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27 pages, 1052 KiB  
Article
A Systems Perspective on Customer Segmentation as a Strategic Tool for Sustainable Development Within Slovakia’s Postal Market
by Radovan Madlenak, Pawel Drozdziel, Malgorzata Zysinska and Lucia Madlenakova
Systems 2025, 13(8), 701; https://doi.org/10.3390/systems13080701 - 15 Aug 2025
Abstract
Customer segmentation is a foundation of Customer Relationship Management (CRM) and is widely regarded as a key to business development success. As the principles of sustainable development become increasingly central to business strategy, it is necessary that social, environmental, and economic considerations be [...] Read more.
Customer segmentation is a foundation of Customer Relationship Management (CRM) and is widely regarded as a key to business development success. As the principles of sustainable development become increasingly central to business strategy, it is necessary that social, environmental, and economic considerations be incorporated into customer segmentation—even in regulated markets such as the postal market. The article develops and applies a three-dimensional (3D) segmentation model of business customers in the Slovak postal market, utilizing cluster analysis within STATISTICA analytical software for operationalization of the segmentation criteria. The 3D model reacts to the three pillars of sustainable development and is verified under real conditions at Slovak Post, plc. By adopting a systems perspective, the research places customer segmentation as an integral component of the entire socio-technical system, emphasizing the interrelatedness of organizational, social, and environmental considerations. The study illustrates how a systems-based approach to segmentation enables postal operators to uncover key customer segments, optimize resource allocation, and support competitiveness and sustainability goals. The practical applicability of the model is illustrated by its potential for application in other regulated service industries, providing a solid framework for sustainable customer management and strategic decision-making in complex environments. The research underscores the critical role of systems thinking in addressing the complex challenges of sustainable development in regulated industries. Full article
55 pages, 2402 KiB  
Review
Planning of Logistic Networks with Automated Transport Drones: A Systematic Review of Application Areas, Planning Approaches, and System Performance
by Lukas Ostermann, Asrat Gobachew, Andreas Schwung and Stefan Lier
Logistics 2025, 9(3), 111; https://doi.org/10.3390/logistics9030111 - 8 Aug 2025
Viewed by 392
Abstract
Background: The increasing integration of automated transport drones into logistics networks presents transformative potential for addressing contemporary logistics challenges, particularly in last-mile delivery, healthcare, disaster response, urban mobility, and postal services. However, their effective integration into varied logistics contexts remains hindered by [...] Read more.
Background: The increasing integration of automated transport drones into logistics networks presents transformative potential for addressing contemporary logistics challenges, particularly in last-mile delivery, healthcare, disaster response, urban mobility, and postal services. However, their effective integration into varied logistics contexts remains hindered by infrastructure, regulatory, and operational limitations. This study aims to explore how drone-based logistics systems can be systematically planned and evaluated across diverse operational environments. Methods: A structured literature review was conducted, employing thematic synthesis to analyze current research on drone logistics. The analysis focused on identifying the key planning dimensions and interrelated components that influence the deployment of drone-based transport systems. Results: The review identified seven central planning dimensions: areas of application, system components, transport configuration, geographic areas, optimization and analysis methods, logistical planning, and performance assessment. These dimensions inform a conceptual framework designed to guide the planning and assessment of drone logistics networks. Conclusions: While existing studies contribute valuable insights into route optimization and drone deployment strategies, they often overlook integrative approaches that account for societal and environmental factors. The study emphasizes the need for interdisciplinary collaboration and context-specific planning frameworks to enhance the sustainable and effective implementation of drone-based logistics systems. Full article
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23 pages, 1001 KiB  
Article
Logistic Service Improvement Parameters for Postal Service Providers Using Analytical Hierarchy Process and Quality Function Deployment
by Nisa James, Anish K. P. Kumar and Robert Jeyakumar Nathan
Economies 2025, 13(5), 120; https://doi.org/10.3390/economies13050120 - 28 Apr 2025
Viewed by 943
Abstract
Postal services have re-emerged across numerous emerging economies worldwide as essential logistics providers, harnessing their vast coverage and dependability in the face of expanding e-commerce platforms and technological innovations. This study investigates India Post, one of the largest postal networks globally, to determine [...] Read more.
