Using flexible AC transmission system (FACTS) devices in power systems while adhering to some equality and inequality constraints, researchers around the world sought to address this issue with the objectives of improving the voltage profile, reducing power losses in transmission lines, and increasing system reliability and safety. The recent development of FACTS controllers opens up new perspectives for safer and more efficient operation of electrical power networks by continuous and rapid action on power systems parameters, such as phase angle shifting, voltage injection and line impedance compensation. Thus, an improvement on voltage profile and enhancement of power transfer capability can be obtained. It is for that, the idea behind the FACTS concept is to enable the transmission system to be an active element in increasing the flexibility of power transfer requirements and in securing stability of integrated power system. It may also be effective in transient stability improvement, power oscillations damping and balancing power flow in parallel lines. The primary issue that has significantly piqued the interest of a number of researchers working in this field is the FACTS optimization problem, which involves determining the optimal type, location, and size of FACTS devices in electrical power systems. For solving this mixed integer, nonlinear and non-convex optimization problem, this paper provides an in-depth and comprehensive review of the various optimization techniques covered in published works in the field. In this review, a classification of optimization techniques in five main groups that are widely used, such as classical optimization techniques or conventional optimization approaches, Meta heuristic methods, analytic methods or sensitive index methods and mixed or hybrid methods, is summarized. In addition, a performance descriptions and comparison of these different optimization techniques are discussed in this study. Finally, some advice is offered for future research in this field.

This paper reviews the management of the COVID-19 crisis and the difficulty of cost estimation model, comparing centralized management or bureaucratic government coaction and the agile market alternative or spontaneous social coordination. This is a study of Political Economy and Health Economics from the perspective of Austrian Economics. We describe and compare the al-ternative models, which are adapted to the current crisis. The analysis is based on the theorem of the impossibility of the economic calculation under coactive systems, and other principles of economy. In this context we pay also attention to collateral problems of the centralized and coac-tive management. Finally we propose a solution based on dynamic efficiency and the constitutions of wellbeing economics

During recent years UAVs have been increasingly used in agriculture and forestry research and application. Nevertheless, most of this work has been devoted to improving accuracy and explanatory power, often at the cost of usability and affordability. We tested a low-cost UAV and a simple workflow to apply four different greenness indices to the monitoring of pine (Pinus sylvestris and P. nigra) after-fire regeneration in a Mediterranean forest. We selected two sites and masured all pines within a pre-selected plot. Winter flights were carried out at each of the sites, at two flight altitudes (50 and 100 m). Automatically normalizing images entered an SfM based photogrammetric software for restitution and the obtained point cloud and orthomosaic processed to get a canopy height model and four different greenness indices. Sum of pine DBH was regressed on summary statistics of greenness indices and canopy height model. ExGI and GCC indices outperformed VARI and GRVI in estimating pine DBH, while canopy height model slightly improved the models. Flight altitude did not severely affect model performance. Our results show that low cost UAVs may improve forest monitoring after disturbance, even in those habitats and situations were resource limitation is an issue.

A lack of trust in Energy Service Company (ESCo) is the most critical factor affecting the development of Energy Performance Contracting (EPC) in China compared with other constraints. One cannot easily estimate the energy-saving performance of an EPC project. Under that condition, lack of trust may cause the Energy-Consuming Unit (ECU) to suspect the energy-saving performance promised by the ESCo, thus leaving potentially profitable projects without necessary funding. Currently, specific studies taking an across-projects viewpoint on annual energy-saving performance of EPC projects in multiple subsectors objectively and quantitatively are lacking. This paper studies the regression relationships of annual energy-saving quantity in terms of revamping cost and the regression relationships of annual cost saving in terms of revamping cost. The regression results show that there are statistically significant correlations in the above relationships in the nine subsectors investigated. This is significant for ESCos and ECUs because knowledge on energy-saving performance could contribute to EPC investment decisions and trust relationships between ESCos and ECUs. Then a multiple linear regression model of revamping cost is set up to analyze its influencing factors. The model indicates that the subsector the sample belongs to, financing, registered capital of the ESCo, and contract period have significant effects on revamping cost. Thus, policy implications regarding innovation of EE promotion technology, clarifying ESCos’ exit mechanism, innovation of financing mechanism, and improving the market credit environment for promoting investment in EPC projects are provided.

Lettuce is a salt-sensitive crop and has a threshold electrical conductivity of 1.3–2.0 mS cm-1 and above that is considered detrimental. As there has been very little information on the physio-logical response of different critical stages of lettuce under different salt stress (SS), the current study is focused on investigating the effects of SS on the critical physiological traits influencing the carbon assimilation in different growth stages of lettuce. The experiment was conducted in deep-water culture hydroponic system in a greenhouse condition. Four levels of sodium chloride salt treatments (EC: 20, 16, 8, and 1.8 mS cm-1) were applied. During both growth stages (day 11 (GS1) and day 19 (GS2) after salt treatment), the leaf transpiration rate, stomatal conductance, and intercellular CO2 were severely decreased. However, the carbon assimilation rate remained unchanged under SS. Similarly, the water use efficiency increased under the SS. It is concluded that the increasing SS increased stomatal and non-stomatal limiting factors during GS1 suggesting the enhanced limitation in photosynthetic activity while no such trend was observed during GS2. The decreased gm with increased SS at GS1 and GS2 suggested that SS induced the irreversible decrease of gm, which in turn can be responsible for the transient reduction in the Vcmax and Jmax during GS2. Taken together, the evidence from this research recommends that varying the SS levels can significantly affect the physiological performance of lettuce at both growth stages.

The slate aggregate has long been perceived as a substandard, low quality waste material with its physical and chemical properties not being competitive with those of the primary aggregates. It is assumed that the slate aggregate particles are not strong, that is not durable and will not compact. This research aims to address those claims and review the available literature on the performance of the slate aggregate. The review inaugurates by analysing the physical, chemical and mechanical properties of slate, before expanding into a literature review of laboratory testing’s on the effect of moisture content on density, compaction and layer thickness of slate aggregate.The paper reviews case studies of construction projects in North Wales, where the slate aggregate has been used for general fill and road building for many years. Some of the case studies include the A55 coastal road and duelling of the A5 in Anglesey (WRAP, 2004), where slate aggregate was successfully used as sub-base. The paper also investigates why many civil engineers are reluctant to use the slate aggregate and regard the material as sub-standard, flaky aggregate. The research paper reviews the potential usages and various products the slate aggregate is suitable for and satisfies the requested standards. The final topic reviewed is the cost of transporting slate aggregate compared with the cost of transport for primary aggregate and the introduction of the Primary Aggregates Tax (Parliament of the United Kingdom, 2011). The last topic includes a critical analyses of the claims that the slate aggregate a commercially viable construction material despite its remote location (Woodward et al, 2004). The transportation cost and the supply chain complexities must be evaluated prior to considering the long-term sustainability of the product (Radanliev et al^1-6, 2014, 2015, 2016).

Natural capital is the wealth of nations that give them the economic status they represent. Worldwide, vulnerable people depend on natural capital for employment, salaries, wealth, and livelihoods and, in turn, determine the developmental index of the nation to which they belong. The availability of ecological services is crucial for clean water and air, food and fodder, and agricultural development. In this short commentary, we have tried to sum up the ideas and discussions over natural capital's role in ascribing economic status to countries. We have discussed how the prosperity of humans is intertwined with the services ecosystems provide and how poor natural resource management (NRM) has adversely cost human well-being. The paper concludes that to ensure the current and future human well-being, an in-depth understanding of the services ecosystems provide, is essential.

In the industrial sector, the financial gain is generally considered at the cost of environmental degradation. The environmental protection and economic benefit are common conflicting objectives in many optimization problems. In any multi-criteria problem, the most challenging part is to optimize the conflicting goals. But if these objectives become non-conflicting, then the problem can be solved with ease. This paper is all about minimizing the environmental impact of industrial processes while maximizing the net economic benefit. There is a general misconception of linking the environmental protection with a financial loss. This is not always true; the Eco-Efficiency or Cleaner Production Technology (CPT) is a perfect example to disprove this notion. Economics of CPT regarding water savings for the textile-processing sector in Pakistan has been analyzed in this paper. Changes in water use before and after the implementation of water conserving technologies in the textile sector of Pakistan from a study conducted by the Cleaner Production Institute (CPI) are utilized to perform a cost-benefit analysis. Direct financial benefits that could be achieved through the application of these technologies are presented only. Other environmental benefits, though not described here, are of no less importance. The study results reveal that very high potential of water savings exists for most of the investments on CPT.

This paper presents a new methodology to derive and analyze strategies for a fully decarbonized urban transport system which combines conceptual vehicle design, a large-scale agent-based transport simulation, operational cost analysis, and life cycle assessment for a complete urban region. The holistic approach evaluates technical feasibility, system cost, energy demand, transportation time and sustainability-related impacts of various decarbonization strategies. In contrast to previous work, the consequences of a transformation to fully decarbonized transport system scenarios are quantified across all traffic segments, considering procurement, operation and disposal. The methodology can be applied to arbitrary regions and transport systems. Here, the metropolitan region of Berlin is chosen as a demonstration case. First results are shown for a complete conversion of all traffic segments from conventional propulsion technology to battery electric vehicles. The transition of private individual traffic is analyzed regarding technical feasibility, energy demand and environmental impact. Commercial goods, municipal traffic and public transport are analyzed with respect to system cost and environmental impacts. We can show a feasible transition path for all cases with substantially lower greenhouse gas emissions. Based on current technologies and today’s cost structures our simulation shows a moderate increase in total systems cost of 13-18%.

Only now, four decades after passive houses were designed in the US and built in Canada, the authors are able to discuss the next generation of new and retrofitted buildings in the same way. This paper presents a universal system for different types of buildings and climates that includes construction experience and is reinforcing multi-disciplinary synergies. A next generation of technology uses adaptable indoor climate, integrates HVAC and building structure; applies field monitoring of energy and indoor environment and develops a performance model that is based on artificial neutral network. This approach, includes: 1. The self-learning ANN as a part of the building management system, 2. This management system guides energy optimization in a post-construction stage 3. A two-stage construction process for new and retrofits. The first stage prescribes investment level and optimizes performance; opposite in the second stage. This paper highlights that some elements of the proposed methodology have already been applied in the practice. It also underlines that this integrated multi-disciplinary system can be applied with a different combination of technological elements.

The importance of this study may be defined by using the smart techniques to earned value indicators of residential buildings projects in Republic of Iraq, only one development intelligent forecasting model was presented to predict Schedule Performance Index (SPI), Cost Performance Index (CPI), and To Complete Cost Performance Indicator (TCPI) are defined as the dependent. The approach is principally influenced by the determining numerous factors which effect on the earned value management, that involves Iraqi historical data. In addition, six independent variables (F1: BAC, Budget at Completion., F2: AC, Actual Cost., F3, A%, Actual Percentage., F4: EV, Earned Value. F5: P%, Planning Percentage., and F6: PV, Planning Value) were arbitrarily designated and satisfactorily described for per construction project. It was found that ANN has the capability to envisage the dust storm with a great accuracy. The correlation coefficient (R) has been 90.00%, and typical accuracy percentage has been 89.00%.

Denture wearers often complain about jeopardized function and reduced quality of life due to lack of prosthesis’ retention. Implant retained mandibular overdentures, on 2 non-connected implants (2IOD) are well-proven solutions to overcome these issues. We prospectively assessed 69 patients and scrutinized clinical records until at least 7 years of function. Thirty-six were retained on Locator ® Abutments (LA) and thirty-tree on Ball Abutments (BA). Both systems were compared regarding the type, amount and total cost of required maintenance. One implants was lost, yielding 98.7% survival after 7 years. In total 438 technical issues occurred: 121 (27.35%) in BA and 317 (72.4%) in LA. Out of these, 343 events (78%) were solved chairside: 191 (43.6%) were replacements of retention caps, 113 (25.8%) were minor acrylic repairs, in 26 (5.9%) pressure ulcers had to be relieved and 13 (3%) related to abutments. LA required 179 insert replacements compared to 12 in the BA group. The overall initial treatment cost was 3850 euro. The average total maintenance cost in relation to the initial cost for the LA and BA groups was 19.11% (range 0% - 82.24%) and 18.91% (range 0% - 113.26%) respectively (P=0.540). Conclusions: The 7-years maintenance costs for a 2IOD is acceptable when the patient is regularly checked and professionally maintained. Most events are easily solvable chairside, but a few patients required more expensive interventions, regardless of the type of attachment used.

Green credit policy as an important tool to guide China's sustainable economic development, how to effectively play the function of capital deployment and improve the efficiency of industrial green innovation is an important issue facing the construction of ecological civilization. This paper uses China's Green Credit Guideline introduced in 2012 as a quasi-natural experiment , based on relevant panel data of industries from 2007 to 2018, uses the Super-SBM model including non-expected output to measure the green innovation efficiency of 35 industries in China, and constructs the PSM-DID model to explore how green credit policy impact on the green innovation efficiency of heavily polluted industries, the results show that : green credit policy significantly contributes to green innovation efficiency of heavily polluted industries with a lag. Further study finds that green credit policy pushes heavily polluted industries to improve green innovation efficiency by increasing financing cost and R&D investment; meanwhile, the heterogeneity test shows that the higher the state-owned share of industry, the greater the promoted effect of green credit policy on green innovation efficiency of heavily polluted industries. Finally, in order to accelerate the implementation of green credit policy and promote the green innovation efficiency of heavily polluted industries, relevant countermeasures are proposed from three aspects: banks, enterprises and government.

