Search

Abstract We report the first case of pancreatic stent (PS) migration placed early into the main pancreatic duct (MPD) during endoscopic retrograde cholangiopancreatography (ERCP) due to subsequent endoscopic papillary balloon dilation. A 74‐year‐old woman who complained of fever and abdominal pain was diagnosed with acute calculous cholangitis. On ERCP, a needle‐knife precut papillotomy was performed from the orifice because of difficult cannulation. Because of unintentional guidewire insertion into the MPD from the orifice, a PS with bilateral flaps was promptly placed to prevent post‐ERCP pancreatitis. After successful biliary cannulation from the orifice alongside the PS, endoscopic papillary balloon dialtion was performed, leading to PS migration into the MPD during the dilation. Two days after the first ERCP, the migrated PS was successfully removed on the second ERCP. The strategy of early PS placement in the ERCP session appears theoretically promising for preventing post‐ERCP pancreatitis. However, early PS placement during the ERCP session should be noted to pose the risk of migration into the MPD, especially when pushing the device into the bile duct.

The energy renovation of buildings is one of the main keys to achieve the decarbonisation objectives of the European Union (EU). In response, the Commission Recommendation (EU) 2019/786 proposed an assessment framework based on Measurable Progress Indicators (MPIs) to assess the decarbonisation. The objective of the study is to analyse the applicability of the MPIs in Spain; for this, the study analyses the viability of the MPIs and carries on the prioritization of the MPIs. Thus, the methodology is developed in three stages: (1) analysis of data availability the viability of each MPI; (2) prioritization of the MPIs by and expert round table (ERT); (3) applicability analysis of the prioritizing MPIs. Firstly, the analysis of viability shows that the data availability and the quality is limited, with many data source entities and big diversity of data features and quality. Secondly, the expert round table prioritized 8 MPIs regarding the EU’s targets in building renovation. Thirdly, the applicability evaluation finds out many barriers but also identifies the key points to launch the MPIs base assessment framework. The study identifies the entities that could likely carry on the data collection and other challenges like the digital building logbook (DBL) or the monitorization towards the efficient assessment of the renovation of the building.

A 58-year-old male with acute cholangitis due to a common bile duct stone underwent endoscopic retrograde cholangiopancreatography for stone removal with endoscopic papillary balloon dilation (EPBD) due to his high bleeding risk owing to maintenance dialysis and antiplatelet and anticoagulant medications. He had a history of stone removal using an EPBD. The stone was removed; however, the patient subsequently developed spurting bleeding and underwent endoscopic hemostasis. Despite the subsequent mild pancreatitis, he recovered with conservative management. While EPBD is considered a low-risk procedure for bleeding, caution should still be exercised due to the possibility of massive postprocedural bleeding.

This data article includes a dataset developed between 2020 and 2022 to characterize and analyze the state of energy efficiency of nearly zero energy buildings in ten Eastern European countries. The data article refers to the paper' Overview and future challenges of nearly zero-energy building (nZEB) design in Eastern Europe' (Attia and Kosinski et al., 2022). The data provides an overview of the status of building energy use, energy savings, and regulations for the newly constructed building stock, including Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, and Slovakia. The importance of the dataset lies in its unique approach of data collection that provides detailed information on electricity, gas, oil, coal, and wood used in the investigated countries between 2015 and 2020. The methodology involves compiling and fusing data from national registries and depositories written in ten different national languages. Thus, the data is not available in Eurostat or any EU platform. The methodology followed to produce the data is mainly a literature review of restricted national publications and an extensive questionnaire with 14 national experts involved with the nZEB implementation plans and policies. The data include several parameters, including building energy efficiency thresholds expressed in the form of primary energy use intensity; primary energy conversion factors; renewable energy shares; building envelope performance requirements; mechanical ventilation performance requirements; thermal comfort requirements; construction rates of residential buildings; and heat pumps market penetration expressed as heat pump units per 100 households. The data paper is valuable for scientists to conduct future research to implement energy efficiency measures and renewables towards energy-neutral buildings.

