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See detailRobust method optimization strategy – a useful tool for method transfer: the case of SFC
Dispas, Amandine ULg; Lebrun, Pierre ULg; Andri, Bertyl ULg et al

in Journal of Pharmaceutical & Biomedical Analysis (2014), 88

The concept of Quality by Design (QbD) is now well established in pharmaceutical industry and should be applied to the development of any analytical methods. In this context, the key concept of Design ... [more ▼]

The concept of Quality by Design (QbD) is now well established in pharmaceutical industry and should be applied to the development of any analytical methods. In this context, the key concept of Design Space (DS) was introduced in the field of analytical method optimization. In chromatographic words, the DS is the space of chromatographic conditions that will ensure the quality of peaks separation, thus DS is a zone of robustness. In the present study, the interest of robust method optimization strategy was investigated in the context of direct method transfer from sending to receiving laboratory. The benefit of this approach is to speed up the method life cycle by performing only one quantitative validation step in the final environment of method use. A Supercritical Fluid Chromatography (SFC) method previously developed was used as a case study in this work. Moreover, the interest of geometric transfer was investigated simultaneously in order to stress a little bit more the transfer exercise and, by the way, emphasize the additional benefit of DS strategy in this particular context. Three successful transfers were performed on two column geometries. In order to compare original and transferred methods, the observed relative retention times (RT) were modelled as a function of the predicted relative RT and of the method type (original or transferred). The observed relative RT of the original and transferred methods are not statistically different and thus the method transfer is successfully achieved thanks to the robust optimization strategy. Furthermore, the analytical method was improved considering analysis time (reduced five times) and peak capacity (increased three times). To conclude, the advantage of using a DS strategy implemented for the optimization and transfer of SFC method was successfully demonstrated in this work. [less ▲]

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See detailPas de culture de sécurité sans un leadership totalement convaincu, impliqué et moteur dans la démarche
COUCKE, Philippe ULg

in Healthcare Executive (2014)

La culture de sécurité en santé publique a 40 ans de retard Le rapport de l’IOM (Institute of Medicine), publié en 1999, met le doigt sur les risques auxquels les patients s’exposent en rentrant dans un ... [more ▼]

La culture de sécurité en santé publique a 40 ans de retard Le rapport de l’IOM (Institute of Medicine), publié en 1999, met le doigt sur les risques auxquels les patients s’exposent en rentrant dans un secteur hospitalier. Ces nombres éloquents ne sont pas l’apanage d’un système de santé publique particulier, par ailleurs fortement décrié et propre aux Etats Unis d’Amérique. Les statistiques dans d’autres systèmes de santé sont identiques et l’OMS clame aujourd’hui que, lorsque vous êtes admis dans un hôpital, vous avez 10% de risque d’en sortir moins bien qu’à l’entrée (European Union Network for Patient Safety). Et pourtant, tous les acteurs du terrain se gargarisent avec le slogan «priorité à la sécurité». Malheureusement, il s’agit là souvent simplement d’un slogan qui ne se reflète pas dans nos pratiques journalières. Et c’est là que le secteur de la santé se différencie singulièrement des autres domaines d’activités industrielles dits à haut risque (aviation civile, centrales atomiques, industrie alimentaire), qui ont depuis longue date un «management du risque opérationnel» organisé, structuré et prospectif. Un des principes de base du management du risque est la mesure: dans les écoles managériales on apprend que l’on ne peut manager ce que l’on ne mesure pas. Mesurons-nous les risques en santé publique? Avons-nous des indicateurs fiables, reproductibles, transparents qui nous donnent une idée de la sécurité et de la qualité de nos pratiques? L’incidence des risques systémiques – et je préfère utiliser ce terme plutôt que celui d’«erreur médicale» – est certainement sous-estimée, car il n’y pas en santé publique une culture de sécurité qui prône la déclaration spontanée et transparente de tous les événements, qu’ils soient indésirables (sans effet délétère pour le patient) ou greffés d’effet mineur (incident) ou majeur (accident). [less ▲]

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See detailLimestone fillers cement-based composites: effects of blast furnace slags on fresh and hardened properties
Courard, Luc ULg; Michel, Frédéric ULg

in Construction and Building Materials (2014), 51

Limestone filler is a raw material that is already used in several applications like paints, bricks, bituminous mixtures…etc. Moreover, and particularly in Belgium, classical additions for concrete like ... [more ▼]

