Small modular reactors (SMRs) offer simple, standardized, and safe modular designs for new nuclear reactor construction. They are factory built, requiring smaller initial capital investment and facilitating shorter co...Small modular reactors (SMRs) offer simple, standardized, and safe modular designs for new nuclear reactor construction. They are factory built, requiring smaller initial capital investment and facilitating shorter construction times. SMRs also promise competitive economy when compared with the current reactor fleet. Construction cost of a majority of the projects, which are mostly in their design stages, is not publicly available, but variable costs can be determined from fuel enrichment, average burn-up, and plant thermal efficiency, which are public parameters for many near-term SMR projects. The fuel cost of electricity generation for selected SMRs and large reactors is simulated, including calculation of optimal tails assay in the uranium enrichment process. The results are compared between one another and with current generation large reactor designs providing a rough comparison of the long-term economics of a new nuclear reactor project. SMRs are predicted to have higher fuel costs than large reactors. Particularly, integral pressurized water reactors (iPWRs) are shown to have from 15% to 70% higher fuel costs than large light water reactors using 2014 nuclear fuels market data. Fuel cost sensitivities to reactor design parameters are presented.展开更多
The technological development status of new generation low cost small-lift launch vehicles applied to small satellite launch is investigated in this paper. The development trends are summarized, including low cost and...The technological development status of new generation low cost small-lift launch vehicles applied to small satellite launch is investigated in this paper. The development trends are summarized, including low cost and rapid response capability, utilization of mature rocket and missile technology, the development of mobile launch technology adopting air-based platforms and use of innovative technology. Moreover, the external power and internal demand of the small-lift launch vehicle are analyzed and the market prospect is forecasted. Finally, proposals for the development of small-lift launch vehicles are put forward, including exploration of the potential of existing rocket and missile technology, development of multi-platform mobile launch technology and further application of innovative technology and ideas.展开更多
Objective: To evaluate the cost-effectiveness of atezolizumab plus pemetrexed and platinum-based (APP) in the first-line treatment of non-squamous non- small cell lung cancer (NSCLC). Methods: A partitioned survival m...Objective: To evaluate the cost-effectiveness of atezolizumab plus pemetrexed and platinum-based (APP) in the first-line treatment of non-squamous non- small cell lung cancer (NSCLC). Methods: A partitioned survival model (PSM) was constructed based on the IMpower132 clinical trial. Total cost, quality- adjusted life years (QALY), and incremental cost-effectiveness ratio (ICER) were the main outputs of the model. Deterministic sensitivity analysis and probabilistic sensitivity analysis were adopted to test the uncertainty of the parameters. Results: The results of the base-case analysis illustrated that compared with PP, the incremental cost of APP was CNY 591040.94, the incremental utility was 0.46 QALY, and the ICER was CNY 1291414.83/QALY. Deterministic sensitivity analysis results illustrated that atezolizumab and other parameters have a greater impact on ICER. Probabilistic sensitivity analysis results show that no matter how each parameter changes, under the willingness to pay threshold of 3-times Chinese per capita GDP, the probability of APP has cost-effectiveness is 0. Conclusion: From the perspective of the Chinese health system, APP is not cost-effective for first-line treatment of non-squamous non-small cell lung cancer without sensitizing EGFR or ALK genetic alterations.展开更多
Despite lung cancer(LC) screening by low-dose computerized tomography(LDCT) gaining many proponents worldwide, for many years it was not recognized as a life-prolonging and cost-effective procedure, until recently. Pr...Despite lung cancer(LC) screening by low-dose computerized tomography(LDCT) gaining many proponents worldwide, for many years it was not recognized as a life-prolonging and cost-effective procedure, until recently. Prospective observational studies had not been able to prove that this screening prolongs survival, but they helped to specify the inclusion and exclusion criteria. Long-awaited results of a prospective, randomized trial finally provided the evidence that LC screening with LDCT can prolong survival of the screened population. Several costeffectiveness analyses were performed to justify mass introduction of this screening. Results of these analyses are equivocal, although conclusions highly depend upon inclusion and exclusion criteria, methods of analysis and prices of medical procedures