Construction project management and cost management is a difficult process that affects the overall success of construction projects. The success of a construction project can be assessed according to key performance indicators (KPIs). Cost savings and cost optimization over the life of a construction project is one of these KPIs. Cost management is largely performed through intelligent information technology in the construction industry. Information systems and information technologies have seen an increase in use in the management of construction projects. The same goes for cost management. Several studies mentioned in the paper point to this increase in use in recent years also in the management of costs at various stages. Many studies point to the use of information technology and software applications in the field of cost management. Still, to a large extent, there are no surveys focused on the analysis of the impact and impact factor of information technology on cost savings or cost optimization in various phases of construction projects. The research discusses the issue of the impact of information technology on cost management in various phases of a construction project. The main goal of the research is to analyze the influence of information technology factors on cost savings and optimization in individual phases of a construction project. Several statistical methods were used in the research. The resulting model of information technology impact factor was created based on data processing and the use of the AHP method.

This study aims to develop a performance evaluation system that can facilitate performance evaluation at region, hospital, and department levels to enable better cost management for sustainable development. A multi-level system of performance evaluation informs a hierarchical assessment of cost management from regions to hospitals to departments using diagnosis-related group (DRGs). Various metrics are developed employing the variances between targets and actuals where targets are determined from two perspectives: benchmarking using external regional prices and change management using internal data. Targets for the latter are statistically based and specifically incorporate variability. The model is applied to two hospitals, twenty departments, nine DRGs and 1071 inpatients. The analyses indicate that the approach can provide a practical evaluation tool that allows for particular characteristics at multiple levels. The system provides macro-micro and external-internal perspectives in performance, enabling high-level variances to be decomposed thereby identifying sources of performance variability and financial impact.

With the advent of COVID19, the attitude of health authorities around the world, led mainly by the West, demanded a level of proof as evidence for cheap, non-patented remedies while promoting expensive, patented, and untested remedies by using emergency use authorization and special provisions afforded to the status of a pandemic emergency. Western science has neither a tested nor a valid historical basis of a logical system that informs to authenticate scientific practices. Here we use a logical heuristic derived from ancient Buddhist logic, which is consistent with the conduct of modern science. We applied the heuristic to show that enough evidence was available for using cost-effective early therapies such as vitamin D supplementation as a public health measure during the first half of 2020. Strong supporting evidence has since accumulated. Apart from political and financial decisions incompatible with science and other conflicts of interest, a critical barrier to evaluating and approving early therapies appears to be the fallacy that the randomized controlled trial (RCT) is the superior proof method in medical hypotheses, including those for nutrients. Logically, no reason exists why properly designed retrospective, ecological, and naturalistic studies with adequate sample sizes and applied appropriate statistical methods would not be as valid as RCTs, especially when elucidating a causative factor instead of treatment. That assertion is particularly true for nutrient deficiencies, interventions, and other cost-effective therapies. Leading health authorities’ failure or refusal to consider other study types (because of either poor logic or vested interest) probably contributed to the spread of misinformation, symptomatic disease, complications, and deaths from COVID19. Partial immunity derived from vaccines and the later development of more contagious variants—and thus a sense of acceptance that SARS-CoV-2 had progressed from a pandemic to an endemic—shows the hollowness of the initial promotions and mandates of vaccines as a cure. Adequate knowledge was available in 2020 to advise that SARS-CoV-2 will continue to mutate, with variants emerging a few times per year, making the vaccine less effective. Emerging evidence confirms that natural immunity better protects against new variants than vaccination against the spike protein. Had vitamin D been adopted as part of the public health measure through a broader supplementation program in 2020 or even today (through sun exposure or as a prophylactic or adjunct therapy early on), the viral spread and symptomatic disease may have been suppressed, with minimal lockdowns and quarantine, and economic harm. The pandemic could have been halted with a significantly reduced need for hospitalization, complications, and deaths, potentially saving millions of lives.

Currently, skin cancer is the most commonly diagnosed form of cancer in humans and is one of the leading causes of death in patients with cancer. Biopsy methods are an invasive research method and are not always available for primary diagnosis. Imaging methods have low accuracy and depend on the experience of the dermatologist. Artificial intelligence technologies can match and surpass visual analysis methods in accuracy, but they have the risk of a false negative response when a malignant pigmented lesion can be recognized as benign. One possible way to improve accuracy and reduce the risk of false negatives is to analyze heterogeneous data, combine different preprocessing methods, and use modified loss functions to eliminate the negative impact of unbalanced dermatological data. The paper proposes a multimodal neural network system with a modified cross-entropy loss function that is sensitive to unbalanced heterogeneous dermatological data. The accuracy of recognition in 10 diagnostically significant categories for the proposed system was 85.19%. The novelty of the proposed system lies in the use of cross-entropy loss when training the modified function with the help of weight coefficients. The introduction of weighting factors has reduced the number of false negative forecasts, as well as improved accuracy by 1.02-4.03 percentage points compared to the original multimodal systems. The introduction of the proposed multimodal system as an auxiliary diagnostic tool can reduce the consumption of financial and labor resources involved in the medical industry, as well as increase the chance of early detection of skin cancer.

As the embedded device and internet of things (IoTs) concept prevalent in today's world, there is an increasing demand for the security and performance requirements on deploying these devices to private and public sectors. The crucial part of it is to protect privacy, confidentiality and integrity, meanwhile, maintain an adequate level of performance during transmission, storage and access of critical information. While the conventional cryptography methods, such as the Advanced Encryption Standard (AES), SHA$-$2 hashing method and RSA and Diffie Hellman for message authentication and identification, work well on systems which have reasonable processing power and memory capabilities. These do not scale well into a world with embedded systems and sensor networks, in conjunction with their nature of smaller size and lower cost. Thus, in the context of resource constrained device, lightweight cryptography methods are proposed to overcome many of the problems of conventional cryptography possessed. This includes constraints related to physical size, processing requirement, memory limitation, energy drain and production cost. This paper provides a survey of the architectures that are defined as replacements for conventional ciphers within an IoTs space and discuss some trends in the design of future lightweight algorithms. The performance metrics are carefully chosen to reflect and assess the suitability for embedded devices. The aim of this research is to identify the various performance metrics applied on different types of symmetric block ciphers especially lightweight ciphers and compare the results on versatile platforms with stream ciphers and public key methods. The comparative analysis on efficient LW cipher will be tested against other similar block ciphers on both MacBook Pro with Intel core and resource constrained device Raspberry Pi with ARM processor.

Forecasting streamflow accurately is essential to achieve an efficient integrated water resources management strategy and provide consistent support to water decision-makers. We present a simple, low-cost and robust approach for forecasting monthly and yearly streamflow during the hydrological year in course, applicable to headwater catchments. It combines the use of regression analysis techniques, the two-parameter Gamma continuous cumulative probability distribution function and the Monte Carlo method. It is based on a probabilistic comparison of the progression of the current hydrological year with the historic observed series. The methodology has been successfully applied to two headwater reservoirs within the Guadalquivir River Basin in southern Spain. The root-mean-square error and correlation coefficient were used to measure the accuracy of the model and the results showed good levels of reliability. The outputs are the probabilistic monthly and yearly streamflow and 80% confidence interval. Further reductions in prediction errors may be achieved from increasing the number of observed years. These risk-based predictions are of great value, especially, before the intensive irrigation campaign starts (usually in April), when Water Authorities are to take responsible management decisions about the best allocation of the available water volume between the different water users and environmental needs.

(1) Background: in epidemiological terms, it has been possible to calculate the savings in health resources and the reduction in health effects of COVID vaccines. From the point of view of economic evaluation, some studies have estimated its cost-effectiveness with the vaccination showing highly favorable results, which in some cases is cost-saving; (2) Methods: a cost-benefit analysis of the vaccination campaign in the North Metropolitan Health Region (Catalonia). An epidemiological model based on observational data and before and after comparison is used. The information on the doses used and the resources assigned (conventional hospital beds, ICU, number of tests) has been extracted from administrative data from the largest Primary Care provider in the region (Catalan Institute of Health). A distinction is made between the social perspective and the health system; (3) Results: the costs of vaccination are estimated at 137 million euros (€48.05/dose administered). This figure is significantly lower than the positive impacts of the vaccination campaign, which are estimated at 470 million euros (€164/dose administered). Of these, 18% corresponds to the reduction of ICU discharges, 16% to the reduction in conventional hospital discharges, 5% to the reduction in PCR tests and 1% to the reduction of RAT tests. Monetization of deaths and cases with sequelae avoided account for 53% and 5% of total savings, respectively. The benefit/cost ratio is estimated at 3.4 from a social perspective and 1.41 from a health system perspective. The social benefits of vaccination are estimated at €116.67 per dose of vaccine given (€19.93 from the point of view of the health system); (4) Conclusions: the mass vaccination campaign against COVID is cost-saving. From a social perspective, most of these savings come from the monetization of the reduction in mortality and cases with sequelae, although the intervention is equally widely cost-effective from the point of view of the health system thanks to the reduction in the use of resources. It is concluded that, from an economic perspective, the vaccination campaign has high social returns.

Recently, due to the miniaturization of electronic products, printed circuit boards (PCBs) have also become smaller. This trend has led to the need for high-precision electrical test equipment to check PCBs for disconnections and short circuits. The purpose of this study is to improve the position repeatability of the platform unit up to ±2.5 μm in a linear stage type test equipment. For this purpose, the causes of position errors of the platform unit are analyzed. The platform unit holding the PCB is driven by a single-axis linear ball screw drive system offset from its geometric center due to design constraints. The yaw rotation of the platform is found to have a dominant effect on position repeatability. To address this problem, the methods of adding balancing weights to the platform unit and adjusting the stiffness of LM Guides are proposed. This reduces the yaw rotation by moving the centers of mass and stiffness closer to the linear ball screw actuator. In the verification tests, the position repeatability was decreased to less than ±1.0 μm.

In France, the regional airport’s demand for services is facing challenges due to the continuous expansion of the high-speed train, high-speed line, and highway networks. This study focuses on the viability of regional airports in France through technical efficiency using data envelopment, principle component analysis, Malmquist productivity index, and regression analysis using bootstrapping. To face the current competitive environment, the regional airports in France adopted strategies, such as the construction of low-cost carrier (LCC) dedicated terminals (LCCTs) with lower expenses to attract more LCCs, increasing non-aeronautical revenue, and hosting regional hubs of LCCs. This is the first study that analyzes all of the French regional airports. The findings indicate that the existence of LCCTs positively affects technical efficiency on the airport’s performance, and share of LCCs at a regional airport leads to neither the efficiency nor the profit level.

Planning and implementation of construction projects are difficult processes and are burdened with many risk elements. The budget spread over time, which is developed on the basis of the schedule, presents the expected distribution of costs throughout the duration of the works, which during the implementation of the project is subject to constant changes resulting from time, cost and organizational factors. Managing construction contracts requires managers to be able to analyze on an ongoing basis the variances of production costs - from the values calculated in the offer cost estimate and assumed in the Budgeted Cost of Work Scheduled. The article attempts to analyze the emerging time and cost variances using proprietary C-S and S-C monitoring, based on simple indicators of the EVM method. An example of construction of a multi-family housing development was used to study the variances of planned and incurred costs.

Land and property development process include a series of multifaceted activities ranging from purchasing to converting it for development purposes and everything in between. The process itself encompasses multiple stakeholders, drivers, and contributions from diversified public and private actors and transaction cost arises out of their complex interaction. Transaction costs incurred during any kind of human interactions (i.e. transactions). Every actor involved in the process wishes to maximize his achievement under various constraints and hence institutional arrangement (i.e. set of humanly devised rules to administer the constraints) is necessary for efficient management of the development process. Therefore, to devise an optimum outcome out of economic and social transactions in the property development process, cooperative and competitive relationships between individuals should be understood from a broader socio-political and governance structure. In this research, it is critically argued that land and property development process should implicate a multifaceted set of formal and informal rules or institutional arrangement to govern the intrinsic interaction, action and thereby reducing the related transaction cost. The argument is further reproachfully evaluated and implicated in the urban development process through the myopic lens of Transit-oriented development (TOD) pathway. A vigilant combination of descriptive and explanatory research approach is adopted to analyze the connection between theory and practice.

Vulnerability is the big issue of the small inland urban centers exposed to the risk of depopulation. In the climate and in the context of an increasing seismic risk in the center-northern part of Italy, seismic vulnerability can become the determinant cause of the final abandonment of a small town. In some Italian regions, as well as Emilia Romagna, municipalities are implementing seismic vulnerability reduction policies based on the Emergency Limit Condition that has become a basic reference for ordinary land planning. This study proposes a valuation planning approach to the seismic vulnerability reduction carried out within the general planning framework concerning the Faentina Union, a group of five small towns located in the south-western part of the Province of Ravenna, Italy. The approach consists of three main stages: knowledge – the typological, constructive and technological description of the buildings specifically concerning their vulnerability degree; interpretation – the analyses aimed to outline a range of hypotheses about the damages in case of seism; planning – identifying the works intended to definitely reduce the vulnerability of the buildings. This stage includes a cost modelling tools aimed at outlining the trade-off between the extension and the intensity of the vulnerability reduction works, given the budget.

A lot of previous research have proposed various frameworks and algorithms to optimize routes to reduce the total transportation cost, which accounts for over 70% of overall logistics cost. However, it is very hard to find the cases applied the mathematical models or algorithms to the practical business environment cases, especially daily operating logistics services like convenient stores. Most of previous research have considered the developing an optimal algorithm which can solve the mathematical problem within the practical time while satisfying all constraints such as the capacity of delivery and pick-up, and time windows. For the daily pick-up and delivery service like supporting several convenient stores, it is required to consider the unit transporting container as well as the demand, capacity of trucks, traveling distance and traffic congestion. Especially, the reusable transporting container, trays, should be regarded as the important asset of logistics center. However, if the mathematical model focuses on only satisfying constraints related delivery and not considering the cost of trays, it is often to leave the empty trays on the pick-up points when there is not enough space in the track. In this research, it has been proposed to build the mathematical model for optimizing pick-up and delivery plans by extending the general vehicle routing problem of simultaneous delivery and pickup with time windows while considering left-over cost. With the numerical experiments, it has been proved that the proposed model may reduce the total delivery cost. It may be possible to apply the proposed approach to the various logistics business which uses the reusable transporting container like shipping containers, refrigerating containers, trays, and pallets.

