scholarly journals Carbon footprint as a marker of environmental impact in patients included in a remote monitoring pacemaker programme

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
P Perez Diaz ◽  
J Jimenez Diaz ◽  
F Higuera Sobrino ◽  
M C Bastante Diaz ◽  
E Campos Perez De Madrid ◽  
...  

Abstract Background When patients fitted with pacemakers have to attend arrhythmia appointments, this often involves their caregivers having to take time off work, along with an increase in spending on transport and the amount of CO2 emissions into the atmosphere (carbon footprint). The remote monitoring of pacemakers implemented at our Arrhythmia Unit reduces the social, occupational, financial and environmental impact. Purpose We describe the impact of remote monitoring of pacemaker implemented by our Arrhythmia Unit in our patient's live and the reduction in social, occupational and financial impact on these patients, and we quantify the decrease in CO2 emissions. Methods Prospective observational study including 160 patients on the remote monitoring programme between 2016 and 2017. We handed a satisfaction survey to these patients after the face-to-face monitoring appointment, which analysed variables such as waiting time, attention and treatment received, need for accompaniment of a relative, method of travel and kilometres travelled, etc. Finally, we quantified the carbon footprint of each patient's journey and compared the level to the results if all the monitoring appointments had been in person. Results Patients spent a median of 60±30 minutes in remote monitoring, with a distance travelled of 1.4±4.9 km. In face-to-face appointments, most patients were accompanied (85.6%) and arrived by private car (66.3%), with 54% of family members needing to take time off work. The median time spent was 150±120 minutes, and the distance travelled was 63±105 km. The carbon footprint emitted by individuals included in the remote monitoring programme was 138±114, with an estimated saving of 15±33 kg of CO2 (9.6%) per remote monitoring cycle (Figure 1). Conclusions The remote monitoring pacemaker programme in the health district of our city has a very positive healthcare, social-occupational and environmental impact, which is manifested both from an objective point of view (greater independence, less time spent per appointment, less distance travelled, fewer healthcare transport needs, less workplace absenteeism by family members and approximately a 10% reduction in CO2 emissions per monitoring cycle) and a subjective point of view (lower impact of appointments on patients' lives and greater perception of satisfaction from the patients and their companions). FUNDunding Acknowledgement Type of funding sources: None.

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
P Perez Diaz ◽  
M C Bastante Diaz ◽  
E Campos Perez De Madrid ◽  
A Fernandez Trujillo ◽  
L Cano Rosado ◽  
...  

Abstract Background When patients fitted with pacemakers have to attend arrhythmia appointments, this often reduces their independence and involves their caregivers having to take time off work, along with an increase in spending on healthcare transport. Purpose We describe the impact of remote monitoring of pacemaker implemented by our Arrhythmia Unit in our patient's live and the reduction in social, occupational and financial impact on these patients. Methods Prospective observational study including 160 patients on the remote monitoring pacemaker programme between January 2016 and January 2017. We handed a satisfaction survey to these patients after the face-to-face monitoring appointment, which analysed variables such as waiting time, attention and treatment received, need for accompaniment of a relative, method of travel and kilometres travelled, level of satisfaction with the remote monitoring system, proposals for improvement, etc. Results The patients spent a median of 60±30 minutes on the remote monitoring, with a distance travelled of 1.4±4.9 km, rating their level of satisfaction at the remote monitoring as excellent (35%), good (61%) and average (3%) (Figure 1). In the face-to-face appointment, most of them were accompanied (86%) and arrived by private car (66%), with 54% of family members needing to take time off work. 19.4% of patients arrived by ambulance and 8.8% by bus. The median time spent was 150±120 minutes, and the distance travelled was 63±105 km. Conclusions The remote monitoring pacemaker programme in our health district has a very positive healthcare and social-occupational impact, which is manifested both from an objective point of view (greater independence, less time spent per appointment, less distance travelled, fewer healthcare transport needs and less workplace absenteeism by family members, etc.) and a subjective point of view (lower impact of appointments on patients' lives and greater perception of satisfaction from the patients and their companions). FUNDunding Acknowledgement Type of funding sources: None.


Foods ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 1664
Author(s):  
Juan Sebastián Castillo-Valero ◽  
Inmaculada Carrasco ◽  
Marcos Carchano ◽  
Carmen Córcoles

The continuous growth of the international wine trade and the expansion of international markets is having significant commercial, but also environmental, impacts. The benefits of vineyards in terms of ecosystem service provision are offset by the increase in CO2 emissions generated by transportation. Denominations of Origin, as quality labels, emphasise a wine’s links to the terroir, where specific elements of culture and environment merge together. However, Denominations of Origin can also have differentiating elements as regards environmental performance. Drawing on an extended multiregional input–output model applied to the Spanish Denominations of Origin with the largest presence in the international wine trade, this study shows that wines with the greatest exporting tradition are those that most reduced their carbon footprint per litre of exported wine in the period 2005–2018, thus being the most environmentally efficient.


Author(s):  
N. Koshevsky

The introduction provides a brief review of the literature on methods for assessing the effectiveness of investment projects, based on which the choice of optimal sources of financing is made. In the main part of the work, various scenarios for the implementation of an investment project are disclosed: sources of financing that are alternative to the baseline scenario are attracted. In the final part of the work, the considered scenarios are assessed and conclusions are drawn.For each enterprise, improving the financial and economic efficiency of its activities is one of the priority tasks. These tasks include the need to increase the return on capital, the choice of funding sources that have a positive effect on economic efficiency. This paper examines the ways of choosing the optimal, from the point of view of the impact on economic efficiency, instruments for financing an investment project. A practical case of project financing with an assessment of the effectiveness of the implementation of an investment project is considered. To analyze the alternatives, a financial business model was developed, which allows you to quickly make changes, update performance indicators and make decisions about the required capital structure. It is concluded that the optimal capital structure with the highest NPV indicator and that when assessing the efficiency parameters, it is necessary to make an adjustment for the possible presence in the company's capital structure of funding sources that distort the comparability of the project in relation to projects without such sources (for example, budget grants).