Postal services have re-emerged across numerous emerging economies worldwide as essential logistics providers, harnessing their vast coverage and dependability in the face of expanding e-commerce platforms and technological innovations. This study investigates India Post, one of the largest postal networks globally, to determine the key logistics service parameters prioritized by customers in southern India. Quantitative data obtained from 255 India Post end-users were evaluated using the logistics service quality (LSQ) scale, assessing eight dimensions including information quality, timeliness, ordering procedure, order accuracy, order condition, personal contact quality, order discrepancy handling, and order release quantities. The Analytical Hierarchy Process (AHP) ranked these elements, while Quality Function Deployment (QFD) bridged customer expectations with service improvements. The findings highlight the need to improve sorting and distribution processes to meet customer demands for timely, high-quality delivery. By refining logistics efficiency, this study provides suggestions and recommendations for boosting satisfaction and profitability, shedding light on service-led economic advancement for postal services in emerging economies. These insights equip postal service providers to cultivate loyalty and maintain competitiveness within the dynamic logistics landscape. Full article
(This article belongs to the Special Issue The Asian Economy: Constraints and Opportunities)
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22 pages, 2173 KiB  
Article
The Intercity Industrial Distribution Effects of China’s High-Speed Railway: Evidence from Nighttime Light Remote Sensing Data
by Fangqu Niu and Lijia Zhu
Remote Sens. 2025, 17(6), 1102; https://doi.org/10.3390/rs17061102 - 20 Mar 2025
Viewed by 561
Abstract
High-speed railway (HSR) has become a key infrastructure that shapes land use, specifically industrial distribution, and therefore affects urban industrial structure and regional economic patterns. This paper develops a new approach to examine the intercity industrial distribution effects (IDE) of HSR using nighttime [...] Read more.
High-speed railway (HSR) has become a key infrastructure that shapes land use, specifically industrial distribution, and therefore affects urban industrial structure and regional economic patterns. This paper develops a new approach to examine the intercity industrial distribution effects (IDE) of HSR using nighttime light (NTL) data from 290 cities in China over a long period of time. Our study shows that the tertiary industries exhibit higher luminous intensity than the secondary industries, and the operation of HSR fosters the concentration of tertiary industries in megacities and supercities, especially those in the eastern economic regions, while leading to the dispersion of secondary industries from those cities. As a result, the proportion of tertiary industry in most medium and small cities decreased, and that of the secondary industry increased. Furthermore, among tertiary industries, producer services, especially transportation, warehousing, postal services, financial services, and leasing and business services, are most affected by HSR. These results highlight the intercity variation in the industrial impacts of HSR and provide valuable insights for industrial planning and policy-making in HSR cities. The proposed approach in this study can effectively identify the IDEs of HSR. Our findings suggest that cities cannot blindly rely on the operation of HSR to pursue economic development, and policymakers need to consider both the industrial situation of the HSR city itself and that of the cities connected through HSR to formulate distinct land use policies to address the impact of HSR on its industries. Full article
(This article belongs to the Special Issue Nighttime Light Remote Sensing Products for Urban Applications)
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24 pages, 2652 KiB  
Article
Research on the Optimization of Urban–Rural Passenger and Postal Integration Operation Scheduling Based on Uncertainty Theory
by Yunqiang Xue, Jiayu Liu, Haokai Tu, Guangfa Bao, Tong He, Yang Qiu, Yuhan Bi and Hongzhi Guan
Sustainability 2024, 16(23), 10268; https://doi.org/10.3390/su162310268 - 23 Nov 2024
Cited by 1 | Viewed by 1461
Abstract
The integration of postal and passenger transport is an effective measure to enhance the utilization efficiency of passenger and freight transportation resources and to promote the sustainable development of urban–rural transit and logistics. This paper considers the uncertainty in passenger and freight demand [...] Read more.