The option of decarbonizing urban freight transport using Battery Electric Vehicle (BEV) seems promising.However, there is currently a strong debate whether Fuel Cell Electric Vehicle (FCEV) might be the bettersolution. The question arises as to how a fleet of FCEV influences the operating cost, the Greenhouse Gas(GHG) emissions and primary energy demand in comparison to BEVs and to Internal Combustion EngineVehicle (ICEV). To investigate this, we simulate the urban food retailing as a representative share of urbanfreight transport using a multi-agent transport simulation software. Synthetic routes as well as fleet size andcomposition are determined by solving a Vehicle Routing Problem (VRP). We compute the operating costsusing a total cost of ownership (Total Cost of Ownership (TCO)) analysis and the use phase emissions as wellas primary energy demand using the Well To Wheel (WTW) approach. While a change to BEV results in 17 -23% higher costs compared to ICEV, using FCEVs leads to 22 - 57% higher costs. Assuming today’s electricitymix, we show a GHG emission reduction of 25% compared to the ICEV base case when using BEV. Currenthydrogen production leads to a GHG reduction of 33% when using FCEV which however cannot be scaled tolarger fleets. Using current electricity in electrolysis will increase GHG emission by 60% compared to the basecase. Assuming 100% renewable electricity for charging and hydrogen production, the reduction from FCEVsrises to 73% and from BEV to 92%. The primary energy requirement for BEV is in all cases lower and forhigher compared to the base case. We conclude that while FCEV have a slightly higher GHG savings potentialwith current hydrogen, BEV are the favored technology for urban freight transport from an economic andecological point of view, considering the increasing shares of renewable energies in the grid mix.

Large quantities of real-time particle data are becoming available from low-cost particle monitors. However, it is crucial to determine the quality of these measurements. The largest network of monitors in the United States is maintained by the PurpleAir company, which offers two monitors: PA-I and PA-II. PA-I monitors have a single sensor (PMS1003) and PA-II monitors employ two independent PMS5003 sensors. We determine a new calibration factor for the PA-I monitor and revise a previously published calibration algorithm for PA-II monitors (ALT-CF3). From the PurpleAir API site, we downloaded 83 million hourly average PM2.5 values in the PurpleAir database from Washington, Oregon, and California between January 1, 2017 and September 8, 2021. Daily outdoor PM2.5 means from 194 PA-II monitors were compared to daily means from 47 nearby Federal regulatory sites using gravimetric Federal Reference Methods (FRM). We find a revised calibration factor of 3.4 for the PA-II monitors. For the PA-I monitors, we determined a new calibration factor (also 3.4) by comparing 26 outdoor PA-I sites to 117 nearby outdoor PA-II sites. These results show that PurpleAir PM2.5 measurements can agree well with regulatory monitors when an optimum calibration factor is found.

This study attempts to investigate a method for creating an index from mobility data that not only correlates with the number of people who relocate to a place but also has causal influence on the number of such individuals. By creating an index based on human mobility data, it becomes possible to predict the influence of urban development on future residential movements. In this paper, we propose a method called the travel cost method for multiple places (TCM4MP) by extending the conventional travel cost method (TCM). We assume that the opportunity cost of travel time on non-working days reflects the convenience and amenities of a neighborhood. However, conventional TCM does not assume that the opportunity cost of travel time varies according to the departure place. In this paper, TCM4MP is proposed to estimate the opportunity cost of travel time with respect to the departure place. We consider such estimation to be possible due to the use of massive mobility data. We assume that the opportunity cost of travel time on non-working days reflects the convenience and amenities of the neighborhood. Therefore, we consider that the opportunity cost of travel time has a causal influence on future residential mobility. In this paper, the validity of the proposed method is tested using the smart card data of public transportation in Western Japan. Our proposed method is beneficial for urban planners in estimating the effects of urban development and detecting the shrinkage and growth of a population.

Over the last decades, the energy market around the world has reshaped due to accommodating the high penetration of renewable energy resources. Although renewable energy sources have brought various benefits, including low operation cost of wind and solar PV power plants, and reducing the environmental risks associated with the conventional power resources, they have imposed a wide range of difficulties in power system planning and operation. Naturally, classical optimal power flow (OPF) is a nonlinear problem. Integrating renewable energy resources with conventional thermal power generators escalates the difficulty of the OPF problem due to the uncertain and intermittent nature of these resources. To address the complexity associated with the process of the integration of renewable energy resources into the classical electric power systems, two probability distribution functions (Weibull and lognormal) are used to forecast the voltaic power output of wind and solar photovoltaic, respectively. Optimal power flow, including renewable energy, is formulated as a single-objective and multi-objective problem in which many objective functions are considered, such as minimizing the fuel cost, emission, real power loss, and voltage deviation. Real power generation, bus voltage, load tap changers ratios, and shunt compensators values are optimized under various power systems’ constraints. This paper aims to solve the OPF problem and examines the effect of renewable energy resources on the above-mentioned objective functions. A combined model of wind integrated IEEE 30-bus system, solar PV integrated IEEE 30-bus system, and hybrid wind and solar PV integrated IEEE 30-bus system are performed using the equilibrium optimizer technique (EO) and other five heuristic search methods. A comparison of simulation and statistical results of EO with other optimization techniques showed that EO is more effective and superior.

Construction projects are usually operating in a complex and dynamic environment in which the accumulation of many interrelated factors causes high uncertainty. Construction projects are complex and frequently involve substantial uncertainties including process complicatedness, intricate organization structure, dynamic environment, and financial strain. The study aims to categorize the influencing factors into three groups, namely construction project system, economic-market climate, and external environment. It attempts to adopt a novel analysis tool to examine the relationship between the project cost and multiple influencing factors by using Bayesian SEM. While the Bayesian SEM method has been receiving increasing attention in exploring the relationship between latent variables, construction studies still heavily rely on the covariance-based SEM approach. This study introduces several advantages of Bayesian SEM that make it more flexible and powerful than covariance-based SEM and provides the foundation of Bayesian SEM estimation and inference by illustrating this method in a project cost application.

At 100% penetration, intermittent renewable energy causes outages. To flatten the leaping supply and demand curves of renewable energy, an energy storage medium and carrier are required. The Hydrogen energy stotrage system (HydESS), which combines a proton exchange membrane (PEM)-based water electrolysis (WE) system and a fuel cell (FC), has the quickest response time, the longest duration, and the greatest storage capacity. HOMER tools for techno-economic analysis are used to evaluate the HydESS hybrid system. Kyiv, Ukraine, is appealing due to its spatial-temporal wind speed, solar irradiance, and energy security. With an LCOE of $0.245 kWh−1 and 9.3% fuel cell power output, the most feasible solution is onshore wind turbine-coupled PEMFC HydESS. As a result 1,000-kW wind power, 250-kW PEMFC, 250-kW PEMWE, and 441-kW BESS are optimized to serve a 3,900 kWh day academic residence load. When compared to a diesel generator and a BESS, the hybrid HydESS reduces CO2 emissions by 4,132 tons over a 25-year period. The LCOE of a hybrid HydESS system is determined by the SOFC lifetime rather than the PEMFC's 2% difference between 40,000 and 50,000 h with the same rated power. This study recommends accelerating PEMFC development with fluctuation-endurable materials and design.

Despite a global push in the development and implementation of widespread alternative energy use, significant disparities exist across given nation-states. These disparities reflect both technical and economic factors, as well as the social, political, and ecological gaps between how communities see energy development and national/global policy goals. Known as the “local-national gap,” many nations struggle with fostering meaningful conversations about the role of alternative energy technologies within communities. Mitigation of this problem first requires understanding the distribution of existing alternative energy technologies at the local level of policymaking. Using the State of Georgia, U.S.A. as a case study, we present a model for analyzing how existing adoption trends enable/limit conversation at the scale of local governance (i.e., county governments). Leveraging existing work on the Gini Coefficient as a metric for measuring energy inequity, we argue these tools can be applied to analyze where gaps exist in ongoing solar adoption trends. As we demonstrate, communities that adopt solar tend to be concentrated in a few counties, indicating existing conversations are limited to a circumscribed set of social networks. This information and the model we demonstrate can enable focused qualitative analyses of existing solar trends, not only amongst high-adoption areas but within communities where little to no adoption has occurred.

This paper presents a detailed description of three methodologies to electrify the rural households of small loads with reliable and economical method using solar energy as input source of power. It is observed that high DC voltage is better and economical solution rather than AC based solar systems and low voltage DC systems. In this paper, three methodologies were analysed to select the right combination of portable converters with low prices, which may further enhance the energy access and affordability to common people. The proposed three methodologies were tested through action research in collaboration with a team of scientists and technical experts of National Institute of Solar Energy. The comparative analysis is carried out on three different converters, various kind of house loads and types of power supply i.e. AC/DC. The performance, quality and economic evaluation has been carried out with the help of MATLAB SIMULINK and other measuring instruments specific for solar photovoltaic systems. The derived results were analysed and inferences made for use in village household loads and their income groups. Further, a three-step analytical framework on village-level power energy efficient power at affordable power preposition was presented. This study will help in the designing as well as in the performance and economic evaluation of converters based on solar photovoltaic systems of different technologies.

This article purposed to examine the impact of integration between Lean accounting (LA) tools & Just in Time (JIT) technique on Cost Reduction (CR) in modern manufacturing environment in Saudi establishments, these two variable moderated by Ethical Standards (ESs). A quantitative methodology was used for realizing the study objectives and answering study questions, the main tool exercised for producing the incipient data was a fully-structured questionnaire with closed ended questions, which was designed and passed around online among a selected sample of (109) managers and accountants in Saudi manufacturing firms. Descriptive and deductive statistics adopted to derive the findings, wherefore the compiled responses analyzed by SPSS & AMOS and the results showed that there is direct and indirect effect of LA tools & JIT technique on CR in Saudi industrial companies, especially when using ESs. These findings could provide decision makers in Saudi manufacturing companies with the acuity of adopting both methods in a combined way to maximize the profits of these firms. The results of this study also suggest that the application of LA tools & JIT technique has a positive effect on the promotion of sustainable manufacture and consequent achievement of high sustainable performance.

The Planning and implementation of construction projects are difficult processes and are burdened with many risk elements. The budget spread over time, which is developed on the basis of the schedule, presents the expected distribution of costs throughout the duration of the works, which during the implementation of the project is subject to constant changes resulting from time, cost and organizational factors. Managing construction contracts requires managers to be able to analyze on an ongoing basis the variances of production costs - from the values calculated in the offer cost estimate and assumed in the Budgeted Cost of Work Scheduled. The article attempts to analyze the emerging time and cost deviations using proprietary T/S and T/C monitoring, based on simple indicators of the EVM method. An example of construction of a multi-family housing development was used to study the variances of planned and incurred costs.

Agarwood, a highly valuable fragrant wood of Aquilaria spp. has been widely used in perfumes, traditional medicine, religious rites and cultural activities. Due to the presence of aromatic and medicinal properties, the Agarwood has gained its economic importance in recent years. It has been providing livelihood and employment facilities to many people who are cultivating those. Owing to high demand and profitability, the people of Assam has started to cultivate Agarwood in a commercial manner in recent days. This study was conducted to examine the economic viability of Agarwood cultivation in Assam and to understand the problems of the cultivators to consider Agarwood cultivation as the primary source of income. The primary data were collected during the months of May and June, 2022 from 210 households using structured questionnaire. The cost-benefit analysis revealed that INR 100 of initial investment yields a net benefit of INR 623 which indicates that the return from the Agarwood cultivation among the cultivators are very high. Thus, the present study argues that the government should encourage the cultivators by providing the necessary support in the form of a legalized market, credit requirement, creating the awareness about the demand of Agarwood and making provision of training.

In this work, fluorinated graphene nanoscrolls (FGN) were synthesized via facile chemical methods under simple and mild conditions. Interestingly, the formation of the featured FGN was significantly solvent sensitive. Experimental results indicated that in the presence of aprotic solvent, for example, N,N dimethylformamide (DMF), the reaction system inclined to form the interesting FGN nanostructures. The structure and morphology of the prepared FGN were detailed characterized by atomic force microscopy (AFM), transmission electron microscopy (TEM), scanning electron microscopy (SEM) and X-ray diffraction (XRD) etc. The obtained FGN was used as a cathode material for primary lithium ion batteries with superior discharge specific capacity (eg. 979.3 mAhg-1), stable discharge platform and high energy density (eg. 2287.9 Wh kg-1), which fosters it a high density, low cost and durable candidate for cathode material for lithium ion batteries..

In the last years, the development of low-cost GNSS sensors allowed monitoring in a continuous way movement related to natural processes like landslides with increasing accuracy and limited efforts. In this work, we present the first results of an experimental low-cost GNSS continuous monitoring applied to the unstable slope affecting the Madonna del Sasso Sanctuary (NW Italy). The courtyard of Sanctuary is built of two unstable blocks delimited by high cliff. Previous studies and non-continuous monitoring showed that blocks suffer a seasonal cycle of thermal expansion and long-term trend to downslope of few millimeters per year. The presence of continuous monitoring solution, could be an essential help to better understand the kinematics of unstable slope and to recognize the beginning of a possible paroxysm phase that could end with a failure of the unstable area. We tested the accuracy of the instruments and the first year of experimental measurements are presented. We also propose a methodological approach that considers the use of automatized procedures for the identification of anomalous trends and a risk communication strategy based on monitoring data.

