Identification of case complexity and increased health care utilization in patients with rheumatoid arthritis.

OBJECTIVES: To document biopsychosocial profiles of patients with rheumatoid arthritis (RA) by means of the INTERMED and to correlate the results with conventional methods of disease assessment and health care utilization. METHODS: Patients with RA (n = 75) were evaluated with the INTERMED, an instrument for assessing case complexity and care needs. Based on their INTERMED scores, patients were compared with regard to severity of illness, functional status, and health care utilization. RESULTS: In cluster analysis, a 2-cluster solution emerged, with about half of the patients characterized as complex. Complex patients scoring especially high in the psychosocial domain of the INTERMED were disabled significantly more often and took more psychotropic drugs. Although the 2 patient groups did not differ in severity of illness and functional status, complex patients rated their illness as more severe on subjective measures and on most items of the Medical Outcomes Study Short Form 36. Complex patients showed increased health care utilization despite a similar biologic profile. CONCLUSIONS: The INTERMED identified complex patients with increased health care utilization, provided meaningful and comprehensive patient information, and proved to be easy to implement and advantageous compared with conventional methods of disease assessment. Intervention studies will have to demonstrate whether management strategies based on INTERMED profiles can improve treatment response and outcome of complex patients.

Combined solar and pellet heating systems for single-family houses : How to achieve decreased electricity usage, increased system efficiency and increased solar gains

In Sweden, there are about 0.5 million single-family houses that are heated by electricity alone, and rising electricity costs force the conversion to other heating sources such as heat pumps and wood pellet heating systems. Pellet heating systems for single-family houses are currently a strongly growing market. Future lack of wood fuels is possible even in Sweden, and combining wood pellet heating with solar heating will help to save the bio-fuel resources. The objectives of this thesis are to investigate how the electrically heated single-family houses can be converted to pellet and solar heating systems, and how the annual efficiency and solar gains can be increased in such systems. The possible reduction of CO-emissions by combining pellet heating with solar heating has also been investigated. Systems with pellet stoves (both with and without a water jacket), pellet boilers and solar heating have been simulated. Different system concepts have been compared in order to investigate the most promising solutions. Modifications in system design and control strategies have been carried out in order to increase the system efficiency and the solar gains. Possibilities for increasing the solar gains have been limited to investigation of DHW-units for hot water production and the use of hot water for heating of dishwashers and washing machines via a heat exchanger instead of electricity (heat-fed appliances). Computer models of pellet stoves, boilers, DHW-units and heat-fed appliances have been developed and the parameters for the models have been identified from measurements on real components. The conformity between the models and the measurements has been checked. The systems with wood pellet stoves have been simulated in three different multi-zone buildings, simulated in detail with heat distribution through door openings between the zones. For the other simulations, either a single-zone house model or a load file has been used. Simulations were carried out for Stockholm, Sweden, but for the simulations with heat-fed machines also for Miami, USA. The foremost result of this thesis is the increased understanding of the dynamic operation of combined pellet and solar heating systems for single-family houses. The results show that electricity savings and annual system efficiency is strongly affected by the system design and the control strategy. Large reductions in pellet consumption are possible by combining pellet boilers with solar heating (a reduction larger than the solar gains if the system is properly designed). In addition, large reductions in carbon monoxide emissions are possible. To achieve these reductions it is required that the hot water production and the connection of the radiator circuit is moved to a well insulated, solar heated buffer store so that the boiler can be turned off during the periods when the solar collectors cover the heating demand. The amount of electricity replaced using systems with pellet stoves is very dependant on the house plan, the system design, if internal doors are open or closed and the comfort requirements. Proper system design and control strategies are crucial to obtain high electricity savings and high comfort with pellet stove systems. The investigated technologies for increasing the solar gains (DHW-units and heat-fed appliances) significantly increase the solar gains, but for the heat-fed appliances the market introduction is difficult due to the limited financial savings and the need for a new heat distribution system. The applications closest to market introduction could be for communal laundries and for use in sunny climates where the dominating part of the heat can be covered by solar heating. The DHW-unit is economical but competes with the internal finned-tube heat exchanger which is the totally dominating technology for hot water preparation in solar combisystems for single-family houses.

SOLAR PANEL MODELING ON SUITABLE ROOFS AT COLBY

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Solar Panel Modeling on Suitable Roofs at Colby

With the recent construction of Colby Green and the current plans for the construction of several new buildings, the total area for future development on campus has declined. The goal of this study was to illustrate existing campus development and to determine where future growth could occur. GIS was used in determining the different soil systems on campus, the current use of the land, and the boundaries of the Colby property. The project shows what potential obstacles the college will have in attempting to expand the campus and proposes where the best options are for construction.

