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Ageing-in-place is the preferred way of living for older individuals in an ageing society. It can be facilitated through architectural and technological solutions in the home environment. Dementia poses additional challenges when designing, constructing, or retrofitting housing facilities that support ageing-in-place. Older adults with dementia and their partners ask for living environments that support independence, compensate for declining and vitality, and lower the burden of family care. This study reports the design process of a demonstration home for people with dementia through performing a literature review and focus group sessions. This design incorporates modifications in terms of architecture, interior design, the indoor environment, and technological solutions. Current design guidelines are frequently based on small-scale studies, and, therefore, more systematic field research should be performed to provide further evidence for the efficacy of solutions. The dwellings of people with dementia are used to investigate the many aspects of supportive living environments for older adults with dementia and as educational and training settings for professionals from the fields of nursing, construction, and building services engineering.
Deployment and management of environmental infrastructures, such as charging infrastructure for Electric Vehicles (EV), is a challenging task. For policy makers, it is particularly difficult to estimate the capacity of current deployed public charging infrastructure for a given EV user population. While data analysis of charging data has shown added value for monitoring EV systems, it is not valid to linearly extrapolate charging infrastructure performance when increasing population size.We developed a data-driven agent-based model that can explore future scenarios to identify non-trivial dynamics that may be caused by EV user interaction, such as competition or collaboration, and that may affect performance metrics. We validated the model by comparing EV user activity patterns in time and space.We performed stress tests on the 4 largest cities the Netherlands to explore the capacity of the existing charging network. Our results demonstrate that (i) a non-linear relation exists between system utilization and inconvenience even at the base case; (ii) from 2.5x current population, the occupancy of non-habitual charging increases at the expense of habitual users, leading to an expected decline of occupancy for habitual users; and (iii) from a ratio of 0.6 non-habitual users to habitual users competition effects intensify. For the infrastructure to which the stress test is applied, a ratio of approximately 0.6 may indicate a maximum allowed ratio that balances performance with inconvenience. For policy makers, this implies that when they see diminishing marginal performance of KPIs in their monitoring reports, they should be aware of potential exponential increase of inconvenience for EV users.
While the Municipality of Amsterdam wants to expand the electric vehicle public charging infrastructure to reach carbon-neutral objectives, the Distribution System Operator cannot allow new charging stations where low-voltage transformers are reaching their maximum capacity. To solve this situation, a smart charging project called Flexpower is being tested in some districts. Charging power is limited during peak times to avoid grid congestion and, therefore, enable the expansion of charging infrastructure while deferring grid investments. This work simulates the implementation of the Flexpower strategy with high penetration of electric vehicles, considering dynamic and local power limits, to assess the impact on both the satisfaction of electric vehicle users and the business model of the Charging Point Operator. A stochastic approach, based on Gaussian Mixture Models, has been used to model different profiles of electric vehicle users using data from the Amsterdam public electric vehicle charging infrastructure. Several key performance indicators have been defined to assess the impact of such charging limitations on the different stakeholders. The results show that, while Amsterdam’s existing public charging infrastructure can host just twice the current electric vehicle demand, the application of Flexpower will enable the growth in charging stations without requiring grid upgrades. Even with 7 times more charging sessions, Flexpower could provide a power peak reduction of 57% while supplying 98% of the total energy required by electric vehicle users.
Background:Tobacco consumption is a leading cause of death and disease, killing >8 million people each year. Smoking cessation significantly reduces the risk of developing smoking-related diseases. Although combined treatment for addiction is promising, evidence of its effectiveness is still emerging. Currently, there is no published research comparing the effectiveness of blended smoking cessation treatments (BSCTs) with face-to-face (F2F) treatments, where web-based components replace 50% of the F2F components in blended treatment.Objective:The primary objective of this 2-arm noninferiority randomized controlled trial was to determine whether a BSCT is noninferior to an F2F treatment with identical ingredients in achieving abstinence rates.Methods:This study included 344 individuals who smoke (at least 1 cigarette per day) attending an outpatient smoking cessation clinic in the Netherlands. The participants received either a blended 50% F2F and 50% web-based BSCT or only F2F treatment with similar content and intensity. The primary outcome measure was cotinine-validated abstinence rates from all smoking products at 3 and 15 months after treatment initiation. Additional measures included carbon monoxide–validated point prevalence abstinence; self-reported point prevalence abstinence; and self-reported continuous abstinence rates at 3, 6, 9, and 15 months after treatment initiation.Results:None of the 13 outcomes showed statistically confirmed noninferiority of the BSCT, whereas 4 outcomes showed significantly (P<.001) inferior abstinence rates of the BSCT: cotinine-validated point prevalence abstinence rate at 3 months (difference 12.7, 95% CI 6.2-19.4), self-reported point prevalence abstinence rate at 6 months (difference 19.3, 95% CI 11.5-27.0) and at 15 months (difference 11.7, 95% CI 5.8-17.9), and self-reported continuous abstinence rate at 6 months (difference 13.8, 95% CI 6.8-20.8). The remaining 9 outcomes, including the cotinine-validated point prevalence abstinence rate at 15 months, were inconclusive.Conclusions:In this high-intensity outpatient smoking cessation trial, the blended mode was predominantly less effective than the traditional F2F mode. The results contradict the widely assumed potential benefits of blended treatment and suggest that further research is needed to identify the critical factors in the design of blended interventions.Trial Registration:Netherlands Trial Register 27150; https://onderzoekmetmensen.nl/nl/trial/27150
This paper presents the design of the offshore energy simulation CEL as a flow network, and its integration in the MSP Challenge 2050 simulation game platform. This platform is designed to aid learning about the key characteristics and complexity of marine or maritime spatial planning (MSP). The addition of CEL to this platform greatly AIDS MSP authorities in learning about and planning for offshore energy production, a highly topical and big development in human activities at sea. Rather than a standard flow network, CEL incorporates three additions to accommodate for the specificities of energy grids: an additional node for each team's expected energy, a split of each node representing an object into input and output parts to include the node's capacity, and bidirectional edges for all cables to enable more complex energy grid designs. Implemented with Dinic's algorithm it takes less than 30ms for the simulation to run for the average amount of grids included in an MSP Challenge 2050 game session. In this manner CEL enables MSP authorities and their energy stakeholders to use MSP Challenge 2050 for designing and testing more comprehensive offshore energy grids.
Presented at the 11th International Conference on ICT in Education, Research and Industrial Applications: Integration, Harmonization and Knowledge Transfer Lviv, Ukraine, May 14-16, 2015. Author supplied: Abstract. User requirements and low-cost small quantity production are new challenges for the modern manufacturing industry. This means that small batch sizes or even the manufacturing of one single product should be affordable. To make such a system cost-effective it should be capable to use the available production resources for many different products in parallel. This paper gives a description of the requirements and architecture of an end-user driven production system. The end-user communicates with the production system by a web interface, so this manufacturing system can be characterized in terms of cloud comput- ing as the implementation of manufacturing as a service, abbreviated to MaaS.
