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Interest of D-dimer level,severity of COVID-19 and cost of management in Gabon
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作者 Berthe A Iroungou Arnaud Nze O +4 位作者 Helga M Kandet Y Neil-Michel Longo-Pendy Nina D Mezogho-Obame Annicet-Clotaire Dikoumba Guignali L Mangouka 《World Journal of Critical Care Medicine》 2025年第1期91-99,共9页
BACKGROUND Coronavirus disease 2019(COVID-19)is strongly associated with an increased risk of thrombotic events,including severe outcomes such as pulmonary embolism.Elevated D-dimer levels are a critical biomarker for... BACKGROUND Coronavirus disease 2019(COVID-19)is strongly associated with an increased risk of thrombotic events,including severe outcomes such as pulmonary embolism.Elevated D-dimer levels are a critical biomarker for assessing this risk.In Gabon,early implementation of anticoagulation therapy and D-dimer testing has been crucial in managing COVID-19.This study hypothesizes that elevated Ddimer levels are linked to increased COVID-19 severity.AIM To determine the impact of D-dimer levels on COVID-19 severity and their role in guiding clinical decisions.METHODS This retrospective study analyzed COVID-19 patients admitted to two hospitals in Gabon between March 2020 and December 2023.The study included patients with confirmed COVID-19 diagnoses and available D-dimer measurements at admission.Data on demographics,clinical outcomes,D-dimer levels,and healthcare costs were collected.COVID-19 severity was classified as non-severe(outpatients)or severe(inpatients).A multivariable logistic regression model was used to assess the relationship between D-dimer levels and disease severity,with adjusted odds ratios(OR)and 95%CI.RESULTS A total of 3004 patients were included,with a mean age of 50.17 years,and the majority were female(53.43%).Elevated D-dimer levels were found in 65.81%of patients,and 57.21%of these experienced severe COVID-19.Univariate analysis showed that patients with elevated D-dimer levels had 3.33 times higher odds of severe COVID-19(OR=3.33,95%CI:2.84-3.92,P<0.001),and this association remained significant in the multivariable analysis,adjusted for age,sex,and year of collection.The financial analysis revealed a substantial burden,particularly for uninsured patients.CONCLUSION D-dimer predicts COVID-19 severity and guides treatment,but the high cost of anticoagulant therapy highlights the need for policies ensuring affordable access in resource-limited settings like Gabon. 展开更多
关键词 D-DIMERS COVID-19 MANAGEMENT Disease severity Healthcare costs GABON
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Efficacy-cost analysis of endoscopic mucosal resection and cold snare polypectomy:A propensity score matching analysis
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作者 Shi-Yi Zhang Ying-Chun Wang +2 位作者 Lei-Lei Liu Zhi-Heng Wang Xue-Mei Guan 《World Journal of Gastrointestinal Surgery》 2025年第2期77-86,共10页
BACKGROUND Although substantial evidence supports the advantages of cold snare polypectomy(CSP)in terms of polypectomy efficacy and reduced postoperative adverse events,few studies have examined the cost differences b... BACKGROUND Although substantial evidence supports the advantages of cold snare polypectomy(CSP)in terms of polypectomy efficacy and reduced postoperative adverse events,few studies have examined the cost differences between CSP and traditional endoscopic mucosal resection(EMR)for the treatment of intestinal polyps.AIM To compare the efficacy-cost of EMR and CSP in the treatment of intestinal polyps.METHODS A total of 100 patients with intestinal polyps were included in the retrospective data of our hospital from April 2022 to May 2023.According to the treatment methods,they were divided into EMR(n=46)group and CSP(n=54)group.The baseline data of the two groups were balanced by 1:1 propensity score matching(PSM),and the cost-effectiveness analysis was performed on the two groups after matching.The recurrence rate of the two groups of patients was followed up for 1 year,and they were divided into recurrence group and non-recurrence group according to whether they recurred.Multivariate logistic regression analysis was used to screen out the influencing factors affecting the recurrence of intestinal polyps after endoscopic resection.RESULTS Significant disparities were observed in the number of polyps and smoking background between the two groups before PSM(P<0.05).Following PSM,the number of polyps and smoking history were well balanced between the EMR and CSP groups.The direct cost incurred by the CSP group was markedly higher than that incurred by the EMR group.Concurrently,the cost-effectiveness ratio in the CSP group was substantially reduced when juxtaposed with that in the EMR group(P<0.05).Upon completion of the 1-year follow-up,the rate of recurrence after endoscopic intestinal polypectomy was 38.00%.Multivariate methods revealed that age≥60 years,male sex,number of polyps≥3,and pathological type of adenoma were risk factors for recurrence after endoscopic intestinal polypectomy(all P<0.05).CONCLUSION CSP was more cost-effective for the treatment of intestinal polyps.An age≥60 years,male sex,having a number of polyps≥3,and pathological type of adenoma are independent influencing factors for recurrence. 展开更多
