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This document presents a comparative analysis of
horizontal and vertical small wind turbines for urban
areas in three power classes up to 10 kW in different
categories. The main objective was to conduct a market
analysis to assess the marketability of these wind
energy systems. The aim was to make it easier for
potential customers to make a decision. However, due
to the limited availability of data, the project encountered
considerable difficulties. As a result, the study
became a comparative assessment, which led to results
that may not be readily transferable to urban environments,
slightly missing the original objective of the
study. The results underline the difficulties associated
with conducting a comprehensive market analysis in
this sector and highlight the need for an independent
series of tests under specific conditions. The paper
concludes with a plea for future research efforts to
adapt data collection methods to urban conditions in
order to improve the relevance and applicability of
such studies in practice.
The annual wastewater flow that is treated by public
wastewater treatment plants in Germany amounts
to approx. 10 ∗ 10^9 m3/a and forms an ”artificial” hydropower
potential that can be used for energy generation
or recovery. In the context of this paper, energy
recovery in the outlet of wastewater treatment plants
is examined using the specific example of the water
wheel at the Warendorf central wastewater treatment
plant. The ”artificial” hydropower potential can be
roughly estimated at up to 20 to 105 GWh/a , whereby
this is largely dependent on the hydraulic gradient.
The strong variance results, among other things, from
the findings of the water wheel operation in Warendorf.
The decisive aspect here is the differential factor,
which describes the deviation between the theoretical
and actual energy yield of the water wheel. The
factor includes maintenance work, downtimes and insufficient
inflows, which are associated with a loss of
output. In the case study, the annual energy recovery
amounts to approx. 2 % of the annual electricity consumption
of the wastewater treatment plant and can
be estimated to 23,500 kWh (2022). In the context
of the economic analysis, it can be seen that despite
the ”low” yield, economic operation is possible if the
system is viewed as a long-term investment - payback
period of the example is approx. 14,5 years. The
27-year operation (1996 - 2023) of the water wheel
at the Warendorf central wastewater treatment plant
confirms this and important findings on successful
practical operation can be shown in the context of
this paper.
The preservation of water bodies continuity is fundamental
for aquatic communities, particularly for fish
populations. Various structures impede watercourse
continuity, impacting fish migration and habitat distribution.
Conventional fish passages often fall short
in diverse scenarios, prompting the development of
specialized solutions. This article proposes a criteria
catalog for these special fish passage solutions based
on DWA leaflet DWA-A 509. It discusses the need
for these solutions, presents a selection of specialized
options, and outlines criteria from DWA-M 509, construction
guidelines, and economic perspectives. It
scrutinizes criteria ranging from target fish species to
cost considerations. Three examples, including the
Runserau fish lift, the bristle ramp fish lock, and the
Fishcon sluice, illustrate these specialized solutions,
their functionalities, advantages, and drawbacks. Additionally,
the article compiles criteria from industry
standards and guidelines into a comprehensive evaluation
catalog. The criteria, when applied, assist in the
selection of suitable fish passage solutions based on
specific site conditions and fish species requirements.
This holistic approach aims to optimize fishway selection,
fostering the ecological sustainability of watercourses.
However, this catalog remains dynamic
and open to expansion with evolving research and
practical application, urging further exploration and
validation of these criteria through diverse case studies
and technological advancements in the field.
Wind turbine structures take a major role in the
modern conversion to renewable energy sources and
contribute to the creation of a greener world. In recent
years, the development and installation of wind
turbines have seen rapid growth. However, with the
increasing capacity and size of wind farms worldwide,
there are growing concerns about the safety and reliability
of these installations. Therefore, structural
health monitoring and the detection of damage to
wind turbines have gained considerable importance in
research. Wind turbine blades are particularly susceptible
to various types of damage due to environmental
influences. This article provides an overview of signal
responses, sensors used and non-destructive testing
techniques in the field of damage detection on wind
turbine blades. The intention of the article is to give
an insight into the possibilities of structural health
monitoring and at the same time to point out unsolved
problems in this field.
This article discusses the use of artificial intelligence
in the wind energy industry, particularly in addressing
challenges and optimizing the expansion of renewable
energies in Germany. It highlights the application
of artificial intelligence in wind forecasts and yield
predictions, bird detection, wind turbine and farm
design, condition monitoring, and predictive maintenance.
Additionally, it introduces the “WindGISKI”
research project, which aims to use artificial intelligence
to identify new areas for wind turbines. The
project utilizes a neural network to analyze and predict
flight routes, potentially reducing bird mortality.
The document also emphasizes the potential broader
applications of “WindGISKI” in other fields of activity,
such as land use planning and city development.
