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Failure to successfully implement and sustain change over the long term continues to be a major problem in health and social care. Translating evidence into routine clinical practice is notoriously complex, and it is recognised that to implement new evidence-based interventions and sustain them over time, professional behaviour needs to change accordingly. A number of theories and frameworks have been developed to support behaviour change among health and social care professionals, and models of sustainability are emerging, but few have translated into valid and reliable interventions. The long-term success of healthcare professional behavioural change interventions is variable, and the characteristics of successful interventions unclear. Previous reviews have synthesised the evidence for behaviour change, but none have focused on sustainability. In addition, multiple overlapping reviews have reported inconsistent results, which do not aid translation of evidence into practice. Overviews of reviews can provide accessible succinct summaries of evidence and address barriers to evidence-based practice. We aim to compile an overview of reviews, identifying, appraising and synthesising evidence relating to sustained social and healthcare professional behaviour change.We will conduct a systematic review of Cochrane reviews (an Overview). We plan to systematically search the Cochrane Database of Systematic Reviews. We will include all systematic reviews of randomised controlled trials comparing a healthcare professional targeted behaviour change intervention to a standard care or no intervention control group. Two reviewers will independently assess the eligibility of the reviews and the methodological quality of included reviews using the ROBIS tool. The quality of evidence within each comparison in each review will be judged based on the GRADE criteria. Disagreements will be resolved through discussion. Effects of interventions will be systematically tabulated and the quality of evidence used to determine implications for clinical practice and make recommendations for future research.This overview will bring together the best available evidence relating to the sustainability of health professional behaviour change, thus supporting policy makers with decision-making in this field.

Abstract This paper is based on dynamic optimization methodology to investigate the economic energy efficiency issues in developing countries. The paper introduces some definitions about energy efficiency both in economics and physics, and establishes a quantitative way for measuring the economic energy efficiency. The linkage between economic energy efficiency, energy consumption and other macroeconomic variables is demonstrated primarily. Using the methodology of dynamic optimization, a maximum problem of economic energy efficiency over time, which is subjected to the extended Solow growth model and instantaneous investment rate, is modelled. In this model, the energy consumption is set as a control variable and the capital is regarded as a state variable. The analytic solutions can be derived and the diagrammatic analysis provides saddle-point equilibrium. A numerical simulation based on China is also presented; meanwhile, the optimal paths of investment and energy consumption can be drawn. The dynamic optimization encourages governments in developing countries to pursue higher economic energy efficiency by controlling the energy consumption and regulating the investment state as it can conserve energy without influencing the achievement of steady state in terms of Solow model. If that, a sustainable development will be achieved.

Abstract Since the adoption of the Kyoto protocol in 1997 and its entry into force in 2005, as well its aftermath such as the Doha amendment and Paris agreement, national policies have become more conscious of the usage of clean energy, mostly the different forms of renewable energy and nuclear energy. Ratifying countries and signatories had committed themselves to binding targets for the reduction of greenhouse emissions by 8% with respect to 1990 levels until 2012, also based on the particular contribution to global emissions from each country. This paper examines the integrational properties of clean energy consumption from eight emerging economies which are also high greenhouse gas emitters. The empirical results show that the clean energy consumption is stationarity for Brazil and Philippines by using a quantile unit root test without smooth breaks (Koenker and Xiao, 2004). However, after capturing the smooth breaks (Bahmani-Oskooee et al., 2018), we find the clean energy consumption of China, Pakistan and Thailand are stationary. The time-varying deterministic trend with smooth breaks is more fitted to the path of clean energy consumption in comparison to the deterministic trend without smooth breaks. The paper suggests economic insights useful for policy making.

Abstract To guarantee the space heating in the heating season, conventional combined heat and power (CHP) plants operate in a heat-controlled operation mode, resulting in restricted peak-shaving ability (PSA). To improve the CHP plant’s PSA, a novel solar aided CHP (SA-CHP) system is proposed and simulated in this paper. In the new system, solar heat could be flexibly used to generate power or to supply heat according to the heating and power demands, thereby realizing the heat-power decoupling. A set of models for the SA-CHP system is developed and validated. The PSA, the standard coal consumption (SCC) and the techno-economic performances of a 330 MWe SA-CHP system are comprehensively analyzed in this paper. The results show that the SA-CHP system can significantly improve (up to double) the PSA compared with the CHP plant under the same rated heating power. The feasible operation region area of the SA-CHP system is 74.7% larger than that of the CHP plant. The annual SCC of the SA-CHP system are 17378.23 t less than that of the CHP plant. The net annual revenue of the SA-CHP system is $2.24 M. Besides, techno-economic performances of SA-CHP systems with two different heat storage systems are compared.

