BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction an...BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction and a common complication of patients after cardiac surgery,and may be a risk factor for prolonged duration of mechanical ventilation,associated with a higher risk of readmission and higher mortality.Early mobilization in the ICU after cardiac surgery has been found to be low with a significant trend to increase over ICU stay and is also associated with a reduced duration of mechanical ventilation and ICU length of stay.Neuromuscular electrical stimulation(NMES)is an alternative modality of exercise in patients with muscle weakness.A major advantage of NMES is that it can be applied even in sedated patients in the ICU,a fact that might enhance early mobilization in these patients.AIM To evaluate safety,feasibility and effectiveness of NMES on functional capacity and muscle strength in patients before and after cardiac surgery.METHODS We performed a search on Pubmed,Physiotherapy Evidence Database(PEDro),Embase and CINAHL databases,selecting papers published between December 2012 and April 2023 and identified published randomized controlled trials(RCTs)that included implementation of NMES in patients before after cardiac surgery.RCTs were assessed for methodological rigor and risk of bias via the PEDro.The primary outcomes were safety and functional capacity and the secondary outcomes were muscle strength and function.RESULTS Ten studies were included in our systematic review,resulting in 703 participants.Almost half of them performed NMES and the other half were included in the control group,treated with usual care.Nine studies investigated patients after cardiac surgery and 1 study before cardiac surgery.Functional capacity was assessed in 8 studies via 6MWT or other indices,and improved only in 1 study before and in 1 after cardiac surgery.Nine studies explored the effects of NMES on muscle strength and function and,most of them,found increase of muscle strength and improvement in muscle function after NMES.NMES was safe in all studies without any significant complication.CONCLUSION NMES is safe,feasible and has beneficial effects on muscle strength and function in patients after cardiac surgery,but has no significant effect on functional capacity.展开更多
Electric vehicle(EV)is an ideal solution to resolve the carbon emission issue and the fossil fuels scarcity problem in the future.However,a large number of EVs will be concentrated on charging during the valley hours ...Electric vehicle(EV)is an ideal solution to resolve the carbon emission issue and the fossil fuels scarcity problem in the future.However,a large number of EVs will be concentrated on charging during the valley hours leading to new load peaks under the guidance of static time-of-use tariff.Therefore,this paper proposes a dynamic time-of-use tariff mechanism,which redefines the peak and valley time periods according to the predicted loads using the fuzzy C-mean(FCM)clustering algorithm,and then dynamically adjusts the peak and valley tariffs according to the actual load of each time period.Based on the proposed tariff mechanism,an EV charging optimization model with the lowest cost to the users and the lowest variance of the grid-side load as the objective function is established.Then,a weight selection principle with an equal loss rate of the two objectives is proposed to transform the multi-objective optimization problem into a single-objective optimization problem.Finally,the EV charging load optimization model under three tariff strategies is set up and solved with the mathematical solver GROUBI.The results show that the EV charging load optimization strategy based on the dynamic time-of-use tariff can better balance the benefits between charging stations and users under different numbers and proportions of EVs connected to the grid,and can effectively reduce the grid load variance and improve the grid load curve.展开更多
Modelling of intraday increases in peak electricity demand using an autoregressive moving average-exponential generalized autoregressive conditional heteroskedastic-generalized single Pareto (ARMA-EGARCH-GSP) approach...Modelling of intraday increases in peak electricity demand using an autoregressive moving average-exponential generalized autoregressive conditional heteroskedastic-generalized single Pareto (ARMA-EGARCH-GSP) approach is discussed in this paper. The developed model is then used for extreme tail quantile estimation using daily peak electricity demand data from South Africa for the period, years 2000 to 2011. The advantage of this modelling approach lies in its ability to capture conditional heteroskedasticity in the data through the EGARCH framework, while at the same time estimating the extreme tail quantiles through the GSP modelling framework. Empirical results show that the ARMA-EGARCH-GSP model produces more accurate estimates of extreme tails than a pure ARMA-EGARCH model.展开更多
