The collector managed inventory(CMI)management idea is introduced based on the comparison of manufacturer and third-party logistics(3PL)implementing vendor managed inventory(VMI)services.Considering recovery costs,the...The collector managed inventory(CMI)management idea is introduced based on the comparison of manufacturer and third-party logistics(3PL)implementing vendor managed inventory(VMI)services.Considering recovery costs,the service pricing strategies for 3PL corporations implementing VMI are studied to meet two conditions of participation constraints and incentive-compatibility constraints.The numerical simulation results indicate that the supply chain partners' profits change after considering recovery costs,and the 3PL corporation's profits and the total profits increase first,and then decrease.The retailers' and manufacturers' profits also increase.The total profits of the supply chain have a characteristic of increasing first and then decreasing with the increase of the callback ratio of unsold products.The concrete extremum point is codetermined by price flexibility,service pricing of the 3PL corporation,callback price and callback ratio.展开更多
The 2008 financial crisis raised concerns over the performance of public sector organisations operating under different cost recovery regimes.These concerns were linked to potential failure in attaining cost recovery ...The 2008 financial crisis raised concerns over the performance of public sector organisations operating under different cost recovery regimes.These concerns were linked to potential failure in attaining cost recovery targets as a result of declining revenues during economic downturn.This study utilised the Linear Mixed Effect(LME)models to analyse the data from the World Bank Indicator website and from six national Land Administration Organisations(LAOs),two of which being under“No cost recovery”(NCR)and the remaining being in“Full Cost Recovery”(FCR).Cost recovery indicators were computed from financial statement of national LAOs of these countries.The findings establish that a global financial crisis that is associated with declining GDP and a higher inflation rate can insignificantly reduce the level of cost recovery for LAOs while persistent decline in GDP growth rate significantly eliminates potentials for cost recovery.However prospects for recovery can be traced within the cost-revenue microstructures of LAOs themselves.With a significantly negative relationship between spending in information and technology as a ratio of GDP to the degree of cost recovery,LAOs need only to eliminate rigidities in their cost-revenue structure which tie them to macro-instabilities of the real estate market.Such flexibility can be attained through elastic cross-substitution in the LAO’s gross cost-revenues schedules for registration tasks in favour of information delivery tasks.展开更多
Almost all patients develop postoperative ileus (POI) after abdominal surgery.POI represents the single largest factor influencing length of stay (LOS) after bowel resection,and has great implications for patients and...Almost all patients develop postoperative ileus (POI) after abdominal surgery.POI represents the single largest factor influencing length of stay (LOS) after bowel resection,and has great implications for patients and resource utilization in health care.New methods to treat and decrease the length of POI are therefore of great importance.During the past decade,a substantial amount of research has been performed evaluating POI,and great progress has been made in our understanding and treatment of POI.Laparoscopic procedures,enhanced recovery pathways and pharmacologic treatment have been introduced.Each factor has substantially contributed to decreasing the length of POI and thus LOS after bowel resection.This editorial outlines resource utilization of POI,normal physiology of gut motility and pathogenesis of POI.Pharmacological treatment,fast track protocols and laparoscopic surgery can each have significant impact on pathways causing POI.The optimal integration of these treatment options continues to be assessed in prospective studies.展开更多
In this in-depth exploration, I delve into the complex implications and costs of cybersecurity breaches. Venturing beyond just the immediate repercussions, the research unearths both the overt and concealed long-term ...In this in-depth exploration, I delve into the complex implications and costs of cybersecurity breaches. Venturing beyond just the immediate repercussions, the research unearths both the overt and concealed long-term consequences that businesses encounter. This study integrates findings from various research, including quantitative reports, drawing upon real-world incidents faced by both small and large enterprises. This investigation emphasizes the profound intangible costs, such as trade name devaluation and potential damage to brand reputation, which can persist long after the breach. By collating insights from industry experts and a myriad of research, the study provides a comprehensive perspective on the profound, multi-dimensional impacts of cybersecurity incidents. The overarching aim is to underscore the often-underestimated scope and depth of these breaches, emphasizing the entire timeline post-incident and the urgent need for fortified preventative and reactive measures in the digital domain.展开更多
