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At least 739 records · Page 41

Emergency department overcrowding and its associated factors at HARME medical emergency center in Eastern Ethiopia

Introduction: Emergency department (ED) overcrowding has become a significant concern as it can lead to compromised patient care in emergency settings. Various tools have been used to evaluate overcrowding in ED. However, there is a lack of data regarding this issue in resource-limited countries, including Ethiopia. This study aimed to validate NEDOCS, assess level of ED overcrowding and identify associated factors at HARME Medical Emergency Center, located in Hiwot Fana Comprehensive Specialized Hospital, Harar, Ethiopia. Methods: A cross-sectional study was conducted at the HARME Medical Emergency Center, Hiwot Fana Comprehensive Specialized Hospital, involving a total of 899 patients during 120 sampling intervals. The area under the receiver operating characteristic curves (AUC) was calculated to evaluate the agreement between objective and subjective assessments of ED overcrowding. A multivariable logistic regression analysis was employed to identify factors associated with ED overcrowding and statistically significant association was declared using 95% confidence level and a p-value < 0.05. Results: The interrater agreement showed a strong correlation with a Cohen's kappa (κ) of 0.80. The National Emergency Department Overcrowding Study Score demonstrated a strong association with subjective assessments from residents and case team nurses, with an AUC of 0.81 and 0.79, respectively. According to residents' perceptions, ED were considered overcrowded 65.8% of the time. Factors significantly associated with ED overcrowding included waiting time for triage (AOR: 2.24; 95% CI: 1.54–3.27), working time (AOR: 2.23; 95% CI: 1.52–3.26), length of stay (AOR: 2.40; 95% CI: 1.27–4.54), saturation level (AOR: 2.35; 95% CI: 1.31–4.20), chronic illness (AOR: 2.19; 95% CI: 1.37–3.53), and abnormal pulse rate (AOR: 1.52; 95% CI: 1.06–2.16). Conclusion: The study revealed that ED were overcrowded approximately two-thirds of the time.

60 APPLIED LIFE SCIENCES↗

Prediction of annual soil respiration from its flux at mean annual temperature

Accurately scaling soil respiration (SR, the soil-to-atmosphere flow of CO2) across time and space is important to constrain and understand ecosystem to global scale SR, a major terrestrial carbon flux to the atmosphere. Year-round SR measurements are however expensive and sometimes impossible to perform. Bahn et al. (2010) developed an approach to estimate annual SR (SRannual) from the flux measured at mean soil temperature (SRMAST), but the robustness of this approach needs to be evaluated in diverse ecosystem types and climatic conditions globally. We used a global soil respiration database (SRDB-V4, with 823 SR observations worldwide) to test the capability of SRMAST to predict SRannual. SRMAST estimated using a variety of methods all showed clear relationships with annual SRannual. Two single-rate methods (i.e., using the single SR rate most close to mean annual soil temperature, or the single SR rate most close to mean annual air temperature) showed the most pronounced divergence from the true SRannual, but errors significantly decreased when using multiple SR rates within 1 ? of the mean annual soil temperature to estimate SRMAST. SRannual was most closely correlated with SRMAST estimated via a Q10 relationship, but this method has a potential autocorrelation issue that we explore and discuss. Air temperature data are much more widely available than is soil temperature, and we found that SR at mean annual air temperature (SRMAAT) can be used to predict SRannual as well. This study builds on Bahn et al. (2010) to demonstrate that SR measured at both annual mean soil and air temperature can be used to predict annual SR, with well-quantified errors. This capability could be used to reduce SR measurement frequency required for estimating SRannual and greatly decrease cost, factors that are generally important but especially in lower-income countries and cold, inaccessible regions.