Limestone filler is a raw material that is already used in several applications like paints, bricks, bituminous mixtures…etc. Moreover, and particularly in Belgium, classical additions for concrete like fly ashes and granulated blast furnace slags are becoming rare; there is a need for new additions that could have a positive effect on the properties of the fresh and hardened cementitous composites. Substitution of limestone filler in Portland cement and Granulated blast furnace slag cement has been realized between 15 and 27 % in mass. In addition to the characterization of the powder itself – specific mass, specific surface and laser granulometry – the problem of the water demand has been analysed: it seems that it remains constant with the substitution rate. Electric conductivity has also been performed in order to study the evolution of the “dormant” period. Tests on hardened mortars were performed with regard to mechanical properties and evolution of the porosity. Test results indicate that the porosity seems to be finer in the case of granulated blast furnace slags cements, partially due to a very low diameter of the slags particles. Oxygen permeability doesn’t seem to be influenced by the filler while capillary absorption increases with substitution rate. Finally, carbonation rate, sulphate resistance and chloride penetration show quite interesting behaviours, leading to the conclusion that limestone fillers maybe a good substitution material. [less ▲]

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See detailEnzymatic creatinine assays allowestimation of glomerular filtration rate in stages 1 and 2 chronic kidney disease using CKD-EPI equation
Kuster, Nils; Cristol, Jean-Paul; CAVALIER, Etienne ULg et al

in Clinica Chimica Acta (2014), 428

The National Kidney Disease Education Program group demonstrated that MDRD equation is sensitive to creatinine measurement error, particularly at higher glomerular filtration rates. Thus, MDRD-based eGFR ... [more ▼]

The National Kidney Disease Education Program group demonstrated that MDRD equation is sensitive to creatinine measurement error, particularly at higher glomerular filtration rates. Thus, MDRD-based eGFR above 60 mL/min/1.73 m2 should not be reported numerically. However, little is known about the impact of analytical error on CKD-EPI-based estimates. This study aimed at assessing the impact of analytical characteristics (bias and imprecision) of 12 enzymatic and 4 compensated Jaffe previously characterized creatinine assays on MDRD and CKD-EPI eGFR. In a simulation study, the impact of analytical error was assessed on a hospital population of 24 084 patients. Ability using each assay to correctly classify patients according to chronic kidney disease (CKD) stages was evaluated. For eGFR between 60 and 90 mL/min/1.73 m2, both equations were sensitive to analytical error. Compensated Jaffe assays displayed high bias in this range and led to poorer sensitivity/specificity for classification according to CKD stages than enzymatic assays. As compared to MDRD equation, CKD-EPI equation decreases impact of analytical error in creatinine measurement above 90 mL/min/1.73 m2. Compensated Jaffe creatinine assays lead to important errors in eGFR and should be avoided. Accurate enzymatic assays allow estimation of eGFR until 90 mL/min/1.73 m2 with MDRD and 120 mL/min/1.73 m2 with CKD-EPI equation. [less ▲]

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See detailRecommandations européennes pour la prise en charge des cardiopathies congénitales complexes de l'adulte
MILTNER, Béatrice ULg; LANCELLOTTI, Patrizio ULg; SEGHAYE, Marie-Christine ULg

in Revue Médicale de Liège (2014), 69(1), 16-25

THe number of patients with Grown-Up Congenital Heart disease (GUCH) consulting adult cardiologists is steadily increasing. These patients have either a non-diagnosed congenital heart disease revealed at ... [more ▼]

THe number of patients with Grown-Up Congenital Heart disease (GUCH) consulting adult cardiologists is steadily increasing. These patients have either a non-diagnosed congenital heart disease revealed at adulthood, or a diagnosed congenital heart disease for which one or multiple interventions have possibly been performed during childhood. In this article, we summarize the recommendations of the European Society of Cardiology of 2010 for complex congenital heart disease. [less ▲]

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See detailLe canon littéraire au crible des Physiologies
Stienon, Valérie ULg

in Revue d'Histoire Littéraire de la France (2014), 1

Gustave Lanson considérait les productions mineures comme le tissu conjonctif de l’histoire littéraire. Un tel point de vue peut rapidement faire apparaître les Physiologies parisiennes des années 1830 ... [more ▼]

