From an evidence-based perspective, cardiopulmonary exercise testing (CPX) is a well-supported assessment technique in both the United States (US) and Europe. The combination of standard exercise testing (ET) (ie, progressive exercise provocation in association with serial electrocardiograms [ECG], hemodynamics, oxygen saturation, and subjective symptoms) and measurement of ventilatory gas exchange amounts to a superior method to: 1) accurately quantify cardiorespiratory fitness (CRF), 2) delineate the physiologic system(s) underlying exercise responses, which can be applied as a means to identify the exercise-limiting pathophysiologic mechanism(s) and/or performance differences, and 3) formulate function-based prognostic stratification. Cardiopulmonary ET certainly carries an additional cost as well as competency requirements and is not an essential component of evaluation in all patient populations. However, there are several conditions of confirmed, suspected, or unknown etiology where the data gained from this form of ET is highly valuable in terms of clinical decision making
The methodology should be a uniform approach that also is flexible enough to accommodate all combinations that make up the different solutions in 6 OPs. For KPIs A and B this required the use of sub-KPIs to differentiate the effects of each (individual and combination of) implemented solutions and prevent double counting of results. This approach also helped to ensure that all 6 OPs use a common way and scope to calculate the various results. Consequently, this allowed the project to capture the results per OP and the total project in one ‘measurement results’ template. The template is used in both the individual OP reports and the ‘KPI Results: Baseline & Final results’ report where all results are accumulated; each instance providing a clear overview of what is achieved. This report outlines the details of the methodology used and applied. It is not just meant to provide a clarification of the results of the project, but is also meant to allow others who are embarking on adopting similar solutions for the purpose of CO2 reduction, becoming more energy autonomous or avoid grid stress or investments to learn about and possibly use the same methodology.
The following report aims to introduce the main me2 specifications, and to describe the requirements needed to develop the me2 project. Me2 is a technological platform where the behaviours related to energy consumption could be monitored, and also to increase the energy efficiency.In order to have a better understanding about the use of that kind of platforms, a brief literature review is firstly presented, where some of the main behaviour changing mechanisms practices are highlighted. Also, a policy analysis was developed to give an extended overview of the existing market structures and barriers, as well as, the technical features that are relevant for the development of a venture like me2.The report will end with a detailed description of what the me2 user will be like. This information is mostly based on the pre-pilot survey and on a cross-cultural analysis between Portugal and the Netherlands. This comparison is fundamental for a better understanding about the target community used in this project. Concerning to the functional systems requirements, they are also described in this report, giving special attention to what is called me2 Logic, that includes the front-end platform, back-end activities, and the algorithms to user engagement.Therefore, this report delivers, in a very detailed way, all the reviewed information and procedures needed to be determined prior to the platform’s establishment, and regarding its implementation for the project’s first pilot in Lisbon.