Soil respiration, temperature, modeling↗

Fuel Cycle Considerations for Uranium, Plutonium and Minor Actinide Partitioning and Transmutation

This paper is written in memorial of the authors' past collaborations with Max Salvatores in the area of advanced nuclear fuel cycle evaluation. In this regard, a summary is provided of the results from two international studies led by Max Salvatores in which the authors participated: (1) the expert group on Homogeneous versus Heterogeneous Recycling of Transuranics in Fast Nuclear Reactors, and (2) the expert group on Potential Benefits and Impacts of Advanced Nuclear Fuel Cycles with Actinide Partitioning and Transmutation. Both of these studies presented the authors with the opportunity to contribute the results of past and ongoing research in the U.S., facilitating engagement and discussion on these subjects with researchers from other countries and organizations, resulting in the creation of broad international views on the relative benefits and challenges of transuranic recycle (NEA, 2012a; NEA, 2012b), a testament to the leadership and capabilities of Max Salvatores. Published by Elsevier Ltd.

Taiwo, Temitope↗

Preliminary studies on diversion and misuse for TRISO-fueled heat-pipe-cooled microreactors

Microreactors are being developed by multiple reactor designers to mass-produce nuclear facilities for worldwide deployment. Including microreactors in a country’s energy portfolio introduces new concerns for international safeguards regarding the number of reactor locations. Microreactors have smaller quantities of nuclear material compared to current light-water reactors, which makes diverting enough material for clandestine purposes difficult for a single reactor. Diversion or misuse of multiple microreactors to obtain a significant quantity introduces a new acquisition pathway. This work examines diversion and misuse scenarios for a realistic heat-pipe-cooled microreactor to understand how these scenarios would effect reactor operations to determine if monitoring key parameters could reduce the burden of inspection on monitoring agencies. Here, we determined misuse caused too drastic of an effect on core operations to be a valid acquisition pathway for the realistic heat-pipe-cooled microreactor. Diversion was explored across varying levels of severity, where potential diversion scenarios could yield one significant quantity of material from between six and eleven microreactors. Through examining the critical control drum angle, excess reactivity, control drum worth, and power distribution changes from nominal were detected over the operational lifetime, which could indicate a divergence from normal operations.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Vibrational metrics for the evaluation of internal conditions in a scaled nuclear dry storage cask

In many countries, permanent repositories for high burnup spent nuclear fuel assemblies have yet to be established. As a result, much of the spent fuel from nuclear reactors is contained within dry storage casks, with many being beyond their designed service life. The assessment of the internal structural integrity of these casks and the fuel assemblies contained therein is of critical importance for both extended storage and transport to permanent repositories. The large size, structural complexity, and inaccessibility of the interior of the casks make this task challenging. To address these difficulties, a 1:6 scaled model based closely on the design of a Transnuclear (TN-32) dry storage cask was fabricated to facilitate controlled studies of these structures in the laboratory. Vibrational spectroscopy was used to evaluate the state of the cargo and internal structures within the cask utilizing only measurements on the outer surface. Using modes identified through Finite Element modeling corresponding to those previously measured on a full-scale TN-32 cask, we report on the development of amplitude- and phase-based metrics that are sensitive to internal conditions in the lab cask. Steel rod bundles and steel shot were used as surrogates for intact and damaged fuel assemblies, and various internal configurations of these materials were investigated. Finally, the metrics were based on acquired spectra involving the (1, 2) global bending mode and the (2, 1) radial-with-shearing mode. The results show that the metrics are sensitive to the condition of a single assembly and have some ability to determine the locations of damaged and empty slots.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Technologies and policies to decarbonize global industry: Review and assessment of mitigation drivers through 2070

