48 research outputs found

    Carbon Dioxide Decomposition by a Parallel-Plate Plasma Reactor: Experiments and 2-D Modelling

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    The applicability of high voltage electrical discharges for the decomposition of CO2 has been extensively demonstrated. In this study, a new AC parallel-plate plasma reactor is presented which was designed for this purpose. Detailed experimental characterization and simulation of this reactor were performed. Gas chromatography of the exhaust gases enabled calculation of the CO2 conversion and energy efficiency. A conversion factor approximating 25% was obtained which is higher in comparison to existing plasma sources. Optical emission spectroscopy enabled the determination of the emission intensities of atoms and molecules inside the plasma and characterization of the discharge. The Stark broadening of the Balmer hydrogen line HÎČ was used for the estimation of the electron density. The obtained densities were of the order of 5 × 1014 cm−3 which indicates that the electron kinetic energy dominated the discharge. The rotational, vibrational, and excitation temperatures were determined from the vibro-rotational band of the OH radical. A 2-temperature plasma was found where the estimated electron temperatures (~18,000 K) were higher than the gas temperatures (~2000 K). Finally, a 2-D model using the fluid equations was developed for determining the main processes in the CO2 splitting. The solution to this model, using the finite element method, gave the temporal and spatial behaviors of the formed species densities, the electric potential, and the temperatures of electrons

    Numerical study of the effect of adding corona discharge based on plasma actuator on flow control performance in a horizontal axis wind turbine with rough surfaces

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    The use of renewable energy has recently become very common in most countries of today's society. Among these renewable energies, wind energy is one of the most attractive methods of mechanical energy production, and different methods of flow control, including active, semi-active and passive, have been investigated by various researchers. To control the fluid flow in an active way on the wind turbine blade, the corona discharge actuator based on plasma is considered the most appropriate method to reduce the fluid flow separation on the wind turbine blade. In this paper, we present a numerical simulation to integrate active load control using a corona discharge based on plasma actuators over the roughness blade. Effects of roughness, actuators voltage and frequency on aerodynamics parameters such as separation point, lift and drag coefficients have been showed. Present results showed that, the lift coefficient increase with increase in the voltage and frequency of plasma actuators. Overall, using the roughness for outer surface of blade would decrease the critical pressure coefficient by approximately 50% compared to that for the smooth surface

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    <p>(G1) (Normal control group); (G2) (Ulcer control group); (G3) (Omeprazole); (G4) (62.5 mg/kg), (G5) (125 mg/kg), (G6) (250 mg/kg) and (G7) (500 mg/kg) of <i>V</i>. <i>pubescens</i> extract. HSP70 protein was over-expressed in rats pre-treated with omeprazole or <i>V</i>. <i>pubescens</i> extract (brown color shows over-expression of HSP70 protein) (magnification 20×). There were 6 rats in each group of experiment. The Image J program was used to evaluate protein expression. All values are expressed as the means ± the standard error of mean. The mean difference was significant at the <i>p < 0</i>.<i>05</i> level compared to the cancer control group.</p

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    ćź¶æ—çœ‹è­·ć­ŠăŒçœ‹è­·ăźć°‚é–€é ˜ćŸŸăšă—ăŠçąșç«‹ă•ă‚Œç™șć±•ă—ăŠă„ăăŸă‚,ä»ŠćŸŒăźç ”ç©¶ăźæ–čć‘æ€§ă‚’æ˜Žă‚‰ă‹ă«ă—ăŸă„ăš,ć›œć†…ć€–ăźćź¶æ—ăŠă‚ˆăłćź¶æ—çœ‹è­·ć­Šă«é–ąă™ă‚‹æ–‡çŒźăźæ•°é‡çš„ć‹•ć‘ăšç ”ç©¶é ˜ćŸŸćˆ„æ–‡çŒźæŠ‚èŠłă‚’èĄŒăŁăŸç”æžœ,ć›œć†…ć€–ăšă‚‚ă«ćź¶æ—,ćź¶æ—ăźć„ćș·,ćź¶æ—æŽćŠ©ă«é–ąă™ă‚‹ç ”ç©¶ć ±ć‘ŠăŻćą—ćŠ ć‚Ÿć‘ă«ă‚ă‚Š,ćź¶æ—ăžăźé–ąćżƒăźé«˜ăŸă‚ŠăšćźŸè·”äžŠăźćż…èŠæ€§ăŒćæ˜ ă•ă‚ŒăŠă„ăŸă€‚ăŸăŸ,ă‚ăŒć›œă§ăŻé«˜éœąćŒ–ç€ŸäŒšă«ăŠă‘ă‚‹ćź¶æ—æŽćŠ©ăźèŠæ±‚ăŒćź¶æ—çœ‹è­·ć­Šăźçąșç«‹ă‚’äżƒă—ăŠă„ă‚‹ă“ăš,ä»ŠćŸŒăŻćź¶æ—ă‚’ćŻŸè±Ąăšă—ăŸè©•äŸĄæ–čæł•ăźé–‹ç™șă‚„æŽćŠ©ă«é–ąă™ă‚‹äșˆé˜Čçš„ăƒ»ćźŸè·”çš„ç ”ç©¶ăŒæ±‚ă‚ă‚‰ă‚ŒăŠă„ă‚‹ă“ăšăŒç€ș攆された。The review of the literature on family nursing through numerical trend and research fields was done to know how to establish and develop nursing specialty in this area. The followings were suggested. 1) The researches concerning family, family health, and family practice were increasing in both inside and outside of Japan. 2) ln U. S. A., family nursing was developed in the field of maternal-child and psychiatric nursing, introducing family system theory. In Japan family nursing is rather essential in the field of home care for the aeed, due to aging population. 3) Further researches on development of assessment tool, intervention and social support are necessary, especially by preventive and practical points of view