Although phosphorus(P)recovery and management from sewage sludge are practiced in North America and Europe,such practices are not yet to be implemented in China.Here,we evaluated the environmental sustainability oppor...Although phosphorus(P)recovery and management from sewage sludge are practiced in North America and Europe,such practices are not yet to be implemented in China.Here,we evaluated the environmental sustainability opportunity and socio-economic costs of recovering P from sewage sludge by replacing the current-day treatments(CT;sludge treatment and landfill)and P chemical fertilizer application(CF)in China using life cycle assessment and life cycle costing methods.Three potential P recovery scenarios(PR1‒PR3:struvite,vivianite,and treated sludge)and corresponding current-day scenarios(CT1‒CT3 and CF)were considered.Results indicated that PR1 and PR2 have smaller environmental impacts than the current-day scenarios,whereas PR3 has larger impacts in most categories.PR3 has the lowest net costs(sum of internal costs and benefits,39.1-54.7 CNY per kg P),whereas PR2 has the lowest external costs(366.8 CNY per kg P).Societal costs for production and land use of 1 kg P by P recovery from sewage sludge(e.g.,∼527 CNY for PR1)are much higher than those of P chemical fertilizers(∼20 CNY for CF).However,considering the costs in the current-day treatments(e.g.,∼524 CNY for CT1),societal costs of P recovery scenarios are close to or slightly lower than those of current-day scenarios.Among the three P recovery scenarios,we found that recovering struvite as P fertilizer has the highest societal feasibility.This study will provide valuable information for improved sewage sludge management and will help promote the sustainable supply of P in China.展开更多
Absence of wastewater and solid waste facilities impacts the quality of life of many people in developing countries. Implementation of these facilities will benefit public health, water quality, livelihoods and proper...Absence of wastewater and solid waste facilities impacts the quality of life of many people in developing countries. Implementation of these facilities will benefit public health, water quality, livelihoods and property value. Additional benefits may result from the potential recovery of valuable resources from wastewater and solid waste, such as compost, energy, phosphorus, plastics and paper. Improving water quality through implementation of wastewater and solid waste interventions requires, among others, an analysis of i) sources of pollution, ii) mitigating measures and resource recovery potentials and their effect on water quality and health, and iii) benefits and costs of interventions. We present an integrated approach to evaluate costs and benefits of domestic and industrial wastewater and solid waste interventions. To support a policy maker in formulating a cost and environmentally effective approach, we quantified the impact of these interventions on 1) water quality improvement, 2) resource recovery potential, and 3) monetized benefits versus costs. The integration of technical, hydrological, agronomical and socio-economic elements to derive these three tangible outputs in a joint approach is a novelty. The approach is demonstrated using the heavily polluted Indonesian Upper Citarum River in the Bandung region. Domestic interventions, applying simple (anaerobic filter) technologies, were economically most attractive with a benefit cost ratio (BCR) of 3.2, but could not reach target water quality standards. To approach the target water quality, both advanced domestic (nutrient removal systems) and industrial wastewater treatment interventions were required, leading to a BCR of 2. We showed that benefits from selling recovered resources represent here an additional driver for improving water quality and outweigh the additional costs for resource recovery facilities. While included benefits captured some of the major items, these may have been undervalued. Based on these findings, water quality interventions justify their costs and are socially and economically beneficial.展开更多
Cost recovery and user satisfaction are among the core objectives of any public or quas-public good provision.Public toilet service provision has been the domain of local government until when liberalisation policies ...Cost recovery and user satisfaction are among the core objectives of any public or quas-public good provision.Public toilet service provision has been the domain of local government until when liberalisation policies struck the developing south.With stringent condition to reduce the fiscal burden,local government authorities have sought to offload some of its core functions including the management of public toilets to contracted firms.Based on regression and comparative quadrant analysis,this study evaluates cost recovery and user satisfaction in relation to public toilet condition based on a total of 729 user responses and 31 public toilet operators.The observations point to misguided decision to place public toilet management under contracted firms instead of placing then under Public Private Partnership(PPP).The decision to place public toilets management under private contract or individual contract is only secondary to PPP if the focus is to achieve both cost recovery and user satisfaction.However,if the focus was to achieve only cost recovery regardless of the need to protect users,then the decision would have been well founded but can be conspired inappropriate in as long as public toilets remain the domain of public good.展开更多