Fully decarbonizing global industry is essential to achieving climate stabilization, and reaching net zero greenhouse gas emissions by 2050–2070 is necessary to limit global warming to 2 °C. This paper assembles and evaluates technical and policy interventions, both on the supply side and on the demand side. It identifies measures that, employed together, can achieve net zero industrial emissions in the required timeframe. Key supply-side technologies include energy efficiency (especially at the system level), carbon capture, electrification, and zero-carbon hydrogen as a heat source and chemical feedstock. There are also promising technologies specific to each of the three top-emitting industries: cement, iron & steel, and chemicals & plastics. These include cement admixtures and alternative chemistries, several technological routes for zero-carbon steelmaking, and novel chemical catalysts and separation technologies. Crucial demand-side approaches include material-efficient design, reductions in material waste, substituting low-carbon for high-carbon materials, and circular economy interventions (such as improving product longevity, reusability, ease of refurbishment, and recyclability). Strategic, well-designed policy can accelerate innovation and provide incentives for technology deployment. High-value policies include carbon pricing with border adjustments or other price signals; robust government support for research, development, and deployment; and energy efficiency or emissions standards. These core policies should be supported by labeling and government procurement of low-carbon products, data collection and disclosure requirements, and recycling incentives. In implementing these policies, care must be taken to ensure a just transition for displaced workers and affected communities. Similarly, decarbonization must complement the human and economic development of low- and middle-income countries.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

An ERCOT test system for market design studies

An open source test system is developed that permits the dynamic modeling of centrally-managed wholesale power markets operating over highvoltage transmission grids. In default mode, the test system models basic operations in the Electric Reliability Council of Texas (ERCOT): namely, centrally-managed day-ahead and real-time markets operating over successive days, with congestion handled by locational marginal pricing. These basic operational features characterize all seven U.S. energy regions organized as centrally-managed wholesale power markets. Modeled participants include dispatchable generators, load-serving entities, and non-dispatchable generation such as unrmed wind and solar power. Users can congure a broad variety of parameters to study basic market and grid features under alternative system conditions. Users can also easily extend the test system's Java/Python software classes to study modied or newly envisioned market and grid features. Finally, the test system is integrated with a high-level simulation framework that permits it to function as a software component within larger systems, such as multi-country systems or integrated transmission and distribution systems. Finally, detailed test cases with 8-bus and 200-bus transmission grids are reported to illustrate these test system capabilities.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Energy-saving potential evaluation for primary schools with occupant-centric controls

Recent studies demonstrated that there is significant energy-saving potential for primary schools, which heating, ventilation, and air-conditioning (HVAC) systems with occupant-centric control (OCC) is an excellent candidate to save energy. However, such an energy impact has yet to be evaluated for different climate zones as well as different energy code versions, but is critical for technology transfer and deployment. Therefore, this paper conducts comprehensive evaluation on the energy-saving potentials for the primary schools with two advanced OCC strategies: presence-based and counting-based. In this work, ninety-six building energy models with stochastic behavior of occupants are developed and simulated, which consist of two building energy code versions, 16 climate zones, and baseline case (without OCC) and two advanced cases (with OCC). To evaluate the energy saving potentials for OCC, primary schools in the U.S. are used as an example. The results show that there is significant energy-saving potential for primary schools by considering OCC strategies, especially the counting-based case. The energy-saving potential is up to 10.2% for presence-based OCC and 12.41% for counting-based OCC. Furthermore, both climate and code version have a significant impact on energy savings from OCC strategies. The energy-saving potentials vary from 1.79% to 12.41% for different climates and code versions. This evaluation can also contribute to quantify the nationwide energy saving potential for other countries.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Integrating renewable energy into mining operations: Opportunities, challenges, and enabling approaches

Mining is one of the most energy-intensive industries worldwide. It also provides a critical source of raw materials for the manufacturing, transportation, construction, and energy sectors. Demand for raw materials is projected to increase as the world population grows and many low-income economies become middle-income countries. This growth in mineral demand, coupled with falling mineral ore grade, will likely increase the mining industry’s energy demand, used for activities across exploration, extraction, beneficiation and processing, and refining. At the time of this writing, mine operations are – due to their remoteness – dependent on fossil fuels such as diesel, heavy oils, and coal. In principle, mining could use energy recovery, renewable energy, and carbon capture to supplement, replace, or mitigate the impacts of fossil fuel use. However, a combination of renewable-energy technologies would be required. We explore challenges, opportunities, and enabling approaches to integrate renewable energy technologies into mining operations by examining the literature, including academic work, technical reports, and data produced by international agencies. Here, we find that despite numerous opportunities, technical issues still need to be considered, but solutions can tailor renewables to the mining industry. Further research should focus on identifying specific opportunities, technologies, and implementation strategies across the value chain of a variety of minerals with similar operational procedures.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Stochastic simulation of occupant-driven energy use in a bottom-up residential building stock model

