Literature DB >> 22223614

Solar-assisted hemodialysis.

John W M Agar1, Anthony Perkins, Alwie Tjipto.   

Abstract

BACKGROUND AND OBJECTIVES: Hemodialysis resource use-especially water and power, smarter processing and reuse of postdialysis waste, and improved ecosensitive building design, insulation, and space use-all need much closer attention. Regarding power, as supply diminishes and costs rise, alternative power augmentation for dialysis services becomes attractive. The first 12 months of a solar-assisted dialysis program in southeastern Australia is reported. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: A 24-m(2), 3-kWh rated solar array and inverter-total cost of A$16,219-has solar-assisted the dialysis-related power needs of a four-chair home hemodialysis training service. All array-created, grid-donated power and all grid-drawn power to the four hemodialysis machines and minireverse osmosis plant pairings are separately metered. After the grid-drawn and array-generated kilowatt hours have been billed and reimbursed at their respective commercial rates, financial viability, including capital repayment, can be assessed.
RESULTS: From July of 2010 to July of 2011, the four combined equipment pairings used 4166.5 kWh, 9% more than the array-generated 3811.0 kWh. Power consumption at 26.7 c/kWh cost A$1145.79. Array-generated power reimbursements at 23.5 c/kWh were A$895.59. Power costs were, thus, reduced by 76.5%. As new reimbursement rates (60 c/kWh) take effect, system reimbursements will more than double, allowing both free power and potential capital pay down over 7.7 years. With expected array life of ∼30 years, free power and an income stream should accrue in the second and third operative decades.
CONCLUSIONS: Solar-assisted power is feasible and cost-effective. Dialysis services should assess their local solar conditions and determine whether this ecosensitive power option might suit their circumstance.

Entities:  

Mesh:

Year:  2012        PMID: 22223614      PMCID: PMC3280036          DOI: 10.2215/CJN.09810911

Source DB:  PubMed          Journal:  Clin J Am Soc Nephrol        ISSN: 1555-9041            Impact factor:   8.237


  10 in total

Review 1.  Water conservation: an emerging but vital issue in hemodialysis therapy.

Authors:  Faissal Tarrass; Meryem Benjelloun; Omar Benjelloun; Tarik Bensaha
Journal:  Blood Purif       Date:  2010-10-06       Impact factor: 2.614

Review 2.  Clinical transformation: the key to green nephrology.

Authors:  Andrew Connor; Frances Mortimer; Charles Tomson
Journal:  Nephron Clin Pract       Date:  2010-07-02

3.  Conserving water in and applying solar power to haemodialysis: 'green dialysis' through wiser resource utilization.

Authors:  John W M Agar
Journal:  Nephrology (Carlton)       Date:  2010-06       Impact factor: 2.506

4.  Using water wisely: New, affordable, and essential water conservation practices for facility and home hemodialysis.

Authors:  John W M Agar; Rosemary E Simmonds; Richard Knight; Christine A Somerville
Journal:  Hemodial Int       Date:  2009-01       Impact factor: 1.812

5.  Dialysis and the environment: comparing home and unit based haemodialysis.

Authors:  R James
Journal:  J Ren Care       Date:  2007 Jul-Sep

6.  Reusing dialysis wastewater: the elephant in the room.

Authors:  John W M Agar
Journal:  Am J Kidney Dis       Date:  2008-07       Impact factor: 8.860

7.  Toward greener dialysis: a case study to illustrate and encourage the salvage of reject water.

Authors:  Andrew Connor; Steve Milne; Andrew Owen; Gerard Boyle; Frances Mortimer; Paul Stevens
Journal:  J Ren Care       Date:  2010-06

8.  The carbon footprints of home and in-center maintenance hemodialysis in the United Kingdom.

Authors:  Andrew Connor; Robert Lillywhite; Matthew W Cooke
Journal:  Hemodial Int       Date:  2011-01-14       Impact factor: 1.812

9.  Nocturnal haemodialysis: an Australian cost comparison with conventional satellite haemodialysis.

Authors:  John Wm Agar; Richard J Knight; Rosemary E Simmonds; Janeane M Boddington; Claire M Waldron; Christine A Somerville
Journal:  Nephrology (Carlton)       Date:  2005-12       Impact factor: 2.506

10.  Recycling wastewater after hemodialysis: an environmental analysis for alternative water sources in arid regions.

Authors:  Faissal Tarrass; Meryem Benjelloun; Omar Benjelloun
Journal:  Am J Kidney Dis       Date:  2008-07       Impact factor: 8.860

  10 in total
  6 in total

Review 1.  Green nephrology.

Authors:  Katherine A Barraclough; John W M Agar
Journal:  Nat Rev Nephrol       Date:  2020-02-07       Impact factor: 28.314

2.  Sources of Variation in the Carbon Footprint of Hemodialysis Treatment.

Authors:  Ashwini R Sehgal; Jonathan E Slutzman; Anne M Huml
Journal:  J Am Soc Nephrol       Date:  2022-06-02       Impact factor: 14.978

Review 3.  Water quality in conventional and home haemodialysis.

Authors:  Matthew J Damasiewicz; Kevan R Polkinghorne; Peter G Kerr
Journal:  Nat Rev Nephrol       Date:  2012-10-23       Impact factor: 28.314

4.  A call-to-action for sustainability in dialysis in Brazil.

Authors:  José A Moura-Neto; Katherine Barraclough; John W M Agar
Journal:  J Bras Nefrol       Date:  2019 Oct-Dec

5.  Sustainable kidney care delivery and climate change - a call to action.

Authors:  See Cheng Yeo; Xi Yan Ooi; Tracy Suet Mun Tan
Journal:  Global Health       Date:  2022-08-03       Impact factor: 10.401

6.  Green nephrology and eco-dialysis: a position statement by the Italian Society of Nephrology.

Authors:  Giorgina Barbara Piccoli; Adamasco Cupisti; Filippo Aucella; Giuseppe Regolisti; Carlo Lomonte; Martina Ferraresi; D'Alessandro Claudia; Carlo Ferraresi; Roberto Russo; Vincenzo La Milia; Bianca Covella; Luigi Rossi; Antoine Chatrenet; Gianfranca Cabiddu; Giuliano Brunori
Journal:  J Nephrol       Date:  2020-04-15       Impact factor: 3.902

  6 in total

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