Explicit Expressions for Solar Panel Equivalent Circuit Parameters Based on Analytical Formulation and the Lambert W-Function

Due to the high dependence of photovoltaic energy efficiency on environmental conditions (temperature, irradiation...), it is quite important to perform some analysis focusing on the characteristics of photovoltaic devices in order to optimize energy production, even for small-scale users. The use of equivalent circuits is the preferred option to analyze solar cells/panels performance. However, the aforementioned small-scale users rarely have the equipment or expertise to perform large testing/calculation campaigns, the only information available for them being the manufacturer datasheet. The solution to this problem is the development of new and simple methods to define equivalent circuits able to reproduce the behavior of the panel for any working condition, from a very small amount of information. In the present work a direct and completely explicit method to extract solar cell parameters from the manufacturer datasheet is presented and tested. This method is based on analytical formulation which includes the use of the Lambert W-function to turn the series resistor equation explicit. The presented method is used to analyze commercial solar panel performance (i.e., the current-voltage–I-V–curve) at different levels of irradiation and temperature. The analysis performed is based only on the information included in the manufacturer’s datasheet.

Explicit expressions for solar panel equivalent circuit parameters based on analytical formulation and the Lambert W - Function

Due to the high dependence of photovoltaic energy efficiency on environmental conditions (temperature, irradiation...), it is quite important to perform some analysis focusing on the characteristics of photovoltaic devices in order to optimize energy production, even for small-scale users. The use of equivalent circuits is the preferred option to analyze solar cells/panels performance. However, the aforementioned small-scale users rarely have the equipment or expertise to perform large testing/calculation campaigns, the only information available for them being the manufacturer datasheet. The solution to this problem is the development of new and simple methods to define equivalent circuits able to reproduce the behavior of the panel for any working condition, from a very small amount of information. In the present work a direct and completely explicit method to extract solar cell parameters from the manufacturer datasheet is presented and tested. This method is based on analytical formulation which includes the use of the Lambert W-function to turn the series resistor equation explicit. The presented method is used to analyze the performance (i.e., the I - V curve) of a commercial solar panel at different levels of irradiation and temperature. The analysis performed is based only on the information included in the manufacturer's datasheet.

Nonlinear dynamics of a satellite with deployable solar panel arrays

The multibody dynamics of a satellite in circular orbit, modeled as a central body with two hinge-connected deployable solar panel arrays, is investigated. Typically, the solar panel arrays are deployed in orbit using preloaded torsional springs at the hinges in a near symmetrical accordion manner, to minimize the shock loads at the hinges. There are five degrees of freedom of the interconnected rigid bodies, composed of coupled attitude motions (pitch, yaw and roll) of the central body plus relative rotations of the solar panel arrays. The dynamical equations of motion of the satellite system are derived using Kane's equations. These are then used to investigate the dynamic behavior of the system during solar panel deployment via the 7-8th-order Runge-Kutta integration algorithms and results are compared with approximate analytical solutions. Chaotic attitude motions of the completely deployed satellite in circular orbit under the influence of the gravity-gradient torques are subsequently investigated analytically using Melnikov's method and confirmed via numerical integration. The Hamiltonian equations in terms of Deprit's variables are used to facilitate the analysis. (C) 2003 Published by Elsevier Ltd.

Increased health care utilization and increased antiretroviral use in HIV-infected individuals with mental health disorders

Objectives The aims of the study were to describe the prevalence and associations of mental health disorder (MHD) among a cohort of HIV-infected patients attending the Victorian HIV/AIDS Service between 1984 and 2000, and to examine whether antiretroviral therapy use or mortality was influenced by MHD (defined as a record of service provision by psychiatric services on the Victorian Psychiatric Case Register). It was hypothesized that HIV-positive individuals with MHD would have poorer treatment outcomes, reduced responses to highly active antiretroviral therapy (HAART) and increased mortality compared with those without MHD. Methods This is a retrospective cohort of 2981 individuals (73% of the Victorian population diagnosed with HIV infection) captured on an HIV database which was electronically matched with the public Victorian Psychiatric Case Register (VPCR) (accounting for 95% of public system psychiatry service provision). The prevalence, dates and recorded specifics of mental health disorders at the time of the electronic match on 1 June 2000 are described. The association with recorded MHD, gender, age, AIDS illness, HIV exposure category, duration and type of antiviral therapy, treatment era (prior to 1986, post-1987 and pre-HAART, and post-HAART) on hospitalization and mortality at 1 September 2001 was assessed. Results Five hundred and twenty-five individuals (17.6% of the Victorian HIV-positive population) were recorded with MHD, most frequently coded as attributable to substance dependence/abuse or affective disorder. MHD was diagnosed prior to HIV in 33% and, of those diagnosed after HIV, 93.8% were recorded more than 1 year after the HIV diagnosis. Schizophrenia was recorded in 6% of the population with MHD. Hospitalizations for both psychiatric and nonpsychiatric illness were more frequent in those with MHD (relative risk 5.4; 95% confidence interval 3.7, 8.2). The total number of antiretrovirals used (median 6.4 agents vs 5.5 agents) was greater in those with MHD. When adjusted for antiretroviral treatment era, HIV exposure category, CD4 cell count and antiretroviral therapy, survival was not affected by MHD. Conclusions MHD is frequent in this population with HIV infection and is associated with increased healthcare utilization but not with reduced survival.