关键词 Propensity score matching method Endoscopic mucosal resection Cold snare polypectomy Intestinal polyps Curative effect cost analysis
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Nickel extraction from nickel laterites: Processes, resources, environment and cost
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作者 Zhen-fang Zhang Wei-bo Zhang +1 位作者 Zhen-guo Zhang Xiu-fa Chen 《China Geology》 2025年第1期187-213,共27页
With the development of the new energy industry and the depletion of nickel sulfide ore resources,laterite nickel ore has become the main source of primary nickel,and nickel for power batteries has become a new growth... With the development of the new energy industry and the depletion of nickel sulfide ore resources,laterite nickel ore has become the main source of primary nickel,and nickel for power batteries has become a new growth point in consumption.This paper systematically summarizes the processes,parameters,products,recovery rates,environmental indicators,costs,advantages,disadvantages and the latest research progress of mainstream nickel extraction processes from laterite nickel ore.It also provides a comparative analysis of the environmental impact and economic efficiency of different nickel extraction processes.It is found that the current nickel extraction processes from laterite nickel ore globally for commercial production mainly include the RKEF process for producing ferronickel and the HPAL process for producing intermediate products.The former accounts for about 80%of laterite nickel ore production.Compared to each other,the investment cost per ton of nickel metal production capacity for the RKEF is about 43000$,with an operational cost of about 16000$per ton of nickel metal and a total nickel recovery rate of 77%–90%.Its products are mainly used in stainless steels.For the HPAL process,the investment cost per ton of nickel metal production capacity is about 56000$,with an operational cost of about 15000$per ton of nickel metal and a total nickel recovery rate of 83%–90%.Its products are mainly used in power batteries.The significant differences between the two lies in energy consumption and carbon emissions,with the RKEF being 2.18 and 2.37 times that of the HPAL,respectively.Although the use of clean energy can greatly reduce the operational cost and environmental impact of RKEF,if RKEF is converted to producing high Ni matte,its economic and environmental performance still cannot match that of the HPAL and oxygen-enriched side-blown processes.Therefore,it can be inferred that with the increasing demand for nickel in power batteries,HPAL and oxygen-enriched side blowing processes will play a greater role in laterite nickel extraction. 展开更多
关键词 Laterite nickel ore LIMONITE SAPROLITE Nickel extraction PYROMETALLURGY Power batteries Hydrometallurgy cost Environmental impact Life cycle assessment Comprehensive utilization Mineral exploration engineering
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Resistance development,cross-resistance,and fitness costs associated with Aphis gossypii resistance towards sulfoxaflor and acetamiprid in different geographical regions
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作者 Wei Wang Renfu Zhang +4 位作者 Haiyang Liu Ruifeng Ding Qiushi Huang Ju Yao Gemei Liang 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第7期2332-2345,共14页
Aphis gossypii has become increasingly difficult to manage due to its strong insecticide resistance.In the laboratory,we established sulfoxaflor-resistant and acetamiprid-resistant strains in two A.gossypii population... Aphis gossypii has become increasingly difficult to manage due to its strong insecticide resistance.In the laboratory,we established sulfoxaflor-resistant and acetamiprid-resistant strains in two A.gossypii populations with different basal insecticide resistance levels,and evaluated the effects of basal insecticide resistance on the resistance development and cross-resistance,as well as differences in fitness.Under the same selection pressure,Yarkant A.gossypii(with low basal insecticide resistance)evolved resistance to sulfoxaflor and acetamiprid more quickly than Jinghe A.gossypii(with high basal insecticide resistance),and the evolution of A.gossypii resistance to sulfoxaflor developed faster than acetamiprid in both Yarkant and Jinghe,Xingjiang,China.The sulfoxaflor-resistant strains selected from Yarkant and Jinghe developed significant cross-resistance to acetamiprid,imidacloprid,thiamethoxam and pymetrozine;while the acetamiprid-resistant strains developed significant cross-resistance to sulfoxaflor,imidacloprid,thiamethoxam,pymetrozine,and chlorpyrifos.The relative fitness of A.gossypii decreased as the resistance to sulfoxaflor and acetamiprid developed.The relative fitness levels of the sulfoxaflor-resistant strains(Yarkant-SulR and Jinghe-SulR)were lower than those of the acetamipridresistant strains(Yarkant-AceR and Jinghe-AceR).In addition,the relative fitness levels of sulfoxaflor-and acetamiprid-resistant strains were lower in Jinghe than in Yarkant.In summary,basal insecticide resistance of A.gossypii and insecticide type affected the evolution of resistance to insecticides in A.gossypii,as well as cross-resistance to other insecticides.The sulfoxaflor-and acetamiprid-resistant A.gossypii strains had obvious fitness costs.The results of this work will contribute to the insecticide resistance management and integrated management of A.gossypii. 展开更多