which differ between countries as well as the incidence of other pulmonary nodules, especially tuberculosis. Therefore, costeffectiveness analysis should be performed separately for every country. Cost-effectiveness depends especially upon the rate of false-positive results and the rate of unnecessary diagnostic, screening and treatment procedures. To ensure high cost-effectiveness, LC screening should be performed in accordance with screening protocol, in dedicated screening centers equipped with nodule volume change analysis, or as a prospective non-randomized trial, to ensure compliance with the inclusion and exclusion criteria. To ensure high cost-effectiveness of LC screening, future research should concentrate on determination of highrisk groups and further specifying the inclusion and exclusion criteria.展开更多
Petroleum products contamination is a world-wide problem that threatens polluting groundwater and surface water systems. However, the problem is not only large-scale in scope when viewed from a case-by-case basis. Man...Petroleum products contamination is a world-wide problem that threatens polluting groundwater and surface water systems. However, the problem is not only large-scale in scope when viewed from a case-by-case basis. Many fueling, construction, agricultural, and industrial activities result in the problem of managing smaller quantities of these soils from an ecological safety perspective. Landfilling has been the disposal method of choice in the US;however, this option is becoming economically prohibitive and it does not really offer a true degradation fate for the pollutants. This study focused on the proving of an innovative biocell design that afforded a high level of petroleum degradation within a simple and cost effective design. Additionally, the design offered a remediation solution for sites not easily accessed. Soil contaminated with both diesel fuel and gasoline collected from a former filling station was used in this on-site remediation case study. Rapid biodegradation of the petroleum products were observed at the initiation of the study with rates leveling off as the study progressed with the final total petroleum hydrocarbon concentration being 10 mg/kg at Day 90. Oxygen uptake rates were monitored and found to nicely track both microbial activity and pollutant removal dynamics. The biocell design met all expectations by being effective, yet simple to build and operate.展开更多
From the background of small peasant management and information asymmetry,this paper introduced the middle profit sharing model and discussed influence factors and ownership of pricing power of agricultural products. ...From the background of small peasant management and information asymmetry,this paper introduced the middle profit sharing model and discussed influence factors and ownership of pricing power of agricultural products. It obtained following results:( i) the transaction scale has positive effect on farmer's pricing power of agricultural products,while the competitor's transaction scale has negative effect on it,so does the cost for information search;( ii) under the condition of small peasant management system,farmer is in a relatively weak position in the distribution of pricing power of agricultural products,due to factors such as small transaction scale,information asymmetry and farmer's weak negotiation ability;( iii) through cooperative game,farmer and buyers can share cooperative surplus at the agreed ratio;( iv) the introduction of self-organizing specialized farmers cooperatives is favorable for solving the problem of pricing power of agricultural products,and possible problems,such as " collective action dilemma" and " fake cooperatives" in the cooperative development process can be solved by internal and external division of labor and specialization of cooperatives.展开更多
目的以中国卫生体系为研究角度,评价安罗替尼对比安慰剂三线治疗晚期非小细胞肺癌的经济性,为安罗替尼的临床合理应用以及医保循证决策提供参考依据。方法利用临床试验数据和相关文献数据,应用TreeAge Pro 2022软件建立安罗替尼治疗晚...目的以中国卫生体系为研究角度,评价安罗替尼对比安慰剂三线治疗晚期非小细胞肺癌的经济性,为安罗替尼的临床合理应用以及医保循证决策提供参考依据。方法利用临床试验数据和相关文献数据,应用TreeAge Pro 2022软件建立安罗替尼治疗晚期非小细胞肺癌的Markov模型,模型以3周为一循环周期,模拟时限为10年,成本和效用值采用5%的贴现率进行贴现,确定两方案各自的成本、寿命年、质量调整生命年(QALYs),模型以增量成本-效用比(ICUR)为评价指标。采用2022年我国3倍人均GDP(257094元/QALY)作为药物经济学评价的意愿支付阈值(WTP),以判断两种方案的经济性。进行单因素敏感性分析和概率敏感性分析以判断参数改变对模型结果稳健性的影响。结果经模型模拟10年后,安罗替尼组成本为79919.41元,安慰剂组总成本为21938.43元,安罗替尼组可获得1.78个寿命年,0.8个QALYs,安慰剂组可获0.96个寿命年,0.39个QALYs,两组相比的ICUR值为141417.02元/QALY,远低于我国的意愿支付阈值(257094元/QALY)。单因素敏感性分析的结果显示无进展状态效用值和安罗替尼的价格是对结果影响最显著的因素。概率敏感性分析结果显示当阈值为257094元/QALY时,安罗替尼组具有经济性的概率为100%。结论安罗替尼对比安慰剂三线治疗我国晚期非小细胞肺癌患者时更具有经济性。展开更多
介绍了一种电子雷管总线电流采集方法的专利技术,使用低成本的硬件方案,实现高精度、宽范围的电流采集。应用于电子雷管的工作电流、通讯电流、充电电流、雷管总线电流负载的采集,实现电子雷管的状态监测、数据通讯、总线保护等。重点...介绍了一种电子雷管总线电流采集方法的专利技术,使用低成本的硬件方案,实现高精度、宽范围的电流采集。应用于电子雷管的工作电流、通讯电流、充电电流、雷管总线电流负载的采集,实现电子雷管的状态监测、数据通讯、总线保护等。重点论述低成本电路设计思想,实现高精度、高分辨率、宽范围的电流采集方法。电子雷管控制模块的工作电流一般为10~30 uA,通过电流载波方式向起爆控制器发送数据,通讯电流一般为0.5~2 mA,并通过总线为发火储能电容充电,充电峰值电流1~2 mA。起爆控制器通过采集总线电流,判断电子控制模块的工作状态、采集通讯数据、充电情况等。电子雷管总线电流采集方法,使用低边电阻对电流采样,通过3路低成本的运算放大器代替差分比较器,使用MCU内部集成的12 bit AD转换器代替外部16 bit AD转换器,硬件成本降低80%以上。通过将电流分段采集,既满足了小电流采样精度,又扩展电流采样范围30倍,电流采样可覆盖总线额定电流。因无需外部AD转换模块,采样效率显著提高。展开更多
