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Framework to Facilitate Electricity and Flexibility Trading within, to, and from Local Markets

Peer-to-peer (P2P) electricity sharing or trading can empower consumers and prosumers, incentivize the balancing of generation and demand locally, increase system resilience and reliability, and help in achieving societal goals, such as increasing renewable energy penetration. Nevertheless, the development of P2P trading in actual environments has been slow due to the unclear position of P2P markets in the power system. Recent developments in the European legislation are promising for the establishment of P2P markets and energy communities. Hence, the interplay between local trading and existing market structures needs to be addressed carefully. Furthermore, P2P trading with distributed resources presumes that electricity end users will become active players in the power system. This paper proposes a bidding and pricing mechanism for local markets, considering the external markets; a new approach to balance settlement and balance responsibility when local trading occurs; and an interface to promote end-user interest in, and interactions with, local energy trading. The proposed local market concept and interface solution promote the coupling between local and existing retail, wholesale and ancillary service markets, and can be seen as a step towards the establishment of local energy markets in real-life settings.

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Revealing social values in the context of peer-to-peer energy sharing: A methodological approach

• A social values-based assessment framework framed on P2P energy sharing is given. • The framework assesses whether social values emerge from the ground up or are reinforced/modified. • The impact of the framework on 123 end-users from 3 real-life pilots is analysed. • Social values were mainly considered to have been reinforced by P2P energy sharing. • Framework is scalable if result interpretations undergo a cohesive validity check. Peer-to-peer (P2P) energy sharing models fundamentally thrive on the social interconnectedness among end-users, but the literature fails to provide fit-for-purpose methodologies that uncover their Social Sciences & Humanities aspects. Therefore, this paper devised the first overarching social values-based assessment framework that allows the identification of underlying social values associated with these models. Thence, this paper looks at whether social values emerge from the ground up due to P2P energy sharing, or whether existent social values are reinforced/modified by P2P energy sharing. The impact of the framework on 123 end-users from 3 real-life pilots is analysed. The social values enacted in this paper were mainly categorised as existing social values that were reinforced by peer-to-peer energy sharing. This framework is scalable, provided that result interpretations undergo a cohesive validity check on a case-by-case basis. In conclusion, this paper expects to create a new social values-based language that is explicitly associated with P2P energy sharing.

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A pragmatic approach towards end-user engagement in the context of peer-to-peer energy sharing

Peer-to-peer (P2P) energy sharing is a fast-emerging concept that concerns electricity exchanges between grid-connected end-users. This innovative user-centric market model incentivises the creation of more distributed, collaborative, and democratised energy networks compared to traditional ones. Current research on P2P energy sharing has essentially focused on the definition of its techno-economic attributes, hence sound research on end-user engagement in this context is still lacking in the scientific literature. This paper addresses this knowledge gap by proposing a novel end-user engagement framework constructed around the P2P energy sharing context that was trialled in 3 different pilots in Portugal. These pilots represent the first Portuguese testing grounds where this concept was demonstrated under real market conditions. Findings based on a sample of 123 participants suggest that the proposed framework was effective in raising awareness and empowering unmotivated, passive end-users in an initial phase of the project implementation, as well as in retaining the interest of motivated end-users during a later phase. Furthermore, the empirical analysis allowed to conclude that participation in the project was predominantly voluntary rather than coerced. The proposed end-user engagement framework contributes to the scientific literature since it facilitates and guides the design of future P2P energy sharing initiatives.

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Use and Outcomes of Nasotracheal Intubation Among Patients Requiring Mechanical Ventilation Across U.S. PICUs.

The use and outcomes of nasotracheal intubation in pediatric patients requiring mechanical ventilation have not been quantified. Our goal is to identify prevalence of use, associated factors, and outcomes of nasotracheal versus orotracheal intubation in patients requiring mechanical ventilation. Retrospective cohort study using deidentified data from the Virtual Pediatric Systems database. Data from PICU admissions from January 1, 2015, to December 31, 2016 were analyzed. One hundred twenty-one PICUs located within the United States. PICU admissions requiring an endotracheal tube-either nasotracheal or orotracheal-were included. Those with a tracheostomy tube present at admission were excluded from the study. Not applicable. Among the 121 PICUs included in the study, 64 PICUs (53%) had zero nasotracheal intubations during the reviewed time period. There were 12,088 endotracheal intubations analyzed, and 680 of them (5.6%) were nasotracheal. Of those patients nasotracheally intubated, most were under 2 years old (88.1%), and 82.2% of them were classified as a cardiac patient. Among these young cardiac patients, the rate of unplanned extubation was 0% in the nasotracheal intubated versus 2.1% in the orotracheal intubated group (p < 0.001) CONCLUSIONS:: Nasotracheal intubation is used in a minority of U.S. PICUs and mainly among young cardiac patients. Nasotracheal intubation is associated with a lower rate of unplanned extubations in this patient population. Future prospective studies analyzing the benefits and complications of nasotracheal versus orotracheal intubation in pediatric patients requiring mechanical ventilation are indicated.

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