Verification of intensity modulated stereotactic radiotherapy using Monte Carlo calculations and EPID dosimetry

The purpose of this work was to develop a comprehensive IMSRT QA procedure that examined, using EPID dosimetry and Monte Carlo (MC) calculations, each step in the treatment planning and delivery process. These steps included verification of the field shaping, treatment planning system (RTPS) dose calculations, and patient dose delivery. Verification of each step in the treatment process is assumed to result in correct dose delivery to the patient. ^ The accelerator MC model was verified against commissioning data for field sizes from 0.8 × 0.8 cm 2 to 10 × 10 cm 2. Depth doses were within 2% local percent difference (LPD) in low gradient regions and 1 mm distance to agreement (DTA) in high gradient regions. Lateral profiles were within 2% LPD in low gradient regions and 1 mm DTA in high gradient regions. Calculated output factors were within 1% of measurement for field sizes ≥1 × 1 cm2. ^ The measured and calculated pretreatment EPID dose patterns were compared using criteria of 5% LPD, 1 mm DTA, or 2% of central axis pixel value with ≥95% of compared points required to pass for successful verification. Pretreatment field verification resulted in 97% percent of the points passing. ^ The RTPS and Monte Carlo phantom dose calculations were compared using 5% LPD, 2 mm DTA, or 2% of the maximum dose with ≥95% of compared points required passing for successful verification. RTPS calculation verification resulted in 97% percent of the points passing. ^ The measured and calculated EPID exit dose patterns were compared using criteria of 5% LPD, 1 mm DTA, or 2% of central axis pixel value with ≥95% of compared points required to pass for successful verification. Exit dose verification resulted in 97% percent of the points passing. ^ Each of the processes above verified an individual step in the treatment planning and delivery process. The combination of these verification steps ensures accurate treatment delivery to the patient. This work shows that Monte Carlo calculations and EPID dosimetry can be used to quantitatively verify IMSRT treatments resulting in improved patient care and, potentially, improved clinical outcome. ^

The impact of nutrition intervention on glycemic control in a pediatric type 1 diabetes mellitus population

Aim: The goal of this study was to evaluate the change in hemoglobin A1C and glycemic control after nutrition intervention among a population of type 1 diabetic pediatric patients. Methods: Data was collected from all type 1 diabetic patients who were scheduled for a consultation with the diabetes/endocrine RD from January 2006 through December 2006. Two groups were compared, those who kept their RD appointment and those who did not keep their appointment. The main outcome measure was HgbA1C. An independent samples t-test compared the two groups with respect to change in HbgA1C before and after the most recent scheduled appointment with the RD. Baseline characteristics were used as covariates and analyzed and controlled for using analysis of covariance (ANCOVA). Results: There was no difference in HgbA1c after either attending an RD appointment or not having attended an RD appointment. Those who arrived for and attended their RD appointment and those who did not arrive for and attend their RD appointment, had statistically different HgbA1C's before their scheduled appointment as well as after the RD appointment. However, the two groups were not equal at the beginning of the study period. Discussion: A study design with inclusion criteria of a specified range of HgbA1C values within which the study subjects needed to fall, would have potentially eliminated the difference between the two groups at the beginning of the study period. Conducting either another retrospective study that controlled for the initial HgbA1C value or conducting a prospective study that designated a range of HgbA1C values would be worth investigating to evaluate the impact of medical nutrition therapy intervention and the role of the RD in diabetes management. It is an interesting finding that there was a significant difference in the initial HgbA1c for those who came to the RD appointment compared to those who did not come. The fact that in this study those who did not arrive for their RD appointment had worse control of their diabetes suggests that this is a high-risk group. Targeting diabetes education toward this group of patients may prove to be beneficial. ^

Irritable bowel syndrome (IBS) in U.S. adult travelers': The importance of travel to the development of IBS