This paper presents the methodology for conducting a cost-optimal energy performance calculation of a solar hot water system, used for space heating and domestic hot water needs. The calculation is based on dynamic hourly methods, according to the new Energy Performance of Buildings’ (EPB) set of standards EN 15316:2017, and a revision of the standard EN 15316-5:2017 from the year 2021, dealing with storage-tank water temperature calculations. The paper provides proposals for modifications to these newly introduced standards, in order to overcome the observed ambiguities and shortcomings. The calculation of annual energy performance of a building was performed on an hourly basis over a year for the reference of an nZEB multi-apartment building, for a climate area of the city of Zagreb, taking into account water temperature change in the layers of the storage tank connected to solar collectors and hot water boilers. The cost-optimal solution was then determined by varying individual parameters of the building technical system. The influence of these parameters on the energy efficiency of the building was analyzed in detail. Furthermore, the results were compared against those obtained by the Croatian calculation algorithm based on the previous set of EPB standards, EN 15316:2008, currently used EU-wide for the energy performance certification of buildings. The results indicated that the calculation methods of the present algorithm underestimated the consumption of building primary energy by 12%. The energy delivered by solar collectors was underestimated by 18%.

In Europe, buildings are responsible for more than one third of the total final energy demands and greenhouse gas emissions. In the last twenty years, the European Union has published a succession of energy performance of building directives to define and ensure the fulfilment of a series of objectives regarding greenhouse gas emissions, energy consumption, energy efficiency and energy generation from renewable sources in buildings. For its part, Spain is adapting its legal framework, transposing these directives with the aim of achieving greater energy efficiency and sustainability for buildings. Under this context, an energy, economic and environmental assessment is performed to analyze the impact of these regulatory changes on a single-family home including a photovoltaic installation for self-consumption with surpluses and/or a solar thermal installation for domestic hot water supply, located in each one of the eight thousand one hundred thirty-one municipalities that make up Spain. The energy behavior of the original house is compared with that obtained after it is updated with these new facilities. The transient system simulation tool is used for the energy study. The results show that the European objectives are far exceeded. The energy savings achieved range from 67% to 126%, carbon dioxide emissions decrease by 42% to 100% and energy bills are reduced in cost by 32% to 81%. The findings of this work can be used by policymakers as guidelines for the development of national strategic plans and financial incentives for the promotion of small-scale residential photovoltaic and solar thermal applications, as well as by designers, supervisors, managers and developers to include them in their projects.

"Efficient Solutions and Cost-Optimal Analysis for Existing School Buildings" (Paolo Maria Congedo, Delia D’Agostino, Cristina Baglivo, Giuliano Tornese, Ilaria Zacà) [1] is the paper that refers to this article. It reports the data related to the establishment of several variants of energy efficient retrofit measures selected for two existing school buildings located in the Mediterranean area. In compliance with the cost-optimal analysis described in the Energy Performance of Buildings Directive and its guidelines (EU, Directive, EU 244,) [2,3], these data are useful for the integration of renewable energy sources and high performance technical systems for school renovation. The data of cost-efficient high performance solutions are provided in tables that are explained within the following sections. The data focus on the describe school refurbishment sector to which European policies and investments are directed. A methodological approach already used in previous studies about new buildings is followed (Baglivo Cristina, Congedo Paolo Maria, D׳Agostino Delia, Zacà Ilaria, 2015; IlariaZacà, Delia D’Agostino, Paolo Maria Congedo, Cristina Baglivo; Baglivo Cristina, Congedo Paolo Maria, D’Agostino Delia, Zacà Ilaria, 2015; Ilaria Zacà, Delia D’Agostino, Paolo Maria Congedo, Cristina Baglivo, 2015; Paolo Maria Congedo, Cristina Baglivo, IlariaZacà, Delia D’Agostino,2015) [4–8]. The files give the cost-optimal solutions for a kindergarten (REF1) and a nursery (REF2) school located in Sanarica and Squinzano (province of Lecce Southern Italy). The two reference buildings differ for construction period, materials and systems. The eleven tables provided contain data about the localization of the buildings, geometrical features and thermal properties of the envelope, as well as the energy efficiency measures related to walls, windows, heating, cooling, dhw and renewables. Output values of energy consumption, gas emission and costs are given for a financial and a macro-economic analysis. This data article provides 288 and 96 combinations for REF1 and REF2, respectively. The output values are obtained using the software ProCasaClima 2015v.2.0.

