bluuebunny/crossref_metadata_2025 huggingface dataset:
Power Management Control of an Autonomous Photovoltaic/Wind Turbine/Battery System
Authors: Rekioua Djamila , Rekioua Toufik , Elsanabary Ahmed , Mekhilef Saad
Published: February 2023

The study presents an optimal control approach for managing a hybrid Photovoltaic/Wind Turbine/Battery system in an isolated area. The system includes multiple energy sources connected to a DC bus through DC/DC converters for maximum power point tracking. The proposed hybrid MPPT approach (HMPPT) manages the energy production from different sources, while the power flow method is used to balance the load and renewable power. The study shows that integrating the HMPPT algorithm and power flow approach results in improved system performance, including increased power generation and reduced stress on the batteries. The study also proposes an accurate sizing method to further improve system efficiency. The study demonstrates the effectiveness of the proposed approach by presenting results for twelve different days with varying weather conditions. The results show that the proposed approach effectively manages the energy production and load, resulting in optimal system performance. This study provides valuable insights into the optimal control of hybrid renewable energy systems, and highlights the importance of considering different energy sources and optimal sizing for maximizing system efficiency.
Cascade Active Balance Charging of Electric Vehicle Power Battery Based on Model Prediction Control
Authors: Wang Qi , Wang Chen , Li Xingcan , Gao Tian
Published: February 2023

As a bi-directional converter, the Buck-Boost converter, which has the advantages of simple structure and taking the SOC of the battery as the balance variable, is adopted as the balance topology in this paper. In view of the shortcomings of traditional balance topology, which can only balance two adjacent batteries, resulting in a long balance time and insufficient balance accuracy, a cascade active balance charging topology that can balance in intra-group and inter-group situations simultaneously is proposed. At the same time, the fuzzy control algorithm and model predictive control are used as the balance control strategies, respectively, to control whether the MOSFET is on or off in the balance topology circuit. The duty cycle is dynamically adjusted to the size of the balance current to achieve the balance of the battery pack. The results show that the cascade Buck-Boost balance topology based on model prediction control can accurately control the balancing current and improve the accuracy and speed of the balance, and it is more suitable for the actual working process.
Localization of HV Insulation Defects Using a System of Associated Capacitive Sensors
Authors: Walczak Krzysztof
Published: February 2023

The issue of detecting and locating defects generating partial discharges (PDs) is very important for the proper functioning of power grids. Despite the existence of many localization methods, both very large and relatively small objects are still a challenge due to the problem of obtaining the required measurement accuracy. This article presents the idea of the method of PD localization in small objects of simple structure with the use of a system of four capacitive probes. Based on the relative difference in the amplitudes of the signals recorded by the pair of capacitive sensors and considering their distance characteristics, it is possible to determine the place where the PD pulses are generated. In the example of measurements made on a support insulator, it was shown that the location of a defect using the proposed method allows for an indication accuracy of up to 0.5 cm.
Design and Optimization of a Magnetic Field Exciter for Controlling Magnetorheological Fluid in a Hybrid Soft-Rigid Jaw Gripper
Authors: Białek Marcin , Jędryczka Cezary
Published: February 2023

The paper deals with an optimization of a magnetic circuit of the field exciter designed to control magnetorheological fluid (MRF) in a hybrid soft–rigid jaw gripper. The case discussed includes sealing of the MRF inside a cushion made of thermoplastic polyurethane (TPU). The shear stress distributions in the MRF upon magnetic field excitation have been analyzed for various permanent magnet, yoke, and air gap dimensions. In the developed numerical model of the magnetic field exciter, the geometry of the considered domain was parameterized. As part of the simulation study, more than 4600 variants of the magnetic circuit were analyzed, for which the shear stress distribution in the MRF inside the cushion was determined. The numerical model has been implemented in the Ansys Electronics Desktop 2020 finite element method (FEM) package. Research was focused on finding dimensions of the magnetic circuit that ensure the desired distribution of the shear stress in the MRF inside the cushion. The undeformed and deformed by axial plunging of the pin cushions geometries have been analyzed. The evaluation criteria were the achievement of the highest possible value of the shear stress and the uniformity of its distribution in the given cross-sectional area of the MRF inside the cushion. The main objective of the analysis was to design the magnetic field exciter for application in the jaw pads of a gripper using MRF cushions. Through research, a suitable configuration tailored to the needs of the application was proposed.
Slow Pyrolysis of Specialty Coffee Residues towards the Circular Economy in Rural Areas
Authors: Fernández-Ferreras Josefa , Llano Tamara , Kochaniec María K. , Coz Alberto
Published: February 2023