Objective: It is the aim of this paper to estimate the provider’s cost of treating paediatric cases of Malaria in a rural African hospital. Furthermore, we intend to give some insights into the possibilities of impro...Objective: It is the aim of this paper to estimate the provider’s cost of treating paediatric cases of Malaria in a rural African hospital. Furthermore, we intend to give some insights into the possibilities of improving the efficiency of treating children with this disease in order to support policy makers in the resource allocation process. Methods: The cost analysis was done in the district hospital of Nouna, Burkina Faso. Based on a comprehensive cost-of-illness information system, the cost of treating paediatric Malaria in the district hospital in the year 2005 were estimated using a combination of top- down and activity-based costing. It divides the entire treatment process into a set of activities along the clinical pathway and allocates monetary values for the resource consumption to each activity. Results: The average actual provider’s cost were 6.74 US$ for a paediatric outpatient with Malaria, 61.08 US$ for a paediatric Malaria inpatient with anaemia and, respectively 74.29 US$ for a case of paediatric Malaria with neurological affection. 54% of the cost was due to laboratory work. This high unit cost was mainly due to a severe underutilisation of the hospital capacity. The current cost recovery rate per case was between 18% and 43%. It would be between 32% and 73% if the occupancy increased to 80%. Conclusion: The paper demonstrates that detailed costing is possible in a district hospital in rural Africa. The unit cost seems to be extra-ordinary high and the share of laboratory cost is tremendous. However, this is mainly due to a very strong underutilisation of the existing capacities. This fact calls for intensive efforts of the management of the institution to attract more patients by improving the quality of services and in particular the satisfaction of the patients.展开更多
The combustion process of pulverized coal injected into blast furnace involves a lot of physical and chemical reactions. Based on the combustion behaviors of pulverized coal, the conception of coal effective calorific...The combustion process of pulverized coal injected into blast furnace involves a lot of physical and chemical reactions. Based on the combustion behaviors of pulverized coal, the conception of coal effective calorific value representing the actual thermal energy provided for blast furnace was proposed. A cost performance evaluation model of coal injection was built up for the optimal selection of various kinds of coal based on effective calorific value. The model contains two indicators: coal effective calorific value which has eight sub-indicators and coal injection cost which includes four sub-indicators. In addition, the calculation principle and application of cost performance evaluation model in a Chinese large-scale iron and steel company were comprehensively introduced. The evaluation results finally confirm that this novel model is of great significance to the optimal selection of blast furnace pulverized coal.展开更多
The desired economics of hard rock surface mining is mainly determined by the parameters of process design which minimize the overall cost per tonne of the rock mined in drilling, blasting, handling and primary crushi...The desired economics of hard rock surface mining is mainly determined by the parameters of process design which minimize the overall cost per tonne of the rock mined in drilling, blasting, handling and primary crushing in given rockmass conditions. The most effective parameters of process design could be established based on the regression models of the cumulative influence of rockmass and mine design parameters on the overall cost per tonne of the rock drilled, blasted, handled and crushed. These models could be developed from the huge data accumulated worldwide on the costs per tonne of hard rock surface mining in drilling, blasting, handling and primary crushing vs the parameters of rockmass and mine design. This paper only dwelt on the development of regression models for oversize generation, blasthole productivity and blasting cost for iron ore surface mines, whose data is available. The SPSS standard statistical correlation – regression analysis software was used in the analysis. Interpretation of the models generated shows that the individual effects of the determinant rockmass and blast design parameters on oversize generation, blasthole productivity and blasting cost are all in compliance with the findings of other researchers and the theory of explosive rock fragmentation and could be used for the estimation of oversize generation, blasthole productivity and blasting cost in rockmass and blast design conditions similar to those of the iron ore surface mines examined in this study. However, the regression models obtained here could not be used alone for the optimization of blast design because most of the determinant parameters also have conflicting effect on the other processes of drilling, handling and primary crushing the blasted rock. Also, the quality and content of the regression models could be enhanced further by increasing the content of rockmass and blast design parameters and the volume of data considered in the regression analysis.展开更多
The connection between blasting cost and comprehensive cost is the main concern.Some blasting effect factors (such as unit explosive consumption,uniformity of blockness,shape and porosity of blasting heap),which had a...The connection between blasting cost and comprehensive cost is the main concern.Some blasting effect factors (such as unit explosive consumption,uniformity of blockness,shape and porosity of blasting heap),which had an influence on electric shove loading efficiency,were analyzed.In the end a project to properly increase in blasting cost to decrease the comprehensive cost was put forward.At the same time,the hole-by-hole blasting is effective technology to improve blasting effect.展开更多
Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyz...Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.展开更多
基金The National Key Technology R&D Program of China during the11th Five-Year Plan Period(No.2006BAH02A06).