Feasibility of a solar panel-powered liquid desiccant cooling system for greenhouses

To investigate the technical feasibility of a novel cooling system for commercial greenhouses, knowledge of the state of the art in greenhouse cooling is required. An extensive literature review was carried out that highlighted the physical processes of greenhouse cooling and showed the limitations of the conventional technology. The proposed cooling system utilises liquid desiccant technology; hence knowledge of liquid desiccant cooling is also a prerequisite before designing such a system. Extensive literature reviews on solar liquid desiccant regenerators and desiccators, which are essential parts of liquid desiccant cooling systems, were carried out to identify their advantages and disadvantages. In response to the findings, a regenerator and a desiccator were designed and constructed in lab. An important factor of liquid desiccant cooling is the choice of liquid desiccant itself. The hygroscopicity of the liquid desiccant affects the performance of the system. Bitterns, which are magnesium-rich brines derived from seawater, are proposed as an alternative liquid desiccant for cooling greenhouses. A thorough experimental and theoretical study was carried out in order to determine the properties of concentrated bitterns. It was concluded that their properties resemble pure magnesium chloride solutions. Therefore, magnesium chloride solution was used in laboratory experiments to assess the performance of the regenerator and the desiccator. To predict the whole system performance, the physical processes of heat and mass transfer were modelled using gPROMS® advanced process modelling software. The model was validated against the experimental results. Consequently it was used to model a commercials-scale greenhouse in several hot coastal areas in the tropics and sub-tropics. These case studies show that the system, when compared to evaporative cooling, achieves 3oC-5.6oC temperature drop inside the greenhouse in hot and humid places (RH>70%) and 2oC-4oC temperature drop in hot and dry places (50%

Optimization of Energy Distribution in Solar Panel Array Configurations by Graph Theory and Minkowski’s Paths

Nowadays, the development of the photovoltaic (PV) technology is consolidated as a source of renewable energy. The research in the topic of maximum improvement on the energy efficiency of the PV plants is today a major challenge. The main requirement for this purpose is to know the performance of each of the PV modules that integrate the PV field in real time. In this respect, a PLC communications based Smart Monitoring and Communications Module, which is able to monitor at PV level their operating parameters, has been developed at the University of Malaga. With this device you can check if any of the panels is suffering any type of overriding performance, due to a malfunction or partial shadowing of its surface. Since these fluctuations in electricity production from a single panel affect the overall sum of all panels that conform a string, it is necessary to isolate the problem and modify the routes of energy through alternative paths in case of PV panels array configuration.

L'energia solar a Cerdanyola del Vallès

Treball de recerca realitzat per alumnes d'ensenyament secundari i guardonat amb un Premi CIRIT per fomentar l'esperit cientí­fic del Jovent l'any 2009. Aquest treball intenta resoldre la qüestió de si l'energia solar arribarà a ser una energia alternativa que esdevingui un substitut del petroli en el futur. Aquest projecte informa de totes les característiques i propietats de les plaques solars, explicant els avantatges que fan que sigui un recurs energètic molt net, segur i, encara que en un principi es pugui veure car, finalment arriba a amortitzar el preu inicial fins aconseguir un estalvi monetari, que és el que atreu al màxim de compradors. El projecte parla de les característiques de les plaques solars fotovoltaiques explicant així tots els materials pels quals és formada, la seva estructura per capes i el procés de transformació de llum en electricitat. Conté, també, una part pràctica extensa i elaborada: s'ha demanat a diversos ciutadans, sobretot de Cerdanyola del Vallès i també de Barcelona, sobre el tipus de contacte que tenen amb aquesta energia renovable i si no és així, saber quin altre tipus de font energètica utilitzen. També conté una entrevista a un professional del món de l'energia solar. I, finalment, s'ha realitzat el disseny, muntatge i funcionament d'un cotxe elèctric solar.