关键词 Aphis gossypii sulfoxaflor ACETAMIPRID CROSS-RESISTANCE fitness costs different sensitivities
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A Hybrid Model for Improving Software Cost Estimation in Global Software Development
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作者 Mehmood Ahmed Noraini B.Ibrahim +4 位作者 Wasif Nisar Adeel Ahmed Muhammad Junaid Emmanuel Soriano Flores Divya Anand 《Computers, Materials & Continua》 SCIE EI 2024年第1期1399-1422,共24页
Accurate software cost estimation in Global Software Development(GSD)remains challenging due to reliance on historical data and expert judgments.Traditional models,such as the Constructive Cost Model(COCOMO II),rely h... Accurate software cost estimation in Global Software Development(GSD)remains challenging due to reliance on historical data and expert judgments.Traditional models,such as the Constructive Cost Model(COCOMO II),rely heavily on historical and accurate data.In addition,expert judgment is required to set many input parameters,which can introduce subjectivity and variability in the estimation process.Consequently,there is a need to improve the current GSD models to mitigate reliance on historical data,subjectivity in expert judgment,inadequate consideration of GSD-based cost drivers and limited integration of modern technologies with cost overruns.This study introduces a novel hybrid model that synergizes the COCOMO II with Artificial Neural Networks(ANN)to address these challenges.The proposed hybrid model integrates additional GSD-based cost drivers identified through a systematic literature review and further vetted by industry experts.This article compares the effectiveness of the proposedmodelwith state-of-the-artmachine learning-basedmodels for software cost estimation.Evaluating the NASA 93 dataset by adopting twenty-six GSD-based cost drivers reveals that our hybrid model achieves superior accuracy,outperforming existing state-of-the-artmodels.The findings indicate the potential of combining COCOMO II,ANN,and additional GSD-based cost drivers to transform cost estimation in GSD. 展开更多
关键词 Artificial neural networks COCOMO II cost drivers global software development linear regression software cost estimation
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Analysis of a passive ankle exoskeleton for reduction of metabolic costs during walking
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作者 Luís Quinto Pedro Pinheiro +3 位作者 Sergio B.Goncalves Ivo Roupa Paula Simoes Miguel Tavares da Silva 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第7期62-68,共7页
Modern conflicts demand substantial physical and psychological exertion,often resulting in fatigue and diminished combat or operational readiness.Several exoskeletons have been developed recently to address these chal... Modern conflicts demand substantial physical and psychological exertion,often resulting in fatigue and diminished combat or operational readiness.Several exoskeletons have been developed recently to address these challenges,presenting various limitations that affect their operational or everyday usability.This article evaluates the performance of a dual-purpose passive ankle exoskeleton developed for the reduction of metabolic costs during walking,seeking to identify a force element that could be applied to the target population.Based on the 6-min walk test,twenty-nine subjects participated in the study using three different force elements.The results indicate that it is possible to reduce metabolic expenditure while using the developed exoskeleton.Additionally,the comfort and range of motion results verify the exoskeleton's suitability for use in uneven terrain and during extended periods.Nevertheless,the choice of the force element should be tailored to each user,and the control system should be adjustable to optimise the exoskeleton's performance. 展开更多
关键词 Ankle passive exoskeleton Metabolic cost reduction Dual-use exoskeleton GAIT BIOMECHANICS
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Design and implementation of low-cost geomagnetic field monitoring equipment for high-density deployment
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作者 Sun Lu-Qiang Bai Xian-Fu +3 位作者 Kang Jian Zeng Ning Zhu Hong Zhang Ming-Dong 《Applied Geophysics》 SCIE CSCD 2024年第3期505-512,618,共9页
