Data mining for sustainability analysis: an education approach

Our planet’s population is increasing at a rapid pace and with it the demand for food and resources. Environmental Sustainability (ES), a part of Sustainable Development (SD) concepts and techniques, is key in mitigating the effects of resource overuse. Several indicators have been identified and used to develop ES measures such as an environmental performance index and an environmental vulnerability index. These indices are used to evaluate countries and provide support for decision-making regarding national mitigation strategies and climate risks. This paper describes an educational approach to raise ES awareness and improve SD analytical skills among doctoral level students in Engineering Systems Management. The data used in this paper is obtained from existing ES indices and available data. The students use data mining and analytics techniques to evaluate the data, find relationships, and draw conclusions. These techniques and conclusions are then shared in class presentations and conference publications. Data mining converts raw data into useful information that can be understood by different audiences. It can be used to persuade policymakers about the importance of sustainable strategies for a country, a society, or certain groups or individuals’ welfare by highlighting meaningful patterns and trends in ES. The paper also aims to investigate possible correlations among environmental indices and their underlying indicators

Commitment Indicators for Tracking Sustainable Design Decisions in Construction Projects

The construction industry is considered one of the largest contributors to climate change through its consumption of natural resources and generation of greenhouse gases. Much of this can be attributed to inadequate decision making and follow-up within construction companies. To mitigate this problem, considerable research on Sustainable Development (SD) reports on decision support systems have been developed in order to make sound decisions with respect to the environment. Nonetheless, and despite the availability of such tools, these systems fail to track the commitment to SD decisions and goals during the different phases of construction projects in general and the design phase in particular. As such, this study identified three standard SD indicators: waste reduction, energy consumption, and carbon emissions as the main contributors, and developed the framework to track the project stakeholders’ commitment to the relevant SD indicators during the project design phase. The developed framework was validated via an expert panel and used to create a Sustainable Development Commitment Tracking Tool (SDCTT-D). The SDCTT-D tool was also applied in an infrastructure project case study. The results of this study gauged the usability of the developed tool and corroborated the research premise

A Holistic Intersection Rating System (HIRS)—A Novel Methodology to Measure the Holistic Operational Performance of Signalized Urban Intersections

Signalized urban intersections are key components of urban transportation networks. They are traditionally viewed and designed as primarily motorized traffic facilities, and thus their physical and operational designs have traditionally aimed at maximizing traffic throughput subject to constraints dictated by vehicular safety requirements and pedestrian crossing needs. Seen from a holistic viewpoint, urban intersections are hubs or effective centers of community activities of which traffic flow is only one. Those hubs have direct and indirect impacts on the overlapping traffic functionalities, the environment, public health, community wellbeing, and the local economy. This study proposes a new rating system, the Holistic Intersection Rating System (HIRS), aimed at appraising signalized intersections from a more inclusive viewpoint. This appraisal covers traffic functionality, sustainability, and public health and community wellbeing. This rating system can be used as a guide to conceive, plan, or design new intersections or revamp existing ones. HIRS rates signalized urban intersections based on the level of use of relevant enabling technologies, and the physical and operational designs that allow those intersections to operate holistically, thus leading to a more human-centric and sustainable operational performance. HIRS was validated using a panel of experts in construction, transportation, and public health. The Relative Importance Index (RII) method was used to weigh the HIRS features. The rating system was piloted on a sample of 20 intersections in different cities in the UAE. The results revealed glaring gaps in services to or the consideration of pedestrians, cyclists, and nearby households. The sample intersections scored a mean of 32% on the public health and community wellbeing section, 37% on the pedestrian subsection, and 15% on the cyclist subsection. Such relatively low scores serve as indicators of areas for improvements, and if mapped to their specific features and their relative weights, specific physical and operations designs and technology integration can be identified as actionable items for inclusion in plans and/or designs

Outcomes of atrioesophageal fistula following catheter ablation of atrial fibrillation treated with surgical repair versus esophageal stenting

