Energy and Environmental Performance Comparison of Heat Pump Systems Working with Alternative Refrigerants

Featured Application: An energy and environmental performance analysis of air-source and ground-source heat pump systems able to operate with traditional (R-410A) and alternative low-GWP (R-454B) refrigerants is conducted. The case study is composed of an existing residential single-family house, and the coupled HVAC system is modeled by means of the commercial software TRNSYS. The TEWI index is considered to evaluate the environmental impact of the heat pump systems. The results of the numerical simulations show a significant reduction in the overall greenhouse emissions of those systems in which R-454B is employed as a refrigerant. The European Parliament has imposed to reduce by 2030 whole HFC emissions by at least two-thirds with respect to 2014 levels. With the aim of contributing to determine the energy and environmental advantages of refrigerants alternative to R-410A, this paper reports the results of a numerical study focused on an HVAC system coupled to a residential building and based on a reversible electric heat pump. In particular, two heat pump typologies are considered: an air-source and a ground-source heat pump, both operating with the two refrigerants R-410A and R-454B. The environmental performance of the studied system is assessed by means of the TEWI (total equivalent warming impact) index. The adoption of R-454B involves a slight decrease (2–3%) in the overall annual energy performance of the system with respect to the use of R-410A. On the other hand, the working fluid R-454B guarantees a marked decrease in the TEWI indicator. Indeed, considering the current Italian emission factor of electricity taken from the grid, the total emissions over the entire heat pump operating life drop by about 25% and can decrease by up to 89% in perspective, following the current reduction trend of the emission factor

Public health triangulation: approach and application to synthesizing data to understand national and local HIV epidemics

<p>Abstract</p> <p>Background</p> <p>Public health triangulation is a process for reviewing, synthesising and interpreting secondary data from multiple sources that bear on the same question to make public health decisions. It can be used to understand the dynamics of HIV transmission and to measure the impact of public health programs. While traditional intervention research and metaanalysis would be ideal sources of information for public health decision making, they are infrequently available, and often decisions can be based only on surveillance and survey data.</p> <p>Methods</p> <p>The process involves examination of a wide variety of data sources and both biological, behavioral and program data and seeks input from stakeholders to formulate meaningful public health questions. Finally and most importantly, it uses the results to inform public health decision-making. There are 12 discrete steps in the triangulation process, which included identification and assessment of key questions, identification of data sources, refining questions, gathering data and reports, assessing the quality of those data and reports, formulating hypotheses to explain trends in the data, corroborating or refining working hypotheses, drawing conclusions, communicating results and recommendations and taking public health action.</p> <p>Results</p> <p>Triangulation can be limited by the quality of the original data, the potentials for ecological fallacy and "data dredging" and reproducibility of results.</p> <p>Conclusions</p> <p>Nonetheless, we believe that public health triangulation allows for the interpretation of data sets that cannot be analyzed using meta-analysis and can be a helpful adjunct to surveillance, to formal public health intervention research and to monitoring and evaluation, which in turn lead to improved national strategic planning and resource allocation.</p

A novel emergency department based prevention intervention program for people living with HIV: evaluation of early experiences

<p>Abstract</p> <p>Background</p> <p>HIV prevention is increasingly focused on people living with HIV (PLWH) and the role of healthcare settings in prevention. Emergency Departments (EDs) frequently care for PLWH, but do not typically endorse a prevention mission. We conducted a pilot exploratory evaluation of the first reported ED program to address the prevention needs of PLWH.</p> <p>Methods</p> <p>This retrospective observational cohort evaluation reviewed program records to describe the first six months of participants and programmatic operation. Trained counselors provided a risk assessment and counseling intervention combined with three linkage interventions: i) linkage to health care, ii) linkage to case management, and iii) linkage to partner counseling and referral.</p> <p>Results</p> <p>Of 81 self-identified PLWH who were approached, 55 initially agreed to participate. Of those completing risk assessment, 17/53 (32%, 95 CI 20% to 46%) reported unprotected anal/vaginal intercourse or needle sharing in the past six months with a partner presumed to be HIV negative. Counseling was provided to 52/53 (98%). For those requesting services, 11/15 (73%) were linked to healthcare, 4/23 (17%) were coordinated with case management, and 1/4 (25%) completed partner counseling and referral.</p> <p>Conclusion</p> <p>Given base resources of trained counselors, it was feasible to implement a program to address the prevention needs for persons living with HIV in an urban ED. ED patients with HIV often have unmet needs which might be addressed by improved linkage with existing community resources. Healthcare and prevention barriers for PLWH may be attenuated if EDs were to incorporate CDC recommended prevention measures for healthcare providers.</p

Dynamic simulation on energy performance of a school

Building retrofitting is the most feasible and cost-effective method to improve building energy efficiency. The paper presents a comparative analysis of two different strategies to enhance the energy performance of an existing building, trying to enhance indoor comfort conditions too. On one hand, the strategy aimed at reducing the heat transfer by transmission, on the other one at decreasing the heat transfer by ventilation. The study has been applied to a school, located in the surroundings of Bologna, Italy. Potential energy savings were calculated by dynamic simulation using Trnsys© software