, and improve energy system efficiency and flexibility. However, regulatory, technical, and financial obstacles hinder their deployment. To comprehend the current state of the field, this study utilized citation network analysis (CNA) methodology to examine over 1500 scholarly publications on microgrid research and development (R&D). The study employed modularity-based clustering analysis, which identified seven distinct research clusters, each related to a specific area of study. Cluster 1, focused on control strategies for microgrids, had the highest proportion of publications (23%) and the maximum citation link count (151), while Cluster 4, which examined microgrid stability, had the lowest proportion of papers (10%). On average, each publication within each cluster had four citation links. The citation network of microgrid research was partitioned using cluster analysis, which aided in identifying the main evolutionary paths of each subfield. This allowed for the precise tracing of their evolution, ultimately pinpointing emerging fronts and challenges. The identification of key pathways led to the discovery of significant studies and emerging patterns, highlighting research priorities in the field of microgrids. The study also revealed several research gaps and concerns, such as the need for further investigation into technical and economic feasibility, legislation, and standardization of microgrid technology. Overall, this study provides a comprehensive understanding of the evolution of microgrid research and identifies potential directions for future research.publishedVersio
Exploring the Potential of Microgrids in the Effective Utilisation of Renewable Energy: A Comprehensive Analysis of Evolving Themes and Future Priorities Using Main Path Analysis
Microgrids are energy systems that can operate independently or in conjunction with the main electricity grid. Their purpose is to link different energy sources, enhance customer participation in energy markets, and improve energy system efficiency and flexibility. However, regulatory, technical, and financial obstacles hinder their deployment. To comprehend the current state of the field, this study utilized citation network analysis (CNA) methodology to examine over 1500 scholarly publications on microgrid research and development (R&D). The study employed modularity-based clustering analysis, which identified seven distinct research clusters, each related to a specific area of study. Cluster 1, focused on control strategies for microgrids, had the highest proportion of publications (23%) and the maximum citation link count (151), while Cluster 4, which examined microgrid stability, had the lowest proportion of papers (10%). On average, each publication within each cluster had four citation links. The citation network of microgrid research was partitioned using cluster analysis, which aided in identifying the main evolutionary paths of each subfield. This allowed for the precise tracing of their evolution, ultimately pinpointing emerging fronts and challenges. The identification of key pathways led to the discovery of significant studies and emerging patterns, highlighting research priorities in the field of microgrids. The study also revealed several research gaps and concerns, such as the need for further investigation into technical and economic feasibility, legislation, and standardization of microgrid technology. Overall, this study provides a comprehensive understanding of the evolution of microgrid research and identifies potential directions for future research
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
Background
Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.
Methods
The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.
Results
A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).
Conclusion
Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)