An innovative design and evaluation of a stratified hot water storage system - the Water Snake

The increase in energy prices and the demand to reduce carbon emission is attracting the attention to the implementation of diverse heating technologies such as heat pumps, solar energy, gas boilers, CHP and electric heaters. Heating applications for integrated technologies include district heating, domestic small scale applications and commercial large scale buildings. Thermal storage is likely to become key to energy efficient heating. A stratified hot water tank will play an important role in the integration of several heating technologies that operate efficiently at different level of temperatures with reduced implementation cost. This paper describes the concept and the assessment of the ‘Water Snake’, a novel low cost concept of a stratified hot water tank. The results show that the new concept could provide efficient stratification at a very low cost using this invention

Exploring Educational Psychologists' Views and Experiences of Coaching

Coaching psychology is an emerging sub-discipline of the practice of coaching and represents a unique approach to practice in educational psychology. To date, there has been little research into the use of coaching in this field (e.g. Adams, 2016), suggesting that it is an emerging area of practice and highlighting the need for further research. As such, this research sought to explore educational psychologists’ (EPs) views of coaching and the experience of those using it in practice. Phase 1 of the research focused on obtaining the views of coaching held by EPs whilst Phase 2 explored the experiences of a selected group of EPs who use coaching in their practice. All participants were EPs, either qualified or in training. Both quantitative and qualitative data was collected, through the use of online questionnaires in Phase 1 (N=119) and semi-structured individual interviews in Phase 2 (N=10). Quantitative data was analysed using descriptive and frequency statistics, Chi-square analysis, independent t-tests and Tukey HSD tests, whilst the qualitative data was subject to a mixture of content and thematic analyses. The findings of this research suggest that there is ambiguity in both the understanding and practice of coaching. 81% of participants felt that coaching fits with practice and the majority agreed that its impact is or would be positive. 93% felt that coaching will have a future in educational psychology and many agreed that it should be included in doctoral training. However, a number of barriers to practice were identified, including a lack of professional confidence and the type of service in which EPs work. It was felt that this may affect the time and opportunities available for EPs to practice coaching. A conceptual map exploring the link between EPs’ views and the future of coaching is presented, with reference to Lewin’s Change Management and Force Field Analysis models (1947, 1951). Consideration is given to the implications of this research for the future practice of EPs, and suggestions for future, evidence-based research are presented. The findings of this research offer a unique insight into the practice of coaching in educational psychology and suggest that coaching may represent a unique avenue for future practice and research

Serotype-specific correlates of protection for pneumococcal carriage: an analysis of immunity in 19 countries.

Background: Pneumococcal conjugate vaccines (PCVs) provide direct protection against disease in those vaccinated, and interrupt transmission through the prevention of nasopharyngeal carriage. Methods: We analysed immunogenicity data from 5224 infants who received PCV in prime-boost schedules. We defined any increase in antibody between the one-month post-priming visit and the booster dose as an indication of nasopharyngeal carriage ('seroincidence'). We calculated antibody concentrations using receiver-operator characteristic curves, and used generalised additive models to compute their protective efficacy against seroincidence. To support seroincidence as a marker of carriage, we compared seroincidence in a randomised immunogenicity trial in Nepal with the serotype-specific prevalence of carriage in the same community. Findings: In Nepalese infants, seroincidence of carriage closely correlated with serotype-specific carriage prevalence in the community. In the larger data set, antibody concentrations associated with seroincidence were lowest for serotypes 6B and 23F (0.50 µg/mL and 0.63 µg/mL respectively), and highest for serotypes 19F and 14 (2.54 µg/mL and 2.48 µg/mL respectively). The protective efficacy of antibody at these levels was 62% and 74% for serotypes 6B and 23F, and 87% and 84% for serotypes 19F and 14. Protective correlates were on average 2.15 times higher in low/lower middle income countries than in high/upper middle income countries (GMR 2.15, 95%CI 1.46-3.17, p=0.0024). Interpretation: Antibody concentrations associated with protection vary between serotypes. Higher antibody concentrations are required for protection in low-income countries. These findings are important for global vaccination policy, to interrupt transmission by protecting against carriage

Additive opportunistic capture explains group hunting benefits in African wild dogs