Gustave Lanson considérait les productions mineures comme le tissu conjonctif de l’histoire littéraire. Un tel point de vue peut rapidement faire apparaître les Physiologies parisiennes des années 1830-1845 comme le laboratoire de bien des esthétiques modernes, ce corpus étant d’autant plus inventif qu’il procède pour une grande part des poétiques d’écriture hybrides et expansives de la presse. Parce qu'elles sont enclines à traiter du personnel, des lieux et des pratiques littéraires à partir d'une fraction symboliquement réprouvée, sinon marginale, de la production littéraire, les Physiologies peuvent assumer tout à la fois une fonction de régulation et de révélation des processus de légitimation. L'article met en évidence ce double rôle d'élucidation et d'observation participante manifestée par ces textes. [less ▲]

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See detailLymphangiogenesis
Paupert, Jenny ULg; Noël, Agnès ULg

in MacGraw-Hill Education Year Book of Sciences and Technology 2014 (2014)

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See detailA missense mutation accelerating the gating of the lysosomal Cl-/H+-exchanger ClC-7/Ostm1 causes osteopetrosis with gingival hamartomas in cattle.
Sartelet, Arnaud ULg; Stauber, Tobias; Coppieters, Wouter ULg et al

in Disease Models & Mechanisms (2014), 7

Chloride/proton exchange by the lysosomal anion transporter ClC-7/Ostm1 is of pivotal importance for the physiology of lysosomes and bone resorption. Mice lacking either ClC-7 or Ostm1 develop a lysosomal ... [more ▼]

Chloride/proton exchange by the lysosomal anion transporter ClC-7/Ostm1 is of pivotal importance for the physiology of lysosomes and bone resorption. Mice lacking either ClC-7 or Ostm1 develop a lysosomal storage disease and mutations in either protein have been found to underlie osteopetrosis in mice and humans. Some human disease-causing CLCN7 mutations accelerate the usually slow voltage-dependent gating of ClC-7/Ostm1. However, it has remained unclear whether the fastened kinetics is indeed causative for the disease. Here we identified and characterized a new deleterious ClC-7 mutation in Belgian Blue Cattle with a severe symptomatology including peri-natal lethality and in most cases gingival hamartomas. By autozygosity mapping and genome-wide sequencing we found a handful of candidate variants, including a cluster of three private SNPs causing the substitution of a conserved tyrosine in the CBS2 domain of ClC-7 by glutamine. The case for ClC-7 was strengthened by subsequent examination of affected calves that revealed severe osteopetrosis. The Y750Q mutation largely preserved the lysosomal localization and assembly of ClC-7/Ostm1, but drastically accelerated its activation by membrane depolarization. These data provide first evidence that accelerated ClC-7/Ostm1 gating per se is deleterious, highlighting a physiological importance of the slow voltage-activation of ClC-7/Ostm1 in lysosomal function and bone resorption. [less ▲]

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See detailGeometrically exact beam finite element formulated on the special Euclidean group SE(3)
Sonneville, Valentin ULg; Cardona, Alberto; Bruls, Olivier ULg

in Computer Methods in Applied Mechanics & Engineering (2014), 268

This paper describes a dynamic formulation of a straight beam finite element in the setting of the special Euclidean group SE(3). First, the static and dynamic equilibrium equations are derived in this ... [more ▼]

This paper describes a dynamic formulation of a straight beam finite element in the setting of the special Euclidean group SE(3). First, the static and dynamic equilibrium equations are derived in this framework from variational principles. Then, a non-linear interpolation formula using the exponential map is introduced. It is shown that this framework leads to a natural coupling in the interpolation of the position and rotation variables. Next, the discretized internal and inertia forces are developed. The semi-discrete equations of motion take the form of a second-order ordinary differential equation on a Lie group, which is solved using a Lie group time integration scheme. It is remarkable that no parameterization of the nodal variables needs to be introduced and that the proposed Lie group framework leads to a compact and easy-to-implement formulation. Some important numerical and theoretical aspects leading to a computationally efficient strategy are highlighted and discussed. For instance, the formulation leads to invariant tangent stiffness and mass matrices under rigid body motions and a locking free element. The proposed formulation is successfully tested in several numerical static and dynamic examples. [less ▲]

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See detailQuantifying cortical EEG responses to TMS in (un)consciousness
Sarasso, S; Rosanova, M; Casali, A.G et al

in Clinical EEG and Neuroscience : Official Journal of the EEG and Clinical Neuroscience Society (ENCS) (2014)