Coffee, as one of the most consumed beverages, generates a wide variety of waste materials that can be used as biofuels and bio-products. Conventional pyrolysis can be used in rural areas, improving the circular bioeconomy of these places. In this work, the characterization and slow pyrolysis of specialty coffee residues, coffee silverskin (CSS), and spent coffee (SC) were conducted at temperatures from 300 to 600 °C. Physico-chemical and thermal analysis were carried out. In addition, the quantification of individual compounds as acetic, formic, and levulinic acids, caffeine, and other minor compounds was performed. The results indicate the differences between both waste materials in the obtained pyrolysis fractions. The biochar fraction for SC is lower at all temperatures and the liquid fraction higher, reaching maximum values of 62 wt.% in the liquid at 600 °C compared to 47% in CSS. The higher yield in the liquid fraction of SC corresponds to the higher contents of hemicellulose and extractives and the lower ash content. The calculated calorific value for the pyrolysis solid fractions reaches 21.93 MJ/kg in CSS and 26.45 MJ/kg in SC. Finally, biorefinery options of major components of the liquid fraction were also presented.
Evaluation of Mathematical Models for CO2 Frost Formation in a Cryogenic Moving Bed
Authors: Cann David , Font-Palma Carolina
Published: February 2023

Moving bed heat exchangers (MBHE)s are used in industrial applications including waste heat recovery and the drying of solids. As a result, energy balance models have been developed to simulate the heat transfer between a moving bed and the gas phase. Within these energy balance models, phase change of components within the gas phase has not been considered as the liquefaction or desublimation of the gas phase does not occur in typical industrial applications. However, available energy balance models for cryogenic CO2 capture (CCC) have only focused on fixed packed beds. The development of a suitable energy balance model to predict the energy duties for MBHEs that include phase change would be beneficial for CCC applications. This work investigated the development of moving bed energy balance models for the design of moving bed columns that involve phase change of CO2 into frost, using existing models for MBHEs and fixed-bed CCC capture. The models were evaluated by comparison with available moving bed experimental work and simulated data, predicted energy duty requirements and bed flow rates from the suggested moving bed CCC models to maintain thermal equilibrium. The comparisons showed a consistent prediction between the various methods and closely align with the available experimental and simulated data. Comparisons of energy duty and bed flow rate predictions from the developed energy balance models with simulated cases for an oil-fired boiler, combined cycle gas turbine (CCGT) and biogas upgrading showed energy duty requirements for the gas phase with a proximity of 0.1%, 20.8%, and 3.4%, respectively, and comparisons of gas energy duties from developed energy balance models with energy duties derived from experimental results were compared with a proximity of 1.1%, 1.1% and 0.6% to experimental results for CO2 % v/v concentrations of 18%, 8% and 4%.
Non-Dominated Sorting-Based Hybrid Optimization Technique for Multi-Objective Hydrothermal Scheduling
Authors: Nadakuditi Gouthamkumar , Pulluri Harish , Dahiya Preeti , Murthy K. S. R. , Varma P. Srinivasa , Bajaj Mohit , Altameem Torki , El-Shafai Walid , Fouda Mostafa M.
Published: February 2023

Short-term hydrothermal scheduling problem plays an important role in maintaining a high degree of economy and reliability in power system operational planning. Since electric power generation from fossil fired plants forms a major part of hydrothermal generation mix, therefore their emission contributions cannot be neglected. Hence, multi-objective short term hydrothermal scheduling is formulated as a bi-objective optimization problem by considering (a) minimizing economical power generation cost, (b) minimizing environmental emission pollution, and (c) simultaneously minimizing both the conflicting objective functions. This paper presents a non-dominated sorting disruption-based oppositional gravitational search algorithm (NSDOGSA) to solve multi-objective short-term hydrothermal scheduling (MSHTS) problems and reveals that (i) the short-term hydrothermal scheduling problem is extended to a multi-objective short-term hydrothermal scheduling problem by considering economical production cost (EPC) and environmental pollution (EEP) simultaneously while satisfying various diverse constraints; (ii) by introducing the concept of non-dominated sorting (NS) in gravitational search algorithm (GSA), it can optimize two considered objectives such as EPC and EEP simultaneously and can also obtain a group of conflicting solutions in one trial simulation; (iii) in NSDOGSA, the objective function in terms fitness for mass calculation has been represented by its rank instead of its EPC & EEP values by using the NS approach; (iv) an elite external archive set is defined to keep the NS solutions with the idea of spread indicator; (v) the optimal schedule value is extracted by using fuzzy decision approach; (vi) a consistent handling strategy has been adopted to handle effectively the system constraints; (vii) finally, the NSDOGSA approach is verified on two test systems with valve point loading effects and transmission loss, and (viii) computational discussion show that the NSDOGSA gives improved optimal results in comparison to other existing methods, which qualifies that the NSDOGSA is an effective and competitive optimization approach for solving complex MSHTS problems.
Advanced Techniques for the Modeling and Simulation of Energy Networks
Authors: Stievano Igor Simone , Trinchero Riccardo
Published: February 2023

The need for a “smarter” energy grid infrastructure, with the large-scale integration of renewables and a better demand–response mechanism, is leading to an ever-increasing complexity of next-generation energy networks [...]
Electrochromic Electrodes with Enhanced Performance: Review of Morphology and Ion Transport Mechanism Modifications
Authors: Elshorbagy Mahmoud H. , Ramadan Rehab
Published: February 2023