The integration of postal and passenger transport is an effective measure to enhance the utilization efficiency of passenger and freight transportation resources and to promote the sustainable development of urban–rural transit and logistics. This paper considers the uncertainty in passenger and freight demand as well as transit operation times, constructing an optimization model for integrated urban–rural transit and postal services based on uncertainty theory. Passenger and freight demand, along with the inverse uncertain distribution of events, serve as constraints, while minimizing passenger travel time and the cost for passenger transport companies are the optimization objectives. Taking into account the uncertainty of urban–rural bus travel time, the scheduling model is transformed into a robust form for scenarios involving single and multiple origin stations. The model is solved using an improved NSGA-II (Nondominated Sorting Genetic Algorithm II) to achieve effective coordinated scheduling of both passenger and freight services. Through a case study in Lotus County, Jiangxi Province, vehicle routing plans with varying levels of conservativeness were obtained. Comparing the results from different scenarios, it was found that when the total vehicle operating mileage increased from 1.96% to 62.26%, passenger transport costs rose from 2.95% to 62.66%, while the total passenger travel time decreased from 55.99% to 172.31%. In terms of optimizing costs and improving passenger travel efficiency, operations involving multiple starting stations for a single vehicle demonstrated greater advantages. Meanwhile, at a moderate level of robustness, it was easier to achieve a balance between operational costs and passenger travel time. The research findings provide theoretical support for improving travel conditions and resource utilization in rural areas, which not only helps enhance the operational efficiency of urban–rural transit but also contributes positively to promoting balanced urban–rural sustainable development and narrowing the urban–rural gap. Full article
(This article belongs to the Collection Advances in Transportation Planning and Management)
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20 pages, 3253 KiB  
Article
Study on the Impact of National Value Chain Embeddings on the Embodied Carbon Emissions of Chinese Provinces
by Guangyao Deng, Siqian Hou and Yuting Liu
Sustainability 2024, 16(23), 10186; https://doi.org/10.3390/su162310186 - 21 Nov 2024
Cited by 1 | Viewed by 917
Abstract
Accelerating the construction and optimization of national value chains is of great significance to reducing both pollution and carbon emissions and promoting green economic growth. In accordance with the input–output table and carbon emission statistics of China in 2012, 2015, and 2017, in [...] Read more.
Accelerating the construction and optimization of national value chains is of great significance to reducing both pollution and carbon emissions and promoting green economic growth. In accordance with the input–output table and carbon emission statistics of China in 2012, 2015, and 2017, in this paper, we use the total trade decomposition method and the value chain decomposition method to decompose the embodied carbon emissions and the embeddedness of national value chains. Subsequently, we empirically study, for the first time, the impact of the degree of domestic value chain embedding on implicit carbon emissions using the calculated results. The results show the following: (1) The top three provinces with embodied carbon emissions are Shandong, Hebei, and Jiangsu, while the top four industries are the production and supply of electricity and heat; metal smelting and rolling processing; non-metallic mineral products; and transportation, warehousing, and postal services. (2) The degree of forward and backward national value chain embeddedness in Chinese provinces has increased, and the degree of forward embeddedness in most provinces and industries is lower than that of backward embeddedness. (3) The embeddedness of domestic value chains and embodied carbon emissions is always negatively correlated, and this conclusion is still valid after robustness and endogeneity tests. (4) There is industrial heterogeneity in the impact of the degree of embeddedness of domestic value chains on embodied carbon emissions. Full article
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25 pages, 2385 KiB  
Article
Toward the Construction of a Sustainable Society: Assessing the Temporal Variations and Two-Dimensional Decoupling of Carbon Dioxide Emissions in Anhui Province, China
by Kerong Zhang, Liangyu Jiang and Wuyi Liu
Sustainability 2024, 16(22), 9923; https://doi.org/10.3390/su16229923 - 14 Nov 2024
Viewed by 971
Abstract
This study comprehensively assessed carbon dioxide emissions over a span of two decades, from 2000 to 2020, with the decomposition and decoupling analyses considering multiple influence factors across both short-term and long-term dimensions. The results revealed great fluctuations in the decoupling analysis index [...] Read more.