    Air quality and urban sustainable development: the application of machine learning tools

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    [EN] Air quality has an efect on a populationÂżs quality of life. As a dimension of sustainable urban development, governments have been concerned about this indicator. This is refected in the references consulted that have demonstrated progress in forecasting pollution events to issue early warnings using conventional tools which, as a result of the new era of big data, are becoming obsolete. There are a limited number of studies with applications of machine learning tools to characterize and forecast behavior of the environmental, social and economic dimensions of sustainable development as they pertain to air quality. This article presents an analysis of studies that developed machine learning models to forecast sustainable development and air quality. Additionally, this paper sets out to present research that studied the relationship between air quality and urban sustainable development to identify the reliability and possible applications in diferent urban contexts of these machine learning tools. To that end, a systematic review was carried out, revealing that machine learning tools have been primarily used for clustering and classifying variables and indicators according to the problem analyzed, while tools such as artifcial neural networks and support vector machines are the most widely used to predict diferent types of events. The nonlinear nature and synergy of the dimensions of sustainable development are of great interest for the application of machine learning tools.Molina-GĂłmez, NI.; DĂ­az-ArĂ©valo, JL.; LĂłpez JimĂ©nez, PA. (2021). Air quality and urban sustainable development: the application of machine learning tools. International Journal of Environmental Science and Technology. 18(4):1-18. https://doi.org/10.1007/s13762-020-02896-6S118184Al-Dabbous A, Kumar P, Khan A (2017) Prediction of airborne nanoparticles at roadside location using a feed–forward artificial neural network. Atmos Pollut Res 8:446–454. https://doi.org/10.1016/j.apr.2016.11.004Antanasijević D, Pocajt V, Povrenović D, Ristić M, Perić-Grujić A (2013) PM10 emission forecasting using artificial neural networks and genetic algorithm input variable optimization. Sci Total Environ 443:511–519. https://doi.org/10.1016/j.scitotenv.2012.10.110Brink H, Richards JW, Fetherolf M (2016) Real-world machine learning. Richards JW, Fetherolf M (eds) Manning Publications Co. Berkeley, CA. https://www.manning.com/books/real-world-machine-learning. Accessed 26 Apr 2020Cervone G, Franzese P, Ezber Y, Boybeyi Z (2008) Risk assessment of atmospheric emissions using machine learning. Nat Hazard Earth Syst 8:991–1000. https://doi.org/10.5194/nhess-8-991-2008Chen S, Kan G, Li J, Liang K, Hong Y (2018) Investigating China’s urban air quality using big data, information theory, and machine learning. Pol J Environ Stud 27:565–578. https://doi.org/10.15244/pjoes/75159Corani (2005) Air quality prediction in Milan: feed-forward neural networks, pruned neural networks and lazy learning. Ecol Model 185:513–529. https://doi.org/10.1016/j.ecolmodel.2005.01.008Cruz C, GĂłmez A, RamĂ­rez L, Villalva A, Monge O, Varela J, Quiroz J, Duarte H (2017) Calidad del aire respecto de metales (Pb, Cd, Ni, Cu, Cr) y relaciĂłn con salud respiratoria: caso Sonora, MĂ©xico. Rev Int Contam Ambient 33:23–34. https://doi.org/10.20937/RICA.2017.33.esp02.02de Hoogh K, HĂ©ritier H, Stafoggia M, KĂŒnzli N, Kloog I (2018) Modelling daily PM2.5 concentrations at high spatio-temporal resolution across Switzerland. Environ Pollut 233:1147–1154. https://doi.org/10.1016/j.envpol.2017.10.025Franceschi F, Cobo M, Figueredo M (2018) Discovering relationships and forecasting PM10 and PM2.5 concentrations in BogotĂĄ, Colombia, using Artificial Neural Networks, Principal Component Analysis, and k-means clustering. Atmos Pollut Res 9:912–922. https://doi.org/10.1016/j.apr.2018.02.006GarcĂ­a N, Combarro E, del Coz J, Montañes E (2013) A SVM-based regression model to study the air quality at local scale in Oviedo urban area (Northern Spain): a case study. Appl Math Comput 219:8923–8937. https://doi.org/10.1016/j.amc.2013.03.018Gibert K, SĂ nchez-MĂ rre M, Sevilla B (2012) Tools for environmental data mining and intelligent decision support. In iEMSs. Leipzig, Germany. http://www.iemss.org/society/index.php/iemss-2012-proceedings. Accessed 26 Nov 2018Gibert K, SĂ nchez-MarrĂš M, Izquierdo J (2016) A survey on pre-processing techniques: relevant issues in the context of environmental data mining. Ai Commun 29:627–663. https://doi.org/10.3233/AIC-160710Gounaridis D, Chorianopoulos I, Koukoulas S (2018) Exploring prospective urban growth trends