This data article contains eleven tables supporting the research article entitled: Cost-Optimal Design For Nearly Zero Energy Office Buildings Located In Warm Climates [1]. The data explain the procedure of minimum energy performance requirements presented by the European Directive (EPBD) [2] to establish several variants of energy efficiency measures with the integration of renewable energy sources in order to reach nZEBs (nearly zero energy buildings) by 2020. This files include the application of comparative methodological framework and give the cost-optimal solutions for non-residential building located in Southern Italy. The data describe office sector in which direct the current European policies and investments [3,4]. In particular, the localization of the building, geometrical features, thermal properties of the envelope and technical systems for HVAC are reported in the first sections. Energy efficiency measures related to orientation, walls, windows, heating, cooling, dhw and RES are given in the second part of the group; this data article provides 256 combinations for a financial and macroeconomic analysis.

The EU adopted the Energy Performance of Buildings Directive in 2003 to help to measure, manage and reduce energy consumption and consequential carbon emissions related to buildings. It introduced the concept of energy certificates for buildings on construction, sale or rent. It required energy certificates for display in many public buildings across Europe and introduced regular inspections of heating and air conditioning systems. The Directive was recast in 2010, to include a number of amendments aimed at improving the effectiveness of the legislation. The Directive is now being reviewed again and the European Commission, the Parliament and the Council of Ministers are now engaged in a three-way process of negotiation to finalise the text. This paper looks at the history of the implementation of the EPBD and considers how the recast might affect buildings in both Ireland and the UK. It also seeks to offer a wider perspective on how the Directive may be able to help address the energy challenges we face in both Ireland and the UK.

BUILD UPON2 project proposes to work with local, national and European stakeholders to create a Multi-Level Renovation Impact Framework that contains a suite of milestones and measurable progress indicators for building renovation strategies. This Framework will serve as tool for Cities in delivering the EPBD and ensure that local initiatives are aligned with national and European policies. The objective of the project’s Italian cluster is to gather together a number of cities and stakeholders aiming at sharing strategies and results of initiatives undertaken at city scale for the renovation of the building stock and testing the Multi-Level Renovation Impact Framework.

The effective design of nearly zero-energy buildings depends on a large set of interdependent variables, which affect both energy demand and supply. Considering them simultaneously is fundamental when searching for optimal design of nearly zero-energy buildings, as encouraged by the EU in the second recast of the Energy Performance of Building Directive (EPBD). This paper presents the application of the new energy demand and supply simultaneous optimization (EDeSSOpt) methodology to optimize the design of a single-family house in the Italian context. Both primary energy optimization and financial optimization are carried out in the context of European regulations. Robustness of the resulting optimal solution is studied through analysis of optimum neighborhoods. The resulting cost-optimized solution relies on a moderately insulated envelope, a highly efficient system, and 34% of coverage from renewables. The energy-optimized solution requires a higher level of insulation and a higher coverage from renewables, demonstrating that there is still a gap between energy and cost optimums. Beyond the results, integrated optimization by means of EDeSSOpt is demonstrated to better minimize cost functions while improving the robustness of results.