This study comprehensively assessed carbon dioxide emissions over a span of two decades, from 2000 to 2020, with the decomposition and decoupling analyses considering multiple influence factors across both short-term and long-term dimensions. The results revealed great fluctuations in the decoupling analysis index (DAI) for subjected sectors such as natural resource processing, electricity, gas, water, textiles, machinery, and electronics manufacturing. Of note, significantly changed sectoral DAIs were observed in urban traffic and transportation, logistics warehousing, and the postal industry within Anhui Province. In contrast, the DAIs of other sectors and social services exhibited a weak decoupling state in Anhui Province. The industrial sectors responsible for mining and textiles and the energy structure encompassing electricity, gas, and water emerged as the primary contributors to carbon dioxide emissions. Additionally, the efficiency of the socio-economic development (EDE) was identified as the principal driver of carbon dioxide emissions during the observed period, while the energy consumption intensity (ECI) served as the putative crucial inhibiting factor. The two-dimensional decoupling of carbon dioxide emissions attributable to the EDE demonstrated a gradual transition from industrial sectors to buildings and tertiary industries from 2000 to 2020. In the future, the interaction between urban carbon dioxide emissions and the socio-economic landscape should be optimized to foster integrated social sustainable development in Anhui Province. Full article
(This article belongs to the Section Social Ecology and Sustainability)
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19 pages, 3055 KiB  
Article
Evaluation of the Impact of the Internet of Things on Postal Service Efficiency in Slovakia
by Martin Baláž, Juraj Vaculík and Tatiana Corejova
Economies 2024, 12(10), 271; https://doi.org/10.3390/economies12100271 - 7 Oct 2024
Cited by 1 | Viewed by 1443
Abstract
This paper investigates the impact of technological advancements, particularly the integration of the Internet of Things (IoT), on the efficiency and productivity of the postal service industry in Slovakia. By employing the Cobb–Douglas production function, we analyze the relationship between key inputs—capital and [...] Read more.
This paper investigates the impact of technological advancements, particularly the integration of the Internet of Things (IoT), on the efficiency and productivity of the postal service industry in Slovakia. By employing the Cobb–Douglas production function, we analyze the relationship between key inputs—capital and labor—and output for six major postal service providers: Slovak Post, Packeta, DHL Express, DPD, TNT Express, and GLS. Using data from 2017 to 2021, this study quantifies the elasticities of capital and labor to assess how IoT adoption influences operational performance. The regression analysis reveals significant variations in input contributions across companies, highlighting the diverse effects of IoT integration. Findings suggest that while some companies benefit more from capital investments in technology, others rely heavily on labor efficiency. These insights offer valuable implications for policymakers and industry stakeholders aiming to optimize resource allocation and enhance productivity through technological innovation. Full article
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22 pages, 1563 KiB  
Article
An Analysis of the Development Factors of Rail Freight Transport in Thailand: A Structural Equation Modeling Approach
by Oranicha Buthphorm, Vatcharapol Sukhotu and Thammanoon Hengsadeekul
Infrastructures 2024, 9(7), 102; https://doi.org/10.3390/infrastructures9070102 - 30 Jun 2024
Cited by 3 | Viewed by 4265
Abstract
The railway infrastructure projects in Thailand aim to shift transportation from roads to railways. This is crucial for transporting goods in emerging economies and increasing the demand for rail freight transport. However, several dynamic uncertainties hinder sustainable rail freight transport in Thailand. This [...] Read more.
The railway infrastructure projects in Thailand aim to shift transportation from roads to railways. This is crucial for transporting goods in emerging economies and increasing the demand for rail freight transport. However, several dynamic uncertainties hinder sustainable rail freight transport in Thailand. This study aims to identify the key factors and validate their effects on the success of the modal shift from roads to railways in Thailand. A total of 200 participants filled out a questionnaire delivered online and via postal service. The key factors were categorized into the following categories: the rail freight transport system, demand, and development factors in Thailand. The inter-relationship and connection of these factors were analyzed using SEM (structural equation modeling). The SEM results showed that all causal factors in the model had a positive influence on rail freight development in Thailand, which explained 98.3% of the variance in the factors influencing development. This study’s findings underscore the influential significance of rail performance, rail infrastructure, the legal framework, pricing, mode choice, and technology on the expansion of rail freight transport in Thailand. The rail freight transport system, rail performance, rail infrastructure, and Thailand’s rail infrastructure development strategy were significant direct predictors of rail freight expansion. An expansion of the rail freight transport system also leads to rail freight demand. The results of this study have positive implications for the government, railway practitioners, and policymakers to prioritize their focus on achieving rail freight transport as the national target. Full article
(This article belongs to the Section Sustainable Infrastructures)
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24 pages, 2305 KiB  
Article
Decomposition and Driving Factors of Total Factor Productivity of Food Crops in the Yellow River Basin, China
by Jianxu Liu, Xiaoqing Li, Yansong Li, Jirakom Sirisrisakulchai, Xuefei Kang and Jiande Cui
Agriculture 2024, 14(4), 547; https://doi.org/10.3390/agriculture14040547 - 29 Mar 2024
Cited by 1 | Viewed by 1884
Abstract
The urgency of enhancing agricultural productivity within the Yellow River Basin cannot be overstated, given its critical role in ensuring food security amidst the challenges posed by climate change, natural disasters, and the increasing demand for food crops. Utilizing panel data from nine [...] Read more.