The electrochromic (EC) performance of smart windows is highly dependent on the rate of ions insertion/extraction. A direct way to increase the ion exchange in EC device is to modify the structure of the EC electrodes. Structural changes also affect the electrical conduction between the transparent electrodes and the EC layers, leading to efficient smart windows. In more detail, modifying the structure of the EC electrodes results in an increase in the surface-to-volume ratio, which is combined with the increase in charge transfer reaction between the insertion and extraction of ions. The current review summarizes the enhancement in the EC performance due to the fabrication of nano/microstructures or hybrid structures on the surface of the EC electrodes to increase their surface area. Moreover, metal oxide thin films have poor electrical conduction, which leads to a high charge transport barrier. Accordingly, improving the electrical conductivity of the EC layer is considered another effective strategy to enhance the ion transport between the transparent conductor layer and the EC electrode. This behavior could be applied by combining the transition metal oxide with metallic nanoparticles or suitable organic/inorganic transparent conducting materials.
Results of a 57-Year-Long Research on Variability of Wood Density of the Scots Pine (Pinus sylvestris L.) from Different Provenances in Poland
Authors: Szaban Jarosław , Jelonek Tomasz , Okińczyc Alicja , Kowalkowski Wojciech
Published: February 2023

This research was conducted in the forests of Poland between 2019 and 2022. The aim was to study Scots pine provenances and compare the wood density variability among the various provenances growing on one experimental plot (in situ). The experiment was established in 1962 in the Zielonka Forest Division, Potasze Forest District. In 2019, five model trees from each provenance, which grew on the experimental plot, were chosen. In total, 40 trees were cut down, from which samples were collected in order to determine their wood density variability. The results indicate significant differences among the Scots pine provenances. It is not necessary to repeat it in situ. It appears that genetic factors highly impact the process of forming the wood density of the Scots pine. The research revealed that the best-quality wood, as far as wood density is concerned, comes from the Zielonka provenance, whereas the lowest relative density comes from the Gleboki Brod provenance. Both the provenance experiments and the analyses allowed for the selection of the research material that indicated the best genetic properties. Moreover, the research provides analytical tools that will allow for the prediction of the Scots pine provenance with the best quality together with high resistance to exogenous factors, such as habitat conditions, which can be vital to improving wood quality.
Forest Fire Smoke Detection Research Based on the Random Forest Algorithm and Sub-Pixel Mapping Method
Authors: Li Xihao , Zhang Gui , Tan Sanqing , Yang Zhigao , Wu Xin
Published: February 2023

In order to locate forest fire smoke more precisely and expand existing forest fire monitoring methods, this research employed Himawari-8 data with a sub-pixel positioning concept in smoke detection. In this study, Himawari-8 data of forest fire smoke in Xichang and Linzhi were selected. An improved sub-pixel mapping method based on random forest results was proposed to realize the identification and sub-pixel positioning of smoke. More spatial details of forest fire smoke were restored in the final results. The continuous monitoring of smoke indicated the dynamic changes therein. The accuracy evaluation of smoke detection was realized using a confusion matrix. Based on the improved sub-pixel mapping method, the overall accuracies were 87.95% and 86.32%. Compared with the raw images, the smoke contours of the improved sub-pixel mapping results were clearer and smoother. The improved sub-pixel mapping method outperforms traditional classification methods in locating smoke range. Moreover, it especially made a breakthrough in the limitations of the pixel scale and in realizing sub-pixel positioning. Compared with the results of the classic PSA method, there were fewer “spots” and “holes” after correction. The final results of this study show higher accuracies of smoke discrimination, with it becoming the basis for another method of forest fire monitoring.
A Game Theory-Based Model for the Dissemination of Privacy Information in Online Social Networks
Authors: He Jingsha , Li Yue , Zhu Nafei
Published: February 2023

Online social networks (OSNs) have experienced rapid growth in recent years, and an increasing number of people now use OSNs, such as Facebook and Twitter, to share and spread information on a daily basis. As a special type of information, user personal information is also widely disseminated in such networks, posing threats to user privacy. The study on privacy information dissemination is thus useful for the development of mechanisms and tools for the effective protection of privacy information in OSNs. In this paper, we propose to apply the game theory to establish a sender–receiver game model and the Nash equilibrium to describe the behavioral strategies of users in disseminating privacy information. Factors that affect the dissemination of privacy information are also analyzed with two important aspects: intimacy and popularity of the privacy-concerning subject. Simulation experiments were conducted based on real data sets from scale-free networks and real social networks to compare and analyze the effectiveness of the model. Results show that the proposed game theory is applicable to the privacy information dissemination model, which implements intimacy and popularity in the modeling of the dissemination of privacy information in OSNs. Both the impact of the macro-level OSNs and the micro-relationships between users are evaluated on the dissemination of privacy information, which provides a new perspective for exploring the dissemination of privacy information and facilitates the development of effective mechanisms for privacy protection in OSNs.
When Operation Technology Meets Information Technology: Challenges and Opportunities
Authors: Berardi Davide , Callegati Franco , Giovine Andrea , Melis Andrea , Prandini Marco , Rinieri Lorenzo
Published: February 2023