We normally assess another individual's level of consciousness based on her or his ability to interact with the surrounding environment and communicate. Usually, if we observe purposeful behavior ... [more ▼]

We normally assess another individual's level of consciousness based on her or his ability to interact with the surrounding environment and communicate. Usually, if we observe purposeful behavior, appropriate responses to sensory inputs, and, above all, appropriate answers to questions, we can be reasonably sure that the person is conscious. However, we know that consciousness can be entirely within the brain, even in the absence of any interaction with the external world; this happens almost every night, while we dream. Yet, to this day, we lack an objective, dependable measure of the level of consciousness that is independent of processing sensory inputs and producing appropriate motor outputs. Theoretically, consciousness is thought to require the joint presence of functional integration and functional differentiation, otherwise defined as brain complexity. Here we review a series of recent studies in which Transcranial Magnetic Stimulation combined with electroencephalography (TMS/EEG) has been employed to quantify brain complexity in wakefulness and during physiological (sleep), pharmacological (anesthesia) and pathological (brain injury) loss of consciousness. These studies invariably show that the complexity of the cortical response to TMS collapses when consciousness is lost during deep sleep, anesthesia and vegetative state following severe brain injury, while it recovers when consciousness resurges in wakefulness, during dreaming, in the minimally conscious state or locked-in syndrome. The present paper will also focus on how this approach may contribute to unveiling the pathophysiology of disorders of consciousness affecting brain-injured patients. Finally, we will underline some crucial methodological aspects concerning TMS/EEG measurements of brain complexity. [less ▲]

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See detailAssessing consciousness in coma and related states using transcranial magnetic stimulation combined with electroencephalography.
Gosseries, Olivia ULg; Thibaut, Aurore ULg; Boly, Mélanie ULg et al

in Annales Françaises d'Anesthésie et de Réanimation (2014)

Thanks to advances in medical care, an increased number of patients recover from coma. However, some remain in vegetative/unresponsive wakefulness syndrome or in a minimally conscious state. Detection of ... [more ▼]

Thanks to advances in medical care, an increased number of patients recover from coma. However, some remain in vegetative/unresponsive wakefulness syndrome or in a minimally conscious state. Detection of awareness in severely brain-injured patients is challenging because it relies on behavioral assessments, which can be affected by motor, sensory and cognitive impairments of the patients. Other means of evaluation are needed to improve the accuracy of the diagnosis in this challenging population. We will here review the different altered states of consciousness occurring after severe brain damage, and explain the difficulties associated with behavioral assessment of consciousness. We will then describe a non-invasive technique, transcranial magnetic stimulation combined with high-density electroencephalography (TMS-EEG), which has allowed us to detect the presence or absence of consciousness in different physiological, pathological and pharmacological states. Some potential underlying mechanisms of the loss of consciousness will then be discussed. In conclusion, TMS-EEG is highly promising in identifying markers of consciousness at the individual level and might be of great value for clinicians in the assessment of consciousness. [less ▲]

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See detailEffect of zolpidem in chronic disorders of consciousness: a prospective open-label study.
Thonnard, Marie ULg; Gosseries, Olivia ULg; Demertzi, Athina ULg et al

in Functional Neurology (2014)

Zolpidem has been reported as an "awakening drug" in some patients with disorders of consciousness (DOC). We here present the results of a prospective openlabel study in chronic DOC patients. Sixty ... [more ▼]

Zolpidem has been reported as an "awakening drug" in some patients with disorders of consciousness (DOC). We here present the results of a prospective openlabel study in chronic DOC patients. Sixty patients (35±15 years; 18 females; mean time since insult ± SD: 4±5.5 years; 31 with traumatic etiology) with a diagnosis of vegetative state/unresponsive wakefulness syndrome (n=28) or minimally conscious state (n=32) were behaviorally assessed using the Coma Recovery Scale-Revised (CRS-R) before and one hour after administration of 10 mg of zolpidem. At the group level, the diagnosis did not change after intake of zolpidem (p=0.10) and CRS-R total scores decreased (p=0.01). Twelve patients (20%) showed improved behaviors and/or CRS-R total scores after zolpidem administration but in only one patient was the diagnosis after zolpidem intake found to show a significant improvement (functional object use), which suggested a change of diagnosis. However, in this patient, a double-blind placebo-controlled trial was performed in order to better specify the effects of zolpidem, but the patient, on this trial, failed to show any clinical improvements. The present open-label study therefore failed to show any clinically significant improvement (i.e., change of Effect of zolpidem in chronic disorders of consciousness: a prospective open-label study diagnosis) in any of the 60 studied chronic DOC patients. [less ▲]