文摘The collector managed inventory(CMI)management idea is introduced based on the comparison of manufacturer and third-party logistics(3PL)implementing vendor managed inventory(VMI)services.Considering recovery costs,the service pricing strategies for 3PL corporations implementing VMI are studied to meet two conditions of participation constraints and incentive-compatibility constraints.The numerical simulation results indicate that the supply chain partners' profits change after considering recovery costs,and the 3PL corporation's profits and the total profits increase first,and then decrease.The retailers' and manufacturers' profits also increase.The total profits of the supply chain have a characteristic of increasing first and then decreasing with the increase of the callback ratio of unsold products.The concrete extremum point is codetermined by price flexibility,service pricing of the 3PL corporation,callback price and callback ratio.
文摘The 2008 financial crisis raised concerns over the performance of public sector organisations operating under different cost recovery regimes.These concerns were linked to potential failure in attaining cost recovery targets as a result of declining revenues during economic downturn.This study utilised the Linear Mixed Effect(LME)models to analyse the data from the World Bank Indicator website and from six national Land Administration Organisations(LAOs),two of which being under“No cost recovery”(NCR)and the remaining being in“Full Cost Recovery”(FCR).Cost recovery indicators were computed from financial statement of national LAOs of these countries.The findings establish that a global financial crisis that is associated with declining GDP and a higher inflation rate can insignificantly reduce the level of cost recovery for LAOs while persistent decline in GDP growth rate significantly eliminates potentials for cost recovery.However prospects for recovery can be traced within the cost-revenue microstructures of LAOs themselves.With a significantly negative relationship between spending in information and technology as a ratio of GDP to the degree of cost recovery,LAOs need only to eliminate rigidities in their cost-revenue structure which tie them to macro-instabilities of the real estate market.Such flexibility can be attained through elastic cross-substitution in the LAO’s gross cost-revenues schedules for registration tasks in favour of information delivery tasks.
基金Supported by North Norwegian Health Authorities Research Fund
文摘Almost all patients develop postoperative ileus (POI) after abdominal surgery.POI represents the single largest factor influencing length of stay (LOS) after bowel resection,and has great implications for patients and resource utilization in health care.New methods to treat and decrease the length of POI are therefore of great importance.During the past decade,a substantial amount of research has been performed evaluating POI,and great progress has been made in our understanding and treatment of POI.Laparoscopic procedures,enhanced recovery pathways and pharmacologic treatment have been introduced.Each factor has substantially contributed to decreasing the length of POI and thus LOS after bowel resection.This editorial outlines resource utilization of POI,normal physiology of gut motility and pathogenesis of POI.Pharmacological treatment,fast track protocols and laparoscopic surgery can each have significant impact on pathways causing POI.The optimal integration of these treatment options continues to be assessed in prospective studies.
文摘In this in-depth exploration, I delve into the complex implications and costs of cybersecurity breaches. Venturing beyond just the immediate repercussions, the research unearths both the overt and concealed long-term consequences that businesses encounter. This study integrates findings from various research, including quantitative reports, drawing upon real-world incidents faced by both small and large enterprises. This investigation emphasizes the profound intangible costs, such as trade name devaluation and potential damage to brand reputation, which can persist long after the breach. By collating insights from industry experts and a myriad of research, the study provides a comprehensive perspective on the profound, multi-dimensional impacts of cybersecurity incidents. The overarching aim is to underscore the often-underestimated scope and depth of these breaches, emphasizing the entire timeline post-incident and the urgent need for fortified preventative and reactive measures in the digital domain.