The observation of geomagnetic field variations is an important approach to studying earthquake precursors.Since 1987,the China Earthquake Administration has explored this seismomagnetic relationship.In particular,the... The observation of geomagnetic field variations is an important approach to studying earthquake precursors.Since 1987,the China Earthquake Administration has explored this seismomagnetic relationship.In particular,they studied local magnetic field anomalies over the Chinese mainland for earthquake prediction.Owing to the years of research on the seismomagnetic relationship,earthquake prediction experts have concluded that the compressive magnetic effect,tectonic magnetic effect,electric magnetic fluid effect,and other factors contribute to preearthquake magnetic anomalies.However,this involves a small magnitude of magnetic field changes.It is difficult to relate them to the abnormal changes of the extremely large magnetic field in regions with extreme earthquakes owing to the high cost of professional geomagnetic equipment,thereby limiting large-scale deployment.Moreover,it is difficult to obtain strong magnetic field changes before an earthquake.The Tianjin Earthquake Agency has developed low-cost geomagnetic field observation equipment through the Beijing–Tianjin–Hebei geomagnetic equipment test project.The new system was used to test the availability of equipment and determine the findings based on big data.. 展开更多
关键词 geomagnetic field earthquake prediction low cost high density big data
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Feasibility of Scaling up the Cost-Competitive and Clean Electrolytic Hydrogen Supply in China
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作者 Guangsheng Pan Wei Gu +4 位作者 Zhongfan Gu Jin Lin Suyang Zhou Zhi Wu Shuai Lu 《Engineering》 SCIE EI CAS CSCD 2024年第8期154-165,共12页
Scaling up clean hydrogen supply in the near future is critical to achieving China’s hydrogen development target.This study established an electrolytic hydrogen development mechanism considering the generation mix an... Scaling up clean hydrogen supply in the near future is critical to achieving China’s hydrogen development target.This study established an electrolytic hydrogen development mechanism considering the generation mix and operation optimization of power systems with access to hydrogen.Based on the incremental cost principle,we quantified the provincial and national clean hydrogen production cost performance levels in 2030.The results indicated that this mechanism could effectively reduce the production cost of clean hydrogen in most provinces,with a national average value of less than 2 USD·kg^(-1) at the 40-megaton hydrogen supply scale.Provincial cooperation via power transmission lines could further reduce the production cost to 1.72 USD·kg^(-1).However,performance is affected by the potential distribution of hydrogen demand.From the supply side,competitiveness of the mechanism is limited to clean hydrogen production,while from the demand side,it could help electrolytic hydrogen fulfil a more significant role.This study could provide a solution for the ambitious development of renewables and the hydrogen economy in China. 展开更多
关键词 Low-carbon energy system Electrolytic hydrogen RENEWABLES cost optimization and analysis
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Enhancing Software Cost Estimation Using Feature Selection and Machine Learning Techniques
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作者 Fizza Mansoor Muhammad Affan Alim +2 位作者 Muhammad Taha Jilani Muhammad Monsoor Alam Mazliham Mohd Su’ud 《Computers, Materials & Continua》 SCIE EI 2024年第12期4603-4624,共22页
Software cost estimation is a crucial aspect of software project management,significantly impacting productivity and planning.This research investigates the impact of various feature selection techniques on software c... Software cost estimation is a crucial aspect of software project management,significantly impacting productivity and planning.This research investigates the impact of various feature selection techniques on software cost estimation accuracy using the CoCoMo NASA dataset,which comprises data from 93 unique software projects with 24 attributes.By applying multiple machine learning algorithms alongside three feature selection methods,this study aims to reduce data redundancy and enhance model accuracy.Our findings reveal that the principal component analysis(PCA)-based feature selection technique achieved the highest performance,underscoring the importance of optimal feature selection in improving software cost estimation accuracy.It is demonstrated that our proposed method outperforms the existing method while achieving the highest precision,accuracy,and recall rates. 展开更多
关键词 Machine learning software cost estimation PCA hyper parameter feature selection
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Cost-Efficient Edge Caching for NOMA-Enabled IoT Services
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作者 Chen Ying Xing Hua +2 位作者 Ma Zhuo Chen Xin Huang Jiwei 《China Communications》 SCIE CSCD 2024年第8期182-191,共10页
