Energy saving potential of climate adaptive building shells - Inverse modelling of optimal thermal and visual behaviour

In common building design practice energy performance calculation programs or, in the best case, dynamic building simulation programs are used to optimize the properties of a building shell. However, even with use of dynamic building simulation programs adaptive behaviour, in terms of changing building shell properties, is not easy to simulate since many inputs - like insulation values, window ratio, etc. are ‘fixed’ values. The result of these optimization calculations is therefore rather an optimization in fixed design values then a set of ideal optimal adaptive behaviour building shell parameters. In the Dutch FACET project (Dutch acronym: ‘Adaptive façade technology for increased comfort and lower energy use in the future’) a quest for the ideal building shell with adaptive, variable properties is performed. Since the standard way of simulating does not allow fully adaptive building shell behaviour, a completely new, inverse modelling approach is set up. The key question here is: "What would be the ideal, dynamic properties of a building shell to get the desired indoor climate at variable outdoor climate conditions?" By reversing the design approach, and using inverse modelling, a set of ideal, hypothetical building shell parameters is computed for different climate conditions at various time steps (seasons, daynight, instantaneous), for different building categories like offices, schools and dwellings. This ‘ideal’ adaptive behaviour will make it possible to maximize indoor comfort and to minimize energy use for heating, cooling, ventilation and lighting. It does not start with having existing concepts in mind, but instead focuses on clarifying the theoretical potential of adaptive architecture. In the TRNSYS and Radiance simulations the building shell input is given as a black box, with a wide range of possible (combinations of) thermal and visual properties. Technologies and materials to meet the requirements can be more futuristic but also very ‘down to earth’. Partial solutions are already available, in low or high tech solutions, such as smart glazing, variable vacuum insulation, insulating window covering, etc. Further technology development is expected to be desired to fully meet the ideally adaptive behaviour requirements. Based on state of the art ‘adaptive temperature’ criteria optimal thermal behaviour was simulated in a first step. This gives the energy saving potential for an optimal thermal adaptive building shell. In a second step the computed optimal daylight characteristics of the building shell is given by optimizing visual comfort in Radiance. In a next step, both visual and thermal behaviour is optimized in an integral way, using a multi objective criteria approach. This paper describes the thermal and visual simulation optimization results of the FACET project. Preliminary results show that optimal adaptive building shell properties can reduce the total heating and cooling demand by a factor 10 compared to state of the art new built offices. For the Netherlands this means a factor 3 compared to the very efficient passive house technology. In the case of offices the heat demand is practically eliminated and the cooling demand can be reduced significantly by a factor two. The resulting extremely low energy demand means that less effort is needed to enable zero energy, or energy producing buildings in the future

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Protective intraoperative ventilation with higher versus lower levels of positive end-expiratory pressure in obese patients (PROBESE): study protocol for a randomized controlled trial

Background: Postoperative pulmonary complications (PPCs) increase the morbidity and mortality of surgery in obese patients. High levels of positive end-expiratory pressure (PEEP) with lung recruitment maneuvers may improve intraoperative respiratory function, but they can also compromise hemodynamics, and the effects on PPCs are uncertain. We hypothesized that intraoperative mechanical ventilation using high PEEP with periodic recruitment maneuvers, as compared with low PEEP without recruitment maneuvers, prevents PPCs in obese patients. Methods/design The PRotective Ventilation with Higher versus Lower PEEP during General Anesthesia for Surgery in OBESE Patients (PROBESE) study is a multicenter, two-arm, international randomized controlled trial. In total, 2013 obese patients with body mass index ≥35 kg/m2 scheduled for at least 2 h of surgery under general anesthesia and at intermediate to high risk for PPCs will be included. Patients are ventilated intraoperatively with a low tidal volume of 7 ml/kg (predicted body weight) and randomly assigned to PEEP of 12 cmH2O with lung recruitment maneuvers (high PEEP) or PEEP of 4 cmH2O without recruitment maneuvers (low PEEP). The occurrence of PPCs will be recorded as collapsed composite of single adverse pulmonary events and represents the primary endpoint. Discussion To our knowledge, the PROBESE trial is the first multicenter, international randomized controlled trial to compare the effects of two different levels of intraoperative PEEP during protective low tidal volume ventilation on PPCs in obese patients. The results of the PROBESE trial will support anesthesiologists in their decision to choose a certain PEEP level during general anesthesia for surgery in obese patients in an attempt to prevent PPCs. Trial registration ClinicalTrials.gov identifier: NCT02148692. Registered on 23 May 2014; last updated 7 June 2016. Electronic supplementary material The online version of this article (doi:10.1186/s13063-017-1929-0) contains supplementary material, which is available to authorized users

Daglichtberekeningen in het bouwfysisch ontwerpproces

Dit artikel beschrijft de mogelijkheden en beperkingen van het uitvoeren van daglichtberekeningen met behulp van computerprogramma's. Dit geschiedt aan de hand van een beschrijving van de processen die een rol spelen bij het bepalen van de verlichtingssterke ten gevolge van daglicht in het interieur. Twee modellen, Superlite 2.0 en Radiance, worden als voorbeelden van daglichtmodellen besproken. Computer modellen voor daglichthoeveelheden zijn vooraisnog zeer moeilijk te gebruiken. Inzicht in modelleertechnieken en daglichtalgoritmes is vereist. Modellen als Superlite en Radiance kunnen echter, ieder in hun domein, veel relevante informatie voor het ontwerp geven. Daglicht is een dynamisch verschijnsel. Deze dynamiek is met de huidige software nog niet te reproduceren

Daglichtberekeningen in het bouwfysisch ontwerpproces

Dit artikel beschrijft de mogelijkheden en beperkingen van het uitvoeren van daglichtberekeningen met behulp van computerprogramma's. Dit geschiedt aan de hand van een beschrijving van de processen die een rol spelen bij het bepalen van de verlichtingssterke ten gevolge van daglicht in het interieur. Twee modellen, Superlite 2.0 en Radiance, worden als voorbeelden van daglichtmodellen besproken. Computer modellen voor daglichthoeveelheden zijn vooraisnog zeer moeilijk te gebruiken. Inzicht in modelleertechnieken en daglichtalgoritmes is vereist. Modellen als Superlite en Radiance kunnen echter, ieder in hun domein, veel relevante informatie voor het ontwerp geven. Daglicht is een dynamisch verschijnsel. Deze dynamiek is met de huidige software nog niet te reproduceren