Industry 4.0 has revolutionized process innovation while facilitating and encouraging many new possibilities. The objective of Industry 4.0 is the radical enhancement of productivity, a goal that presupposes the integration of Operational Technology (OT) networks with Information Technology (IT) networks, which were hitherto isolated. This disruptive approach is enabled by adopting several emerging technologies in Enterprise processes. In this manuscript, we discuss what we believe to be one of the main challenges preventing the full employment of Industry 4.0, namely, the integration of Operation Technology networking and Information Technology networking. We discuss the technical challenges alongside the potential tools while providing a state-of-the-art use case scenario. We showcase a possible solution based on the Asset Administration Shell approach, referring to the use case of camera synchronization for collaborative tasks.
Effect of the Fire Modelling on the Structural Temperature Evolution Using Advanced Calculation Models
Authors: de Silva Donatella , Sassi Samuele , De Rosa Gabriella , Corbella Giorgio , Nigro Emidio
Published: February 2023

The main objective of this study is to compare the results in terms of gas temperature and structural elements temperature, using different localized fire models. In particular, with reference to an open car park fire, the simplified Hasemi localized fire model was firstly used for assessing the steel temperature of a typological steel-concrete beam. In the second step, the computational fluid dynamics (CFD) models were applied, also varying the geometry of the fire source; in the first case a 3D flame was considered, in the second case a flat flame source was modelled. The latter represented one of the main research novelties of this work. All the analyses were carried out without and with the activation of a sprinkler system, simulated by varying the Heat Release Rate curve, according to the Italian national fire technical code. The main results show that there was a significant effect of the fire model, indeed the Hasemi model generally overestimated the steel element temperature. Moreover, an effect of fire source modelling was observed, with greater temperature for a 3D fire source modelling in the case of no sprinkler activation. In all the analyses, to consider the sprinkler system leaded to a beneficial effect on temperature.
Influence of Cultivar and Turbidity on Physicochemical Properties, Functional Characteristics and Volatile Flavor Substances of Pomelo Juices
Authors: Chen Jiajia , Luo Wenshan , Cheng Lina , Wu Jijun , Yu Yuanshan , Li Lu , Xu Yujuan
Published: February 2023

In this study, the influences of pomelo cultivars on physicochemical properties, functional characteristics, and volatile compounds of juices were investigated. Among these six varieties, the highest juice yield (73.22%) was obtained in grapefruit. Sucrose and citric acid were the main sugar component and organic acid of pomelo juices, respectively. The results showed that the cv. Pingshanyu pomelo juice and grapefruit juice had the highest sucrose (87.14 g L−1, 97.69 g L−1) and citric acid content (14.49 g L−1, 13.7 g L−1), respectively. Moreover, the naringenin was the main flavonoid of pomelo juice. Additionally, the total phenolics, total flavonoids, and ascorbic acid concentrations of grapefruit and cv. Wendanyu pomelo juice were higher than those of other varieties of pomelo juices. Furthermore, 79 volatile substances were identified from the juices of six pomelo cultivars. Hydrocarbons were the predominant volatile substances, and the limonene was the characteristic hydrocarbon substance of pomelo juice. In addition, the pulp content of pomelo juice also presented great effects on its quality and volatile compounds composition. Compared to low pulp juice, the corresponding high pulp juice had higher sucrose, pH, total soluble solid, acetic acid, viscosity, bioactive substances and volatile substances. The effects of cultivars and variation in turbidity on juice are highlighted. It is useful for pomelo breeders, packers and processors to understand the quality of the pomelo they are working with. This work could provide valuable information on selecting suitable pomelo cultivars for juice processing.
Development of Tofacitinib Loaded pH-Responsive Chitosan/Mucin Based Hydrogel Microparticles: In-Vitro Characterization and Toxicological Screening
Authors: Malatani Rania T. , Bilal Sana , Mahmood Asif , Sarfraz Rai Muhammad , Zafar Nadiah , Ijaz Hira , Rehman Umaira , Akbar Shehla , Alkhalidi Hala M. , Gad Heba A.
Published: February 2023

Tofacitinib is an antirheumatic drug characterized by a short half-life and poor permeability, which necessitates the development of sustained release formulation with enhanced permeability potential. To achieve this goal, the free radical polymerization technique was employed to develop mucin/chitosan copolymer methacrylic acid (MU-CHI-Co-Poly (MAA))-based hydrogel microparticles. The developed hydrogel microparticles were characterized for EDX, FTIR, DSC, TGA, X-ray diffraction, SEM, drug loading; equilibrium swelling (%), in vitro drug release, sol–gel (%) studies, size and zeta potential, permeation, anti-arthritic activities, and acute oral toxicity studies. FTIR studies revealed the incorporation of the ingredients into the polymeric network, while EDX studies depicted the successful loading of tofacitinib into the network. The thermal analysis confirmed the heat stability of the system. SEM analysis displayed the porous structure of the hydrogels. Gel fraction showed an increasing tendency (74–98%) upon increasing the concentrations of the formulation ingredients. Formulations coated with Eudragit (2% w/w) and sodium lauryl sulfate (1% w/v) showed increased permeability. The formulations equilibrium swelling (%) increased (78–93%) at pH 7.4. Maximum drug loading and release (%) of (55.62–80.52%) and (78.02–90.56%), respectively, were noticed at pH 7.4, where the developed microparticles followed zero-order kinetics with case II transport. Anti-inflammatory studies revealed a significant dose-dependent decrease in paw edema in the rats. Oral toxicity studies confirmed the biocompatibility and non-toxicity of the formulated network. Thus, the developed pH-responsive hydrogel microparticles seem to have the potential to enhance permeability and control the delivery of tofacitinib for the management of rheumatoid arthritis.
The Developmental Origins of Cancer: A Review of the Genes Expressed in Embryonic Cells with Implications for Tumorigenesis
Authors: Balachandran Savitha , Narendran Aru
Published: February 2023