Aurinkopaneeleihin liitettävien vaihtosuuntaajien testaussuunnitelman laadinta ja toteutus

Aurinkoenergia on yksi monista uusiutuvan energian muodoista, joiden suosio on viimeisten vuosien aikana kasvanut fossiilisten polttoaineiden kallistumisen sekä ilmaston lämpenemisen vuoksi. Auringon säteilyn energiaa voidaan muuttaa sähköenergiaksi mm. aurinkopaneeleiden avulla. Aurinkopaneeleihin liitetään usein vaihtosuuntaaja, jolla tuotettu teho voidaan muokata sähköverkkoon tai kotitalouden sähköjärjestelmään sopivaksi. Tässä työssä on esitelty aurinkopaneelilla tuotettavan sähköenergian perusperiaatteet sekä tehoa tuottavan järjestelmän reunaehdot. Tutkimuksessa on perehdytty keskeisiin, aurinkopaneeleihin liitettäville vaihtosuuntaajille laadittuihin standardeihin, hyötysuhteen mittaamisen sekä sähkön laadun näkökulmista. Selvityksen avulla järjestelmän hyötysuhteen sekä lähtötehon laadun määrittämiseksi voidaan laatia standardien mukainen mittaussuunnitelma vaihtosuuntaajan nimellistehosta riippumatta. Standardien avulla on laadittu mittaussuunnitelma Global Inversonne, 100 kW - verkkovaihtosuuntaajayksikölle. Suunnitelman mukaisissa mittauksissa on tutkittu yksikön muunnoshyötysuhdetta sekä lähtöjännitteen- ja virran laatua. Lisäksi työssä on analysoitu mittaustulosten mittausepävarmuuksia ja niitä aiheuttavia tekijöitä.

Uusiutuvan energian käyttömahdollisuudet Liikuntakeskus Pajulahdessa

Tämä diplomityö on tehty Lappeenrannan teknillisen yliopiston, Liikuntakeskus Pajulahden ja Nastolan Energiasäätiön yhteisprojektina. Työn tarkoituksena on tutkia aurinkosähköjärjestelmien taloudellista kannattavuutta ostosähkön korvaamisessa Liikuntakeskus Pajulahden kiinteistössä. Työssä tehdään laskelmat aurinkopaneelien tuotoista, tuotetun sähkön hinnasta, investointien takaisinmaksuajoista sekä tuotetun aurinkosähkön synnyttämistä hiilidioksidipäästövähenemistä. Lisäksi tarkastellaan energiaveron vaikutusta pientuotantolaitoksen kannattavuuteen. Tämän hetkisillä aurinkosähköjärjestelmien hinnoilla pystytään tuottamaan puhdasta, ympäristöystävällistä sähköä kilpailukykyiseen hintaan. Työssä tehdään yleiskatsaus myös muiden uusiutuviin energialähteisiin perustuvien tuotantomenetelmien käyttömahdollisuuksista. Yhtenä erityistarkastelunkohteena on Pajulahden monitoimihalliin vuonna 2008 suunniteltu vesistöä lämmönlähteenä käyttävä lämpöpumppujärjestelmä, jonka toteutukseen ei saatu tarvittavia lupia. Tarkastelussa tutkitaan myös aiemmin Suomessa toteutettuja vastaavia hankkeita ja niiden lupien saantia. Lisäksi on haettu tosiasioihin perustuvia argumentteja keskusteluun vesistölämmön hyödyntämisestä. Tarkastelun kohteena oleva vesistölämpöhanke voidaan todeta olevan erittäin kannattava, taloudellisesti sekä ympäristöllisesti. Tutkimuksen pohjalta Nastolan Energiasäätiölle tuotetaan havainnollinen ja selkeä aineisto aurinkoenergian hyödyntämismahdollisuuksista Nastolan kunnassa.