Mobile edge computing(MEC)is a promising paradigm by deploying edge servers(nodes)with computation and storage capacity close to IoT devices.Content Providers can cache data in edge servers and provide services for Io... Mobile edge computing(MEC)is a promising paradigm by deploying edge servers(nodes)with computation and storage capacity close to IoT devices.Content Providers can cache data in edge servers and provide services for IoT devices,which effectively reduces the delay for acquiring data.With the increasing number of IoT devices requesting for services,the spectrum resources are generally limited.In order to effectively meet the challenge of limited spectrum resources,the Non-Orthogonal Multiple Access(NOMA)is proposed to improve the transmission efficiency.In this paper,we consider the caching scenario in a NOMA-enabled MEC system.All the devices compete for the limited resources and tend to minimize their own cost.We formulate the caching problem,and the goal is to minimize the delay cost for each individual device subject to resource constraints.We reformulate the optimization as a non-cooperative game model.We prove the existence of Nash equilibrium(NE)solution in the game model.Then,we design the Game-based Cost-Efficient Edge Caching Algorithm(GCECA)to solve the problem.The effectiveness of our GCECA algorithm is validated by both parameter analysis and comparison experiments. 展开更多
关键词 CACHING cost Internet of Things mobile edge computing non-orthogonal multiple access
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The potential impact of increased whole grain consumption among Chinese adults on reducing healthcare costs and carbon footprint
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作者 Xin Zhang Jingjing Wang +2 位作者 Fuli Tan Haixiu Gao Shenggen Fan 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第8期2842-2852,共11页
Excessive consumption of refined grains harms human health and ecosystem viability.Whole grains,as a healthy and sustainable alternative to refined grains,can benefit individual health by providing dietary fiber,B vit... Excessive consumption of refined grains harms human health and ecosystem viability.Whole grains,as a healthy and sustainable alternative to refined grains,can benefit individual health by providing dietary fiber,B vitamins,and bioactive substances.Additionally,they aid in improving the environment due to their higher extraction rate and lower carbon emission during the processing stage.However,few studies have attempted to evaluate the economic and social benefits of increasing the amount of whole grain in grain intake.This paper estimates the potential savings in healthcare costs and reduced food carbon footprints(CFs)that could result from a shift toward whole grain consumption following the Chinese Dietary Guidelines(CDG).We investigate hypothetical scenarios where a certain proportion(5–100%)of Chinese adults could increase their whole grain intakes as proposed by CDG to meet the average shortfall of 30.2 g.In that case,the healthcare costs for associated diseases(e.g.,type2 diabetes mellitus(T2DM),cardiovascular disease(CVD),and colorectal cancer(CRC))are expected to reduce by a substantial amount,from USD 2.82 to 56.37 billion;the carbon emission levels are also projected to decrease by0.24–5.72 million tons.This study provides compelling evidence that advocating for the transition towards greater consumption of whole grain products could benefit individual health,the environment,and society,by reducing both healthcare costs and carbon emissions. 展开更多
关键词 whole grains cost analysis public health life cycle assessment(LCA) carbon footprint
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A digital twin model-based approach to cost optimization of residential community microgrids
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作者 Mariem Dellaly Sondes Skander-Mustapha Ilhem Slama-Belkhodja 《Global Energy Interconnection》 EI CSCD 2024年第1期82-93,共12页
This paper presents a peer-to-peer community cost optimization approach based on a single-prosumer energy management system.Its objective is to optimize energy costs for prosumers in the community by enhancing the con... This paper presents a peer-to-peer community cost optimization approach based on a single-prosumer energy management system.Its objective is to optimize energy costs for prosumers in the community by enhancing the consumption efficiency.This study was conducted along two main axes.The first axis focuses on designing a digital twin for a residential community microgrid platform.This phase involves data collection,cleaning,exploration,and interpretation.Moreover,it includes replicating the functionality of the real platform and validating the results.The second axis involves the development of a novel approach that incorporates two distinct prosumer behaviors within the same community microgrid,while maintaining the concept of peer-to-peer energy trading.Prosumers without storage utilize their individual PV systems to fulfill their energy requirements and inject excess energy into a local microgrid.Meanwhile,a single prosumer with a storage system actively engages in energy exchange to maximize the community’s profit.This is achieved by optimizing battery usage using a cost optimization solution.The proposed solution is validated using the developed digital twin. 展开更多