Tumorigenesis, which involves the uncontrolled proliferation and differentiation of cells, has been observed to imitate a variety of pathways vital to embryonic development, motivating cancer researchers to explore the genetic origins of these pathways. The pluripotency gene regulatory network is an established collection of genes that induces stemness in embryonic cells. Dysregulation in the expression genes of the pluripotency gene networks including OCT4, SOX2, NANOG and REX1 have been implicated in tumor development, and have been observed to result in poorer patient outcomes. The p53 pathway is a highly important regulatory process in a multitude of cell types, including embryonic, and the tumor suppressor gene TP53 is widely regarded as being one of the most important genes involved in tumorigenesis. Dysregulations in TP53 expression, along with altered expression of developmentally originating p53 regulators such as MDM2 and MDM4 have been implicated in various cancers, leading to poorer prognosis. Epithelial–mesenchymal transition (EMT), the process allowing epithelial cells to undergo biochemical changes to mesenchymal phenotypes, also plays a vital role in the fate of both embryonic and neoplastic cells. Genes that regulate EMT such as Twist1, SOX9 and REX1 have been associated with an increased occurrence of EMT in cancer cells, leading to enhanced cell stemness, proliferation and metastasis. The class of RNA that does not encode for proteins, known as non-coding RNA, has been implicated in a variety of cellular processes and emerging research has shown that its dysregulation can lead to uncontrolled cell proliferation and differentiation. Genes that have been shown to play a role in this dysregulation include PIWIL1, LIN28A and LIN28B, and have been associated with poorer patient outcomes and more aggressive cancer subtypes. The identification of these developmentally regulated genes in tumorigenesis has proved to play an advantageous role in cancer diagnosis and prognosis, and has provided researchers with a multitude of new target mechanisms for novel chemotherapeutic research.
Hypertensive Blood Pressure and Its Impact on Functional Outcomes among Older Adults Receiving Comprehensive Geriatric Care
Authors: Meyer Marco , Niemöller Ulrich , Arnold Andreas , Stein Thomas , Erkapic Damir , Schramm Patrick , Tanislav Christian
Published: February 2023

Background: Comprehensive geriatric care (CGC) is a multiprofessional treatment for older people which considers medical conditions and functional status. The aim of the presented study is to investigate the impact of hypertensive blood pressure (BP) on functional outcomes among older adults receiving CGC. Methods: Functional status was documented by the Barthel index (BI), Tinetti test (TBGT), and timed up and go test (TUG) prior to and after CGC. The results were analyzed in relation to hypertensive BP, indicated by mean BP ≥ 130/80 mmHg determined by 24 h blood pressure monitoring (BPM) while hospitalized. Results: In the presented monocentric, retrospective, observational study, 490 patients were included (mean age (SD): 83.86 ± 6.17 years, 72.2% females). Hypertension in BPM was found in 302 (61.6%) individuals. Hypertensive BP was associated with the female sex (p < 0.001) and current fracture (p = 0.001), and inversely associated with heart failure (p < 0.001), coronary heart disease (p < 0.001), atrial fibrillation (p < 0.001), urinary tract infection (p = 0.022), and hypocalcemia (p = 0.014). After CGC, improvements in BI (p < 0.001), TBGT (p < 0.001), and TUG (p < 0.001) were observed in patients with both normotensive and hypertensive BP profiles. The proportion of patients with outcome improvements did not differ between the two groups (BI: 84.4% vs. 88.3%, p = 0.285; TBGT: 81.1% vs. 77.7%, p = 0.357; TUG: 50.3% vs. 48.4%, p = 0.711). Conclusion: Patients both with and without hypertensive BP profiles benefited from comprehensive geriatric care with comparable outcome improvements. Particularly, normotensive BP was associated with chronic cardiovascular comorbidities, indicating increased awareness of the importance of BP management in patients diagnosed with cardiac diseases.
Patient Information and Consent for Care in the Intensive Care Unit
Authors: Rigaud Jean-Philippe , Ecarnot Fiona , Quenot Jean-Pierre
Published: February 2023