under different economic outlooks and land-use planning scenarios: the case of Athens. Appl Geogr 90:134–144. https://doi.org/10.1016/j.apgeog.2017.12.001Holloway J, Mengersen K (2018) Statistical machine learning methods and remote sensing for sustainable development goals: a review. Remote Sens 10:1–21. https://doi.org/10.3390/rs10091365Ifaei P, Karbassi A, Lee S, Yoo Ch (2017) A renewable energies-assisted sustainable development plan for Iran using techno-econo-socio-environmental multivariate analysis and big data. Energy Convers Manag 153:257–277. https://doi.org/10.1016/j.enconman.2017.10.014Kadiyala A, Kumar A (2017a) Applications of R to evaluate environmental data science problems. Environ Prog Sustain 36:1358–1364. https://doi.org/10.1002/ep.12676Kadiyala A, Kumar A (2017b) Vector time series-based radial basis function neural network modeling of air quality inside a public transportation bus using available software. Environ Prog Sustain 36:4–10. https://doi.org/10.1002/ep.12523Karimian H, Li Q, Wu Ch, Qi Y, Mo Y, Chen G, Zhang X, Sachdeva S (2019) Evaluation of different machine learning approaches to forecasting PM2.5 mass concentrations. Aerosol Air Qual Res 19:1400–1410. https://doi.org/10.4209/aaqr.2018.12.0450Krzyzanowski M, Apte J, Bonjour S, Brauer M, Cohen A, PrĂŒss-Ustun A (2014) Air pollution in the mega-cities. Curr Environ Health Rep 1:185–191. https://doi.org/10.1007/s40572-014-0019-7LĂ€ssig K, Morik (2016) Computat sustainability. Springer, Berlin. https://doi.org/10.1007/978-3-319-31858-5Li Y, Wu Y-X, Zeng Z-X, Guo L (2006) Research on forecast model for sustainable development of economy-environment system based on PCA and SVM. In: Proceedings of the 2006 international conference on machine learning and cybernetics, vol 2006. IEEE, Dalian, China, pp 3590–3593. https://doi.org/10.1109/ICMLC.2006.258576Liu B-Ch, Binaykia A, Chang P-Ch, Tiwari M, Tsao Ch-Ch (2017) Urban air quality forecasting based on multi- dimensional collaborative support vector regression (SVR): a case study of Beijing-Tianjin-Shijiazhuang. PLoS ONE 12:1–17. https://doi.org/10.1371/journal.pone.0179763Lubell M, Feiock R, Handy S (2009) City adoption of environmentally sustainable policies in California’s Central Valley. J Am Plan Assoc 75:293–308. https://doi.org/10.1080/01944360902952295Ma D, Zhang Z (2016) Contaminant dispersion prediction and source estimation with integrated Gaussian-machine learning network model for point source emission in atmosphere. J Hazard Mater 311:237–245. https://doi.org/10.1016/j.jhazmat.2016.03.022Madu C, Kuei N, Lee P (2017) Urban sustainability management: a deep learning perspective. Sustain Cities Soc 30:1–17. https://doi.org/10.1016/j.scs.2016.12.012Mellos K (1988) Theory of eco-development. In: Perspectives on ecology. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-19598-5_4Ni XY, Huang H, Du WP (2017) Relevance analysis and short-term prediction of PM2.5 concentrations in Beijing based on multi-source data. Atmos Environ 150:146–161. https://doi.org/10.1016/j.atmosenv.2016.11.054Oprea M, Dragomir E, Popescu M, Mihalache S (2016) Particulate matter air pollutants forecasting using inductive learning approach. Rev Chim 67:2075–2081Paas B, Stienen J, VorlĂ€nder M, Schneider Ch (2017) Modelling of urban near-road atmospheric PM concentrations using an artificial neural network approach with acoustic data input. Environments 4:1–25. https://doi.org/10.3390/environments4020026Pandey G, Zhang B, Jian L (2013) Predicting submicron air pollution indicators: a machine learning approach. Environ Sci Proc Impacts 15:996–1005. https://doi.org/10.1039/c3em30890aPeng H, Lima A, Teakles A, Jin J, Cannon A, Hsieh W (2017) Evaluating hourly air quality forecasting in Canada with nonlinear updatable machine learning methods. Air Qual Atmos Health 10:195–211. https://doi.org/10.1007/s11869-016-0414-3PĂ©rez-OrtĂ­z M, de La Paz-MarĂ­n M, GutiĂ©rrez PA, HervĂĄs-MartĂ­nez C (2014) Classification of EU countries’ progress towards sustainable development based on ordinal regression techniques. Knowl Based Syst 66:178–189. https://doi.org/10.1016/j.knosys.2014.04.041Phillis Y, Kouikoglou V, Verdugo C (2017) Urban sustainability assessment and ranking of cities. Comput Environ Urban 64:254–265. https://doi.org/10.1016/j.compenvurbsys.2017.03.002Saeed S, Hussain L, Awan I, Idris A (2017) Comparative analysis of different statistical methods for prediction of PM2.5 and PM10 concentrations in advance for several hours. Int J Comput Sci Netw Secur 17:45–52Sayegh A, Munir S, Habeebullah T (2014) Comparing the performance of statistical models for predicting PM10 concentrations. Aerosol Air Qual Res 14:653–665. https://doi.org/10.4209/aaqr.2013.07.0259Shaban K, Kadri A, Rezk E (2016) Urban air