Together with display and input, storage and processing are requisite to computing. While storage technologies have improved tremendously in capacity and speed over the years, the basic principles enabling information storage into digital 1 and 0 remains the same: induction of phase change in the storage substrate. But recently, there has been much research into structural phase change material (SPCM) and exploration of its possible use in various types of memory storage applications. Despite unconventional use of structural change between amorphous and crystalline state as well as that between crystal structures for encoding information, key barriers for its widespread use remains access speed, capacity to cost ratio, and fidelity of storage. Hence, given the performance requirement of SPCM for memory applications, what are the material and design considerations that feed into translating a promising application into a practical reality? Given the important role of kinetic and thermal energy in structural organization of a phase change material, precise characterization of structural change in the material with external physical factors such as heat, voltage and current, is critical for storage material design. Next comes the precision at which individual memory cells for storing single bits of information could be defined reproducibly and at high fidelity using SPCM. In congruent with memory cell definition lies the equally important aspect of constraining the field characteristics used in modulating the phase state of the memory medium. Specifically, while heat is useful for mediating the “melting” of a crystalline material into its amorphous state, heat conduction is less useful for transferring the “switch command” from the effector to the memory material. More importantly, choice of structural phase change material for memory applications likely revolves around those where individual memory cells could be defined in a cross array format, which is amenable to high density information storage. Durability and fidelity of information storage are additional factors of design that favours selection of SPCM with phase change occurring at narrow operating windows without hysteresis over extended cycling. But, the most important requirement is speed of access. To this end, energetic cost of phase transitions might affect operation of the phase change memory at the system level: for example, usage of large current for high energy transition step may impact on device durability. Ultimately, there is a fundamental limit on the number of reproducible phase transitions in a SPCM before fidelity of information storage is no longer guaranteed. Hence, what are the drivers for uptake of phase change memories in consumer devices? Performance gains must be realized in access speed, storage capacity, form factor, and fidelity of information storage for practical application of structural phase change memories.

Additive manufacturing (AM) is an emerged layer-by-layer manufacturing process. However, its broad adoption is still hindered by limited material options, different fabrication defects, and inconsistent part quality. Material extrusion (ME) is one of the most widely used AM technologies, and, hence, is adopted in this research. Low-cost metal ME is a new and AM technology used to fabricate metal composite parts using sintered metal infused filament material. Since the involved materials and process are relatively new, there is a need to investigate the dimensional accuracy of ME fabricated metal parts for real-world applications. Each step of the manufacturing process, from the material extrusion to sintering, might significantly affect the dimensional accuracy. This research provides a comprehensive analysis of dimensional changes of metal samples fabricated by the ME and sintering process, using statistical and machine learning algorithms. Machine learning (ML) methods can be used to assist researchers in sophisticated pre-manufacturing planning and product quality assessment and control. This study compares linear regression to neural networks in assessing and predicting the dimensional changes of ME made components after 3D printing and sintering process. The prediction outcomes using a neural network performed the best with the highest accuracy as compared to regression. The findings of this study can help researchers and engineers to predict the dimensional variations and optimize the printing and sintering process parameters to obtain high quality metal parts fabricated by the low-cost ME process.

Cannabidiol (CBD) is a non-intoxicating compound extracted from Cannabis sativa, showing antidepressant-like effects in different rodent models. However, inconsistent results have been described depending on the species and the strain used to assess depressive-like behaviour. Moreover, only a few studies have investigated the effect of CBD in female rodents. Therefore, we aimed to i) investigate the effects of CBD in two different strains of mice (Swiss and C57BL/6) and in a rat model of depression based on selective breeding (Flinders Sensitive and Resistant Lines, FSL and FRL) subjected to tests predictive of antidepressant-like effects; and ii) investigate the influence of sex in the effects of CBD in both mice and rats. CBD induced an antidepressant-like effect in male Swiss but not in female Swiss or C57BL/6 mice in the tail suspension test (TST). In male FSL rats, CBD produced an antidepressant-like effect one-hour post-injection. However, in female FSL, CBD induced a bimodal effect, increasing the immobility time at one hour and decreasing it at two hours. Ketamine produced an antidepressant-like effect in male and female FSL rats at different doses. In conclusion, strain, sex, and administration time affect CBD's behavioural response to rodents exposed to tests predictive of antidepressant effects.

Background: Human epidermal growth factor receptor 2 (HER-2) overexpression can be found in 15-20% of breast cancers, and it strongly correlates with aggressive clinical behavior and adverse prognosis. The first-line treatment for HER-2 positive metastatic breast cancers is the combination of trastuzumab, pertuzumab, and taxane (PTH). ABP 980 is a biosimilar of the innovator trastuzumab and is characterized by highly comparable effectiveness. Methods: The group of 61 patients with HER-2 positive MBC received biosimilar ABP 980 plus pertuzumab and docetaxel from November, 18, 2018 to December, 24, 2019. The response to therapy, overall survival (OS), progression-free survival (PFS), metastases, and adverse effects among patients were determined and analyzed. Results: Initially, 42 women responded partially to the treatment and their median PFS was 27 months. Median PFS for the whole group was 18 months. Cardiotoxicity of treatment was noticed in all patients in the form of the reduction in left ventricular ejection fraction but only in 2 cases, it was the reason for withdrawing from therapy. Conclusion: Biosimilar ABP 980 is registered in the same indications as the innovator trastuzumab and their effectiveness, as well as side effects, are comparable. The costs of biosimilar make the therapy more accessible and thus more patients with MBC around the world can receive relevant treatment.

Cardiovascular disease (CVD) is considered to be one of the leading health issues in Thailand. CVD not only contributes to an increase in the number of hospital admissions year on year but also impacts on the rising health care expenditure for the treatment and long-term care of CVD patients. Therefore, this study is aimed at examining the impacts of risk reduction strategies on the number of CVD hospital admissions, Disability-Adjusted Life Years (DALYs) and the costs of hospitalisation. To estimate such impacts a CVD cost-offset model wasapplied using a Microsoft Excel spreadsheet. The number of the mid-year population was classified by age, gender and the CVD risk factor profiles from the recent Thai National Health Examination Survey (NHES) IV. This survey was chosen as the baseline population. The CVD risk factor profiles included age, gender, systolic blood pressure, total cholesterol, and smoking status. The Asia-Pacific Collaborative Cohort Study (APCCS) equation was applied to predict the probability of developing CVD over the next eight-year period. Estimates on the following were obtained from the model: (1.) the CVD events both fatal and non-fatal; (2.) the difference between the projected number of deaths and the actual number of deaths in that population; (3.) the number of patients who are expected to live with CVD; (4.) the DALYs from the estimated number of fatal and non-fatal events; (5.) the cost of hospital admissions. Four CVD risk strategy scenarios were investigated as follows: (1.) the do nothing scenario; (2.) the optimistic scenario; (3.) achieve the UN millennium development goal; and (4.) the worst-case scenario. The findings showed that over the next eight years there are likely to be 3,297,428 recorded cases of CVD; 5,870,049 cases of DALYs; and, approximately ฿57,000 million, ($1.9 billion), is projected as the total cost of hospital admissions. However, if the current health policy can reduce the levels of risk factors as defined in the optimistic scenario or such policy meets the specifications of the UN millennium development goal,there would be a significant reduction in the number of hospital admissions. These are estimated to be a reduction of 522,179 male and 515,416 female cases. With these results it is expected that health care costs would save approximately ฿9,000 million, ($298.3 million), for CVD and 900,000 million of DALYs over the next eight years. However, if there is an upward trend in the risk factors as predicted in the worst-case scenario, then there will be an increase of 428,220 CVD cases; consequently, DALYs cases may rise by 766,029 while the hospitalisation costs may increase by approximately ฿7,000 million, ($232.1 million). Based on our findings, reducing the levels of CVD risk factors in the population will drastically reduce: (1.) the number of CVD cases; (2.) DALYs cases; and (3.) health care costs. Therefore it is recommended that the health policy should enhance the primary prevention programs which would be targeted at reducing the CVD risk factors in the population.

Glucose-sensitive films were prepared by the layer-by-layer (LbL) deposition of poly(ethyleneimine) (H-PEI) solution and DNA solution (containing glucose oxidase (GOx)). H-PEI/DNA+GOx multilayer films were constructed using electrostatic interactions. The (H-PEI/DNA+GOx)5 film was then partially decomposed by hydrogen peroxide (H2O2). The mechanism for the decomposition of the LbL film was considered to involve a more reactive oxygen species (ROS) that was formed by the reaction of hemin and H2O2, which then caused nonspecific DNA cleavage. GOx present in the LbL films reacts with glucose to generate hydrogen peroxide. Therefore, decomposition of the H-PEI/DNA+GOx)5 film was observed when the thin film was immersed in a glucose solution. A (H-PEI/DNA+GOx)5 film exposed to a glucose solution for periods of 24, 48 72, and 96 h indicated decomposition of the film increased with the time. The rate of LbL film decomposition increased with the glucose concentration. At pH and ionic strength close to physiological conditions, it was possible to slowly decompose the LbL film at a sub-millimolar glucose concentration.

Background: The phase III KEYNOTE-604 study confirmed the benefit of pembrolizumab combined with chemotherapy in the first-line treatment of extensive-stage small-cell lung cancer(ES-SCLC). Intergrated the clinical benefits of pembrolizumab and its high cost into account, this study aim to assess the cost-effectiveness of adding pembrolizumab to standard first-line etoposide-platinum (EP) for patients with ES-SCLC from the the US payer perspective. Methods: A Markov model was developed to compared the costs and quality-adjusted life-years (QALYs) of pembrolizumab plus EP and placebo plus EP over a 10-year time horizon. Clinical efficacy, treatment utilization and safety data were pooled from the KEYNOTE-604 trial. Utilities were obtained from published resources. Costs were mainly collected from Medicare in 2020. Sensitivity analyses were performed to examined the robustness of our model. Results: Adding pembrolizumab to standard first-line EP, resulted in better effectiveness than the use of EP alone for ES-SCLC by 0.22 QALYs. Pembrolizumab plus EP was dominated economically by placebo plus EP, leading to an incremental cost-effectiveness ratio(ICER) of $334,373/ QALY. Deterministic sensitivity analyses indicated that the uncertainty in model parameters exerts no substantial effect on our results. Probability sensitivity analysis indicated that probabilities for pembrolizumab plus EP being cost-effective within a wide rang of willingness to pay were modest. Conclusion: From the US payer perspective, the first-line treatment for ES-SCLC with pembrolizumab plus EP was not cost-effective compare with placebo plus EP. Although pembrolizumab combination chemotherapy was beneficial to the survival of ES-SCLC, price reduction may be the necessary measure to improve its cost-effectiveness.

Mexico is currently facing important water management challenges. Cities in the country are facing water scarcity and at the same time, they struggle with floods during the raining season. The water sensitive urban design (WSUD) approach has proved to be helpful in tackling urban water challenges such as floods and water scarcity and it is being implemented in cities around the world. The WSUD approach highlights the role of both the water cycle and the water utilities systems, when transitioning towards a water sensitive stage. Therefore, the objective of this research is to analyse the current situation of the water cycle and the water utility (SIAPA). To do so, we have selected the Metropolitan Area of Guadalajara (MAG) and proposes a case study approach. Within our case of study, we answer two questions: 1) What are the causes of water scarcity and flooding in the MAG? and 2) What are the proposals to solve these problems under a WSUD approach? By answering these questions, we identified that the water management in the MAG corresponds to a single purpose infrastructure. This type of management does not contribute to solve the problems of water scarcity and floods. The water supply policy is based only on the construction of large dams disregarding the storage and use of rainwater, and reuse of greywater, and water-conservation devices. In order to transition towards a water sensitive stage, a WSUD approach that includes multi-purpose infrastructure should be considered. Such as green roofs, swales, rainwater gardens, infiltration trenches, etc.

Users of meteorological forecasts are often faced with the question of whether to make a decision now based on the current forecast or whether to wait for the next and hopefully more accurate forecast before making the decision. One would imagine that the answer to this question should depend on the extent to which there is a benefit in making the decision now rather than later, combined with an understanding of how the skill of the forecast improves, and information about the possible size and nature of forecast changes. We extend the well-known cost-loss model for forecast-based decision making to capture an idealized version of this situation. We find that within this extended cost-loss model, the question of whether to decide now or wait depends on two specific aspects of the forecast, both of which involve probabilities of probabilities. For the special case of weather and climate forecasts in the form of normal distributions we derive a simulation algorithm, and equivalent analytical expressions, for calculating these two probabilities. We apply the algorithm to forecasts of temperature and find that the algorithm leads to better decisions relative to three simpler alternative decision-making schemes. Similar problems have been studied in many other fields, and we explore some of the connections.

Aims: The objective of this study was to assess the cost-effectiveness of the CardioMEMS HF system in a HF Clinic in Spain by evaluating the real-time remote monitoring of pulmonary artery pressures, which has shown to reduce heart failure (HF) related hospitalizations and improve the quality of life for selected HF patients. Particularly, the study aimed to determine the value of CardioMEMS in Southern Europe, where healthcare costs are significantly lower and its effectiveness remains uncertain. Methods: This single-centre study enrolled all consecutive HF patients who had been implanted with a pulmonary artery pressure sensor (CardioMEMS-HF system, Abbott Laboratories, Abbott Park, IL, USA). The number of HF hospitalizations in the year before and the year after the sensor implantation was compared and quality-adjusted life years (QALY) gained based on a literature review of previous studies was calculated. Results: The rate of HF hospitalisations was significantly lower at 1 year compared with the year before CardioMEMS implantation (0.25 versus 1.10 events/patient-years, HR 0.22, p=0.001). At the end of first year, the usual management outperformed the CardioMEMS HF system, resulting in a net monetary value difference of 2,540€ per patient and a benefit-cost ratio of 0.38. However, by the end of the second year, the CardioMEMS system is estimated to reduce costs compared to usual management. Conclusions: Based on the results, we suggest that remote monitoring of pulmonary artery pressure with the CardioMEMS HF system represents a long-term cost-effective strategy in a healthcare setting in Southern Europe.

