Hybrid Energy Systems Model with the Inclusion of Energy Efficiency Measures: A Rural Application Perspective

way to the carbon footprint in the developing nations. Thus, the energy management initiative could assist in reducing the menace of greenhouse gas emission. Hence, the energy policy makers and planners have unanimously proposed adoption of demand side management (DSM) technique. Thus the adoption of energy efficiency technique (EET)-a DSM measures and hybrid energy system would be essential for rural electrification. This work investigates the effect of applying energy efficiency measures in rural electrification. A case study of an un-electrified rural settlement in Ibadan, Nigeria was considered. The utilization of EET techniques reduces the emission of CO2 by 62%, while the technical analysis indicates the possibility of a 100% renewable electricity production. Principally, the adoption of energy efficient techniques proved to be economically and environmentally friendly

Electricity Supply in Nigeria: Cost Comparison between Grid Power Tariff and Fossil-Powered Generator

Electricity supply in Nigeria is a huge problem with great economic and political consequences. After unbundling and privatization of generation and distribution companies, not much improvement has been experienced by electricity consumers; this is due to lack of investment in infrastructure. Lack of investment in infrastructure especially from private investors is caused largely by non-cost reflective tariff among other factors highlighted in this study. While many believe tariff has to be controlled such that it does not go beyond the reach of average citizens, many also believe that the average citizens can pay much more than the current tariff. The latter is evident considering the average amount spend on the use of portable gasoline generators by most homes and small enterprises both in rural and urban centers. The whole life cost method is used to show here that it costs a home or business premise that operates a portable gasoline generator for 6 h daily NGN 37,000/ month and costs NGN 157,000 to operate 20 kVA diesel generator. This shows the consumers’ capacity to pay the appropriate tariff that can attract investors to the sector

Hybrid Energy Systems Model with the Inclusion of Energy Efficiency Measures: A Rural Application Perspective

The wide energy supply/demand gap has led the developing economies to the operation of the captive generators. This has contributed in no small way to the carbon footprint in the developing nations. Thus, the energy management initiative could assist in reducing the menace of greenhouse gas emission.  Hence, the energy policy makers and planners have unanimously proposed adoption of demand side management (DSM) technique. Thus the adoption of energy efficiency technique (EET)-a DSM measures and hybrid energy system would be essential for rural electrification. This work investigates the effect of applying energy efficiency measures in rural electrification. A case study of an un-electrified rural settlement in Ibadan, Nigeria was considered. The utilization of EET techniques reduces the emission of CO2 by 62%, while technical analysis shows the feasibility of a 100% renewable fraction electricity production. Principally, application of energy efficient techniques proved to be economically and environmentally friendly. Keywords: Energy efficiency measures; emission reduction; hybrid energy system; net present cost; renewable energy JEL Classifications: Q4, P2

Evaluating the Energy and Carbon (IV) Oxide (CO2) Reduction Resulting from Efficient Lighting at the University of Lagos, Nigeria

This study evaluated the economic and environmental potentials of improving the energy efficiency of the lighting technology at the University of Lagos, Nigeria. The energy audit report for the Faculty of Engineering, University of Lagos before retrofitting shows that all lighting fixtures in the lecture rooms are the 1.2 metre inefficient fluorescent lamps. The cost effectiveness of lighting retrofitting with Compact Fluorescent Lamps (CFL) and Light Emitting Diode tube (LED) lighting technology alternatives for the lighting system at Faculty of Engineering lecture rooms were analysed using economic indices such as life cycle cost analysis, net present cost, simple payback time, and internal rate of return. Relative to the existing system, installation of the two lighting technology alternatives would result in a 40 % and 72 % reduction of consumed energy respectively. With both technology alternatives paying back in less than two years, the LED technology returned a NPV of $35,791.76 (N12.95M) compared to the$15,261.43 (N5.24M) given back by the CLF lighting fixtures. If the alternative lighting technology that conserves the most electricity was installed, carbon dioxide emissions accompanying electricity usage would be reduced by about 72 % and a savings of 3.84 tonnes of oil would be achieved annually. From the study, it was established that the utilisation of energy efficient lighting system will reduce energy consumption; increase bills savings; and indirectly reduce carbon (IV) oxide emission from the fossil fuel used in powering the lamp

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65–1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52–0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88–1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. Interpretation Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. Funding London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Modernizacja istniejącego budynku biurowego dla efektywnego zarządzania energią

This study focuses on designing an efficient energy utilization protocol for the University of Lagos Senate office building, to ensure the reduction of energy consumption, reduce the cost of power and also ensure energy efficiency. Pre-retrofitting, the energy consumption cost for the UNILAG senate office building was calculated to be ₦20, 236, 962 i.e. 776.78 EUI (kWh/m²/y) using the appliance approach. The impact of various retrofitting methods was also simulated and measured utilizing BIM tools such as Autodesk Maya, Autodesk Revit and Autodesk Insight. This resulted in an estimated reduction in energy consumption cost to between ₦19,304,038.05 and 18,549,199.3 post retrofitting, this translates to about 712 EUI (kWh/m²/y). Results show that a 4.61-8.34% reduction in energy usage for the senate house can be achieved using the methods proposed in this research.Praca koncentruje się na opracowaniu procedury efektywnego wykorzystania energii w budynku biurowym Senatu Uniwersytetu w Lagos w celu zapewnienia redukcji zużycia energii, redukcji jej kosztów i zapewnienia efektywności energetycznej. Przed modernizacją koszt zużycia energii w budynku Senatu został obliczony jako ₦20, 236, 962, tj. 776.78 EUI (kWh/m²/y) w oparciu o zamontowane urządzenia. Symulowano wpływ różnych technik modernizacyjnych i prowadzono obliczenia korzystając z narzędzi opartych o technologię BIM, tj. Autodesk Maya, Autodesk Revit i Autodesk Insight. To doprowadziło do przewidywanej redukcji kosztów energii pomiędzy ₦19,304,038.05 i 18,549,199.3 po modernizacji, co odpowiada ok. 712 EUI (kWh/m²/y). Wyniki wskazują, że możliwa jest redukcja zużycia energii dla budynku Senatu na poziomie 4.61-8.34% w oparciu o metody przedstawione w pracy

Blockchain-Based Gas Auctioning Coupled with a Novel Economic Dispatch Formulation for Gas-Deficient Thermal Plants

Inadequate gas supply is partly responsible for the energy shortfall experienced in some energy-poor nations. Favorable market conditions would boost investment in the gas supply sector; hence, we propose a blockchain-based fair, transparent, and secure gas trading scheme that facilitates peer-to-peer trading of gas. The scheme is developed using an Ethereum-based smart contract that receives offers from gas suppliers and bid(s) from the thermal plant operator. Giving priority to the cheapest offers, the smart contract determines the winning suppliers. This paper also proposes an economic dispatch model for gas-deficient plants. Conventional economic dispatch seeks to satisfy electric load demand whilst minimizing the total gas cost of generating units. Implicit in its formulation is the assumption that gas supply to generating units is sufficient to satisfy available demand. In energy poor nations, this is hardly the case as there is often inadequate gas supply and conventional economic dispatch is of little practical value. The proposed economic dispatch model’s objective function maximizes the quantity of available gas and determines the optimal power output of each generating unit. The mathematical formulation is verified using data from the Egbin thermal station which is the largest thermal station in Nigeria and is solved using the General Algebraic Modeling System (GAMS). Obtained results indicate the viability of the novel approach as it results in a net power gain of 35 MW. On the other hand, the smart contract proved effective in accurately selecting winning suppliers and making payment