pollution monitoring system with forecasting models. IEEE Sens J 16:2598–2606. https://doi.org/10.1109/JSEN.2016.2514378Sierra B (2006) Aprendizaje automĂĄtico conceptos bĂĄsicos y avanzados Aspectos prĂĄcticos utilizando el software Weka. Madrid Pearson Prentice Hall, MadridSingh K, Gupta S, Rai P (2013) Identifying pollution sources and predicting urban air quality using ensemble learning methods. Atmos Environ 80:426–437. https://doi.org/10.1016/j.atmosenv.2013.08.023Song L, Pang S, Longley I, Olivares G, Sarrafzadeh A (2014) Spatio-temporal PM2.5 prediction by spatial data aided incremental support vector regression. In: International joint conference on neural networks. IEEE, Beijing, pp 623–630. https://doi.org/10.1109/IJCNN.2014.6889521Souza R, Coelho G, da Silva A, Pozza S (2015) Using ensembles of artificial neural networks to improve PM10 forecasts. Chem Eng Trans 43:2161–2166. https://doi.org/10.3303/CET1543361SuĂĄrez A, GarcĂ­a PJ, Riesgo P, del Coz JJ, Iglesias-RodrĂ­guez FJ (2011) Application of an SVM-based regression model to the air quality study at local scale in the AvilĂ©s urban area (Spain). Math Comput Model 54:453–1466. https://doi.org/10.1016/j.mcm.2011.04.017Tamas W, Notton G, Paoli C, Nivet M, Voyant C (2016) Hybridization of air quality forecasting models using machine learning and clustering: an original approach to detect pollutant peaks. Aerosol Air Qual Res 16:405–416. https://doi.org/10.4209/aaqr.2015.03.0193Toumi O, Le Gallo J, Ben Rejeb J (2017) Assessment of Latin American sustainability. Renew Sustain Energy Rev 78:878–885. https://doi.org/10.1016/j.rser.2017.05.013Tzima F, Mitkas P, Voukantsis D, Karatzas K (2011) Sparse episode identification in environmental datasets: the case of air quality assessment. Expert Syst Appl 38:5019–5027. https://doi.org/10.1016/j.eswa.2010.09.148United Nations, Department of Economic and Social Affairs (2019) World urbanization prospects The 2018 Revision. New York. https://doi.org/10.18356/b9e995fe-enWang B (2019) Applying machine-learning methods based on causality analysis to determine air quality in China. Pol J Environ Stud 28:3877–3885. https://doi.org/10.15244/pjoes/99639Wang X, Xiao Z (2017) Regional eco-efficiency prediction with support vector spatial dynamic MIDAS. J Clean Prod 161:165–177. https://doi.org/10.1016/j.jclepro.2017.05.077Wang W, Men C, Lu W (2008) Online prediction model based on support vector machine. Neurocomputing 71:550–558. https://doi.org/10.1016/j.neucom.2007.07.020WCED (1987) Report of the world commission on environment and development: our common future: report of the world commission on environment and development. WCED, Oslo. https://doi.org/10.1080/07488008808408783Weizhen H, Zhengqiang L, Yuhuan Z, Hua X, Ying Z, Kaitao L, Donghui L, Peng W, Yan M (2014) Using support vector regression to predict PM10 and PM2.5. In: IOP conference series: earth and environmental science, vol 17. IOP. https://doi.org/10.1088/1755-1315/17/1/012268WHO (2016) OMS | La OMS publica estimaciones nacionales sobre la exposiciĂłn a la contaminaciĂłn del aire y sus repercusiones para la salud. WHO. http://www.who.int/mediacentre/news/releases/2016/air-pollution-estimates/es/. Accesed 26 Nov 2018Yeganeh N, Shafie MP, Rashidi Y, Kamalan H (2012) Prediction of CO concentrations based on a hybrid partial least square and support vector machine model. Atmos Environ 55:357–365. https://doi.org/10.1016/j.atmosenv.2012.02.092Zalakeviciute R, Bastidas M, Buenaño A, Rybarczyk Y (2020) A traffic-based method to predict and map urban air quality. Appl Sci. https://doi.org/10.3390/app10062035Zeng L, Guo J, Wang B, Lv J, Wang Q (2019) Analyzing sustainability of Chinese coal cities using a decision tree modeling approach. Resour Policy 64:101501. https://doi.org/10.1016/j.resourpol.2019.101501Zhan Y, Luo Y, Deng X, Grieneisen M, Zhang M, Di B (2018) Spatiotemporal prediction of daily ambient ozone levels across China using random forest for human exposure assessment. Environ Pollut 233:464–473. https://doi.org/10.1016/j.envpol.2017.10.029Zhang Y, Huan Q (2006) Research on the evaluation of sustainable development in Cangzhou city based on neural-network-AHP. In: Proceedings of the fifth international conference on machine learning and cybernetics, vol 2006. pp 3144–3147. https://doi.org/10.1109/ICMLC.2006.258407Zhang Y, Shang W, Wu Y (2009) Research on sustainable development based on neural network. In: 2009 Chinese control and decision conference. IEEE, pp 3273–3276. https://doi.org/10.1109/CCDC.2009.5192476Zhou Y, Chang F-J, Chang L-Ch, Kao I-F, Wang YS (2019) Explore a deep learning multi-output neural network for regional multi-step-ahead air quality forecasts. J Clean Prod 209:134–145. https://doi.org/10.1016/j.jclepro.2018.10.24

    Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-Adjusted life-years for 29 cancer groups, 1990 to 2017 : A systematic analysis for the global burden of disease study

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    Importance: Cancer and other noncommunicable diseases (NCDs) are now widely recognized as a threat to global development. The latest United Nations high-level meeting on NCDs reaffirmed this observation and also highlighted the slow progress in meeting the 2011 Political Declaration on the Prevention and Control of Noncommunicable Diseases and the third Sustainable Development Goal. Lack of situational analyses, priority setting, and budgeting have been identified as major obstacles in achieving these goals. All of these have in common that they require information on the local cancer epidemiology. The Global Burden of Disease (GBD) study is uniquely poised to provide these crucial data. Objective: To describe cancer burden for 29 cancer groups in 195 countries from 1990 through 2017 to provide data needed for cancer control planning. Evidence Review: We used the GBD study estimation methods to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-Adjusted life-years (DALYs). Results are presented at the national level as well as by Socio-demographic Index (SDI), a composite indicator of income, educational attainment, and total fertility rate. We also analyzed the influence of the epidemiological vs the demographic transition on cancer incidence. Findings: In 2017, there were 24.5 million incident cancer cases worldwide (16.8 million without nonmelanoma skin cancer [NMSC]) and 9.6 million cancer deaths. The majority of cancer DALYs came from years of life lost (97%), and only 3% came from years lived with disability. The odds of developing cancer were the lowest in the low SDI quintile (1 in 7) and the highest in the high SDI quintile (1 in 2) for both sexes. In 2017, the most common incident cancers in men were NMSC (4.3 million incident cases); tracheal, bronchus, and lung (TBL) cancer (1.5 million incident cases); and prostate cancer (1.3 million incident cases). The most common causes of cancer deaths and DALYs for men were TBL cancer (1.3 million deaths and 28.4 million DALYs), liver cancer (572000 deaths and 15.2 million DALYs), and stomach cancer (542000 deaths and 12.2 million DALYs). For women in 2017, the most common incident cancers were NMSC (3.3 million incident cases), breast cancer (1.9 million incident cases), and colorectal cancer (819000 incident cases). The leading causes of cancer deaths and DALYs for women were breast cancer (601000 deaths and 17.4 million DALYs), TBL cancer (596000 deaths and 12.6 million DALYs), and colorectal cancer (414000 deaths and 8.3 million DALYs). Conclusions and Relevance: The national epidemiological profiles of cancer burden in the GBD study show large heterogeneities, which are a reflection of different exposures to risk factors, economic settings, lifestyles, and access to care and screening. The GBD study can be used by policy makers and other stakeholders to develop and improve national and local cancer control in order to achieve the global targets and improve equity in cancer care. © 2019 American Medical Association. All rights reserved.Peer reviewe