The trafficking of illegal drugs by criminal networks at borders, harbors, or airports is an increasing issue in public health as these routes ensure the main supply of illegal drugs. The prevention of drug smuggling, including the installation of scanners and other analytical devices to detect ultra-small traces of drugs within a reasonable time frame, remains a challenge. The presented immunosensor is based on a monolithic affinity column with a large excess of immobilized hapten, which traps fluorescently labeled antibodies as long as the analyte cocaine is absent. In the presence of the drug, some binding sites of the antibody will be blocked, which leads to an immediate breakthrough of the labeled protein, detectable by highly sensitive laser-induced fluorescence with the help of a Peltier-cooled complementary metal-oxide-semiconductor (CMOS) camera. Liquid handling is performed with high-precision syringe pumps and microfluidic chip-based mixing devices and flow cells. The biosensor achieved limits of detection of 23 pM (7 ppt) of cocaine with a response time of 90 seconds and a total assay time below 3 minutes. With surface wipe sampling, the biosensor was able to detect 300 pg of cocaine. This immunosensor belongs to the most sensitive and fastest detectors for cocaine and offers near-continuous analyte measurement.

This paper analyzes the mitigation of enteric methane (CH4) emissions from ruminants with the use of feed additives inhibiting of rumen methanogenesis to limit global temperature increase to 1.5 °C. A mathematical simulation conducted herein predicted that pronounced inhibition of rumen methanogenesis with pure chemicals or bromoform-containing algae can contribute to limit global temperature increase by 2050 to 1.5 °C only if widely adopted at a global level and considering an efficacy higher than obtained in most studies. Currently, the most important limitations to the adoption of antimethanogenic feed additives are probably increased feeding cost without a consistent return in production efficiency, and achieving sustained delivery of inhibitors to the rumens of non-supplemented, extensively ranging animals. Economic incentives, and changes in rumen microbial metabolism caused by inhibiting methanogenesis, could potentially be used to make the methanogenesis inhibition intervention cost effective. Also, the composition of the methanogenic community, and rate of disappearance of inhibitors of methanogenesis in the rumen can influence the effective dose of the inhibitors, and hence the cost of their adoption. Possible means for sustained delivery of antimethanogenic compounds to extensively grazing animals are discussed. Limitations and knowledge gaps of these approaches, and future research directions, are examined.

In order to evaluate the economy of superhighway, on the basis of the analysis of the cost of the ordinary expressway and high speed railway, the cost of superhighway is estimated. On this basis, the standard of the toll of superhighway at all levels is determined by reference to the standard of the construction cost and the toll collection standard of the ordinary expressway. According to the toll collection standard of superhighway and the fuel consumption cost of superhighway at all levels, the cost of single car and the single person cost of superhighway are calculated. Based on the analysis of highway passenger transport, railway passenger transport and civil aviation ticket price, the single person cost per kilometer of the above travel modes is calculated and compared with the single person travel cost per kilometer of superhighway. The results show that the single person cost of superhighway is between 0.29 and 0.47 yuan /km, which is 0.28 yuan /km higher than the highway bus, 0.18 yuan /km higher than the ordinary expressway self driving and 0.23 yuan /km higher than the express train, but 0.78 yuan/km lower than that of the first class seat of high-speed train, and is 0.92 yuan/km far lower than that of civil aviation flight economy class and 2.42 yuan/km lower than the business class. Therefore, the superhighway trip has certain advantages in economy.

Economic burden due to premature mortality has a negative impact not only in health system even though in the society. The aim of this study was to estimate the potential years of work tenure lost (PYWL) due to Chagas disease in Colombia from 2010-2017. National data on mortality by sex and ages between 15 and 62 dues to Chagas from 2010 to 2017. The PYWL methodology was applied to assess the impact of Chagas disease in workers who suffer from them. In total, 1,261 deaths were analyzed in the study, of which 60% corresponded to males. The loss of labor productivity caused by Chagas disease was estimated at $29 million. Overall, 48,621 PYWL were lost, and there was an average of 21 years for all subjects with Chagas. Throughout the analyzed period, PYWL increased substantially, and it is necessary to continue with early detection programs to avoid premature death in working age population.

Forest carbon sequestration is a widely accepted natural climate solution, however, methods to determine net carbon offsets are limited to commercial carbon proxies and CO2 eddy covariance research. Non-CO2 greenhouse gases (GHG) (e.g., CH4, N2O) receive less attention in the context of forests, in part, due to emphasis on CO2 and the operational requirements and cost for three-gas eddy covariance platforms. In this study, Howland forest flux tower (CO2, CH4) and soil flux data (CO2, CH4, N2O), representing net emission reductions, are linked to their respective social costs to estimate commercial revenue if sold as a GHG social cost forest offset product (GHG-SCF). Estimated annual revenue for GHG-SCF products, applicable to realization of a Green New Deal, range from 120,000 covering the site area of 557 acres in 2021, to 12,000,000 for extrapolation to 40,000 acres in 2040, assuming a 3% discount rate. The Howland Forest CO2 flux record for two adjacent towers is compared to California Air Resources Board forest carbon proxy data for compliance sequestration offsets, the only project site where these approaches overlap. Overcrediting, incomplete carbon accounting with annual errors of up to 2,256%, inadequate third-party verification, and limited application to non-CO2 GHG’s are established. In contrast, direct measurement of one or more GHG’s offers new forest products and revenue incentives to restore and conserve forests worldwide.

Environmentally friendly and low-cost sensors are needed for the next generation disposable electronics applications. Given its low-cost, availability and biodegradability, paper-based devices are a very promising. Here we demonstrate the fabrication of a tungsten disulphide (WS2) strain sensor on standard copy paper. The WS2 is deposited through direct abrasion of WS2 powder against the paper surface making the fabrication of the device low-tech and cost effective. The fabricated strain gauge devices present gauge factors up to ~70 for strains in the ± 0.5 % range. These values are ~ 9 times larger than that obtained on devices with the same geometry but using a graphite film instead a WS2 as a sensitive material. We demonstrate the potential of these WS2-on-paper strain gauges by integrating them directly on a paper cantilever to sense mass and forces. We show how this very simple device can detect sub-milligram masses. Moreover, we also demonstrate the capability of transducing motion in mechanical resonators by gluing a WS2-on-paper strain gauge on their surface.

Despite multiple classical outcomes arising from the quantum Rayleigh conversions of photons underlying the propagation of optical waves through dielectric media and the ensuing light-matter interactions, this quantum process has been largely ignored. Several of its outcomes are considered in this article from a physical perspective, e.g., inter-quadrature coupling of photons, phase-dependent amplification in optical directional couplers and related polarization rotation, phase-shifting of weak signals in the optically linear regime, location-dependent coupling coefficient for refractive index gratings, etc. A correct identification of these effects will enable useful design and operation of integrated photonic functional devices.

Already more than 140 countries consider or have pledged to reach net-zero emission targets by 2050 or earlier and the share of global emissions falling into an emission pricing scheme has steeply increased over the past three years. Even where there are no direct implications for industry (yet), there is a series of subtle pressure points driving an increasing number of companies across the globe to work towards climate neutrality and pledging ambitious emission reduction goals. This article sheds light on the pressure points, the subtle triggers, the underlying considerations as well as the hoped-for benefits for industrial companies from achieving net-zero emissions. The observations and ideas presented in this paper are derived from quantitative data obtained via the Energy Efficiency Index of German Industry (EEI) and qualitative data. Not only societal, work force, supply chain and investor expectations play a large role, but also many strategic considerations which have the potential to make the company more resilient and profitable, particularly in time of crisis. Those companies that do not move towards decarbonisation, on the other hand, may face a costly late-mover disadvantage. This piece uncovers subtle interconnections, helping stakeholders from industry and beyond to grasp opportunities and challenges ahead.

In California, an average of 41,900 patients are diagnosed annually with Staphylococcus bacterial infection; out of these, 24,090 patients have methicillin-resistant Staphylococcus aureus (MRSA) infection and 17,810 patients have methicillin-sensitive Staphylococcus aureus (MSSA) infection. The aim of this paper is to find out whether there is a significant difference in strain dominancy and in what direction. The paper gathered and analyzed data for period of five years of infection rate due to Staphylococcus aureus. This study indicates that a significant difference in dominancy exists, the MRSA infection rate (an average of five years period) is 1.35 times higher than the MSSA infection rate (P-value < 0.05, CI: 95%), but the gap between the two infection rates is decreasing. The infection rate of both MRSA and MSSA is in a path of decline.

Background: Trichomoniasis is the most common non-viral STI globally and yet is not a reportable disease. Trichomonas Vaginalis is an important source of reproductive morbidity and may increase risk of acquisition and transmission of HIV. WHO and CDC recommend various regimens of Nitro-Imidazoles for treatment. The common Nitro-Imidazoles used for Trichomoniasis are Metronidazole and Tinidazole, which vary in their cost, efficacy and side effect profile and it is relevant to study these factors, for better management of the patients. Objectives: This study aims to compare and study the efficacy, compliance of various treatment regimens, their outcomes and side-effects for Trichomoniasis, among STI clinic attendees in Trinidad. Methods: A clinical trial study was designed and after obtaining the informed consent a routine clinical examination was conducted and the swabs for Trichomoniasis tests were collected for diagnosis from the 692 participants. Out of 692 participants, Eighty two (82) patients with established diagnosis of Trichomonas infection were quasi-randomly treated using different regimens. Compliance to treatment, side effects and outcome were evaluated. Results: The prevalence of the Trichomoniasis in population attending our STI clinic is 11.9% and prevalence of HIV is 9%. Of the total 82 participants for the treatment, 80% were females; nearly 90% of the patients belonged to age group 15-45 years and over 60% were below 30 yrs. Among those diagnosed for Trichomonas vaginalis, 13.3% had associated HIV infection. The compliance with respect to single dose treatment was significantly better than the long duration oral regimen and has significant relation with side effects of the treatment. The outcome is generally better and comparable and shows no significant difference between different treatment regimens used in the study. Conclusions: Metronidazole and Tinidazole are commonly used drugs in various regimens. compliance is better with those treated with Tinidazole and Metronidazole stat, than with other groups. Outcome is comparable between these regimens, especially when combined with other important factors like abstinence and treatment of the partners. The treatment regimens mainly differ in the compliance and side effects profile, which suggests that to improve the compliance the drugs with less side effects, short course regimen would be a preferred choice.

The purpose of this study is to examine the relationship between the institutional investors which can affect financial performance for corporate sustainability on the income smoothing. Therefore, this study focus on the connection between the nature of stock rights and income smoothing in China. For this study, hypotheses were established on the relationship each state-controlled companies, income smoothing, and information equilibrium of individual investors, and empirical analysis was conducted through related variables. The analysis results are summarized in three categories as follows. First, this research finds that state-controlled firms (CONTs) prefer income smoothing activities compared to non-state-controlled firms for the long-term sustainable development of firms using data from 2011 to 2019. Second, this study found out that Institutional investors support the behavior of CONTs to smooth their earnings because this behavior is seen as an attempt by CONTs to convey valuable private information to other investors. Third, we was able to discover that institutional investors' monitoring effect is predominantly driven by pressure-resistant institutional investors. This research complements the lack of empirical research on income smoothing and enable to give a guideline that the type of stock rights is a critical key determinant of participation in income smoothing activities for stable growth and sustainability in the future.

In this letter, we show an alternative low-cost fabrication method to obtain poly(dimethyl siloxane) (PDMS) microfluidic devices. The proposed method allows the inscription of micron resolution channels on polystyrene (PS) surfaces, used as a mold for the wanted microchip’s production, by applying a high absorption coating film on the PS surface to ablate it with a focused low-power visible laser. The method allows obtaining micro resolution channels at powers between 2 and 10mW and can realize any two-dimensional polymeric devices. The effect of the main processing parameters on the channel’s geometry is presented.

Intending to analyze the role of nuclear power in an integrated energy system, we used the IESA-Opt-N cost minimization model focusing on four key themes: system-wide impacts of nuclear power, uncertain technological costs, flexible generation, and cross-border electricity trade. We demonstrate that the Levelized Cost of Energy (LCOE) alone should not be used to demonstrate the economic feasibility of a power generation technology. For instance, under the default techno-economic assumptions, particularly the 5% discount rate and exogenous electricity trade potentials, it is cost-optimal for the Netherlands to invest in 9.6 GWe nuclear capacity by 2050. However, its LCOE is 34 €/MWh higher than offshore wind. Moreover, we found that nuclear power investments can reduce demand for variable renewable energy sources in the short term and higher energy independence (i.e., lower imports of natural gas, biomass, and electricity) in the long term. Furthermore, investing in nuclear power can reduce the mitigation costs of the Dutch energy system by 1.6% and 6.2% in 2040 and 2050, and 25% lower national CO₂ prices by 2050. However, this cost reduction is not significant given the odds of higher nuclear financing costs and longer construction times. In addition, this study has shown that lower financing costs (e.g., EU taxonomy support) considerably reduce the relevance of nuclear cost uncertainties on its investments. Furthermore, we demonstrate that the economic feasibility of national nuclear power investments can vary considerably depending on the cross-border electricity trade assumptions. Additionally, we found that lowering the cost of small modular reactors has more impact on their economic feasibility than increasing their generation flexibility. In conclusion, under the specific assumptions of this study, nuclear power can play a complementary role (in parallel to the wind and solar power) in supporting the Dutch energy transition from the sole techno-economic point of view.

Background: Telemedicine (interconsultation between primary and hospital care teams) has been operating in the counties of Central Catalonia Bages, Moianès and Berguedà since 2011 in the specialties of teledermatology, teleulcers, teleeyelids and teleaudiometries. For the period until the end of 2019, a total of 52,198 visits have been recorded. Objective: To analyse the differential costs between telemedicine and usual care in a semi-urban environment. Methodology: A cost-minimization evaluation, including direct and indirect costs from a societal perspective, distinguishing healthcare and user’s costs, within a three-month period. Results: Telemedicine saved € 780,397 over the period analysed. A differential cost favourable to telemedicine of about € 15/visit has been observed, the patient being the largest beneficiary of this saving (by 85%) in terms of shorter waiting times and travel costs. From the healthcare system perspective, moving the time spent in a hospital care consultation to primary care is efficient in terms of the total time devoted per patient. In social terms and in this context, telemedicine is more efficient than usual care. Conclusion: Users’ saving of time in terms of consultation and travel is the main driver of interconsultation between primary and hospital care savings in a semi-urban context. The telemedicine service is also economically favourable for the healthcare system, enabling it to provide a more agile service, which also benefits the healthcare professionals.