In this paper, we review the ethical issues involved in providing information to, and obtaining consent (for treatment and/or research) from patients in the intensive care unit. We first review the ethical obligations of the physician in treating patients, who are by definition, vulnerable, and often unable to assert their autonomy during situations of critical illness. Providing clear and transparent information to the patient about treatment options or research opportunities is an ethical and, in some cases, legal obligation for the physicians, but may be rendered difficult, not to say impossible in the intensive care unit by the patient’s health state. In this context, we review the specificities of intensive care with respect to information and consent. We discuss who the right contact person is in the ICU setting, with possible choices including a surrogate decision maker, or a member of the family, in the absence of an officially designated surrogate. We further review the specific considerations relating to the family of critically ill patients, and the amount and type of information that may be given to them without breaching the tenets of medical confidentiality. Finally, we discuss the specific cases of consent to research, and patients who refuse care.
Improving Medical Student Anatomy Knowledge and Confidence for the Breast Surgical Oncology Rotation
Authors: Wilder Chloe , Kilgore Lyndsey J. , Fritzel Abbey , Larson Kelsey E.
Published: February 2023

Background: The anatomy curriculum has undergone considerable reductions in class time, resulting in decreased student anatomical knowledge retention and confidence during their surgical rotations. To counter this deficit in anatomy knowledge, a clinical anatomy mentorship program (CAMP) was developed by fourth-year medical student leaders and staff mentors in a near-peer teaching fashion prior to the surgical clerkship. This study analyzed the impact this program had on third-year medical students (MS3s) self-assessed anatomical knowledge and confidence in the operating room on the Breast Surgical Oncology rotation after this near-peer program. Methods: A single-center prospective survey study was performed at an academic medical center. Pre- and post-program surveys were administered to all students who participated in the CAMP and rotated on the breast surgical oncology (BSO) service during the surgery clerkship rotation. A control group of individuals who did not rotate on the CAMP was established, and this group was administered a retrospective survey. A 5-point Likert scale was used to assess surgical anatomy knowledge, confidence in the operating room, and comfort in assisting in the operating room. Control group versus post-CAMP intervention group and pre- versus post-CAMP intervention groups survey results were compared using the Student’s t-test with a p-value of <0.05 statistically significant. Results: All CAMP students rated their surgical anatomy knowledge (p < 0.01), confidence in the operating room (p < 0.01), and comfort in assisting in the operating room (p < 0.01) as greater than those who did not participate in the program. Additionally, the program improved the ability of third-year medical students to prepare for operating room cases going into their third-year breast surgical oncology clerkship (p < 0.03). Conclusions: This near-peer surgical education model appears to be an effective way to prepare third-year medical students for the breast surgical oncology rotation during the surgery clerkship by improving anatomic knowledge and student confidence. The program can serve as a template for medical students, surgical clerkship directors, and other faculty interested in efficiently expanding surgical anatomy at their institution.
Study on the Global Sustainability of the Korean Construction Industry Based on the GRI Standards
Authors: Park Eunsoo , Kim Younghyun , Lee Anyong , Kim Jieun , Kong Hyunseok
Published: February 2023

This study began with the increasing importance of ESG through sustainable management evaluation across all industries, predicting market demand through the ESG management paradigm and financial environment changes in the global industry, and establishing international strategies for the construction industry. Compared to other industries, the construction industry is in the early stages of ESG formation, and it is unclear how to expand its base by establishing evaluation system standards such as innovation of individual services, interaction of social capital, and definition of stakeholders. Currently, some large construction companies in the construction industry are publishing sustainability management reports at the group level, but given the recently strengthened global sustainability of ESG by GRI Standards, efficient analysis of global construction markets and strategic orders are needed. Therefore, this study focuses on assessing the sustainability strategies and directions of the construction industry from an ESG perspective. To this end, sustainability issues and insights, as well as global issues in Korea and the worldwide construction sector, were analyzed. The analysis showed that global construction companies were highly interested in business management approaches, such as safety and health, as critical issues regarding the construction industry’s sustainability strategy. In contrast, South Korean construction companies prioritize business values such as value creation, fair trade, and win-win. Both global and South Korean construction companies have been working on greenhouse gas reduction and energy sustainability. Regarding other issues, cultivating construction specialists, enhancing the job training system, and limiting serious accidents and safety mishaps were all significant from a social standpoint among South Korean construction companies. Conversely, global construction companies appeared to focus on issues related to ethical and environmental management from an organizational standpoint.
Impact of Manufacturing Agglomeration on the Green Innovation Efficiency—Spatial Effect Based on China’s Provincial Panel Data
Authors: Xu Shan , Zhang Yu
Published: February 2023

Improving the efficiency of green innovation has become an urgent issue in the transformation of manufacturing industries in most developing countries within the context of increasing resource scarcity and environmental constraints. As an important feature of manufacturing development, agglomeration also plays a substantial role the promotion of technological progress and green transformation. Taking China as an example, this paper investigates the spatial impact of manufacturing agglomeration (MAGG) on green innovation efficiency (GIE). We first measure the level of MAGG and GIE in 30 provinces (autonomous regions and municipalities) in China during the period from 2010 to 2019, and then we utilize the spatial Durbin model in order to empirically test the spatial effect and heterogeneity based on theoretical analysis. The findings demonstrate that (1) the overall GIE in China has maintained a steady increase, and the level of MAGG slowly decreased from 2010 to 2019 with characteristics of obvious regional non-equilibrium and spatial correlations; (2) MAGG has a significant effect on the improvement of GIE nationally; (3) under the constraints of regional heterogeneity, the impacts of MAGG on GIE show significant differences between eastern, central and western China; (4) in terms of industry heterogeneity, high-tech MAGG can significantly enhance local GIE, while the indirect effect of non-high-tech MAGG is significantly negative. Our findings not only contribute to the advancement of studies pertaining to industry agglomeration and innovation, but also present policy implications for China and the world at large in terms of the development of high-quality and green economy.
Walk Score and Neighborhood Walkability: A Case Study of Daegu, South Korea
Authors: Kim Eun Jung , Jin Suin
Published: February 2023