Atrioesophageal fistula (AEF) is a rare but devastating complication of radiofrequency catheter ablation (RFCA) of atrial fibrillation (AF). Surgical repair and esophageal stents are available treatment options for AEF. We report outcomes of these 2 management strategies

Long-term outcome of catheter ablation in atrial fibrillation patients with coexistent metabolic syndrome and obstructive sleep apnea: impact of repeat procedures versus lifestyle changes

Metabolic syndrome (MS) and obstructive sleep apnea (OSA) are well-known independent risk factors for atrial fibrillation (AF) recurrence. This study evaluated ablation outcome in AF patients with coexistent MS and OSA and influence of lifestyle modifications (LSM) on arrhythmia recurrence

Management of Periprocedural and Early Pericardial Effusions With Tamponade Following Ablation of Atrial Fibrillation With Uninterrupted Factor Xa Inhibitors: A Case Series

Management of Tamponade Following AF Ablation With FXaI: Introduction: Because of the absence of a dedicated reversal agent, the outcome of pericardial effusion (PE) following procedures performed with uninterrupted apixaban or rivaroxaban is unknown. We report the characteristics of PEs presenting with tamponade in patients undergoing AF ablation with uninterrupted factor Xa inhibition (FXaI) to understand their management and prognosis. Methods and Results: We performed a multicenter cross-sectional survey in 10 centers across the United States. Patient data were obtained by chart review. In all patients the procedure was performed with uninterrupted FXaI. A total of 16 PEs requiring intervention were reported from 5 centers. Two patients were on apixaban 5 mg BD, the remaining on rivaroxaban 20 mg OD. Eleven PEs occurred in the periprocedural setting, and 5 PEs occurred from 1 to 28 days after the procedure. Pericardiocentesis and drainage were performed in all cases. Protamine and 4-factor prothrombin complex concentrate (4F-PCC) were given in all periprocedural cases. Two patients required surgery: in one case coagulation of the pericardial blood prevented effective drainage, and in the other bleeding was secondary to a steam pop-induced atrial tear. None of the postprocedural cases required FXaI reversal and the dose of rivaroxaban was temporarily reduced. No fatal outcomes or thromboembolic events were reported. Conclusion: Pericardiocentesis and drainage with FXaI reversal proved effective in the management of acute PEs with tamponade occurring periprocedurally in patients undergoing AF ablation with uninterrupted FXaI. Early postprocedural effusions can be treated with pericardiocentesis without the need of a reversal agent

Pulmonary-vein isolation for atrial fibrillation in patients with heart failure

BackgroundPulmonary-vein isolation is increasingly being used to treat atrial fibrillation in patients with heart failure.MethodsIn this prospective, multicenter clinical trial, we randomly assigned patients with symptomatic, drug-resistant atrial fibrillation, an ejection fraction of 40% or less, and New York Heart Association class II or III heart failure to undergo either pulmonary-vein isolation or atrioventricular-node ablation with biventricular pacing. All patients completed the Minnesota Living with Heart Failure questionnaire (scores range from 0 to 105, with a higher score indicating a worse quality of life) and underwent echocardiography and a 6-minute walk test (the composite primary end point). Over a 6-month period, patients were monitored for both symptomatic and asymptomatic episodes of atrial fibrillation.ResultsIn all, 41 patients underwent pulmonary-vein isolation, and 40 underwent atrioventricular-node ablation with biventricular pacing; none were lost to follow-up at 6 months. The composite primary end point favored the group that underwent pulmonary-vein isolation, with an improved questionnaire score at 6 months (60, vs. 82 in the group that underwent atrioventricular-node ablation with biventricular pacing; PConclusionsPulmonary-vein isolation was superior to atrioventricular-node ablation with biventricular pacing in patients with heart failure who had drug-refractory atrial fibrillation. (ClinicalTrials.gov number, NCT00599976.)Mohammed N. Khan,...Prashanthan Sanders, et al