Author(s):  
Maria Guadalupe Hernández-Rodríguez ◽  
Laura Antonia Ortega-Chávez ◽  
Iveth Selene Caro-Escudero ◽  
Alberto Guerrero Barraza-Alvárez

This article addresses the problem that is being generated by the use of mouth covers, gloves and masks used as protection against covid 19. After more than a year in a pandemic, the demand and waste of these protective implements has increased exponentially, which is why it is necessary to dispose of these sanitary wastes safely, to guarantee community health and the integrity of the environment. On the contrary, improper handling of such a volume of these wastes can have a rebound effect, both on people's health and on the environment. The objective of the research is to properly dispose of these wastes, through the use of special containers for this type of waste, as well as the proposal with the government and companies that use ovens for the production of their products, so that with the necessary measures They could dispose of this type of waste as raw material for their furnaces, since these companies have standards that they comply with to regulate the Co2 emissions that they emit into the environment, and thus minimize the impact that these wastes bring to the environment.


2021 ◽  
Vol 77 (1) ◽  
pp. 85-95
Author(s):  
Viktoriia Khrutba ◽  
Yevheniia Anpilova ◽  
Vitalina Lukianova ◽  
Iryna Kotsiuba ◽  
Lesia Kriukovska ◽  
...  

From the point of view of the system approach, the interrelation in the system “highway repair – environment” was investigated, which allowed systematizing the main aspects of environmental impact during the technological process of road repair. As a result of the parametric analysis of the subsystems that make up the system, the main groups of environmental parameters that are subject to the effects of technological processes of road repair were identified. The mathematical model of cause-effect relationships in the system under study allows identifying the main aspects of environmental impact during technological processes of road construction and reconstruction. Its application in environmental impact assessment allows forming a criteria base for environmental impact assessment. The article defines the relationship between the process of performing a certain stage of repair work on the project of construction of the highway of state importance N-31 Dnipro – Tsarychanka – Kobeliaky – Reshetylivka and its impact on the environment.


2021 ◽  
Vol 1209 (1) ◽  
pp. 012018
Author(s):  
M Garaj ◽  
M Zeleňaková

Abstract The most discussed topics in the 21st century at the global level are climate change, carbon neutrality, digitization and globalization. They have impact on the lives of all people, the quality of the environment in which we live, the health of the whole population, the development of cities and urban areas, the development and direction of industry and its new technologies, and last but not least, they shape humanity to which they are giving direction. To meet our 2030 goals, we need to know where we are now from carbon footprint point of view and where CO2 production comes from around us.


2018 ◽  
Vol 10 (11) ◽  
pp. 4190 ◽  
Author(s):  
Rasadhika Sharma ◽  
Trung Nguyen ◽  
Ulrike Grote

Economic growth coupled with population increase and globalization have engendered structural changes in consumption patterns around the world. Contingent on their composition, these changes can be demanding on natural resources and pose unsustainable challenges for the environment. The paper aims to provide a general framework to assess the link between changing consumption patterns and their environmental impact by focusing on the rising beef demand in Vietnam. It draws from secondary literature and data to find that the increased beef demand in Vietnam is mostly met domestically, but there is a major dependency on imports. Within Vietnam, the rising demand has contributed substantially to the carbon footprint and land use and raised waste disposal concerns. To understand the impact of Vietnamese beef demand at the global level, the paper looks at Australia. Carbon footprint and land use are estimated to provide a perspective on the plausible scale of environmental damage that can be ensued in the future. Changes in consumption patterns are an integral part of our world and will play a significant role in determining the sustainable future of our planet. Therefore, it is important to attain a better understanding of the theme and its possible impact on the environment.


Author(s):  
Petir Papilo ◽  
Hartrisari H

<p>The implementation of the mandatory policy of mixing (blending) between biofuels into the fuel has an impact on the icreasing of biodiesel needs, increasing the oil palm plantation area and environmental impact in the form of CO2 emissions by the year 2025. This study aimed to identify the level of each factor needs as well as the impact on the environment. Through the analysis of the design of mathematical models, it is known that the gradually until 2030 has been an increased need for biofuels amounted 14.79 million KL. In an effort to meet the needs of the necessary biofuel oil palm plantations of 35,2 million hectares and an increase in CO2 emissions of 5,41 Gg t CO2.</p><p>Keywords: Biodiesel, CO2 Emission, Land Area, Mandatory Policy. Biodiesel, CO2 Emission, Land Area, Mandatory Policy</p>


eLife ◽  
2020 ◽  
Vol 9 ◽  
Author(s):  
Verena Haage

Awareness of the environmental impact of conferences is growing within the scientific community. Here we report the results of a survey in which scientists in Germany were asked about their attendance at conferences, their reasons for attending, and their willingness to explore new approaches that would reduce the impact of conferences on the environment. A majority of respondents were keen to reduce their own carbon footprint and were willing to explore alternatives to the traditional conference.


2021 ◽  
Author(s):  
Srbuhi Gevorgyan

The article analyzes the features of the impact of the environment in various socio-psychological paradigms. It has been substantiated that the definition of the most important skills of teaching, raising a child, an approach to him, understanding his unique characteristics depend on the sources and patterns of the child's mental development. The article also analyzes certain sections of social psychology from the point of view of the influence of the environment on the child.


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