African wild dogs (Lycaon pictus) are described as highly collaborative endurance pursuit hunters based on observations derived primarily from the grass plains of East Africa. However, the remaining population of this endangered species mainly occupies mixed woodland savannah where hunting strategies appear to differ from those previously described. We used high-resolution GPS and inertial technology to record fine-scale movement of all members of a single pack of six adult African wild dogs in northern Botswana. The dogs used multiple short-distance hunting attempts with a low individual kill rate (15.5%), but high group feeding rate due to the sharing of prey. Use of high-level cooperative chase strategies (coordination and collaboration) was not recorded. In the mixed woodland habitats typical of their current range, simultaneous, opportunistic, short-distance chasing by dogs pursuing multiple prey (rather than long collaborative pursuits of single prey by multiple individuals) could be the key to their relative success in these habitats

Assessment of a novel technology for a stratified hot water energy storage – the water snake

The increasing demand to enhance sustainability and reduce carbon emission and pollution is attracting the attention for im plementing and integrat ing diverse heating technologies such as heat pumps, solar energy, gas boilers, Combined Heat and Power (CHP), and electric heaters. Integrated technologies for heating include low and high temperature district heating, domestic small- scale applications and commercial large-scale buildings. Energy from flooded coalmines and water from other sources could also play a vital role in improving energy efficiency of heati ng and cooling applications. Stratified thermal storage are likely to significantly contribute to energy efficient heating, particularly when implementing a mixed-appro ach of diverse technologies. A stratified hot water tank, and naturally stratified reservoirs, are expected to play a central role in the integration of several heating technologies that operate efficiently at different levels of temperature with reduced cost. This paper presents a new innovative technology to improve stratification, namely 'the water snake', and an automated test rig to evaluate the new stratification method for energy utilisation using energy storage of hot water. An automated system is utilised to evaluate the performance. The results indicate that the test rig has been successful for the automated testing of the technology. Moreover, the results show that the water snake, as a new technology for stratification, is successful in minimising mixing and turbulence inside the thermal energy storage. The results prove that the technology could be implemented for a wide range of applications to enhance the efficiency of heating systems in buildings as well as district heating and cooling applications

Frequencies and patterns of microbiology test requests from primary care in Oxfordshire, UK, 2008-2018: a retrospective cohort study of electronic health records to inform point of care testing

Objectives: To inform point-of-care test (POCT) development, we quantified the primary care demand for laboratory microbiology tests by describing their frequencies overall, frequencies of positives, most common organisms identified, temporal trends in testing and patterns of cotesting on the same and subsequent dates. Design: Retrospective cohort study. Setting: Primary care practices in Oxfordshire. Participants :393 905 patients (65% female; 49% aged 18–49). Primary and secondary outcome measures The frequencies of all microbiology tests requested between 2008 and 2018 were quantified. Patterns of cotesting were investigated with heat maps. All analyses were done overall, by sex and age categories. Results: 1 596 752 microbiology tests were requested. Urine culture±microscopy was the most common of all tests (n=673 612, 42%), was mainly requested without other tests and was the most common test requested in follow-up within 7 and 14 days. Of all urine cultures, 180 047 (27%) were positive and 172 651 (26%) showed mixed growth, and Escherichia coli was the most prevalent organism (132 277, 73% of positive urine cultures). Antenatal urine cultures and blood tests in pregnancy (hepatitis B, HIV and syphilis) formed a common test combination, consistent with their use in antenatal screening. Conclusions: The greatest burden of microbiology testing in primary care is attributable to urine culture ± microscopy; genital and routine antenatal urine and blood testing are also significant contributors. Further research should focus on the feasibility and impact of POCTs for these specimen types

Investigating the effect of the defrost cycles of air-source heat pumps on their electricity demand in buildings