文摘Small modular reactors (SMRs) offer simple, standardized, and safe modular designs for new nuclear reactor construction. They are factory built, requiring smaller initial capital investment and facilitating shorter construction times. SMRs also promise competitive economy when compared with the current reactor fleet. Construction cost of a majority of the projects, which are mostly in their design stages, is not publicly available, but variable costs can be determined from fuel enrichment, average burn-up, and plant thermal efficiency, which are public parameters for many near-term SMR projects. The fuel cost of electricity generation for selected SMRs and large reactors is simulated, including calculation of optimal tails assay in the uranium enrichment process. The results are compared between one another and with current generation large reactor designs providing a rough comparison of the long-term economics of a new nuclear reactor project. SMRs are predicted to have higher fuel costs than large reactors. Particularly, integral pressurized water reactors (iPWRs) are shown to have from 15% to 70% higher fuel costs than large light water reactors using 2014 nuclear fuels market data. Fuel cost sensitivities to reactor design parameters are presented.
文摘The technological development status of new generation low cost small-lift launch vehicles applied to small satellite launch is investigated in this paper. The development trends are summarized, including low cost and rapid response capability, utilization of mature rocket and missile technology, the development of mobile launch technology adopting air-based platforms and use of innovative technology. Moreover, the external power and internal demand of the small-lift launch vehicle are analyzed and the market prospect is forecasted. Finally, proposals for the development of small-lift launch vehicles are put forward, including exploration of the potential of existing rocket and missile technology, development of multi-platform mobile launch technology and further application of innovative technology and ideas.
文摘Objective: To evaluate the cost-effectiveness of atezolizumab plus pemetrexed and platinum-based (APP) in the first-line treatment of non-squamous non- small cell lung cancer (NSCLC). Methods: A partitioned survival model (PSM) was constructed based on the IMpower132 clinical trial. Total cost, quality- adjusted life years (QALY), and incremental cost-effectiveness ratio (ICER) were the main outputs of the model. Deterministic sensitivity analysis and probabilistic sensitivity analysis were adopted to test the uncertainty of the parameters. Results: The results of the base-case analysis illustrated that compared with PP, the incremental cost of APP was CNY 591040.94, the incremental utility was 0.46 QALY, and the ICER was CNY 1291414.83/QALY. Deterministic sensitivity analysis results illustrated that atezolizumab and other parameters have a greater impact on ICER. Probabilistic sensitivity analysis results show that no matter how each parameter changes, under the willingness to pay threshold of 3-times Chinese per capita GDP, the probability of APP has cost-effectiveness is 0. Conclusion: From the perspective of the Chinese health system, APP is not cost-effective for first-line treatment of non-squamous non-small cell lung cancer without sensitizing EGFR or ALK genetic alterations.
文摘Despite lung cancer(LC) screening by low-dose computerized tomography(LDCT) gaining many proponents worldwide, for many years it was not recognized as a life-prolonging and cost-effective procedure, until recently. Prospective observational studies had not been able to prove that this screening prolongs survival, but they helped to specify the inclusion and exclusion criteria. Long-awaited results of a prospective, randomized trial finally provided the evidence that LC screening with LDCT can prolong survival of the screened population. Several costeffectiveness analyses were performed to justify mass introduction of this screening. Results of these analyses are equivocal, although conclusions highly depend upon inclusion and exclusion criteria, methods of analysis and prices of medical procedures which differ between countries as well as the incidence of other pulmonary nodules, especially tuberculosis. Therefore, costeffectiveness analysis should be performed separately for every country. Cost-effectiveness depends especially upon the rate of false-positive results and the rate of unnecessary diagnostic, screening and treatment procedures. To ensure high cost-effectiveness, LC screening should be performed in accordance with screening protocol, in dedicated screening centers equipped with nodule volume change analysis, or as a prospective non-randomized trial, to ensure compliance with the inclusion and exclusion criteria. To ensure high cost-effectiveness of LC screening, future research should concentrate on determination of highrisk groups and further specifying the inclusion and exclusion criteria.
