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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.

Abstract To achieve the EU climate and energy objectives, a transition towards a future sustainable energy system is needed. The integration of the huge potential for industrial waste heat recovery into smart energy system represents a main opportunity to accomplish these goals. To successfully implement this strategy, all the several stakeholders' conflicting objectives should be considered. In this paper an evolutionary multi-objective optimization model is developed to perform a sustainability evaluation of an energy system involving an industrial facility as the waste heat source and the neighbourhood as district heating network end users. An Italian case study of heat recovery from a steel casting facility shows how the model allows to properly select the district heating network set of users to fully exploit the available waste energy. Design directions such as the thermal energy storage capacity can be also provided. Moreover, the model enables the analysis of the trade-off between the stakeholders’ different perspectives, allowing to identify possible win-win solutions for both the industrial sector and the citizenship.

The global restoration agenda can help solve the biodiversity extinction crisis by regenerating biodiversity-rich ecosystems, maximising conservation benefits using natural regeneration. Yet, conservation is rarely the core objective of restoration, and biodiversity is often neglected in restoration projects targeted towards carbon sequestration or enhancing ecosystem services for improved local livelihoods. Here, we synthesise evidence to show that promoting biodiversity in restoration planning and delivery is integral to delivering other long-term restoration aims, such as carbon sequestration, timber production, enhanced local farm yields, reduced soil erosion, recovered hydrological services and improved human health. For each of these restoration goals, biodiversity must be a keystone objective to the entire process. Biodiversity integration requires improved evidence and action, delivered via a socio-ecological process operating at landscape scales and backed by supportive regulations and finance. Conceiving restoration and biodiversity conservation as synergistic, mutually reinforcing partners is critical for humanity's bids to tackle the global crises of climate change, land degradation and biodiversity extinction.

Changes in the main weather features are becoming perceivable in Italy. In the last years, the average temperature and the intensity of rainstorms are increasing. Such phenomena could lead to changes in the earth-atmosphere interaction. Accounting for the high vulnerability of the Italian territory, an obvious consequence would concern the effects on the hydro-geological hazards, including landslides and floods. As a matter of fact, the higher frequency of high magnitude flood and landslide events represent an alarm bell. It is necessary to explore with all available instruments the consequences of the potential climate changes. Since quantitative predictions are not possible, the only way to run is depicting rational scenarios for the most vulnerable contexts adopting a multidisciplinary approach. Based on projections of potential climate changes in the 21st century, the report examines their potential impact in the context of the Italian peninsula. After a general overview about typical slope responses to weather changes, some quantitative scenarios have been depicted for representative geomorphological contexts. The last part of the paper examines changes in the expected risk, based on the characteristics of the Italian territory and its vulnerability, looking at the initiatives to undertake for its mitigation.

Among various bioreactors examined in anaerobic digestion and dark fermentation, UASB bioreactor has shown to be a promising alternative. However, mass transfer resistance and biomass washout have been the issues that reported as draw backs of the granular system in the literature. Another problem associated with such a system is its long start-up period as a result of biomass washout and long microbial granulation stage. In this paper, the results obtained from an UASFF bioreactor in methane (AD process) and hydrogen (DF process) production from POME, are presented to assess mass transfer of substrate into the granules and also study the role of internal packing used in the middle part of reactor in the process stability. The value of effectiveness factor, η, for AD and DF processes were calculated to be 0.96 and 0.94, respectively, indicating that there was no mass transfer resistance due to internal and/or external factors. The results showed that the packing material could retain biomass in the reactor and had outstanding contribution in the granulation enhancement. Its role as a supplementing treatment stage was more significant at low HRTs and up-flow velocities.

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 Breastshot water wheels are gravity hydraulic machines employed in low head sites. The scope of this work is to test the performance of a breastshot water wheel with two geometric inflow configurations: a sluice gate at different openings and two vertical overflow weirs. With the sluice gate, the maximum efficiency of the plant is 75%, constant over a wide range of flow rates, while the efficiency with the weir is increasing in the same flow rate range. Therefore, the wheel with the weir can exploit higher water volumes, and also it performs better at high power input. In practical applications, the inflow configuration can be effectively controlled to optimize the operative working conditions of breastshot water wheels, depending on the external hydraulic ones. The experimental results are also discussed in dimensionless terms, in order to support engineers in the design of similar breastshot water wheels.

Abstract Hybrid energy storage is a multi-modal approach to store and supply different forms of energy (electricity, heat, cold) simultaneously. This is an important sector coupling approach and enables large scale flexibility for a deep decarbonization of energy systems. Two different proposed energy storages – power-to-heat-to-X energy storage (PHXES) and pumped thermal energy storage (PTES) – are investigated in detail in this work towards their potential towards a hybrid deployment. The techno-economic analysis includes thermodynamic flowsheet simulations and unified cost estimations based on the used equipment. It is shown that the main input data set (e.g. working fluid selection, turbomachinery efficiency, pinch temperatures) has a strong influence on storage roundtrip efficiency in the thermodynamic simulations, but also on storage costs. Cost decrease and performance increase can be conflicting development targets, and it is not clear if future energy systems rather require technologies with the highest storage efficiencies or if low cost is an important prerequisite. PHXES and three variants of PTES are implemented into a simplified energy system model of the city of Hamburg that comprises the electric load and heat demand of the district heating system. Two scenarios (fossil benchmark and 80% decarbonization) are used to select the technologies and their capacities that allow the most cost-effective energy supply solution by a linear-programming optimization procedure. Large scale renewable power generation and hybrid energy storage play the major roles in the decarbonization scenario. PHXES with a storage capacity of 69 GWh, hot water storage (3.6 GWh) and a battery system (430 MWh) are part of the cost-optimal solution. A cost sensitivity analysis shows that a total cost reduction of 60–80% is required for PTES to become competitive in this model scenario.