Overall, it underscores the significant role of artificial
intelligence in addressing challenges in wind energy
and outlines the potential for artificial intelligence
to drive the expansion of renewable energies while
addressing key obstacles.
Meanwhile, renewable energy sources such as hydropower, solar and wind energy and biomass are increasingly being used to reduce dependence on fossil fuels and thus counteract the ongoing global warming. However, these are also associated with environmental impacts. To that effect, this article takes a closer look at tidal power plants, which are classified as hydroelectric power plants, by conducting a systematic literature review. The results show that the strength and form of the environmental impact depends on the specific location and type of plant. Tidal power plants have an impact on the habitats of marine animals and thus influence their behavior and population. In addition, the operation of tidal power plants changes the sediment distribution, causes a reduction in current velocities and a change in current direction in the surrounding area and leads to a change in wave height. The construction of the power plants is associated with noise, which primarily causes changes in the behavior of some species. Furthermore, the electromagnetic fields generated can also affect marine life. In order to assess the environmental impact of tidal power plants in comparison to other renewable energies, further studies should focus on the environmental impact of the different technologies in relation to the energy yield.
This study identifies supply options for sustainable urban energy systems, which are robust to external system changes. A multi-criteria optimization model is used to minimize greenhouse gas (GHG) emissions and financial costs of a reference system. Sensitivity analyses examine the impact of changing boundary conditions related to GHG emissions, energy prices, energy demands, and population density. Options that align with both financial and emission reduction and are robust to system changes are called “no-regret” options. Options sensitive to system changes are labeled as “potential-risk” options.
There is a conflict between minimizing GHG emissions and financial costs. In the reference case, the emission-optimized scenario enables a reduction of GHG emissions (-93%), but involves higher costs (+160%) compared to the financially-optimized scenario.
No-regret options include photovoltaic systems, decentralized heat pumps, thermal storages, electricity exchange between sub-systems and with higher-level systems, and reducing energy demands through building insulation, behavioral changes, or the decrease of living space per inhabitant. Potential-risk options include solar thermal systems, natural gas technologies, high-capacity battery storages, and hydrogen for building energy supply.
When energy prices rise, financially-optimized systems approach the least-emission system design. The maximum profitability of natural gas technologies was already reached before the 2022 European energy crisis.
Wastewater Generation Model to Predict Impacts of Urine Separation on Wastewater Treatment Plants
(2023)
Wastewater treatment plants are under increasing pressure to enhance resource efficiency and reduce emissions into water bodies. Separation of urine within the catchment area may be an alternative to mitigate the need for costly expansions of central wastewater treatment plant. While previous investigations assumed a spatially uniform implementation of urine separation across the catchment area, the present study introduces a modelling framework which allows to determine the influence of targeted urine separation on the operation and emissions of central wastewater treatment plants. The framework includes an adapted stochastic wastewater generation model, the Stormwater Management Model, and Activated Sludge Model No. 3 with Bio-P module (SIMBA#). The entire application is embedded in the R programming language. The model is validated by an extensive sampling and measurement campaign. Preliminary results based on observed and simulated wastewater generation and transport for a catchment area of 436 residents indicate the suitability of the model for wastewater generation and transport modelling, but also show further need for calibration.
Purpose
The purpose of this paper is to investigate the relationships between technology orientations and export performance of small and medium-sized enterprises (SMEs).
Design/methodology/approach
A quantitative research design was adopted for this study. The paper formulates hypotheses from the literature review. These hypotheses are tested using structural equation modeling with data collected from 231 SMEs in Uganda. Data were analyzed using SPSS version 23 and AMOS.
Findings
The findings of this study showed technology orientation has a positive and significant relationship with the performance of Ugandan SMEs and that supply chain agility moderates technology orientation and export performance.
Research limitations/implications
The study discusses the findings, advances limitations and managerial implications. It also suggests future research avenues. It proposes some recommendations to help Ugandan SMEs to form flexible supply chains, use the latest technology and create strong relationship ties with their partners in the supply chain.
Practical implications
The study suggests that managers of Ugandan SMEs should use the latest technology in production, marketing, logistics and supply chain management which will enable them to respond quickly to customer tastes and preferences leading to higher levels of export performance.
Originality/value
This study contributes to the literature on strategic management showing the reliability of scales used and the confirmatory of the factor structure. This study shows that in strategic management technology, orientation is critical in increasing export performance. This study has extended the resource-based view (RBV) and dynamic capabilities theories.