文摘Petroleum products contamination is a world-wide problem that threatens polluting groundwater and surface water systems. However, the problem is not only large-scale in scope when viewed from a case-by-case basis. Many fueling, construction, agricultural, and industrial activities result in the problem of managing smaller quantities of these soils from an ecological safety perspective. Landfilling has been the disposal method of choice in the US;however, this option is becoming economically prohibitive and it does not really offer a true degradation fate for the pollutants. This study focused on the proving of an innovative biocell design that afforded a high level of petroleum degradation within a simple and cost effective design. Additionally, the design offered a remediation solution for sites not easily accessed. Soil contaminated with both diesel fuel and gasoline collected from a former filling station was used in this on-site remediation case study. Rapid biodegradation of the petroleum products were observed at the initiation of the study with rates leveling off as the study progressed with the final total petroleum hydrocarbon concentration being 10 mg/kg at Day 90. Oxygen uptake rates were monitored and found to nicely track both microbial activity and pollutant removal dynamics. The biocell design met all expectations by being effective, yet simple to build and operate.
文摘From the background of small peasant management and information asymmetry,this paper introduced the middle profit sharing model and discussed influence factors and ownership of pricing power of agricultural products. It obtained following results:( i) the transaction scale has positive effect on farmer's pricing power of agricultural products,while the competitor's transaction scale has negative effect on it,so does the cost for information search;( ii) under the condition of small peasant management system,farmer is in a relatively weak position in the distribution of pricing power of agricultural products,due to factors such as small transaction scale,information asymmetry and farmer's weak negotiation ability;( iii) through cooperative game,farmer and buyers can share cooperative surplus at the agreed ratio;( iv) the introduction of self-organizing specialized farmers cooperatives is favorable for solving the problem of pricing power of agricultural products,and possible problems,such as " collective action dilemma" and " fake cooperatives" in the cooperative development process can be solved by internal and external division of labor and specialization of cooperatives.
文摘目的以中国卫生体系为研究角度,评价安罗替尼对比安慰剂三线治疗晚期非小细胞肺癌的经济性,为安罗替尼的临床合理应用以及医保循证决策提供参考依据。方法利用临床试验数据和相关文献数据,应用TreeAge Pro 2022软件建立安罗替尼治疗晚期非小细胞肺癌的Markov模型,模型以3周为一循环周期,模拟时限为10年,成本和效用值采用5%的贴现率进行贴现,确定两方案各自的成本、寿命年、质量调整生命年(QALYs),模型以增量成本-效用比(ICUR)为评价指标。采用2022年我国3倍人均GDP(257094元/QALY)作为药物经济学评价的意愿支付阈值(WTP),以判断两种方案的经济性。进行单因素敏感性分析和概率敏感性分析以判断参数改变对模型结果稳健性的影响。结果经模型模拟10年后,安罗替尼组成本为79919.41元,安慰剂组总成本为21938.43元,安罗替尼组可获得1.78个寿命年,0.8个QALYs,安慰剂组可获0.96个寿命年,0.39个QALYs,两组相比的ICUR值为141417.02元/QALY,远低于我国的意愿支付阈值(257094元/QALY)。单因素敏感性分析的结果显示无进展状态效用值和安罗替尼的价格是对结果影响最显著的因素。概率敏感性分析结果显示当阈值为257094元/QALY时,安罗替尼组具有经济性的概率为100%。结论安罗替尼对比安慰剂三线治疗我国晚期非小细胞肺癌患者时更具有经济性。
文摘介绍了一种电子雷管总线电流采集方法的专利技术,使用低成本的硬件方案,实现高精度、宽范围的电流采集。应用于电子雷管的工作电流、通讯电流、充电电流、雷管总线电流负载的采集,实现电子雷管的状态监测、数据通讯、总线保护等。重点论述低成本电路设计思想,实现高精度、高分辨率、宽范围的电流采集方法。电子雷管控制模块的工作电流一般为10~30 uA,通过电流载波方式向起爆控制器发送数据,通讯电流一般为0.5~2 mA,并通过总线为发火储能电容充电,充电峰值电流1~2 mA。起爆控制器通过采集总线电流,判断电子控制模块的工作状态、采集通讯数据、充电情况等。电子雷管总线电流采集方法,使用低边电阻对电流采样,通过3路低成本的运算放大器代替差分比较器,使用MCU内部集成的12 bit AD转换器代替外部16 bit AD转换器,硬件成本降低80%以上。通过将电流分段采集,既满足了小电流采样精度,又扩展电流采样范围30倍,电流采样可覆盖总线额定电流。因无需外部AD转换模块,采样效率显著提高。