Walking is a popular physical activity that helps prevent obesity and cardiovascular diseases. The Walk Score, which measures neighborhood walkability, considers access to nine amenities using a geographic information system but does not deal with pedestrian perception. This study aims to (1) examine the correlation between access to each amenity, an individual component of the Walk Score, and perceived neighborhood walkability and (2) investigate the correlation with the perceived neighborhood walkability by adding variables of pedestrian perception to the existing Walk Score components. This study conducted a survey with 371 respondents in Daegu, South Korea, between 12 October and 8 November 2022. A multiple regression model was used to examine the correlations. The results showed no association between perceived neighborhood walkability and the individual component of the Walk Score. As variables of environmental perception, the fewer hills or stairs, the more alternative walking routes, the better separation between road and pedestrians, and the richer the green space, the more people perceived their neighborhood as walkable. This study found that the perception of the built environment had a more substantial influence on perceived neighborhood walkability than the accessibility to amenities. It proved that the Walk Score should include pedestrian perception and quantitative measurement.
Identifying the Needs of Older Adults Associated with Daily Activities: A Qualitative Study
Authors: Briede-Westermeyer Juan Carlos , Radici Fraga Paula Görgen , Schilling-Norman Mary Jane , Pérez-Villalobos Cristhian
Published: February 2023

Introduction: By 2050, older adults will constitute 16% of the world population; hence, there is an urgent demand and challenge to design solutions (products and services) that meet the needs of this age group. This study sought to analyse the needs that impact the well-being of Chilean older adults and present possible solutions through the design of products. Methodology: A qualitative study was used, where focus groups were held with older adults, industrial designers, health professionals, and entrepreneurs on the needs and design of solutions for older adults. Results: A general map was obtained that linked the categories and subcategories related to the relevant needs and solutions, which were then classified in a framework. Conclusions: The resulting proposal places the needs in different fields of expertise; and thus, enables positioning, broadening, and expanding upon the map to share knowledge, between the user and key experts, to co-create solutions.
Resistance to Pyrethroids in the Malaria Vector Anopheles albimanus in Two Important Villages in the Soconusco Region of Chiapas, Mexico, 2022
Authors: Solis-Santoyo Francisco , Villarreal-Treviño Cuauhtémoc , López-Solis Alma D. , González-Cerón Lilia , Rodríguez-Ramos José Cruz , Vera-Maloof Farah Z. , Danis-Lozano Rogelio , Penilla-Navarro Rosa Patricia
Published: February 2023

Chiapas State comprises the largest malaria foci from Mexico, and 57% of the autochthonous cases in 2021, all with Plasmodium vivax infections, were reported in this State. Southern Chiapas is at constant risk of cases imported due to migratory human flow. Since chemical control of vector mosquitoes is the main entomological action implemented for the prevention and control of vector-borne diseases, this work aimed to investigate the susceptibility of Anopheles albimanus to insecticides. To this end, mosquitoes were collected in cattle in two villages in southern Chiapas in July–August 2022. Two methods were used to evaluate the susceptibility: the WHO tube bioassay and the CDC bottle bioassay. For the latter, diagnostic concentrations were calculated. The enzymatic resistance mechanisms were also analyzed. CDC diagnostic concentrations were obtained; 0.7 μg/mL deltamethrin, 12 μg/mL permethrin, 14.4 μg/mL malathion, and 2 μg/mL chlorpyrifos. Mosquitoes from Cosalapa and La Victoria were susceptible to organophosphates and to bendiocarb, but resistant to pyrethroids, with mortalities between 89% and 70% (WHO), and 88% and 78% (CDC), for deltamethrin and permethrin, respectively. High esterase levels are suggested as the resistance mechanism involved in the metabolism of pyrethroids in mosquitoes from both villages. Mosquitoes from La Victoria might also involve cytochrome P450. Therefore, organophosphates and carbamates are suggested to currently control An. albimanus. Its use might reduce the frequency of resistance genes to pyrethroids and vector abundance and may impede the transmission of malaria parasites.
Availability of Medical Services and Teleconsultation during COVID-19 Pandemic in the Opinion of Patients of Hematology Clinics—A Cross-Sectional Pilot Study (Silesia, Poland)
Authors: Jaroń Kamila , Jastrzębska Angelika , Mąkosza Kamil , Grajek Mateusz , Krupa-Kotara Karolina , Kobza Joanna
Published: February 2023