Advances in communication technologies have made the interaction of small devices, such as smartphones, wearables, and sensors, scattered on the Internet, bringing a whole new set of complex applications with ever greater task processing needs. These Internet of Things (IoT) devices run on batteries with strict energy restrictions. They tend to offload task processing to remote servers, usually to Cloud Computing (CC) in datacenters geographically located away from the IoT device. In such a context, this work proposes a dynamic cost model to minimize energy consumption and task processing time for IoT scenarios in Mobile Edge Computing environments. Our approach allows for a detailed cost model, with an algorithm called TEMS that considers energy, time consumed during processing, the cost of data transmission, and energy in idle devices. The task scheduling chooses among Cloud or Mobile Edge Computing (MEC) server or local IoT devices to better execution time with lower cost. The simulated environment evaluation saved up to 51.6% energy consumption and improved task completion time up to 86.6%.

Cost estimating based on building cost index plays an important role in project planning and management by providing accurate cost information. Recently, tremendous advances in cost estimating has been made but serious inaccuracies in it are still too frequently witnessed. This study aims to improve estimating accuracy for residential building costs in New Zealand. In this study, the New Zealand house prices index is involved in the transfer function models to produce forecasts of building costs for one-storey house, two-storey house, and town house in New Zealand. To demonstrate the effectiveness of the proposed models, this study compares the estimate results of the transfer function models with the univariate ARIMA models. The results indicate that the proposed transfer function models can achieve better outcomes than ARIMA models by considering the causality between building costs and New Zealand house prices. During the modelling process, the better cost estimation approach can be identified, and the movements of building costs are shown.

Growing energy demand in the distributed energy system (DES) besides new charging loads of electric vehicles (EVs) make DES infrastructure unavailable earlier than normal projections. DES lines need to be upgraded to carry the modern demand of customers. DES line upgrade (LU) cost minimized and deferred to the next years by using energy storage system (ESS). ESS offers the opportunity to use energy flexibly in the distribution grid. It is possible to use ESS to shift the inevitable upgrade costs of the distribution grid elements and increase the power quality of the distribution grid. In this study, a method is proposed to extend the lifespan of DES with ESS and reduce line upgrade and investment costs in the distribution system. For this purpose, the IEEE 33 bus test grid is used, and the proposed method is tested and analyzed with different case studies. According to the results, the proposed method can reduce the investment cost by up to 80%. Besides, ESS usage considering load increase and line conditions of the distribution grid, upgrade costs of distribution grid are shifted, resulting in an optimal dimensioning and positioning while extending the lifespan of the distribution grid elements and, at the same time, offering significant improvements in energy quality. Additionally, it is seen that the power losses of the distribution grid are reduced up to 26%, and the voltage profile of buses is improved with the usage of ESS.

Urban cities in sub-Saharan Africa (SSA) are faced with ambient air pollution. This is an important public health problem with models and limited monitoring data indicating high concentrations of pollutants such as fine particulate matter (PM_2.5). Going through most global air quality index maps, however, information about ambient pollution from SSA is scarce. We evaluated the feasibility and practicality of longitudinal measurements of ambient PM_2.5 using low-cost air quality sensors (Purple Air-II-SD) across thirteen locations in seven countries in SSA. Devices were used to gather data over a 30-day period with the aim of assessing the efficiency of its data recovery rate and identifying challenges experienced by users in each location. The median data recovery rate was 94% (range: 72% to 100%). The mean 24-hour concentration measured across all sites was 38 µg/m³ with the highest PM_2.5 period average concentration of 91 µg/m³ measured in Kampala, Uganda and lowest concentrations of 15 µg/m³ measured in Faraja, The Gambia. Kampala-Uganda and Nnewi-Nigeria recorded the longest periods with concentrations>250µg/m³. Power outages, SD memory card issues, internet connectivity problems and device safety concerns were important challenges experienced when using Purple Air-II-SD sensors. Despite some operational challenges, this study demonstrated that it is reasonably practicable and feasible to establish a network of low-cost devices to provide data on local PM_2.5 concentrations in SSA countries. Such data are crucially needed to raise public-, societal and policymaker awareness about air pollution across SSA.

This comprehensive critical review shows how green buildings and energy optimization solutions improve indoor air quality as well as environmental quality (IEQ) and human health. Electricity-efficient green buildings create a better indoor atmosphere and save electricity. Green buildings improve occupant well-being through IAQ, thermal comfort, acoustics, and lighting. Renewable energy, green construction materials, and intelligent technologies increase sustainability and reduce environmental impact. Environmental hazards, architectural design, and societal variables can improve indoor air quality and subsequently reduce health risks linked with poor air quality. The evaluation highlights the pros and cons of low-cost IAQ sensors and equipment. These devices provide valuable insights, but calibration and validation using reference equipment are necessary to ensure accuracy and reliability. Architects, engineers, environmentalists, and policymakers are essential in creating green buildings with high IEQ. Prioritizing occupant comfort, health, and productivity ensures a sustainable and healthy future for future generations. However, continual monitoring and research are needed to improve green building practices and overcome construction problems. Intelligent models for continual on-field calibration of low-cost sensors may improve performance. Green buildings benefit occupants and the environment by optimizing energy use and using IAQ monitoring technologies.

Buildings use 30-40 % of all energy resources and are thus their main consumers in modern society. Moreover, buildings require a vast amount of different raw materials. During the last two decades, several green building certifications have been created in order to consider social, economic and environmental aspects of sustainability of buildings. One of the most famous and widely used of these certifications is Leadership in Energy and Environmental Design (LEED). So far, the use of LEED has concentrated in the US and other developed countries. One reason that restricts the use of this point-based system certification in developing countries is the limited data about its costs. In this study, the extra cost of the certification process will be evaluated besides the changes needed in the design of the building to reach the points required by LEED. At the first stage, the number of points the case study earns in its current format (Scenario 1) were found out, then the cost difference of getting either the Certified (Scenario 2) or Silver (Scenario 3) level LEED certification for the building was studied. It was found that besides some technical considerations, filling the criteria of the Certified and Silver level increases the total costs of construction by 3.4% and 5.9%. Further improvement of the building’s energy efficiency would enable the attainment of a higher-level certification. The results of the study could help to promote the use of green building certifications in Western Asia.

This venture targets giving a correspondence framework that can improve the legal framework execution and cooperation and furthermore make it simple to lead execution audits. This examination depicts restricted admittance to the right legitimate data just as admittance to courts and court administrations as the essential factors that limit admittance to equity. The basic target fundamental for accomplishing the point incorporates planning an online easy to understand data framework that would improve correspondence and association between legal professionals like legal advisors and disputants. The undertaking uses a subjective methodology that zeroed in on the substance investigation of essential information. Key members were court laborers like attorneys and agents, just as court clients like disputants. Pre-plan discoveries uncovered that current legitimate data frameworks – basically court sites – neglect to recognize their crowd by treating all court clients similarly comparative with the correspondence of lawful data. Likewise, the issue of admittance to equity includes the significant expense of equity also, restricted legal data that elevates admittance to equity. Post-plan discoveries from the online overview directed after the turn of events and execution of the IT curio uncovered a powerful and productive legitimate data framework. Exploration discoveries supported the advancement of an IT antiquity that records for huge shortcomings in current legal data frameworks, for example, their failure to pass on fitting legitimate data intelligently and productively. In outline, the investigation prescribes the reception of saw control to work fair and square of certainty of court clients and the differentiation between court clients to convey the right data to the right crowd.

The article focuses on the integrated environmental accounting model called 'eValue', developed for protected areas and applied in the research programme coordinated by the Italian Ministry of the Environment and aimed at implementing an environmental accounting system for Italian Marine Protected Areas (MPAs). eValue adopts a cost-benefit analysis approach. Financial accounting based on costs and revenues is integrated with environmental accounting, which reflects environmental costs and environmental revenues, i.e. environmental benefits. The environ-mental costs assess the impacts related to human activities in the MPA expressed by calculating the carbon footprint and the environmental benefits of the marine ecosystem services calculated by applying monetary valuation techniques. The values thus estimated flow into the annual flow account, where the value produced (or consumed) by the MPA is estimated by difference. The eValue model was applied to the Porto Cesareo MPA (Italy). eValue showed that the annual benefit-cost ratio reaches a value of 3.4. Furthermore, the ratio of net benefit to public funding is 3.7, completely covering the amount of public transfers and thus summarizing the MPA overall value for money.

Methods to handle uncertainty in economic evaluation have gained much attention in the literature and the cost-effectiveness acceptability curve (CEAC) is the most widely used method to summarize and present uncertainty associated with program costs and effects in cost-effectiveness analysis. Some researchers have emphasized the limitations of the CEAC for informing decision and policy makers as the CEAC is insensitive to radial shifts of the joint distribution of incremental costs and effects in the North-East and South-West quadrants of the cost-effective plane (CEP). Furthermore, it has been pointed out that the CEAC does not incorporate risk-aversion in valuing uncertain costs and effects. In the present article we show that the cost-effectiveness affordability curve (CEAFC) captures both dimensions of the joint distribution of incremental costs and effects on the CEP and is therefore sensitive to radial shifts of the joint distribution on the CEP. Furthermore, the CEAFC also informs about the budget impact of a new intervention as it estimates the joint probability an intervention is both affordable and cost-effective. Moreover, we show that the cost-effectiveness risk-aversion curve (CERAC) allows to incorporate risk-aversion into the analysis and can therefore be used to inform decision-makers who are risk-averse. We use data from a published cost-effectiveness model of palbociclib in addition to letrozole versus letrozole alone for the treatment of oestrogen-receptor positive, HER-2 negative, advanced breast cancer to demonstrate the differences between CEAC, CEAFC and CERAC and show how these can jointly be used to inform decision and policy makers.

In the U.S. 44% of low-income households struggle to pay their utility bills, affecting their ability to afford necessities such as food and health expenses. Several government and utility funded energy efficiency programs exist to assist those experiencing energy insecurity. In Salt Lake City, Utah, there is a high demand for, but low availability of, energy efficiency services in underserved neighborhoods creating an opportunity for creative community-based programs to fill this inherent gap. This pilot project, involving the exchanging of LED bulbs in Salt Lake City, highlights the development of a community-based energy efficiency program that aims to bring energy savings to a uniquely targeted portion of the city and determines its feasibility in addressing energy insecurity at a larger scale. Through the 8-month project duration, 1,432 bulbs were exchanged at 23 events reaching 181 households in low-income areas. Through a year of use, these bulbs are estimated to save residents approximately 18,219 USD in electricity bills and reduce CO2 emissions from power plants by 122.23 metric tons, in addition to a savings of 4,400 USD in social cost of carbon as defined by the U.S. Environmental Protection Agency. Since this pilot reached less than 1% of households, we extrapolated a reach of 2%, 5%, and 7.5% and found substantial potential decreases in power plant emissions and financial savings. As this project is ongoing and being expanded, we discuss relevant findings that will help shape future community-based models so that they are appropriately deployed and more effective in alleviating local energy insecurity.

Proteasome inhibitors, like bortezomib, play a key role in the treatment of multiple myeloma (MM); however, most patients eventually relapse and eventually show multiple drug resistance, and the molecular mechanisms of this resistance remain unclear. The present study examines the expression of previously-described genes that may influence resistance to bortezomib treatment at the mRNA level (ABCB1, CXCR4, MAF, MARCKS, POMP, PSMB5, RPL5, TXN and XBP1). mRNA expression was determined in 73 MM patients treated with bortezomib-based regimens (30 bortzomib-sensitive and 43 bortezomib-refractory patients) and 11 healthy controls. RPL5 was significantly down-regulated in multiple myeloma patients as compared with healthy controls. Moreover, POMP was significantly up-regulated in MM patients refractory to bortezomib-based treatment. In multivariate analysis, high expression of PSMB5 and CXCR and autologous stem cell transplantation were independent predictors of progression-free survival, and high expression of POMP and RPL5 was associated with shorter overall survival.

Background. Until now, cost of allergy treatment in insured public health care system and non-insured self-financing private health care system in Indonesia has not been well documented and published, as well as the cost of allergy treatment with subcutaneous immunotherapy. Objective. To evaluate the clinical and cost benefits of allergic rhinitis treatment in children with subcutaneous immunotherapy in non-insured self-financing private health care system. Methods. A retrospective cohort study conducted from 2015 until 2020, compared clinical improvement and health care costs over 18 months in newly diagnosed AR children who received SCIT versus matched AR control subjects who did not receive SCIT, with each group consisting of 1,098 subjects Results. Decrease of sp-HDM-IgE level (kU/ml) from 20.5 + 8.75 kU/ml to 12.1 + 3.07 kU/ml had been observed in the SCIT group. To reduce the symptom score of allergic rhinitis by 1.0 with SCIT it costs IDR 21,753,062.7 per child, for non SCIT it costs IDR 104,147,878.0 per child. Meanwhile, to reduce the medication score (MS) by 1.0 with SCIT it costs Rp. 17,024,138.8 while with non SCIT it costs Rp. 104,147,878.0. Meanwhile, to lower combination symptoms and medication score (CSMS) by 1.0, with SCIT it costs IDR 9,550,126.6, while with non SCIT it costs IDR 52,073,938.9. Conclusion. In conclusion, this first Indonesia-based study demonstrates substantial health care cost savings associated with SCIT for children with AR in an uninsured private health care system and provides strong evidence for the clinical benefits and cost-savings benefits of AR treatment in children.