Abstract Mitigating the effects of environmental deterioration requires a focus on not just CO2 emissions from energy consumption, but also environmental pollution from industry sectors. To reach this goal, recent studies have extended ecological footprint (EF) analysis to identify the ecological drivers of various key industry sectors. The role of the phosphorus (P) industry on the EF within the environmental Kuznets curve (EKC) framework for China is the emphasis of this study. Autoregressive distributive lag (ARDL) as well as the impulse response function and robustness analysis were used to consider a time from 1985 to 2018. The study verifies the EKC hypothesis for China in both the long and the short run, and indispensable determinants are proposed to be included to assure the model’s fitness and robustness when conducting EF analysis of industry sectors. Energy consumption–based carbon emissions have been verified as the dominant contributor to EF, but P use and urbanization have a significant lagged positive influence on EF in the short run. P exports, in particular, have been highlighted as a critical driver of the EF of China’s P industry. The conducted frequency domain causality test reinforced the above findings and demonstrated bidirectional causality at different frequencies. This work suggests that formulating plausible P export policies to alleviate the conflict between the output of China’s P industry and the environmental sustainability of this industry are necessary. In this context, “multidisciplinary, multidimensional, and practical solutions” are most desirable for sustainable P management.

Abstract The urge to increase renewable energy penetration into the power supply mix has been frequently highlighted in response to climate change. South Korea was analyzed as a case study for which the government has shown motivation to increase renewable energy penetration. Herein, a hybrid renewable energy system (HRES) including solar and wind energies were selected due to their relatively stable and mature technology. In addition, Power-to-X has been incorporated to cover other renewable energy options such as hydrogen and synthetic natural gas (SNG). Therefore, an approach of forecasting the weather characteristics and demand loading over a relatively long timeframe was implemented via deep learning techniques (LSTM and GRU) and statistical approaches (Fbprophet and SARIMA), respectively. A deployment strategy incorporating HRES and Power-to-X is then proposed in correspondence to the forecasted results of the 15 regions considered in this study. An extension of this, the reliability of the designed system is further assessed based on the probability of the demand losses with the aid of Monte-Carlo simulation. With the proposed deployment strategy, a total annual cost of 9.88 × 1011 $/year and a greenhouse gas reduction of 1.24 × 106 tons/year are expected for a 35% renewable energy penetration. However, only SNG shows relatively competitive cost (at 23.20 $/m3 SNG), whereas the average costs of electricity (0.133 $/kWh) and hydrogen (7.784 $/kg H2) across the regions are yet to be competitive compared to the current market prices. Nonetheless, the priority of deployment across regions has been identified via TOPSIS.

Abstract We evaluated three Integrated Assessment Models (IAMs: IGSM, MERGE, MiniCAM) by: (i) comparing their global Primary Energy year-2000 initializations and projections for 2010 and 2015 to historical data; (ii) mapping their CO2 emissions projections against observations; and (iii) examining model-output diagnostics. The IAMs underestimated historical primary energy consumption and initial/projected CO2 emissions in both reference and stabilization scenarios (particularly for combustion fuels) but overestimated usage of non-biomass renewables, causing underestimates of future CO2 emissions that, for the stabilization scenarios, are wildly optimistic. Mitigation technology breakdowns in the policy scenarios vary enormously across IAMs, suggesting that confidence in their projections might be misplaced, or that options for mitigation have greater scope than is supposed. Most increases in carbon-free technologies in the stabilization scenarios are already captured in the reference cases. Energy-conversion efficiencies in electricity generation improve over time, but, (except for gas-powered generation in IGSM), efficiencies in the policy scenarios are less than in the reference. Electrification results diverge widely: IGSM has little change over the 21st century, while MiniCAM and MERGE have major electrification increases in their policy scenarios. We suggest: 1) comprehensive model output suitable for secondary analysis should be more readily available; 2) directly comparable reference and policy-driven mitigation scenarios are essential for assessing mitigation measures; 3) model validation using historical, source-specific energy data is crucial for assessing model credibility; 4) separation of mitigation contributions into no-policy and policy-driven amounts is needed to assess the effectiveness of mitigation policies; and 5) detailed inter-model comparisons can provide important insights into model credibility.

Abstract: After the implementation of a biofuel target in 2017, China, the second largest consumer of oil in the world, accelerated the development of lignocellulosic biomass technology to produce ethanol and minimized food security risks commonly associated with first generation biofuel production. In this study, Life Cycle Assessment (LCA) is used to investigate three new lignocellulosic biomass refinery systems based on corncob which co-produce ethanol with chemicals and energy. The bioethanol is used in E10 and E85 biofuel mixes and these are compared with a fossil gasoline reference system. Using 1 km distance driven by a compact size flexible fuel passenger vehicle as the functional unit and a exergy allocation approach to the raw material inputs and to the co-products in the simulated multifunctional biorefinery processes, the results indicate that regardless of the configuration of the ethanol-biorefinery, ethanol-blended fuels performed better than gasoline in terms of fossil fuels depletion (E10 6% lower; E85 64–70% lower), global warming potential (E10 1–10% lower; E85 5–113% lower) and human toxicity potential (E10 6–7% lower; E85 72–75% lower), but worst in terms of ozone layer depletion (E10 4.5–6.8 times higher; E85 51.9–78.2 times higher), acidification (E10 30–50% higher; E85 3.3–5.5 times higher) and eutrophication potential (E10 5.2–7.0 times higher; E85 42.4–64.0 times higher) than gasoline.