关键词 Energy management system(EMS) cost optimization Digital twin Photovoltaic systems MICROGRID
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CO_(2)capture costs of chemical looping combustion of biomass:A comparison of natural and synthetic oxygen carrier
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作者 Benjamin Fleiß Juraj Priscak +3 位作者 Martin Hammerschmid Josef Fuchs Stefan Müller Hermann Hofbauer 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2024年第5期296-310,共15页
Chemical looping combustion has the potential to be an efficient and low-cost technology capable of contributing to the reduction of the atmospheric concentration of CO_(2) in order to reach the 1.5/2°C goal and ... Chemical looping combustion has the potential to be an efficient and low-cost technology capable of contributing to the reduction of the atmospheric concentration of CO_(2) in order to reach the 1.5/2°C goal and mitigate climate change.In this process,a metal oxide is used as oxygen carrier in a dual fluidized bed to generate clean CO_(2) via combustion of biomass.Most commonly,natural ores or synthetic materials are used as oxygen carrier whereas both must meet special requirements for the conversion of solid fuels.Synthetic oxygen carriers are characterized by higher reactivity at the expense of higher costs versus the lower-cost natural ores.To determine the viability of both possibilities,a techno-economic comparison of a synthetic material based on manganese,iron,and copper to the natural ore ilmenite was conducted.The synthetic oxygen carrier was characterized and tested in a pilot plant,where high combustion efficiencies up to 98.4%and carbon capture rates up to 98.5%were reached.The techno-economic assessment resulted in CO_(2) capture costs of 75 and 40€/tCO_(2) for the synthetic and natural ore route respectively,whereas a sensitivity analysis showed the high impact of production costs and attrition rates of the synthetic material.The synthetic oxygen carrier could break even with the natural ore in case of lower production costs and attrition rates,which could be reached by adapting the production process and recycling material.By comparison to state-of-the-art technologies,it is demonstrated that both routes are viable and the capture cost of CO_(2) could be reduced by implementing the chemical looping combustion technology. 展开更多
关键词 Chemical looping combustion BECCS Techno-economic assessment CO_(2)capture costs Oxygen carrier development Synthetic materials ILMENITE
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Health system interventions for the cost containment of drugs used for cardiovascular diseases: a systematic review and exploration of how the results could be adapted to the Sri Lankan context
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作者 Jayasekara Liyana Patabendige Chaminda Sanjeewa Kularatna +7 位作者 Dilantha Dharmagunawardene Reece Hinchclffe Alexia Rohde David Brain Ruvini Manjula Hettiarachchi Sucharitha Rangi Weerasuriya Sunil Senarath Yapa Sameera Senanayake 《Global Health Journal》 2024年第4期181-189,共9页
Objectives:Cardiovascular disease(CVD)in low and middle-income countries(LMICs),accounts for over 80%of global CVD-related deaths.The high cost of drugs is a major concern in not of managing CVD.This study aimed to co... Objectives:Cardiovascular disease(CVD)in low and middle-income countries(LMICs),accounts for over 80%of global CVD-related deaths.The high cost of drugs is a major concern in not of managing CVD.This study aimed to conduct a comprehensive review to identify interventions for cost containment of cvD drugs and use the inter-vention scalability assessment tool(ISAT)to examine the acceptability and application of relevant interventions in the Sri Lankan context,that can also be adaptable to other LMICs.Methods:A systematic search across three databases(Medline,Web of Science and Embase)was completed to identify relevant health system interventions.The ISAT assessed the feasibility of adapting the identified interven-tions to Sri Lanka,using structured interviews with 25 Sri Lankan stakeholders representing five groups:health managers,cardiologists,pharmacists,nursing officers,and patients.Results:The search yielded nine publications.Five were conducted on a national scale,while others were con-ducted at the regional levels.Seven were published in developed countries.The identified interventions were categorised into six intervention themes:Imposing a ceiling price or reference price;introduction of the polypill;introduction of volume price contract initiatives;prescribing generic and essential drugs;one intervention pack-age including generics,essential medicine,90-day drugs,and free delivery;and