Background. Irritable bowel syndrome is a gastrointestinal disorder that is potentially linked to international travel at an undetermined frequency.^ Methods. A self-administered questionnaire was distributed through mail to five hundred and ninety-one patients that were twice diagnosed with irritable bowel syndrome at Kelsey Seybold Clinic in Houston, TX. Responses to survey questions were used to assess patient travel history, IBS symptomology, and disease classification.^ Results. Of the five hundred and ninety-one patients that were mailed a questionnaire, two hundred and twenty one patients returned questionnaires and two hundred and one met inclusion criteria. Of the participants reporting international travel within six months of developing their chronic intestinal disorder, 60% were classified as having PI-IBS, while 25% had IBS, 10% had PI-UFBD, and 5% had UFBD. A majority of the subjects who traveled six months before onset of their functional bowel disease had a post-infectious form of IBS and reported a start and worsening of symptoms with an acute bout of diarrhea. It was common for those traveling six months before travel and labeled PI-IBS to have enteric symptoms that led to lifestyle adjustments. ^ Conclusion. International travel had a significant effect on the classification of IBS among patients which relates to the differences in IBS symptoms and perhaps pathogenesis among travelers versus non-travelers. ^

Does diabetes mellitus contribute to the disease burden of vascular dementia?

Background. Vascular dementia (VaD) is the second most common of dementia. Multiple risk factors are associated with VaD, but the individual contribution of each to disease onset and progression is unclear. We examined the relationship between diabetes mellitus type 2 (DM) and the clinical variables of VaD.^ Methods. Data from 593 patients evaluated between June, 2003 and June, 2008 for cognitive impairment were prospectively entered into a database. We retrospectively reviewed the charts of 63 patients who fit the NINDS-AIREN criteria of VaD. The patients were divided into those with DM (VaD-DM, n=29) and those without DM (VaD, n=34). The groups were compared with regard to multiple variables.^ Results. Patients with DM had a significantly earlier onset of VaD (71.9±6.54 vs. 77.2±6.03, p<0.001), a faster rate of decline per year on the mini mental state examination (MMSE; 3.60±1.82 vs. 2.54±1.60 points, p=0.02), and a greater prevalence of neuropsychiatric symptoms (62% vs. 21%, p=0.02) at the time of diagnosis.^ Conclusions. This study shows that a history of pre-morbid DM is associated with an early onset and faster cognitive deterioration in VaD. Moreover, the presence of DM predicts the presence of neuropsychiatric symptoms in patients with VaD. A larger study is needed to verify these associations. It will be important to investigate whether better glycemic control will mitigate the potential effects of DM on VaD.^

Ethnographic and epidemiologic approaches for the programming of prenatal and birth services in Mesa los Hornos, Mexico

The investigator conducted an action-oriented investigation of pregnancy and birth among the women of Mesa los Hornos, an urban squatter slum in Mexico City. Three aims guided the project: (1) To obtain information for improving prenatal and maternity service utilization; (2) To examine the utility of rapid ethnographic and epidemiologic assessment methodologies; (3) To cultivate community involvement in health development.^ Viewing service utilization as a culturally-bound decision, the study included a qualitative phase to explore women's cognition of pregnancy and birth, their perceived needs during pregnancy, and their criteria of service acceptability. A probability-based community survey delineated parameters of service utilization and pregnancy health events, and probed reasons for decisions to use medical services, lay midwives, or other sources of prenatal and labor and delivery assistance. Qualitative survey of service providers at relevant clinics, hospitals, and practices contributed information on service availability and access, and on coordination among private, social security, and public assistance health service sectors. The ethnographic approach to exploring the rationale for use or non-use of services provided a necessary complement to conventional barrier-based assessment, to inform planning of culturally appropriate interventions.^ Information collection and interpretation was conducted under the aegis of an advisory committee of community residents and service agency representatives; the residents' committee formulated recommendations for action based on findings, and forwarded the mandate to governmental social and urban development offices. Recommendations were designed to inform and develop community participation in health care decision-making.^ Rapid research methods are powerful tools for achieving community-based empowerment toward investigation and resolution of local health problems. But while ethnography works well in synergy with quantitative assessment approaches to strengthen the validity and richness of short-term field work, the author strongly urges caution in application of Rapid Ethnographic Assessments. An ethnographic sensibility is essential to the research enterprise for the development of an active and cooperative community base, the design and use of quantitative instruments, the appropriate use of qualitative techniques, and the interpretation of culturally-oriented information. However, prescribed and standardized Rapid Ethnographic Assessment techniques are counter-productive if used as research short-cuts before locale- and subject-specific cultural understanding is achieved. ^