基金This study was funded by the National Key R&D Program of China(2018YFE0106400)the National Natural Science Foundation of China(42122059 and 41977324)the Natural Science Foundation of Tianjin(20JCYBJC01080).The support from Aalborg University was also acknowledged.
文摘Although phosphorus(P)recovery and management from sewage sludge are practiced in North America and Europe,such practices are not yet to be implemented in China.Here,we evaluated the environmental sustainability opportunity and socio-economic costs of recovering P from sewage sludge by replacing the current-day treatments(CT;sludge treatment and landfill)and P chemical fertilizer application(CF)in China using life cycle assessment and life cycle costing methods.Three potential P recovery scenarios(PR1‒PR3:struvite,vivianite,and treated sludge)and corresponding current-day scenarios(CT1‒CT3 and CF)were considered.Results indicated that PR1 and PR2 have smaller environmental impacts than the current-day scenarios,whereas PR3 has larger impacts in most categories.PR3 has the lowest net costs(sum of internal costs and benefits,39.1-54.7 CNY per kg P),whereas PR2 has the lowest external costs(366.8 CNY per kg P).Societal costs for production and land use of 1 kg P by P recovery from sewage sludge(e.g.,∼527 CNY for PR1)are much higher than those of P chemical fertilizers(∼20 CNY for CF).However,considering the costs in the current-day treatments(e.g.,∼524 CNY for CT1),societal costs of P recovery scenarios are close to or slightly lower than those of current-day scenarios.Among the three P recovery scenarios,we found that recovering struvite as P fertilizer has the highest societal feasibility.This study will provide valuable information for improved sewage sludge management and will help promote the sustainable supply of P in China.
文摘Absence of wastewater and solid waste facilities impacts the quality of life of many people in developing countries. Implementation of these facilities will benefit public health, water quality, livelihoods and property value. Additional benefits may result from the potential recovery of valuable resources from wastewater and solid waste, such as compost, energy, phosphorus, plastics and paper. Improving water quality through implementation of wastewater and solid waste interventions requires, among others, an analysis of i) sources of pollution, ii) mitigating measures and resource recovery potentials and their effect on water quality and health, and iii) benefits and costs of interventions. We present an integrated approach to evaluate costs and benefits of domestic and industrial wastewater and solid waste interventions. To support a policy maker in formulating a cost and environmentally effective approach, we quantified the impact of these interventions on 1) water quality improvement, 2) resource recovery potential, and 3) monetized benefits versus costs. The integration of technical, hydrological, agronomical and socio-economic elements to derive these three tangible outputs in a joint approach is a novelty. The approach is demonstrated using the heavily polluted Indonesian Upper Citarum River in the Bandung region. Domestic interventions, applying simple (anaerobic filter) technologies, were economically most attractive with a benefit cost ratio (BCR) of 3.2, but could not reach target water quality standards. To approach the target water quality, both advanced domestic (nutrient removal systems) and industrial wastewater treatment interventions were required, leading to a BCR of 2. We showed that benefits from selling recovered resources represent here an additional driver for improving water quality and outweigh the additional costs for resource recovery facilities. While included benefits captured some of the major items, these may have been undervalued. Based on these findings, water quality interventions justify their costs and are socially and economically beneficial.
文摘Cost recovery and user satisfaction are among the core objectives of any public or quas-public good provision.Public toilet service provision has been the domain of local government until when liberalisation policies struck the developing south.With stringent condition to reduce the fiscal burden,local government authorities have sought to offload some of its core functions including the management of public toilets to contracted firms.Based on regression and comparative quadrant analysis,this study evaluates cost recovery and user satisfaction in relation to public toilet condition based on a total of 729 user responses and 31 public toilet operators.The observations point to misguided decision to place public toilet management under contracted firms instead of placing then under Public Private Partnership(PPP).The decision to place public toilets management under private contract or individual contract is only secondary to PPP if the focus is to achieve both cost recovery and user satisfaction.However,if the focus was to achieve only cost recovery regardless of the need to protect users,then the decision would have been well founded but can be conspired inappropriate in as long as public toilets remain the domain of public good.