An electricity market is a trading platform provided by the actors in the electricity sector to sell and buy electricity while maintaining the stability of the transmission network and minimizing energy losses.The man...An electricity market is a trading platform provided by the actors in the electricity sector to sell and buy electricity while maintaining the stability of the transmission network and minimizing energy losses.The management of electrical energy for rational use consists of all the operations that the consumers can carry out in order to minimize their electricity bill,while the producers optimize their benefits and the transmission infrastructure.The reduction of active and reactive power consumption and the smoothing of daily and yearly load profiles are the main objectives in this work.Many developed countries already have properly functioning electricity markets,but developing countries are still in their infancy of deregulated electricity markets.The major tools used in smoothing the load profiles include decentralized generation,energy storage and demand response.A load power smoothing control strategy is proposed to smooth the load power fluctuations of the distribution network.The required power change is determined by evaluating the power fluctuation rate of the load,and then the required power change is allocated to some generators or to some stored reserves.Otherwise,the consumers are made to curtail their power consumption.The ideas proposed in this work provide important opportunities for energy policy makers and regulators.These ideas would only be feasible if there exists real-time communication among the actors in the electricity market.The results indicate that as much as 1100 Megawatt-hours of energy can be stored for smoothing the load profile,when applied to the Southern Interconnected Grid of the Cameroon power system;and that Time of Use(TOU)pricing could be used instead of rotating blackouts in case of energy shortage.展开更多
This paper explores the importance of customer-industry engagement (CIE) to peak energy demand by means of a newly developed Bayesian Network (BN) complex systems model entitled the Residential Electricity Peak Demand...This paper explores the importance of customer-industry engagement (CIE) to peak energy demand by means of a newly developed Bayesian Network (BN) complex systems model entitled the Residential Electricity Peak Demand Model (REPDM). The REPDM is based on a multi-disciplinary perspective designed to solve the complex problem of residential peak energy demand. The model provides a way to conceptualise and understand the factors that shift and reduce consumer demand in peak times. To gain insight into the importance of customer-industry engagement in affecting residential peak demand, this research investigates intervention impacts and major influences through testing five scenarios using different levels of customer-industry engagement activities. Scenario testing of the model outlines the dependencies between the customer-industry engagement interventions and the probabilities that are estimated to govern the dependencies that influence peak demand. The output from the model shows that there can be a strong interaction between the level of CIE activities and interventions. The influence of CIE activity can increase public and householder support for peak reduction and the model shows how the economic, technical and social interventions can achieve greater peak demand reductions when well-designed with appropriate levels of CIE activities.展开更多
China's energy carbon emissions are projected to peak in 2030 with approximately 110% of its 2020 level under the following conditions: 1) China's gross primary energy consumption is 5 Gtce in 2020 and 6 Gtce in 2...China's energy carbon emissions are projected to peak in 2030 with approximately 110% of its 2020 level under the following conditions: 1) China's gross primary energy consumption is 5 Gtce in 2020 and 6 Gtce in 2030; 2) coal's share of the energy consumption is 61% in 2020 and 55% in 2030; 3) non-fossil energy's share increases from 15% in 2020 to 20% in 2030; 4) through 2030, China's GDP grows at an average annual rate of 6%; 5) the annual energy consumption elasticity coefficient is 0.30 in average; and 6) the annual growth rate of energy consumption steadily reduces to within 1%. China's electricity generating capacity would be 1,990 GW, with 8,600 TW h of power generation output in 2020. Of that output 66% would be from coal, 5% from gas, and 29% from non-fossil energy. By 2030, electricity generating capacity would reach 3,170 GW with 11,900 TW h of power generation output. Of that output, 56% would be from coal, 6% from gas, and 37% from non-fossil energy. From 2020 to 2030, CO2 emissions from electric power would relatively fall by 0.2 Gt due to lower coal consumption, and rela- tively fall by nearly 0.3 Gt with the installation of more coal-fired cogeneration units. During 2020--2030, the portion of carbon emissions from electric power in China's energy consumption is projected to increase by 3.4 percentage points. Although the carbon emissions from electric power would keep increasing to 118% of the 2020 level in 2030, the electric power industry would continue to play a decisive role in achieving the goal of increase in non-fossil energy use. This study proposes countermeasures and recommendations to control carbon emissions peak, including energy system optimization, green-coal-fired electricity generation, and demand side management.展开更多