EVALUATION OF THE EFFECTIVENESS OF ANISOTROPIC ANALYTICAL ALGORITHM IN FLATTENED AND FLATTENING-FILTER-FREE BEAMS FOR HIGH ENERGY LUNG DOSE DELIVERY USING THE RADIOLOGICAL PHYSICS CENTER LUNG PHANTOM

The effectiveness of the Anisotropic Analytical Algorithm (AAA) implemented in the Eclipse treatment planning system (TPS) was evaluated using theRadiologicalPhysicsCenteranthropomorphic lung phantom using both flattened and flattening-filter-free high energy beams. Radiation treatment plans were developed following the Radiation Therapy Oncology Group and theRadiologicalPhysicsCenterguidelines for lung treatment using Stereotactic Radiation Body Therapy. The tumor was covered such that at least 95% of Planning Target Volume (PTV) received 100% of the prescribed dose while ensuring that normal tissue constraints were followed as well. Calculated doses were exported from the Eclipse TPS and compared with the experimental data as measured using thermoluminescence detectors (TLD) and radiochromic films that were placed inside the phantom. The results demonstrate that the AAA superposition-convolution algorithm is able to calculate SBRT treatment plans with all clinically used photon beams in the range from 6 MV to 18 MV. The measured dose distribution showed a good agreement with the calculated distribution using clinically acceptable criteria of ±5% dose or 3mm distance to agreement. These results show that in a heterogeneous environment a 3D pencil beam superposition-convolution algorithms with Monte Carlo pre-calculated scatter kernels, such as AAA, are able to reliably calculate dose, accounting for increased lateral scattering due to the loss of electronic equilibrium in low density medium. The data for high energy plans (15 MV and 18 MV) showed very good tumor coverage in contrast to findings by other investigators for less sophisticated dose calculation algorithms, which demonstrated less than expected tumor doses and generally worse tumor coverage for high energy plans compared to 6MV plans. This demonstrates that the modern superposition-convolution AAA algorithm is a significant improvement over previous algorithms and is able to calculate doses accurately for SBRT treatment plans in the highly heterogeneous environment of the thorax for both lower (≤12 MV) and higher (greater than 12 MV) beam energies.

Systematic review of mobile dental vans

Objectives. To assess the reach and effectiveness of mobile dental vans as a delivery method by providing access to underserved populations. ^ Methods. A literature review was conducted to identify mobile delivery methods whose aims are to address the increasing oral health disparity concern. Forty articles met the inclusion criteria. Of the 40 articles, only 7 analyzed the reach and coverage of the mobile dental clinics. Data was compiled from the literature to compare and assess the different mobile dental care delivery methods. ^ Results. There is a correlation between transportation barriers and lack of access to healthcare. Mobile dentistry helps to delivery dental care to vulnerable populations. ^ Conclusion. Mobile dental clinics are an effective method in improving access to care in underserved populations, as well as increasing overall oral health in these individuals.^

New methods for quantification and analysis of quantitative real-time polymerase chain reaction data