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See detailFourth Belgian multicentre survey of antibiotic susceptibility of anaerobic bacteria
Wybo, Ingrid; Van den Bossche; Soetens, Oriane et al

in Journal of Antimicrobial Chemotherapy (2014), 69

Objectives: To collect recent data on the susceptibility of anaerobes to antimicrobial agents with known activity against anaerobes, and to compare them with results from previous Belgian multicentre ... [more ▼]

Objectives: To collect recent data on the susceptibility of anaerobes to antimicrobial agents with known activity against anaerobes, and to compare them with results from previous Belgian multicentre studies. Methods: Four hundred and three strict anaerobic clinical isolates were prospectively collected from February 2011 to April 2012 in eight Belgian university hospitals. MICs were determined by one central laboratory for 11 antimicro- bial agents using Etest methodology. Results: According to EUCAST breakpoints, .90% of isolates were susceptible to amoxicillin/clavulanate (94%), piperacillin/tazobactam (91%), meropenem (96%), metronidazole (92%) and chloramphenicol (98%), but only 70% and 40% to clindamycin and penicillin, respectively. At CLSI recommended breakpoints, only 71% were sus- ceptible to moxifloxacin and 79% to cefoxitin. MIC50/MIC90 values for linezolid and for tigecycline were 1/4 and 0.5/ 4 mg/L, respectively. When compared with survey data from 2004, no major differences in susceptibility profiles were noticed. However, the susceptibility of Prevotella spp. and other Gram-negative bacilli to clindamycin decreased from 91% in 1993 – 94 and 82% in 2004 to 69% in this survey. Furthermore, the susceptibility of clostridia to moxifloxacin decreased from 88% in 2004 to 66% in 2011 – 12 and that of fusobacteria from 90% to 71%. Conclusions: Compared with previous surveys, little evolution was seen in susceptibility, except a decline in activity of clindamycin against Prevotella spp. and other Gram-negative bacteria, and of moxifloxacin against clostridia. Since resistance was detected to all antibiotics, susceptibility testing of anaerobic isolates is indicated in severe infections to confirm appropriateness of antimicrobial therapy. [less ▲]

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See detailModelling the Holocene migrational dynamics of Fagus sylvatica L. and Picea abies (L.) H. Karst
Lehsten, Lehsten; Dullinger, Stefan; Hülber, Karl et al

in Global Ecology and Biogeography (2014)

Aim: Vegetation dynamics and the competitive interactions involved are assumed to restrict the ability of species to migrate. But in most migration modelling approaches disturbance-driven succession and ... [more ▼]

Aim: Vegetation dynamics and the competitive interactions involved are assumed to restrict the ability of species to migrate. But in most migration modelling approaches disturbance-driven succession and competition processes are reduced to simple assumptions or are even missing. The aim of this study was to test a combination of a migration model and a dynamic vegetation model to estimate the migration of tree species controlled by climate, environment and local species dynamics such as succession and competition. Location: Europe. Methods: To estimate the effect of vegetation dynamics on the migration of European beech and Norway spruce, we developed a post-process migration tool (LPJ-CATS). This tool integrates outputs of the migration model CATS and the dynamic vegetation model LPJ-GUESS. The model LPJ-CATS relies on a linear dependency between the dispersal kernel and migration rate and is based on the assumption that competition reduces fecundity. Results: Simulating potential migration rates with the CATS model, which does not account for competition and disturbance, resulted in mean Holocene migra- tion rates of 435 ± 55 and 330 ± 95 m year−1 for the two species Picea abies and Fagus sylvatica, respectively. With LPJ-CATS, these mean migration rates were reduced to 250 ± 75 and 170 ± 60 m year−1 for spruce and beech, respectively. Moreover, LPJ-CATS simulated migration pathways of these two species that gen- erally comply well with those documented in the palaeo-records. Main conclusions: Our ‘hybrid’ modelling approach allowed for the simulation of generally realistic Holocene migration rates and pathways of the two study species on a continental scale. It suggests that competition can considerably modify spread rates, but also the magnitude of its effect depends on how close climate conditions are to the niche requirements of a particular species. [less ▲]

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See detailToward genomic prediction from whole-genome sequence data: impact of sequencing design on genotype imputation and accuracy of predictions.
Druet, Tom ULg; Macleod, I. M.; Hayes, B. J.