With the goal to reach net zero carbon emission, countries around the world are expected to switch from fossil fuel to more eco-friendly alternatives. This suggests that heating, transport, and energy sectors will be more dependent on electricity. Heat pump technology is expected to be the most common and clean technology to be used for heating in buildings due to its Coefficient of Performance. Air-source heat pumps are the most common type due to their ease of installation. This paper investigates how different climates around the world would affect the air-source heat pump electricity consumption and its defrost cycles; and hence the potential overall effect on the grid. A novel heat pump simulation model has been developed to understand the behaviour of the heat pump in cold weather scenarios. An experimental validation has been implemented to ensure the accuracy of the simulation model. Global case studies of cities from around the world including Amsterdam, Copenhagen, Helsinki, Stockholm, Vancouver, Ruse, Moscow, Reykjavik, Harbin and Nottingham are selected to assess the defrost cycles of air source heat pumps. The innovation of this research is in the in-depth investigation of heat pump defrost cycles. Electrifying the heating sector is expected to increase electricity consumption significantly, especially in cold weather. A detailed case study of the UK is presented with heat pumps and the examination of the impact this would have on the electricity grid is presented. Heating demands for buildings in cold weather was also simulated to calculate the required heating demand. The results show that the wide implementation of heat pumps in the UK, for example, would increase the total daily demand of electricity by approximately 144% relative to the present level of grid energy demand. In addition, the average daily energy consumption would increase by roughly 106% over the cold season. The findings are critical, and the novel methodology is applicable to many countries on global level in relation to the future effect of heat pumps on the grid and predicting the power demand needed by the additional heat pumps based on geographical location, u-values of building elements, and heating demand. It is crucial for a household to improve the insulation of their dwelling as this could considerably reduce the power demand by the heat pump and therefore the overall electricity consumption. This paper aims to inform future technology developers and policy makers regarding the expected effect of heat pump technology on the grid and the possible sudden peaks in demand

Integrating wild and agrobiodiversity conservation

This research shows that both wild biodiversity and agrobiodiversity provide multiple ecosystem services that support food production, underpin food security and human wellbeing. We consider that biodiversity conservation efforts in agricultural contexts should better integrate wild and agrobiodiversity approache

Sepsis recognition tools in acute ambulatory care::associations with process of care and clinical outcomes in a service evaluation of an Emergency Multidisciplinary Unit in Oxfordshire

To assess the performance of currently available sepsis recognition tools in patients referred to a community-based acute ambulatory care unit.Service evaluation of consecutive patients over a 4-month period.Community-based acute ambulatory care unit.Observations, blood results and outcome data were analysed from patients with a suspected infection. Clinical features at first assessment were used to populate sepsis recognition tools including: systemic inflammatory response syndrome (SIRS) criteria, National Early Warning Score (NEWS), quick Sequential Organ Failure Assessment (qSOFA) and National Institute for Health and Care Excellence (NICE) criteria. Scores were assessed against the clinical need for escalated care (use of intravenous antibiotics, fluids, ongoing ambulatory care or hospital treatment) and poor clinical outcome (all-cause mortality and readmission at 30 days after index assessment).Of 533 patients (median age 81 years), 316 had suspected infection with 120 patients requiring care escalated beyond simple community care. SIRS had the highest positive predictive value (50.9%, 95% CI 41.6% to 60.3%) and negative predictive value (68.9%, 95% CI 62.6% to 75.3%) for the need for escalated care. Both NEWS and SIRS were better at predicting the need for escalated care than qSOFA and NICE criteria in patients with suspected infection (all P<0.001). While new-onset confusion predicted the need for escalated care for infection in patients ≥85 years old (n=114), 23.7% of patients ≥85 years had new-onset confusion without evidence for infection.Acute ambulatory care clinicians should use caution in applying the new NICE endorsed criteria for determining the need for intravenous therapy and hospital-based location of care. NICE criteria have poorer performance when compared against NEWS and SIRS and new-onset confusion was prevalent in patients aged ≥85 years without infection

Energy cost and return for hunting in African wild dogs and Cheetahs

African wild dogs (Lycaon pictus) are reported to hunt with energetically costly long chase distances. We used high-resolution GPS and inertial technology to record 1,119 high-speed chases of all members of a pack of six adult African wild dogs in northern Botswana. Dogs performed multiple short, high-speed, mostly unsuccessful chases to capture prey, while cheetahs (Acinonyx jubatus) undertook even shorter, higher-speed hunts. We used an energy balance model to show that the energy return from group hunting and feeding substantially outweighs the cost of multiple short chases, which indicates that African wild dogs are more energetically robust than previously believed. Comparison with cheetah illustrates the trade-off between sheer athleticism and high individual kill rate characteristic of cheetahs, and the energetic robustness of frequent opportunistic group hunting and feeding by African wild dogs