Quantitative real-time polymerase chain reaction (qPCR) is a sensitive gene quantitation method that has been widely used in the biological and biomedical fields. The currently used methods for PCR data analysis, including the threshold cycle (CT) method, linear and non-linear model fitting methods, all require subtracting background fluorescence. However, the removal of background fluorescence is usually inaccurate, and therefore can distort results. Here, we propose a new method, the taking-difference linear regression method, to overcome this limitation. Briefly, for each two consecutive PCR cycles, we subtracted the fluorescence in the former cycle from that in the later cycle, transforming the n cycle raw data into n-1 cycle data. Then linear regression was applied to the natural logarithm of the transformed data. Finally, amplification efficiencies and the initial DNA molecular numbers were calculated for each PCR run. To evaluate this new method, we compared it in terms of accuracy and precision with the original linear regression method with three background corrections, being the mean of cycles 1-3, the mean of cycles 3-7, and the minimum. Three criteria, including threshold identification, max R2, and max slope, were employed to search for target data points. Considering that PCR data are time series data, we also applied linear mixed models. Collectively, when the threshold identification criterion was applied and when the linear mixed model was adopted, the taking-difference linear regression method was superior as it gave an accurate estimation of initial DNA amount and a reasonable estimation of PCR amplification efficiencies. When the criteria of max R2 and max slope were used, the original linear regression method gave an accurate estimation of initial DNA amount. Overall, the taking-difference linear regression method avoids the error in subtracting an unknown background and thus it is theoretically more accurate and reliable. This method is easy to perform and the taking-difference strategy can be extended to all current methods for qPCR data analysis.^

Solving identity delegation problem in the e-government environment

At present, many countries allow citizens or entities to interact with the government outside the telematic environment through a legal representative who is granted powers of representation. However, if the interaction takes place through the Internet, only primitive mechanisms of representation are available, and these are mainly based on non-dynamic offline processes that do not enable quick and easy identity delegation. This paper proposes a system of dynamic delegation of identity between two generic entities that can solve the problem of delegated access to the telematic services provided by public authorities. The solution herein is based on the generation of a delegation token created from a proxy certificate that allows the delegating entity to delegate identity to another on the basis of a subset of its attributes as delegator, while also establishing in the delegation token itself restrictions on the services accessible to the delegated entity and the validity period of delegation. Further, the paper presents the mechanisms needed to either revoke a delegation token or to check whether a delegation token has been revoked. Implications for theory and practice and suggestions for future research are discussed.

Aplicación de documentos de identificación electrónica a un esquema de voto telemático a escala paneuropea, seguro, auditable y verificable.