The residential buildings sector is one of the largest electricity consumers worldwide and contributes disproportionally to peak electricity demand in many regions. Strongly driven by occupant activities, household energy consumption is stochastic and heterogeneous in nature. However, most residential energy models applied by industry use homogeneous, deterministic activity schedules, which work well for predictions of annual energy consumption, but can result in unrealistic hourly or sub-hourly electric load profiles, with exaggerated or muted peaks. The increasing proportion of variable renewable energy generators means that representing the heterogeneity and stochasticity of occupant behavior is now crucial for reliable planning at both bulk-power and distribution-system scales. This work presents a novel and open-source occupancy simulation approach that can simulate a diverse set of individual occupant and household event schedules for all major electricity, fuel, and hot water end uses. To accomplish this, we evaluated three alternative occupant activity simulation approaches before selecting a hybrid combining time-inhomogeneous Markov chains and probability-sampling of event durations and magnitudes. Further, we integrated the stochastic occupancy simulation with an open-source bottom-up physics-simulation building stock model and published a set of 550,000 diverse household end-use activity schedules representing a national housing stock. The simulator was verified against time-use survey data, and simulation results were validated against measured end-use electricity data for accuracy and reliability. While we use data for the United States, our application demonstrates how similar approaches could be applied using the time-use survey data collected in many countries around the world.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Seasonality and trade in hydro-heavy electricity markets: A case study with the West Africa Power Pool (WAPP)

Hydroelectric power plants account for 25% of West Africa's total installed capacity. In general, electricity generated by these plants is seasonal and intra-annual fluctuation has a considerable impact on electricity supply and cross-border electricity trade. We soft-linked a global hydrologic model to a multi-region capacity expansion and planning model for the West Africa Power Pool (WAPP) to examine the effects of seasonality in hydropower electricity generation on electricity trade, as well as the economic benefits of unconstrained cross-border electricity trade. We found that transitioning from rainy to dry season decreases hydroelectricity generation by an average of 40% in a normal year across the region. Between 2018 and 2050, satisfying the region's electricity demand will require significant capital investment; nevertheless, extending from current bilateral electricity trade agreements to a fully competitive cross-border electricity trade will result in net annual savings of $3 billion in 2015 USD. To achieve year-round energy security, countries should plan ahead and diversify their energy sources to ensure that supply reliability can be maintained in the case of lower supply during the dry season.

13 HYDRO ENERGY↗

Optimizing design and dispatch of a resilient renewable energy microgrid for a South African hospital

Lack of access to reliable energy is a major concern for countries in sub-Saharan Africa. The national grids are unable to consistently satisfy demand. Therefore, users turn to distributed generation systems in the form of back-up generators. However, such systems are usually designed based on a rule of thumb. We employ a mixed-integer linear programming model that considers several options such as renewable energy, combined heat and power, and storage technologies, in addition to those on-site, to provide optimal design and dispatch decisions that minimize total cost. We apply this model to a case study for a hospital in South Africa, considering its need for reliable electricity in light of multiple outages that might occur over the course of a year, as well as its high heating and cooling loads. Our results show that optimal design and dispatch decisions for the distributed generation system address reliability challenges, regardless of the time at which they occur. And, these solutions yield millions of dollars in savings, suggesting that technologies such as the absorption chiller may be overlooked in typical designs; its integration can reduce demand charges even in the absence of combined heat and power. We show that total cost is most sensitive to changes in site electrical demand, followed by capital cost, fuel cost, photovoltaic production, and monthly demand charges; changes in fuel cost primarily affect system sizes of combined heat and power and the absorption chiller, while photovoltaic system size is more sensitive to the changes in capital and fuel costs, photovoltaic resource availability, and hourly electrical demand. Finally, an outage simulator demonstrates the ability of our optimized system to sustain with no interruptions in power five-hour outages with probability 1.0 and ten-hour outages with probability 0.65, significant improvements over 0.5 and 0.0, respectively, under a business-as-usual case.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Towards COP27: Decarbonization patterns of residential building in China and India

