Abstract:Ocean energy holds out great potential for supplying remote maritime areas with their energy requirements, where the grid size is often small and unconnected to a continental grid. Thanks to their high maturity and competitive price, solar and wind energies are currently the most used to provide electrical energy. However, their intermittency and variability limit the power supply reliability. To solve this drawback, storage systems and Diesel generators are often used. Otherwise, among all marine renewable energies, tidal and wave energies are reaching an interesting technical level of maturity. The better predictability of these sources makes them more reliable than other alternatives. Thus, combining different renewable energy sources would reduce the intermittency and variability of the total production and so diminish the storage and genset requirements. To foster marine energy integration and new multisource system development, an up-to-date review of projects already carried out in this field is proposed. This article first presents the main characteristics of the different sources which can provide electrical energy in remote maritime areas: solar, wind, tidal, and wave energies. Then, a review of multi-source systems based on marine energies is presented, concerning not only industrial projects but also concepts and research work. Finally, the main advantages and limits are discussed.

Energy efficiency and low-carbon energy systems are increasingly taken into account in seaports, due to climate change challenges and the evolution of environmental regulations. Thus, technological breakthroughs must be brought to numerous systems in harbors, such as harbor cranes, seaport vehicles, or the power supply of berthed vessels. These aspects may require the establishment of a microgrid in the harbor area. Microgrids have been subjected to a wide development on the mainland and islands, mostly for domestic loads. However, these are still scarce in harbor areas. Their development in such places faces several challenges, such as high power requirements, monitoring and management of a wide range of loads, energy policy framework, etc. Moreover, the establishment of a microgrid involves a study of sizing and of energy management, to avoid prohibitive costs and to verify load requirements. This paper provides a literature survey related to the development of microgrids in seaport areas. Firstly, the main components that occur in harbor microgrids are listed, and then a review of studies dealing with sizing and energy management is proposed. Finally, from this survey, innovative concepts and barriers are listed, with an up-to-date review of microgrid development in seaports worldwide.

The disease has distinct regional variations, and the epidemiological and bacterial profile is constantly changing. There is a shift in causative organisms towards more resistant and gram-negative species. Prematurity, low birthweight and previous hospitalisation are the major predisposing factors. A better understanding of the varied presentations is necessary for an early diagnosis and treatment, which is the most important prognostic factor.

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Spondyloarthropathies are a group of disorders having some common features. They are characterised by inflammation of the attachment of tendons known as enthesitis. They are common in males. There is a familial occurrence. There is an association with HLA-B 27. Rheumatoid factor will be negative. Axial skeleton involvement in the form of sacroiliitis or spondylitis is common. The common conditions include ankylosing spondylitis, Reiter's disease, psoriatic arthritis, enteropathic arthritis and reactive arthritis. In this chapter we are going to describe the clinical features, evaluation and management of common spondyloarthropathies.

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