in Heredity (2014), 112(1), 39-47

Genomic prediction from whole-genome sequence data is attractive, as the accuracy of genomic prediction is no longer bounded by extent of linkage disequilibrium between DNA markers and causal mutations ... [more ▼]

Genomic prediction from whole-genome sequence data is attractive, as the accuracy of genomic prediction is no longer bounded by extent of linkage disequilibrium between DNA markers and causal mutations affecting the trait, given the causal mutations are in the data set. A cost-effective strategy could be to sequence a small proportion of the population, and impute sequence data to the rest of the reference population. Here, we describe strategies for selecting individuals for sequencing, based on either pedigree relationships or haplotype diversity. Performance of these strategies (number of variants detected and accuracy of imputation) were evaluated in sequence data simulated through a real Belgian Blue cattle pedigree. A strategy (AHAP), which selected a subset of individuals for sequencing that maximized the number of unique haplotypes (from single-nucleotide polymorphism panel data) sequenced gave good performance across a range of variant minor allele frequencies. We then investigated the optimum number of individuals to sequence by fold coverage given a maximum total sequencing effort. At 600 total fold coverage (x 600), the optimum strategy was to sequence 75 individuals at eightfold coverage. Finally, we investigated the accuracy of genomic predictions that could be achieved. The advantage of using imputed sequence data compared with dense SNP array genotypes was highly dependent on the allele frequency spectrum of the causative mutations affecting the trait. When this followed a neutral distribution, the advantage of the imputed sequence data was small; however, when the causal mutations all had low minor allele frequencies, using the sequence data improved the accuracy of genomic prediction by up to 30%.Heredity advance online publication, 3 April 2013; doi:10.1038/hdy.2013.13. [less ▲]

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See detailL'écosystème d'innovation universitaire de Aalto : une contribution au repérage des acteurs impliqués lors de la phase d'émergence
Froehlicher, Thomas ULg; Barès, Franck

in Management International = International Management = Gestión Internacional (2014), 18(1), 153-165

The aim of this article is to better under- stand how the innovation ecosystem of Aalto University, in Helsinki, Finland, was structured in the early 2000s. Relying on an analysis of secondary data as ... [more ▼]

The aim of this article is to better under- stand how the innovation ecosystem of Aalto University, in Helsinki, Finland, was structured in the early 2000s. Relying on an analysis of secondary data as well as on the principles of a structural analy- sis of the network, we located the actors and their connections over the emergence period of this ecosystem. The results show the coexistence of two spaces organized as socio-cognitive networks able to interact and reinforce each other. A territorialized space, focused on an innovation dynamic built on the convergence strategy of the three university rectors involved at Aalto; and a deterritorialized space built by a community of actors focused on the affir- mation of proposals and ideas to imple- ment new innovation governance practices. [less ▲]

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See detailA climate analysis tool for passive heating and cooling strategies in hot humid climate based on Typical Meteorological Year data sets
Nguyen, Anh Tuan ULg; Reiter, Sigrid ULg

in Energy & Buildings (2014), 68(Part C), 756-763

Through a newly developed climate analysis tool, this paper examines the potential of improving thermal comfort under the climates of Vietnam thanks to passive strategies. A Building climatic chart for ... [more ▼]

Through a newly developed climate analysis tool, this paper examines the potential of improving thermal comfort under the climates of Vietnam thanks to passive strategies. A Building climatic chart for Vietnamese was proposed based on Fanger’s theory [1] and the comfort zone of this chart was then extended by calculating the effects of passive heating and cooling strategies. Typical Meteorological Year weather data are used for extracting and graphically printing of hourly environmental parameters on the psychrometric chart and for climate analysis, subsequently. The limitation and the scope of this method are also specified. The climates of three climatic regions in Vietnam have been used as case studies using all year, seasonal and monthly analysis. The results show that natural ventilation is an effective cooling solution as thermal comfort improvement varies with the climatic zones, increasing from 24.8% in Hanoi, 22.1% in Danang to 32.0% in Hochiminh city. Meanwhile, passive solar heating is only effective under the climate of Hanoi. Direct evaporative cooling also shows great cooling potential for comfort improvement but probable elevated humidity is not expected. Total possible comfort in a year of each location indicates that further climate modification methods are inevitable to achieve comfort during extreme weather conditions, especially in Hanoi. [less ▲]

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