With the increase in the power receiving proportion and an insufficient peak regulation capacity of the local units, the receiving-end power grid struggles to achieve peak regulation in valley time. To solve this prob...With the increase in the power receiving proportion and an insufficient peak regulation capacity of the local units, the receiving-end power grid struggles to achieve peak regulation in valley time. To solve this problem while considering the potential of the large-scale charge load of electric vehicles(EVs), an aggregator-based demand response(DR) mechanism for EVs that are participating in the peak regulation in valley time is proposed in this study. In this aggregator-based DR mechanism, the profits for the power grid’s operation and the participation willingness of the EV owners are considered. Based on the characteristics of the EV charging process and the day-ahead unit generation scheduling, a rolling unit commitment model with the DR is established to maximize the social welfare. In addition, to improve the efficiency of the optimization problem solving process and to achieve communication between the independent system operator(ISO) and the aggregators, the clustering algorithm is utilized to extract typical EV charging patterns. Finally, the feasibility and benefits of the aggregator-based DR mechanism for saving the costs and reducing the peak-valley difference of the receiving-end power grid are verified through case studies.展开更多
文摘BACKGROUND Lack of mobilization and prolonged stay in the intensive care unit(ICU)are major factors resulting in the development of ICU-acquired muscle weakness(ICUAW).ICUAW is a type of skeletal muscle dysfunction and a common complication of patients after cardiac surgery,and may be a risk factor for prolonged duration of mechanical ventilation,associated with a higher risk of readmission and higher mortality.Early mobilization in the ICU after cardiac surgery has been found to be low with a significant trend to increase over ICU stay and is also associated with a reduced duration of mechanical ventilation and ICU length of stay.Neuromuscular electrical stimulation(NMES)is an alternative modality of exercise in patients with muscle weakness.A major advantage of NMES is that it can be applied even in sedated patients in the ICU,a fact that might enhance early mobilization in these patients.AIM To evaluate safety,feasibility and effectiveness of NMES on functional capacity and muscle strength in patients before and after cardiac surgery.METHODS We performed a search on Pubmed,Physiotherapy Evidence Database(PEDro),Embase and CINAHL databases,selecting papers published between December 2012 and April 2023 and identified published randomized controlled trials(RCTs)that included implementation of NMES in patients before after cardiac surgery.RCTs were assessed for methodological rigor and risk of bias via the PEDro.The primary outcomes were safety and functional capacity and the secondary outcomes were muscle strength and function.RESULTS Ten studies were included in our systematic review,resulting in 703 participants.Almost half of them performed NMES and the other half were included in the control group,treated with usual care.Nine studies investigated patients after cardiac surgery and 1 study before cardiac surgery.Functional capacity was assessed in 8 studies via 6MWT or other indices,and improved only in 1 study before and in 1 after cardiac surgery.Nine studies explored the effects of NMES on muscle strength and function and,most of them,found increase of muscle strength and improvement in muscle function after NMES.NMES was safe in all studies without any significant complication.CONCLUSION NMES is safe,feasible and has beneficial effects on muscle strength and function in patients after cardiac surgery,but has no significant effect on functional capacity.
基金Key R&D Program of Tianjin,China(No.20YFYSGX00060).
文摘Electric vehicle(EV)is an ideal solution to resolve the carbon emission issue and the fossil fuels scarcity problem in the future.However,a large number of EVs will be concentrated on charging during the valley hours leading to new load peaks under the guidance of static time-of-use tariff.Therefore,this paper proposes a dynamic time-of-use tariff mechanism,which redefines the peak and valley time periods according to the predicted loads using the fuzzy C-mean(FCM)clustering algorithm,and then dynamically adjusts the peak and valley tariffs according to the actual load of each time period.Based on the proposed tariff mechanism,an EV charging optimization model with the lowest cost to the users and the lowest variance of the grid-side load as the objective function is established.Then,a weight selection principle with an equal loss rate of the two objectives is proposed to transform the multi-objective optimization problem into a single-objective optimization problem.Finally,the EV charging load optimization model under three tariff strategies is set up and solved with the mathematical solver GROUBI.The results show that the EV charging load optimization strategy based on the dynamic time-of-use tariff can better balance the benefits between charging stations and users under different numbers and proportions of EVs connected to the grid,and can effectively reduce the grid load variance and improve the grid load curve.
文摘Modelling of intraday increases in peak electricity demand using an autoregressive moving average-exponential generalized autoregressive conditional heteroskedastic-generalized single Pareto (ARMA-EGARCH-GSP) approach is discussed in this paper. The developed model is then used for extreme tail quantile estimation using daily peak electricity demand data from South Africa for the period, years 2000 to 2011. The advantage of this modelling approach lies in its ability to capture conditional heteroskedasticity in the data through the EGARCH framework, while at the same time estimating the extreme tail quantiles through the GSP modelling framework. Empirical results show that the ARMA-EGARCH-GSP model produces more accurate estimates of extreme tails than a pure ARMA-EGARCH model.