From Surviving to Living (on): A Grounded Theory Study on Coping in People with Pancreatic Cancer
(2023)
Non-communicable diseases (NCD) are associated with high costs for healthcare systems. We evaluated changes in total costs, comprising direct and indirect costs, due to a 24-month non-randomized, controlled lifestyle intervention trial with six measurement time points aiming to improve the risk profile for NCDs. Overall, 187 individuals from the general population aged ≥18 years were assigned to either the intervention group (IG; n = 112), receiving a 10-week intensive lifestyle intervention focusing on a healthy, plant-based diet; physical activity; stress management; and community support, followed by a 22-month follow-up phase including monthly seminars, or a control group (CG; n = 75) without intervention. The complete data sets of 118 participants (IG: n = 79; CG: n = 39) were analyzed. At baseline, total costs per person amounted to 67.80 ± 69.17 EUR in the IG and 48.73 ± 54.41 EUR in the CG per week. The reduction in total costs was significantly greater in the IG compared to the CG after 10 weeks (p = 0.012) and 6 months (p = 0.004), whereas direct costs differed significantly after 10 weeks (p = 0.017), 6 months (p = 0.041) and 12 months (p = 0.012) between the groups. The HLCP-2 was able to reduce health-related economic costs, primarily due to the reduction in direct costs.
Objective:
We examined whether autonomic flexibility to experimentally presented stressors is reduced in somatic symptom disorder (SSD) as this would point to reduced vagal control as a proposed indicator of emotion regulation deficits.
Method:
In this experimental study, the influence of health-related and social stressors on subjective and physiological reactivity was investigated in 29 subjects with SSD without any medical condition SSD(mc−), 33 subjects with SSD with medical condition SSD(mc+) and 32 healthy controls at the age from 18 to 70 years. Self-report and physiological variables were measured before and after/during stressor exposure, using state ratings of symptom intensity, disability, tension and mood, heart rate (HR), and heart rate variability (HRV).
Results:
Overall, the tension increased and the mood worsened after exposure to stressors compared to pre-exposure. Compared to HC, the two SSD groups showed higher symptom intensity, disability, tension and worse mood. The SSD(mc−) group revealed higher HR than HC (p = .012, d = −0.77). Compared to pre-exposure, symptom impairment increased after social stressor exposure in SSD(mc−) (p < .001, d = 1.36). HRV-root mean square of successive differences (RMSSD) only decreased in HC during exposure (p = .003, d = −1.09), not in the SSD groups. The two SSD groups did not differ in their reactivity to stressors.
Conclusion:
HRV in SSD, seems to respond less flexibly to stressors, potentially reflecting overall physiological disturbance through reduced parasympathetic influence on HR. Stress reactivity in SSD(mc−) and SSD(mc+) do not seem to differ.
A communication over an Internet Protocol (IP) based network fails if an endpoint sends packets that are too big to reach their destination and if the sender is unable to detect that. The node on the path that drops these packets should respond with a Packet Too Big (PTB) message. However, multiple scenarios exist in which the sender will not receive a PTB message. Even if it does, it refrains from using the information in case it suspects that a potential attacker forged the message. In particular, we are not aware of any implementation of the secure transport protocol QUIC (e.g., used by HTTP/3) that processes PTB messages. In this paper, we present a novel parameterizable PTB detection algorithm for reliable transport protocols that does not depend on PTB messages. We further describe how to integrate our algorithm into QUIC, present results from an evaluation using the algorithm within a QUIC simulation model and, based on these results, suggest concrete parameter values.
Additive manufacturing (AM) has been growing continuously over the past 20 years, enabling unprecedented tailoring to the anatomy of each patient. In Europe, custom-made devices qualify for an exemption and pass a simplified approval process. New technologies, like AM, provoke questions about the adequacy of the current regulatory framework for custom-made devices. This article addresses the regulatory requirements for such devices in Europe and discusses the implications for AM. It concludes that the legal framework for custom-made devices entails uncertainties which need to be resolved to guide manufacturers through the regulatory requirements, highlighting the specific areas of focus for AM.
Additive manufacturing (AM) has continuously grown in recent decades. Enhanced quality, further development of technology, and fall in prices make AM applicable and capable for various industrial applications, also for the manufacture of medical devices. 3D printing offers the possibility for an unprecedented adaptation to the anatomy of each patient, generating medical devices on a case-by-case basis. In many jurisdictions, custom-made devices qualify for an exemption to pre-market approval standards. This regulation is called into question by new technologies, like AM. Therefore, this article compares the current regulatory requirements for custom-made devices in Europe, the United States, and Australia and discusses the impact on 3D printed devices. It concludes that not all jurisdictions have yet adjusted their regulatory framework for custom-made devices to technological advances. Remaining uncertainties must be eliminated in order to help manufacturers comply with the regulatory requirements, emphasizing key aspects of AM.
