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This study assessed the hand hygiene performance in French nursing homes using the consumption of alcohol-based hand rubs (AHRs) as a surrogate. Nursing homes from the 17 French regions were contacted to collect their AHR consumption and occupancy in 2018 and 2019. A total of 1290 nursing homes from 15 French regions participated in the survey. The estimated median number of hand hygiene actions per resident-day was 1.48 (interquartile range: 1.04-2.03) in 2018 and 1.60 (1.10-2.26) in 2019. A significantly higher AHR consumption was observed in public nursing homes with an infection control team or link nurse.

Purpose This study aims to consider environmental sustainability, a global challenge under the preview of sustainable development goals, highlighting the significance of knowledge economy in attaining sustainable aggregate demand behavior globally. For this purpose, 155 countries that have data available from 1995 to 2021 were selected. The purpose of selecting these countries is to test the global responsibility of the knowledge economy to attain environmental sustainability. Design/methodology/approach Results are estimated with the help of panel quantile regression. The empirical existence of aggregate demand-based environmental Kuznets curve (EKC) was tested using non-linear tests. Moreover, principal component analysis has been incorporated to construct the knowledge economy index. Findings U-shaped aggregate demand-based EKC at global level is validated. However, environmental deterioration increases with an additional escalation after US$497.945m in aggregate demand. As a determinant, the knowledge economy is reducing CO2 emissions. The knowledge economy has played a significant role in global responsibility, shifting the EKC downward and extending the CO2 reduction phase for every selected country. Further, urbanization, energy intensity, financial development and trade openness significantly deteriorate the environmental quality. Originality/value This study contains the empirical existence of aggregate demand-based EKC. The role of the knowledge economy is examined through an index which is calculated by using four pillars of the knowledge economy (technology, innovations, education and institutions). This study is based on a combined panel of all the countries for which the data was available.

Abstract In the context of climate change, global industrialised nations are grappling with transforming energy networks to support a low carbon future. Using an energy justice framework this work aims to understand holistic outcomes of one low-carbon energy network intervention: demand-side response enacted on domestic heat pumps. By exploring participants’ lived experience of a pilot project, from recruitment to installation and use, this work reveals how injustices were reduced, introduced and amplified. Choice, consent, cost, comfort, disruption, and control are highlighted as key aspects of interest when considering the distributive, procedural, and recognition implications of this domestic innovation. For a net reduction of energy injustices to be realised, we highlight the need for project designers to work in partnership with end users to optimise the benefits for the household and the electricity system. Whilst this is a UK study, the themes and findings are internationally applicable for interventions that aim to harness the flexibility of heating, the largest global energy end-use.

Abstract Recharging infrastructure (RI) deployment plays a vital role in improving the public recharging availability for transport electrification. Decarbonizing transportation using low-emission electricity requires massive RI network. Even though the consumers are reluctant to purchase electric vehicles (EVs) until RIs are sufficiently placed, the investors are not willing to invest in RIs due to recharging demand uncertainties. Therefore, a scientific planning framework is needed to ensure the sustainable deployment of EV-RIs in complex networks. In this study, a lifecycle thinking-based multi-period infrastructure-planning framework is proposed to develop sustainable public EV-RIs in an urban context. This framework consists of a temporal model to find the dynamic EV-RI demands, a stochastic model to obtain travel distances, and a multi-objective optimization model to select the best desirable capacities and locations for potential EV-RIs. A case study of a typical medium-scale municipality in Canada was assessed using the proposed framework and validated using conventional infrastructure planning scenarios. The geo-processing data, regional travel behaviors, and recharging characteristics were used as model inputs. The results of the case study showed that the proposed framework can be used to estimate multi-period public recharging demands, minimize lifecycle costs, maximize service coverage and infrastructure utilization, and ensure reasonable paybacks compared to conventional planning approaches. Moreover, this framework can be used to compare different investment assistances, which are required in the early stages of the RI deployment process to encourage investors. Furthermore, government and private institutions can use this framework to identify recharging demands, permitting, and developing RIs in the long-run.