En este trabajo de tesis se propone un esquema de votación telemática, de carácter paneuropeo y transnacional, que es capaz de satisfacer las más altas exigencias en materia de seguridad. Este enfoque transnacional supone una importante novedad que obliga a identificar a los ciudadanos más allá de las fronteras de su país, exigencia que se traduce en la necesidad de que todos los ciudadanos europeos dispongan de una identidad digital y en que ésta sea reconocida más allá de las fronteras de su país de origen. Bajo estas premisas, la propuesta recogida en esta tesis se aborda desde dos vertientes complementarias: por una parte, el diseño de un esquema de votación capaz de conquistar la confianza de gobiernos y ciudadanos europeos y, por otra, la búsqueda de una respuesta al problema de interoperabilidad de Sistemas de Gestión de Identidad (IDMs), en consonancia con los trabajos que actualmente realiza la UE para la integración de los servicios proporcionados por las Administraciones Públicas de los distintos países europeos. El punto de partida de este trabajo ha sido la identificación de los requisitos que determinan el adecuado funcionamiento de un sistema de votación telemática para, a partir de ellos,proponer un conjunto de elementos y criterios que permitan, por una parte, establecer comparaciones entre distintos sistemas telemáticos de votación y, por otra, evaluar la idoneidad del sistema propuesto. A continuación se han tomado las más recientes y significativas experiencias de votación telemática llevadas a cabo por diferentes países en la automatización de sus procesos electorales, analizándolas en profundidad para demostrar que, incluso en los sistemas más recientes, todavía subsisten importantes deficiencias relativas a la seguridad. Asimismo, se ha constatado que un sector importante de la población se muestra receloso y, a menudo, cuestiona la validez de los resultados publicados. Por tanto, un sistema que aspire a ganarse la confianza de ciudadanos y gobernantes no sólo debe operar correctamente, trasladando los procesos tradicionales de votación al contexto telemático, sino que debe proporcionar mecanismos adicionales que permitan superar los temores que inspira el nuevo sistema de votación. Conforme a este principio, el enfoque de esta tesis, se orienta, en primer lugar, hacia la creación de pruebas irrefutables, entendibles y auditables a lo largo de todo el proceso de votación, que permitan demostrar con certeza y ante todos los actores implicados en el proceso (gobierno, partidos políticos, votantes, Mesa Electoral, interventores, Junta Electoral,jueces, etc.) que los resultados publicados son fidedignos y que no se han violado los principios de anonimato y de “una persona, un voto”. Bajo este planteamiento, la solución recogida en esta tesis no sólo prevé mecanismos para minimizar el riesgo de compra de votos, sino que además incorpora mecanismos de seguridad robustos que permitirán no sólo detectar posibles intentos de manipulación del sistema, sino también identificar cuál ha sido el agente responsable. De forma adicional, esta tesis va más allá y traslada el escenario de votación a un ámbito paneuropeo donde aparecen nuevos problemas. En efecto, en la actualidad uno de los principales retos a los que se enfrentan las votaciones de carácter transnacional es sin duda la falta de procedimientos rigurosos y dinámicos para la actualización sincronizada de los censos de votantes de los distintos países que evite la presencia de errores que redunden en la incapacidad de controlar que una persona emita más de un voto, o que se vea impedido del todo a ejercer su derecho. Este reconocimiento de la identidad transnacional requiere la interoperabilidad entre los IDMs de los distintos países europeos. Para dar solución a este problema, esta tesis se apoya en las propuestas emergentes en el seno de la UE, que previsiblemente se consolidarán en los próximos años, tanto en materia de identidad digital (con la puesta en marcha de la Tarjeta de Ciudadano Europeo) como con el despliegue de una infraestructura de gestión de identidad que haga posible la interoperabilidad de los IDMs de los distintos estados miembros. A partir de ellas, en esta tesis se propone una infraestructura telemática que facilita la interoperabilidad de los sistemas de gestión de los censos de los distintos estados europeos en los que se lleve a cabo conjuntamente la votación. El resultado es un sistema versátil, seguro, totalmente robusto, fiable y auditable que puede ser aplicado en elecciones paneuropeas y que contempla la actualización dinámica del censo como una parte crítica del proceso de votación. ABSTRACT: This Ph. D. dissertation proposes a pan‐European and transnational system of telematic voting that is capable of meeting the strictest security standards. This transnational approach is a significant innovation that entails identifying citizens beyond the borders of their own country,thus requiring that all European citizens must have a digital identity that is recognized beyond the borders of their country of origin. Based on these premises, the proposal in this thesis is analyzed in two mutually‐reinforcing ways: first, a voting system is designed that is capable of winning the confidence of European governments and citizens and, second, a solution is conceived for the problem of interoperability of Identity Management Systems (IDMs) that is consistent with work being carried out by the EU to integrate the services provided by the public administrations of different European countries. The starting point of this paper is to identify the requirements for the adequate functioning of a telematic voting system and then to propose a set of elements and criteria that will allow for making comparisons between different such telematic voting systems for the purpose of evaluating the suitability of the proposed system. Then, this thesis provides an in‐depth analysis of most recent significant experiences in telematic voting carried out by different countries with the aim of automating electoral processes, and shows that even the most recent systems have significant shortcomings in the realm of security. Further, a significant portion of the population has shown itself to be wary,and they often question the validity of the published results. Therefore, a system that aspires to win the trust of citizens and leaders must not only operate correctly by transferring traditional voting processes into a telematic environment, but must also provide additional mechanisms that can overcome the fears aroused by the new voting system. Hence, this thesis focuses, first, on creating irrefutable, comprehensible and auditable proof throughout the voting process that can demonstrate to all actors in the process – the government, political parties, voters, polling station workers, electoral officials, judges, etc. ‐that the published results are accurate and that the principles of anonymity and one person,one vote, have not been violated. Accordingly, the solution in this thesis includes mechanisms to minimize the risk of vote buying, in addition to robust security mechanisms that can not only detect possible attempts to manipulate the system, but also identify the responsible party. Additionally, this thesis goes one step further and moves the voting scenario to a pan‐European scale, in which new problems appear. Indeed, one of the major challenges at present for transnational voting processes is the lack of rigorous and dynamic procedures for synchronized updating of different countries’ voter rolls, free from errors that may make the system unable to keep an individual from either casting more than one vote, or from losing the effective exercise of the right to vote. This recognition of transnational identity requires interoperability between the IDMs of different European countries. To solve the problem, this thesis relies on proposals emerging within the EU that are expected to take shape in the coming years, both in digital identity – with the launch of the European Citizen Card – and in the deployment of an identity management infrastructure that will enable interoperability of the IDMs of different member states. Based on these, the thesis proposes a telematic infrastructure that will achieve interoperability of the census management systems of European states in which voting processes are jointly carried out. The result is a versatile, secure, totally robust, reliable and auditable system that can be applied in pan‐European election, and that includes dynamic updating of the voter rolls as a critical part of the voting process.