Supplier selection/replacement strategies and optimized purchasing policies play a key role in efficient supply chain management in today’s dynamic market. Here we study supplier replacement in a one-level assembly system (OLAS) producing one type of finished product. To assemble the product, we need to provide multi-type components, but assembly will be interrupted if any single component is missing, and incoming units will get hoarded until the missing component arrives. The assembly process can be interrupted by various sources of uncertainty, including delays in component deliveries. There is consequently a non-negligible risk that the assembly process may get stopped any moment. This brings inventory-related costs, which should be minimized. Here we consider discrete lead-time distributions to mimic industry-world reality. We present a model that takes into account not only optimal assignment of component order release dates but also replacement of a critical supplier. For a given unit, we model several alternative suppliers with alternative pricing and lead-time uncertainties, and we evaluate the impact on the total assembly system. For a more general case where several suppliers may be replaced, we propose a genetic algorithm.

The aim of the current study was to develop and evaluate the therapeutic potential of apocynin (APO) loaded pH-sensitive nanoparticles (NPs) based transdermal hydrogel for management of rheumatoid arthritis (RA). Slightly modified nanoprecipitation technique was used for preparation of polymeric nanoparticles. Optimization was done through design expert software. Optimized APO-NPs were loaded into carbopol-934 based hydrogel as final dosage form and further studied for physicochemical properties. Optimized APO-NPs formulation had a minimum particle size 63.44 nm, polydisperibility index 0.161, and zeta potential -15mV with a maximum encapsulation efficiency of 89%. In-vitro and ex-vivo studies of APO-NPs based hydrogel was performed at pH 5.5 (pH of normal skin) and 6.8 (pH of inflammed joint) showed a pH-responsive sustained drug release and increased penetration in comparison to free APO based hydrogel. The stability studies of APO-NPs based hydrogel were done to strengthen the potential use of the prepared formulation through transdermal route. Assessment and therapeutic efficacy of the prepared pH-sensitive nanocarriers system was evaluated in chronic inflammatory RA mice model. Parameters associated with chronic inflammation were investigated including behavioral changes and histopathological, and radiological x-rays images of joints of mice paws. In-vivo study depicts improvement in behavioral parameter, decline in synovial hyperplasia and bone structure restoration. In conclusion, APO loaded pH-sensitive NPs based transdermal is a promising carrier system that can effectively manage RA.

Among all Brazilian economic sectors, the livestock sector stands out due to its large production and high export volume. However, beef production is associated to significant environmental impacts, such as deforestation and greenhouse gas (GHG) emission. The Paris Agreement was settled to avoid that global mean temperature rise up to 1.5 – 2º C by 2100. In 2020, Brazil committed in its nationally determined contribution (NDC) to reduce its GHG emission by 43% until 2030. This study aims to identify the association of beef production and beef cattle emissions, as well as assess predictive GHG emission scenarios for 2030 and value these emissions. To translate the environmental impacts of beef production into economic impacts, and thus amplify the discussion, we valued GHG emissions using the social cost of carbon (SCC). The results showed that the business as usual (BAU) GHG emission derived from beef production would range between 0.423 and 0.634 GtCO₂e in 2030, whereas the maximum emission estimated to meet the NDC should be 0.257 GtCO₂e. The SCC revealed the opportunity to reduce between US $18.8 and $42.6 billion in the cost of BAU emissions from beef production in 2030 if the NDC is met. Lastly, assessing a scenario where climate targets and beef exports are prioritized, between 2-10 kg of beef per capita would be available in the domestic market in 2030. Our results reveal the need and urgency of changes in livestock production to emit less GHG per kg of beef produced, and the avoided monetary cost of reducing emissions.

Using the PLCC advantages generates revenue and lowers costs more than might be anticipated. It ensures better decisions by using a more perfect and practical assessment of revenues and costs. Although the supplier selection (SC) product life cycle cost (SCPLCC) is an important consideration among corporations, SCPLCC problem has become associated with deciding how one supplier should be selected from possible alternatives. In this study, we applied two types of goal programming, multiobjective linear programming and revised multichoice goal programming to develop a PLCC-based concept to solve the SCPLCC problem and construct a decision-making tool for application to a case of supply chain management in a Taiwanese light-emitting diode company in the high-tech industry. Our study main contribution Company managers can easily use the two approaches of the SCPLCC model with different parameters to solve SCPLCC model problems. Finally, we comparing five models found RMCGP with weighted linear goal programming had an adequate effect for application to the PLCC concept for high-technology company; this cloud make company decision–makers focus on low PLCC and select better supplier.

Supermarkets in Port Harcourt (PH) city, Nigeria, predominantly rely on diesel electricity generation due to grid instability, leading to high cost of electricity prices. Although solar photovoltaic (PV) systems have been proposed as an alternative, these supermarkets have yet to adopt them, mainly due to high investment costs and a lack of awareness of the long-term financial and environmental benefits. This paper examines the technical and economic practicality of a PV system for these supermarkets using the PVsyst software and a spreadsheet model. Solar resources showed that PH has a daily average solar radiation and temperature of 4.21 kWh/m2/day and 25.73℃, respectively. Market Square, the supermarket with the highest peak power demand of 59.8 kW, and a 561 kWh/day load profile, was chosen as a case study. A proposed PV system with a power capacity of 232 kW, battery storage capacity of 34,021 Ah, a charge controller size of 100 A/560V, and an inverter with a power rating of 60V/75 kW has been designed to meet the load demand. The economic analysis showed a $266,936 life cycle cost, $0.12 per kWh levelized cost of electricity (LCOE), 4-year simple payback time, and a 20.5% internal rate of return (IRR). The PV system is feasible due to its positive net present value (NPV) of $165,322 and carbon savings of 582 tCO2/year.

Industrial effluents contain contaminants that pose threats to the environment and human health. Bioremediation is an environmentally friendly, sustainable, and cost-effective approach to degrade or transform pollutants using microbial enzymes. Laccase is a versatile enzyme that oxidizes a wide range of substrates, such as dyes, phenolic compounds, pesticides, and polycyclic aromatic hydrocarbons (PAHs), with the consumption of molecular oxygen. Laccase can also remove heavy metals by forming complexes with organic ligands or reducing them to fewer toxic forms. However, the application of laccase in bioremediation is limited by its low production, stability, and specificity. Recombinant technology has been employed to enhance the expression, activity, and stability of laccase in various bacterial hosts. Immobilization techniques have been developed to improve the reusability and stability of laccase in different environmental conditions. This review summarizes the recent developments in the production optimization of recombinant laccase enzymes and their role in the bioremediation of industrial effluents. It also discusses the challenges of laccase-based biocatalytic systems for environmental cleanup.

Cement industry is one of the highest energy consuming industries. The quantity of fuel and energy needed accounts for most of the cost of cement manufacturing. Thermal power plants generate electricity but are harmful and ineffective by nature. As a backup mechanism to account for main grid failures, batteries can be utilized. In this paper the first ever investigation on battery’s depth of discharge (DOD) for four different kinds of battery technologies is carried out in the framework of cement industry. The intended battery technologies are the lead-acid battery (LA), lithium-ion battery (Li-ion), vana-dium redox battery (VR), and nickel–iron battery (Ni-Fe). Four hybrid energy generation models (HEGMs) for five cement plants of Pakistan using the HOMER pro software are proposed. Cement plants includes Askari Cement Plant, Wah (ACPW); Bestway Cement Plant, Kalar Kahar (BCPKK); Bestway Cement Plant, Farooqia (BCPF); Bestway Cement Plant, Hattar (BCPH); and DG Cement Plant, Chakwal (DGCPC). HEGM-1 comprises of a diesel generator (DGen), a photovoltaic system (PV), a converter, and a battery system. HEGM-2 comprises of a PV system, a converter, and a battery system. HEGM-3 is the grid-connected version of HEGM-1 and HEGM-4 is the grid-connected version of HEGM-2. A base-model consisting of grid only is used as a reference. A multi-criteria decision analysis (MCDA) is performed by formulating a cumulative objective function (COF) which includes net present cost (NPC), levelized cost of energy (LCOE), and greenhouse gas (GHG) emissions. The principal objective is the maximization of COF while simultaneously minimizing the objectives (NPC, LCOE and GHG emissions), based on optimal battery technology and DOD. The results reveal that VR is the most suitable battery technology with 10% DOD. It is achieved for DGCPC with HEGM-3 with 61.49% of NPC, 78.62% of LCOE and 84.00% of GHG emissions reduction as com-pared to the base model.

Real estate industry is related to the national economy and people's livelihood，characterized by a high degree of financial intensity. The enterprises in this industry need certain financial ability and large shareholder controlling ability to support their survival. However，due to the multiple adverse impacts of current state policies，banks and private capital，the credit crunch，the sudden decrease in withdrawn funds and the limitation of internal financing，the problem of capital restraint of real estate enterprises has become more and more serious. From the perspective of corporate governance，this paper studies the interaction among financial constraints，ownership concentration and corporate performance under different shareholding states by analyzing the quantitative characteristics of equity structure，and looks for the appropriate range of the largest shareholder holding ratio，which has considered the financial performance and risk. It is found that raising the ownership concentration can effectively ease the financing constraints and improve the performance of enterprises，both of which are significant under the state of high ownership concentration， while the financial constraints play a significant intermediary effect under the State of absolute holding， while in the decentralized state of ownership，there is a significant regulatory effect，and the interaction of the three will be different due to the size of the enterprise.

The main purpose of bovine colostrum, being the milk secreted by a cow after giving birth, is to transfer passive immunity to the calf. The calves have an immature immune system as they lack immunoglobulins (Igs). Subsequently, the supply of good quality bovine colostrum is required. The quality of colostrum is classified by low bacterial counts and adequate Ig concentrations. Bacterial contamination can contain a variety of human pathogens or high counts of spoilage bacteria, which becomes more challenging with emerging use of bovine colostrum as food and food supplements. There is also a growing risk for the spread of zoonotic diseases originating from bovines. For this reason, processing based on heat treatment or other feasible techniques are required. This review provides an overview of literature on the microbial quality of bovine colostrum and processing methods to improve its microbial quality and keep its nutritional values as food. The highlights of this review are: high quality colostrum is a valuable raw material in food products and supplements, the microbial safety of bovine colostrum is increased using appropriate processing-suitable effective heat treatment, which does not destroy the high nutrition value of colostrum, the heat treatment processes are cost-effective compared to other methods, and heat treatment can be performed in both small- and large-scale production.

Aims: Multidisciplinary diabetic foot clinics have been shown to be an effective therapeutic model for reducing major amputations and mortality rates. The aim of this article is to assess the economic impact of the implementation of a multidisciplinary diabetic foot clinic in a hospital in Barcelona, Spain. Methods: Observational cost-benefit study of all subjects with diabetes admitted with the diagnosis of a major amputation due to diabetic foot from 2010 to 2020. Direct and indirect costs were compared before and after the introduction of the multidisciplinary diabetic foot clinic. Results: The individual cost per patient with diabetic foot was €14,768 before the implementation of the unit. After the implementation of the clinic, the expected cost was reduced to €5,985 due to a 40% reduction in the probability of hospitalization. Overall, the implementation of the clinic resulted in cost savings per patient valued at €8,783, of which, €7,165 are related to hospital benefits. Conclusion: The results of this analysis contributes to the evidence suggesting that multidisciplinary diabetic foot clinics are cost-effective, by demonstrating that they have a positive impact on patient health while also reducing the utilization of healthcare resources.

Despite the increasing role of machine learning in various fields, very few works considered artificial intelligence for frequency estimation (FE). This work presents a comprehensive analysis of deep-learning (DL) approach for frequency estimation of single-tones. It is shown that DL network with two layers having a few nodes can estimate frequency more accurately than well-known classical techniques. The study is comprehensive, filling gaps of existing works, where it analyzes error under different signal-to-noise ratios, numbers of nodes, and numbers of input samples; also, under missing SNR information. It is found that DL-based FE is not significantly affected by SNR bias or number of nodes. DL-based approach can work properly using minimal number of input nodes N at which classical methods fail. It is possible for DL to use as little as two layers with two or three nodes each, with complexity of O{N} versus O{Nlog2 (N)} for DFT-based FE, noting that less N is required for DL. Hence, DL can significantly reduce FE complexity, memory, cost, and power consumption, making DL-based FE attractive for resource-limited systems like some IoT sensor applications. Also, reduced complexity opens the door for hardware-efficient implementation using short word-length (SWL) or time-efficient software-defined radio (SDR) communications.

BACKGROUND: The National Lung Screening Trial (ILST) and the NELSON study showed that lung cancer-specific mortality can be reduced by 20-24% using low-dose computed tomography (LDCT) screening in high-risk populations, due to an increase in early-stage diagnoses. RESEARCH QUESTION: How much lung cancer-related direct costs may be reduced using a LDCT screening programme based on the ILST protocol in a public healthcare system?STUDY DESIGN AND METHODS: Cost analysis of lung cancer screening (LCS) vs. usual care in the framework of the retail price of the Catalan public healthcare system. The LCS group included costs of screening (ILST protocol), treatment cost according to weighted average distribution of TNM staging in the NLST and NELSON trials, lung cancer detection rate (CDR) and smoking cessation intervention. The usual care group included treatment costs based on distribution of TNM staging registered in the Spanish index hospital. RESULTS: In the usual care group, treatment costs were €91,959. In the 5-year duration of the LCS programme, the average expected costs per subject were €1,342 (range €1,054-1,832 depending on malignancy in detected nodules) for screening and €32,431 for treatment, with an expected reduction of €952 based on an average CDR of 1.6%. The decrease in cost resulting from stage shift offsets 70.6% of the costs of the screening programme. INTERPRETATION: Baseline 5-year LCS costs are low according to the ILST protocol. In the Catalan public healthcare system, the expense reduction from the stage shift due to the LCS programme compensates a substantial part of its costs.