The use of computational modeling and simulation (CMS) as a tool for gaining insight into the technical performance and safety of medical devices has emerged continuously over the past years. However, to rely on information and decisions derived from model predictions, it is essential to establish model credibility for the specific context of use. Limited regulatory requirements and lack of consensus on the level of verification and validation activities required result in rare use of CMS as a source of evidence in the medical device approval process. The American Society of Mechanical Engineers (ASME) developed a risk-informed framework to establish appropriate credibility requirements of a computational model: the ASME V&V 40?2018 standard. This paper aims to outline the concepts of this standard and to demonstrate its application using an example from the orthotics field. The necessary steps to establish model credibility for a custom?made 3D printed wrist hand orthosis (WHO) are presented. It is shown that the credibility requirements of each verification and validation activity depend on model risk by applying two different contexts of use to the same computational model.
Objectives: In recent years, the European Union has revised its regulatory framework for medical devices, primarily to improve patient safety and public health. The Medical Device Regulation (MDR) is fully applicable since May 2021, strengthening the requirements for all stakeholders. As a result, many companies are facing enormous challenges. The aim of this study was to assess the impact of the MDR on the orthopaedic aids industry.
Methods: Two surveys were conducted: one shortly before the MDR became applicable (146 respondents) and a second survey almost two years later (233 respondents).
Results: Both surveys revealed that all businesses in the orthopaedic aids sector, regardless of size, have difficulty implementing the MDR. Key challenges include additional workload for technical documentation, increased resource expenditure and cost, and lack of clarity regarding the new requirements. Many companies are downsizing their product portfolio, resulting in potential supply shortages and a loss of competitive advantage and innovation for the medical device industry in Europe.
Conclusions: The full extent of the MDR’s impact on clinical practice is still unclear. However, many companies lack the necessary resources. The MDR can potentially be a bottleneck in the availability of medical devices.
Mobile health apps (MHAs) and medical apps (MAs) are becoming increasingly popular as digital interventions in a wide range of health-related applications in almost all sectors of healthcare. The surge in demand for digital medical solutions has been accelerated by the need for new diagnostic and therapeutic methods in the current coronavirus disease 2019 pandemic. This also applies to clinical practice in gastroenterology, which has, in many respects, undergone a recent digital transformation with numerous consequences that will impact patients and health care professionals in the near future. MHAs and MAs are considered to have great potential, especially for chronic diseases, as they can support the self-management of patients in many ways. Despite the great potential associated with the application of MHAs and MAs in gastroenterology and health care in general, there are numerous challenges to be met in the future, including both the ethical and legal aspects of applying this technology. The aim of this article is to provide an overview of the current status of MHA and MA use in the field of gastroenterology, describe the future perspectives in this field and point out some of the challenges that need to be addressed.
IntroductionAssessment of challenging behaviors in dementia is important for intervention selection. Here, we describe the technical and experimental setup and the feasibility of long-term multidimensional behavior assessment of people with dementia living in nursing homes.MethodsWe conducted 4 weeks of multimodal sensor assessment together with real-time observation of 17 residents with moderate to very severe dementia in two nursing care units. Nursing staff received extensive training on device handling and measurement procedures. Behavior of a subsample of eight participants was further recorded by videotaping during 4 weeks during day hours. Sensors were mounted on the participants' wrist and ankle and measured motion, rotation, as well as surrounding loudness level, light level, and air pressure.ResultsParticipants were in moderate to severe stages of dementia. Almost 100% of participants exhibited relevant levels of challenging behaviors. Automated quality control detected 155 potential issues. But only 11% of the recordings have been influenced by noncompliance of the participants. Qualitative debriefing of staff members suggested that implementation of the technology and observation platform in the routine procedures of the nursing home units was feasible and identified a range of user- and hardware-related implementation and handling challenges.DiscussionOur results indicate that high-quality behavior data from real-world environments can be made available for the development of intelligent assistive systems and that the problem of noncompliance seems to be manageable. Currently, we train machine-learning algorithms to detect episodes of challenging behaviors in the recorded sensor data.
