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Concentrated solar power (CSP)—photovoltaic (PV) hybrid power plants allow for the generation of cheap electrical energy with a high capacity factor (CF). A deep integration of both technologies offers synergies, using parts of the PV generated electricity for heating the thermal storage tank of the CSP unit. Such configurations have been previously studied for systems coupled by an electric resistance heater (ERH). In this work, the coupling of a CSP and a PV plant using a heat pump (HP) was analyzed due to the higher efficiency of heat pumps. The heat pump is used as a booster to lift the salt temperature in the storage system from 383 to 565 °C in order to reach higher turbine efficiency. A techno-economic analysis of the system was performed using the levelized cost of electricity (LCOE), the capacity factor and nighttime electricity fraction as variables for the representation. The CSP–PV hybrid with a booster heat pump was compared with other technologies such as a CSP–PV hybrid plant coupled by an electric heater, a standalone parabolic trough plant (PT), a photovoltaic system with battery storage (PV–BESS), and a PV thermal power plant (PVTP) consisting of a PV plant with an electric heater, thermal energy storage (TES) and a power block (PB). [ABSTRACT FROM AUTHOR]

Objective: To evaluate the clinical performance, quality of life (QoL) and patient satisfaction with an innovative flat-knit compression garment for the daytime treatment of lymphoedema patients in daily routine. Method: In a prospective multicentre observational study, patients with leg or arm lymphoedema (stage I-II, International Society of Lymphology (ISL) standards, 2016) received a made-to-measure flat-knit compression class 2 JOBST Confidence (BSN-JOBST GmbH, Germany) thigh-high stocking or arm sleeve. Primary endpoint was the oedema status as determined by the mean sum of the circumferences at the beginning and the end of the wearing period. Secondary endpoints included QoL-related parameters and patient satisfaction with product features assessed through questionnaires. The observation period lasted three weeks. Results: A total of 97 patients (87 females, 10 males), of which 65 had leg lymphoedema and 32 had arm lymphoedema, received the study device. The oedema status was effectively maintained (slight reduction in mean sum of circumferences by –3.1±7.3cm; p=0.0001). For QoL-related parameters, the patients reported fewer limitations in work, leisure and psychological wellbeing after wearing the stocking or arm sleeve (all p-values <0.0001). They also experienced less limitations in function and movement, feeling of tension and heaviness, and fewer difficulties wearing clothes, shoes, jewellery or watches at study end (all p-values <0.0001). In terms of pleasant feeling on the skin, moisture management, softness of material, range of motion, overall wearing comfort and heat build-up under the garment, patients were more satisfied with the tested compression garment than with previously worn compression garments (all p-values <0.001). Conclusion: In this study, the tested innovative compression product increased patient satisfaction with the improved product features while the lymphoedema status was successfully maintained. [ABSTRACT FROM AUTHOR]

Objective: This study investigates whether psychological well‐being in post‐bariatric patients seeking body contouring procedures differs from those who do not seek body contouring procedures, those who have already undergone body contouring procedures, and those who are unsure about body contouring procedures. Methods: An anonymous, nonrandomized, cross‐sectional survey study was designed. Psychological well‐being of four groups of post‐bariatric‐patients (undergone body contouring procedures, seeking body contouring procedures, not seeking body contouring procedures, unsure about body contouring procedures) were compared. Results: A total of 345 patients were included in this study. No significant difference between patients seeking body contouring procedures and those not seeking body contouring procedures was found with regard to depressive symptoms, self‐esteem, and body image. Patients who had already undergone body contouring procedures scored lower on depressive symptoms (p = 0.035) and reported feeling more attractive (p < 0.001) and less insecure (p = 0.030) than patients who had not yet undergone body contouring procedures but sought it. Satisfaction with the result of the body contouring procedures was associated with lower depression levels (p < 0.001), higher self‐esteem (p < 0.001) and a more positive body‐image (p < 0.001). Conclusions: Depressive symptoms or low self‐esteem are not motivational factors for post‐bariatric patients to seek body contouring procedures. Body contouring procedures are associated with improvement in psychological well‐being in post‐bariatric patients. Patients' satisfaction with the result of the body contouring procedures is significantly associated with positive psychological well‐being. [ABSTRACT FROM AUTHOR]