As the two largest emerging emitters with the highest growth in operational carbon emissions from residential buildings, the historical emission patterns and decarbonization efforts of China and India warrant further exploration. This study aims to be the first to present a carbon intensity model considering end-use performances, assessing the operational decarbonization progress of residential building in India and China over the past two decades using the newest decomposing structural decomposition approach. Results indicate (1) the annual operational carbon intensity increased by 1.4% and 2.5% in China and India, respectively, between 2000 and 2020. Household expenditure-related energy intensity and emission factors were crucial in decarbonizing residential buildings. (2) Building electrification played a significant role in decarbonizing space cooling (–87.7 in China and – 130.2 kg of carbon dioxide (kgCO 2 ) per household in India) and appliances (~ –169.7 in China and ~ –43.4 kgCO 2 per household in India). (3) China and India collectively decarbonized 1498.3 and 399.7 M-tons of CO 2 in residential building operations, respectively. In terms of decarbonization intensity, India (164.8 kgCO 2 per household) nearly caught up with China (182.5 kgCO 2 per household) in 2020 and is expected to surpass China in the upcoming years, given the country's robust annual growth rate of 7.3%. Overall, this study provides an effective data-driven tool for investigating the building decarbonization potential in China and India, and offers valuable insights for other emerging economies seeking to decarbonize residential buildings in the forthcoming COP28 1 age.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Assessment of the impacts of renewable energy variability in long-term decarbonization strategies

To meet the nationally determined contributions proposed by the countries that signed the Paris Agreement, investments must be made in renewable generation technologies such as solar and wind. However, due to their high variability, these technologies pose challenges in terms of meeting demand or generating excess electricity. For this reason, energy system models are designed to capture this variability by considering flexibility technologies. Nevertheless, it is important to note that some energy system models lack integration with other sectors. Therefore, integrated assessment models have been employed to evaluate mitigation strategies, as they endogenously consider the linkages between energy and non-energy sectors. In addition, due to their complexity, these models do not account for the variability of renewable resources. Hence, this research aims to address this issue. Here, this work represents the first attempt to evaluate how the introduction of hourly resolution affects the outcomes of integrated assessment models, specifically focusing on the Global Change Analysis Model (GCAM). We employ a soft-linking approach between the GCAM and the Highway to Renewable Energy Systems model (H2RES, an hourly level energy system model) to accomplish this. The proposed approach is tested using Chile’s Nationally Determined Contributions under different hydrological profiles in the power sector. The results show that it is possible to use the capacity obtained from the Global Change Analysis Model and implement it on an hourly scale. However, the feasibility of implementation depends on high levels of flexibility technologies, such as battery energy storage. When given the choice of investments in renewable sources and flexible technologies, the optimal dispatch of the H2RES model show small differences than those obtained by GCAM-Chile. H2RES differs from GCAM-Chile in approximately 5% for wind and 3% for solar electricity generation in the year 2050. However, feasible integration of significant renewable sources is obtained with relatively high Critical Excess Electricity Production levels, reaching 20% in 2050. This excess electricity is attributed to the necessity for flexible technologies to manage the intermittency of renewables sources when hourly profiles of such sources are considered.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Are better combinations of DERs more profitable?: Combinatorial optimization for aggregation of DERs in wholesale electricity markets