Summary: A new virus, SARS-CoV-2, emerged in December 2019, triggering the COVID-19 pandemic in 2020 due to the rapid spread and severity of cases worldwide. In Poland, the first case of COVID-19 was reported on 4 March 2020. The aim of the prevention efforts was primarily to stop the spread of the infection to prevent overburdening the health care system. Many illnesses were treated by telemedicine, primarily using teleconsultation. Telemedicine has reduced personal contact between doctors and patients and reduced the risk of exposure to disease for patients and medical personnel. The survey aimed to gather patients’ opinions on the quality and availability of specialized medical services during the pandemic. Based on the data collected regarding patients’ opinions on services provided via telephone systems, a picture was created of patients’ opinions on teleconsultation, and attention was drawn to emerging problems. The study included a 200-person group of patients, realizing their appointments at a multispecialty outpatient clinic in Bytom, aged over 18 years, with various levels of education. The study was conducted among patients of Specialized Hospital No. 1 in Bytom. A proprietary survey questionnaire was developed for the study, which was conducted on paper and used face-to-face interaction with patients. Results: 17.5% of women and 17.5% of men rated the availability of services during the pandemic as good. In contrast, among those aged 60 and over, 14.5% of respondents rated the availability of services during the pandemic as poor. In contrast, among those in the labor force, as many as 20% of respondents rated the accessibility of services provided during the pandemic as being well. The same answer was marked by those on a pension (15%). Overwhelmingly, women in the age group of 60 and over showed a reluctance toward teleconsultation. Conclusions: Patients’ attitudes toward the use of teleconsultation services during the COVID-19 pandemic varied, primarily due to attitudes toward the new situation, the age of the patient, or the need to adapt to specific solutions not always understood by the public. Telemedicine cannot completely replace inpatient services, especially among the elderly. It is necessary to refine remote visits to convince the public of this type of service. Remote visits should be refined and adapted to the needs of patients in such a way as to remove any barriers and problems arising from this type of service. This system should also be introduced as a target, providing an alternative method of inpatient services even after the pandemic ends.
Ambient Environmental Ozone and Variation of Fractional Exhaled Nitric Oxide (FeNO) in Hairdressers and Healthcare Workers
Authors: Hildre Tonje Trulssen , Heiro Hilde , Sandven Ingvill , Hammarström Bato
Published: February 2023

Fractional exhaled nitric oxide (FeNO) is a breath-related biomarker of eosinophilic asthma. The aim of this study was to investigate FeNO variations due to environmental or occupational exposures in respiratory healthy subjects. Overall, 14 hairdressers and 15 healthcare workers in Oslo were followed for 5 workdays. We registered the levels of FeNO after commuting and arriving at the workspace and after ≥3 h of work, in addition to symptoms of cold, commuting method, and hair treatments that were performed. Both short- and intermediate-term effects after exposure were evaluated. Environmental assessment of daily average levels of air quality particulate matter 2.5 (PM2.5), particulate matter 10 (PM10), nitrogen dioxide (NO2), sulphur dioxide (SO2), and ozone (O3) indicated a covariation in ozone and FeNO in which a 35–50% decrease in ozone was followed by a near 20% decrease in FeNO with a 24-h latency. Pedestrians had significantly increased FeNO readings. Symptoms of cold were associated with a significant increase in FeNO readings. We did not find any FeNO increase of statistical significance after occupational chemical exposure to hair treatments. The findings may be of clinical, environmental and occupational importance.
Effectiveness of Individual Oral Health Care Training in Hospitalized Inpatients in Geriatric Wards
Authors: Viebranz Stephanie , Dederichs Marco , Kwetkat Anja , Schüler Ina Manuela
Published: February 2023

Objective: To investigate the effectiveness of individual oral health care training (IndOHCT) on dental plaque removal and denture cleaning in hospitalized geriatric inpatients. Background: The literature reveals neglect of hygiene and oral care in people aged over 65 years, especially in persons in need of care. Hospitalized geriatric inpatients have poorer dental health than those non-hospitalized. Furthermore, the existing literature reporting on oral healthcare training interventions for hospitalized geriatric inpatients is scarce. Materials and Methods: This pre-post-controlled intervention study dichotomized 90 hospitalized geriatric inpatients into an intervention group (IG) and a control group (CG). Inpatients in the IG received IndOHCT. Oral hygiene was assessed using the Turesky modified Quigley–Hein index (TmQHI) and the denture hygiene index (DHI), at baseline (T0), at a second examination (T1a), and after supervised autonomous tooth brushing and denture cleaning (T1b). The influence of the Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), and Barthel Index (BI) scores on oral hygiene was examined. Results: There was no significant plaque reduction on teeth or dentures between T0 and T1a in either group. Between T1a and T1b, plaque reduction on the teeth was more effective in the IG than in the CG (p < 0.001). Inpatients with 1–9 remaining teeth removed significantly more dental plaque than inpatients with 10 or more remaining teeth. Inpatients with lower MMSE scores (p = 0.021) and higher age (p = 0.044) reached higher plaque reduction on dentures. Conclusions: IndOHCT improved oral and denture hygiene in geriatric inpatients by enabling them to clean their teeth and dentures more effectively.