Abstract The residential sector accounts for most of energy-consumption in developing countries in the form of traditional energy. The use of commercial energy is nominal and confined mostly to urban areas where fuelwood is already monetized. A model, based on an end-use/process analysis approach, is developed on a spreadsheet, which is capable of simulating scenarios to address issues of increasing traditional energy-demand caused by population growth, sustainable supply capacity of the existing energy resources, potential for development of new and renewable energy resources, technology. This paper is divided into two parts: general energy issues and the modelling approach, and the application of this approach to Nepal in the context of fuelwood-supply sustainability.

Abstract Communication between vehicles and road infrastructure can enable more efficient use of the road network and hence reduce congestion in urban areas. This improvement can be enhanced by distributed control due to its lighter computational load and higher reliability. Despite favourable impacts on traffic, little is known about the effects of such systems on near-road air quality. In this study, an End-To-End (E2E) dynamic distributed routing algorithm in Connected and Automated Vehicles (CAVs) was applied in downtown Toronto, to identify whether benefits to network throughput were associated with lower near-road NO2 concentrations. We observe significant reductions in the emissions of Greenhouse Gases (GHGs) with increased penetration of CAVs. Nonetheless, at times, the emissions of nitrogen oxides (NOx) increased with higher CAVs. Besides, a higher frequency and severity of NO2 hot-spots were observed under a 100% CAV scenario. Impacts of the proposed system on electric energy consumption in a full electric vehicle network were also investigated, indicating that the addition of CAVs that are electric did not contribute to high energy savings. We propose that such new transformative technologies in transportation should be designed with air pollution and public health goals.

Abstract Conversion of carbon contained in the solid residues (tars + biochar) derived from urban biomass gasification named herein TC would allow enhancing the yield of carbon species (CO/CO2) in synthetic gas. For this purpose, three low cost materials have been tested as possible catalysts: iron species (reduced Fe), bone meal (BM), and ashes (ash) recovered from biochar complete oxidation. The parametric study used the following as variables: air GHSV, onset of reaction temperature, reaction time to optimize CO/CO2 molar ratio and tar content in the produced gas. Results showed an autocatalytic effect of biochar leading to the catalytic conversion of approximately 78% of tars by the native metals contained in TC. The catalytic effect was further enhanced by adding Fe, BM, and extra ash. Addition of Fe catalyst resulted in significant heat generation (temperature increase of ca. 500 °C) and a twofold decrease in reaction time to consume all the carbon. Use of ash and BM as catalysts exhibit heat generation comparable to Fe, along with an improved reaction time, complete tars conversion and a CO/CO2 molar ratio to above 1.3 in the produced gas.

Life Cycle Assessment (LCA) has matured over the past decades and become part of the broader field of sustainability assessment. To strengthen LCA as a tool and eventually increase its usefulness for sustainability decision-making, it is argued that there is a need to expand the ISO LCA framework by integration and connection with other concepts and methods. This paper explores the potential options for deepening and broadening the LCA methodologies beyond the current ISO framework for improved sustainability analysis. By investigating several environmental, economic and social assessment methods, the paper suggests some options for incorporating (parts of) other methods or combining with other methods for broadening and deepening the LCA.

Anaphylactic reactions to ethanol are rare with only seven cases reported in the literature. All previous cases have occurred following ingestion of alcoholic beverages or food to which an alcoholic beverage has been added. To date there are no cases in the literature of ethanol-induced anaphylaxis caused by the accumulation of endogenous ethanol in overripe fruit.We report a patient with ethanol-induced anaphylaxis who developed anaphylaxis following ingestion of overripe, but not fresh rock melon (Cucumis melo). The patient is a 24-year-old, previously well woman who experienced five episodes of acute anaphylaxis following ingestion of various alcoholic beverages and, on one occasion, following ingestion of overripe rock melon to which no ethanol was added. Ethanol-induced anaphylaxis was confirmed on blinded challenge; however, challenge with freshly prepared rock melon was negative. The patient declined further challenges.Ingestion of overripe fruits may cause anaphylaxis in patients with ethanol-induced anaphylaxis. These patients should therefore, be advised to avoid ingestion of overripe fruits.