Metsäenergian liiketoimintojen kehittäminen ja käytön kasvun vaikutukset Kaakkois-Suomessa

Kaakkois-Suomen alueella uusiutuvan energian käyttö ja erityisesti metsäenergian käyttö on kasvanut merkittävästi 2000-luvulla. Tulevaisuudessa metsäenergia nähdään edelleen potenti-aalisimpana vaihtoehtona korvattaessa fossiilisia polttoaineita lämpö- ja voimalaitoskokoluo-kassa. Muita uusiutuvan energian vaihtoehtoja ovat mm. tuuli- ja aurinkovoima, biokaasu sekä erilaiset kiinteät ja nestemäiset polttoainejalosteet. Tulevaisuudessa alueella voi olla mahdollis-ta tuottaa niin kansalliseen kuin kansainväliseen vientiin esim. biopolttonesteitä, biokaasua ja biohiiltä. Tutkimushankkeen tavoitteena oli selvittää metsäenergia-alan alueelliset toimijat sekä metsä-energian soveltuvuus ja liiketoimintamahdollisuudet Kaakkois-Suomen alueen energian tuo-tannossa. Tutkimus koostui seuraavista osatehtävistä: metsäsektorin toimijakentän kartoitus, metsäenergian alueelliset liiketoimintamahdollisuudet, puuperäisten polttoainejalosteiden käyttö- ja liiketoimintamahdollisuudet, muiden uusiutuvien energialähteiden käyttömahdolli-suudet ja vaikutukset Kaakkois-Suomessa. Tutkimuksessa arvioitiin myös Kaakkois-Suomen metsäenergian hankinnan työllisyysvaikutuksia. Tutkimuksen ohjausryhmänä toimi Kaakkois-Suomen metsäenergianeuvottelukunta. Tutkimuksessa kyselytutkimuksella selvitettiin metsäenergian tuottajien ja käyttäjien mielipi-teitä ja kehittämiskohteita toimialalta. Kaakkois-Suomessa hyödynnettävistä uusiutuvista energialähteistä selvitettiin nykyinen käyttö sekä arvioitiin tulevaisuuden hyödyntämismah-dollisuuksia vuonna 2020. Nämä tulokset esitettiin Kaakkois-Suomen energiataseen avulla. Kaakkois-Suomessa uusiutuvista energialähteistä puupolttoaineilla on merkittävin rooli metsä-teollisuuden johdosta ja alueen metsäenergian käyttö voi kasvaa jopa 1,7 TWh:in, mikäli fos-siilisia energialähteitä korvataan edelleen voimalaitoksissa ja lämpökeskuksissa. Metsäenergian käytön kasvussa alueen kunnilla on merkittävä rooli. Viime vuosina erityisesti tuulivoiman tuotanto on kasvanut ja tulee kasvamaan edelleen. Samoin aurinkoenergian hyödyntäminen kiinteistökokoluokassa on lisääntynyt voimakkaasti. Lisäksi maakuntaan on suunnitteilla kiin-teiden, nestemäisten ja kaasumaisten polttoainejalosteiden tuotantolaitoksia. Toteutuessaan laitokset voivat lisätä metsäenergian käyttöä merkittävästi.

On advancing business intelligence in the electricity retail market

In recent decades, business intelligence (BI) has gained momentum in real-world practice. At the same time, business intelligence has evolved as an important research subject of Information Systems (IS) within the decision support domain. Today’s growing competitive pressure in business has led to increased needs for real-time analytics, i.e., so called real-time BI or operational BI. This is especially true with respect to the electricity production, transmission, distribution, and retail business since the law of physics determines that electricity as a commodity is nearly impossible to be stored economically, and therefore demand-supply needs to be constantly in balance. The current power sector is subject to complex changes, innovation opportunities, and technical and regulatory constraints. These range from low carbon transition, renewable energy sources (RES) development, market design to new technologies (e.g., smart metering, smart grids, electric vehicles, etc.), and new independent power producers (e.g., commercial buildings or households with rooftop solar panel installments, a.k.a. Distributed Generation). Among them, the ongoing deployment of Advanced Metering Infrastructure (AMI) has profound impacts on the electricity retail market. From the view point of BI research, the AMI is enabling real-time or near real-time analytics in the electricity retail business. Following Design Science Research (DSR) paradigm in the IS field, this research presents four aspects of BI for efficient pricing in a competitive electricity retail market: (i) visual data-mining based descriptive analytics, namely electricity consumption profiling, for pricing decision-making support; (ii) real-time BI enterprise architecture for enhancing management’s capacity on real-time decision-making; (iii) prescriptive analytics through agent-based modeling for price-responsive demand simulation; (iv) visual data-mining application for electricity distribution benchmarking. Even though this study is from the perspective of the European electricity industry, particularly focused on Finland and Estonia, the BI approaches investigated can: (i) provide managerial implications to support the utility’s pricing decision-making; (ii) add empirical knowledge to the landscape of BI research; (iii) be transferred to a wide body of practice in the power sector and BI research community.