文摘An electricity market is a trading platform provided by the actors in the electricity sector to sell and buy electricity while maintaining the stability of the transmission network and minimizing energy losses.The management of electrical energy for rational use consists of all the operations that the consumers can carry out in order to minimize their electricity bill,while the producers optimize their benefits and the transmission infrastructure.The reduction of active and reactive power consumption and the smoothing of daily and yearly load profiles are the main objectives in this work.Many developed countries already have properly functioning electricity markets,but developing countries are still in their infancy of deregulated electricity markets.The major tools used in smoothing the load profiles include decentralized generation,energy storage and demand response.A load power smoothing control strategy is proposed to smooth the load power fluctuations of the distribution network.The required power change is determined by evaluating the power fluctuation rate of the load,and then the required power change is allocated to some generators or to some stored reserves.Otherwise,the consumers are made to curtail their power consumption.The ideas proposed in this work provide important opportunities for energy policy makers and regulators.These ideas would only be feasible if there exists real-time communication among the actors in the electricity market.The results indicate that as much as 1100 Megawatt-hours of energy can be stored for smoothing the load profile,when applied to the Southern Interconnected Grid of the Cameroon power system;and that Time of Use(TOU)pricing could be used instead of rotating blackouts in case of energy shortage.
文摘This paper explores the importance of customer-industry engagement (CIE) to peak energy demand by means of a newly developed Bayesian Network (BN) complex systems model entitled the Residential Electricity Peak Demand Model (REPDM). The REPDM is based on a multi-disciplinary perspective designed to solve the complex problem of residential peak energy demand. The model provides a way to conceptualise and understand the factors that shift and reduce consumer demand in peak times. To gain insight into the importance of customer-industry engagement in affecting residential peak demand, this research investigates intervention impacts and major influences through testing five scenarios using different levels of customer-industry engagement activities. Scenario testing of the model outlines the dependencies between the customer-industry engagement interventions and the probabilities that are estimated to govern the dependencies that influence peak demand. The output from the model shows that there can be a strong interaction between the level of CIE activities and interventions. The influence of CIE activity can increase public and householder support for peak reduction and the model shows how the economic, technical and social interventions can achieve greater peak demand reductions when well-designed with appropriate levels of CIE activities.
文摘China's energy carbon emissions are projected to peak in 2030 with approximately 110% of its 2020 level under the following conditions: 1) China's gross primary energy consumption is 5 Gtce in 2020 and 6 Gtce in 2030; 2) coal's share of the energy consumption is 61% in 2020 and 55% in 2030; 3) non-fossil energy's share increases from 15% in 2020 to 20% in 2030; 4) through 2030, China's GDP grows at an average annual rate of 6%; 5) the annual energy consumption elasticity coefficient is 0.30 in average; and 6) the annual growth rate of energy consumption steadily reduces to within 1%. China's electricity generating capacity would be 1,990 GW, with 8,600 TW h of power generation output in 2020. Of that output 66% would be from coal, 5% from gas, and 29% from non-fossil energy. By 2030, electricity generating capacity would reach 3,170 GW with 11,900 TW h of power generation output. Of that output, 56% would be from coal, 6% from gas, and 37% from non-fossil energy. From 2020 to 2030, CO2 emissions from electric power would relatively fall by 0.2 Gt due to lower coal consumption, and rela- tively fall by nearly 0.3 Gt with the installation of more coal-fired cogeneration units. During 2020--2030, the portion of carbon emissions from electric power in China's energy consumption is projected to increase by 3.4 percentage points. Although the carbon emissions from electric power would keep increasing to 118% of the 2020 level in 2030, the electric power industry would continue to play a decisive role in achieving the goal of increase in non-fossil energy use. This study proposes countermeasures and recommendations to control carbon emissions peak, including energy system optimization, green-coal-fired electricity generation, and demand side management.
基金supported by the Science and Technology Project from the State Grid Shanghai Municipal Electric Power Company of China (52094019006U)the Shanghai Rising-Star Program (18QB1400200)。
文摘With the increase in the power receiving proportion and an insufficient peak regulation capacity of the local units, the receiving-end power grid struggles to achieve peak regulation in valley time. To solve this problem while considering the potential of the large-scale charge load of electric vehicles(EVs), an aggregator-based demand response(DR) mechanism for EVs that are participating in the peak regulation in valley time is proposed in this study. In this aggregator-based DR mechanism, the profits for the power grid’s operation and the participation willingness of the EV owners are considered. Based on the characteristics of the EV charging process and the day-ahead unit generation scheduling, a rolling unit commitment model with the DR is established to maximize the social welfare. In addition, to improve the efficiency of the optimization problem solving process and to achieve communication between the independent system operator(ISO) and the aggregators, the clustering algorithm is utilized to extract typical EV charging patterns. Finally, the feasibility and benefits of the aggregator-based DR mechanism for saving the costs and reducing the peak-valley difference of the receiving-end power grid are verified through case studies.