Berth Management in Container Terminals: Quality of Service

This paper empirically evaluates container terminal service attributes. The methodology proposed focuses on statistical control. Based on the concept of service segmentation, the authors employed control charts to classify container terminal services. The purpose of control charts is to allow simple detection of events that are indicative of actual process change. This simple decision can be difficult where the process characteristic is continuously varying, the control chart provides statistically objective criteria of change. When change is detected and considered good its cause should be identified and possibly become the new way of working, where the change is bad then its cause should be identified and eliminated. Both theoretical and practical implications of the research findings are discussed in this paper.

Berth management in container terminals: quality of service

This paper empirically evaluates container terminal service attributes. The methodology proposed focuses on statistical control. Based on the concept of service segmentation, we employed control charts to classify container terminal services. The purpose of control charts is to allow simple detection of events that are indicative of actual process change. This simple decision can be difficult where the process characteristic is continuously varying; the control chart provides statistically objective criteria of change. When change is detected and considered good its cause should be identified and possibly become the new way of working, where the change is bad then its cause should be identified and eliminated. This paper is organized as follows: Section 1 is the introduction, Section 2 provides a brief note on other studies that inspired this research, section 3 focuses on the methodology used, and develops the results obtained and finally conclusions are shown in Section 4. Theoretical and practical implications of the research findings are discussed.

Development of mathematical models to elaborate strategies, select alternatives and development of plans for adaptation of communities to climate change in different geographical areas including costs to implement it.

