272 research outputs found
Identification and Prioritization of Energy Consumption Optimization Strategies in the Building Industry Using the Hybrid SWARA-BIM Model
Energy consumption in buildings has become one of the most critical problems in all countries and principles of sustainability suggest that a satisfactory solution must be found to reduce energy consumption. This study aims to identify and prioritize energy consumption optimization strategies in buildings. Data collection consists of gather-ing primary data from the existing literature and secondary data from interviews, questionnaires, and simulations through building information modeling (BIM) tools. Twenty-nine strategies were identified and categorized into five groups according to their nature and ranked using one of the multiple criteria decision-making (MCDM) methods called the step-wise weight assessment ratio analysis (SWARA). A case study building in Shiraz, Iran, was simulated using BIM software, and the energy saving potential of the highest ranked strategies were obtained. According to the results, significant contributors to the energy consumption optimization were “Using renewable energy resources,” “Using efficient insulation,” and “Using suitable materials,” providing 100%, 35%, and 23% efficacy, respectively. The results obtained from this study can inform the building industry’s key stakeholders regarding the best strategies to apply in order to reduce energy consumption and improve sustainability in the construction industry
Investigating the environmental impact of reinforced-concrete and structural-steel frames on sustainability criteria in green buildings
Reducing the detrimental impact of human activities on our environment is an essential need. Buildings have a significant role in accomplishing this need, which necessitates the conduction of comprehensive research that adequately identifies the underlying factors and then seeks sustainable solutions. Green buildings have been one of the critical initiatives to lessen the negative impact of human endeavors on the environment. The structural frame is one of the most critical elements of buildings, especially owing to their impact on the environment. This study investigates how structural building frames perform according to sustainability criteria. A questionnaire was used to identify the relevant sustainability criteria, and a hybrid Delphi-SWARA model was used to determine the relative importance of eight comprehensive prioritized criteria. A building was simulated with DesignBuilder software to quantify the environmental impact of two main types of structural frames, reinforced concrete (RC) and structural steel (SS) frames, on sustainability criteria. Results illustrated that RC-framed buildings have a less detrimental impact on the environment due to less energy consumption and carbon emissions. The energy consumption in RC-framed buildings was 2.3% less in electricity consumption and 2.7 less in natural gas consumption. In addition, 88 tonnes of CO2 emission can be reduced with this type of frame in a 50-year lifecycle which is more than 5% of the total CO2 production of the building. The methodological approach used in this research introduces a novel way for decision-makers to consider the sustainability criteria in the design stage
Design for a multicenter, randomized, sham-controlled study to evaluate safety and efficacy after treatment with the Nuvaira (R) lung denervation system in subjects with chronic obstructive pulmonary disease (AIRFLOW-3)
Background Targeted lung denervation (TLD) is a bronchoscopically delivered ablation therapy that selectively interrupts pulmonary parasympathetic nerve signaling. The procedure has the potential to alter airway smooth muscle tone and reactivity, decrease mucous secretion, and reduce airway inflammation and reflex airway hyperresponsiveness. Secondary outcome analysis of a previous randomized, sham-controlled trial showed a reduction in moderate-to-severe exacerbations in patients with COPD after TLD treatment. A pivotal trial, AIRFLOW-3 has been designed to evaluate the safety and efficacy of TLD combined with optimal medical therapy to reduce moderate or severe exacerbations throughout 1 year, compared with optimal medical therapy alone. Methods The study design is a multicenter, randomized, full sham bronchoscopy controlled, double-blind trial that will enroll 400 patients (1:1 randomization). Key inclusion criteria are FEV1/FVC < 0.7, FEV1 30 to 60% of predicted, post-bronchodilator, ≥ 2 moderate or 1 severe COPD exacerbations in the prior year, and COPD assessment test (CAT) ≥ 10. Primary objective will be the comparison of moderate or severe COPD exacerbations through 12 months of TLD therapy with optimal medical therapy versus optimal medical therapy alone. The sham group will be allowed to cross over at 1 year. Patients will be followed for up to 5 years. Discussion The multicenter, randomized, full sham bronchoscopy controlled, double-blind AIRFLOW-3 trial will evaluate the efficacy of TLD to reduce moderate or severe COPD exacerbations beyond optimal medical therapy alone. The target population are patients with COPD, who suffer persistent symptoms and exacerbations despite optimal treatment, defining an unmet medical need requiring novel therapeutic solutions. This trial is registered at clinicaltrials.gov: NCT03639051
Expert Statement:Pneumothorax Associated with One-Way Valve Therapy for Emphysema: 2020 Update
For selected patients with advanced emphysema, bronchoscopic lung volume reduction with one-way valves can lead to clinically relevant improvements of airflow obstruction, hyperinflation, exercise capacity, and quality of life. The most common complication of this procedure is pneumothorax with a prevalence of up to +/- 34% of the treated patients. Patients who develop a pneumothorax also experience meaningful clinical benefits once the pneumothorax is resolved. Timely resolution of a post-valve treatment pneumothorax requires skilled and adequate pneumothorax management. This expert panel statement is an updated recommendation of the 2014 statement developed to help guide pneumothorax management after valve placement. Additionally, mechanisms for pneumothorax development, risk assessment, prevention of pneumothorax, and outcomes after pneumothorax are addressed. This recommendation is based on a combination of the current scientific literature and expert opinion, which was obtained through a modified Delphi method
