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Most of the global population have shifted to urbanization with advancements in technology. With this transition comes the responsibility of applying these technologies to promote sustainable development practice. Since energy demand is highest in the urbanized areas, it is important that proper assessment and management of energy resource is considered in policy-making and urban planning. This study investigated the estimation of cooling energy demand in Iloilo City Proper, Philippines using a 3D city model integrated with building attributes including building functions and year of construction, while also taking into consideration meteorological factors in the area. The proposed method used the application SimStadt2.0, following the German computation standard DINV18599. Building functions and year of construction were extracted from available building attributes data and satellite images respectively, using the free and open-source software QGIS. A CityGML Level of Detail 1 was generated from 3Dfier using building footprints and LiDAR point cloud data, along with the extracted building attributes of the 5,426 buildings. Meteorological data from INSEL 8 were also considered in the estimation of cooling energy demand in SimStadt2.0. Results showed a monthly energy demand of 12.33 kWh to 313,530.08 kWh in the study area. The estimated energy demand values were higher than the standard mean for different building functions in the country, but within the expected range of values for each season. Urban Heat Islands (UHIs), analyzed using Land Surface Temperature (LST) values, also have significant correlation to areas with higher cooling energy demands. However, inconsistencies can imply the need for further investigation.

While NHL commonly affects lymph nodes, peritoneal lymphomatosis causing ascites is rare in pediatric patients. We present a unique case of DLBC lymphoma in a Peruvian child presenting as ascites associated with peritoneal lymphomatosis. The 11-year-old boy was admitted with ascites and dyspnea. Physical examination revealed collateral circulation, abdominal distension, and diminished breath sounds. Investigations led to a suspected diagnosis of peritoneal tuberculosis; however, a laparoscopic biopsy showed granulomatous infiltration consistent with high-grade diffuse B-cell lymphoma. The peritoneal lymphomatosis causing ascites is uncommon, and its initial presentation as peritoneal symptoms is even rarer. Differential diagnosis between peritoneal tuberculosis and DLBCL involvement can be challenging due to both shared signs and symptoms. Staging systems, such as the International Pediatric NHL Staging System, aid in determining the extent of the disease. DLBCL has a good prognosis, with treatment regimens such as the LMB-89 protocol showing high overall survival rates. Awareness of DLBCL's atypical presentations is crucial for timely diagnosis and management in the pediatric population. To conclude, children with ascites represent a diagnostic challenge posed by overlapping symptoms with other conditions, such as tuberculosis, and the need for a comprehensive approach to rule out different etiologies. Additionally, it is important the prompt treatment to avoid complications., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Principe-Collazos et al.)

Competing Interests: Dr Galvao is a scientific advisor for Apollo EndoSurgery and Keyron; consultant for GI Dynamics, Apollo EndoSurgery, USGI, Colubris Mx, Scitech, and MITech; and speaker for Olympus LA, Erbe, and Medtronics LA. Dr Horgan is a consultant for Stryker Corporation, Intuitive Surgical, Fortimedix Surgical, and Alume Biosciences. All other authors disclosed no financial relationships relevant to this publication.

Background: Multidisciplinary clinics (MDCs) are a care model in which patients see several physicians across specialties and/or other allied health professionals in a single appointment in a shared space. This study sought to better understand patients' experiences with breast cancer (BC) MDC. Methods: A total of 429 patients diagnosed with BC and seen in a MDC between November 2020 and November 2021 were invited to participate in a patient experience survey. Results: In total, 116 patient respondents (27%) with representative demographics described their experience. Most patients report feeling "somewhat prepared" for the BC MDC experience (67%, median = 3.7, interquartile range [IQR] = 1.9), but with variability. The major areas of positive feedback were that the MDC was convenient (89.3%), efficient use of time (65.2%), and a good way to get questions answered (65.2%). Major criticisms included that the MDC was overwhelming (16.1%) and/or too long (4.5%). When asked to rate the top three satisfaction areas of MDCs, patients chose seeing multiple providers during a single visit (80.4%), communication about the process before and throughout the MDC (48.2%), and inclusivity of their support system (38.4%). The highest rated dissatisfiers were the volume of information presented (42.9%) and patients' emotional comfort (anxiety/stress) during MDC appointment (30.2%). Overall, 83% of patients with BC rate the MDC experience as excellent (median = 4.8, IQR = 0.9) and would be "very likely" to recommend BC MDC (median = 4.8, IQR = 0.9). Conclusion: Patients value seeing multiple providers simultaneously in an environment inclusive of their support systems, which is described as convenient and efficient. Improving emotional distress is a key opportunity to improve patient experience.