This study develops a reproducible method for estimating the cost-efficient flexibility potential of a local or regional energy system. Future scenarios that achieve ambitious climate targets and estimate the cost-efficient flexibility potential of demonstration sites were defined. Flexible potentials for energy system assessment are upscaled from the demonstration sites in Eskilstuna (Sweden) and Lower Austria (Austria). For example, Eskilstuna uses the building-stock model ECCABS and the TIMESCity-heat model for upscaling, whereas Lower Austria uses the Mixed Integer Linear Programming (MILP) optimization model, the BALMORAL power system model, and the Integrated MARKAL-EFOM System energy system modeling tool. According to the modeling, HPs will dominate Eskilstuna’s heating sector by 2040. Building rehabilitation reduces energy use in Lower Austria, where residential fossil fuel use ends in 2040. Heat pumps and district heating are critical for future heat demand. These findings are explained by the postulated technological-economic parameters, energy prices, and CO2 prices. We conclude that future electricity prices will determine future heating systems: either a high share of centralized heat pumps (low electricity prices) or a high share of combined heat-and-power (high electricity prices). Large-scale energy storage may be crucial. Furthermore, district heating companies have demand-side flexibility, but centralized flexible systems are the most cost effective.
work, insufficient vacation time, affected personal health, unexpected or short notice in shift arrangements, low respect at work, and salary and benefits. Conclusions The problem of high percentage of nurses considering leaving job has been real. This problem was related to high burnout and conflicting with family needs in nurses, most likely caused by high work load and problems in work arrangements.
In the Russian literature, insufficient attention is given to the study of the flow of human papillomavirus infection in couples. The aim of the study was to establish the frequency of infection with oncogenic HPV types and clinical manifestations of human papillomavirus infection in regular sexual partners. Surveyed 38 couples who are regular sexual partners in the past three years and denying unauthorized sex. PVI revealed at 70.9 per cent of women who had contact with an infected partner and 79.8 per cent of men. The average age for first sexual intercourse in women was 18.2 years, men - 16.7 years. 80% of men before marriage had more than 5 sexual partners. In 37 of 38 pairs of HPV types of high oncogenic risk coincide. The most frequently detected HPV type 16, are a few less - HPV 51, 31 and 39. Clinical manifestation of HPV infection among sexual partners of the 38 couples not identified, subclinical form of infection in women and men after colposcopy and peniscopy were found with equal frequency (18.4%) and (15,8%), respectively. The descriptions of peniscopy in men with HPV of high oncogenic risk was done.
Основные предикторы развития папилломавирусной инфекции у супружеских пар о.В. лысЕНКо 1 , о.р. ЗиГаНшиН, д.а. МарКЕЕВаГБоу Впо «Южно-уральский государственный медицинский университет» Минздрава россии, Челябинск, россия, 454092Генитальная инфекция, передаваемая половым путем (иппп), вызванная онкогенными типами вируса папилломы человека (ВпЧ), является наиболее важным фактором риска рака шейки матки. Мужчины, как постоянные половые партнеры женщин, могут быть источником инфицирования ВпЧ. Тем не менее представления о факторах риска развития папилломавирусной инфекции (пВи) у мужчин ограничены. Цель исследования -сравнительное изучение предикторов развития пВи у женщин и мужчин из 38 семейных пар, инфицированных онкогенными типами ВпЧ. Материал и методы. анамнестические данные о предполагаемых факторах риска пВи супругов были зафиксированы в анкетах. результаты и выводы. В ходе проведенного анализа установлено, что количество сексуальных партнеров у мужчин гораздо выше, чем у их супруг (7,7 и 2,4 человек соответственно). при этом мужчины начинают половую жизнь раньше женщин (16,7 и 18,2 года соответственно), поэтому половые партнеры женщин, инфицированных ВпЧ, нуждаются в тщательном обследовании на пВи.Ключевые слова: папилломавирусная инфекция, предикторы. sexually transmitted genital infection (sTi) caused by oncogenic types of human papillomavirus (hpV) is the most important risk factor for cervical cancer. Males, who are permanent sexual partners of females, can be a source of hpV infection. however, the knowledge about the risk factors for hpV infection (pVi) in males is limited. The main predictors of human papillomavirus infection in couplesObjective. a comparative study of pVi predictors in females and males in 38 married couples infected with oncogenic hpV types. Material and methods. a anamnestic data of probable pVi risk factors were recorded in the questionnaires. Results and conclusions. The analysis revealed that males have much higher number of sexual partners, than their wives (7.7 and 2.4, respectively). Furthermore, males start having sex earlier than females (16.7 and 18.2 years, respectively). Therefore, careful pVi screening of sexual partners of females infected with hpV is required.
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