a second intervention package including discounts,rebates,cost-free medicine,and bundling.Assessment of six intervention themes revealed that methods of setting ceiling prices and controlling generic drug prescribing were the most popular,while other interventions were least popular..Conclusions:The study provides a roadmap for future interventions based on successful scaling,emphasizing the importance of understanding contextual variables and encourages stakeholder participation in policy assessments and advocacy.The findings highlighted the potential for enhancing the access to affordable CVD drugs not only in Sri Lanka,but also adaptable to other LMICs.These outcomes can contribute to policy decisions,aimed at reducing the significant global burden of CVD. 展开更多
关键词 Cardiovascular disease DRUG cost Interventions
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Reliability-based life-cycle cost seismic design optimization of coastal bridge piers with nonuniform corrosion using different materials
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作者 Wu Xiangtong Yuan Wenting Guo Anxin 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2024年第1期209-225,共17页
Reinforcement corrosion is the main cause of performance deterioration of reinforced concrete(RC)structures.Limited research has been performed to investigate the life-cycle cost(LCC)of coastal bridge piers with nonun... Reinforcement corrosion is the main cause of performance deterioration of reinforced concrete(RC)structures.Limited research has been performed to investigate the life-cycle cost(LCC)of coastal bridge piers with nonuniform corrosion using different materials.In this study,a reliability-based design optimization(RBDO)procedure is improved for the design of coastal bridge piers using six groups of commonly used materials,i.e.,normal performance concrete(NPC)with black steel(BS)rebar,high strength steel(HSS)rebar,epoxy coated(EC)rebar,and stainless steel(SS)rebar(named NPC-BS,NPC-HSS,NPC-EC,and NPC-SS,respectively),NPC with BS with silane soakage on the pier surface(named NPC-Silane),and high-performance concrete(HPC)with BS rebar(named HPC-BS).First,the RBDO procedure is improved for the design optimization of coastal bridge piers,and a bridge is selected to illustrate the procedure.Then,reliability analysis of the pier designed with each group of materials is carried out to obtain the time-dependent reliability in terms of the ultimate and serviceability performances.Next,the repair time of the pier is predicted based on the time-dependent reliability indices.Finally,the time-dependent LCCs for the pier are obtained for the selection of the optimal design. 展开更多
关键词 reliability-based design optimization(RBDO) life-cycle cost(LCC) nonuniform corrosion coastal bridge pier REPAIR
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Optimized scheduling of integrated energy systems for low carbon economy considering carbon transaction costs
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作者 Chao Liu Weiru Wang +2 位作者 Jing Li Xinyuan Liu Yongning Chi 《Global Energy Interconnection》 EI CSCD 2024年第4期377-390,共14页
With the introduction of the“dual carbon”goal and the continuous promotion of low-carbon development,the integrated energy system(IES)has gradually become an effective way to save energy and reduce emissions.This st... With the introduction of the“dual carbon”goal and the continuous promotion of low-carbon development,the integrated energy system(IES)has gradually become an effective way to save energy and reduce emissions.This study proposes a low-carbon economic optimization scheduling model for an IES that considers carbon trading costs.With the goal of minimizing the total operating cost of the IES and considering the transferable and curtailable characteristics of the electric and thermal flexible loads,an optimal scheduling model of the IES that considers the cost of carbon trading and flexible loads on the user side was established.The role of flexible loads in improving the economy of an energy system was investigated using examples,and the rationality and effectiveness of the study were verified through a comparative analysis of different scenarios.The results showed that the total cost of the system in different scenarios was reduced by 18.04%,9.1%,3.35%,and 7.03%,respectively,whereas the total carbon emissions of the system were reduced by 65.28%,20.63%,3.85%,and 18.03%,respectively,when the carbon trading cost and demand-side flexible electric and thermal load responses were considered simultaneously.Flexible electrical and thermal loads did not have the same impact on the system performance.In the analyzed case,the total cost and carbon emissions of the system when only the flexible electrical load response was considered were lower than those when only the flexible thermal load response was taken into account.Photovoltaics have an excess of carbon trading credits and can profit from selling them,whereas other devices have an excess of carbon trading and need to buy carbon credits. 展开更多