Despite the enormous number of assistive technologies (ATs) in dementia care, the management of challenging behavior (CB) of persons with dementia (PwD) by informal caregivers in home care is widely disregarded. The first-line strategy to manage CB is to support the understanding of the underlying causes of CB to formulate individualized nonpharmacological interventions. App- and sensor-based approaches combining multimodal sensors (actimetry and other modalities) and caregiver information are innovative ways to support the understanding of CB for family caregivers. The main aim of this study is to describe the design of a feasibility study consisting of an outcome and a process evaluation of a newly developed app- and sensor-based intervention to manage CB of PwD for family caregivers at home. In this feasibility study, we perform an outcome and a process evaluation with a pre-post descriptive design over an 8-week intervention period. The Medical Research Council framework guides the design of this feasibility study. The data on 20 dyads (primary caregiver and PwD) are gathered through standardized questionnaires, protocols, and log files as well as semistructured qualitative interviews. The outcome measures (neuropsychiatric inventory and Cohen-Mansfield agitation inventory) are analyzed by using descriptive statistics and statistical tests relevant to the individual assessments (eg, chi-square test and Wilcoxon signed-rank test). For the analysis of the process data, the Unified Theory of Acceptance and Use of Technology is used. Log files are analyzed by using descriptive statistics, protocols are analyzed by using documentary analysis, and semistructured interviews are analyzed deductively using content analysis. The newly developed app- and sensor-based AT has been developed and was evaluated until July in 2018. The recruitment of dyads started in September 2017 and was concluded in March 2018. The data collection was completed at the end of July 2018. This study presents the protocol of the first feasibility study to encompass an outcome and process evaluation to assess a complex app- and sensor-based AT combining multimodal actimetry sensors for informal caregivers to manage CB. The feasibility study will provide in-depth information about the study procedure and on how to optimize the design of the intervention and its delivery. DERR1-10.2196/11630
Background: Currently, to the best of our knowledge, no findings exist concerning the needs of professionals in specialized pediatric palliative care (PPC) regarding electronic health records (EHRs). Several studies have highlighted benefits concerning the use of EHRs in pediatrics. However, usability is strongly affected by the degree of adaptivity to the context of application. The aim of this study is to examine the needs of professionals concerning an EHR in the specialized PPC inpatient and outpatient settings. Methods: A qualitative research design was chosen to address the complex aspects of user demands. Focus group interviews and semi-structured one-on-one interviews were conducted with PPC professionals. N = 23 participants from inpatient and N = 11 participants from outpatient settings of specialized PPC representing various professions took part in the study. Results: The findings could be grouped into four categories: (1) attitude towards the current methods of documentation, (2) attitude towards electronic documentation in general, (3) general requirements for an EHR, and (4) content requirements for an EHR. Conclusions: Professionals in specialized PPC expect and experience many benefits of using electronic documentation. Their requirements for an EHR for inpatient and outpatient settings of PPC are largely consistent with EHRs for pediatrics. However, individual specifications and adaptations are necessary for this particular setting.
Background: Pediatric palliative care (PPC) is characterized by years of multisectoral and multi-professional care. Sharing information between PPC professionals is, therefore, essential for quality care. The evidence shows that electronic cross-facility health records (ECHRs) provide useful support in this context. To our knowledge, no ECHRs have been developed through a user-centered approach for this specific setting in Germany. Methods: Guided by design thinking, first, qualitative interviews were conducted to assess the needs of PPC professionals. Second, the elicited needs were specified in focus groups (FGs). Based on the needs stated in the interviews, prototypes of the ECHR were developed and discussed in the FGs. The indicated needs were supplemented and specified in an iterative process. The prototypes were further adapted according to these results. The unified theory of acceptance and use of technology was the basic model in the evaluation of needs. Results: Across seven main categories, past and current medication, emergency view, and messaging functions were identified as the participants’ desired core components of an ECHR. Utilizing design thinking facilitated the explicit articulation of user needs. Conclusions: Developing an ECHR with the content identified would allow for real-time data during emergencies, tracking what other PPC professionals have done, and making the applied treatments visible to others. This would offer a broader picture of the complex conditions common to PPC.
Background: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One approach to preventing such harm is the involvement of users in the participatory design to ensure user acceptance and patient safety. Therefore, the aim of this study is to evaluate the acceptance of a novel patient chart module (PCM) as part of an EMR from the perspective of potential users in PPC and to involve these professionals in the design process. Methods: A qualitative observational study with N = 16 PPC professionals (n = 10 nurses, n = 6 physicians) was conducted, including concurrent think aloud (CTA) and semi-structured interviews. A structured content analysis based on the Unified Theory of Acceptance and Use of Technology was applied. Results: The results can be summarized in terms of general observations, performance expectancy, effort expectancy and facilitating conditions, all of which are likely to have a positive influence on acceptance of the PCM from the user perspective in the context of PPC. Conclusions: The involvement of users in the development of EMRs is important for meeting the requirements in PPC. Further software adaptations are necessary to implement these requirements.