文摘Objective: It is the aim of this paper to estimate the provider’s cost of treating paediatric cases of Malaria in a rural African hospital. Furthermore, we intend to give some insights into the possibilities of improving the efficiency of treating children with this disease in order to support policy makers in the resource allocation process. Methods: The cost analysis was done in the district hospital of Nouna, Burkina Faso. Based on a comprehensive cost-of-illness information system, the cost of treating paediatric Malaria in the district hospital in the year 2005 were estimated using a combination of top- down and activity-based costing. It divides the entire treatment process into a set of activities along the clinical pathway and allocates monetary values for the resource consumption to each activity. Results: The average actual provider’s cost were 6.74 US$ for a paediatric outpatient with Malaria, 61.08 US$ for a paediatric Malaria inpatient with anaemia and, respectively 74.29 US$ for a case of paediatric Malaria with neurological affection. 54% of the cost was due to laboratory work. This high unit cost was mainly due to a severe underutilisation of the hospital capacity. The current cost recovery rate per case was between 18% and 43%. It would be between 32% and 73% if the occupancy increased to 80%. Conclusion: The paper demonstrates that detailed costing is possible in a district hospital in rural Africa. The unit cost seems to be extra-ordinary high and the share of laboratory cost is tremendous. However, this is mainly due to a very strong underutilisation of the existing capacities. This fact calls for intensive efforts of the management of the institution to attract more patients by improving the quality of services and in particular the satisfaction of the patients.
基金Project(51134008)supported by the National Natural Science Foundation of ChinaProject(2012CB720401)supported by the National Basic Research Program of China
文摘The combustion process of pulverized coal injected into blast furnace involves a lot of physical and chemical reactions. Based on the combustion behaviors of pulverized coal, the conception of coal effective calorific value representing the actual thermal energy provided for blast furnace was proposed. A cost performance evaluation model of coal injection was built up for the optimal selection of various kinds of coal based on effective calorific value. The model contains two indicators: coal effective calorific value which has eight sub-indicators and coal injection cost which includes four sub-indicators. In addition, the calculation principle and application of cost performance evaluation model in a Chinese large-scale iron and steel company were comprehensively introduced. The evaluation results finally confirm that this novel model is of great significance to the optimal selection of blast furnace pulverized coal.
文摘The desired economics of hard rock surface mining is mainly determined by the parameters of process design which minimize the overall cost per tonne of the rock mined in drilling, blasting, handling and primary crushing in given rockmass conditions. The most effective parameters of process design could be established based on the regression models of the cumulative influence of rockmass and mine design parameters on the overall cost per tonne of the rock drilled, blasted, handled and crushed. These models could be developed from the huge data accumulated worldwide on the costs per tonne of hard rock surface mining in drilling, blasting, handling and primary crushing vs the parameters of rockmass and mine design. This paper only dwelt on the development of regression models for oversize generation, blasthole productivity and blasting cost for iron ore surface mines, whose data is available. The SPSS standard statistical correlation – regression analysis software was used in the analysis. Interpretation of the models generated shows that the individual effects of the determinant rockmass and blast design parameters on oversize generation, blasthole productivity and blasting cost are all in compliance with the findings of other researchers and the theory of explosive rock fragmentation and could be used for the estimation of oversize generation, blasthole productivity and blasting cost in rockmass and blast design conditions similar to those of the iron ore surface mines examined in this study. However, the regression models obtained here could not be used alone for the optimization of blast design because most of the determinant parameters also have conflicting effect on the other processes of drilling, handling and primary crushing the blasted rock. Also, the quality and content of the regression models could be enhanced further by increasing the content of rockmass and blast design parameters and the volume of data considered in the regression analysis.
文摘The connection between blasting cost and comprehensive cost is the main concern.Some blasting effect factors (such as unit explosive consumption,uniformity of blockness,shape and porosity of blasting heap),which had an influence on electric shove loading efficiency,were analyzed.In the end a project to properly increase in blasting cost to decrease the comprehensive cost was put forward.At the same time,the hole-by-hole blasting is effective technology to improve blasting effect.
文摘Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.