The design and evaluation of travelling gun irrigation systems: enrolador software
Technical Paperinfo:eu-repo/semantics/publishedVersio
Resilient Strategies and Sustainability in Agri-Food Supply Chains in the Face of High-Risk Events
[EN] Agri-food supply chains (AFSCs) are very vulnerable to high risks such as pandemics, causing economic and social impacts mainly on the most vulnerable population. Thus, it is a priority to implement resilient strategies that enable AFSCs to resist, respond and adapt to new market challenges. At the same time, implementing resilient strategies impact on the social, economic and environmental dimensions of sustainability. The objective of this paper is twofold: analyze resilient strategies on AFSCs in the literature and identify how these resilient strategies applied in the face of high risks affect the achievement of sustainability dimensions. The analysis of the articles is carried out in three points: consequences faced by agri-food supply chains due to high risks, strategies applicable in AFSCs, and relationship between resilient strategies and the achievement of sustainability dimensions.Authors of this publication acknowledge the contribution of the Project 691249, RUC-APS "Enhancing and implementing Knowledge based ICT solutions within high Risk and Uncertain Conditions for Agriculture Production Systems" (www.ruc-aps.eu), funded by the European Union under their funding scheme H2020-MSCA-RISE-2015.Zavala-Alcívar, A.; Verdecho Sáez, MJ.; Alfaro Saiz, JJ. (2020). Resilient Strategies and Sustainability in Agri-Food Supply Chains in the Face of High-Risk Events. IFIP Advances in Information and Communication Technology. 598:560-570. https://doi.org/10.1007/978-3-030-62412-5_46S560570598Gray, R.: Agriculture, transportation, and the COVID-19 crisis. Can. J. Agric. 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Analyzing Stakeholder Water Source Preference Based upon Social Capital: a Case Study of the Fajr Jam Gas Refinery in Iran
Gas refineries are among the most water-intensive industries in the world. The Fajr Jam gas refinery is one such example, located in the southern Iran. The indiscriminate use of aquifer resources for this highly profitable industry creates tragedy of the commons effects, causing significant environmental controversy and threatening the long-term water security of the region. It behooves decision makers, therefore, to examine a broad range of adaptive water management strategies for this industry. The implementation of such strategies requires understanding the preferences and potential conflicts that may emerge among competing stakeholder interests. This quantitative social scientific study examines stakeholder preferences among water management options through the lens of social capital. Elite stakeholder representatives (including agricultural organizations, governmental organizations, the Water, and Power Authority, Department of Health, Bureau of Water and Wastewater) were canvassed through a survey instrument using paired comparisons. Data were analyzed using Expert Choice software and an analytic hierarchy process technique. The results show that accountability is the main criterion for selecting the best water sources and ranked first with the Eigenvector 0.62. Also, the results show that the least important criterion was social cohesion with the Eigenvalue 0.033. The criteria of partnership and trust ranked as two and three with Eigenvalues 0.215 and 0.133, respectively. The results indicate that the construction of salt water transmission from the sea (A = 0.240) is the preferred option among other alternatives, and this is confirmed by sensitivity analysis
Positive End-Expiratory Pressure may alter breathing cardiovascular variability and baroreflex gain in mechanically ventilated patients
<p>Abstract</p> <p>Background</p> <p>Baroreflex allows to reduce sudden rises or falls of arterial pressure through parallel RR interval fluctuations induced by autonomic nervous system. During spontaneous breathing, the application of positive end-expiratory pressure (PEEP) may affect the autonomic nervous system, as suggested by changes in baroreflex efficiency and RR variability. During mechanical ventilation, some patients have stable cardiorespiratory phase difference and high-frequency amplitude of RR variability (HF-RR amplitude) over time and others do not. Our first hypothesis was that a steady pattern could be associated with reduced baroreflex sensitivity and HF-RR amplitude, reflecting a blunted autonomic nervous function. Our second hypothesis was that PEEP, widely used in critical care patients, could affect their autonomic function, promoting both steady pattern and reduced baroreflex sensitivity.</p> <p>Methods</p> <p>We tested the effect of increasing PEEP from 5 to 10 cm H2O on the breathing variability of arterial pressure and RR intervals, and on the baroreflex. Invasive arterial pressure, ECG and ventilatory flow were recorded in 23 mechanically ventilated patients during 15 minutes for both PEEP levels. HF amplitude of RR and systolic blood pressure (SBP) time series and HF phase differences between RR, SBP and ventilatory signals were continuously computed by complex demodulation. Cross-spectral analysis was used to assess the coherence and gain functions between RR and SBP, yielding baroreflex-sensitivity indices.</p> <p>Results</p> <p>At PEEP 10, the 12 patients with a stable pattern had lower baroreflex gain and HF-RR amplitude of variability than the 11 other patients. Increasing PEEP was generally associated with a decreased baroreflex gain and a greater stability of HF-RR amplitude and cardiorespiratory phase difference. Four patients who exhibited a variable pattern at PEEP 5 became stable at PEEP 10. At PEEP 10, a stable pattern was associated with higher organ failure score and catecholamine dosage.</p> <p>Conclusions</p> <p>During mechanical ventilation, stable HF-RR amplitude and cardiorespiratory phase difference over time reflect a blunted autonomic nervous function which might worsen as PEEP increases.</p
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