In the EU’s revised Energy Performance of Buildings Directive (EPBD), a smart readiness indicator (SRI) was introduced as an energy efficiency activity to promote smart ready technologies (SRT) in the building sector. The proposed methodology is based on the evaluation of building services and how they contribute on SRT. The purpose of this paper is to explore the applicability of the SRI to cold climate countries in Northern Europe. The Northern European countries are an interesting test environment for the indicator because of their advanced information and communication technology and high building energy consumption profiles. The findings imply that regardless of the SRI’s conceptualization as a system oriented (smart grid) approach, in its current form, it was not able to recognize the specific features of cold climate buildings, specifically those employing advanced district heating (DH) systems. Another, more practical, implication of the study was that due to the subjective nature of the proposed process for selecting SRI relevant building services, the applicability of SRI as a fair rating system across the EU member states is problematic.

Nearly Zero Energy Buildings (nZEB) are a significant part of the energy efficiency strategy of the European Union. As buildings represent approximately 40% of the final energy use in Europe, the reduction of their energy demand is key for a sustainable future. This paper takes a qualitative approach and presents data about professional and market barriers, as well as the educational market in relation to the implementation of nZEB policies for new and retrofit buildings in 11 European countries. Different levels of policy enactments and market penetration are reported and are generally found to be more advanced in western and central European countries. Furthermore, gender equality is examined in the building sector in relation to nZEB and presents significant gaps, with a more balanced situation reported in southern Europe. The accreditation and targeted education of nZEB experts is still almost non-existent in the examined countries, and the need for training of building professionals is highlighted as a critical missing component of current policy. This research aims to be the first step towards the creation of educational material and programmes as a mean to accelerate the transition to nZEB.

At the end of November 2016, the European Commission tabled the Clean Energy for All Europeans package, which represents a large set of proposals for several key directives related to energy. The package included proposed revisions to the Energy Performance of Buildings Directive (EPBD) which seek to update and streamline the Directive in several areas, including provisions to ensure buildings operate efficiently by encouraging the uptake of Information and Communication Technologies (ICT) and smart technologies. Although it can be argued that there is at present no commonly accepted definition of a “smart building”, the Commission’s proposed revision refers to three key features of a possible indicator of “smartness” in buildings: the technological readiness of a building to (1) interact with its occupants; (2) to interact with the grid; and (3) to manage itself efficiently. Using these three pillars of “smartness” as a methodological starting point, this paper identifies and analyses recent and ongoing Horizon 2020 research, innovation and market uptake projects which are investigating “smart buildings”. The research maps and examines the tasks, scope and innovations in areas that include building automation and control systems, demand response, energy management, ICT and user interfaces for energy efficiency.

CO2 reduction by means of energy conservation is an important topic in many governmental environmental policies. As new construction accounts for a fraction of the total building stock, the energy performance of existing dwellings is of great importance. Professional landlords can play a major role in energy conservation, but there are indications that the large energy conservation potential in their housing existing stock is only exploited to a minor extent. This paper presents a method to implement the topic energy conservation in the asset management of professional landlords, in order to establish an integration of energy conservation in their maintenance and renovation practice. This method is described in relation to the asset management of Dutch social housing landlords, but may also be useful for other professional landlords. The method takes advantage of the European EPBD (Energy Performance of Buildings Directive). Santrauka CO2 mažinimas taupant energija ‐ svarbi tema dažnoje valstybineje aplinkos apsaugos politikoje. Kadangi naujos statybos sudaro tik maža visu pastatu ištekliu dali, jau pastatytu bûstu energinis naudingumas labai svarbus. Profesionaliu nuomotoju vaidmuo taupant energija gali būti svarbus, tačiau yra ženklu, kad didžiulis ju turimu jau pastatytu būstu energijos taupymo potencialas išnaudojamas nedaug. Šiame darbe pristatomas metodas, kaip energijos taupymo tema itraukti i profesionaliu nuomotoju turto valdyma, kad energijos taupymas taptu ju priežiūros ir renovacijos praktikos dalis. Metodo aprašymas remiasi Olandijos socialinio būsto savininku turto valdymo praktika, bet jis gali būti naudingas ir kitiems profesionaliems nuomotojams. Metodas pagristas Europos EPBD (Direktyva del pastatu energetinio naudingumo). First published online: 18 Oct 2010