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Improving productivity in road pavement maintenance and rehabilitation in New Zealand : a thesis presented in fulfillment of the requirements for the degree of Master of Construction Management, School of Engineering and Advanced Technology, College of Sciences, Massey University, Albany, New Zealand

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    Improving the productivity of the multi-billion dollar annual investment in the maintenance and rehabilitation of the roading infrastructure could bring about huge cost savings and ensure optimal use of resources and tax payers’ money. There is currently little or no research on productivity improvement of the New Zealand roading sector. This study aimed to identify productivity constraints and improvement measures in the road maintenance and rehabilitation (RMR) sector in New Zealand. The study also aimed to provide insights into the RMR process and the criteria that inform strategic decisions for action. Based on a descriptive survey method, qualitative and quantitative data were gathered through pilot interviews and on-line surveys. The investigations were limited to the views of consultants and contractors involved in the New Zealand road pavement maintenance and rehabilitation sector. Content analysis and multi-attribute methods were used in the analysis of the primary data for this research. Results from the pilot interviews revealed 61 productivity constraint factors. These were aggregated into two main categories: internal and external factors, with an additional eight sub-categories. The five internal factor sub-groups were project finance, workforce, technology/process, project characteristics, and project management/project team characteristics. The three external factor sub-groups were statutory compliance, unforeseen circumstances, and “other” external forces. Results of the multi-attribute analysis showed that inaccurate estimates, lack of good leadership management capacity, resistance to accept new technologies in road maintenance projects, site location and environmental constraints, and frequency of design changes/change orders/late changes were the most influential internal constraint factors on the level of productivity in the road maintenance and rehabilitation sector in New Zealand. Additionally, the Health and Safety in Employment Act, Resource Management Act, inclement weather, market conditions and the level of competition in the industry for jobs were the most significant factors under the broad category of external constraints. Recommendations for improving productivity in the New Zealand RMR sector include providing more training courses for the workforce to participate in, in order to improve the level of skills and experience in the work force; having sufficient budget for using new technologies, such as road failure detection systems; using new cost-effective materials with a longer life cycle; providing accurate estimations; applying up-to-date leadership management skills; and improving the quality and accuracy of designs to minimise design errors and late change orders; as well as having adequate planning and regular monitoring of the entire process. It is expected that the application of these recommendations by designers, project managers and contractors could lift efficiency and productivity in the RMR sector and ensure optimal use of resources in the sector, as well as boost the New Zealand economy
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