The urgency of enhancing agricultural productivity within the Yellow River Basin cannot be overstated, given its critical role in ensuring food security amidst the challenges posed by climate change, natural disasters, and the increasing demand for food crops. Utilizing panel data from nine provinces within the Yellow River Basin for the period 2001 to 2020, this study examines the temporal characteristics and spatial distribution of Total Factor Productivity (TFP) for key grain crops—namely wheat, corn, and soybean—through the application of the Malmquist index which can be decomposed through the DEA-Malmquist index methodology. The empirical results demonstrate that TFP growth rates for these crops have exhibited significant phase variations, with soybean recording the highest TFP growth rate in the basin. Additionally, this study underscores marked regional disparities in soybean productivity. TFP decomposition reveals that the primary drivers of TFP improvement across these crops are attributed to technical progress, with gains in overall technical efficiency largely due to scale efficiency enhancements, whereas pure technical efficiency has shown limited progress. Regional analysis indicates that Inner Mongolia leads in TFP growth for all crops, while Ningxia, Sichuan, and Shaanxi lag behind in wheat, corn, and soybean. Additionally, our analysis delineates natural disasters as a significant barrier to Total Factor Productivity (TFP), notably obstructing technological advancements in wheat cultivation. The investigation further reveals a positive relationship between regional per capita income and the growth of wheat TFP, in contrast to a negative relationship with the TFP growth of corn and soybeans. Moreover, investing in agriculture, forestry, water management, and road infrastructure supports the growth of wheat TFP, while urbanization levels pose constraints. Conclusively, an uptick in annual rural electricity usage, along with improved per capita postal and telecommunication services, exerts a favorable influence on TFP for corn and soybeans. Full article
(This article belongs to the Section Agricultural Economics, Policies and Rural Management)
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15 pages, 975 KiB  
Protocol
The Clinical and Cost-Effectiveness of an Individualized Nutritional CAre (INCA) Bundle versus Standard Care for Adults with Pressure Injuries Receiving Home Nursing Services: A Protocol for a Cluster Randomized and Pragmatic Clinical Trial with an Economic Evaluation
by Alvin Wong, Precilla Lai, Hui Hsien Chong, Christopher Tsung Chien Lien and Nicholas Graves
Nutrients 2024, 16(2), 299; https://doi.org/10.3390/nu16020299 - 18 Jan 2024
Viewed by 2929
Abstract
Background: Pressure injuries (PIs) represent a significant healthcare challenge in Singapore among the aging population. These injuries contribute to increased morbidity, mortality, and healthcare expenditure. Existing research predominantly explores single-component interventions in hospital environments, often yielding limited success. The INCA Trial aims to [...] Read more.
Background: Pressure injuries (PIs) represent a significant healthcare challenge in Singapore among the aging population. These injuries contribute to increased morbidity, mortality, and healthcare expenditure. Existing research predominantly explores single-component interventions in hospital environments, often yielding limited success. The INCA Trial aims to address this research gap by conducting a comprehensive, cluster randomized controlled trial that integrates education, individualized nutritional support, and community nursing care. This study is designed to evaluate clinical and cost-effectiveness outcomes, focusing on PI wound area reduction and incremental costs associated with the intervention. Methods: The INCA Trial employs a two-group, non-blinded, cluster randomized, and pragmatic clinical trial design, recruiting 380 adult individuals (age ≥ 21 years) living in the community with stage II, III, IV, and unstageable PI(s) who are receiving home nursing service in Singapore. Cluster randomization is stratified by postal codes to minimize treatment contamination. The intervention arm will receive an individualized nutrition and nursing care bundle (dietary education with nutritional supplementation), while the control arm will receive standard care. The 90-day intervention will be followed by outcome assessments extending over one year. Primary outcomes include changes in PI wound area and the proportion of participants achieving a ≥40% area reduction. Secondary outcomes include health-related quality of life (HRQOL), nutritional status, and hospitalization rates. Data analysis will be conducted on an intention-to-treat (ITT) basis, supplemented by interim analyses for efficacy and futility and pre-specified sensitivity and subgroup analyses. The primary outcome for the cost-effectiveness analysis will be based on the change to total costs compared to the change to health benefits, as measured by quality-adjusted life years (QALYs). Discussion: The INCA Trial serves as a pioneering effort in its approach to PI management in community settings. This study uniquely emphasizes both clinical and economic outcomes and melds education, intensive dietetic support, and community nursing care for a holistic approach to enhancing PI management. Full article
(This article belongs to the Section Clinical Nutrition)
7 pages, 224 KiB  
Proceeding Paper
Housing Conditions and Their Impact on Health of Residents
by Mohd. Zuber, Charu Khosla and Nargis Begum Javed
Eng. Proc. 2023, 56(1), 46; https://doi.org/10.3390/ASEC2023-15334 - 26 Oct 2023
Cited by 4 | Viewed by 2822
Abstract
Housing amounts to the physical structures that provide shelter, social services with a hygienic neighborhood, to fulfill the essential needs of the people. Housing factors have been shown to have an effect on an individual’s state of physical, mental, social and economic well-being. [...] Read more.