There is evidence that the climate changes and that now, the change is influenced and accelerated by the CO2 augmentation in atmosphere due to combustion by humans. Such ?Climate change? is on the policy agenda at the global level, with the aim of understanding and reducing its causes and to mitigate its consequences. In most countries and international organisms UNO (e.g. Rio de Janeiro 1992), OECD, EC, etc . . . the efforts and debates have been directed to know the possible causes, to predict the future evolution of some variable conditioners, and trying to make studies to fight against the effects or to delay the negative evolution of such. The Protocol of Kyoto 1997 set international efforts about CO2 emissions, but it was partial and not followed e.g. by USA and China . . . , and in Durban 2011 the ineffectiveness of humanity on such global real challenges was set as evident. Among all that, the elaboration of a global model was not boarded that can help to choose the best alternative between the feasible ones, to elaborate the strategies and to evaluate the costs, and the authors propose to enter in that frame for study. As in all natural, technological and social changes, the best-prepared countries will have the best bear and the more rapid recover. In all the geographic areas the alternative will not be the same one, but the model must help us to make the appropriated decision. It is essential to know those areas that are more sensitive to the negative effects of climate change, the parameters to take into account for its evaluation, and comprehensive plans to deal with it. The objective of this paper is to elaborate a mathematical model support of decisions, which will allow to develop and to evaluate alternatives of adaptation to the climatic change of different communities in Europe and Latin-America, mainly in especially vulnerable areas to the climatic change, considering in them all the intervening factors. The models will consider criteria of physical type (meteorological, edaphic, water resources), of use of the ground (agriculturist, forest, mining, industrial, urban, tourist, cattle dealer), economic (income, costs, benefits, infrastructures), social (population), politician (implementation, legislation), educative (Educational programs, diffusion) and environmental, at the present moment and the future. The intention is to obtain tools for aiding to get a realistic position for these challenges, which are an important part of the future problems of humanity in next decades.

Development of mathematical models to elaborate strategies, to select alternatives and the development of plans for the adaptation of communities to climate change in different geographical areas including costs to implement it

Climate change is on the policy agenda at the global level, with the aim of understanding and reducing its causes and to mitigate its consequences. In most of the countries and international organisms UNO, OECD, EC, etc … the efforts and debates have been directed to know the possible causes, to predict the future evolution of some variable conditioners, and trying to make studies to fight against the effects or to delay the negative evolution of such. Nevertheless, the elaboration of a global model was not boarded that can help to choose the best alternative between the feasible ones, to elaborate the strategies and to evaluate the costs. As in all natural, technological and social changes, the best-prepared countries will have the best bear and the more rapid recover. In all the geographic areas the alternative will not be the same one, but the model should help us to make the appropriated decision. It is essential to know those areas that are more sensitive to the negative effects of climate change, the parameters to take into account for its evaluation, and comprehensive plans to deal with it. The objective of this paper is to elaborate a mathematical model support of decisions, that will allow to develop and to evaluate alternatives of adaptation to the climatic change of different communities in Europe and Latin-America, mainly, in vulnerable areas to the climatic change, considering in them all the intervening factors. The models will take into consideration criteria of physical type (meteorological, edaphic, water resources), of use of the ground (agriculturist, forest, mining, industrial, urban, tourist, cattle dealer), economic (income, costs, benefits, infrastructures), social (population), politician (implementation, legislation), educative (Educational programs, diffusion), sanitary and environmental, at the present moment and the future.

Domestic hot water consumption vs. solar thermal energy storage: the optimum size of the storage tank

Many efforts have been made in order to adequate the production of a solar thermal collector field to the consumption of domestic hot water of the inhabitants of a building. In that sense, much has been achieved in different domains: research agencies, government policies and manufacturers. However, most of the design rules of the solar plants are based on steady state models, whereas solar irradiance, consumption and thermal accumulation are inherently transient processes. As a result of this lack of physical accuracy, thermal storage tanks are sometimes left to be as large as the designer decides without any aforementioned precise recommendation. This can be a problem if solar thermal systems are meant to be implemented in nowadays buildings, where there is a shortage of space. In addition to that, an excessive storage volume could not result more efficient in many residential applications, but costly, extreme in space consumption and in some cases too heavy. A proprietary transient simulation program has been developed and validated with a detailed measurement campaign in an experimental facility. In situ environmental data have been obtained through a whole year of operation. They have been gathered at intervals of 10 min for a solar plant of 50 m2 with a storage tank of 3 m3, including the equipment for domestic hot water production of a typical apartment building. This program has been used to obtain the design and dimensioning criteria of DHW solar plants under daily transient conditions throughout a year and more specifically the size of the storage tank for a multi storey apartment building. Comparison of the simulation results with the current Spanish regulation applicable, “Código Técnico de la Edificación” (CTE 2006), offers fruitful details and establishes solar facilities dimensioning criteria.