Recently, regulatory changes in various countries have enabled the participation of small-scale distributed energy resources (DERs) aggregated in virtual power plants (VPPs) in wholesale electricity markets. The inherent uncertainty and variability of resources comprising VPPs can lead to imbalances between forecasted and metered outputs, potentially resulting in the deficient settlement of generation under imbalance settlement rules. To address this challenge, it is essential to manage variability in the planning phase and uncertainty in the operation phase. Most current research focuses on managing forecasting errors in the operational phase, with insufficient attention given to the planning phase. Here, to bridge this gap, this paper proposes an optimal combination strategy for DERs to maximize the market participation revenue of VPPs by proactively managing variability in the planning phase. To estimate the expected revenue, we conducted analyses for homogeneous and heterogeneous DERs using Monte Carlo simulations and genetic algorithms. Remarkably, the proposed method demonstrated approximately 8 % higher revenue compared to the neighboring group case when considering diversity in DER set configuration with equal proportions of photovoltaics and wind.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Establishing nationwide power system vulnerability index across US counties using interpretable machine learning

Power outages have become increasingly frequent, intense, and prolonged in the US due to climate change, aging electrical grids, and rising energy demand. However, largely due to the absence of granular spatiotemporal outage data, we lack data-driven evidence and analytics-based metrics to quantify power system vulnerability. This limitation has hindered the ability to effectively evaluate and address vulnerability to power outages in US communities. Here, in this work, we collected ∼179 million power outage records at 15-min intervals across 3022 US contiguous counties (96.15 % of the area) from 2014 to 2023. We developed a power system vulnerability assessment framework based on three dimensions (intensity, frequency, and duration) and applied interpretable machine learning models (XGBoost and SHAP) to compute Power System Vulnerability Index (PSVI) at the county level. Our analysis reveals a consistent increase in power system vulnerability across the US counties over the past decade. We identified 318 counties across 45 states as hotspots for high power system vulnerability, particularly in the West Coast (California and Washington), the East Coast (Florida and the Northeast area), the Great Lakes megalopolis (Chicago-Detroit metropolitan areas), and the Gulf of Mexico (Texas). Our heterogeneity analysis indicates that urban counties and those located along regional transmission boundaries tend to exhibit significantly higher vulnerability. Our results highlight the significance of the proposed PSVI for evaluating the vulnerability of communities to power outages. The findings underscore the widespread and pervasive impact of power outages across the country and offer crucial insights to support infrastructure operators, policymakers, and emergency managers in formulating policies and programs aimed at enhancing the resilience of the US power infrastructure.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Improving air leakage prediction of buildings using the fan pressurization method with the Weighted Line of Organic Correlation

In many countries, the fan pressurization method is the most frequently chosen approach for measuring the air leakage of houses. The measurements are usually performed at pressures that far exceed pressures to which buildings are exposed to under normal conditions. A fit of these tests to the power-law formulation allows an extrapolation to data points outside the measured pressure range. With the Ordinary Least Square (OLS) fitting method, the pressure exponent and flow coefficient can be determined. However, the measurement results are highly sensitive to uncertainties induced by external factors like changing wind conditions during the tests, which is neglected by OLS. This may lead to errors in the prediction of flows at lower pressures. The Weighted Line of Organic Correlation (WLOC) is an alternative approach and takes measurement uncertainty into account. In this paper, a statistical analysis of an extensive data set of pressurization measurements has been performed. Both regression techniques have been compared for almost 7500 fan pressurization measurements of six houses in 109 different house leak configurations. The variability in predicting pressure exponent and flow coefficient for both WLOC and OLS regression was analyzed using probability density functions. It was found that the Weighted Line of Organic Correlation significantly decreases the uncertainty in predicting pressure exponent, flow coefficient, and other low-pressure air leakage metrics compared to the Ordinary Least Square fitting. Here, the authors highly recommend the implementation of WLOC in current measurement standards and test equipment.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