Housing amounts to the physical structures that provide shelter, social services with a hygienic neighborhood, to fulfill the essential needs of the people. Housing factors have been shown to have an effect on an individual’s state of physical, mental, social and economic well-being. Indoor environmental factors such as crowding, environmental tobacco smoke, biofuels, dampness, house dust mites, temperature, age of building, pets, and indoor plants affect the wellbeing and productivity of the occupants. A literature review was performed on studies of housing conditions and health outcomes conducted in India and abroad from 1999 to 2020. The studies assessed housing quality by self-reported questionnaires administered through the postal system, face-to-face or via the internet. Visual signs and non-volumetric methods were used to assess indoor air quality and housing conditions, while the health of residents was assessed by self-reported questionnaire, or SF-36 questionnaire. Studies conducted in the United States of America, Europe, the United Kingdom, Middle East, Africa and Australasia have revealed that factors affecting health conditions were ventilation, dampness, presence of molds, overcrowding, house dust mite allergens, age and renovation of buildings and these factors showed an association with respiratory illnesses, colds, coughs, asthma, conjunctivitis, atopic dermatitis and ear infections. However, studies in India revealed that lack of proper ventilation, use of traditional fuels, crowding and poor hygienic conditions are the main factors associated with acute respiratory infections, asthma, tuberculosis, cardiovascular diseases and lung cancer. Thus, the review highlights that there is a need to improve housing conditions in India to enable the people to lead a healthy and productive life. Full article
(This article belongs to the Proceedings of The 4th International Electronic Conference on Applied Sciences)
16 pages, 4297 KiB  
Article
Electric Vehicle Fleet Management for a Prosumer Building with Renewable Generation
by Matteo Fresia and Stefano Bracco
Energies 2023, 16(20), 7213; https://doi.org/10.3390/en16207213 - 23 Oct 2023
Cited by 29 | Viewed by 1699
Abstract
The integration of renewable energy systems in buildings leads to a reduction in energy bills for end users and a reduction in the carbon footprint of such buildings, usually referred to as prosumers. In addition, the installation of charging points for the electric [...] Read more.
