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Since 2019, the world has been experiencing a pandemic period due to the COVID-19 virus, which has brought the need for organizations in general, healthcare organizations and their professionals in particular, to focus on innovation as a way to fight an utterly unknown virus. Thus, this study aims to understand how nurses and their personal factors (stress, anxiety, work engagement, organizational support) impact their innovative behaviour and innovation outputs, contributing to innovation in the current pandemic period through changes in thoughts, values, behaviours and relationships among healthcare professionals and their organizations. For this purpose, the Job Demands-Resources model was used as a reference, and the measurement instrument was applied to 738 nurses working in healthcare units in Portugal. Therefore, it was found that the nurses’ personal factors have a positive effect on the nurses’ innovative behaviour and innovation outputs, with the innovative behaviour having the most significant impact on innovation outputs, which will benefit healthcare organizations and the healthcare provided to patients during the pandemic, through innovative behaviours and products. It is also possible to understand how the available resources and the demands imposed on nurses interfere with their innovative behaviour (Job Demands-Resources model).

AbstractThermochemical biorefineries for the production of chemicals and materials can play an important role in the bioeconomy. However, their economic viability is often questioned under the premise of the economy of scale. This paper presents a regional, modular biorefinery concept for the production of the platform chemicals hydroxymethylfurfural (HMF), furfural and phenols from the lignocellulosic perennial miscanthus, which can be cultivated on marginal and degraded areas. The paper focuses on the question of the minimum selling price of HMF and the optimal plant size for this purpose, using the region of Baden‐Württemberg, Germany, as an example. Based on small pilot plant results, a scalable process simulation was created via AspenPlus. This allows different scenarios and process combinations of this multi‐output biorefinery concept to be compared with each other. Using this, a minimum sales price for the main product HMF is calculated using methods of dynamic investment cost calculation according to the net present value method. Based on this, the plant capacity was scaled. The scenarios and sensitivity analyses show that, with an accuracy of ±15%, regional biorefineries could already offer platform chemicals at prices of 2.21–2.90 EUR/kg HMF at the current stage of development. This corresponds to three to four times the price of today's comparative fossil base chemicals and is thus a competitive option from the authors’ point of view. The local biomass and the heat prices were identified as the main influencing factors. As a result, the selection of the location will have a decisive influence on the economic viability of such concepts in the case of further development and optimization of the process in first demonstration plants.

This paper analyses the impact of postponing global mitigation action on abatement costs and energy systems changes in China and India. It compares energy-system changes and mitigation costs from a global and two national energy-system models under two global emission pathways with medium likelihood of meeting the 2 °C target: a least-cost pathway and a pathway that postpones ambitious mitigation action, starting from the Copenhagen Accord pledges. Both pathways have similar 2010–2050 cumulative greenhouse gas emissions. The analysis shows that postponing mitigation action increases the lock-in in less energy efficient technologies and results in much higher cumulative mitigation costs. The models agree that carbon capture and storage (CCS) and nuclear energy are important mitigation technologies, while the shares of biofuels and other renewables vary largely over the models. Differences between India and China with respect to the timing of emission reductions and the choice of mitigation measures relate to differences in projections of rapid economic change, capital stock turnover and technological development. Furthermore, depending on the way it is implemented, climate policy could increase indoor air pollution, but it is likely to provide synergies for energy security. These relations should be taken into account when designing national climate policies.

AbstractThe aim of this study was to determine if extracorporeal shock wave therapy (ESWT) in vivo affects the structural integrity of articular cartilage. A single bout of ESWT (1500 shock waves of 0.5 mJ/mm2) was applied to femoral heads of 18 adult Sprague–Dawley rats. Two sham‐treated animals served as controls. Cartilage of each femoral head was harvested at 1, 4, or 10 weeks after ESWT (n = 6 per treatment group) and scored on safranin‐O‐stained sections. Expression of tenascin‐C and chitinase 3‐like protein 1 (Chi3L1) was analyzed by immunohistochemistry. Quantitative real‐time polymerase chain reaction (PCR) was used to examine collagen (II)α1 (COL2A1) expression and chondrocyte morphology was investigated by transmission electron microscopy no changes in Mankin scores were observed after ESWT. Positive immunostaining for tenascin‐C and Chi3L1 was found up to 10 weeks after ESWT in experimental but not in control cartilage. COL2A1 mRNA was increased in samples 1 and 4 weeks after ESWT. Alterations found on the ultrastructural level showed expansion of the rough‐surfaced endoplasmatic reticulum, detachment of the cell membrane and necrotic chondrocytes. Extracorporeal shock waves caused alterations of hyaline cartilage on a molecular and ultrastructural level that were distinctly different from control. Similar changes were described before in the very early phase of osteoarthritis (OA). High‐energy ESWT might therefore cause degenerative changes in hyaline cartilage as they are found in initial OA. © 2010 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 28:1050–1056, 2010

This paper explores the implementation of European Union (EU) Cohesion Policy in Portugal under the 2014–2020 programming framework (Portugal 2020) and its contribution to promoting environmental sustainability. It starts with an anatomization of the dominant analytic dimensions of the concept of sustainable territorial development. It then examines the approved projects under Portugal 2020 and relates them to the selected five dimensions of territorial sustainable development, which include a circular economy, social environmental awareness, environmental conservation, a global governance sustainability focus, and a global spatial planning sustainability focus. It concludes that the Portugal 2020’ execution rate on supporting renewable sources of energy is strangely low, in view of the untapped potential of the country in, for instance, exploring solar energy. info:eu-repo/semantics/publishedVersion

The biogas production technology has improved over the last years for the aim of reducing the costs of the process, increasing the biogas yields, and minimizing the greenhouse gas emissions. To obtain a stable and efficient biogas production, there are several design considerations and operational parameters to be taken into account. Besides, adapting the process to unanticipated conditions can be achieved by adequate monitoring of various operational parameters. This paper reviews the research that has been conducted over the last years. This review paper summarizes the developments in biogas design and operation, while highlighting the main factors that affect the efficiency of the anaerobic digestion process. The study’s outcomes revealed that the optimum operational values of the main parameters may vary from one biogas plant to another. Additionally, the negative conditions that should be avoided while operating a biogas plant were identified.

Setting up strategies for a sound management of plastic packaging waste (PPW) is becoming increasingly crucial at many levels of the value chain in Europe. After the very first implementation of an extended producer responsibility scheme in Germany in 1991, many EU Countries followed. This resulted in a complex network of schemes that differ from one member state to another. This paper brings together the three latest studies describing the current flows of PPW across the waste value chain from Austria (reference year 2013), Germany and the Netherlands (reference year 2017). With this aim, the models of the three single studies have been adapted to fit into a common model, allowing to perform a comparative analysis. Although with a relatively comparable product market, the three countries have different management systems (e.g., separate collection systems, target sorting products and treatment of residual waste), reflecting different national strategies to achieve the circular economy targets. Recycling rates (in terms of washed milled goods at the output of the recycling process) for the three countries resulted in 23%, 43% and 30% of the total mass of PPW generated in, respectively, Austria, Germany and the Netherlands. The fraction of mixed recycled plastics, relevant for Germany and the Netherlands only, was determined to be one of the major determinants of the differences in recycling rates. Furthermore, the discussion revolves around new political targets that have the potential to contribute to addressing the issue of tradeoff between quantity and quality of recycled plastics placed on the market, with measures such as design-for-recycling and eco-modulation of EPR fees playing a critical role, while also pointing out the aspects that inevitably hinder closed-loop recycling.