In power systems, flow allocation (FA) methods allow to allocate usage and costs of the transmission grid to each single market participant. Based on predefined assumptions, the power flow is split into isolated generator specific or producer specific sub-flows. Two prominent FA methods, Marginal Participation (MP) and Equivalent Bilateral Exchanges (EBE), build upon the linearized power flow and thus on the Power Transfer Distribution Factors (PTDF). Despite their intuitive and computationally efficient concept, they are restricted to networks with \emph{passive} transmission elements only. As soon as a significant number of \emph{controllable} transmission elements, such as High-voltage direct current (HVDC) lines, operate in the system, they loose their applicability. This work reformulates the two methods in terms of Virtual Injection Patters (VIP) which allows to efficiently introduce a shift parameter $q$, tuning contributions of net sources and net sinks in the network. Major properties and differences of the methods are pointed out. Finally, it is shown how the MA and EBE algorithm can be applied to generic meshed AC-DC electricity grids: Introducing a \emph{pseudo-impedance} which reflects the operational state of controllable elements, allows to extend the PTDF matrix under the assumption of knowing the current system's flow. Basic properties from graph theory are used for solving the pseudo-impedance dependent on the position in the network. This directly enables \emph{e.g.} HVDC lines to be considered in the MP and EBE algorithm. The extended methods are applied to a low-carbon European network model (PyPSA-EUR) with a spatial resolution of N=181 and an 18\% transmission expansion. The allocations of VIP and MP, show that countries with high wind potentials profit most from the transmission grid expansion. Based on the average usage of transmission system expansion a method of distributing operational and capital expenditures is proposed. Further it is shown, how injections from renewable resources strongly drive country-to-country allocations and thus cross-border electricity flows.

Lump sum contracts are specific contracts used in the construction industry to give owners financial certainty and decrease risk while incentivizing contractors to finish projects on schedule and within budget. This article discusses the usage of lump sum contracts in construction projects, covering the types of projects appropriate for lump sum contracts, critical considerations for entering a lump sum contract, and the tender and preliminary expenses involved. The article also covers lump sum contracts' benefits and drawbacks and how owners and contractors allocate risk. Finally, the difficulties of implementing lump sum contracts, such as potential disagreements over scope changes and quality issues, are investigated. In general, lump sum contracts can be a valuable tool for managing construction projects, but their execution necessitates careful planning and collaboration to ensure successful completion.

OBJETIVES: During the COVID-19 pandemic, the risk of collapse of the health system created great difficulties. We will demonstrate that Intermediate Respiratory Care Units (IRCU) provide adequate management of patients with non-invasive respiratory support, which is particularly important in patients with SARS-CoV-2 pneumonia. METHODS: A prospective observational study of patients with COVID-19 admitted to the ICU of a tertiary hospital. Sociodemographic data, comorbidities, pharmacological, respiratory support, laboratory and blood gas variables were collected. The overall cost of the unit was subsequently analyzed. RESULTS: 991 patients were admitted, 56 to the IRCU (of the 81 a critical care unit). Mean age was 65 years (SD 12.8), Barthel Index 75 (SD 8.3), Charlson 3.1 (SD 2.2), HTN 27%, COPD 89% and obesity 24%. Significant relationship (p <0.05) with higher mortality of the following: fever greater than or equal to 39oC [OR 5.6; 95% CI (1.2-2.7); p = 0.020], protocolized pharmacological treatment [OR 0.3; 95% CI (0.1-0.9); p = 0.023] and IOI [OR 3.7; 95% CI (1.1-12.3); p = 0.025]. NIMV showed less of a negative impact [OR 1.8; 95% CI (0.4-8.4); p = 0.423] than IOI. The total cost of the IRCUs amounted to €66,233. The cost per day of stay in the IRCU was €164 per patient. The total cost avoided was €214,865. CONCLUSION: The pandemic has highlighted the importance of IRCUs in facilitating the management of a high patient volume. The treatment carried out in IRCUs is effective and efficient, reducing both admissions to and stays in the ICU.

Automated medical diagnosis is one of the important machine learning applications in the domain of healthcare. In this regard, most of the approaches primarily focus on optimizing the accuracy of classification models. In this research, we argue that unlike general-purpose classification problems, medical applications, such as chronic kidney disease (CKD) diagnosis, require special treatment. In the case of CKD, apart from model performance, other factors such as the cost of data acquisition may also be taken into account to enhance the applicability of the automated diagnosis system. In this research, we have proposed two techniques for cost-sensitive feature ranking. An ensemble of decision tree models is employed in both the techniques for computing the worth of a feature in the CKD dataset. An automatic threshold selection heuristic is also introduced which is based on the intersection of features’ worth and their accumulated cost. A set of experiments are conducted to evaluate the efficacy of the proposed techniques on both tree-based and non-tree based classification models. The proposed approaches are also evaluated against several comparative techniques. Furthermore, it is demonstrated that the proposed techniques select around 1/4^th of the original CKD features while reducing the cost by a factor of 7.42 of the original feature set. Based on the extensive experimentation it is concluded that the proposed techniques employing feature-cost interaction heuristic tend to select feature subsets that are both useful and cost-effective.

: In the last years, materializations of neuromorphic circuits based on nanophotonic arrangements have been proposed, which contain complete optical circuits, laser, photodetectors, photonic crystals, optical fibers, flat waveguides, and other passive optical elements of nanostructured materials, which eliminate the time of simultaneous processing of big groups of data, taking advantage of the quantum perspective and thus highly increasing the potentials of contemporary intelligent computational systems. This article is an effort to record and study the research that has been conducted concerning the methods of development and materialization of neuromorphic circuits of Neural Networks of nanophotonic arrangements. In particular, an investigative study of the methods of developing nanophotonic neuromorphic processors, their originality in neuronic architectural structure, their training methods and their optimization has been realized along with the study of special issues such as optical activation functions and cost functions.

For the majority of the contractual arrangements used in construction projects, the owner is not responsible for the cost deviations due to the variability of labor productivity or material price, amongst many other aspects. Consequently, the cost performance of a project may be entirely distinct for the owner and the contractor. Since the majority of the quantitative research on cost estimation and deviation found in the literature adopts the owners’ perspective, this research provides a contribution towards modelling costs and cost deviation from a contractors’ perspective. From an initial sample of 13 residential building and 10 office building projects, it was possible to develop models for cost estimation at the early stage of development including both endogenous and exogenous variables. Although the sample is relatively small, the authors were able to fully analyze all the cost data, using no secondary sources of data (very frequent in cost modelling studies). The statistically significant variables in the cost estimation models were the areas above and below ground and the years following the 2008 financial crisis, including the international bailout (2011-2014) period. For estimating the unit cost, a nonlinear model was obtained with the number of underground and total floor, the floor ratio and the years following the 2008 financial crisis, including the international bailout (2011-2014) period as predictors. For the office buildings, it was also found a statistically significant correlation between the cost deviation and the number of underground floors.

Aircraft emissions represent a relevant amount of human induced CO2. Globally, up to 2.5 per cent of such emissions stem from the aviation industry. In order to investigate the effects within the atmosphere, realistic flight profiles are necessary to provide quantitatively tangible values of emissions. The flight profiles and the according fuel consumption can be calculated by using waypoints from flight plans and Base of Aircraft Data (BADA). This paper presents an approach to refine the fuel consumption by integrating the passenger load into the calculation. Since effects of emissions have to be assessed on a greater scale, such as on the European air traffic network, the presented approach provides cost functions for CO2 emissions for different aircraft types and load factors. The cost functions were derived by means of regression analyses of BADA based calculated flight profiles with a step size of one second. The calculations are based on real historic traffic scenarios of several days. The derived aircraft specific fuel burn coefficients enable a simple and efficient integration of CO2 estimations depending on the flight distance, load factor and aircraft type. This can be applied to large traffic scenarios to also study different set-ups such as travel restrictions, other disruptions or an alteration in the traffic system as a whole. In order to enable the assessment of further aspects of such changes to the European air traffic system at large and to foster reproducibility and comparability of related studies, we provide further general-purpose cost estimation functions for several important key characteristics. Besides fuel consumption, we develop cost estimations for air navigation fees and maintenance for conventional aircraft. Those functions are also provided for the design concept of a short-range all-electric aircraft. This propeller aircraft features game-changing technologies such as active laminar flow control, active load alleviation and advanced materials and structure concepts. The approaches discussed in this paper will focus on the generic aspects of aircraft related costs, which can be derived from general available data. For the sake of reproducibility, the results will be made publicly available.

The domain of Information and Communication Technology (ICT) education has garnered significant consideration in recent times. However, several challenges are inherent to this area of study, including monetary expense, temporal factors, pedagogical environment, teacher training programs, incentive, syllabus design, and health-related concerns. This paper presents an analysis of the difficulties encountered in the realm of ICT education in Japan, taking into account ten different perspectives.

This paper presents a theoretical evaluation of the prices of mixed briquettes produced from co-conut shells (CCS), banana peels (BNP), rattan waste (RWT), and sugarcane bagasse (SGC), and, on the other hand, an analysis of the economic viability of their use as a replacement for conventional household fuels (Liquefied Petroleum Gas, fuelwood, and wood charcoal) in house-holds in Cameroon. The investigation was carried out using the Life Cycle Cost method on a typical household over a ten-year period with annual cooking energy requirements of 950 kWhth. The SGC-CCS and SGC-RWT mixed briquettes with a ratio higher than 7.75% and 11.1%, respectively, have prices lower than 0.063 €/kWhth. The Present Value of the Net Benefit is posi-tive for the use of SGC-CCS and SGC-RWT mixed briquettes. The results show that by making the right mixes of residues, it is possible to obtain biomass briquettes that are less expensive than conventional fuels.

Cement manufacturing is one of the most energy-intensive industries in the world. Most of the cost of producing cement is accounted by fuel consumption and power expenditures. Thermal power plants are the major source of electricity in Pakistan. But they are not efficient and environmentally friendly. This study simulates four different models for five cement plants of Pakistan on Homer Pro software and compares the optimal solutions based on the net present cost (NPC), levelized cost of electricity (LCOE) and greenhouse gas (GHG) emissions. Model-1 consists of solar panels, electrolyzer, hydrogen tank, hydrogen generator and converter. Model-2 has only a diesel generator and acts as a base case in this study. Model-3 has solar panels and a battery-converter system. In Model-4, diesel generators, solar panels and converters are considered. Based on NPC, the most optimal model is Model-4, having a 0.249 $/KWh LCOE in islanded systems. The NPC and operating costs are US$540 million and US$ 32.5 million per year, respectively, with a 29.80% reduction in CO2 emissions when compared to the base case. Based on GHG emissions, Model-1 and Model-3 are the best models with 0% GHG emissions. Sensitivity analyses is also performed using the parameters of load, inflation rate and discounted rate. The results prove that the proposed hybrid micropower systems (HMS) can sustainably provide electricity for 24 hours a day to the sites under consideration with minimum objectives.

The osteoarthritis (OA), the main cause of disability, is a chronic condition that most frequently affects older adults. As the population ages, the cost of treatment is placing pressure on the healthcare budget. As a result, it is imperative to evaluate the medicines' cost-effectiveness and the influence they have on health resource allocation. Hence, our study aims to summarize the cost and outcome of utilizing glucosamine in OA treatment. Authentic databases like Medline, Cochrane, and Scopus were adopted for the identification process up until July 2023. Our primary inclusion criteria centered on the economic evaluation of Glucosamine in OA treatments with provided the incremental cost-effectiveness ratio (ICER) at least. The Quality of Health Economic Studies (QHES) instrument was applied to grade the quality of the studies. A total of 7 qualified studies were selected and discussed the cost-effectiveness of glucosamine with or without other formulations. All of them demonstrated that glucosamine was cost-effective. There was an in-creasement of QALY when incorporating Glucosamine into conventional care. Moreover, Crystalline Glucosamine Sulfate (pCGS) was more cost-effective than the Other Formulations of Glucosamine (OFG). In overall, utilizing pCGS was more beneficial than OFG in terms both of cost and quality of life.

Classification predictive modeling involves the accurate assignment of observations in a dataset to target classes or categories. There is an increasing growth of real-world classification problems with severely imbalanced class distributions. In this case, minority classes have much fewer observations to learn from than those from majority classes. Despite this sparsity, a minority class is often considered the more interesting class yet developing a scientific learning algorithm suitable for the observations presents countless challenges. In this article, we suggest a novel multi-class classification algorithm specialized to handle severely imbalanced classes based on the method we refer to as SAMME.C2. It blends the flexible mechanics of the boosting techniques from SAMME algorithm, a multi-class classifier, and Ada.C2 algorithm, a cost-sensitive binary classifier designed to address highly class imbalances. Not only do we provide the resulting algorithm but we also establish scientific and statistical formulation of our proposed SAMME.C2 algorithm. Through numerical experiments examining various degrees of classifier difficulty, we demonstrate consistent superior performance of our proposed model.

Directional modulation (DM), as an emerging promising physical layer security (PLS) technique at the transmitter side with the help of an antenna array, has developed rapidly over decades. In this study, a DM technique using a polarization sensitive array (PSA) to produce the modulation with different polarization states (PSs) at different directions is investigated. A PSA, as a vector sensor, can be employed for more effective DM for an additional degree of freedom (DOF) provided in the polarization domain. The polarization information can be exploited to transmit different data streams simultaneously at the same directions, same frequency, but with different PSs in the desired directions to increase the channel capacity, and with random PSs off the desired directions to enhance PLS. The proposed method has the capability of concurrently projecting independent signals into different specified spatial directions while simultaneously distorting signal constellation in all other directions. The symbol error rate (SER), secrecy rate, and the robustness of the proposed DM scheme are analyzed. Design examples for single- and multi-beam DM systems are also presented. Simulations corroborate that 1) the proposed method is more effective for PLS; 2) the proposed DM scheme is more power-efficient than the traditional artificial noise aided DM schemes; and 3) the channel capacity is significantly improved compared with conventional scalar antenna arrays.