The integration of renewable energy systems in buildings leads to a reduction in energy bills for end users and a reduction in the carbon footprint of such buildings, usually referred to as prosumers. In addition, the installation of charging points for the electric vehicles of people working or living in these buildings can further improve the energy efficiency of the whole system if innovative technologies, such as vehicle-to-building (V2B) technologies, are implemented. The aim of this paper is to present an Energy Management System (EMS) based on mathematical programming that has been developed to optimally manage a prosumer building equipped with photovoltaics, a micro wind turbine and several charging points for electric vehicles. Capabilities curves of renewable power plant inverters are modelled within the EMS, as well as the possibility to apply power curtailment and V2B. The use of V2B technology reduces the amount of electricity purchased from the public grid, while the use of smart inverters for the power plants allows zero reactive power to be drawn from the grid. Levelized cost of electricity (LCOE) is used to quantify curtailment costs, while penalties on reactive power absorption from the distribution network are evaluated in accordance with the current regulatory framework. Specifically, the model is applied to a prosumer building owned by the postal service in a large city in Italy. The paper reports the main results of the study and proposes a sensitivity analysis on the number of charging stations and vehicles, as well as on the consideration of different typical days characterized by different load and generation profiles. This paper also investigates how errors in forecasting energy production from renewable sources impact the optimal operation of the whole system. Full article
(This article belongs to the Special Issue Power System Analysis Control and Operation)
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10 pages, 499 KiB  
Article
Preconception and Pregnancy Nutrition Support for Women with a History of Bariatric Surgery: A Mixed-Methods Survey of Healthcare Professionals in the UK
by Zainab Akhter, Judith Rankin, Alice Shackford-Alizart, Roger Ackroyd, Roland Devlieger and Nicola Heslehurst
Nutrients 2023, 15(20), 4415; https://doi.org/10.3390/nu15204415 - 18 Oct 2023
Cited by 1 | Viewed by 2221
Abstract
Preconception bariatric surgery improves obesity-related maternal pregnancy complications but may reduce the absorption of nutrients required for healthy fetal growth and development. Women who receive preconception nutritional support after bariatric surgery are less likely to have adverse pregnancy outcomes. This study aimed to [...] Read more.
Preconception bariatric surgery improves obesity-related maternal pregnancy complications but may reduce the absorption of nutrients required for healthy fetal growth and development. Women who receive preconception nutritional support after bariatric surgery are less likely to have adverse pregnancy outcomes. This study aimed to investigate the provision of preconception and pregnancy-specific nutritional support for women having bariatric surgery in the UK. A mixed-methods survey was distributed to healthcare professionals working in obesity or maternity services between December 2018 and October 2019. We collected both quantitative and qualitative data which were analysed using a mixed-methods approach. We received 135 responses from online (n = 99) and postal (n = 36) questionnaires. Only 45% of participants reported being ‘very familiar’ with the preconception/pregnancy nutritional needs of this population. Barriers to providing nutritional support included: a lack of resources and time; poor communication both across services and with women; not having contact with women preconception; and a lack of information and guidance. Respondents felt that dietitians have the expertise in nutrition necessary to provide support; however, GPs and midwives have the most frequent patient access post-surgery, both before and during pregnancy. Optimal preconception and pregnancy-related nutritional support requires multidisciplinary care pre- and post-surgery, and healthcare professionals require training and guidance to inform practice. Full article
(This article belongs to the Section Clinical Nutrition)
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14 pages, 1815 KiB  
Article
Addressing Inequity in Spatial Access to Lung Cancer Screening
by Jonathan Simkin, Edwin Khoo, Maryam Darvishian, Janette Sam, Parveen Bhatti, Stephen Lam and Ryan R. Woods
Curr. Oncol. 2023, 30(9), 8078-8091; https://doi.org/10.3390/curroncol30090586 - 31 Aug 2023
Cited by 1 | Viewed by 2198
Abstract
Background: The successful implementation of an equitable lung cancer screening program requires consideration of factors that influence accessibility to screening services. Methods: Using lung cancer cases in British Columbia (BC), Canada, as a proxy for a screen-eligible population, spatial access to 36 screening [...] Read more.
Background: The successful implementation of an equitable lung cancer screening program requires consideration of factors that influence accessibility to screening services. Methods: Using lung cancer cases in British Columbia (BC), Canada, as a proxy for a screen-eligible population, spatial access to 36 screening sites was examined using geospatial mapping and vehicle travel time from residential postal code at diagnosis to the nearest site. The impact of urbanization and Statistics Canada’s Canadian Index of Multiple Deprivation were examined. Results: Median travel time to the nearest screening site was 11.7 min (interquartile range 6.2–23.2 min). Urbanization was significantly associated with shorter drive time (p < 0.001). Ninety-nine percent of patients with ≥60 min drive times lived in rural areas. Drive times were associated with sex, ethnocultural composition, situational vulnerability, economic dependency, and residential instability. For example, the percentage of cases with drive times ≥60 min among the least deprived situational vulnerability group was 4.7% versus 44.4% in the most deprived group. Conclusions: Populations at risk in rural and remote regions may face more challenges accessing screening services due to increased travel times. Drive times increased with increasing sociodemographic and economic deprivations highlighting groups that may require support to ensure equitable access to lung cancer screening. Full article
(This article belongs to the Section Thoracic Oncology)
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