关键词 Demand response Combined cooling Heating and power system Carbon transaction costs Flexible electric and thermal loads Optimal scheduling
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Cost analysis of radical resection of malignant breast tumors under the China Healthcare Security Diagnosis Related Groups payment system
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作者 Yun-He Hu Ai-Dong Li 《World Journal of Clinical Cases》 SCIE 2024年第20期4174-4179,共6页
BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hosp... BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety. 展开更多
关键词 China Healthcare Security Diagnosis Related Groups Real-world study Radical resection of malignant breast tumors Hospitalization costs cost structure Average length of stay
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Impact of carbon disclosure on debt financing costs
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作者 Yiming Hu Yunfeng Liang 《Chinese Journal of Population,Resources and Environment》 2024年第1期98-108,共11页
Creditors,such as banks,often use disclosed environmental information to assess a company’s environmental risk and ensure the safety of debt funds.Consequently,carbon disclosures have become an important consideratio... Creditors,such as banks,often use disclosed environmental information to assess a company’s environmental risk and ensure the safety of debt funds.Consequently,carbon disclosures have become an important consideration for creditors when making investments.This study explores the relationship between carbon disclosure and debt financing costs using data on listed companies from 2008 to 2019.The results show that carbon disclosure can reduce the debt financing costs of enterprises,and that this influence is more significant for private companies than for state-owned enterprises.Instrumental variables and Propensity Score Matching(PSM)were used to evaluate the robustness of negative relationships.Furthermore,carbon disclosure has a more significant impact on debt costs with less environmental supervision pressure,weak residents’environmental awareness,and weak product market competition.These findings provide guidance for companies’carbon information disclosure and support the establishment of official carbon disclosure standards. 展开更多
关键词 Carbon disclosure Debt financing cost State-owned enterprise Private enterprise
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停车政策与可持续交通——写在The High Cost of Free Parking译著出版之际
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作者 袁泉 《上海城市规划》 北大核心 2024年第4期173-175,共3页
在城市交通规划和政策领域,Donald Shoup教授首次出版于2005年的著作《免费停车的高昂代价》(The High Cost of Free Parking)[1]是一部具有里程碑意义的作品。Shoup教授以其深刻的见解和严谨的分析,揭示了免费停车政策对城市发展、交... 在城市交通规划和政策领域,Donald Shoup教授首次出版于2005年的著作《免费停车的高昂代价》(The High Cost of Free Parking)[1]是一部具有里程碑意义的作品。Shoup教授以其深刻的见解和严谨的分析,揭示了免费停车政策对城市发展、交通拥堵、环境污染以及社会公平等方面的深远影响。 展开更多
关键词 停车政策 可持续交通 交通拥堵 城市交通规划 首次出版 环境污染 cost 高昂代价
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The Impact of the Digital Economy on Financial Regulatory Costs: An Empirical Analysis Based on the Solow Growth Model
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作者 Dong Kang 《Contemporary Social Sciences》 2024年第5期70-94,共25页
As a novel economic form,the digital economy is reshaping the financial regulatory landscape and significantly impacting regulatory costs.This paper incorporates the digital economy and financial regulatory costs into... As a novel economic form,the digital economy is reshaping the financial regulatory landscape and significantly impacting regulatory costs.This paper incorporates the digital economy and financial regulatory costs into the classic Solow growth model,uncovering an inverted U-shaped relationship between them.A subsequent mechanism analysis explains the rationale behind this relationship.To empirically examine this relationship in China,the paper utilizes inter-provincial panel data from 2013 to 2021 and employs methodologies such as the two-way fixed effects and moderating effects models.These analyses have important implications for the sound and sustainable development of China’s financial industry.The findings indicate:(a)As China’s digital economy develops,its impact on financial regulatory costs follows an inverted U-shaped pattern,initially increasing and then declining.This conclusion remains valid after robustness tests.(b)The influence of the digital economy on regulatory costs depends on favorable external conditions.Specifically,the impact is more pronounced in regions and periods with better digital infrastructure and more abundant human capital.(c)Additionally,redundant resources moderate this impact,which can weaken the inverted U-shaped relationship.Our findings not only provide a theoretical foundation for understanding the impact of the digital economy on financial regulatory costs but also offer valuable policy insights for optimizing financial regulation in China. 展开更多
关键词 digital economy financial regulatory costs Solow Growth Model
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